PA HB1156

Requires the Department of Human Services to establish data matching with the Pennsylvania Gaming Control Board to identify medical assistance recipients with gambling winnings of $3,000 or more, with monthly reviews to close ineligible cases

Mandates monthly cross-checks with the Department of Health (death records), Department of Corrections (incarceration status), and out-of-state EBT transactions to identify potential residency changes affecting eligibility

Requires quarterly data sharing with the Department of Labor and Industry (employment/wage changes) and Department of Revenue (income, wages, residency via tax records) for eligibility verification

Prohibits the department from accepting medical assistance eligibility determinations from state health insurance exchanges, and bars acceptance of self-attestation for income, residency, age, household composition, or coverage status without verification

Takes effect 60 days after enactment