PRINTER'S NO. 1381

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1341 Session of 1993


        INTRODUCED BY EVANS, STETLER AND JOSEPHS, APRIL 19, 1993

        REFERRED TO COMMITTEE ON HEALTH AND WELFARE, APRIL 19, 1993

                                     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," further providing for a
     4     performance evaluation of the Pennsylvania Community Work
     5     Program; providing for the New Directions Jobs Program and
     6     for employment and training programs for the transitionally
     7     needy and for referral to Pennsylvania Conservation Corps;
     8     establishing an exemption for education savings accounts;
     9     establishing a residency requirement and requiring residency
    10     data collection; further providing for determination of
    11     paternity and enforcement and for Federal benefits as the
    12     primary source of assistance; ensuring aid to families with
    13     dependent children eligibility for children; requiring prior
    14     authorization for home health services; further providing for
    15     medical assistance payments and for Medicaid fraud; providing
    16     for certain purchases of private insurance, for certain
    17     purchases of laboratory and medical supplies and mail order
    18     prescriptions, for maximization of Federal funds for
    19     children's nutrition and drug and alcohol treatment and for
    20     independent disability determinations; removing the limit on
    21     the Employment Fund for the Blind; further providing for
    22     employment incentive payments; and making a repeal.

    23     The General Assembly of the Commonwealth of Pennsylvania
    24  hereby enacts as follows:
    25     Section 1.  Section 405.2 of the act of June 13, 1967
    26  (P.L.31, No.21), known as the Public Welfare Code, is amended by
    27  adding a subsection to read:


