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Pennsylvania launches external review program for health insurance denials

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Pennsylvania launches external review program for health insurance denials


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When people get denied insurance coverage for a medical procedure or medication, they can usually appeal that decision directly with their health insurer. But if that doesn’t work, people are often left with limited options.

Now, a new Pennsylvania program will take up these cases and offer another chance for people to appeal the insurance company’s decision.

The Pennsylvania Insurance Department’s Independent Review Program launched this month. It assigns eligible cases to teams of doctors, specialists and other experts who determine if an insurance denial was correctly or incorrectly issued.

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If the independent review teams, contracted by the state, determine that a patient was wrongly denied coverage, then health insurers must overturn the denial and cover the service, medication or therapy equipment.

“If people believe it’s a service that they should have covered, we want to tell them to keep pushing,” said Shannen Logue, state Insurance Department deputy commissioner. “We want to empower the people to know that we’re here. We’ve made a really easy solution online for people so they can go ahead and request that [review].”

The program will take cases submitted by residents who have health plans they purchased through Pennie, the state’s Affordable Care Act marketplace; people who buy their insurance directly from a company; and workers who get health plans through their employers.

Eligibility is determined within five days after someone submits a request.

The program will then assign the case to a contracted independent review organization and team, which is followed by a 15-day “pause period” in which both the patient and the review team gathers additional documents and information relevant to the denial.

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Logue said review teams have 45 days to analyze the case. Most people will receive a decision within 60 days.

The program has an expedited process for people facing urgent life-threatening or serious health risks who may need a decision sooner.

The new review program is the result of state legislation signed into law by former Gov. Tom Wolf in 2022. It sought to expand state-based review services and support for people and their health insurance needs.



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Pennsylvania

How gambling revenue helps Pennsylvania fire departments

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How gambling revenue helps Pennsylvania fire departments


It is hard to imagine that money spent and collected at casinos and in slot machines around the state can wind up being used at local volunteer fire departments throughout the commonwealth, but it’s true.

In Pennsylvania, a portion of the state’s gaming revenue is allocated to support fire departments and emergency management services to the tune of about $30 million each year.

Departments can apply for those funds through a series of state grants, and most departments say that the money from gaming is vital to help them pay for equipment, vehicles and even improvements to their buildings.

“This time we put in for a grant to finish our second floor of our facility here,” said Derry Township Fire Chief Mark Piantine.

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Piantine says that gambling revenue has purchased many things for his department in the past like swift water rescue boats as well as a new equipment washing station. Now he hopes that money can give his company a place to sleep when they are working long shifts in bad weather.

“The last storm we had, the Snowmageddon here a couple of weeks ago, we had people staying overnight,” Piantine said. “They were laying across the seats of the trucks and on the floor sleeping because our second floor is not finished.”

Piantine says every little bit helps both their department and other departments, because when it comes right down to it, running a fire department is expensive.

“When you buy a regular pair of gloves, you may pay $25 for them. We buy a pair of gloves, they’re $75 to $100,” said Piantine. “You can buy a pair of boots for $50, ours cost $600.”

Just a few miles away, in the city of Latrobe, Chief John Brasile says that while the city does a lot for them financially, gaming revenue helps a lot. It even helps them make payments on their rescue unit.

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“We have about a year’s worth of payments left on it,” Brasile said. “And we use our money for debt reductions on that truck.”

“And that’s essentially from gambling revenue?” Chris DeRose asked.

“Yes. It comes from the State Fire Commissioners’ Office,” Brasile said.

“When is that truck paid off?” DeRose asked.

“About this time next year,” Brasile replied. “And then we can use that money for other stuff then. We would like to get new rescue tools for that truck and they’re expensive.”

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The fire departments KDKA has spoken with about using state grant money from gambling revenue say that gambling money is great, but it is not a cure-all. And in fact, on Thursday night, the Latrobe Fire Department was holding yet another fundraising event to help them once again raise money for new fire equipment.



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Pennsylvania middle school employee wanted in Texas on child sex assault charges arrested

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Pennsylvania middle school employee wanted in Texas on child sex assault charges arrested



A Pennsylvania school district employee wanted in Texas on child sexual assault charges was arrested by U.S. Marshals on Thursday in Delaware County.

