PRINTER'S NO. 2785
THE GENERAL ASSEMBLY OF PENNSYLVANIA
INTRODUCED BY SAYLOR, BOBACK, COHEN, SCHLEGEL CULVER, DAVIDSON, DONATUCCI, EMRICK, ENGLISH, GINGRICH, JAMES, KAUFFMAN, MILLARD, R. MILLER, MULLERY, O'NEILL, PAINTER, PICKETT, ROCK, SCAVELLO, SWANGER, THOMAS, TOEPEL, WATSON AND STEPHENS, DECEMBER 11, 2013
REFERRED TO COMMITTEE ON AGING AND OLDER ADULT SERVICES, DECEMBER 11, 2013
6Section 1. Short title.
9Section 2. Definitions.
13"Hospital emergency room." An entity within a hospital which
14is organizationally distinct from other outpatient facilities
15and whose primary function is to provide emergency accident and
16emergency medical or surgical care.
1Section 3. Patient notice of observation services.
2(a) Duty.--Within 90 days of the effective date of this
3section, a hospital shall provide oral and written notice to a
4patient of the patient's outpatient status, the billing
5implications of the outpatient status and the impact of the
6outpatient status on the patient's Medicare, Medicaid and
7private insurance coverage for the current hospital services,
8including medications and other pharmaceutical supplies and
9coverage for a subsequent discharge to a skilled nursing
10facility or home-based and community-based care if all of the
19(b) Contents.--The notice under subsection (a) shall include
20disclosure of the cost and ramification of the patient's status
21under subsection (a) and the patient's rights of appeal in
22regard to outpatient status.
26Section 4. Training.
27A hospital shall provide training to each staff person that
28communicates outpatient status, billing implication of the
29outpatient status and the impact of the outpatient status on the
30patient's eligibility for Medicare so that a staff person can
3Section 5. Expiration.
4(a) Notice.--If the Federal Government amends 42 CFR
5409.30(a)(1) (relating to basic requirements) to eliminate or
6modify the Medicare three-day qualifying hospital stay
7requirement in a manner that makes the notification required
8under section 3 unnecessary, the Secretary of Health shall
9submit notice of the amendment for publication in the
13Section 40. Effective date.