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                                                      PRINTER'S NO. 1861

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE RESOLUTION

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
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     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.













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