PRINTER'S NO. 3794
No. 2545 Session of 2008
INTRODUCED BY COHEN, D. O'BRIEN, McCALL, WATSON, GODSHALL,
BELFANTI, BENNINGTON, CALTAGIRONE, CAUSER, CREIGHTON,
FRANKEL, FREEMAN, GEORGE, GOODMAN, HALUSKA, HARKINS,
HORNAMAN, JOSEPHS, LONGIETTI, MENSCH, READSHAW, SIPTROTH,
WAGNER, WHEATLEY, J. WHITE AND YOUNGBLOOD, MAY 20, 2008
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES, MAY 20, 2008
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 medical assistance payments.
5 The General Assembly of the Commonwealth of Pennsylvania
6 hereby enacts as follows:
7 Section 1. Section 443.3(a) of the act of June 13, 1967
8 (P.L.31, No.21), known as the Public Welfare Code, amended July
9 7, 2005 (P.L.177, No.42), is amended to read:
10 Section 443.3. Other Medical Assistance Payments.--(a)
11 Payments on behalf of eligible persons shall be made for other
12 services, as follows:
13 (1) Rates established by the department for outpatient
14 services as specified by regulations of the department adopted
15 under Title XIX of the Social Security Act (49 Stat. 620, 42
16 U.S.C. § 1396 et seq.) consisting of preventive, diagnostic,
17 therapeutic, rehabilitative or palliative services; furnished by
1 or under the direction of a physician, chiropractor or
2 podiatrist, by a hospital or outpatient clinic which qualifies
3 to participate under Title XIX of the Social Security Act, to a
4 patient to whom such hospital or outpatient clinic does not
5 furnish room, board and professional services on a continuous,
6 twenty-four hour a day basis.
7 (2) Rates established by the department for (i) other
8 laboratory and X-ray services prescribed by a physician,
9 chiropractor or podiatrist and furnished by a facility other
10 than a hospital which is qualified to participate under Title
11 XIX of the Social Security Act, (ii) physician's services
12 consisting of professional care by a physician, chiropractor or
13 podiatrist in his office, the patient's home, a hospital, a
14 nursing facility or elsewhere, (iii) the first three pints of
15 whole blood, (iv) remedial eye care, as provided in [Article
16 VIII] subarticle (b) of Article XXII of the act of April 9, 1929
17 (P.L.177, No.175), known as The Administrative Code of 1929,
18 consisting of medical or surgical care and aids and services and
19 other vision care provided by a physician skilled in diseases of
20 the eye or by an optometrist which are not otherwise available
21 under this [Article] article, (v) special medical services for
22 school children, as provided in the act of May 10, 1949 (P.L.30,
23 No.14), known as the Public School Code of 1949, consisting of
24 medical, dental, vision care provided by a physician skilled in
25 diseases of the eye or by an optometrist or surgical care and
26 aids and services which are not otherwise available under this
27 article.
28 (3) Notwithstanding any other provision of law, for
29 recipients aged twenty-one years or older receiving services
30 under the fee for service delivery system who are eligible for
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1 medical assistance under Title XIX of the Social Security Act
2 and for recipients aged twenty-one years or older receiving
3 services under the fee-for-service delivery system who are
4 eligible for general assistance-related categories of medical
5 assistance, the following medically necessary services:
6 (i) Psychiatric outpatient clinic services not to exceed
7 five hours or ten one-half-hour sessions per thirty consecutive
8 day period.
9 (ii) Psychiatric partial hospitalization not to exceed five
10 hundred forty hours per fiscal year.
11 (4) Rates established by the department for telemedicine
12 services delivered to a Medicaid beneficiary shall be the same
13 as if those services were provided in person to a Medicaid
14 beneficiary.
15 * * *
16 Section 2. This act shall take effect in 60 days.
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