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                                                      PRINTER'S NO. 2747

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1973 Session of 2007


        INTRODUCED BY SHAPIRO, NICKOL, DeLUCA, MICOZZIE, ADOLPH, ARGALL,
           BASTIAN, BEAR, BELFANTI, BENNINGTON, BEYER, BIANCUCCI,
           BISHOP, BOYD, BRENNAN, BUXTON, CAPPELLI, CARROLL, CAUSER,
           CIVERA, CLYMER, CUTLER, DALEY, DALLY, ELLIS, FABRIZIO,
           FRANKEL, GALLOWAY, GIBBONS, GILLESPIE, GINGRICH, GODSHALL,
           GOODMAN, GRELL, HARHAI, HARPER, HORNAMAN, JAMES, JOSEPHS,
           KAUFFMAN, KILLION, LEACH, LENTZ, MANDERINO, MANN, MANTZ,
           MARKOSEK, MARSHALL, McILVAINE SMITH, MENSCH, R. MILLER,
           MILNE, MOYER, MURT, MUSTIO, MYERS, PARKER, PAYNE, PETRARCA,
           PHILLIPS, PICKETT, PYLE, QUIGLEY, QUINN, RAPP, REICHLEY,
           ROHRER, RUBLEY, SABATINA, SAINATO, SANTONI, SAYLOR, SCAVELLO,
           SCHRODER, SIPTROTH, M. SMITH, SOLOBAY, SONNEY, STERN, STURLA,
           SURRA, SWANGER, R. TAYLOR, THOMAS, WALKO, WANSACZ, WATSON,
           J. WHITE AND YOUNGBLOOD, OCTOBER 25, 2007

        REFERRED TO COMMITTEE ON INSURANCE, OCTOBER 25, 2007

                                     AN ACT

     1  Amending the act of March 20, 2002 (P.L.154, No.13), entitled
     2     "An act reforming the law on medical professional liability;
     3     providing for patient safety and reporting; establishing the
     4     Patient Safety Authority and the Patient Safety Trust Fund;
     5     abrogating regulations; providing for medical professional
     6     liability informed consent, damages, expert qualifications,
     7     limitations of actions and medical records; establishing the
     8     Interbranch Commission on Venue; providing for medical
     9     professional liability insurance; establishing the Medical
    10     Care Availability and Reduction of Error Fund; providing for
    11     medical professional liability claims; establishing the Joint
    12     Underwriting Association; regulating medical professional
    13     liability insurance; providing for medical licensure
    14     regulation; providing for administration; imposing penalties;
    15     and making repeals," in Health Care Provider Retention
    16     Program, defining "independent drug information services";
    17     and further providing for abatement program, for eligibility
    18     and for expiration.

    19     The General Assembly of the Commonwealth of Pennsylvania
    20  hereby enacts as follows:

     1     Section 1.  Section 1101 of the act of March 20, 2002
     2  (P.L.154, No.13), known as the Medical Care Availability and
     3  Reduction of Error (Mcare) Act, is amended by adding a
     4  definition to read:
     5  Section 1101.  Definitions.
     6     The following words and phrases when used in this chapter
     7  shall have the meanings given to them in this section unless the
     8  context clearly indicates otherwise:
     9     * * *
    10     "Independent drug information service."  A university-based
    11  outreach program intended to promote unbiased, high quality 
    12  evidence-based, patient-centered, cost-effective pharmaceutical
    13  decisions.
    14     * * *
    15     Section 2.  Section 1102(a) of the act, amended October 27,
    16  2006 (P.L.1198, No.128), is amended to read:
    17  Section 1102.  Abatement program.
    18     (a)  Establishment.--There is hereby established within the
    19  Insurance Department a program to be known as the Health Care
    20  Provider Retention Program. The Insurance Department, in
    21  conjunction with the Department of Public Welfare, shall
    22  administer the program. The program shall provide assistance in
    23  the form of assessment abatements to health care providers for
    24  calendar years 2003, 2004, 2005, 2006 [and 2007], 2007 and 2008,
    25  except that licensed podiatrists shall not be eligible for
    26  calendar years 2003 and 2004, and nursing homes shall not be
    27  eligible for calendar years 2003, 2004 and 2005.
    28     * * *
    29     Section 3.  Section 1103 of the act, added December 22, 2005
    30  (P.L.458, No.88), is amended to read:
    20070H1973B2747                  - 2 -     

     1  Section 1103.  Eligibility.
     2     A health care provider shall not be eligible for assessment
     3  abatement under the program if any of the following apply:
     4         (1)  The health care provider's license has been revoked
     5     in any state within the ten most recent years or a health
     6     care provider has a license revoked during a year in which an
     7     abatement was received.
     8         (2)  The health care provider's ability, if any, to
     9     dispense or prescribe drugs or medication has been revoked in
    10     this Commonwealth or any other state within the ten most
    11     recent years.
    12         (3)  The health care provider has had three or more
    13     medical liability claims in the past five most recent years
    14     in which a judgment was entered against the health care
    15     provider or a settlement was paid on behalf of the health
    16     care provider, in an amount equal to or exceeding $500,000
    17     per claim.
    18         (4)  The health care provider has been convicted of or
    19     has entered a plea of guilty or no contest to an offense
    20     which is required to be reported under section 903(3) or (4)
    21     within the ten most recent years.
    22         (5)  The health care provider has an unpaid surcharge or
    23     assessment under this act.
    24         (6)  The Department of Revenue has determined that the
    25     health care provider has not filed all required State tax
    26     reports and returns for all applicable taxable years or has
    27     not paid any balance of State tax due as determined at
    28     settlement, assessment or determination by the Department of
    29     Revenue that are not subject to a timely perfected
    30     administrative or judicial appeal or subject to a duly
    20070H1973B2747                  - 3 -     

     1     authorized deferred payment plan as of the date of
     2     application. Notwithstanding the provisions of section 353(f)
     3     of the act of March 4, 1971 (P.L.6, No.2), known as the Tax
     4     Reform Code of 1971, the Department of revenue shall be
     5     authorized to supply the Insurance Department with
     6     information concerning the status of delinquent taxes owed by
     7     a health care provider for purposes of this paragraph.
     8         (7)  The health care provider has not attended at least
     9     one Commonwealth-sponsored independent drug information
    10     service session, either in person or by videoconference. This
    11     paragraph does not apply if the Commonwealth has not made
    12     such a session available to the health care provider prior to
    13     the date that the health care provider's application is
    14     submitted under section 1104.
    15     Section 4.  Section 1115 of the act, amended October 27, 2006
    16  (P.L.1198, No.128), is amended to read:
    17  Section 1115.  Expiration.
    18     The Health Care Provider Retention Program established under
    19  this chapter shall expire December 31, [2008] 2009.
    20     Section 5.  This act shall take effect immediately.







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