PRINTER'S NO. 458
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.475
Session of
2025
INTRODUCED BY McNEILL, SANCHEZ, HILL-EVANS, GIRAL, FREEMAN AND
KENYATTA, FEBRUARY 4, 2025
REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE,
FEBRUARY 4, 2025
AN ACT
Amending the act of July 19, 1979 (P.L.130, No.48), entitled "An
act relating to health care; prescribing the powers and
duties of the Department of Health; establishing and
providing the powers and duties of the State Health
Coordinating Council, health systems agencies and Health Care
Policy Board in the Department of Health, and State Health
Facility Hearing Board in the Department of Justice;
providing for certification of need of health care providers
and prescribing penalties," in licensing of health care
facilities, providing for dialysis centers.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of July 19, 1979 (P.L.130, No.48), known
as the Health Care Facilities Act, is amended by adding a
section to read:
Section 823. Dialysis centers.
(a) Ratios.--A facility in this Commonwealth that is
licensed by the Centers for Medicare and Medicaid Services
offering dialysis services on an inpatient or outpatient basis,
whether or not owned by a hospital or the Commonwealth, shall
maintain a minimum of one dialysis caregiver for every four
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21 patients actively receiving dialysis services, and shall provide
sufficient care to meet the needs of each patient.
(b) Definitions.--As used in this section, the following
words and phrases shall have the meanings given to them in this
subsection unless the context clearly indicates otherwise:
"Dialysis caregiver." Any of the following individuals
trained in dialysis procedures and direct patient care during
treatment, including initiation of treatment, termination of
treatment and monitoring vital signs:
(1) A physician.
(2) A physician assistant.
(3) A nurse practitioner.
(4) A registered nurse.
(5) A licensed practical nurse.
(6) A dialysis technician.
"Dialysis services." Hemodialysis or peritoneal dialysis
used to treat end-stage renal disease.
Section 2. This act shall take effect in 60 days.
20250HB0475PN0458 - 2 -
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