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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| HOUSE RESOLUTION |
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| INTRODUCED BY DiGIROLAMO, NEILSON, K. BOYLE, R. BROWN, BROWNLEE, BURNS, CALTAGIRONE, COHEN, D. COSTA, P. COSTA, CRUZ, CURRY, DALEY, DAVIS, DEAN, DELISSIO, DeLUCA, DePASQUALE, DERMODY, DONATUCCI, ELLIS, D. EVANS, FABRIZIO, FARRY, FRANKEL, GALLOWAY, GEORGE, GERBER, GERGELY, GIBBONS, GODSHALL, GOODMAN, HANNA, HARHAI, HARHART, HARKINS, HELM, HESS, HORNAMAN, JAMES, W. KELLER, KIRKLAND, KOTIK, LONGIETTI, MANN, MARKOSEK, MATZIE, MURPHY, MUSTIO, MYERS, NEUMAN, O'NEILL, PARKER, PASHINSKI, PETRARCA, RAVENSTAHL, ROEBUCK, ROSS, SAINATO, SANTONI, SCAVELLO, CULVER, SCHMOTZER, K. SMITH, STABACK, STEPHENS, STURLA, VITALI, WATSON, WHEATLEY, YOUNGBLOOD AND MAHER, SEPTEMBER 28, 2012 |
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| REFERRED TO COMMITTEE ON HUMAN SERVICES, SEPTEMBER 28, 2012 |
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| A RESOLUTION |
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1 | Directing the Legislative Budget and Finance Committee to |
2 | conduct a study of the Department of Public Welfare's |
3 | proposal to begin collecting copayments. |
4 | WHEREAS, The Department of Public Welfare has proposed via an |
5 | August 11, 2012, notice in the Pennsylvania Bulletin and a |
6 | Medical Assistance Bulletin to begin collecting copayments for |
7 | services provided to children who have disabilities and who have |
8 | family income greater than 200% of the Federal Poverty Level |
9 | Guidelines; and |
10 | WHEREAS, The proposal is scheduled to be fully implemented by |
11 | November 1, 2012; and |
12 | WHEREAS, The department had the authority under Act 22 of |
13 | 2011 to publish the copayments in an effort to address budget |
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1 | limitations; and |
2 | WHEREAS, The authority did not extend to establishing |
3 | procedures and protocols for collecting the copayments; and |
4 | WHEREAS, The Federal Government requires the department to |
5 | calculate the ongoing amount of copayments for each family in |
6 | real time, ensuring this burden is not placed on families; and |
7 | WHEREAS, The department's own bulletin dated September 20, |
8 | 2012, admits that they are in no position to comply with this |
9 | requirement; therefore be it |
10 | RESOLVED, That the House of Representatives believe |
11 | significant savings to the Commonwealth can be realized and |
12 | disruption of services to children with disabilities can be |
13 | curtailed if copayment caps are accurately calculated, tracking |
14 | of copayments is done in a timely fashion, prompt reconciliation |
15 | of overpayments and distribution of refunds is achieved and |
16 | sufficient enforcement of other payment alternatives provided |
17 | under Act 62 of 2008 is provided; and be it further |
18 | RESOLVED, That the House of Representatives direct the |
19 | Legislative Budget and Finance Committee to conduct a study of |
20 | the proposal to determine its impact on the families affected; |
21 | and be it further |
22 | RESOLVED, That the study seek to learn if there are better |
23 | implementation strategies to assure that families adequately |
24 | support their children who have disabilities; and be it further |
25 | RESOLVED, That the study seek to learn whether the copayments |
26 | will be implemented across this Commonwealth in a uniform and |
27 | equitable fashion that complies with Federal and State medical |
28 | assistance requirements; and be it further |
29 | RESOLVED, That the study seek to learn what the real health |
30 | services, administrative and operational costs to the medical |
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1 | assistance funded pediatric health care and child-adolescent |
2 | behavioral health care delivery system will be for both the fee- |
3 | for-service and HealthChoices for service providers, as well as |
4 | for counties and managed care organizations; and be it further |
5 | RESOLVED, That the study seek to learn what the potential and |
6 | real costs of special education services may be for students for |
7 | whom families demand that behavioral health and health care |
8 | services be added to the student's individual education plan in |
9 | lieu of medical assistance funded services; and be it further |
10 | RESOLVED, That the Legislative Budget and Finance Committee |
11 | issue a report to the General Assembly no later than November 1, |
12 | 2013; and be it further |
13 | RESOLVED, That the report be submitted to the chairman and |
14 | minority chairman of the Health Committee of the House of |
15 | Representatives, the Human Services Committee of the House of |
16 | Representatives and the Appropriations Committee of the House of |
17 | Representatives; and be it further |
18 | RESOLVED, That the Department of Public Welfare be strongly |
19 | urged to refrain from implementing the policy until after the |
20 | study is complete. |
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