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Bill

S 4917

Requires health insurance contracts cover postpartum pelvic floor therapy

2025 Regular Session Introduced by Jessica Scarcella-Spanton

Bill S 4917 mandates health insurance to cover postpartum pelvic floor physical therapy, improving recovery and well-being for new parents without high out-of-pocket costs.

ORDERED TO THIRD READING CAL.1356
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WeVote Research Nonpartisan
Bill Summary · S 4917

Summary of Bill S 4917

Bill Overview

  • Bill Number: S 4917
  • Title: Requires health insurance contracts to cover postpartum pelvic floor physical therapy
  • Status: Committed to Rules
  • Introduced On: February 14, 2025
  • Classification: Bill

Purpose and Intent

The primary purpose of Bill S 4917 is to mandate that health insurance contracts provide coverage for postpartum pelvic floor physical therapy. This legislation aims to address the physical health needs of individuals who have recently given birth, recognizing the importance of pelvic floor rehabilitation in recovery and overall well-being.

Key Provisions

  • Coverage Requirement: The bill stipulates that health insurance plans must include coverage for postpartum pelvic floor physical therapy. This therapy is essential for individuals experiencing pelvic floor dysfunction following childbirth.
  • Scope of Services: The bill outlines the types of services that should be covered, ensuring that patients have access to necessary therapeutic interventions.
  • Insurance Compliance: Health insurance providers will be required to adjust their policies to comply with this new coverage mandate, thereby enhancing the support available to postpartum patients.

Who Will Be Affected

  • Patients: Individuals who have recently given birth will benefit directly from this legislation, as it ensures they have access to necessary physical therapy services without incurring prohibitive out-of-pocket costs.
  • Healthcare Providers: Physical therapists specializing in pelvic floor rehabilitation will see an increase in demand for their services as insurance coverage expands.
  • Insurance Companies: Health insurers will need to revise their policies and potentially adjust their premium structures to accommodate the mandated coverage.

Legislative Timeline

  • February 14, 2025: The bill was introduced and referred to the Insurance Committee.
  • May 12, 2025: The bill was reported for the first time (1st Report Calendar).
  • May 13, 2025: The bill advanced to the second report calendar (2nd Report Cal.).
  • May 14, 2025: The bill was advanced to third reading.
  • May 20, 2025: The bill was amended on third reading (T 4917A).
  • June 13, 2025: The bill was committed to rules for further consideration.

Related Legislation

  • A 8144: This is the companion bill in the Assembly that mirrors the provisions of S 4917.
  • S 8407: A related bill from the prior session that may provide context or background on the legislative intent surrounding postpartum care.

Conclusion

Bill S 4917 represents a significant step towards improving postpartum care by ensuring that pelvic floor physical therapy is covered by health insurance. By mandating this coverage, the bill aims to enhance the recovery process for new parents, ultimately supporting their health and well-being during a critical period of life.

Compiled from official sources — confirm details with the bill’s official record.

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