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        PRIOR PRINTER'S NOS. 400, 2413                PRINTER'S NO. 2670

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 365 Session of 1989


        INTRODUCED BY DALEY, PETRONE, TRELLO, LESCOVITZ, COLAIZZO,
           KASUNIC, ROBINSON, VEON, WOZNIAK, DeWEESE, MELIO, LAUGHLIN,
           F. TAYLOR, HALUSKA, MAINE, WAMBACH, TANGRETTI, COWELL,
           COLAFELLA, LaGROTTA, DeLUCA, GIGLIOTTI, OLASZ, PISTELLA,
           B. D. CLARK, SALOOM, PETRARCA, VAN HORNE, MARKOSEK, MRKONIC,
           MICHLOVIC, FEE, CORRIGAN, JAROLIN, GRUITZA, GEORGE,
           DOMBROWSKI, STEIGHNER, CESSAR, FARMER, GAMBLE AND ITKIN,
           FEBRUARY 8, 1989

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           OCTOBER 23, 1989

                                     AN ACT

     1  Amending the act of April 30, 1986 (P.L.107, No.36), entitled
     2     "An act relating to charitable organizations; requiring the
     3     registration of such organizations; and regulating the
     4     solicitation of money and property by, or on behalf of,
     5     charitable organizations," further providing for soliciting
     6     for a named individual.

     7     The General Assembly of the Commonwealth of Pennsylvania
     8  hereby enacts as follows:
     9     Section 1.  Section 12 of the act of April 30, 1986 (P.L.107,
    10  No.36), known as the Charitable Organization Reform Act, is
    11  amended to read:
    12  Section 12.  Records to be kept by charitable organizations,
    13                 professional fundraising counsel and professional
    14                 solicitors.
    15     (a)  General rule.--Every charitable organization subject to
    16  the provisions of this act shall, in accordance with the rules


     1  and regulations prescribed by the department, keep true fiscal
     2  records as to its activities in Pennsylvania as may be covered
     3  by this act in such form as will enable it accurately to provide
     4  the information required by this act. Upon demand, such records
     5  shall be made available to the department, the bureau or the
     6  Attorney General for inspection. Such records shall be retained
     7  for a period of at least three years after the end of the period
     8  of registration to which they relate.
     9     (b)  Soliciting for named individual.--A person or charitable  <--
    10     (B)  SOLICITING FOR NAMED INDIVIDUAL.--                        <--
    11         (1)  A PERSON OR CHARITABLE organization soliciting
    12     contributions for the benefit of a named individual who
    13     receives in excess of $5,000 shall hold the funds collected
    14     in trust and shall be subject to the provisions of 20 Pa.C.S.
    15     Ch.71 (relating to trust estates). [A person who makes] The    <--
    16     person or charitable organization holding such funds shall
    17     petition the court of common pleas of the county in which the
    18     trust shall be established for approval by the court of the
    19     provisions of the written trust instrument by which such
    20     trust shall be established. The funds collected shall be
    21     invested according to the terms of the trust instrument with
    22     a corporate fiduciary, subject to its agreement to accept the
    23     account. If there is a contribution to a person or charitable
    24     organization THE FUNDS COLLECTED SHALL BE INVESTED ACCORDING   <--
    25     TO THE TERMS OF THE TRUST INSTRUMENT WITH AN INDIVIDUAL OR
    26     CORPORATE FIDUCIARY, SUBJECT TO ITS AGREEMENT TO ACCEPT THE
    27     ACCOUNT.
    28         (2)  A PERSON OR CHARITABLE ORGANIZATION SOLICITING
    29     CONTRIBUTIONS FOR THE BENEFIT OF A NAMED INDIVIDUAL WHO
    30     RECEIVES IN EXCESS OF $10,000 SHALL PETITION THE COURT OF
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     1     COMMON PLEAS OF THE COUNTY IN WHICH THE TRUST SHALL BE
     2     ESTABLISHED FOR APPROVAL BY THE COURT OF THE PROVISIONS OF
     3     THE WRITTEN TRUST INSTRUMENT BY WHICH SUCH TRUST SHALL BE
     4     ESTABLISHED, AND FOR APPROVAL OF THE TRUSTEE THEREOF. THE
     5     FUNDS COLLECTED SHALL BE INVESTED ACCORDING TO THE TERMS OF
     6     THE TRUST INSTRUMENT WITH AN INDIVIDUAL OR CORPORATE
     7     FIDUCIARY, SUBJECT TO ITS AGREEMENT TO ACCEPT THE ACCOUNT.
     8         (3)  IF THERE IS A CONTRIBUTION TO A PERSON OR CHARITABLE
     9     ORGANIZATION in response to a solicitation for the benefit of
    10     a named individual, the department shall have the right to
    11     petition the court of common pleas of the county in which the
    12     trust is located for an accounting on behalf of all
    13     contributors. For purposes of this subsection, the trust
    14     shall be established in the county where the principal place
    15     of business of the charitable organization is located. If a
    16     charitable organization has its principal place of business
    17     outside this Commonwealth, all of the following apply:
    18             (1) (I)  If a chapter, branch, area, office or         <--
    19         similar affiliate is soliciting contributions within this
    20         Commonwealth, the trust shall be established in the
    21         county where the principal place of business of the
    22         chapter, branch, area, office or similar affiliate is
    23         located.
    24             (2) (II)  If a person is soliciting contributions      <--
    25         within this Commonwealth, the trust shall be established
    26         in the county where the principal place of business or
    27         the residence of the person is located.
    28     Section 2.  The act is amended by adding a section to read:
    29  Section 14.1.  Named individual receiving health care.
    30     (a)  General rule.--If services which, in the estimation of a
    19890H0365B2670                  - 3 -