     1     Section 405.2.  Community Work Program.--* * *
     2     (g)  An independent performance evaluation shall be performed
     3  on the Pennsylvania Community Work Program to assess its
     4  effectiveness and utilization and to make recommendations for
     5  improvements in the implementation of the program. The report
     6  shall be submitted to the Governor and the General Assembly no
     7  later than June 30, 1994, and shall include, but not be limited
     8  to, the following information:
     9     (1)  The number of persons eligible for the program.
    10     (2)  The number of persons actively participating in the
    11  program.
    12     (3)  The number and type of community work projects approved
    13  by the department.
    14     (4)  The number of persons who have been disqualified from
    15  cash assistance for noncompliance with the program.
    16     Section 2.  The act is amended by adding sections to read:
    17     Section 405.3.  New Directions Jobs Program.--To increase the
    18  employment training and job placement potential of all
    19  employable recipients of aid to families with dependent
    20  children, the department shall solicit and receive voluntary
    21  donations as a match to draw down additional Federal funds
    22  available under the Family Support Act of 1988 (Public Law 100-
    23  485, 102 Stat. 2343).
    24     Section 405.4.  Employment and Training Demonstrations for
    25  Transitionally Needy General Assistance Recipients.--(a)  The
    26  department is hereby authorized to establish a program of grants
    27  to any private industry council or designated administrative
    28  entity, public or private school, institution of higher
    29  learning, business enterprise or nonprofit organization for the
    30  implementation of programs to provide employment assistance for
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     1  transitionally needy general assistance recipients. Grants may
     2  be authorized for either supported employment demonstration
     3  programs under subsection (b) or the employment initiatives
     4  demonstration program under subsection (c).
     5     (b)  The supported employment demonstration program
     6  recognizes that transitionally needy general assistance
     7  recipients can be productive assets of an employer's work force.
     8  While having some work skills, many clients have barriers which
     9  may initially result in poor attendance, less than optimum
    10  performance or difficulty in following directions. This can
    11  result in increased supervisory burdens for employers. This
    12  program shall utilize job coaches located at employers' worksite
    13  who shall work one-on-one with each client to ensure that
    14  attendance is maintained, that work assignments and training are
    15  understood, that work assignments are completed on time and
    16  correctly and that strong relationships are built among the
    17  client, coworkers and supervisor. Specifically:
    18     (1)  Grantees under this subsection shall develop competitive
    19  work opportunities for eligible clients. These work
    20  opportunities shall be in entry-level employment with private or
    21  nonprofit employers. Employers shall hire the clients and
    22  provide the same rate of pay and benefits as regular employes.
    23     (2)  Employers shall not receive financial reimbursement for
    24  hiring clients under this program since the presence of the job
    25  coach will ensure the employer that the work duties of the
    26  client will be carried out each day even if the job coach has to
    27  directly assist the client in performing them.
    28     (3)  Transitionally needy general assistance recipients shall
    29  be recruited who have the skills or aptitude for available
    30  employment opportunities but who have barriers to employment
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     1  that have previously made them incapable of being hired.
     2     (4)  Job coaches shall be assigned to each client and shall
     3  provide the ongoing support services necessary to permit the
     4  client to perform the job and shall guarantee to the employer
     5  that the work will be completed. If the client is unable to
     6  perform all or any part of the job, the job coach shall assist
     7  the client in the actual performance of the job until the
     8  client's skills reach acceptable levels. Job coaches shall meet
     9  frequently with the client's supervisor and other employer
    10  representatives to ensure employer satisfaction with the client.
    11     (5)  Job coaches shall gradually withdraw their day-to-day
    12  hands-on support of the client. This transitional phase shall be
    13  coordinated with the employer to ensure that productivity
    14  continues when the job coach is absent.
    15     (6)  Job coaches shall not work with any client under this
    16  program for more than one year.
    17     (7)  The demonstration program shall run for a minimum of two
    18  years.
    19     (c)  (1)  The department shall establish an employment
    20  initiatives demonstration program which will assess
    21  transitionally needy recipients to determine their job
    22  readiness. Those who are determined to be job ready and capable
    23  of being hired shall be referred to a contracted agency for job
    24  search assistance and job placement services.
    25     (2)  The department shall provide for job search assistance
    26  and referral of transitionally needy general assistance
    27  recipients to contracted agencies under contract with the
    28  department. The department may provide for reasonable incentives
    29  and commissions to contracted agencies who successfully place
    30  current general assistance recipients. Any incentives and
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     1  commissions established under this subsection shall be based on
     2  job retention rates. In no case shall any incentive or
     3  commission continue for more than twenty-four months after the
     4  month the recipient received his last cash assistance grant.
     5     (3)  The demonstration program shall run for a minimum of two
     6  years.
     7     (d)  The department shall submit a separate independent
     8  evaluation to the General Assembly within six months of the
     9  completion of the programs under subsections (b) and (c) which
    10  shall include, but not be limited to, the following information:
    11     (1)  The number of persons served.
    12     (2)  The number of persons obtaining full-time employment.
    13     (3)  The number of clients who remain in full-time employment
    14  after ninety days, six months, one year and eighteen months.
    15     (4)  The average cost per participant.
    16     (5)  A comparison of the results of these demonstration
    17  programs with the results of the projects funded under the act
    18  of July 13, 1987 (P.L.342, No.65), known as the "Employment
    19  Opportunities Act."
    20     (e)  As used in this section:
    21     "Competitive work" means work that is performed on a full-
    22  time basis averaging at least thirty hours per week for each pay
    23  period and for which an individual is compensated in accordance
    24  with the Fair Labor Standards Act of 1938 (52 Stat. 1060, 29
    25  U.S.C. § 201 et seq.).
    26     "Ongoing support services" means continuous or periodic job
    27  skills training services provided at the worksite throughout the
    28  term of employment to enable the individual to perform the work.
    29     "Supported employment" means competitive work in an
    30  integrated work setting with ongoing support services for
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     1  individuals with barriers to employment that have precluded
     2  their being hired to perform competitive work.
     3     Section 405.5.  Referral to Pennsylvania Conservation
     4  Corps.--The department shall refer all recipients of assistance
     5  who meet the criteria for consideration in the Pennsylvania
     6  Conservation Corps to the Job Center which is operated by the
     7  Department of Labor and Industry that is in the same area as the
     8  county assistance office in which the application for assistance
     9  is being made.
    10     Section 408.2.  Education Savings Accounts.--(a)  Any
    11  individual or family receiving assistance under this act may
    12  establish an interest-bearing savings account at a bank for the
    13  purpose of paying for tuition, books and incidental expenses at
    14  any elementary, secondary or vocational school or any college or
    15  university. Any funds deposited in this account, and any
    16  interest earned thereon, shall be exempt from consideration,
    17  subject to Federal approval, in any calculations under any
    18  assistance program administered by the department for as long as
    19  the funds and interest remain on deposit in the account.
    20     (b)  Subject to Federal approval, any amounts withdrawn from
    21  the account for the purpose stated in subsection (a) shall be
    22  exempt from consideration in any calculations under any
    23  assistance program administered by the department. The
    24  department shall promulgate regulations to establish penalties
    25  for any amounts withdrawn from any accounts for any other
    26  purpose.
    27     (c)  Any tuition account establishing and any college savings
    28  bond purchased under the provisions of the act of April 3, 1992
    29  (P.L.28, No.11), known as the "Tuition Account Program and
    30  College Savings Bond Act," shall be deemed to meet the
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     1  requirements of this section.
     2     Section 3.  Sections 432.2(b) and 432.4 of the act, amended
     3  April 8, 1982 (P.L.231, No.75), are amended to read:
     4     Section 432.2.  Determination of Eligibility.--* * *
     5     (b)  As a condition of eligibility for assistance, all
     6  applicants and recipients of assistance shall cooperate with the
     7  department in providing and verifying information necessary for
     8  the department to determine initial or continued eligibility in
     9  accordance with the provisions of this act. An individual
    10  applying for assistance shall complete an application containing
    11  such information required to establish eligibility and amount of
    12  grant. The application shall include, but not be limited to, the
    13  following information:
    14     (1)  Names of all persons to receive aid[;].
    15     (2)  Birth dates of all persons to receive aid[;].
    16     (3)  Social security numbers of all persons to receive aid,
    17  or proof of application for such social security number[;].
    18     (4)  Place of residence for all persons to receive aid[;].
    19     (5)  The names of any legally responsible relative living in
    20  the home[;].
    21     (6)  Any income or resources as defined in this act or in
    22  regulations promulgated pursuant to this act.
    23     (7)  For applicants for general assistance who are over the
    24  age of twenty-one, proof that they have been residents of this
    25  Commonwealth for at least thirty days preceding their
    26  application.
    27     The department shall provide assistance as needed to complete
    28  the application and shall insure that all applicants or
    29  recipients have or promptly obtain a social security number.
    30     * * *
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     1     Section 432.4.  Identification and Proof of Residence.--(a)
     2  All persons applying for assistance shall provide acceptable
     3  identification and proof of residence; the department shall by
     4  regulations specify what constitutes acceptable identification
     5  and proof of residence. A person shall be deemed to be a
     6  resident when he or she documents his or her residency and that
     7  residency is verified by the department. Verification may
     8  include, but is not limited to the production of rent receipts,
     9  mortgage payment receipts, utility receipts, bank accounts or
    10  enrollment of children in local schools.
    11     (b)  For the purpose of determining eligibility for
    12  assistance, the continued absence of a recipient from the
    13  Commonwealth for a period of thirty days or longer shall be
    14  prima facie evidence of the intent of the recipient to have
    15  changed his residence to a place outside the Commonwealth.
    16     (c)  If a recipient is prevented by illness or other good
    17  cause from returning to the Commonwealth at the end of thirty
    18  days, and has not acted to establish residence elsewhere, he
    19  shall not be deemed to have lost his residence in the
    20  Commonwealth.
    21     (d)  When a recipient of aid to families with dependent
    22  children or general assistance is absent from the United States
    23  for a period in excess of thirty days, his aid shall thereafter
    24  be suspended whenever need cannot be determined for the ensuing
    25  period of his absence.
    26     (e)  Beginning no later than September 1, 1993, the
    27  department shall collect information on all general assistance
    28  applicants to determine how long they have been residents of
    29  this Commonwealth. The department shall reports its findings to
    30  the Governor and the General Assembly no later than December 31,
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     1  1994. Based on its findings, the department may make
     2  recommendations to the Governor and the General Assembly on
     3  changes to the residency requirement for general assistance
     4  recipients.
     5     Section 4.  Section 432.7 of the act is amended by adding a
     6  subsection to read:
     7     Section 432.7.  Determination of Paternity and Enforcement of
     8  Support Obligations.--In accordance with a child support plan
     9  approved by the Federal Government, the department shall have
    10  the power and its duty shall be to:
    11     * * *
    12     (j)  Contract where cost effective and feasible with
    13  qualified persons to establish pilot projects throughout the
    14  Commonwealth to assist in the location of absent parents and in
    15  the collections of support payments which are in arrears,
    16  including medical support, for individuals receiving assistance
    17  under this act. The pilot projects shall seek to demonstrate the
    18  efficiency and productivity in terms of savings to the State and
    19  the amount and benefits to the custodial parent and children of
    20  cash and medical support orders recouped through the efforts of
    21  the project staff.
    22     Section 5.  Section 432.21 of the act, added April 8, 1982
    23  (P.L.231, No.75), is amended to read:
    24     Section 432.21.  Requirement that Certain Federal Benefits be
    25  Primary Sources of Assistance.--(a)  All recipients or
    26  applicants for assistance in this Commonwealth shall cooperate
    27  with the department in identifying the eligibility of such
    28  recipients or applicants for Federal Social Security
    29  Supplemental Security Income (SSI), Federal Social Security
    30  Retirement, Survivor's and Disability Income benefits (RSDI) or
    19930H1341B1381                  - 9 -

