Pennsylvania 2023-2024 Regular Session

Pennsylvania Senate Bill SB511

Introduced
3/15/23  

Caption

Providing for complex wheelchair quality assurance; and imposing duties on the Department of Human Services and the Insurance Department.

Impact

The implementation of SB 511 is expected to enhance the quality of care for individuals using complex wheelchairs by mandating routine evaluations and adjustments. By establishing clear guidelines for coverage, it aims to improve accessibility and support users in maintaining their mobility devices without incurring excessive costs. The law places responsibilities on the Department of Human Services and the Insurance Department to enforce these provisions, ensuring that service providers are adequately compensated for the evaluations they perform. It also details consumer notifications regarding the coverage available under these policies, thereby promoting awareness among beneficiaries.

Summary

Senate Bill 511, known as the Complex Wheelchair Quality Assurance Act, is aimed at establishing standards for the maintenance and evaluation of complex wheelchairs used by individuals covered under government medical assistance programs. This legislation requires that health insurance policies and government programs provide semiannual coverage for complex wheelchair maintenance and well-visits, ensuring beneficiaries receive the necessary evaluations to maintain their mobility devices. The bill also emphasizes telehealth visits for these evaluations, aligning with recent federal regulations to ensure accessibility for users who may face barriers in attending in-person appointments.

Sentiment

Overall, the sentiment surrounding SB 511 appears positive, with considerable support for improving the quality of life for individuals utilizing complex wheelchairs. Advocates for disability rights and health care experts commend the bill for addressing the critical need for regular maintenance and evaluation of wheelchairs, which are not only tools for mobility but also crucial components of health management for users. The integration of telehealth services within the framework further aligns with modern healthcare trends, promoting convenience and access to care.

Contention

While SB 511 has received broad support, there are concerns regarding the enforcement of the coverage provisions and the potential financial implications for insurers. Some opposition may arise from insurance providers concerned about the new obligations and costs associated with the required evaluations and telehealth services. Additionally, the need for collaboration between multiple state departments may present logistical challenges in implementing the bill effectively, as the bill's regulatory framework will require coordination to ensure compliance and resolve any issues arising from beneficiaries’ claims or provider reimbursements.

Companion Bills

No companion bills found.

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PA SB594

Providing for complex wheelchair quality assurance; and imposing duties on the Department of Human Services and the Insurance Department.

PA HB183

Providing for complex wheelchair quality assurance; and imposing duties on the Department of Human Services and the Insurance Department.

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