HB 1310 — 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 medical assistance payments for institutional care.

PRINTER'S NO.    1432

                     THE GENERAL ASSEMBLY OF PENNSYLVANIA



                         HOUSE BILL
                         No. 1310
                                               Session of
                                                 2025

     INTRODUCED BY BIZZARRO, MADDEN, GIRAL, KHAN, GUENST, PROBST,
        SANCHEZ, MALAGARI, KENYATTA, DONAHUE, GREEN, CEPEDA-FREYTIZ,
        CERRATO, GREINER AND KUTZ, APRIL 21, 2025

     REFERRED TO COMMITTEE ON AGING AND OLDER ADULT SERVICES,
        APRIL 21, 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 medical assistance payments for
 5      institutional care.
 6      The General Assembly of the Commonwealth of Pennsylvania
 7   hereby enacts as follows:
 8      Section 1.    Section 443.1(7)(iv) of the act of June 13, 1967
 9   (P.L.31, No.21), known as the Human Services Code, is amended to
10   read:
11      Section 443.1.    Medical Assistance Payments for Institutional
12   Care.--The following medical assistance payments shall be made
13   on behalf of eligible persons whose institutional care is
14   prescribed by physicians:
15      * * *
16      (7)   After June 30, 2007, payments to county and nonpublic
17   nursing facilities enrolled in the medical assistance program as
18   providers of nursing facility services shall be determined in
 1   accordance with the methodologies for establishing payment rates
 2   for county and nonpublic nursing facilities specified in the
 3   department's regulations and the Commonwealth's approved Title
 4   XIX State Plan for nursing facility services in effect after
 5   June 30, 2007. The following shall apply:
 6      * * *
 7      (iv)    Subject to Federal approval of such amendments as may
 8   be necessary to the Commonwealth's approved Title XIX State
 9   Plan, for each fiscal year beginning on or after July 1, 2011,
10   the department shall apply a revenue adjustment neutrality
11   factor to county and nonpublic nursing facility payment rates so
12   that the estimated Statewide day-weighted average payment rate
13   in effect for that fiscal year is limited to the amount
14   permitted by the funds appropriated by the General Appropriation
15   Act for the fiscal year. The revenue adjustment neutrality
16   factor shall remain in effect until the sooner of June 30, 2022,
17   or the date on which a new rate-setting methodology for medical
18   assistance nursing facility services which replaces the rate-
19   setting methodology codified in 55 Pa. Code Chs. 1187 (relating
20   to nursing facility services) and 1189 (relating to county
21   nursing facility services) takes effect[.] as follows:
22      (A)    For each fiscal year, beginning on or after July 1,
23   2025, the revenue adjustment neutrality factor applied to
24   nonpublic nursing facility rates shall be equal to or greater
25   than 0.90.
26      (B)    For each fiscal year, beginning on or after July 1,
27   2025, the revenue adjustment neutrality factor applied to county
28   nursing facility rates shall equal 1.00 plus the percentage rate
29   of change used in determining the revenue adjustment factor
30   applied to nonpublic nursing facility rates in clause (A).

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1     * * *
2     Section 2.    This act shall take effect in 60 days.




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