republic-os/legislation/us/states/pa/2021-2022/sb-225.md

---
type: "Bill"
title: "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, for responsibilities of managed care plans, for financial incentives prohibition, for medical gag clause prohibition, for emergency services, for continuity of care, for procedures, for confidentiality, for required disclosure and for internal complaint process, providing for internal complaint process for enrollees, further providing for appeal of complaint, for complaint resolution, for certification and for operational standards, providing for utilization review standards, further providing for internal grievance process, for external grievance process and for records, providing for adverse benefit determinations, further providing for prompt payment of claims, for health care provider and managed care plan protection, for departmental powers and duties and for penalties and sanctions, providing for regulations and further providing for compliance with national accrediting standards and for exceptions; making repeals; and making editorial changes."
description: "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, for responsibilities of managed care plans, for financial incentives prohibition, for medical gag clause prohibition, for emergency services, for continuity of care, for procedures, for confidentiality, for required disclosure and for internal complaint process, providing for internal complaint process for enrollees, further providing for appeal of complaint, for complaint resolution, for certification and for operational standards, providing for utilization review standards, further providing for internal grievance process, for external grievance process and for records, providing for adverse benefit determinations, further providing for prompt payment of claims, for health care provider and managed care plan protection, for departmental powers and duties and for penalties and sanctions, providing for regulations and further providing for compliance with national accrediting standards and for exceptions; making repeals; and making editorial changes."
jurisdiction: "us/states/pa"
legislature: "Pennsylvania General Assembly"
session: "2021-2022"
identifier: "SB 225"
citation: "Pennsylvania SB 225 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Phillips-Hill"]
version_count: 6
action_count: 33
vote_count: 8
first_action: "2021-03-18T04:00:00+00:00"
last_action: "2022-11-03T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/fdff2f14-7b03-40be-b800-0b3e8659bbda"
source_url: "http://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2021&sind=0&body=S&type=B&BN=225"
source_hash: "5894964ead1327cfc4b2b967e42290638d82d36c0007cddf11469c097cd74eb8"
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 SB 225 (2021-2022) — 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, for responsibilities of managed care plans, for financial incentives prohibition, for medical gag clause prohibition, for emergency services, for continuity of care, for procedures, for confidentiality, for required disclosure and for internal complaint process, providing for internal complaint process for enrollees, further providing for appeal of complaint, for complaint resolution, for certification and for operational standards, providing for utilization review standards, further providing for internal grievance process, for external grievance process and for records, providing for adverse benefit determinations, further providing for prompt payment of claims, for health care provider and managed care plan protection, for departmental powers and duties and for penalties and sanctions, providing for regulations and further providing for compliance with national accrediting standards and for exceptions; making repeals; and making editorial changes.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Printer's No. 0453** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2021&sessInd=0&billBody=S&billTyp=B&billNbr=0225&pn=0453)
2. **Printer's No. 0948** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2021&sessInd=0&billBody=S&billTyp=B&billNbr=0225&pn=0948)
3. **Printer's No. 1809** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2021&sessInd=0&billBody=S&billTyp=B&billNbr=0225&pn=1809)
4. **Printer's No. 1837** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2021&sessInd=0&billBody=S&billTyp=B&billNbr=0225&pn=1837)
5. **Printer's No. 1924** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2021&sessInd=0&billBody=S&billTyp=B&billNbr=0225&pn=1924)
6. **Printer's No. 2004** (committee substitute) — [source](http://www.legis.state.pa.us/CFDOCS/Legis/PN/Public/btCheck.cfm?txtType=HTM&sessYr=2021&sessInd=0&billBody=S&billTyp=B&billNbr=0225&pn=2004)

## Votes

- FINAL PASSAGE — **199–0** (pass) · lower
- SB 225 PN 1837, Final Passage — **50–0** (pass) · upper
- Committee vote (RULES AND EXECUTIVE NOMINATIONS): Re-Reported as Committed — **17–0** (pass) · upper
- Committee vote (APPROPRIATIONS): Re-Reported as Committed — **22–2** (pass) · upper
- SB 225 PN 948, 2021 A5018, PHILLIPS-HILL Amendment No. A-5018 — **49–0** (pass) · upper
- SB 225 PN 2004, Concur in House Amendments — **48–0** (pass) · upper
- Committee vote (BANKING AND INSURANCE): Reported as Amended — **14–0** (pass) · upper
- SB 225 PN 1924, 2021 A5815 — **200–0** (pass) · lower

