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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Statutes/Laws affected:
Printer's No. 0593: P.L.31, No.21