PRINTER'S NO. 833
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No.
695
Session of
2019
INTRODUCED BY BROOKS, MAY 31, 2019
REFERRED TO HEALTH AND HUMAN SERVICES, MAY 31, 2019
AN ACT
Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
act to consolidate, editorially revise, and codify the public
welfare laws of the Commonwealth," in public assistance,
further providing for medical assistance payments for
institutional care; in nursing facility assessments, further
providing for time periods; in intermediate care facilities
for persons with an intellectual disability assessments,
further providing for time periods; and, in hospital
assessments, further providing for time period.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Sections 443.1(7)(iv), 815-A, 811-C(b) and 808-
E(a) of the act of June 13, 1967 (P.L.31, No.21), known as the
Human Services Code, are amended to read:
Section 443.1. Medical Assistance Payments for Institutional
Care.--The following medical assistance payments shall be made
on behalf of eligible persons whose institutional care is
prescribed by physicians:
* * *
(7) After June 30, 2007, payments to county and nonpublic
nursing facilities enrolled in the medical assistance program as
providers of nursing facility services shall be determined in
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accordance with the methodologies for establishing payment rates
for county and nonpublic nursing facilities specified in the
department's regulations and the Commonwealth's approved Title
XIX State Plan for nursing facility services in effect after
June 30, 2007. The following shall apply:
* * *
(iv) Subject to Federal approval of such amendments as may
be necessary to the Commonwealth's approved Title XIX State
Plan, for each fiscal year beginning on or after July 1, 2011,
the department shall apply a revenue adjustment neutrality
factor to county and nonpublic nursing facility payment rates so
that the estimated Statewide day-weighted average payment rate
in effect for that fiscal year is limited to the amount
permitted by the funds appropriated by the General Appropriation
Act for the fiscal year. The revenue adjustment neutrality
factor shall remain in effect until the sooner of June 30,
[2019] 2022, or the date on which a new rate-setting methodology
for medical assistance nursing facility services which replaces
the rate-setting methodology codified in 55 Pa. Code Chs. 1187
(relating to nursing facility services) and 1189 (relating to
county nursing facility services) takes effect.
* * *
Section 815-A. Time periods.--The assessment authorized in
this article shall not be imposed prior to July 1, 2003, or
after June 30, [2012] 2022.
Section 811-C. Time periods.
* * *
(b) Cessation.--The assessment authorized under this article
shall cease June 30, [2019] 2022, or earlier, if required by
law.
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Section 808-E. Time period.
(a) Cessation.--The assessment authorized under this article
shall cease June 30, [2019] 2022.
* * *
Section 2. This act shall take effect immediately.
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