Laws & Regulations

Insurance Legislation

PDA Wins Fight for General Anesthesia Coverage for At-Risk Patients

PDA strongly lobbied for HB 532, legislation introduced by Rep. Stan Saylor (R-York), that would require all insurers to cover under their medical policies the costs associated with administering general anesthesia to children seven years of age and younger and patients with developmental disabilities.

Thirty-one states require that medical plans pay for hospitalization and related medical expenses, such as the administration of general anesthesia, when dental treatment must be performed in hospitals. Not providing this coverage limits access to care for those patients who require extensive dental work and need general anesthesia because of behavior management issues or have special needs. These patients simply do not get the care they need because they cannot afford the significant costs associated with the administration of general anesthesia.

PDA’s lobbyists and staff worked with key members of the House Democratic and Republican caucuses to advance this legislation. PDA also worked with organizations that advocate on behalf of Pennsylvanians with special needs to better educate the legislature about how providing this coverage is necessary in order to provide quality care to the most vulnerable dental patients.

HB 532 unanimously passed the House of Representatives on June 12 and moved to the Senate, where it was fast tracked and passed by the Senate on June 30.