HB 1569 — An Act amending Title 35 (Health and Safety) of the Pennsylvania Consolidated Statutes, establishing the Maternal Health Monitoring Pilot Program.

PRINTER'S NO.   1858

                     THE GENERAL ASSEMBLY OF PENNSYLVANIA



                         HOUSE BILL
                         No. 1569
                                                 Session of
                                                   2025

     INTRODUCED BY SHUSTERMAN, GIRAL, PROBST, PIELLI, HILL-EVANS,
        K.HARRIS, CEPHAS, SANCHEZ, CURRY, HOHENSTEIN, BOROWSKI,
        FLEMING AND RIVERA, JUNE 5, 2025

     REFERRED TO COMMITTEE ON CHILDREN AND YOUTH, JUNE 9, 2025


                                    AN ACT
 1   Amending Title 35 (Health and Safety) of the Pennsylvania
 2      Consolidated Statutes, establishing the Maternal Health
 3      Monitoring Pilot Program.
 4      The General Assembly of the Commonwealth of Pennsylvania
 5   hereby enacts as follows:
 6      Section 1.    Title 35 of the Pennsylvania Consolidated
 7   Statutes is amended by adding a chapter to read:
 8                               CHAPTER 54A
 9                MATERNAL HEALTH MONITORING PILOT PROGRAM
10   Sec.
11   54A01.   Definitions.
12   54A02.   Establishment of pilot program.
13   54A03.   Administration of pilot program.
14   54A04.   Remote patient monitoring for maternal hypertension and
15               maternal diabetes requirements.
16   54A05.    Requirements for contracts with participating managed
17               care organizations.
18   54A06.   Implementation of pilot program.
 1   54A07.   Fee payment for administration of pilot program.
 2   54A08.   Operation of pilot program.
 3   54A09.   Report.
 4   54A10.   Expiration of authority.
 5   § 54A01.   Definitions.
 6      The following words and phrases when used in this chapter
 7   shall have the meanings given to them in this section unless the
 8   context clearly indicates otherwise:
 9      "Department."    The Department of Health of the Commonwealth.
10      "Eligible participant."    A patient who is:
11            (1)   a recipient of medical assistance;
12            (2)   a member of a participating managed care
13      organization; and
14            (3)   pregnant.
15      "Health care provider."    An obstetrician or maternal fetal
16   medicine physician who is:
17            (1)   Licensed in this Commonwealth.
18            (2)   In-network of a participating managed care
19      organization.
20            (3)   Caring for an eligible participant during pregnancy.
21      "Nursing team."    A group made up of health care providers
22   that can provide nutrition and diabetes management counseling
23   and advice.
24      "Participating managed care organization."       The managed care
25   organizations selected by the department under section 54A03
26   (relating to administration of pilot program). Each
27   participating managed care organization shall:
28            (1)   Contract directly with the selected vendor to offer
29      remote patient monitoring for maternal hypertension and
30      maternal diabetes to eligible participants.

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 1           (2)    Ensure that eligible patients have access to the
 2      pilot program.
 3      "Pilot program."      The Maternal Health Monitoring Pilot
 4   Program established under section 54A02 (relating to
 5   establishment of pilot program).
 6      "Remote patient monitoring for maternal hypertension and
 7   maternal diabetes."      Technology provided by the selected vendor
 8   that:
 9           (1)    Collects health data from an eligible participant
10      and electronically transmits the information securely for
11      interpretation and recommendation.
12           (2)    Uses a device that meets all of the following
13      criteria:
14                 (i)    The device is compliant with 42 U.S.C. Ch. 7
15           Subch. XI Pt. C (relating to administrative
16           simplification).
17                 (ii)    The device is authorized by the United States
18           Food and Drug Administration.
19           (3)    Monitors health data, including blood pressure,
20      weight, blood glucose levels or other physiologic health data
21      as determined by the eligible participant's health care
22      provider.
23           (4)    Is capable of transmitting health data through
24      cellular networks.
25      "Selected vendor."      The technology vendor selected by the
26   department under section 54A03 to contract with the
27   participating managed care organizations in administering the
28   pilot program.
29   § 54A02.   Establishment of pilot program.
30      The Maternal Health Monitoring Pilot Program is established

