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PA HB1068
Bill
Status
3/31/2025
Primary Sponsor
Brandon Markosek
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AI Summary
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Creates a new "licensed family member" credential through the State Board of Nursing allowing parents, guardians, grandparents, aunts, uncles, adult siblings, or household members to provide paid skilled nursing care to children under 21 with medical conditions requiring shift nursing
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Requires applicants to complete federal home health aide training requirements (42 CFR 484.80(b)), receive child-specific medical procedure training, obtain Pennsylvania Child Abuse History Clearance, and demonstrate competency to a training entity
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Mandates Medicaid agencies compensate licensed family members at rates no lower than licensed practical nurses, with overtime pay required for work exceeding 40 hours per week
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Requires licensed family members to be employed by a Medicare-certified home health agency, which must provide in-person supervision by a registered nurse at least every two weeks
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Limits scheduled skilled care shifts to 12 hours per day and prohibits Medicaid agencies from requiring family members to obtain licensure or denying care authorization based on a family member's availability to provide care
Legislative Description
Providing for licensure of family members to provide skilled care to designated children, for applications for licensure, for qualifications for licensure, for employment and compensation of licensed family members, for limitations and supervision of licensed family members, for notice to parents of recipients and for authorization of covered skilled care.
Last Action
Referred to Human Services
3/31/2025