PRINTER'S NO. 144
THE GENERAL ASSEMBLY OF PENNSYLVANIA
INTRODUCED BY ERICKSON, SCARNATI, PILEGGI, EICHELBERGER, YAW, GREENLEAF, STACK, FONTANA, KITCHEN, MENSCH, TOMLINSON, VULAKOVICH, HUGHES, WASHINGTON, GORDNER, HUTCHINSON, BROWNE, D. WHITE, WARD, RAFFERTY, FOLMER, VANCE, WAUGH, ALLOWAY, COSTA, BAKER, BREWSTER, SMUCKER, ROBBINS, ARGALL, DINNIMAN AND WOZNIAK, JANUARY 18, 2013
REFERRED TO PUBLIC HEALTH AND WELFARE, JANUARY 18, 2013
1Establishing the Community-Based Health Care Subsidy (CHCS)
2Program in the Department of Health; providing for hospital
3health clinics and for mobile prenatal and natal care
5TABLE OF CONTENTS
6Chapter 1. Health Care Assistance
7Subchapter A. Preliminary Provisions
8Section 101. Short title.
9Section 102. Definitions.
10Subchapter B. Community-Based Health Care Subsidy (CHCS)
13Section 112. Powers and duties of department.
14Section 113. Hospital health clinics.
15Subchapter C. Mobile Prenatal and Natal Care Demonstration
17Section 121. Establishment.
1Section 122. Applications for planning grants.
2Section 123. Review and approval of grant applications.
3Section 124. Report.
4Chapter 51. Miscellaneous Provisions
5Section 5101. Limitation.
6Section 5102. Effective date.
10HEALTH CARE ASSISTANCE
13Section 101. Short title.
16Section 102. Definitions.
30(4) The tracking of clinical information for individual
3"Community-based health care clinic." A nonprofit health
4care center located in this Commonwealth that provides
5comprehensive health care services without regard for a
6patient's ability to pay and that:
7(1) meets either of the following criteria:
14(2) includes any of the following:
15(i) A federally qualified health center as defined
16in section 1905(l)(2)(B) of the Social Security Act (49
17Stat. 620, 42 U.S.C. § 1396d(l)(2)(B)) or a federally
18qualified health center look-alike and is a participating
19provider with the Department of Public Welfare under the
20act of June 13, 1967 (P.L.31, No.21), known as the Public
22(ii) A rural health clinic as defined in section
231861(aa)(2) of the Social Security Act (49 Stat. 620, 42
24U.S.C. § 1395x(aa)(2)), certified by Medicare and is a
25participating provider with the Department of Public
26Welfare under the Public Welfare Code.
30(iv) A free or partial-pay health clinic that
3(v) A nurse-managed health care clinic that is
4managed by advanced practice nurses and is associated
5with a nursing education program, a federally qualified
6health center or an independent nonprofit health or
7social services agency and is a participating provider
8with the Department of Public Welfare under the Public
12"Health care provider." A health care provider licensed to
13practice a component of the healing arts by a licensing board
14within the Department of State who provides health care services
15at a community-based health care clinic.
29COMMUNITY-BASED HEALTH CARE SUBSIDY (CHCS)
30Section 111. Community-Based Health Care Subsidy (CHCS)
5(1) Expand and improve health care access and services,
6such as preventive care, chronic care and disease management,
7prenatal, obstetric, postpartum and newborn care, dental
8treatment, behavioral health and pharmacy services.
21(i) The actual and projected number of total
22patients, new patients and patient visits for all
23patients served or to be served, specifically delineating
24the number of low-income and uninsured patients, who fall
25below 200% of the Federal poverty income guidelines.
16(d) Reallocation.--The department shall reallocate funds
17among the categories described in subsection (b) if sufficient
18grant requests are not received to use all the funds available
19in a specific category.
23(f) Federal funds.--The department shall seek any available
24Federal funds, as well as any available grants and funding from
25other sources, to supplement amounts made available under this
26subchapter to the extent permitted by law.
27Section 112. Powers and duties of department.
28The department shall have the following powers and duties:
29(1) To administer the program.
30(2) To develop an allocation methodology pursuant to
2(3) Within 90 days of the effective date of this
3section, to develop and provide a grant application form
4consistent with this act. The department shall provide
5applications for grants under this section to all known
6community-based health care clinics. A grant under this
7section may be extended over two State fiscal years at the
8request of the community-based health care clinic.
11(5) To provide an annual report no later than November
1230 to the chair and minority chair of the Public Health and
13Welfare Committee of the Senate and the chair and minority
14chair of the Health Committee of the House of
15Representatives. The report shall include all of the
20(ii) The use of the grant by each grantee.
