PRINTER'S NO. 269
No. 240 Session of 2003
INTRODUCED BY READSHAW, DALEY, DeLUCA, DeWEESE, HARHAI,
HENNESSEY, JAMES, LAUGHLIN, LEDERER, MARKOSEK, McILHATTAN,
S. MILLER, OLIVER, PETRONE, SOLOBAY, THOMAS, WALKO,
WOJNAROSKI, GOODMAN, JOSEPHS, SATHER AND FRANKEL,
FEBRUARY 11, 2003
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
FEBRUARY 11, 2003
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
4 medical assistance payments.
5 The General Assembly of the Commonwealth of Pennsylvania
6 hereby enacts as follows:
7 Section 1. Section 443.3 of the 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), is 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
1 physician, chiropractor or podiatrist, by a hospital or
2 outpatient clinic which qualifies to participate under Title XIX
3 of the Federal Social Security Act, to a patient to whom such
4 hospital or outpatient clinic does not furnish room, board and
5 professional services on a continuous, twenty-four hour a day
6 basis.
7 (2) Rates established by the department for (i) other
8 laboratory and X-ray services prescribed by a physician,
9 chiropractor or podiatrist and furnished by a facility other
10 than a hospital which is qualified to participate under Title
11 XIX of the Federal Social Security Act, (ii) physician's
12 services consisting of professional care by a physician,
13 chiropractor or podiatrist in his office, the patient's home, a
14 hospital, a nursing home or elsewhere, (iii) the first three
15 pints of whole blood, (iv) remedial eye care, as provided in
16 Article VIII consisting of medical or surgical care and aids and
17 services and other vision care provided by a physician skilled
18 in diseases of the eye or by an optometrist which are not
19 otherwise available under this Article, (v) special medical
20 services for school children, as provided in the Public School
21 Code of 1949, consisting of medical, dental, vision care
22 provided by a physician skilled in diseases of the eye or by an
23 optometrist or surgical care and aids and services which are not
24 otherwise available under this article.
25 (3) Rates established by the department for physician
26 consultations using interactive video teleconferencing.
27 Reimbursement shall be on a fee-for-service basis.
28 Section 2. This act shall take effect in 60 days.
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