SB 959 Pennsylvania Senate · 2025-2026 Regular Session

An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in uniform health insurance claim form, further providing for forms for health insurance claims.

SB 959 requires Pennsylvania insurance companies to use a standardized health insurance claim form developed by the Department of Insurance within 180 days. This uniform form must be used by all insurers, the state's public health programs, and healthcare providers within 120 days of its creation, though dental and vision claims may use the form at the insurer's discretion. The bill also mandates that insurers allow direct payment to dental providers when a patient authorizes it (a provision set to expire after 10 years) and requires a study on the impact of this payment rule. The Legislative Budget Committee must report on network participation changes within 36 months of the bill's effective date.
Bill status in committee 1 of 4 stages cleared
Introduction
Jul 2025
Committee Review
Floor Vote
Governor
Introduced Jul 23, 2025 Last action Jul 23, 2025