An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, in regulation of insurers and related persons generally, providing for nondiscrimination by payers in health care benefit plans.

Summary

HB 2212 adds a new chapter to Pennsylvania’s insurance statutes that requires payers to reimburse willing out‑of‑network hospitals and surgical centers without discrimination. It applies to insurers, HMOs, PPOs and self‑insured employers, and uses arbitration to resolve payment disputes based on defined metrics. The goal is to ensure patients can receive timely care from qualified facilities without excessive cost differences.

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