Pennsylvania HB 2613: An Act amending Title 25 (Elections) of the Pennsylvania Consolidated Statutes, in registration system, further providing for SURE system.

Bill Text

PRINTER'S NO. 3565
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 2613
Session of
2026
INTRODUCED BY KOSIEROWSKI, ISAACSON, HOHENSTEIN, PROBST, CIRESI,
PARKER, CEPEDA-FREYTIZ, BELLMON, WAXMAN, GUZMAN, POWELL,
SHUSTERMAN, PASHINSKI, MADDEN, T. DAVIS, RIVERA, KAZEEM,
BOYD, MAYES AND CURRY, JUNE 8, 2026
REFERRED TO COMMITTEE ON HUMAN SERVICES, JUNE 9, 2026
AN ACT
Providing for complex wheelchair quality assurance; and imposing
duties on the Department of Human Services and the Insurance
Department.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Short title.
This act shall be known and may be cited as the Complex
Wheelchair Quality Assurance Act.
Section 2. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Beneficiary." An individual covered under a government
program.
"Complex wheelchair." A wheelchair owned by a beneficiary or
an insured in which all of the following apply:
(1) The wheelchair is originally designed, manufactured,
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individually configured, adjusted or modified for a specific
individual to meet the individual's unique medical, physical
or functional needs and capacities.
(2) The wheelchair is primarily used to serve a medical,
physical or functional purpose and is generally not useful to
an individual in the absence of disability, illness, injury
or other medical condition.
(3) The wheelchair requires certain services to ensure
appropriate use, including at least one of the following:
(i) An evaluation of the features and functions to
the specific individual who will use the wheelchair.
(ii) Configuring, fitting, programming, adjusting or
adapting the particular wheelchair for use by the
individual.
"Costs incurred." The real costs of providing a semiannual
evaluation of a complex wheelchair, which shall include:
(1) Physical checks, adjustments or use of a complex
wheelchair.
(2) Labor costs.
(3) Contacting, driving to or consulting with a
beneficiary regarding the appropriate use of the complex
wheelchair.
"Department." The Department of Human Services of the
Commonwealth.
"Government program." Either of the following:
(1) The medical assistance program established under the
act of June 13, 1967 (P.L.31, No.21), known as the Human
Services Code.
(2) The children's health insurance program established
under Article XXIII-A of the act of May 17, 1921 (P.L.682,
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No.284), known as The Insurance Company Law of 1921.
"Health insurance policy." As follows:
(1) An individual or group insurance policy, subscriber
contract, certificate or plan offered, issued or renewed by a
health insurer that provides medical or health care coverage,
including emergency services.
(2) The term does not include:
(i) An accident only policy.
(ii) A credit only policy.
(iii) A long-term care or disability income policy.
(iv) A specified disease policy.
(v) A Medicare supplement policy.
(vi) A TriCARE policy, including a Civilian Health
and Medical Program of the Uniformed Services (CHAMPUS)
supplement policy.
(vii) A fixed indemnity policy.
(viii) A hospital indemnity policy.
(ix) A dental only policy.
(x) A vision only policy.
(xi) A workers' compensation policy.
(xii) An automobile medical payment policy.
(xiii) A homeowners' insurance policy.
(xiv) Any other similar policy providing for limited
benefits.
"Health insurer." An entity licensed by the Insurance
Department with accident and health authority to issue a health
insurance policy that is offered or governed under any of the
following:
(1) The Insurance Company Law of 1921, including section
630 and Article XXIV of that act.
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(2) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(3) 40 Pa.C.S. Ch. 61 (relating to hospital plan
corporations) or 63 (relating to professional health services
plan corporations).
"Insured." An individual covered under a health insurance
policy.
"Service provider." An entity with the capability of
providing well-visits and which is enrolled as a Medicare
durable medical equipment supplier or a Pennsylvania Medicaid
supplier.
"Well-visit." An evaluation of a complex wheelchair and the
beneficiary's or insured's use of the complex wheelchair by a
repair technician working on behalf of a service provider, which
shall include the following:
(1) Assessment and evaluation of the physical condition
of the complex wheelchair.
(2) Adjustments to the condition of the complex
wheelchair.
Section 3. Well-visit coverage.
A health insurance policy or government program shall provide
coverage for complex wheelchair maintenance and well-visits on
at least a semiannual basis, including co