HB 2427 — An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in quality health care accountability and protection, further providing for definitions and providing for utilization management for stage four, advanced metastatic cancer drugs; and making a repeal.

PRINTER'S NO.    3233

                     THE GENERAL ASSEMBLY OF PENNSYLVANIA



                         HOUSE BILL
                         No. 2427
                                               Session of
                                                 2026

     INTRODUCED BY WARREN, BENNINGHOFF, VENKAT, PICKETT, HILL-EVANS,
        VITALI, SANCHEZ AND NEILSON, APRIL 20, 2026

     REFERRED TO COMMITTEE ON INSURANCE, APRIL 21, 2026


                                    AN ACT
 1   Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
 2      act relating to insurance; amending, revising, and
 3      consolidating the law providing for the incorporation of
 4      insurance companies, and the regulation, supervision, and
 5      protection of home and foreign insurance companies, Lloyds
 6      associations, reciprocal and inter-insurance exchanges, and
 7      fire insurance rating bureaus, and the regulation and
 8      supervision of insurance carried by such companies,
 9      associations, and exchanges, including insurance carried by
10      the State Workmen's Insurance Fund; providing penalties; and
11      repealing existing laws," in quality health care
12      accountability and protection, further providing for
13      definitions and providing for utilization management for
14      stage four, advanced metastatic cancer drugs; and making a
15      repeal.
16      The General Assembly of the Commonwealth of Pennsylvania
17   hereby enacts as follows:
18      Section 1.    Section 2102 of the act of May 17, 1921 (P.L.682,
19   No.284), known as The Insurance Company Law of 1921, is amended
20   by adding a definition to read:
21      Section 2102.    Definitions.--As used in this article, the
22   following words and phrases shall have the meanings given to
23   them in this section:
24      * * *
 1      "Stage four, advanced metastatic cancer."    Cancer that has
 2   spread from the primary or original site of the cancer to nearby
 3   tissues, lymph nodes or other areas of the body.
 4      * * *
 5      Section 2.     The act is amended by adding a section to read:
 6   Section 2157.1.    Utilization management for stage four, advanced
 7                metastatic cancer drugs.
 8      An insurer or health insurance policy that, directly or
 9   indirectly, covers the treatment of stage four, advanced
10   metastatic cancer may not require a covered person to first fail
11   to successfully respond to a different drug, or prove a history
12   of failure in use of a different drug, before providing coverage
13   for a covered drug to which both of the following apply:
14          (1)   The drug is approved by the United States Food and
15      Drug Administration for this indication.
16          (2)   The prescription of the drug is consistent with the
17      best clinical practices for the treatment of stage four,
18      advanced metastatic cancer or a severe adverse health
19      condition experienced as a result of stage four, advanced
20      metastatic cancer, and is supported by peer-reviewed medical
21      literature.
22      Section 3.     Repeals are as follows:
23          (1)   The General Assembly declares that the repeal under
24      paragraph (2) is necessary to effectuate the addition of
25      section 2157.1 of the act.
26          (2)   The act of February 12, 2020 (P.L.11, No.6), known
27      as the Fair Access to Cancer Treatment Law, is repealed.
28      Section 4.     The addition of section 2157.1 of the act is a
29   continuation of the act of February 12, 2020 (P.L.11, No.6),
30   known as the Fair Access to Cancer Treatment Law. The following

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 1   shall apply:
 2          (1)     Except as otherwise provided in section 2157.1 of
 3      the act, all activities initiated under the Fair Access to
 4      Cancer Treatment Law shall continue and remain in full force
 5      and effect and may be completed under section 2157.1 of the
 6      act. Orders, regulations, rules and decisions which were made
 7      under the Fair Access to Cancer Treatment Law, and which are
 8      in effect on the effective date of this section, shall remain
 9      in full force and effect until revoked, vacated or modified
10      under section 2157.1 of the act. Contracts, obligations and
11      collective bargaining agreements entered into under the Fair
12      Access to Cancer Treatment Law are not affected nor impaired
13      by the repeal of the Fair Access to Cancer Treatment Law.
14          (2)     Any difference in language between section 2157.1 of
15      the act and the Fair Access to Cancer Treatment Law is
16      intended only to conform to the style of the Pennsylvania
17      Consolidated Statutes and is not intended to change or affect
18      the legislative intent, judicial construction or
19      administration and implementation of the Fair Access to
20      Cancer Treatment Law.
21      Section 5.    This act shall take effect immediately.




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