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PA HB440
Bill
Status
1/31/2025
Primary Sponsor
Stephenie Scialabba
Click for details
AI Summary
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Medicaid managed care organizations in Pennsylvania would be prohibited from paying healthcare providers for "provider-preventable conditions"
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Provider-preventable conditions include errors such as wrong surgical procedures performed on a patient, surgery on the wrong body part, or surgery performed on the wrong patient
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Conditions must be identified in the State plan, found to be reasonably preventable through evidence-based guidelines, have negative consequences for patients, and be auditable
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Amends the Human Services Code (Act of June 13, 1967) by adding Section 449.3
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Takes effect 60 days after enactment
Legislative Description
In public assistance, providing for prohibition on medical assistance managed care payment for provider-preventable conditions.
Last Action
Referred to Human Services
1/31/2025