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PA HB595

Bill

Status

Introduced

2/12/2025

Primary Sponsor

Seth Grove

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Requires the Pennsylvania Department of Human Services to integrate behavioral health services (mental health and addiction), physical health services, and pharmacy drug benefits into the HealthChoices medical assistance managed care program

  • Mandates submission of a federal waiver amendment to the Centers for Medicare and Medicaid Services by October 1, 2025 to enable the integration of physical and behavioral health services

  • Requires mandatory participation in capitated managed care for all medical assistance-eligible persons, with procurement following the Commonwealth Procurement Code

  • Establishes program goals including whole-person care delivery, addressing social determinants of health, cost-effectiveness, and uniform delivery across state departments

  • Excludes intellectual developmental disorders from the definition of behavioral health services covered under the integration

Legislative Description

In public assistance, providing for behavioral health and physical health services integration.

Last Action

Referred to Health

2/12/2025

Committee Referrals

Health2/12/2025

Full Bill Text

No bill text available