     1  health care provider, are valued in excess of $5,000 are
     2  requested for a named individual from a health care provider in
     3  this Commonwealth and if contributions are being, have been or
     4  will be solicited for the benefit of the individual which either
     5  expressly or implicitly are intended in whole or in part to pay
     6  for the services to be provided by the health care provider,
     7  then, prior to the commencement of services by the health care
     8  provider or any other time requested by the health care
     9  provider, the individual or the individual's legal
    10  representative shall do all of the following:
    11         (1)  Provide written verification to the health care
    12     provider that funds collected for the benefit of the
    13     individual are being, have been, or will be collected,
    14     handled and dispersed in accordance with the applicable
    15     Federal or state law.
    16         (2)  Provide to the health care provider the identity and
    17     location of all funds and trusts established for the benefit
    18     of the individual and the names, addresses and telephone
    19     numbers of all trustees or holders of such funds.
    20         (3)  As collected funds are or become available for the
    21     benefit of the individual, do all of the following:
    22             (i)  Authorize payment to the health care provider
    23         from collected funds reasonable deposits or advanced
    24         payments required to cover all or part of the estimated
    25         cost of the services.
    26             (ii)  Deposit with the corporate fiduciary in this
    27         Commonwealth an amount of the collected funds necessary
    28         to cover estimated potential costs for the services. The
    29         amount under this subparagraph shall be determined by the
    30         health care provider to be the greater of the following:
    19890H0365B2670                  - 4 -

     1                 (A)  The maximum charges that have been accrued
     2             by patients undergoing the same or similar procedures
     3             or treatment by the health care provider.
     4                 (B)  The actual costs for the particular services
     5             estimated to be necessary for the care and treatment
     6             of the individual.
     7     (b)  Trust.--
     8         (1)  The trustee has the power and duty to release money
     9     to the health care provider on a periodic basis for services
    10     rendered or goods supplied, upon billing by the health care
    11     provider, if any of the following applies:
    12             (i)  The named individual or the individual's legal
    13         representative approves the bill.
    14             (ii)  The bill is submitted to the named individual
    15         and the individual's legal representative, if there is
    16         one; and no written objection is given to the trustee
    17         within 30 days of submission.
    18         (2)  The trustee may not transfer, distribute or pay
    19     funds, except in the manner set forth in paragraph (1), until
    20     the named individual or the individual's legal representative
    21     has provided to the trustee written verification from each
    22     health care provider that payment has been made for all goods
    23     and services provided to or for the benefit of the
    24     individual.
    25     (c)  Insurance.--
    26         (1)  A patient to whom services are rendered in this
    27     Commonwealth by a health care provider under this section
    28     shall be deemed to authorize the health care provider to
    29     reveal to an insurance company or a governmental agency all
    30     of the following:
    19890H0365B2670                  - 5 -

     1             (i)  The estimated cost of the services or goods to
     2         be provided for the patient.
     3             (ii)  The actual cost incurred to date for services
     4         or goods provided to the patient.
     5             (iii)  The amounts of the cost covered by health or
     6         other insurance.
     7             (iv)  The amounts of the cost already paid by
     8         insurance or other sources.
     9             (v)  The existence of any other source of funds for
    10         the payment of the cost services, including all
    11         charitable funds.
    12             (vi)  The names and addresses of all banks, trustees
    13         or other persons holding funds for the benefit of the
    14         patient.
    15             (vii)  The estimated length of time the patient will
    16         be in need of services or goods from the particular
    17         health care provider.
    18         (2)  If the patient has health or other insurance with an
    19     insurance company licensed to do business in this
    20     Commonwealth, and that insurance covers part or all of the
    21     services provided, then, upon written verification to the
    22     health care provider from the insurer of the existence of the
    23     insurance and the scope of coverage, the health care provider
    24     shall reduce the estimated potential costs under subsection
    25     (a)(3)(ii) by the amount of the cost covered by the
    26     insurance.
    27     (d)  Other payment.--If the patient has paid to the health
    28  care provider a deposit or advance payment or if other payments
    29  have been made to the health care provider specifically for the
    30  benefit of the patient, the health care provider shall reduce
    19890H0365B2670                  - 6 -

     1  the estimated potential costs under subsection (a)(3)(ii) by the
     2  amount of the payments.
     3     (e)  Deposits.--Nothing in this section shall prohibit a       <--
     4  health care provider from requiring a patient to provide a
     5  deposit or advance payment for services or goods prior to
     6  providing services or goods under any circumstances, whether or
     7  not the patient has funds available to pay for all or any part
     8  of the services or goods.
     9     (f) (E)  Other remedies.--Nothing in this section shall limit  <--
    10  a health care provider or patient from pursuing any other remedy
    11  available at law or in equity.
    12     Section 3.  This act shall take effect in 60 days.












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