Assembly may determine under this clause, for an institution
that meets the criteria in subclause (2) to be considered an
institution of purely public charity under clause (v) of
subsection (a), the institution must do the following:
(I) Provide access to all persons in the community able to
pay the cost thereof directly or through third-party
reimbursement.
(II) Accept as full payment for its services provided to
uninsured patients or to patients who are subscribers of a
medical or health care insurance company that does not have a
contract with the institution, the lesser of:
(A) the average of the payments the institution would
receive under its three lowest negotiated commercial insurance
rates for the services provided; or
(B) the payment the institution would receive under the
Medicare program for the services provided.
(2) The provisions of subclause (1) shall apply to an
institution that:
(I) provides health care services in this Commonwealth; and
(II) owns or otherwise is affiliated with, other than by
contract, an entity that provides medical or health care
insurance coverage in this Commonwealth.
* * *
Section 2. (a) Upon the first passage by the General
Assembly of this proposed constitutional amendment, the
Secretary of the Commonwealth shall proceed immediately to
comply with the advertising requirements of section 1 of Article
XI of the Constitution of Pennsylvania and shall transmit the
required advertisements to two newspapers in every county in
which such newspapers are published in sufficient time after
20190HB0734PN0865 - 2 -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30