PRINTER'S NO. 677
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No.
600
Session of
2017
INTRODUCED BY MARTIN, CORMAN, SCARNATI, MENSCH, ARGALL,
VULAKOVICH, RESCHENTHALER, AUMENT, STEFANO, VOGEL,
McGARRIGLE, ALLOWAY AND LANGERHOLC, APRIL 13, 2017
REFERRED TO HEALTH AND HUMAN SERVICES, APRIL 13, 2017
AN ACT
Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
act to consolidate, editorially revise, and codify the public
welfare laws of the Commonwealth," in public assistance,
providing for total population coordinated care management.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of June 13, 1967 (P.L.31, No.21), known
as the Human Services Code, is amended by adding a section to
read:
Section 411.1. Total Population Coordinated Care
Management.--(a) The department shall issue a request for
proposals for a total population coordinated care management
initiative that incorporates evidence-based medicine into each
physical and behavioral health decision concerning a medical
assistance recipient. The purpose of the health initiative is to
increase the use of appropriate primary and preventive care by
medical assistance recipients while decreasing the unnecessary
use of specialty care and hospital emergency department
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services. The following apply:
(1) All medical assistance recipients will have access to
the health initiative.
(2) The department shall define the coordinated care
services to be provided by the health initiative. The health
initiative shall, at a minimum:
(i) Provide all medical assistance recipients with access to
resources and services to enhance medical assistance recipient
participation and promote continuous engagement, including
access provided through a single telephone access point and a
private portal specific to each medical assistance recipient.
(ii) Offer Statewide services in a manner that avoids
duplication of services.
(iii) Support existing State resources available to medical
assistance recipients by providing health management services
and data analytics, as needed.
(iv) Coordinate efforts with existing and future providers,
contractors, services and agencies.
(v) Utilize technology to provide an advanced information
and evidence-based medical system to guide and support medical
assistance recipients and physicians to improve health care
outcomes.
(vi) Report analytic, utilization and cost savings
information to the department annually or at more frequent,
predetermined intervals.
(3) The department shall enter into a contract with one
offeror and require that the annual savings to the Commonwealth
resulting from the use of the health initiative exceed the cost
of the health initiative.
(b) As used in this section, the term "health initiative"
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means the total population coordinated care management
initiative.
Section 2. This act shall take effect in 60 days.
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