     1  other Federal programs as the primary source of financial
     2  assistance for such persons. Any person who, without good cause,
     3  fails to cooperate with the department in an effort to establish
     4  such person's eligibility for SSI, RSDI or other Federal
     5  benefits shall have his assistance terminated, or if he has not
     6  previously received assistance, shall thereby be rendered
     7  ineligible for such assistance for a period of sixty days by
     8  reason of his noncooperation.
     9     (b)  The department shall institute steps to identify any
    10  recipients and applicants for assistance who may be eligible for
    11  social security survivor's benefits and shall provide assistance
    12  to them in applying for and obtaining these benefits, including,
    13  but not limited to, informing recipients and applicants of the
    14  eligibility standards for social security survivor's benefits,
    15  helping them complete social security application forms and
    16  helping them obtain records establishing paternity.
    17     (c)  The department shall institute steps to aid recipients
    18  or applicants for assistance who are users of mental health and
    19  mental retardation (MH/MR) and drug and alcohol treatment
    20  services, beginning with high users of services, to apply for
    21  and receive SSI and RSDI. In furtherance of this end, the
    22  department may offer incentives, financial and otherwise, to
    23  county MH/MR programs and/or providers of MH/MR and drug and
    24  alcohol treatment services, such as hospitals and community-
    25  based MH/MR centers, to assist their patients in applying for
    26  SSI and RSDI and to provide medical records and reports to
    27  support the applications.
    28     [(b)] (d)  All applicants for or recipients of assistance
    29  shall reimburse the department for any public assistance grants
    30  made to them in months for which SSI, RSDI or other Federal
    19930H1341B1381                 - 10 -

