PRINTER'S NO. 100
No. 108 Session of 2005
INTRODUCED BY PAYNE, BASTIAN, BOYD, BROWNE, BUNT, BUXTON,
CAPPELLI, CAUSER, CORRIGAN, CREIGHTON, DALEY, DENLINGER,
FAIRCHILD, FLEAGLE, FLICK, GEIST, GEORGE, GILLESPIE,
GINGRICH, GOODMAN, HENNESSEY, HUTCHINSON, JAMES, KOTIK,
R. MILLER, READSHAW, REICHLEY, SATHER, SCAVELLO, SOLOBAY,
WATSON, WILT AND YOUNGBLOOD, JANUARY 25, 2005
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
JANUARY 25, 2005
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
16 preventive, diagnostic, therapeutic, rehabilitative or
1 palliative services; furnished by or under the direction of a
2 physician, chiropractor or podiatrist, by a hospital or
3 outpatient clinic which qualifies to participate under Title XIX
4 of the Federal Social Security Act, to a patient to whom such
5 hospital or outpatient clinic does not furnish room, board and
6 professional services on a continuous, twenty-four hour a day
7 basis.
8 (2) Rates established by the department for (i) other
9 laboratory and X-ray services prescribed by a physician,
10 chiropractor or podiatrist and furnished by a facility other
11 than a hospital which is qualified to participate under Title
12 XIX of the Federal Social Security Act, (ii) physician's
13 services consisting of professional care by a physician,
14 chiropractor or podiatrist in his office, the patient's home, a
15 hospital, a nursing home or elsewhere, (iii) the first three
16 pints of whole blood, (iv) remedial eye care, as provided in
17 Article VIII consisting of medical or surgical care and aids and
18 services and other vision care provided by a physician skilled
19 in diseases of the eye or by an optometrist which are not
20 otherwise available under this Article, (v) special medical
21 services for school children, as provided in the Public School
22 Code of 1949, consisting of medical, dental, vision care
23 provided by a physician skilled in diseases of the eye or by an
24 optometrist or surgical care and aids and services which are not
25 otherwise available under this article[.] and (vi) licensed
26 ambulance transportation and licensed air ambulance
27 transportation services, which rates under this subclause shall
28 be adjusted by the department to a rate that is consistent with
29 the average Medicare allowable reimbursement for such
30 transportation services.
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1 Section 2. This act shall take effect in 60 days.
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