## Sponsors

- Phillips-Hill — primary (person)
- Aument — cosponsor (person)
- Baker — cosponsor (person)
- Boscola — cosponsor (person)
- Brooks — cosponsor (person)
- Cappelletti — cosponsor (person)
- Collett — cosponsor (person)
- Comitta — cosponsor (person)
- Dillon — cosponsor (person)
- Dush — cosponsor (person)
- Flynn — cosponsor (person)
- Hutchinson — cosponsor (person)
- J. Ward — cosponsor (person)
- Kane — cosponsor (person)
- Kearney — cosponsor (person)
- L. Williams — cosponsor (person)
- Laughlin — cosponsor (person)
- Martin — cosponsor (person)
- Mastriano — cosponsor (person)
- Mensch — cosponsor (person)
- Muth — cosponsor (person)
- Sabatina — cosponsor (person)
- Santarsiero — cosponsor (person)
- Schwank — cosponsor (person)
- Stefano — cosponsor (person)
- Tomlinson — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-03-18T04:00:00+00:00** PN 0453 Referred to BANKING AND INSURANCE `referral-committee`
- **2021-06-23T04:00:00+00:00** PN 0948 Reported as amended `amendment-passage, committee-passage`
- **2021-06-23T04:00:00+00:00** First consideration `reading-1`
- **2021-10-25T04:00:00+00:00** Laid on the table
- **2021-10-25T04:00:00+00:00** Removed from table
- **2022-01-19T05:00:00+00:00** Laid on the table
- **2022-01-19T05:00:00+00:00** Removed from table
- **2022-04-06T04:00:00+00:00** Laid on the table
- **2022-04-06T04:00:00+00:00** Removed from table
- **2022-06-13T04:00:00+00:00** Laid on the table
- **2022-06-13T04:00:00+00:00** Removed from table
- **2022-06-22T04:00:00+00:00** PN 1809 Second consideration, with amendments `reading-2`
- **2022-06-22T04:00:00+00:00** Re-referred to APPROPRIATIONS `referral-committee`
- **2022-06-28T04:00:00+00:00** Re-reported as committed `committee-passage`
- **2022-06-29T04:00:00+00:00** PN 1837 Amended on third consideration
- **2022-06-29T04:00:00+00:00** Third consideration and final passage `passage, reading-3`
- **2022-06-30T04:00:00+00:00** Referred to INSURANCE `referral-committee`
- **2022-09-20T04:00:00+00:00** PN 1924 Reported as amended `amendment-passage, committee-passage`
- **2022-09-20T04:00:00+00:00** First consideration `reading-1`
- **2022-09-20T04:00:00+00:00** Laid on the table
- **2022-09-21T04:00:00+00:00** Removed from table
- **2022-10-25T04:00:00+00:00** PN 2004 Second consideration, with amendments `reading-2`
- **2022-10-25T04:00:00+00:00** Re-referred to APPROPRIATIONS `referral-committee`
- **2022-10-26T04:00:00+00:00** Re-reported as committed `committee-passage`
- **2022-10-26T04:00:00+00:00** Third consideration and final passage `passage, reading-3`
- **2022-10-26T04:00:00+00:00** Referred to RULES AND EXECUTIVE NOMINATIONS `referral-committee`
- **2022-10-26T04:00:00+00:00** Re-reported on concurrence, as committed `committee-passage`
- **2022-10-26T04:00:00+00:00** Senate concurred in House amendments
- **2022-10-26T04:00:00+00:00** Signed in Senate
- **2022-10-26T04:00:00+00:00** Signed in House
- **2022-10-27T04:00:00+00:00** Presented to the Governor `executive-receipt`
- **2022-11-03T04:00:00+00:00** Approved by the Governor `executive-signature`
- **2022-11-03T04:00:00+00:00** Act No. 146 of 2022

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fdff2f14-7b03-40be-b800-0b3e8659bbda`. Confidence: reported (aggregated from official Pennsylvania legislature records).