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A05523
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
2686
Session of
2022
INTRODUCED BY THOMAS, FARRY, SCHLOSSBERG, BOBACK, CIRESI,
HANBIDGE, HENNESSEY, HILL-EVANS, LABS, MENTZER, PENNYCUICK,
POLINCHOCK, RYAN, SCHROEDER, TOMLINSON AND ZIMMERMAN,
JUNE 20, 2022
REFERRED TO COMMITTEE ON HUMAN SERVICES, JUNE 20, 2022
AN ACT
Amending the act of April 9, 1929 (P.L.343, No.176), entitled
"An act relating to the finances of the State government;
providing for cancer control, prevention and research, for
ambulatory surgical center data collection, for the Joint
Underwriting Association, for entertainment business
financial management firms, for private dam financial
assurance and for reinstatement of item vetoes; providing for
the settlement, assessment, collection, and lien of taxes,
bonus, and all other accounts due the Commonwealth, the
collection and recovery of fees and other money or property
due or belonging to the Commonwealth, or any agency thereof,
including escheated property and the proceeds of its sale,
the custody and disbursement or other disposition of funds
and securities belonging to or in the possession of the
Commonwealth, and the settlement of claims against the
Commonwealth, the resettlement of accounts and appeals to the
courts, refunds of moneys erroneously paid to the
Commonwealth, auditing the accounts of the Commonwealth and
all agencies thereof, of all public officers collecting
moneys payable to the Commonwealth, or any agency thereof,
and all receipts of appropriations from the Commonwealth,
authorizing the Commonwealth to issue tax anticipation notes
to defray current expenses, implementing the provisions of
section 7(a) of Article VIII of the Constitution of
Pennsylvania authorizing and restricting the incurring of
certain debt and imposing penalties; affecting every
department, board, commission, and officer of the State
government, every political subdivision of the State, and
certain officers of such subdivisions, every person,
association, and corporation required to pay, assess, or
collect taxes, or to make returns or reports under the laws
imposing taxes for State purposes, or to pay license fees or
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other moneys to the Commonwealth, or any agency thereof,
every State depository and every debtor or creditor of the
Commonwealth," providing for Collaborative Care Model
Implementation Program; and making an appropriation.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of April 9, 1929 (P.L.343, No.176), known
as The Fiscal Code, is amended by adding an article to read:
ARTICLE I-K
COLLABORATIVE CARE MODEL IMPLEMENTATION PROGRAM
Section 101-K. Definitions.
The following words and phrases when used in this article
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Collaborative care model." The evidence-based, integrated
behavioral health service delivery method described in 81 Fed.
Reg. 80230 (Nov. 15, 2016), which includes a formal
collaborative arrangement among a primary care team consisting
of a primary care physician, a care manager and a psychiatric
consultant, and includes the following elements:
(1) Care directed by the primary care team.
(2) Structured care management.
(3) Regular assessments of clinical status using
developmentally appropriate, validated tools.
(4) Modification of treatment as appropriate.
"Collaborative care technical assistance center." A health
care organization that can provide educational support and
technical assistance related to the collaborative care model in
a specific region of this Commonwealth. The term includes an
academic medical center located in this Commonwealth.
"Department." The Department of Human Services of the
Commonwealth.
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Section 102-K. Primary care grants.
(a) Grants.--The department shall make grants to primary
care physicians and primary care practices to meet the initial
costs of establishing and delivering behavioral health
integration services through the collaborative care model.
Primary care physicians and primary care practices may work with
larger health systems for the purposes of applying for and
implementing grants under this section.
(b) Use of grants.--A primary care physician or primary care
practice that receives a grant under this section shall use
funds received through the grant:
(1) To hire staff.
(2) To identify and formalize contractual relationships
with other health care practitioners, including practitioners
who will function as psychiatric consultants and behavioral
health care managers in providing behavioral health
integration services through the collaborative care model.
(3) To purchase or upgrade software and other resources
needed to appropriately provide behavioral health integration
services through the collaborative care model, including
resources needed to establish a patient registry and
implement measurement-based care.
(4) For other purposes that the department may determine
to be necessary.
(c) Priority.--In making grants under this section, the
department shall give priority to primary care physicians and
primary care practices:
(1) that are in rural areas; or
(2) that are in a county in which the suicide or
overdose death rate is higher than the national average
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suicide or overdose death rate, according to the averages
recorded and maintained by the Centers for Disease Control
and Prevention.
Section 103-K. Technical assistance grants.
(a) Regions.--The department shall divide the Commonwealth
into the following six regions:
(1) Northeast.
(2) Southeast.
(3) North central.
(4) South central.
(5) Northwest.
(6) Southwest.
(b) Grants.--The department shall solicit proposals from and
enter into a grant agreement with at least one eligible
collaborative care technical assistance center applicant from
each region under subsection (a) to provide technical assistance
to primary care physicians and primary care practices on
providing behavioral health integration services through the
collaborative care model.
(c) Technical assistance described.--An entity that receives
a grant under subsection (b), in a region described in
subsection (a), shall provide technical assistance to primary
care physicians and primary care practices within that region
that will assist primary care physicians and primary care
practices with the following:
(1) Developing financial models and budgets for program
launch and sustainability based on practice size.
(2) Developing staffing models for essential staff
roles, including care managers and consulting psychiatrists.
(3) Providing information technology expertise to assist
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with building the model requirements into electronic health
records, including assistance with care manager tools,
patient registry, ongoing patient monitoring and patient
records.
(4) Training support for all key staff and operational
consultation to develop practice workflows.
(5) Establishing methods to ensure the sharing of best
practices and operational knowledge among primary care
physicians and primary care practices that provide behavioral
health integration services through the collaborative care
model.
(6) Accurately and appropriately coding and billing
insurers for collaborative care model services.
(6) (7) For other purposes that the department may
determine to be necessary.
(d) Promotion required.--A collaborative care technical
assistance center that receives a grant under subsection (b), in
a region described in subsection (a), shall promote to primary
care physicians and primary care practices within the
collaborative care technical assistance center's region the
opportunity for primary care physicians and primary care
practices to apply for and receive the grants available under
section 102-K.
Section 104-K. Eligibility.
(a) Eligible applicant.--In order to be deemed an eligible
applicant, a collaborative care technical assistance center must
provide information on how it would meet the guidelines under
section 103-K when submitting an application to the department.
(b) Exception.--If there are no applications submitted to
the department by a potential collaborative care technical
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assistance center under section 103-K, in one or more regions
described under section 103-K(a), or the department determines
that none of the applications for a particular region indicate
that any applicant is fully capable of providing the technical
assistance described in section 103-K(c), the department may
award a grant to an applicant from outside that region, provided
that the applicant must describe how it will adequately provide
the technical assistance in the region.
Section 2. From the money received by the Commonwealth from
the Federal Government under the American Rescue Plan Act of
2021 (Public Law 117-2, 135 Stat. 4), the sum of $20,000,000 is
appropriated to the Department of Human Services for the
following:
(1) The sum of $14,000,000 for grants under section 102-
K.
(2) The sum of $6,000,000 for grants under section 103-
K.
Section 3. This act shall take effect immediately.
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