1. Pennsylvania requires group health insurers to make available coverage for an employee's unmarried child with no dependents, who is a Pennsylvania resident or full-time student and has no other coverage, through age:

29

Act 4 of 2009 requires extended dependent coverage through age 29, at the employee's expense, for qualifying children.

2. Pennsylvania's colorectal cancer screening mandate for large-group policies (51 or more employees) requires, for nonsymptomatic insureds age 50 and older, a colonoscopy at least once every:

10 years

Coverage includes an annual fecal occult blood test, sigmoidoscopy or similar test every five years and colonoscopy every ten years.

3. If a Pennsylvania health policy covers IV chemotherapy, it must cover orally administered chemotherapy:

No less favorably than IV or injected chemotherapy

Act 73 of 2016 bars less favorable coverage or cost sharing for oral chemotherapy compared with IV chemotherapy.

4. Under Pennsylvania's breast imaging law as amended by Act 52 of 2025, health policies must cover without cost sharing:

A mammogram for a covered person age 40 or older

Mammograms for those 40 and older (and under 40 on a physician's recommendation) plus supplemental and diagnostic breast imaging when risk warrants are covered without cost sharing.