Michael Robinson, 43, was arrested around 7:30 a.m. Thursday in the 200 block of Windermere Avenue in Wayne, the U.S. Marshals Service said in a press release. He’s being held at the George W. Hill Correctional Facility and is awaiting extradition to Texas, according to the federal law enforcement agency.

U.S. Marshals said Robinson traveled to Tyler, Texas, in August 2024 to meet a minor under 15 years old whom he met online and allegedly sexually assaulted them over the course of a weekend.

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Robinson was indicted by the Smith County District Attorney’s Office in December 2025, the U.S. Marshals Service said.

Robinson worked as a paraprofessional at Radnor Township Middle School, the federal law enforcement agency said. CBS News Philadelphia reached out to Radnor Township School District for comment and is awaiting a response.



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Pennsylvania Lottery Powerball, Pick 2 Day results for Feb. 25, 2026

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The Pennsylvania Lottery offers several draw games for those aiming to win big.

Here’s a look at Wednesday, Feb. 25, 2026 results for each game:

Winning Powerball numbers from Feb. 25 drawing

50-52-54-56-64, Powerball: 23, Power Play: 2

Check Powerball payouts and previous drawings here.

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Winning Pick 2 numbers from Feb. 25 drawing

Day: 5-3, Wild: 6

Evening: 2-2, Wild: 1

Check Pick 2 payouts and previous drawings here.

Winning Pick 3 numbers from Feb. 25 drawing

Day: 7-0-4, Wild: 6

Evening: 3-9-0, Wild: 1

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Check Pick 3 payouts and previous drawings here.

Winning Pick 4 numbers from Feb. 25 drawing

Day: 4-9-9-3, Wild: 6

Evening: 1-4-0-0, Wild: 1

Check Pick 4 payouts and previous drawings here.

Winning Pick 5 numbers from Feb. 25 drawing

Day: 3-4-9-1-9, Wild: 6

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Evening: 9-9-4-2-4, Wild: 1

Check Pick 5 payouts and previous drawings here.

Winning Cash 5 numbers from Feb. 25 drawing

02-11-13-15-36

Check Cash 5 payouts and previous drawings here.

Winning Treasure Hunt numbers from Feb. 25 drawing

14-18-20-24-29

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Check Treasure Hunt payouts and previous drawings here.

Winning Match 6 Lotto numbers from Feb. 25 drawing

02-07-14-21-22-33

Check Match 6 Lotto payouts and previous drawings here.

Winning Powerball Double Play numbers from Feb. 25 drawing

11-24-47-59-63, Powerball: 05

Feeling lucky? Explore the latest lottery news & results

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Are you a winner? Here’s how to claim your lottery prize

  • Sign the Ticket: Ensure your ticket has your signature, name, address and phone number on the back.
  • Prizes up to $600: Claim at any PA Lottery retailer or by mail: Pennsylvania Lottery, ATTN: CLAIMS, PO BOX 8671, Harrisburg, PA 17105.
  • Prizes from $600 to $2,500: Use a Claim Form to claim at a retailer or by mail: Pennsylvania Lottery, ATTN: CLAIMS, PO BOX 8671, Harrisburg, PA 17105.
  • Prizes over $2,500: Mail your signed ticket with a Claim Form or in person at a Lottery Area Office (9 a.m. to 4 p.m.).

Lottery Headquarters is currently not open to the public. Visit the PA Lottery website for other office locations near you.

When are the Pennsylvania Lottery drawings held?

  • Powerball: 10:59 p.m. Monday, Wednesday and Saturday.
  • Mega Millions: 11 p.m. Tuesday and Friday.
  • Pick 2, 3, 4, 5: 1:35 p.m. and 6:59 p.m. daily.
  • Cash4Life: 9 p.m. daily.
  • Cash 5: 6:59 p.m. daily.
  • Treasure Hunt: 1:35 p.m. daily.
  • Match 6 Lotto: 6:59 p.m. Monday and Thursday.
  • Powerball Double Play: 10:59 p.m. Monday, Wednesday, Saturday.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Pennsylvania editor. You can send feedback using this form.



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