     1  benefits are awarded them, as a condition of eligibility for
     2  assistance.
     3     Section 6.  The act is amended by adding a section to read:
     4     Section 432.22.  Eligibility of Children.--The department
     5  shall not categorize any child as eligible for general
     6  assistance unless the department has fully explored whether the
     7  child is eligible for aid to families with dependent children
     8  (AFDC). In furtherance of this end, the department shall do all
     9  of the following:
    10     (1)  Use the broadest possible definition of incapacity under
    11  Federal law and regulations and design a medical assessment form
    12  consistent with that definition.
    13     (2)  Use the broadest possible criteria permitted under
    14  Federal law and regulations regarding eligibility for AFDC for
    15  unemployed parents (AFDC-U).
    16     (3)  Create flexible verification criteria for establishing
    17  the necessary degree of relatedness for specified relatives.
    18  The pursuit of AFDC eligibility for any child shall not delay
    19  the child's receipt of public assistance. By October 1, 1993,
    20  the department shall complete a review of all general assistance
    21  household cases that contain at least one child to determine
    22  whether the household can be converted to AFDC.
    23     Section 7.  Section 443.1 of the act is amended by adding a
    24  paragraph to read:
    25     Section 443.1.  Medical Assistance Payments for Institutional
    26  Care.--The following medical assistance payments shall be made
    27  in behalf of eligible persons whose institutional care is
    28  prescribed by physicians:
    29     * * *
    30     (5)  Hospitals shall provide medically necessary inpatient
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     1  hospital services to persons who qualify for general assistance
     2  benefits under section 432(2) of this act as a condition of
     3  participation in the medical assistance program so long as
     4  payments for such services are available under Federal law as a
     5  disproportionate share payment. The receipt of a
     6  disproportionate share payment shall be considered as full
     7  payment for inpatient hospital services provided to these
     8  clients. No other moneys shall be available to pay for these
     9  services if disproportionate share payments are made.
    10     Section 8.  Section 443.3 of the act, amended November 28,
    11  1973 (P.L.364, No.128), is amended to read:
    12     Section 443.3.  Other Medical Assistance Payments.--Payments
    13  on behalf of eligible persons shall be made for other services,
    14  as follows:
    15     (1)  Rates established by the department for outpatient
    16  services as specified by regulations of the department adopted
    17  under Title XIX of the Federal Social Security Act consisting of
    18  preventive, diagnostic, therapeutic, rehabilitative or
    19  palliative services; furnished by or under the direction of a
    20  physician, chiropractor or podiatrist, by a hospital or
    21  outpatient clinic which qualifies to participate under Title XIX
    22  of the Federal Social Security Act, to a patient to whom such
    23  hospital or outpatient clinic does not furnish room, board and
    24  professional services on a continuous, twenty-four hour a day
    25  basis. Hospitals and hospital clinics shall provide medically
    26  necessary outpatient hospital services to persons who qualify
    27  for general assistance benefits under section 432(2) of this act
    28  as a condition of participation in the medical assistance
    29  program so long as payments for such services are available
    30  under Federal law as a disproportionate share payment. The
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     1  receipt of a disproportionate share payment shall be considered
     2  as full payment for outpatient hospital services provided to
     3  these clients. No other moneys shall be available to pay for
     4  these services if disproportionate share payments are made.
     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.
    23     Section 9.  Section 443.6(b) of the act is amended to read:
    24     Section 443.6.  Reimbursement for Certain Medical Assistance
    25  Items and Services.--* * *
    26     (b)  Payment for the following medical assistance items and
    27  services shall be made only after prior authorization has been
    28  secured:
    29     (1)  Prostheses and orthoses.
    30     (2)  Purchase of appliances or equipment if the appliance or
    19930H1341B1381                 - 13 -

     1  equipment costs more than one hundred dollars ($100).
     2     (3)  Rental of medical appliances or equipment for a period
     3  in excess of three months.
     4     (4)  Oxygen and related equipment in the home unless a
     5  physician states that the physical surroundings in the home are
     6  suitable for the use of oxygen and that the recipient is
     7  adequately prepared and able to use the equipment.
     8     (5)  Dental services as the department may provide, including
     9  but not necessarily limited to, dental prostheses and
    10  appliances, extractions related to dental prostheses and
    11  appliances, and other extractions as may be provided by
    12  department regulations.
    13     (6)  Orthopedic shoes or other supportive devices for the
    14  feet when such shoes or devices are prescribed by a physician
    15  for the purpose of correcting or otherwise treating
    16  abnormalities of the feet or legs which cause serious
    17  detrimental medical effects.
    18     (7)  Home health services.
    19     * * *
    20     Section 10.  The act is amended by adding sections to read:
    21     Section 443.7.  Provider Medicaid Fraud.--(a)  By October 1,
    22  1993, and annually thereafter, the department shall issue a
    23  report to the General Assembly which outlines civil and criminal
    24  enforcement efforts and results during the previous fiscal year.
    25  The report shall provide statistics regarding provider civil
    26  enforcement actions, criminal prosecutions, provider restitution
    27  and provider penalties for the period. It shall also identify
    28  areas which have been most susceptible to fraud and abuse during
    29  the report period.
    30     (b)  The department shall provide a written notice that a
    19930H1341B1381                 - 14 -

