Labor & Employment

HB 535 bans Pennsylvania health insurers from setting annual or lifetime dollar limits on core health benefits for enrollees, whether services are provided by in-network or out-of-network providers. It applies to all individual and group health insurance policies (excluding specific types like Medicare supplements or dental/vision-only plans) and prohibits limits on benefits that were already covered without such caps in 2025 policies. The Insurance Department can enforce this through fines up to $5,000 per violation (or $10,000 for willful violations), with annual caps of $500,000 for insurers. The law does not require coverage of specific benefits but eliminates existing dollar limit practices for covered services.

HB 569 amends Pennsylvania's Emergency and Law Enforcement Personnel Death Benefits Act to expand eligibility for death benefits. It explicitly includes coroners (and medical examiners) as covered personnel and adds a presumption that fatal heart attacks or strokes occurring during duty or within 24 hours of physical training/emergency response are work-related. This change directly affects surviving spouses, children, or parents of coroners, firefighters, ambulance/rescue personnel, law enforcement officers, and National Guard members who die in the line of duty. The bill updates the act's definition of "coroner" and ensures benefits are granted for these new circumstances.