Bill Text: PA HB1678 | 2009-2010 | Regular Session | Introduced

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Bill Title: Making editorial changes.

Spectrum: Moderate Partisan Bill (Democrat 16-2)

Status: (Introduced - Dead) 2009-06-12 - Referred to HEALTH AND HUMAN SERVICES [HB1678 Detail]

Download: Pennsylvania-2009-HB1678-Introduced.html

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PRINTER'S NO. 2119
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1678 Session of2009
INTRODUCED BY DeLUCA, BELFANTI, D. COSTA, GEORGE, HARKINS, HORNAMAN, JOHNSON, JOSEPHS, KOTIK, SOLOBAY, STABACK, J. TAYLOR, SIPTROTH, CALTAGIRONE, BRENNAN AND KULA, JUNE 12, 2009
REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES, JUNE 12, 2009
AN ACT
Amending the act of December 2, 1992 (P.L.741, No.113), entitled
"An act providing a comprehensive plan for health care for
uninsured children; providing for medical education
assistance; making appropriations; and making repeals,"
making editorial changes.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Sections 103 and 1304 of the act of December 2,
1992 (P.L.741, No.113), known as the Children's Health Care Act,
are amended to read:
Section 103. Definitions.
The following words and phrases when used in this act shall
have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Child." A person under 13 years of age[, except as provided
for in section 701(d)].
"Children's medical assistance." Medical assistance services
to children as required under Title 14 of the Social Security
Act (Public Law 74-271, 42 U.S.C. § 301 et seq.), including
EPSDT services.
"Council." The Children's Health Advisory Council
established [in section 701(i)] under section 2311(i) of the act
of May 17, 1921 (P.L.682, No.284), known as The Insurance
Company Law of 1921.
"Department." The Department of Public Welfare of the
Commonwealth.
"EPSDT." Early and periodic screening, diagnosis and
treatment.
"Fund." The Children's Health Fund for health care for
indigent children established by section 1296 of the act of
March 4, 1971 (P.L.6, No.2), known as the Tax Reform Code of
1971.
"Genetic status." The presence of a physical condition in an
individual which is a result of an inherited trait.
["Grantee." An entity selected by the management team to
receive a grant under Chapter 7. The term includes an entity,
and its subsidiary, which is established under 40 Pa.C.S. Ch. 61
(relating to hospital plan corporations) or 63 (relating to
professional health services plan corporations); the act of May
17, 1921 (P.L.682, No.284), known as The Insurance Company Law
of 1921; or the act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.]
"Group." A group for which a health insurance policy is
written in this Commonwealth.
"Health maintenance organization" or "HMO." An entity
organized and regulated under the act of December 29, 1972
(P.L.1701, No.364), known as the Health Maintenance Organization
Act.
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"Health service corporation." A professional health service
corporation as defined in 40 Pa.C.S. § 6302 (relating to
definitions).
"Hospital." An institution having an organized medical staff
which is engaged primarily in providing to inpatients, by or
under the supervision of physicians, diagnostic and therapeutic
services for the care of injured, disabled, pregnant, diseased
or sick or mentally ill persons. The term includes facilities
for the diagnosis and treatment of disorders within the scope of
specific medical specialties. The term does not include
facilities caring exclusively for the mentally ill.
"Hospital plan corporation." A hospital plan corporation as
defined in 40 Pa.C.S. § 6101 (relating to definitions).
"Insurer." Any insurance company, association, reciprocal,
nonprofit hospital plan corporation, nonprofit professional
health service plan, health maintenance organization, fraternal
benefits society or a risk-bearing PPO or nonrisk-bearing PPO
not governed and regulated under the Employee Retirement Income
Security Act of 1974 (Public Law 93-406, 29 U.S.C. § 1001 et
seq.).
"MAAC." The Medical Assistance Advisory Committee.
"Managed care organization." A health maintenance
organization organized and regulated under the act of December
29, 1972 (P.L.1701, No.364), known as the Health Maintenance
Organization Act, or a risk-assuming preferred provider
organization or exclusive provider organization, organized and
regulated under the act of May 17, 1921 (P.L.682, No.284), known
as The Insurance Company Law of 1921.
"Management team." The Children's Health Insurance
Management Team [established in section 701(f)].
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"MCH." Maternal and Child Health.
"Medical assistance." The State program of medical
assistance established under the act of June 13, 1967 (P.L.31,
No.21), known as the Public Welfare Code.
"Medicaid." The Federal medical assistance program
established under Title XIX of the Social Security Act (Public
Law 74-271, 42 U.S.C. § 1396 et seq.).
"Mid-level health professional." A physician assistant,
certified registered nurse practitioner, nurse practitioner or a
certified nurse midwife.
"Parent." A natural parent, stepparent, adoptive parent,
guardian or custodian of a child.
"PPO." A preferred provider organization subject to the
provisions of section 630 of act of May 17, 1921 (P.L.682,
No.284), known as The Insurance Company Law of 1921.
"Preexisting condition." A disease or physical condition for
which medical advice or treatment has been received prior to the
effective date of coverage.
"Secretary." The Secretary of the Department of Health.
"Spenddown." A qualifying procedure for medical assistance
set forth in 55 Pa. Code Ch. 181 (relating to income provisions
for categorically needy NMP-MA and MNO-MA).
"Subgroup." An employer covered under a contract issued to a
multiple employer trust or to an association.
"Terminate." Includes cancellation, nonrenewal and
rescission.
"Waiting period." A period of time after the effective date
of enrollment during which a health insurance plan excludes
coverage for the diagnosis or treatment of one or more medical
conditions.
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"WIC." The Federal Supplemental Food Program for Women,
Infants and Children.
Section 1304. Primary health care grants program.
(a) Establishment.--The Department of Health shall, as part
of the Primary Health Care Practitioners Program provided for in
this chapter, establish a program for awarding demonstration
grants to promote the training, recruitment and retention of
primary health care practitioners in designated medically
underserved areas and to promote innovative methods for delivery
of primary medical services in rural designated medically
underserved areas. The purpose of these grants may include, but
need not be limited to, the following:
(1) Promoting health care professions to high school
students.
(2) Encouraging local communities in designated
medically underserved areas to support primary health care
practitioners.
(3) Promoting specific programs for the education,
recruitment and retention of family practitioners,
particularly in designated medically underserved areas.
[Such programs] (b) Grants.--Programs under subsection (a) may
include challenge grants to medical schools to promote medical
education opportunities for primary health care professionals
and assistance to communities to establish clinics, including
mobile health clinics. In establishing priorities, the
department shall give preference to programs which promote
coordination of existing resources, particularly in rural areas.
Section 2. This act shall take effect in 60 days.
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