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                                                      PRINTER'S NO. 4665

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE RESOLUTION

No. 743 Session of 2002


        INTRODUCED BY KENNEY, MAJOR, ROBERTS, CORNELL, J. TAYLOR, VANCE,
           CLARK AND JADLOWIEC, NOVEMBER 21, 2002

        REFERRED TO COMMITTEE ON RULES, NOVEMBER 21, 2002

                                  A RESOLUTION

     1  Recognizing the existence of a subset of hospitals that provide
     2     a significant amount of care to uninsured and disadvantaged
     3     Pennsylvanians, and urging the General Assembly to take into
     4     account the special situation of these vital hospitals when
     5     implementing public policy.

     6     WHEREAS, The people of Pennsylvania deserve access to the
     7  highest quality health care; and
     8     WHEREAS, Nearly one million Pennsylvanians, ten percent of
     9  the Commonwealths residents, have no health insurance, another
    10  1.1 million residents are insured by Medical Assistance, and
    11  countless others are underinsured; and
    12     WHEREAS, The health care safety net is often referred to as a
    13  combination of institutions and programs that devote significant
    14  resources to caring for the uninsured and disadvantaged; and
    15     WHEREAS, In most parts of the country, the health care needs
    16  of these individuals are met to a significant degree by publicly
    17  owned and operated hospitals specifically created to subsidize
    18  health care for the poor; and
    19     WHEREAS, Pennsylvania no longer operates any publicly owned

     1  acute-care hospitals, but rather relies on a network of private-
     2  sector hospitals to meet the health care needs of its
     3  disadvantaged residents; and
     4     WHEREAS, Among these Pennsylvania hospitals, a subset is
     5  distinguished by the unusually large amount of resources that
     6  they devote to caring for the poor; and
     7     WHEREAS, This subset of hospitals, Pennsylvanias safety-net
     8  hospitals, provide a portion of their services to low-income
     9  patients  Medical Assistance, Medicare SSI, and uninsured
    10  patients  that is greater than that of 75 percent of the
    11  hospitals in Pennsylvania; and
    12     WHEREAS, These hospitals care for three times as many Medical
    13  Assistance patients and fifty percent more uninsured patients as
    14  other hospitals; and
    15     WHEREAS, They rely more heavily on increasingly inadequate
    16  government reimbursement to cover medical expenses while also
    17  caring for more patients for whom they receive no reimbursement
    18  at all; and
    19     WHEREAS, As a direct result of providing a significant amount
    20  of care to the poor, they are worse off financially than their
    21  peers and are unable to compete on an equal footing; therefore
    22  be it
    23     RESOLVED, That ensuring the financial viability of these
    24  safety-net hospitals is critical in maintaining access to health
    25  care services for this Commonwealths poor and disadvantaged; and
    26  be it further
    27     RESOLVED, That the General Assembly take into account the
    28  special situation of these vital hospitals when implementing
    29  public policy.

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