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                                                      PRINTER'S NO. 1644

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1386 Session of 1997


        INTRODUCED BY CORNELL, RUBLEY, YOUNGBLOOD, HENNESSEY, DALEY,
           SATHER, BEBKO-JONES, MARKOSEK, BAKER, MANDERINO, VAN HORNE,
           JOSEPHS, SHANER, ROONEY, DeLUCA, BELARDI, WAUGH, WASHINGTON,
           TRAVAGLIO, HERSHEY, SEYFERT, RAMOS, LYNCH, E. Z. TAYLOR,
           PISTELLA, MELIO, SCRIMENTI, ITKIN, CORRIGAN, TRELLO,
           C. WILLIAMS, BROWNE, LAUGHLIN AND BOSCOLA, APRIL 30, 1997

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           APRIL 30, 1997

                                     AN ACT

     1  Establishing a head injury program; further providing for the
     2     Catastrophic Medical and Rehabilitation Fund; conferring
     3     powers and duties on the Department of Public Welfare;
     4     establishing the Head Injury Advisory Board; conferring
     5     powers and duties on the Auditor General; and making a
     6     repeal.

     7     The General Assembly of the Commonwealth of Pennsylvania
     8  hereby enacts as follows:
     9  Section 1.  Short title.
    10     This act shall be known and may be cited as the Head Injury
    11  Assistance Act.
    12  Section 2.  Definitions.
    13     The following words and phrases when used in this act shall
    14  have the meanings given to them in this section unless the
    15  context clearly indicates otherwise:
    16     "Board."  The Head Injury Advisory Board established in
    17  section 3(b).


     1     "Department."  The Department of Public Welfare of the
     2  Commonwealth.
     3     "Director."  The director of the program as set forth in
     4  section 6(c).
     5     "Fund."  The Catastrophic Medical and Rehabilitation Fund
     6  established under section 14(e) of the act of July 3, 1985
     7  (P.L.164, No.45), known as the Emergency Medical Services Act.
     8     "Head injury."  An acquired injury to the brain which:
     9         (1)  is caused by an external physical force; and
    10         (2)  results in total or partial functional disability or
    11     psychosocial impairment, or both, that adversely affects
    12     performance.
    13     "Program."  The Head Injury Program established in section 6.
    14     "Provider."  A person that provides any of the following:
    15         (1)  Head injury treatment.
    16         (2)  Head injury rehabilitation.
    17     "Rehabilitation professional."  An individual who is licensed
    18  or certified by the laws of this Commonwealth to administer
    19  health care or who holds a professional certification in a
    20  rehabilitation field.
    21     "Secretary."  The Secretary of Public Welfare of the
    22  Commonwealth.
    23  Section 3.  Department and board.
    24     (a)  Department.--The department has the following powers and
    25  duties:
    26         (1)  To administer the program.
    27         (2)  To contract for case management services and direct
    28     rehabilitative services with providers in this Commonwealth.
    29         (3)  To evaluate direct rehabilitative service
    30     applications to determine eligibility of clients based on
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     1     criteria established in regulations.
     2         (4)  To appoint the director under section 6(c).
     3         (5)  To submit an annual report to the Governor and the
     4     General Assembly regarding the administration of this act.
     5     The report shall include summaries of clients served,
     6     services received and effectiveness of outreach efforts.
     7         (6)  To promulgate regulations to administer this act.
     8     (b)  Board.--The Head Injury Advisory Board is established in
     9  the Office of Social Programs of the department.
    10         (1)  The board consists of nine members appointed by the
    11     secretary representing providers; families with a member who
    12     has suffered a head injury; and, if available, survivors of
    13     head injuries.
    14         (2)  A term of a board member is four years. A board
    15     member may be removed for cause. A board member may serve no
    16     more than two consecutive terms.
    17         (3)  Board members shall serve without compensation but
    18     shall be reimbursed for actual and reasonable expenses in the
    19     performance of official functions.
    20         (4)  The board has the following powers and duties:
    21             (i)  To recommend to the department priorities for
    22         service and standards of care.
    23             (ii)  To recommend to the department public education
    24         and outreach programs pertaining to services available
    25         through the program.
    26             (iii)  To recommend to the department changes in
    27         regulations under subsection (a)(6).
    28  Section 4.  Auditor General.
    29     The Auditor General has the following powers and duties:
    30         (1)  To conduct an annual review of the income and
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     1     expenditures of the fund.
     2         (2)  To submit the results of the review under paragraph
     3     (1) to the General Assembly.
     4  Section 5.  Fund.
     5     (a)  Source.--The source of the fund shall be allocations
     6  under section 14(e) of the act of July 3, 1985 (P.L.164, No.45),
     7  known as the Emergency Medical Services Act.
     8     (b)  Purpose.--The fund shall be used for the sole purpose of
     9  providing money under section 6(b).
    10  Section 6.  Program.
    11     (a)  Establishment.--The Head Injury Program is established
    12  in the Office of Social Programs of the department.
    13     (b)  Purpose.--The purpose of the program is to provide money
    14  for postacute head injury rehabilitation and case management for
    15  individuals with head injuries whose care cannot be paid for by
    16  private insurance or medical assistance.
    17     (c)  Director.--The program shall have a director. The
    18  director must be a rehabilitation professional with at least
    19  three years of administrative or clinical experience in
    20  postacute rehabilitation for individuals with head injuries and
    21  direct experience in all phases of postacute rehabilitation for
    22  head injury.
    23  Section 7.  Repeal.
    24     Section 14(e) of the act of July 3, 1985 (P.L.164, No.45),
    25  known as the Emergency Medical Services Act, is repealed insofar
    26  as it is inconsistent with this act.
    27  Section 8.  Effective date.
    28     This act shall take effect in 90 days.


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