An Act establishing the Medicaid Care Transition Program; and imposing duties on the Department of Human Services.

HB 1128 establishes Pennsylvania's Medicaid Care Transition Program to address delays in moving Medicaid patients from emergency departments to appropriate follow-up care. It directly affects Medicaid patients stuck in emergency settings, hospitals, and "responsible entities" (like county Medicaid managed care plans) that must create dedicated care transition units. Key provisions require responsible entities to: contact hospitals within 24 hours for placement, seek out-of-network options if in-network care isn't available quickly, and notify the Department of Human Services after 48 hours if placement fails. The Department then intervenes to resolve barriers like clinical issues, payment problems, or coordination with other agencies. The law aims to reduce emergency department overcrowding and ensure timely access to necessary postacute care for Medicaid enrollees.