35 Pa. Stat. § 5927

Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 5927 - Blood lead assessment and testing coverage
(a) General rule.--A health insurance policy or government program covered under this section shall provide to covered individuals or recipients blood lead tests as follows:
(1) In the case of individuals or recipients who are pregnant, one blood lead test per pregnancy if a single risk factor is identified in accordance with recommendations from the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists.
(2) In the case of individuals or recipients who are under two years of age, at least one blood lead test by 24 months of age in accordance with recommendations from the Centers for Disease Control and Prevention and the American Academy of Pediatrics, and, if the result of the blood level test indicates an elevated blood lead level, another blood lead test by venipuncture within 12 weeks of the blood level test in which the elevated blood lead level was indicated.
(b)Copayments, deductibles and coinsurance.--Coverage under this section shall be subject to copayment, deductible and coinsurance provisions and any other general exclusions or limitations of a health insurance policy or government program to the same extent as other medical services covered by the policy or program are subject to these provisions.
(c)Construction.--This section shall not be construed as limiting benefits which are otherwise available to an individual under a health insurance policy or government program.

35 P.S. § 5927

Added by P.L. TBD 2022 No. 150, § 7, eff. 1/3/2023.