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
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.