PRINTER'S NO. 2244
No. 1726 Session of 2003
INTRODUCED BY PAYNE, ALLEN, BAKER, BALDWIN, BARD, BARRAR,
BELARDI, BROWNE, BUNT, BUXTON, CAPPELLI, CAUSER, CLYMER,
CORRIGAN, COSTA, CRAHALLA, DALLY, FLEAGLE, FLICK, FREEMAN,
GEIST, GEORGE, GILLESPIE, GINGRICH, GODSHALL, GOODMAN,
HARHAI, HENNESSEY, HERMAN, HUTCHINSON, KOTIK, LEVDANSKY,
LEWIS, MANN, MARKOSEK, MARSICO, McGEEHAN, McILHATTAN,
McNAUGHTON, MELIO, R. MILLER, O'NEILL, READSHAW, REED,
SATHER, SCHRODER, SOLOBAY, STERN, E. Z. TAYLOR, TURZAI,
WANSACZ, WATSON, WILT AND YOUNGBLOOD, JUNE 26, 2003
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
JUNE 26, 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 other 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
1 preventive, diagnostic, therapeutic, rehabilitative or
2 palliative services; furnished by or under the direction of a
3 physician, chiropractor or podiatrist, by a hospital or
4 outpatient clinic which qualifies to participate under Title XIX
5 of the Federal Social Security Act, to a patient to whom such
6 hospital or outpatient clinic does not furnish room, board and
7 professional services on a continuous, twenty-four hour a day
8 basis.
9 (2) Rates established by the department for (i) other
10 laboratory and X-ray services prescribed by a physician,
11 chiropractor or podiatrist and furnished by a facility other
12 than a hospital which is qualified to participate under Title
13 XIX of the Federal Social Security Act, (ii) physician's
14 services consisting of professional care by a physician,
15 chiropractor or podiatrist in his office, the patient's home, a
16 hospital, a nursing home or elsewhere, (iii) the first three
17 pints of whole blood, (iv) remedial eye care, as provided in
18 Article VIII consisting of medical or surgical care and aids and
19 services and other vision care provided by a physician skilled
20 in diseases of the eye or by an optometrist which are not
21 otherwise available under this Article, (v) special medical
22 services for school children, as provided in the Public School
23 Code of 1949, consisting of medical, dental, vision care
24 provided by a physician skilled in diseases of the eye or by an
25 optometrist or surgical care and aids and services which are not
26 otherwise available under this article[.] and (vi) licensed
27 ambulance transportation and licensed air ambulance
28 transportation services, which rates under this subclause shall
29 be adjusted by the department to a rate that is consistent with
30 the average Medicare allowable reimbursement for such
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1 transportation services.
2 Section 2. This act shall take effect in 60 days.
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