Aging and Older Adult Services

Pennsylvania House Bill 2732 amends the Real Estate Tax Sale Law to prevent the forced sale of homes owned by seniors who are experiencing financial hardship. To qualify, an individual must be at least 65 years old, live in the property as their primary residence, and demonstrate that their household income is at or below the federal poverty level or that they face significant obstacles such as high medical costs or caregiving duties. If a homeowner applies for this protection before a court confirms a tax sale, the county tax bureau must pause all sale proceedings and work with the owner to create a written repayment plan for the delinquent taxes. This protection remains in effect until the property is sold, it is no longer the owner's primary home, or the owner passes away, though the estate may continue the repayment plan for up to twelve months after the owner's death.

SB 482 amends Pennsylvania's Human Services Code to improve access to home-based and community-based services for older adults. It directly affects older Pennsylvanians seeking long-term care, LIFE program organizations, and older adult daily living centers by requiring the state department to share eligibility information with these providers and clarifying rules for Medicaid managed care enrollment. Key mechanisms include mandating that applicants receive information about LIFE programs and daily living centers after eligibility assessments, preventing Medicaid managed care assignments until after such assessments, and requiring quarterly enrollment reports by county. The bill also adds definitions for "LIFE program" and "older adult daily living center" to streamline service coordination. These changes aim to enhance transparency and access to care options without altering benefit levels or funding.

HB 1346 amends Pennsylvania's Insurance Company Law to mandate coverage for menopause treatments in health insurance policies. This bill requires health insurance policies offered or renewed in the Commonwealth to provide coverage for both hormonal and non-hormonal treatments for menopausal symptoms. The required coverage includes FDA-approved drugs, devices, behavioral therapy, and treatments for menopause induced by a hysterectomy. This ensures individuals in Pennsylvania experiencing menopause or related symptoms have access to covered treatments, subject to the standard terms and conditions of their health insurance policy.

This Pennsylvania bill requires most health insurance plans to cover vaginal estrogen when used to treat menopausal symptoms or prevent urinary tract infections. The law mandates that insurers include FDA-approved drugs, devices, and combination products for this treatment, though they may still apply standard rules regarding medical necessity and patient cost-sharing. Coverage applies to new or renewed policies starting 90 days after the bill takes effect, with specific timelines for plans that do not need to file rates or forms with the state.

This bill requires Medicaid programs and private health insurance plans to cover bone density screenings, preventive care, and treatments for osteoporosis specifically linked to menopause. It directly affects postmenopausal women, particularly those with low income who rely on Medicaid, by ensuring access to these services without cost barriers. The key provision mandates that both public medical assistance programs and private insurers include these osteoporosis-related services in standard coverage. This expands existing coverage to explicitly address menopause-related bone health needs.