     1  claim has been submitted to selected recipients for whom a claim
     2  has been submitted for service. The written notices will
     3  represent a statistically valid sample of claims for each month.
     4  The department shall also send such notices for specifically
     5  targeted services which may be susceptible to fraud and abuse.
     6  The notice shall clearly state "This is not a bill" and shall
     7  inform the recipient of any and all procedures to be followed if
     8  the recipient believes the claim to be fraudulent, false or to
     9  be a medically unnecessary or inadequate service or merchandise.
    10     (c)  The department may use a toll-free number for recipients
    11  to report suspected fraudulent, false or medically unnecessary
    12  or inadequate services or merchandise.
    13     Section 443.8.  Purchase of Private Insurance.--Subject to
    14  Federal approval, the department shall, as provided in Title XIX
    15  of the Social Security Act (49 Stat. 620, 42 U.S.C. § 301 et
    16  seq.), purchase private insurance with Medicaid funds under the
    17  most cost-effective option available.
    18     Section 443.9.  Purchase of Laboratory Services and Other
    19  Supplies and Equipment.--The department shall, where cost
    20  effective and feasible, enter into arrangements through a
    21  competitive bidding process or other means for the purchase of
    22  laboratory services, medical supplies and devices and durable
    23  medical equipment. The department may purchase laboratory
    24  services pursuant to this section only from laboratories that
    25  meet the applicable requirements of Titles XVIII and XIX of the
    26  Social Security Act (49 Stat. 620, 42 U.S.C. § 301 et seq.) and
    27  that have no more than seventy-five percent of their charges
    28  based on services to beneficiaries or recipients of Title XVIII
    29  or XIX. This section shall not apply to prepaid capitation
    30  programs.
    19930H1341B1381                 - 15 -

     1     Section 443.10.  Mail-Order Prescription Drugs.--The
     2  department shall, where cost effective and feasible, enter into
     3  an arrangement through a competitive bid process or otherwise to
     4  provide prescription drugs to eligible recipients by mail order.
     5  Participation by recipients shall be voluntary. This section
     6  shall not apply to prepaid capitation programs.
     7     Section 454.  Maximization of Federal Funds for Children's
     8  Nutrition.--(a)  For the purpose of increasing Federal funding
     9  and facilitating health in children, preventing malnutrition,
    10  low birth weight and infant mortality and providing nutritious
    11  foods for infants, children, pregnant women and nursing mothers,
    12  the department may, subject to Federal approval, designate State
    13  supplemental Women, Infants and Children (WIC) benefits as a
    14  special need item for persons eligible for Federally funded
    15  categories of cash assistance.
    16     (b)  Special medical services shall include, in addition to
    17  those services under section 443.3(2)(v) of this act,
    18  supplemental food prescribed by a physician for children,
    19  infants, pregnant women and nursing mothers that is available
    20  under the State supplemental WIC appropriation.
    21     Section 455.  Maximization of Federal Funds for Alcohol and
    22  Other Drug Dependency Treatment.--The department shall maximize
    23  Federal funds under the medical assistance program for alcohol
    24  and other drug dependency treatment now solely funded with State
    25  funds. Such efforts shall, at a minimum, include all of the
    26  following:
    27     (1)  Train Disability Advocacy Project workers in social
    28  security disability criteria for persons with alcoholism and
    29  other drug dependencies.
    30     (2)  Design a system to identify persons on general
    19930H1341B1381                 - 16 -

     1  assistance who are alcohol or other drug dependent and refer
     2  those persons to specially trained Disability Advocacy Project
     3  workers.
     4     (3)  Transfer persons on general assistance who appear to
     5  meet the social security disability criteria to Federal medical
     6  assistance and seek Federal match for the cost of the services
     7  provided to them.
     8     Section 456.  Maximization of Federal Funds for Residential
     9  Alcohol and Other Drug Dependency Treatment.--The department
    10  shall maximize Federal funds under the medical assistance
    11  program for nonhospital residential alcohol and other drug
    12  dependency treatment now solely funded with State funds pursuant
    13  to sections 2334 and 2335 of the act of April 9, 1929 (P.L.177,
    14  No.175), known as "The Administrative Code of 1929." Such
    15  efforts shall, at a minimum, include all of the following:
    16     (1)  Where cost effective, seek Federal match for Medicaid-
    17  eligible persons under twenty-one years of age treated in
    18  residential alcohol and other drug dependency treatment
    19  facilities that are accredited by the Joint Commission on
    20  Accreditation of Health Care Organizations.
    21     (2)  Seek Federal match for any individual eligible for
    22  medical assistance under Federal requirements being treated in a
    23  residential facility having fewer than seventeen treatment beds.
    24     (3)  Enter into negotiations with the Health Care Financing
    25  Administration regarding obtaining Federal match under medical
    26  assistance for other individuals receiving residential alcohol
    27  and other drug dependency treatment.
    28     Section 457.  Independent Disability Determinations.--The
    29  department shall develop a plan to increase the use of
    30  independent disability determinations for the purpose of
    19930H1341B1381                 - 17 -

