Pennsylvania SB 1360: An Act amending Title 53 (Municipalities Generally) of the Pennsylvania Consolidated Statutes, in municipal authorities, further providing for purposes and powers.

Bill Text

PRINTER'S NO. 1796
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No. 1360
Session of
2026
INTRODUCED BY TARTAGLIONE, J. WARD, FARRY, HAYWOOD, FONTANA,
PICOZZI, COSTA, SANTARSIERO, VOGEL, BOSCOLA, MILLER,
CAPPELLETTI, FLYNN, PENNYCUICK, COLLETT AND SCHWANK,
JUNE 8, 2026
REFERRED TO INSTITUTIONAL SUSTAINABILITY AND INNOVATION,
JUNE 8, 2026
AN ACT
Providing for insurance coverage for prostheses and orthoses;
and imposing duties on the Insurance Department and the
Department of Human Services.
TABLE OF CONTENTS
Chapter 1. General Provisions
Section 101. Short title.
Section 102. Definitions.
Chapter 3. Insurers
Section 301. Coverage for prostheses and orthoses.
Section 302. Nature of benefits.
Section 303. Determination and prescription.
Section 304. Nondiscriminatory manner.
Section 305. Notification.
Section 306. Financial requirements.
Section 307. Access to other providers.
Section 308. Replacements.
Section 309. Notice by Insurance Department.
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Section 310. Reports.
Section 311. Rules and regulations.
Section 312. Enforcement.
Chapter 5. Government Programs
Section 501. Coverage for prostheses and orthoses.
Section 502. Nature of benefits.
Section 503. Determination and prescription.
Section 504. Nondiscriminatory manner.
Section 505. Notification.
Section 506. Financial requirements.
Section 507. Access to other providers.
Section 508. Replacements.
Section 509. Notice by department.
Section 510. Reports.
Section 511. Rules and regulations.
Section 512. Enforcement.
Chapter 7. Miscellaneous Provisions
Section 701. Construction.
Section 702. Applicability.
Section 703. Effective date.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
CHAPTER 1
GENERAL PROVISIONS
Section 101. Short title.
This act shall be known and may be cited as the So Every BODY
Can Move Act.
Section 102. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
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context clearly indicates otherwise:
"Cost sharing." The portion of costs paid by an enrollee for
a particular benefit covered by a health insurance policy or MA
or CHIP managed care plan, including deductibles, coinsurance,
copayments or similar charges.
"Department." The Department of Human Services of the
Commonwealth.
"Enrollee." An individual covered under a health insurance
policy or MA or CHIP managed care plan.
"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 fixed indemnity policy.
(vi) A hospital indemnity policy.
(vii) A dental only policy.
(viii) A vision only policy.
(ix) A workers' compensation policy.
(x) An automobile medical payment policy.
(xi) A homeowners' insurance policy.
(xii) 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
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insurance policy that is offered or governed under any of the
following:
(1) The act of May 17, 1921 (P.L.682, No.284), known as
The Insurance Company Law of 1921, including section 630 and
Article XXIV of that act.
(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).
"Medical Assistance or Children's Health Insurance Program
managed care plan" or "MA or CHIP managed care plan." A health
care plan that uses a gatekeeper to manage the utilization of
health care services by medical assistance or children's health
insurance program enrollees and integrates the financing and
delivery of health care services.
"Medical Practice Act." The act of December 20, 1985
(P.L.457, No.112), known as the Medical Practice Act of 1985.
"Medicare fee schedule." The Medicare Durable Medical
Equipment, Prosthetics, Orthotics and Supplies Fee Schedule
established by the Centers for Medicare and Medicaid Services.
"Provider." An individual licensed as a prosthetist,
orthotist, pedorthist or orthotic fitter under section 13.5 of
the Medical Practice Act.
CHAPTER 3
INSURERS
Section 301. Coverage for prostheses and orthoses.
(a) Amount of coverage.--Each health insurance policy
providing coverage for hospital, medical or surgical expenses
must include coverage for prosthetic and custom orthotic
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