PRINTER'S NO. 966 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No.917 Session of 2025 INTRODUCED BY SHUSTERMAN, SANCHEZ, WAXMAN, PIELLI, RABB, VENKAT, PROBST, KHAN, STEELE, KINKEAD, OTTEN, MAYES, HOHENSTEIN, O'MARA, DEASY, BOYD, CARROLL, GREEN, PARKER AND SCHLOSSBERG, MARCH 17, 2025 REFERRED TO COMMITTEE ON INSURANCE, MARCH 17, 2025 AN ACT Amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, in regulation of insurers and related persons generally, repealing provisions relating to compliance with Federal health care legislation. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Chapter 33 of Title 40 of the Pennsylvania Consolidated Statutes is repealed: [CHAPTER 33 COMPLIANCE WITH FEDERAL HEALTH CARE LEGISLATION Sec. 3301. Definitions. 3302. Opt-out for abortion. § 3301. Definitions. The following words and phrases when used in this chapter shall have the meanings given to them in this section unless the context clearly indicates otherwise: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 "Abortion." The term shall have the same meaning given to it in 18 Pa.C.S. § 3203 (relating to definitions). "Complication." The term shall have the same meaning given to it in 18 Pa.C.S. § 3203 (relating to definitions). "Health insurance exchange." The term shall mean an insurance system established to comply with section 1311(b) or 1321(c) of the Patient Protection and Affordable Care Act (Public Law 111-148, 42 U.S.C. § 18031(b) or 18041(c)). § 3302. Opt-out for abortion. (a) Prohibition.--The Commonwealth of Pennsylvania hereby elects pursuant to the authority granted the states under section 1303(a) of the Patient Protection and Affordable Care Act (Public Law 111-148, 42 U.S.C. § 18023(a)) to prohibit certain abortion coverage in qualified health plans offered through the health insurance exchange under subsection (b). (b) Included coverage prohibition.--No qualified health plan offered in this Commonwealth through the health insurance exchange shall include coverage for the performance of any abortion unless the reason the abortion is performed is one for which the expenditure of public funds would be permitted under 18 Pa.C.S. § 3215(c) (relating to publicly owned facilities; public officials and public funds). (c) Excluded coverage prohibited.--No qualified health plan offered in this Commonwealth through a health insurance exchange shall exclude coverage for: (1) Treatment of any postabortion complication. (2) Treatment of any miscarriage or any complication related to a miscarriage. (d) Option.--Nothing in this section shall prohibit an individual from purchasing optional supplemental abortion 20250HB0917PN0966 - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 coverage provided the individual pays a separate premium for the coverage and obtains the coverage outside of the health insurance exchange.] Section 2. This act shall take effect immediately. 20250HB0917PN0966 - 3 - 1 2 3 4