     1  maximizing Federal funds. These determinations shall be used for
     2  persons, including those with drug and alcohol dependencies, who
     3  appear to meet the disability criteria under Title XIX of the
     4  Social Security Act (49 Stat. 620, 42 U.S.C. § 301 et seq.).
     5     Section 11.  Section 491 of the act, added April 18, 1982
     6  (P.L.231, No.75), is amended to read:
     7     [Section 491.  Employment Incentive Payments.--(a)  Any
     8  corporation, bank, savings institution, company, insurance
     9  company, or mutual thrift institution employing persons, who
    10  prior to their employment were cash assistance recipients, shall
    11  be entitled to employment incentive payments to be provided as a
    12  credit against taxes imposed by Article IV, VII, VIII or IX of
    13  the act of March 4, 1971 (P.L.6, No.2), known as the "Tax Reform
    14  Code of 1971," or by the act of June 22, 1964 (P.L.16, No.2),
    15  known as "The Mutual Thrift Institutions Tax Act," and any
    16  person, partnership or proprietorship employing such persons
    17  shall be entitled to payments to be provided as a credit against
    18  taxes imposed by Article III of the "Tax Reform Code of 1971."
    19  For the purposes of computing any tax liabilities against which
    20  the credit may be applied, deductions from taxable income shall
    21  be reduced by employment incentive payments. Employment
    22  incentive payments unused as a tax credit in any taxable year
    23  may be carried over against tax liabilities of the employer in
    24  the three immediately subsequent taxable years.
    25     (b)  An employment incentive payment may be claimed by an
    26  employer who hires any person who is receiving aid to families
    27  with dependent children or who is classified as chronically or
    28  transitionally needy at the time of employment except that
    29  payments shall not be provided for:
    30     (1)  The employment of any person who displaces any other
    19930H1341B1381                 - 18 -

     1  individual from employment, except persons discharged for cause
     2  as certified by the Office of Employment Security.
     3     (2)  The employment of any person closely related, as defined
     4  by paragraphs (1) through (8) of section 152(a) of the Internal
     5  Revenue Code, to the taxpayer, or, if the taxpayer is a
     6  corporation, to an individual who owns, directly or indirectly
     7  more than fifty percent of the outstanding stock of the
     8  corporation, bank, savings institution, company, insurance
     9  company, or mutual thrift institution.
    10     (3)  The employment of an individual for whom the employer is
    11  simultaneously receiving Federally or State funded job training
    12  payments.
    13     (c)  (1)  The employment incentive payment shall be the sum
    14  of thirty percent of the first six thousand dollars ($6,000) of
    15  qualified first-year wages for such year, twenty percent of the
    16  first six thousand dollars ($6,000) of qualified second year
    17  wages for such year and ten percent of the first six thousand
    18  dollars ($6,000) of the qualified third year wages for such
    19  year.
    20     (2)  If the employer provides or pays for day care services
    21  for the children of the employe, the employer shall be eligible
    22  to receive an additional employment incentive payment of six
    23  hundred dollars ($600) during the first year of employment, five
    24  hundred dollars ($500) during the second year of employment, and
    25  four hundred dollars ($400) during the third year of employment.
    26     (3)  Total employment incentive payments shall not exceed
    27  ninety percent of total taxes paid by the employer against which
    28  the incentive payments may be claimed as a credit. Qualified
    29  wages must be cash remuneration to the employe, including any
    30  amounts deducted or withheld.
    19930H1341B1381                 - 19 -

     1     (d)  To be eligible for employment incentive payments, the
     2  employment must continue for at least one year unless the
     3  employe voluntarily leaves the employment of the employer,
     4  becomes disabled or is terminated for cause. If the employe
     5  leaves his position voluntarily, becomes disabled, or is
     6  terminated for cause in less than one year, the employment
     7  incentive payment shall be reduced by the proportion of the year
     8  not worked. Employment initiated during the year may be claimed
     9  as an employment incentive payment in the subsequent year.
    10     (e)  The Department of Revenue, in cooperation with the
    11  Department of Public Welfare and the Department of Labor and
    12  Industry, shall administer the provisions of this section,
    13  promulgate appropriate rules, regulations and forms for that
    14  purpose and make such determinations as may be required.
    15  Determinations made with respect to the employment incentive
    16  payment provided in this section may be reviewed and appealed in
    17  the manner provided by law for other corporate or personal tax
    18  credits.
    19     (f)  The total amount of employment incentive payments
    20  authorized by this section shall not exceed twenty-five million
    21  dollars ($25,000,000) in any fiscal year. To insure that credits
    22  are not claimed in excess of this amount, an employer may claim
    23  the incentive payments only upon presentation of an authorizing
    24  certificate. Certificates will be issued to the employe by the
    25  Department of Public Welfare upon presentation to the Department
    26  of Public Welfare of evidence of a qualifying offer of
    27  employment. The Department of Revenue shall advise the
    28  Department of Public Welfare of the total number of certificates
    29  which may be issued in each calendar quarter consistent with the
    30  limitation on total incentive payments. If an employe does not
    19930H1341B1381                 - 20 -

