PRINTER'S NO. 242
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.298
Session of
2025
INTRODUCED BY STAMBAUGH, ROAE, HAMM, FLICK, KAUFFMAN AND GROVE,
JANUARY 23, 2025
REFERRED TO COMMITTEE ON HUMAN SERVICES, JANUARY 23, 2025
AN ACT
Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
act to consolidate, editorially revise, and codify the public
welfare laws of the Commonwealth," in public assistance,
providing for waivers to be requested for medical assistance.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of June 13, 1967 (P.L.31, No.21), known
as the Human Services Code, is amended by adding a section to
read:
Section 443.16. Waivers to be Requested for Medical
Assistance.--(a) The department shall request Federal approval
from the Centers for Medicare and Medicaid Services of the
United States Depart ment of Health and Human Services for a
demonstration waiver under 42 U.S.C. ยง 1315 (relating to
demonstration projects) to enable the department to:
(1) Prohibit re-enrollment and deny eligibility for up to
six months for nondisabled, nonpregnant adults between nineteen
and sixty-four years of age who fail to report changes in
circumstances that affect their eligibility for medical
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19 assistance.
(2) Redetermine the medical assistance eligibility of an
individual covered under this waiver once every six months
instead of once every twelve months.
(3) Suspend the medical assistance requirement to renew
eligibility automatically based on available information and
suspend the medical assistance requirement to use a prepopulated
renewal form.
(b) The following shall apply to approval:
(1) The department shall report receipt of approval of any
waiver submitted under subsection (a) to:
(i) The Attorney General.
(ii) The Auditor General.
(iii) The Office of Inspector General.
(iv) The members of the General Assembly.
(v) The Legislative Reference Bureau for publication in the
next available issue of the Pennsylvania Bulletin of the notice
of approval of the waiver.
(2) The department shall adopt rules necessary to implement
and administer this section.
(c) If Federal approval for any waiver under subsection (a)
is denied, the department shall resubmit a request for approval
of the waiver within twenty-four months of the original denial
and each subsequent denial thereafter.
Section 2. This act shall take effect in 60 days.
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