PRINTER'S NO. 1957
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1726
Session of
2021
INTRODUCED BY SANKEY, HILL-EVANS, ARMANINI, IRVIN, WENTLING,
RIGBY, E. NELSON, WARNER, JAMES, FRITZ AND ECKER,
JULY 20, 2021
REFERRED TO COMMITTEE ON HEALTH, JULY 20, 2021
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 fraud and abuse
4 control, providing for managed care plan prohibition.
5 The General Assembly of the Commonwealth of Pennsylvania
6 hereby enacts as follows:
7 Section 1. The act of June 13, 1967 (P.L.31, No.21), known
8 as the Human Services Code, is amended by adding a section to
9 read:
10 Section 1419. Managed Care Plan Prohibition.--
11 Notwithstanding any other provision of law, a managed care plan
12 as defined in section 2102 of the act of May 17, 1921 (P.L.682,
13 No.284), known as "The Insurance Company Law of 1921," may not
14 refer or enter into a subcontract arrangement to provide
15 services defined and specified in the managed care plan
16 contracts with an entity where the entity or managed care plan
17 may self-refer for durable medical equipment and supply
18 services.
1 Section 2. All regulations and parts of regulations are
2 abrogated to the extent of any inconsistency with the provisions
3 of this act.
4 Section 3. This act shall take effect in 60 days.
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Statutes/Laws affected:
Printer's No. 1957: P.L.31, No.21