     1  accept the job for which the certificate is authorized, the
     2  certificate shall be returned by the employe to the Department
     3  of Public Welfare. If an employe terminates employment for any
     4  reason prior to the expiration of three years, the employer
     5  shall return the certificate, noting the date of the employe's
     6  hiring and termination, to the Department of Revenue. The
     7  Department of Public Welfare may issue certificates through the
     8  Office of Employment Security and may promulgate regulations to
     9  allocate certificates.
    10     (g)  Employment incentive payments shall not be available for
    11  employes hired after December 31, 1985, unless reenacted by the
    12  General Assembly. Not later than July 1, 1985, the Department of
    13  Public Welfare shall report to the General Assembly on the
    14  effectiveness of incentive payments to encourage the employment
    15  of cash assistance recipients and recommend whether the program
    16  should be continued. Credits may be claimed against taxes
    17  payable for tax years beginning January 1, 1982, and thereafter,
    18  and may be claimed for employes hired after the effective date
    19  of this section.]
    20     Section 491.  Employment Incentive Payments.--(a)  Any
    21  corporation, bank, savings institution, company, insurance
    22  company, or mutual thrift institution employing persons, who
    23  prior to their employment were recipients of aid to families
    24  with dependent children or who are classified as chronically or
    25  transitionally needy, pursuant to section 432 of this act, shall
    26  be entitled to employment incentive payments to be provided as a
    27  credit against taxes imposed by Article IV, VII, VIII, IX or XV
    28  of the act of March 4, 1971 (P.L.6, No.2), known as the "Tax
    29  Reform Code of 1971," and any person, partnership or
    30  proprietorship employing such persons shall be entitled to
    19930H1341B1381                 - 21 -

     1  payments to be provided as a credit against taxes imposed by
     2  Article III of the "Tax Reform Code of 1971." For the purposes
     3  of computing any tax liabilities against which the credit may be
     4  applied, deductions from taxable income shall be reduced by
     5  employment incentive payments. Employment incentive payments
     6  unused as a tax credit in any taxable year may be carried over
     7  against tax liabilities of the employer in the three immediately
     8  subsequent taxable years.
     9     (b)  An employment incentive payment may be claimed by an
    10  employer who hires any person who is receiving aid to families
    11  with dependent children or who is classified as chronically or
    12  transitionally needy at the time of employment except that
    13  payments shall not be provided for:
    14     (1)  The employment of any person who displaces any other
    15  individual from employment, except persons discharged for cause
    16  as certified by the Office of Employment Security.
    17     (2)  The employment of any person closely related, as defined
    18  by paragraphs (1) through (8) of section 152(a) of the Internal
    19  Revenue Code, to the taxpayer, or, if the taxpayer is a
    20  corporation, to an individual who owns, directly or indirectly
    21  more than fifty percent of the outstanding stock of the
    22  corporation, bank, savings institution, company, insurance
    23  company, or mutual thrift institution.
    24     (3)  The employment of an individual for whom the employer is
    25  simultaneously receiving Federally or State funded job training
    26  payments.
    27     (4)  The employment of an individual as a domestic or other
    28  household employe in the home of the employer.
    29     (c)  (1)  The employment incentive payment shall be the sum
    30  of thirty percent of the first six thousand dollars ($6,000) of
    19930H1341B1381                 - 22 -

     1  qualified first-year wages for such year, twenty percent of the
     2  first six thousand dollars ($6,000) of qualified second year
     3  wages for such year and ten percent of the first six thousand
     4  dollars ($6,000) of the qualified third year wages for such
     5  year.
     6     (2)  If the employer provides or pays for day care services
     7  for the children of the employe, the employer shall be eligible
     8  to receive an additional employment incentive payment of six
     9  hundred dollars ($600) during the first year of employment, five
    10  hundred dollars ($500) during the second year of employment, and
    11  four hundred dollars ($400) during the third year of employment.
    12     (3)  Total employment incentive payments shall not exceed
    13  ninety percent of total taxes paid by the employer against which
    14  the incentive payments may be claimed as a credit. Qualified
    15  wages must be cash remuneration to the employe, including any
    16  amounts deducted or withheld.
    17     (d)  To be eligible for employment incentive payments, the
    18  employment must continue for at least one year unless the
    19  employe voluntarily leaves the employment of the employer,
    20  becomes disabled or is terminated for cause. If the employe
    21  leaves his position voluntarily, becomes disabled, or is
    22  terminated for cause in less than one year, the employment
    23  incentive payment shall be reduced by the proportion of the year
    24  not worked. Employment initiated during the year may be claimed
    25  as an employment incentive payment in the subsequent year.
    26     (e)  The Department of Revenue, in cooperation with the
    27  Department of Public Welfare and the Department of Labor and
    28  Industry, shall administer the provisions of this section,
    29  promulgate appropriate rules, regulations and forms for that
    30  purpose and make such determinations as may be required.
    19930H1341B1381                 - 23 -

     1  Determinations made with respect to the employment incentive
     2  payment provided in this section may be reviewed and appealed in
     3  the manner provided by law for other corporate or personal tax
     4  credits. The Department of Public Welfare shall conduct a
     5  program of employer education to inform employers of the
     6  benefits available under this section as well as to inform them
     7  of any similar tax credits for hiring welfare recipients
     8  available under Federal law.
     9     (f)  The total amount of employment incentive payments
    10  authorized by this section shall not exceed twenty-five million
    11  dollars ($25,000,000) in any fiscal year. To insure that credits
    12  are not claimed in excess of this amount, an employer may claim
    13  the incentive payments only upon presentation of an authorizing
    14  certificate. Certificates will be issued to the employer by the
    15  Department of Public Welfare upon presentation to the Department
    16  of Public Welfare of evidence of a qualifying offer of
    17  employment. If necessary to avoid certificate issuances in
    18  excess of the maximum authorized amount for any fiscal year, the
    19  Department of Revenue shall advise the Department of Public
    20  Welfare of the total number of certificates which may be issued
    21  in each calendar quarter. The Department of Public Welfare may
    22  issue certificates through the Office of Employment Security and
    23  may promulgate regulations to allocate certificates.
    24     (g)  Employment incentive payments shall not be available for
    25  employes hired after June 30, 1996, unless reenacted by the
    26  General Assembly. Not later than September 1 of each year, the
    27  Department of Public Welfare shall report to the General
    28  Assembly on the effectiveness of incentive payments to encourage
    29  the employment of cash assistance recipients and recommend
    30  whether changes are need in the program and whether the program
    19930H1341B1381                 - 24 -

