PRINTER'S NO. 46

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 46 Session of 1977


        INTRODUCED BY DiCARLO, JANUARY 19, 1977

        REFERRED TO COMMITTEE ON HEALTH AND WELFARE, JANUARY 19, 1977

                                     AN ACT

     1  Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
     2     act to consolidate, editorially revise, and codify the public
     3     welfare laws of the Commonwealth," changing provisions
     4     relating to medical assistance.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7     Section 1.  Sections 443.3 and 443.4, act of June 13, 1967
     8  (P.L.31, No.21), known as the "Public Welfare Code," amended
     9  November 28, 1973 (P.L.364, No.128), are amended to read:
    10     Section 443.3.  Other Medical Assistance Payments.--Payments
    11  on behalf of eligible persons shall be made for other services,
    12  as follows:
    13     (1)  Rates established by the department for outpatient
    14  services as specified by regulations of the department adopted
    15  under Title XIX of the Federal Social Security Act consisting of
    16  preventive, diagnostic, therapeutic, rehabilitative or
    17  palliative services; furnished by or under the direction of a
    18  physician, chiropractor, or podiatrist, by a hospital or
    19  outpatient clinic which qualifies to participate under Title XIX


     1  of the Federal Social Security Act, to a patient to whom such
     2  hospital or outpatient clinic does not furnish room, board and
     3  professional services on a continuous, twenty-four hour a day
     4  basis.
     5     (2)  Rates established by the department for (i) other
     6  laboratory and X-ray services prescribed by a physician,
     7  chiropractor or podiatrist and furnished by a facility other
     8  than a hospital which is qualified to participate under Title
     9  XIX of the Federal Social Security Act, (ii) physician's
    10  services consisting of professional care by a physician,
    11  chiropractor or podiatrist in his office, the patient's home a
    12  hospital, a nursing home or elsewhere, (iii) the first three
    13  pints of whole blood, (iv) remedial eye care, as provided in
    14  Article VIII consisting of medical or surgical care and aids and
    15  services and other vision care provided by a physician skilled
    16  in diseases of the eye or by an optometrist which are not
    17  otherwise available under this Article, (v) special medical
    18  services for school children, as provided in the Public School
    19  Code of 1949, consisting of medical, dental, vision care
    20  provided by a physician skilled in diseases of the eye or by an
    21  optometrist or surgical care and aids and services which are not
    22  otherwise available under this article, (vi) out-patient
    23  services provided through partial hospitalization psychiatric
    24  facilities, psychiatric clinics, drug and alcohol clinics, and
    25  family planning clinics in accordance with department
    26  regulations.
    27     Section 443.4.  Additional Services for Eligible Persons
    28  Other Than the Medically Needy.--Except for the medically needy,
    29  persons eligible for medical assistance may, pursuant to
    30  regulations of the department, also receive dental services,
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     1  vision care provided by a physician skilled in diseases of the
     2  eye or by an optometrist prescribed medications, prosthetics and
     3  appliances, ambulance transportation, skilled nursing home care
     4  for an unlimited period of time, and other remedial, palliative
     5  or therapeutic services prescribed by or provided under the
     6  direction of a physician or podiatrist. Except for the medically
     7  needy, children under the age of twenty-one eligible for medical
     8  assistance shall receive periodic screening, diagnosis, and
     9  treatment for conditions identified as the result of the
    10  screening and diagnosis.
    11     Section 2.  This act shall take effect immediately.













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