Pennsylvania 2023-2024 Regular Session

Pennsylvania House Bill HR421

Introduced
5/3/24  

Caption

Directing the Joint State Government Commission to conduct a study on maternal-health-related medical assistance payments to hospitals and health care providers and make recommendations to increase payment rates to hospitals and health care providers, including fee-for-service and managed care payment rates.

Impact

The bill is expected to have a significant impact on state laws governing medical payments and maternal healthcare. By potentially increasing the reimbursement rates for hospitals and healthcare providers, HR421 aims to enhance the quality of care provided to mothers during and after pregnancy. This adjustment in funding could lead to better health outcomes for mothers and their infants, ultimately aiming to reduce maternal mortality rates and improve healthcare service accessibility.

Summary

HR421 seeks to address the issue of maternal health by directing the Joint State Government Commission to conduct a comprehensive study on medical assistance payments made to hospitals and healthcare providers. The primary goal of the bill is to analyze the current payment structures and make recommendations for increasing these rates. The emphasis is on both fee-for-service and managed care payment rates, recognizing the crucial role that optimal compensation plays in ensuring quality maternal healthcare services.

Sentiment

The general sentiment around HR421 appears to be supportive, particularly among advocates for maternal healthcare and women's health. There is a recognition of the importance of adequate funding for hospitals and providers to offer comprehensive care. However, some concerns may arise around budget implications, questioning whether the proposed increases in payment rates can be sustained within the state’s financial framework. Overall, the initiative is viewed positively as a step towards addressing maternal health challenges.

Contention

One notable point of contention surrounding HR421 may involve debates about the fiscal responsibility of increasing payment rates. Stakeholders could argue over how far the state should go in raising reimbursements, considering the potential impact on the state’s budget and financial planning. Additionally, discussions might emerge concerning the mechanisms by which the recommendations of the Joint State Government Commission will be implemented and monitored to ensure ongoing effectiveness and accountability in maternal healthcare funding.

Companion Bills

No companion bills found.

Previously Filed As

PA HF2057

Assessment on hospitals imposed, directed payments to hospitals in the medical assistance program required, and reports required.

PA HB1969

To Improve The Quality Of Healthcare Access; To Amend The Assessment Fees On Hospitals; And To Create The Hospital Directed Payment Assessment.

PA SF2413

Hospital assessment requirement provision and hospitals in the medical assistance program directed payments requirement provision

PA HB104

Medicaid; revise certain provisions regarding managed care providers and payments during appeals.

PA HB250

Medicaid; revise certain provisions regarding managed care providers and payments during appeals.

PA HB883

Medicaid; revise certain provisions regarding managed care providers and payments during appeals.

PA AB2830

Health Care Payments Data Program.

PA H6373

Requires the executive office of health and human services to increase Medicaid payment rates for primary care services furnished by primary care providers to be commensurate with Medicare rates.

PA HB542

Medicaid; revise certain provisions regarding managed care providers and payments during appeals.

PA AB290

Health care service plans and health insurance: third-party payments.

Similar Bills

No similar bills found.