Section 1730-F.3 - Department of Human Services.The following apply to appropriations for the Department of Human Services:
(1) From money appropriated for mental health services or from Federal money, $580,000 shall be used for the following: (i) The operation and maintenance of a network of web portals that provide comprehensive referral services, support and information relating to early intervention, prevention and support for individuals with mental health or substance abuse issues, county mental health offices, providers and others that provide mental and behavioral health treatment and related services.(ii) The expansion of the existing web portals, including services and resources for military veterans and their families, including comprehensive referral services for transitional, temporary and permanent housing, job placement and career counseling and other services for military veterans returning to civilian life.(2) Notwithstanding any other provision of law, from the money appropriated for mental health services, $20,000,000 shall be used for county mental health services in addition to the county funding provided under the act of October 20, 1966 (3rd Sp.Sess., P.L. 96, No.6), known as the Mental Health and Intellectual Disability Act of 1966, and the Human Services Block Grant Program under Article XIV-B of the Human Services Code. The following apply: (i) Money shall be distributed to each county and county local collaborative arrangement on a pro rata basis based upon fiscal year 2022-2023 mental health community base funded services allocations.(ii) County mental health services shall be provided and reported in accordance with the reporting and monitoring requirements of the Department of Human Services.(iii) Money received under this paragraph may not be included in the calculation of the allocation of funds under the Human Services Block Grant Program.(3) Subject to the availability of Federal money and eligibility under Federal TANFBG rules, grantees who operated within the PA Workwear Program in the prior fiscal year and who remain in operation shall be offered a grant for the fiscal year to continue service delivery under substantially similar terms as previous PA Workwear grants unless both parties agree to alternate terms. Nothing in this paragraph shall prohibit the Department of Human Services from offering a grant to a prospective PA Workwear provider to replace a prior grantee who chooses not to continue to operate in the program.(4) From money appropriated for Medical Assistance-Capitation, no less than the amount used in the 2014-2015 fiscal year shall be used for prevention and treatment of depression and its complications in older Pennsylvanians in a county of the second class.(4.1) From money appropriated for Medical Assistance-Capitation, $12,000,000 shall be used for the purpose of making one-time payments to dentists enrolled in the Medical Assistance Program, determined as follows:(i) Divide: (A) The number of claims from an enrolled dentist's managed care organization utilization from calendar year 2022 of the following dental codes: D0120, D0150, D0272, D0274, D1110, D1120, D1206, D1351, D2391, D2392, D7140, D0220, D0230, D1208, D2393, D2751, D4341, D5110, D5120, D5213, D5214, D0330, D2140, D2150, D2331, D2930, D2933, D3220, D3230, D8080 and D9230; by(B) The total claims from all enrolled dentists' managed care organization utilization from calendar year 2022 of the following dental codes: D0120, d0150, D0272, D0274, D1110, D1120, D1206, D1351, D2391, D2392, D7140, D0220, D0230, D1208, D2393, D2751, D4341, D5110, D5120, D5213, D5214, D0330, D2140, D2150, D2331, D2930, D2933, D3220, D3230, D8080 and D9230.(ii) Multiply: (A) The quotient under subparagraph (i); by(5) The following shall apply to amounts appropriated for medical assistance fee-for-service: (i) Payments to hospitals for Community Access Fund grants shall be distributed under the formulas utilized for these grants in fiscal year 2014-2015. If the total funding available under this subparagraph is less than that available in fiscal year 2014-2015, payments shall be made on a pro rata basis.(ii) Amounts allocated from money appropriated for fee-for-service used for the SelectPlan for women's preventative health services shall be used for women's medical services, including noninvasive contraception supplies.(iii) Notwithstanding any other law, money appropriated for medical assistance payments for fee-for-service care, exclusive of inpatient services provided through capitation plans, shall include sufficient money for two separate All Patient Refined Diagnostic Related Group payments for inpatient acute care general hospital stays for: (A) Normal newborn care; and(B) Mothers' obstetrical delivery.(iv) No less than $330,000 shall be used for cleft palates and other craniofacial anomalies.(v) No less than $800,000 shall be distributed to a hospital for clinical ophthalmologic services located in a city of the first class.(vii) No less than $5,000,000 shall be distributed to a hospital in a city of the third class in a home rule county that was formerly a county of the second Class A, provided that services and specialties available on the effective date of this paragraph must remain available until July 1, 2024, and compliance with any other requirements imposed by the Department of Human Services. The Department of Human Services may recoup funds from any hospital failing to meet the conditions under this paragraph.(viii) No less than $2,000,000 shall be distributed to a university located in a city of the first class to research the impact of trauma-informed programs on community violence prevention and health disparities.(ix) No less than $3,000,000 shall be distributed to an enrolled outpatient therapy service provider located in a city of the second class in a county of the second class that provides behavioral health and medical rehabilitation pediatric outpatient services.(x) No less than $1,250,000 shall be distributed to a cancer treatment center in a township of the second class with a population between 16,000 and 25,000 according to the most recent Federal decennial census in a county of the third class with a population between 350,000 and 370,000 according to the most recent Federal decennial census.(6) To supplement the money appropriated to the department for medical assistance for workers with disabilities, in addition to the monthly premium under section 1503(B)(1) of the act of June 26, 2001 ( P.L. 755, No.77), known as the Tobacco Settlement Act, the department may adjust the percentage of the premium upon approval of the Centers for Medicare and Medicaid Services as authorized under Federal requirements. Failure to make payments in accordance with this paragraph or section 1503(B)(1) of the Tobacco Settlement Act shall result in the termination of medical assistance coverage.