CORRECTIVE REPRINT
PRIOR PRINTER'S NOS. 1585, 2165 PRINTER'S NO. 2275
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1417
Session of
2023
INTRODUCED BY CURRY, GAYDOS, KINKEAD, HILL-EVANS, McNEILL,
SAMUELSON, RABB, HOWARD, MADDEN, SCHLOSSBERG, SANCHEZ,
WARREN, KINSEY, DELLOSO, KHAN, SMITH-WADE-EL, STURLA, TAKAC,
D. WILLIAMS, MULLINS, CERRATO, DONAHUE, ISAACSON, FRANKEL,
KRAJEWSKI, BOROWSKI, O'MARA, T. DAVIS, SCHWEYER, KIM,
FLEMING, YOUNG, KULIK, WAXMAN, GERGELY, MERSKI, STEELE,
KAZEEM, GUENST, HANBIDGE, GREEN, CEPEDA-FREYTIZ, FIEDLER,
FREEMAN AND SHUSTERMAN, JUNE 14, 2023
AS REPORTED FROM COMMITTEE ON HEALTH, HOUSE OF REPRESENTATIVES,
AS AMENDED, OCTOBER 18, 2023
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 a benefit [packages]
14 package for [dental and] pharmacy services for medical
15 assistance recipients twenty-one years of age or older, and any
 1 exceptions to [such] the benefit [packages] package as the
2 department determines are appropriate. Notwithstanding any other
3 provision of law, including this section, during State fiscal
4 year 2011-2012, the department shall establish such benefit
5 [packages] package, limits and exceptions thereto by publication
6 of one or more notices in the Pennsylvania Bulletin. A notice
7 shall describe the available benefit [packages] package or
8 limits and any exceptions thereto. The benefit [packages]
9 package, limits and exceptions thereto shall take effect as
10 specified in the notice and remain in effect until changed by a
11 subsequent notice issued on or before June 30, 2012, or
12 thereafter by department regulation.
13 (h) The department shall establish a benefit package for
14 dental services for medical assistance recipients twenty-one
15 years of age or older. Notwithstanding any other provision of
16 law, including this section, during State fiscal year 2023-2024, <--
17 the department shall establish the benefit package by
18 publication of one or more notices in the Pennsylvania Bulletin.
19 A notice shall describe the available benefit package. The
20 benefit package shall take effect as specified in the notice and
21 remain in effect until changed by department regulation. THE <--
22 DEPARTMENT SHALL REVISE THE BENEFIT PACKAGE FOR DENTAL SERVICES
23 BY PUBLICATION OF A NOTICE IN THE PENNSYLVANIA BULLETIN. THE
24 BENEFIT PACKAGE SHALL TAKE EFFECT AS SPECIFIED IN THE NOTICE.
25 The department shall seek a State plan amendment or Federal
26 waiver from the Centers for Medicare and Medicaid Services, if
27 needed, to allow the medical assistance program to provide
28 coverage for dental services in accordance with this section.
29 The SUBJECT TO AVAILABLE FUNDING, THE benefit package under this <--
30 subsection:
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 1 (1) shall include all coverages for dental services provided <--
2 prior to the dental benefit package changes announced under 41
3 Pa.B. 5133 (September 24, 2011); AND <--
4 (2) may not remove any existing coverage for dental services <--
5 or include a benefit limitation for covered dental services; and
6 (3) (2) may include additional coverages for dental services <--
7 beyond those currently provided and those provided prior to the
8 dental benefit package changes announced under 41 Pa.B. 5133
9 (September 24, 2011).
10 Section 2. All regulations and parts of regulations are
11 abrogated to the extent of any inconsistency with this act.
12 Section 3. If a Federal waiver under section 443.6(h) of the
13 act or a State plan amendment is approved by the Centers for
14 Medicare and Medicaid Services, the Secretary of Human Services
15 shall transmit notice of the approval to the Legislative
16 Reference Bureau for publication in the next available issue of
17 the Pennsylvania Bulletin.
18 Section 4. This act shall take effect as follows:
19 (1) Section 2 of this act shall take effect immediately
20 following publication of the notice under section 3 of this
21 act.
22 (2) The remainder of this act shall take effect
23 immediately.
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Statutes/Laws affected:
Printer's No. 1585: P.L.31, No.21
Printer's No. 2165: P.L.31, No.21
Printer's No. 2275: P.L.31, No.21