1Amending the act of April 9, 1929 (P.L.343, No.176), entitled,
2as amended, "An act relating to the finances of the State
3government; providing for the settlement, assessment,
4collection, and lien of taxes, bonus, and all other accounts
5due the Commonwealth, the collection and recovery of fees and
6other money or property due or belonging to the Commonwealth,
7or any agency thereof, including escheated property and the
8proceeds of its sale, the custody and disbursement or other
9disposition of funds and securities belonging to or in the
10possession of the Commonwealth, and the settlement of claims
11against the Commonwealth, the resettlement of accounts and
12appeals to the courts, refunds of moneys erroneously paid to
13the Commonwealth, auditing the accounts of the Commonwealth
14and all agencies thereof, of all public officers collecting
15moneys payable to the Commonwealth, or any agency thereof,
16and all receipts of appropriations from the Commonwealth,
17authorizing the Commonwealth to issue tax anticipation notes
18to defray current expenses, implementing the provisions of
19section 7(a) of Article VIII of the Constitution of
20Pennsylvania authorizing and restricting the incurring of
21certain debt and imposing penalties; affecting every
22department, board, commission, and officer of the State
23government, every political subdivision of the State, and
24certain officers of such subdivisions, every person,
25association, and corporation required to pay, assess, or
26collect taxes, or to make returns or reports under the laws
27imposing taxes for State purposes, or to pay license fees or
28other moneys to the Commonwealth, or any agency thereof,
29every State depository and every debtor or creditor of the
30Commonwealth," further providing, in general budget

1implementation, for the Department of Public Welfare.

2The General Assembly of the Commonwealth of Pennsylvania
3hereby enacts as follows:

4Section 1. Section 1729-E of the act of April 9, 1929
5(P.L.343, No.176), known as The Fiscal Code, amended or added
6July 17, 2007 (P.L.141, No.42) and July 2, 2012 (P.L.823,
7No.87), is amended to read:

8Section 1729-E. Department of Public Welfare.

9The following shall apply to appropriations for the
10Department of Public Welfare:

11(1) Any rule, regulation or policy for the Federal or
12State appropriations for the cash assistance, outpatient,
13inpatient, capitation, behavioral health, long-term care and
14Supplemental Grants to the Aged, Blind and Disabled, Child
15Care and Attendant Care programs adopted by the Secretary of
16Public Welfare during the fiscal year which adds to the cost
17of any public assistance program shall be effective only from
18and after the date upon which it is approved as to the
19availability of funds by the Governor.

20(2) Federal and State medical assistance payments. The
21following shall apply:

22(i) No funds appropriated for approved capitation 
23plans shall be used to pay a provider who fails to supply 
24information in a form required by the department in order 
25to facilitate claims for Federal financial participation 
26for services rendered to general assistance clients.

27(ii) (Reserved).

28(iii) (Reserved).

29(iv) (Reserved).

30(v) (Reserved).

1(vi) [(Reserved).] <-The department shall reimburse a 
2"critical access hospital," as defined in section 
31861(mm)(1) of the Social Security Act (49 Stat. 620, 42
4U.S.C. § 1395x(mm)(1)), which is qualified to participate 
5under Title XIX of the Social Security Act (42 U.S.C. §
61396 et seq.) at 101% of medical assistance allowable 
7costs for:

8(A) "inpatient critical access hospital 
9services," as defined in section 1861(mm)(2) of the 
10Social Security Act (42 U.S.C. 1395x(mm)(2)), 
11provided to a medical assistance recipient; and

12(B) "outpatient critical access hospital 
13services," as defined in section 1861(mm)(3) of the 
14Social Security Act (42 U.S.C. § 1395x(mm)(3)), 
15provided to a medical assistance recipient.

<-16(A) The department shall reimburse a "critical
17access hospital," as defined in section 1861(mm)(1)
18of the Social Security Act (49 Stat. 620, 42 U.S.C. §
191395x(mm)(1)), which is qualified to participate
20under Title XIX of the Social Security Act (42 U.S.C.
21§ 1396 et seq.) at 101% of medical assistance
22allowable costs for:

23(I) "inpatient critical access hospital 
24services," as defined in section 1861(mm)(2) of 
25the Social Security Act (42 U.S.C. 1395x(mm)(2)), 
26provided to a medical assistance recipient; and

27(II) "outpatient critical access hospital 
28services," as defined in section 1861(mm)(3) of 
29the Social Security Act (42 U.S.C. § 1395x(mm)
30(3)), provided to a medical assistance recipient.

1(B) The payments to the critical access
2hospitals shall be the sum of the difference between
3101% of medical assistance allowable cost and medical
4assistance payments received toward those costs as
5calculated for each critical access hospital, in the
6most recent year for which complete data is
7available.

8(vii) The following shall apply to eligibility
9determinations for services under medical assistance:

10(A) Unless the custodial parent or legally
11responsible adult has provided to the department, at
12application or redetermination, information required
13by the department for inclusion in the annual report
14under clause (B), no funds from an appropriation for
15medical assistance shall be used to pay for medical
16assistance services for a child under 21 years of
17age:

18(I) who has a Supplemental Security Income
19(SSI) level of disability; and

20(II) whose parental income is not currently
21considered in the eligibility determination
22process.

23(B) The department shall submit to the Public
24Health and Welfare Committee of the Senate and the
25Health and Human Services Committee of the House of
26Representatives an annual report including the
27following data:

28(I) Family size.

29(II) Household income.

30(III) County of residence.

1(IV) Length of residence in this
2Commonwealth.

3(V) Third-party insurance information.

4(VI) Diagnosis and type and cost of services
5paid for by the medical assistance program on
6behalf of each eligible and enrolled child
7described in clause (A).

8Section 2. The amendment of section 1729-E of the act shall
9apply to fiscal years beginning after June 30, 2013.

10Section 3. This act shall take effect immediately.