HR 551
A Resolution directing the Joint State Government Commission and Legislative Budget and Finance Committee to examine the reimbursement mechanisms necessary to expand and sustain a robust behavioral health crisis service system in this Commonwealth, specifically analyzing practices of the Medicaid program, Medicare program and private commercial health insurance payors in paying for crisis services and their impact on the sustainability and accessibility of these vital services.
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Sign in to take action- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This resolution directs the Joint State Government Commission and Legislative Budget and Finance Committee to examine how to improve and sustain Pennsylvania’s behavioral health crisis service system. Specifically, it asks them to analyze reimbursement practices across Medicaid, Medicare, and private insurance payors, and their impact on the system’s financial stability and accessibility. The study will also consider best practices from other states and recommend legislative and administrative actions to strengthen crisis care services throughout the Commonwealth.
Key provisions
- Analyze reimbursement mechanisms for crisis services across Medicaid, Medicare, and private insurance.
- Assess the impact of these practices on the financial viability and accessibility of crisis services.
- Evaluate current utilization of crisis services and identify capacity gaps.
- Compare reimbursement rates between Medicaid and private payors.
- Investigate best practices and innovative reimbursement models from other states.
- Establish an advisory committee with diverse stakeholders to provide input.
- Develop specific recommendations for legislative and administrative actions.
- Require the commission to issue a report within 12 months with findings and recommendations.
Who is affected
- Individuals experiencing behavioral health crises
- Behavioral health crisis service providers
- Medicaid recipients
- Medicare recipients
- Private health insurance payors
Sponsors
Official sponsors from legislative records.
Primary sponsor
Cosponsors
Benjamin Sanchez
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