HB 583 — An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, further providing for reimbursement for certain medical assistance items and services; and abrogating regulations.

PRINTER'S NO.   593

                     THE GENERAL ASSEMBLY OF PENNSYLVANIA



                         HOUSE BILL
                         No. 583
                                               Session of
                                                 2025

     INTRODUCED BY CURRY, GAYDOS AND WAXMAN, FEBRUARY 12, 2025

     REFERRED TO COMMITTEE ON HEALTH, FEBRUARY 12, 2025


                                    AN ACT
 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," in public assistance,
 4      further providing for reimbursement for certain medical
 5      assistance items and services; and abrogating regulations.
 6      The General Assembly of the Commonwealth of Pennsylvania
 7   hereby enacts as follows:
 8      Section 1.    Section 443.6(g) of the act of June 13, 1967
 9   (P.L.31, No.21), known as the Human Services Code, is amended
10   and the section is amended by adding a subsection to read:
11      Section 443.6.    Reimbursement for Certain Medical Assistance
12   Items and Services.--* * *
13      (g)   The department shall establish [benefit packages for
14   dental and] a benefit package for pharmacy services for medical
15   assistance recipients twenty-one years of age or older, and any
16   exceptions to [such] the benefit [packages] package as the
17   department determines are appropriate. Notwithstanding any other
18   provision of law, including this section, during State fiscal
19   year 2011-2012, the department shall establish such benefit
20   [packages] package, limits and exceptions thereto by publication
 1   of one or more notices in the Pennsylvania Bulletin. A notice
 2   shall describe the available benefit [packages] package or
 3   limits and any exceptions thereto. The benefit [packages]
 4   package, limits and exceptions thereto shall take effect as
 5   specified in the notice and remain in effect until changed by a
 6   subsequent notice issued on or before June 30, 2012, or
 7   thereafter by department regulation.
 8      (h)   The department shall establish a benefit package for
 9   dental services for medical assistance recipients twenty-one
10   years of age or older. The department shall revise the benefit
11   package for dental services by publication of a notice in the
12   Pennsylvania Bulletin. The benefit package shall take effect as
13   specified in the notice. The department shall seek a State plan
14   amendment or Federal waiver from the Centers for Medicare and
15   Medicaid Services, if needed, to allow the medical assistance
16   program to provide coverage for dental services in accordance
17   with this section. Subject to available funding, the benefit
18   package under this subsection:
19      (1)   shall include all dental services provided prior to the
20   dental benefit package changes announced under 41 Pa.B. 5133
21   (September 24, 2011); and
22      (2)   may include additional dental services beyond those
23   currently provided and those provided prior to the dental
24   benefit package changes announced under 41 Pa.B. 5133 (September
25   24, 2011).
26      Section 2.   All regulations and parts of regulations are
27   abrogated to the extent of any inconsistency with this act.
28      Section 3.   If a Federal waiver under section 443.6(h) of the
29   act or a State plan amendment is approved by the Centers for
30   Medicare and Medicaid Services, the Secretary of Human Services

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1   shall transmit notice of the approval to the Legislative
2   Reference Bureau for publication in the next available issue of
3   the Pennsylvania Bulletin.
4      Section 4.     This act shall take effect as follows:
5             (1)   Section 2 of this act shall take effect immediately
6      following publication of the notice under section 3 of this
7      act.
8             (2)   The remainder of this act shall take effect
9      immediately.




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