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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY BROWNE, WASHINGTON, BOSCOLA, ERICKSON, ORIE, BAKER, O'PAKE, WOZNIAK, GREENLEAF, YAW, VANCE, FOLMER, WONDERLING AND FERLO, FEBRUARY 20, 2009 |
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| REFERRED TO PUBLIC HEALTH AND WELFARE, FEBRUARY 20, 2009 |
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| AN ACT |
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1 | Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An |
2 | act to consolidate, editorially revise, and codify the public |
3 | welfare laws of the Commonwealth," further providing for |
4 | medical assistance payments. |
5 | The General Assembly of the Commonwealth of Pennsylvania |
6 | hereby enacts as follows: |
7 | Section 1. Section 443.3(a) of the act of June 13, 1967 |
8 | (P.L.31, No.21), known as the Public Welfare Code, amended July |
9 | 7, 2005 (P.L.177, No.42), is amended to read: |
10 | Section 443.3. Other Medical Assistance Payments.--(a) |
11 | Payments on behalf of eligible persons shall be made for other |
12 | services, as follows: |
13 | (1) Rates established by the department for outpatient |
14 | services as specified by regulations of the department adopted |
15 | under Title XIX of the Social Security Act (49 Stat. 620, 42 |
16 | U.S.C. § 1396 et seq.) consisting of preventive, diagnostic, |
17 | therapeutic, rehabilitative or palliative services; furnished by |
18 | or under the direction of a physician, chiropractor or |
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1 | podiatrist, by a hospital or outpatient clinic which qualifies |
2 | to participate under Title XIX of the Social Security Act, to a |
3 | patient to whom such hospital or outpatient clinic does not |
4 | furnish room, board and professional services on a continuous, |
5 | twenty-four hour a day basis. |
6 | (2) Rates established by the department for (i) other |
7 | laboratory and X-ray services prescribed by a physician, |
8 | chiropractor or podiatrist and furnished by a facility other |
9 | than a hospital which is qualified to participate under Title |
10 | XIX of the Social Security Act, (ii) physician's services |
11 | consisting of professional care by a physician, chiropractor or |
12 | podiatrist in his office, the patient's home, a hospital, a |
13 | nursing facility or elsewhere, (iii) the first three pints of |
14 | whole blood, (iv) remedial eye care, as provided in [Article |
15 | VIII] subarticle (b) of Article XXII of the act of April 9, 1929 |
16 | (P.L.177, No.175), known as The Administrative Code of 1929, |
17 | consisting of medical or surgical care and aids and services and |
18 | other vision care provided by a physician skilled in diseases of |
19 | the eye or by an optometrist which are not otherwise available |
20 | under this [Article] article, (v) special medical services for |
21 | school children, as provided in the act of May 10, 1949 (P.L.30, |
22 | No.14), known as the Public School Code of 1949, consisting of |
23 | medical, dental, vision care provided by a physician skilled in |
24 | diseases of the eye or by an optometrist or surgical care and |
25 | aids and services which are not otherwise available under this |
26 | article. |
27 | (3) Notwithstanding any other provision of law, for |
28 | recipients aged twenty-one years or older receiving services |
29 | under the fee for service delivery system who are eligible for |
30 | medical assistance under Title XIX of the Social Security Act |
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1 | and for recipients aged twenty-one years or older receiving |
2 | services under the fee-for-service delivery system who are |
3 | eligible for general assistance-related categories of medical |
4 | assistance, the following medically necessary services: |
5 | (i) Psychiatric outpatient clinic services not to exceed |
6 | five hours or ten one-half-hour sessions per thirty consecutive |
7 | day period. |
8 | (ii) Psychiatric partial hospitalization not to exceed five |
9 | hundred forty hours per fiscal year. |
10 | (4) Rates established by the department for telemedicine |
11 | services delivered to a Medicaid beneficiary shall be the same |
12 | as if those services were provided in person to a Medicaid |
13 | beneficiary. |
14 | * * * |
15 | Section 2. This act shall take effect in 60 days. |
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