     1  should be continued. The report shall contain information,
     2  including the number of authorizing certificates issued by the
     3  Department of Public Welfare, the number of authorizing
     4  certificates accepted by the Department of Revenue from
     5  employers as evidence of qualified hires, the number and dollar
     6  amounts of tax credits approved by the Department of Revenue in
     7  each tax year, the average hourly starting wage of employes
     8  hired and the category of assistance received previously by
     9  employes hired. The report shall also include an analysis of the
    10  types of businesses identified as either corporations or
    11  individuals or partnerships which have had tax credits approved
    12  by the Department of Revenue and the types of employment
    13  positions into which employes have been hired as indicated by
    14  Standard Occupational Classification Codes. The report shall
    15  describe outreach and publicity efforts by the Department of
    16  Public Welfare. The report shall contain similar information
    17  about the day care tax credit authorized in paragraph (2) of
    18  subsection (c). Credits may be claimed against taxes payable for
    19  tax years beginning January 1, 1989, and thereafter, and may be
    20  claimed for employes hired on or after January 1, 1989.
    21     Section 12.  Section 803 of the act, amended July 27, 1967
    22  (P.L.187, No.59), is amended to read:
    23     Section 803.  Business Enterprises; Equipment; Leases;
    24  Repayment.--(a)  The department is hereby authorized to
    25  purchase, own, install, maintain, license and lease equipment,
    26  accessories and vending machines to be used for suitable
    27  business enterprises for or on behalf of the blind and to
    28  advance to deserving blind persons out of moneys in the
    29  employment fund for the blind, such reasonable amounts as may be
    30  considered proper to enable such blind persons to purchase the
    19930H1341B1381                 - 25 -

     1  merchandise, equipment, stock and accessories necessary to put
     2  into operation a vending or refreshment stand or other suitable
     3  business enterprises in some suitable location to be leased or
     4  arranged for by the department. Pennsylvania blind veterans of
     5  the world wars shall be given first preference for locations
     6  established, in accordance with the provisions of the Federal
     7  Randolph-Sheppard Act (20 U. S. C. A. Sec. 107, et seq.), and
     8  the rules and regulations pursuant thereto.
     9     (b)  Such business enterprises shall be approved by the
    10  department and supervised periodically by the department.
    11     (c)  The leases or permits for the installation and operation
    12  of any such stands or other suitable business enterprises shall
    13  be secured by the department in its own name.
    14     (d)  Any moneys advanced to a blind person under the
    15  authority of this act shall be repaid by such person in monthly
    16  installments, which shall in no case be less than two percent of
    17  the gross monthly sales made at the stand or business in
    18  question.
    19     (e)  Equipment and accessories purchased, owned, installed
    20  and maintained by the department may be leased to deserving
    21  blind persons for an amount not to exceed four percent of the
    22  gross monthly sales, except in those locations in which the
    23  gross monthly sales do not exceed one thousand dollars ($1,000).
    24  Such rental in these locations shall not exceed one percent of
    25  the gross monthly sales. The department shall periodically
    26  regulate the rental fees charged to such blind persons in
    27  accordance with the regulations to be adopted by it, in such a
    28  manner as to achieve approximate equality of opportunity to such
    29  blind persons[, and to assure that the fund shall at no time
    30  exceed one hundred fifty thousand dollars ($150,000)]. The
    19930H1341B1381                 - 26 -

     1  department shall transmit all such repayments and rental fees
     2  into the State Treasury, where they shall be credited to the
     3  Employment Fund for the Blind.
     4     (f)  The department is authorized to receive and transmit to
     5  the State Treasury for credit to the Employment Fund for the
     6  Blind, all moneys heretofore or hereafter received by the
     7  Commonwealth on account of contracts between the Commonwealth,
     8  acting through the Department of [Property and Supplies] General
     9  Services and vending machine owners, whereby the Commonwealth is
    10  to receive a percentage of the profits from vending machines
    11  operated in State buildings, except for those vending machines
    12  in State buildings wherein a restaurant or cafeteria is operated
    13  by the Department of [Property and Supplies] General Services.
    14     Section 13.  Section 1701-A of the act of March 4, 1971
    15  (P.L.6, No.2), known as the Tax Reform Code of 1971, is
    16  repealed.
    17     Section 14.  The provisions of this act are severable. If any
    18  provision of this act or its application to any person or
    19  circumstance is held invalid, the invalidity shall not affect
    20  other provisions or applications of this act which can be given
    21  effect without the invalid provision or application.
    22     Section 15.  This act shall take effect as follows:
    23         (1)  The amendment of section 443.6 of the act shall take
    24     effect January 1, 1994.
    25         (2)  The remainder of this act shall take effect July 1,
    26     1993, or immediately, whichever is later.



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