Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HB268

Introduced
1/22/25  

Caption

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 the medically needy and determination of eligibility.

Summary

HB268 would amend Pennsylvania’s Human Services Code to require that, no later than 90 days after a person is found eligible for medical assistance under the medically needy eligibility process, any person determined eligible for services under a home- and community-based waiver must be offered those waiver benefits. In practical terms, the bill creates a timeline for the state to move eligible individuals from eligibility determination to an actual offer of waiver services. The measure is aimed at reducing delays in access to long-term services and supports delivered in home and community settings, rather than in institutional care. It does not appear to change the underlying eligibility standards for medical assistance or waiver programs; instead, it adds a procedural requirement to ensure timely access once eligibility has been established.

Impact

The bill would amend Section 442.1 of the Human Services Code by adding a new subsection governing the timing of offers for home- and community-based waiver benefits. If enacted, the Department of Human Services would need to ensure that eligible medically needy individuals are offered waiver services within 90 days of their medical assistance eligibility determination. This could affect administrative processing, waiver enrollment practices, and service delivery timelines for older adults, people with disabilities, and others who rely on Medicaid-funded home- and community-based services.

Sentiment

The available record shows no committee transcript, vote history, or formal opposition, so there is no documented debate to gauge sentiment directly. Based on the bill’s text and sponsorship, the measure appears to be a straightforward access-and-timeliness proposal intended to improve delivery of benefits for eligible individuals. The absence of recorded votes or discussion suggests no visible controversy in the materials provided, though that does not rule out future administrative or fiscal concerns.

Contention

No specific points of contention are documented in the provided materials. Potential areas of concern, if raised later, could include whether the 90-day deadline is operationally feasible for the Department of Human Services, whether sufficient waiver slots and provider capacity exist, and whether the requirement could create backlogs or fiscal pressure. However, none of these issues are reflected in the current record, which contains no transcripts or votes.

Companion Bills

No companion bills found.

Previously Filed As

PA HB90

In public assistance, further providing for verification of eligibility.

PA HB282

In public assistance, further providing for persons eligible for medical assistance.

PA HB399

In public assistance, further providing for administration of assistance programs.

PA HB298

In public assistance, providing for waivers to be requested for medical assistance.

PA HB583

In public assistance, further providing for reimbursement for certain medical assistance items and services; and abrogating regulations.

PA HB595

In public assistance, providing for behavioral health and physical health services integration.

PA HB348

In departmental powers and duties as to licensing, providing for notice of legal representation for medical assistance.

PA HB440

In public assistance, providing for prohibition on medical assistance managed care payment for provider-preventable conditions.

PA SB85

In fiscal provisions relating to public assistance, providing for distribution of SNAP benefits.

PA HB216

In fraud and abuse control, further providing for definitions and for provider prohibited acts, criminal penalties and civil remedies.

Similar Bills

No similar bills found.