An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, further providing for emergency transportation services.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill amends Pennsylvania’s Human Services Code to establish and modify reimbursement rates for emergency transportation services provided to individuals enrolled in Medicaid and other state healthcare programs. Specifically, it outlines how much providers will be reimbursed for mileage and transportation costs, referencing Medicare and Medicaid fee schedules for 2023 and 2025. It also introduces a change in reimbursement for situations where transport is not required or refused by the enrollee, starting July 1, 2025.
Key provisions
- Reimbursement for ground mileage will be based on loaded miles.
- Reimbursement rates will be tied to Medicare rates published in the Ambulance Fee Schedule Public Use File (2023 and 2025).
- Reimbursement rates will also consider current Medicaid Ambulance Fees.
- Starting July 1, 2025, reimbursement for non-transported or refused emergency services will be based on 2025 Medicare rates.
- The bill requires Federal approval for funding.
- The act applies retroactively to July 1, 2025.
Who is affected
- Individuals enrolled in Medicaid
- Licensed Emergency Medical Services Agencies
- Pennsylvania Department of Human Services
- Healthcare Providers
Notable changes
- Establishes specific reimbursement rates linked to Medicare and Medicaid fee schedules.
Bill text
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Document of record
- Version
- Pn 1387 Html
- Published
- Not published in the source record
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Sponsors
Official sponsors from legislative records.
9 on record
Primary sponsor
Cosponsors
Daniel Laughlin
Judith Schwank
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