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 1   within the department to offer eligible participants improved
 2   maternal health care through remote patient monitoring for
 3   maternal hypertension and maternal diabetes.
 4   § 54A03.   Administration of pilot program.
 5      The department shall select one or more participating managed
 6   care organizations and one technology vendor to administer the
 7   pilot program in a manner determined by the department.
 8   § 54A04.   Remote patient monitoring for maternal hypertension
 9                and maternal diabetes requirements.
10      The participating managed care organizations shall meet the
11   following requirements when offering remote patient monitoring
12   for maternal hypertension and maternal diabetes to an eligible
13   participant under the pilot program:
14          (1)   Ensure that remote patient monitoring for maternal
15      hypertension and maternal diabetes is possible during
16      pregnancy and for up to three months postpartum.
17          (2)   Ensure that each health care provider and nursing
18      team providing care is licensed in this Commonwealth. The
19      health care provider and nursing team must be capable of the
20      following:
21                (i)    Monitoring and reviewing eligible participants'
22          health data.
23                (ii)    Creating an escalation pathway with the
24          participating managed care organization if an eligible
25          participant's remote patient monitoring readings, in
26          conjunction with the eligible participant's symptoms,
27          require additional medical attention.
28                (iii)    Providing health coaching to eligible
29          participants, including nutrition, condition management
30          and healthy behavior modification.

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 1                  (iv)   Supporting the eligible participant's health
 2            care provider in monitoring and reviewing health data.
 3   § 54A05.    Requirements for contracts with participating managed
 4                  care organizations.
 5      The selected vendor shall meet the following requirements
 6   when contracting with participating managed care organizations:
 7            (1)   Ensure that remote patient monitoring for maternal
 8      hypertension and maternal diabetes devices are delivered to
 9      the eligible participant.
10            (2)   Ensure that the eligible participant is provided
11      training on how to use the remote patient monitoring for
12      maternal hypertension and maternal diabetes devices.
13            (3)   Assign a program manager to support implementation
14      and administration of the pilot program and to coordinate
15      efforts with the participating managed care organizations and
16      the department.
17   § 54A06.    Implementation of pilot program.
18      The department shall implement the pilot program as necessary
19   to ensure participation of a statistically relevant number of
20   eligible participants. The participating managed care
21   organizations shall ensure that eligible participants have
22   access to the pilot program.
23   § 54A07.    Fee payment for administration of pilot program.
24      (a)     Fee payment.--
25            (1)   The department shall pay a fee to the participating
26      managed care organizations to administer the pilot program.
27            (2)   The fee shall be determined by the department.
28      (b)     Use of fee.--The participating managed care
29   organizations shall use the fee payment under subsection (a) to
30   cover the costs of the following:

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 1          (1)   Contracting with the selected vendor under section
 2      54A03 (relating to administration of pilot program).
 3          (2)   Administering the pilot program.
 4   § 54A08.   Operation of pilot program.
 5      The pilot program shall be operational no later than 180 days
 6   from the contract date between the participating managed care
 7   organizations and the selected vendor under section 54A03
 8   (relating to administration of pilot program).
 9   § 54A09.   Report.
10      Within one year of the pilot program's implementation, the
11   department shall collaborate with the participating managed care
12   organizations and any other relevant stakeholders to develop a
13   report evaluating the outcomes of the pilot program, including
14   recommendations regarding whether the pilot program should be
15   expanded throughout this Commonwealth. The department shall
16   submit the report to all of the following:
17          (1)   The Governor.
18          (2)   The President pro tempore of the Senate.
19          (3)   The Speaker of the House of Representatives.
20          (4)   The chairperson and minority chairperson of the
21      Appropriations Committee of the Senate.
22          (5)   The chairperson and minority chairperson of the
23      Appropriations Committee of the House of Representatives.
24          (6)   The chairperson and minority chairperson of the
25      Health and Human Services Committee of the Senate.
26          (7)   The chairperson and minority chairperson of the
27      Health Committee of the House of Representatives.
28          (8)   The chairperson and minority chairperson of the
29      Human Services Committee of the House of Representatives.
30   § 54A10.   Expiration of authority.

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1      The department's authority to implement the pilot program
2   shall expire two years after the effective date of this section.
3      Section 2.   This act shall take effect in 90 days.




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