Pennsylvania's telehealth insurance law provides coverage parity but no payment parity
Summary
Pennsylvania's Act 42 of 2024 requires insurers to cover in-network telemedicine but does not require payment parity, so reimbursement can vary by contract and plan. Private payers may pay less for telehealth than for equivalent in-person care.
Pennsylvania enacted a private-payer telehealth law (Act 42 of 2024), with commercial requirements effective in 2025-2026. The law requires coverage of medically necessary in-network telemedicine but does not mandate payment parity; reimbursement may vary depending on the provider's contract and the member's plan. As a result, insurers retain discretion to reimburse telehealth below in-person rates, affecting provider participation and patient telehealth access.
Source: Center for Connected Health Policy (CCHP), Pennsylvania state telehealth page (2026).
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