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---
type: "Bill"
title: "An Act providing for health insurance coverage requirements for stage four, advanced metastatic cancer."
description: "An Act providing for health insurance coverage requirements for stage four, advanced metastatic cancer."
jurisdiction: "us/states/pa"
legislature: "Pennsylvania General Assembly"
session: "2019-2020"
identifier: "HB 427"
citation: "Pennsylvania HB 427 (2019-2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Benninghoff"]
version_count: 6
action_count: 23
vote_count: 5
first_action: "2019-02-11T05:00:00+00:00"
last_action: "2020-02-12T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/bbbe8539-f735-4372-9e6e-9761d6b4746d"
source_url: "http://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2019&sind=0&body=H&type=B&BN=427"
source_hash: "42da52d032688308b5b81f57b49cc2b6b6c797fdf383a4982c80027422082806"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-pa"]
---
# Pennsylvania HB 427 (2019-2020) — An Act providing for health insurance coverage requirements for stage four, advanced metastatic cancer.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **House Amendment A02230** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/HA/Public/HaCheck.cfm?txtType=HTM&sYear=2019&sInd=0&body=H&type=B&bn=0427&pn=1089&aYear=2019&an=02230)
2. **Printer's No. 0414** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2019&sessInd=0&billBody=H&billTyp=B&billNbr=0427&pn=0414)
3. **Printer's No. 1089** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2019&sessInd=0&billBody=H&billTyp=B&billNbr=0427&pn=1089)
4. **Printer's No. 2194** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2019&sessInd=0&billBody=H&billTyp=B&billNbr=0427&pn=2194)
5. **Printer's No. 2901** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2019&sessInd=0&billBody=H&billTyp=B&billNbr=0427&pn=2901)
6. **Senate Amendment A03872** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/HA/Public/HaCheck.cfm?txtType=HTM&sYear=2019&sInd=0&body=H&type=B&bn=0427&pn=2194&aYear=2019&an=03872)
## Votes
- HB 427 PN 2901, CONCUR — **192–0** (pass) · lower
- FINAL PASSAGE — **196–3** (pass) · lower
- Committee vote (BANKING AND INSURANCE): Reported as Amended — **14–0** (pass) · upper
- FINAL PASSAGE — **48–0** (pass) · upper
- HB 427 PN 1089, 2019 A2230, BENNINGHOFF — **190–2** (pass) · lower
## Sponsors
- Benninghoff — primary (person)
- Barrar — cosponsor (person)
- Bernstine — cosponsor (person)
- Caltagirone — cosponsor (person)
- Causer — cosponsor (person)
- Ciresi — cosponsor (person)
- Deluca — cosponsor (person)
- Donatucci — cosponsor (person)
- Freeman — cosponsor (person)
- Gleim — cosponsor (person)
- Hershey — cosponsor (person)
- Hohenstein — cosponsor (person)
- Kenyatta — cosponsor (person)
- Kinsey — cosponsor (person)
- Kortz — cosponsor (person)
- Longietti — cosponsor (person)
- Mcclinton — cosponsor (person)
- Mcneill — cosponsor (person)
- Millard — cosponsor (person)
- Murt — cosponsor (person)
- Oberlander — cosponsor (person)
- Pickett — cosponsor (person)
- Readshaw — cosponsor (person)
- Rothman — cosponsor (person)
- Ryan — cosponsor (person)
- Saylor — cosponsor (person)
- T. Davis — cosponsor (person)
- Warren — cosponsor (person)
- Wheeland — cosponsor (person)
- Zimmerman — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-02-11T05:00:00+00:00** PN 0414 Referred to HEALTH `referral-committee`
- **2019-03-25T04:00:00+00:00** PN 1089 Reported as amended `committee-passage, amendment-passage`
- **2019-03-25T04:00:00+00:00** First consideration `reading-1`
- **2019-03-25T04:00:00+00:00** Laid on the table
- **2019-03-27T04:00:00+00:00** Removed from table
- **2019-05-15T04:00:00+00:00** Laid on the table
- **2019-05-15T04:00:00+00:00** Removed from table
- **2019-06-20T04:00:00+00:00** PN 2194 Second consideration, with amendments `reading-2`
- **2019-06-20T04:00:00+00:00** Re-committed to APPROPRIATIONS `referral-committee`
- **2019-06-24T04:00:00+00:00** Re-reported as committed `committee-passage`
- **2019-06-24T04:00:00+00:00** Third consideration and final passage `passage, reading-3`
- **2019-07-08T04:00:00+00:00** Referred to BANKING AND INSURANCE `referral-committee`
- **2019-11-19T05:00:00+00:00** PN 2901 Reported as amended `committee-passage, amendment-passage`
- **2019-11-19T05:00:00+00:00** First consideration `reading-1`
- **2019-11-21T05:00:00+00:00** Second consideration `reading-2`
- **2020-01-29T05:00:00+00:00** Third consideration and final passage `passage, reading-3`
- **2020-02-03T05:00:00+00:00** Referred to RULES `referral-committee`
- **2020-02-04T05:00:00+00:00** Re-reported on concurrence, as committed `committee-passage`
- **2020-02-04T05:00:00+00:00** House concurred in Senate amendments
- **2020-02-04T05:00:00+00:00** Signed in House
- **2020-02-05T05:00:00+00:00** Signed in Senate
- **2020-02-06T05:00:00+00:00** Presented to the Governor `executive-receipt`
- **2020-02-12T05:00:00+00:00** Approved by the Governor `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bbbe8539-f735-4372-9e6e-9761d6b4746d`. Confidence: reported (aggregated from official Pennsylvania legislature records).