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                                                      PRINTER'S NO. 3553

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2429 Session of 2008


        INTRODUCED BY PETRARCA, BRENNAN, CAPPELLI, CUTLER, DeLUCA,
           GABIG, GEORGE, HARHAI, HENNESSEY, HORNAMAN, JAMES, JOSEPHS,
           KORTZ, KOTIK, KULA, LEACH, MAHONEY, McGEEHAN, MICOZZIE,
           R. MILLER, MILNE, MYERS, M. O'BRIEN, REICHLEY, SHIMKUS,
           SIPTROTH, K. SMITH, SONNEY, R. STEVENSON, STURLA AND
           YOUNGBLOOD, APRIL 3, 2008

        REFERRED TO COMMITTEE ON INSURANCE, APRIL 3, 2008

                                     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, further providing for abatement program and for
    17     procedure.

    18     The General Assembly of the Commonwealth of Pennsylvania
    19  hereby enacts as follows:
    20     Section 1.  Section 1102(b) of the act of March 20, 2002
    21  (P.L.154, No.13), known as the Medical Care Availability and
    22  Reduction of Error (Mcare) Act, amended October 27, 2006
    23  (P.L.1198, No.128), is amended to read:


     1  Section 1102.  Abatement program.
     2     * * *
     3     (b)  Other abatement.--(1)  Emergency physicians not employed
     4     full time by a trauma center or working under an exclusive
     5     contract with a trauma center shall retain eligibility for an
     6     abatement pursuant to section 1104(b)(2) for calendar years
     7     2003, 2004, 2005 and 2006. Commencing in calendar year 2007,
     8     these emergency physicians shall be eligible for an abatement
     9     pursuant to section 1104(b)(1).
    10         (2)  Birth centers shall retain eligibility for an
    11     abatement pursuant to section 1104(b)(2) for calendar years
    12     2003, 2004, 2005, 2006 and 2007. Commencing in calendar year
    13     2008, birth centers shall be eligible for an abatement
    14     pursuant to section 1104(b)(1).
    15     Section 2.  Section 1104(b) of the act, added December 22,
    16  2005 (P.L.458, No.88), is amended to read:
    17  Section 1104.  Procedure.
    18     * * *
    19     (b)  Review.--Upon receipt of a completed application, the
    20  Insurance Department shall review the applicant's information
    21  and grant the applicable abatement of the assessment for the
    22  previous calendar year specified on the application in
    23  accordance with all of the following:
    24         (1)  The Insurance Department shall notify the Department
    25     of Public Welfare that the applicant has self-certified as
    26     eligible for a 100% abatement of the imposed assessment if
    27     the health care provider was assessed under section 712(d)
    28     as:
    29             (i)  a physician who is assessed as a member of one
    30         of the four highest rate classes of the prevailing
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     1         primary premium;
     2             (ii)  an emergency physician;
     3             (iii)  a physician who routinely provides obstetrical
     4         services in rural areas as designated by the Insurance
     5         Department; [or]
     6             (iv)  a certified nurse midwife[.]; or
     7             (v)  a birth center.
     8         (2)  The Insurance Department shall notify the Department
     9     of Public Welfare that the applicant has self-certified as
    10     eligible for a 50% abatement of the imposed assessment if the
    11     health care provider was assessed under section 712(d) as:
    12             (i)  a physician but is a physician who does not
    13         qualify for abatement under paragraph (1);
    14             (ii)  a licensed podiatrist; [or]
    15             (iii)  a nursing home[.]; or
    16             (iv)  a birth center.
    17     * * *
    18     Section 3.  This act shall take effect immediately.








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