PRINTER'S NO. 1861
No. 185 Session of 1997
INTRODUCED BY O'BRIEN AND OLIVER, JUNE 2, 1997
REFERRED TO COMMITTEE ON RULES, JUNE 2, 1997
A RESOLUTION 1 Directing the Legislative Budget and Finance Committee to 2 examine the effectiveness of Commonwealth programs and 3 efforts to ensure the quality of health care services 4 provided in this Commonwealth. 5 WHEREAS, Fundamental changes are occurring in the health care 6 delivery system in this Commonwealth; and 7 WHEREAS, There has been a dramatic increase in the growth of 8 managed care, an increase in the number of persons without 9 health insurance, an increase in the number of hospital mergers 10 and consolidations, a shift from acute inpatient care services 11 to outpatient care services and a change in the mix of health 12 care practitioners; and 13 WHEREAS, The Department of Health is revising its rules and 14 regulations on quality assurance as a result of the sunset of 15 the certificate of need program; therefore be it 16 RESOLVED, That the House of Representatives direct the 17 Legislative Budget and Finance Committee to examine existing 18 Commonwealth programs and efforts to monitor changes in the
1 delivery and reimbursement practices of health care services and 2 to ensure that these changes do not negatively impact on the 3 quality of health care in this Commonwealth; and be it further 4 RESOLVED, That the Legislative Budget and Finance Committee: 5 (1) Review the adequacy of Federal and State laws, 6 regulations and standards relating to the assurance of 7 quality care, including the associated licensure and 8 certification of health care facilities, health care 9 practitioners and health plans. 10 (2) Review the use of nationally recognized voluntary 11 accreditation standards and practices for assuring quality in 12 health care delivery in this Commonwealth and other states. 13 (3) Identify the effective methods, policies and 14 practices used in this Commonwealth and other states to 15 promote and achieve quality standards of care. 16 (4) Identify current efforts being made in this 17 Commonwealth and other states to improve public 18 accountability of health care providers and health plans in 19 the delivery of quality services. 20 (5) Identify those special concerns in providing the 21 above-referenced quality assurance processes and practices to 22 address the needs of children, persons with mental illness, 23 substance abusers, persons with disabilities and person with 24 chronic illness; and be it further 25 RESOLVED, That the Department of Health, the appropriate 26 State professional licensure boards, the Department of Public 27 Welfare, the Insurance Department, the Department of Aging, the 28 Health Care Cost Containment Council, the Health and Human 29 Services Committee and all other Commonwealth agencies shall 30 provide assistance upon request as the Legislative Budget and 19970H0185R1861 - 2 -
1 Finance Committee may deem appropriate; and be it further 2 RESOLVED, That the Legislative Budget and Finance Committee 3 may hold hearings, take testimony and make its investigations at 4 such places as it deems necessary in this Commonwealth. Each 5 member of the committee shall have power to administer oaths and 6 affirmations to witnesses appearing before the committee; and be 7 it further 8 RESOLVED, That the committee shall report to the House of 9 Representatives on its activities, findings and recommendations 10 by June 30, 1998, and shall issue interim reports to the House 11 of Representatives as the committee deems necessary. E29L82JRW/19970H0185R1861 - 3 -