(7) Qualifying physician practice plans that received money for fiscal year 2017-2018 shall not receive less than the State appropriation made available to those physician practice plans during fiscal year 2017-2018.(8) Federal or State money appropriated under the General Appropriation Act of 2023 in accordance with 35 Pa.C.S. § 8107.3 (relating to funding) not used to make payments to hospitals qualifying as Level III trauma centers or seeking accreditation as Level III trauma centers shall be used to make payments to hospitals qualifying as Levels I and II trauma centers.(9) Qualifying academic medical centers that received money for fiscal year 2017-2018 shall receive the same amount from the State appropriation made available to those academic medical centers during fiscal year 2017-2018.(10) Money appropriated for medical assistance transportation shall only be utilized as a payment of last resort for transportation for eligible medical assistance recipients.(12) From money appropriated for medical assistance long-term living:(i) No less than the amount distributed in the 2014-2015 fiscal year shall be distributed to a county nursing home located in a home rule county that was formerly a county of the second class A with more than 725 beds and a Medicaid acuity at 0.79 as of August 1, 2015.(ii) No less than the amount used in the 2020-2021 fiscal year shall be distributed to a nonpublic nursing home located in a county of the first class with more than 395 beds and a Medicaid acuity at 1.06 as of August 1, 2022, to ensure access to necessary nursing care in that county.(iii) $5,000,000 shall be distributed to a nonpublic nursing home located in a county of the eighth class with more than 119 beds and a Medicaid acuity at 1.11 as of August 1, 2022, to ensure access to necessary nursing home care in that county.(iv) An additional $500,000 shall be paid in equal payments to nursing facilities which remain open as of the effective date of this section that qualified for supplemental ventilator care and tracheostomy care payments in fiscal year 2014-2015 with a percentage of medical assistance recipient residents who required medically necessary ventilator care or tracheostomy care greater than 90%.(v) Subject to Federal approval of necessary amendments of the Title XIX State Plan, $16,000,000 is allocated for medical assistance day-one incentive payments to qualified nonpublic nursing facilities under methodology and criteria under section 443.1(7)(vi) of the Human Services Code. The Department of Human Services shall determine a nonpublic nursing facility's overall and medical assistance occupancy rate to qualify for a medical assistance day-one incentive payment for the fiscal year based on a nursing facility's resident day quarter ending December 31, 2019, for the first of two payments and a nursing facility's resident day quarter ending March 31, 2020, for the second of two payments.(14) From money appropriated for autism intervention and services:(i) $600,000 shall be allocated to a behavioral health facility located in a county of the fifth class with a population between 140,000 and 145,000 under the most recent Federal decennial census and shall be distributed to a health system that operates both a general acute care hospital and a behavioral health facility that has a center for autism and developmental disabilities located in a county of the fifth class with a population between 140,000 and 145,000 under the most recent Federal decennial census;(ii) $300,000 shall be allocated to an institution of higher education that provides autism education and diagnostic curriculum located in a city of the first class that operates a center for autism in a county of the second Class A;(iii) $300,000 shall be allocated to an institution of higher education that provides autism education and diagnostic curriculum and is located in a county of the second class;(iv) No less than the amount distributed in the 2014-2015 fiscal year shall be allocated for programs to promote the health and fitness of persons with developmental disabilities located in a city of the first class; and(v) $600,000 shall be allocated for an entity that provides alternative educational services to individuals with autism and developmental disabilities in the county which was most recently designated as a county of the second Class A.(18) Money appropriated for breast cancer screening may be used for women's medical services, including noninvasive contraception supplies.(19) From the appropriation for 2-1-1 communications, $750,000 shall be allocated for a statewide 2-1-1 system grant program.(20) The appropriation for services for the visually impaired shall include the following: (i) An allocation of $4,084,000 for a statewide professional services provider association for the blind to provide training and supportive services for individuals who are blind and preschool vision screenings and eye safety education; and(ii) An allocation of $618,000 to provide specialized services and prevention of blindness services in cities of the first class.(21) The provisions of 8 U.S.C. §§ 1611 (relating to aliens who are not qualified aliens ineligible for Federal public benefits), 1612 (relating to limited eligibility of qualified aliens for certain Federal programs) and 1642 (relating to verification of eligibility for Federal public benefits) shall apply to payments and providers.(23) The Department of Human Services shall not add non-medically necessary services to the Medical Assistance Program that would result in the need for a supplemental appropriation without the approval of the General Assembly. Each proposed service shall be outlined in the Governor's Executive Budget or subsequent updates provided in writing to the General Assembly.(24) No later than 12 months after the effective date of this paragraph, the Department of Human Services shall complete a report, based on the information submitted to the department, which analyzes the wages for direct care workers and direct support professionals who provide services under the Department of Human Services' Office of Developmental Programs and Office of Long Term Living. The following shall apply: (i) The report shall include all of the following: (A) The average wages paid to direct care workers and direct support professionals under each applicable program.(B) Whether starting wages for direct care workers and direct support professionals increased from January 1, 2019, through January 1, 2023, including the percentage increase.(ii) The Department of Human Services shall submit the report to the chairperson and minority chairperson of the Appropriations Committee of the Senate, the chairperson and minority chairperson of the Appropriations Committee of the House of Representatives, the chairperson and minority chairperson of the Health and Human Services Committee of the Senate and the chairperson and minority chairperson of the Human Services Committee of the House of Representatives. Added by P.L. TBD 2023 No. 34,§ 32, eff. 12/13/2023.