21(iii) How each grant expanded access and services
22in accordance with the criteria set forth in section
23111(a) and (b), including specific documentation of low-
24income and uninsured patients served, and the total
25amount of funds allocated in each distribution category
26under section 111(b).
14Section 113. Hospital health clinics.
15(a) Program.--The Department of Public Welfare shall, in
16cooperation with the department, be responsible for
17administering the program as it relates to hospital health
18clinics in accordance with the requirements of this act and
19shall have the following additional duties:
20(1) To develop an application and collect such data and
21information as may be necessary to determine the eligibility
22of hospital health clinics for payments under this section
23using the criteria set forth in section 111(a) and (b).
30(b) Submission of application.--In order to qualify for
6(1) For each fiscal year, upon Federal approval of an
7amendment to the Medicaid State plan, the Department of
8Public Welfare shall annually distribute any available funds
9obtained under this act for hospital health clinics through
10disproportionate share payments to hospitals to provide
11financial assistance that will assure readily available and
12coordinated comprehensive health care to the citizens of this
17(d) Maximization.--The Department of Public Welfare shall
18seek to maximize any Federal funds, including funds obtained
19under Title XIX of the Social Security Act (49 Stat. 620, 42
20U.S.C. § 1396 et seq.).
21(e) Payment calculation.--
22(1) Thirty percent of the total amount available shall
23be allocated to eligible hospital health clinics of hospitals
24located in counties of the first and second class. The total
25amount available for each hospital health clinic at a
26hospital in these counties shall be allocated on the basis of
27each hospital's percentage of medical assistance and low-
28income hospital health clinic visits compared to the total
29number of medical assistance and low-income hospital health
30clinic visits for all hospitals in the first and second class
2(2) Fifty percent of the total amount available shall be
3allocated to eligible hospital health clinics of hospitals
4located in counties of the third, fourth and fifth class. The
5total amount available for each hospital health clinic at a
6hospital in these counties shall be allocated on the basis of
7each hospital's percentage of medical assistance and low-
8income hospital health clinic visits compared to the total
9number of medical assistance and low-income hospital health
10clinic visits for all hospitals in the third, fourth and
11fifth class counties.
12(3) Twenty percent of the total amount available shall
13be allocated to eligible hospital health clinics of hospitals
14located in counties of the sixth, seventh and eighth class.
15The total amount available for each hospital health clinic at
16a hospital in these counties shall be allocated on the basis
17of each hospital's percentage of medical assistance and low-
18income hospital health clinic visits compared to the total
19number of medical assistance and low-income hospital health
20clinic visits for all hospitals in the sixth, seventh and
21eighth class counties.
27MOBILE PRENATAL AND
28NATAL CARE DEMONSTRATION PROJECT
29Section 121. Establishment.
30There is established within the department a program to be
4Section 122. Applications for planning grants.
5A hospital or health care provider may submit an application
6to the department requesting a grant for costs associated with
7establishing a mobile unit to provide prenatal, obstetric,
8postpartum and newborn care. The application shall be on the
9form required by the department and shall include all of the
11(1) The applicant's name and address.
12(2) The geographic region where the unit will operate.
13(3) A statement of the services to be provided.
14(4) An estimate of the cost of the mobile unit.
17(6) Any other information required by the department.
18Section 123. Review and approval of grant applications.
19(a) Review.--The department shall review the applications.
20Preference shall be given to applicants in communities where
21prenatal, obstetric, postpartum and newborn care is limited.
22Upon being satisfied that all requirements have been met, the
23department may approve four applications and award grants. The
24following grants shall be awarded:
3(b) Limit.--Grants awarded may not be more than $100,000.
4Section 124. Report.
5By May 1, 2016, the department shall file a report with the
6chairman and minority chairman of the Public Health and Welfare
7Committee of the Senate, the chairman and minority chairman of
8the Health Committee of the House of Representatives and the
9chairman and minority chairman of the Human Services Committee
10of the House of Representatives. The report shall additionally
11be posted on the department's publicly accessible Internet
12website and shall include all of the following for each grant
13made in the prior calendar year:
14(1) The name of each grantee.
15(2) The amount of each grant awarded.
16(3) The use of each grant by each grantee.
17(4) A summary of how each grant expanded access and
18services and improved the delivery and quality of health care
19in the community, including a comparison of the rate of
20infant mortality and low birth weight in the community for
21the year immediately prior to the award of the grant with
22those rates in the community for the year of the grant.
25(6) Any recommendations for changes to the program.
28Section 5101. Limitations.
1assistance under this act shall not exceed the amount of funds
2available for the program, and any payment under this act shall
3not constitute an entitlement from the Commonwealth or a claim
4on any other funds of the Commonwealth.
5Section 5102. Effective date.
6This act shall take effect in 90 days.