Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HB399

Introduced
1/28/25  

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 administration of assistance programs.

Summary

HB399 amends the Pennsylvania Human Services Code section governing the administration of public assistance programs. The bill expands the Department of Human Services’ express authority to set eligibility rules, benefit structures, provider payment methods, provider qualifications, and copayment conditions, and it adds new tools such as access to other state-agency data for residency and eligibility verification and the use of data analytics, including artificial intelligence, to detect fraud. It also authorizes the department to prioritize job training programs for able-bodied Medical Assistance recipients and low-wage residents not enrolled in school, require managed care organizations to share claims data with providers, and establish health savings accounts and Medical Assistance premiums to help people transition off assistance. The bill also preserves and updates the department’s authority to seek federal waivers, state plan amendments, and other approvals needed to secure federal funding or comply with federal law. Although the statutory language retains references to a prior fiscal-year spending cap and emergency-style regulatory procedures from earlier law, the bill’s current text is framed as a general update to administration of assistance programs and takes effect 60 days after enactment. In practical terms, it would give DHS broader operational flexibility over public assistance policy, program design, and anti-fraud administration. Because there are no recorded committee transcripts or votes in the provided materials, there is no documented public debate or formal vote history to gauge sentiment. Based on the bill text alone, the measure appears to reflect an administrative and cost-control approach to public assistance, with an emphasis on eligibility verification, fraud detection, and work-oriented supports. The main points of potential contention are the expanded discretion given to the department and the use of data analytics and artificial intelligence for eligibility and fraud detection, which may raise privacy, due process, and accuracy concerns. Another likely area of debate is the prioritization of job training for able-bodied Medical Assistance recipients and the authority to establish premiums or health savings accounts for people transitioning off assistance, which could be viewed either as promoting self-sufficiency or as adding barriers to benefits. Providers and advocates for recipients may also scrutinize the bill’s provisions on copayments, benefit limits, and managed care claims-data sharing.

Impact

HB399 would amend the Human Services Code to broaden the Department of Human Services’ statutory authority over public assistance administration, including eligibility standards, benefit design, provider payment systems, data sharing, fraud detection, and work-support initiatives. It would affect Medical Assistance and other assistance programs administered by DHS, as well as providers, managed care organizations, and recipients subject to eligibility review, copayments, or program transitions.

Sentiment

No committee discussion or voting record was provided, so there is no direct evidence of support or opposition from the legislative process in the materials. The bill’s structure suggests a policy preference for administrative flexibility, program integrity, and self-sufficiency, but it also contains provisions that could generate concern among advocates for beneficiaries and privacy protections.

Contention

Likely contention centers on the breadth of DHS discretion, especially the authority to use artificial intelligence and cross-agency data to verify eligibility and detect fraud. Critics may worry about privacy, errors, and reduced access to benefits, while supporters may view these tools as necessary to prevent improper payments and improve program integrity. Additional debate may arise over work-focused priorities for able-bodied Medical Assistance recipients, the use of premiums and health savings accounts for transitions off assistance, and the potential impact on low-income residents and service providers.

Companion Bills

No companion bills found.

Previously Filed As

PA HB282

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

PA HB583

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

PA HB90

In public assistance, further providing for verification of eligibility.

PA HB268

In public assistance, further providing for the medically needy and determination of eligibility.

PA HB298

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

PA HB595

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

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 HB348

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

PA SB482

In public assistance, further providing for definitions, for administration of assistance programs and for regulations for protection of information; in the aged, further providing for Life Program; and making a repeal.

Similar Bills

No similar bills found.