PRINTER'S NO. 75
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
107
Session of
2021
INTRODUCED BY SANKEY, GAYDOS, OWLETT, THOMAS, IRVIN, GROVE,
RYAN, KAUFFMAN, SAYLOR, BERNSTINE AND WEBSTER,
JANUARY 11, 2021
REFERRED TO COMMITTEE ON HUMAN SERVICES, JANUARY 11, 2021
AN ACT
Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
act to consolidate, editorially revise, and codify the public
welfare laws of the Commonwealth," in public assistance,
providing for medical assistance managed care organization
rate setting.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of June 13, 1967 (P.L.31, No.21), known
as the Human Services Code, is amended by adding a section to
read:
Section 449.2. Medical Assistance Managed Care Organization
Rate Setting.--(a) The department shall annually adjust the
medical assistance managed care organization financial reporting
that is used as the basis of rate setting by the value of
provider-preventable conditions in no less than facility place
of service paid by the medical assistance managed care
organization to ensure that Federal and State funds are not used
to pay for improper payments.
(b) The department shall annually report the value of
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