PRINTER'S NO. 2314
No. 1807 Session of 1975
INTRODUCED BY M. E. MILLER JR. AND A. P. KELLY, OCTOBER 1, 1975
REFERRED TO COMMITTEE ON HEALTH AND WELFARE, OCTOBER 2, 1975
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, act of June 13, 1967 (P.L.31,
8 No.21), known as the "Public Welfare Code," added July 31, 1968
9 (P.L.904, No.273), and amended November 28, 1973 (P.L.364,
10 No.128), is amended to read:
11 Section 443.3. (a) Other Medical Assistance Payments.--
12 Payments on behalf of eligible persons shall be made for other
13 services, as follows:
14 (1) Rates established by the department for outpatient
15 services as specified by regulations of the department adopted
16 under Title XIX of the Federal Social Security Act consisting of
17 preventive, diagnostic, therapeutic, rehabilitative or
18 palliative services; furnished by or under the direction of a
19 physician, chiropractor, or podiatrist, by a hospital or
1 outpatient clinic which qualifies to participate under Title XIX
2 of the Federal Social Security Act, to a patient to whom such
3 hospital or outpatient clinic does not furnish room, board and
4 professional services on a continuous, twenty-four hour a day
5 basis.
6 (2) Rates established by the department for (i) other
7 laboratory and X-ray services prescribed by a physician,
8 chiropractor or podiatrist and furnished by a facility other
9 than a hospital which is qualified to participate under Title
10 XIX of the Federal Social Security Act, (ii) physician's
11 services consisting of professional care by a physician,
12 chiropractor or podiatrist, in his office, the patient's home a
13 hospital, a nursing home or elsewhere, (iii) the first three
14 pints of whole blood, (iv) remedial eye care, as provided in
15 Article VIII consisting of medical or surgical care and aids and
16 services and other vision care provided by a physician skilled
17 in diseases of the eye or by an optometrist which are not
18 otherwise available under this Article, (v) special medical
19 services for school children, as provided in the Public School
20 Code of 1949, consisting of medical, dental, vision care
21 provided by a physician skilled in diseases of the eye or by an
22 optometrist or surgical care and aids and services which are not
23 otherwise available under this article.
24 (b) In addition to those payments provided for in subsection
25 (a), payments shall also be made on behalf of eligible persons
26 for preventive, diagnostic, therapeutic, rehabilitative,
27 palliative or other laboratory or x-ray services at rates to be
28 established by the department when prescribed by a physician,
29 chiropractor or podiatrist and performed at a primary health
30 care facility other than a hospital, outpatient clinic or other
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1 facility qualified to participate under Title XIX of the Federal
2 Social Security Act. Such primary health care facilities shall
3 be deemed qualified to participate under the provisions of this
4 subsection if they meet minimal standards to be set and
5 administered by the Department of Health as to competency of
6 staff and quality of health care facilities and equipment.
7 Section 2. This act shall take effect in 90 days.
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