An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for medical assistance payments for orthotics and prosthetics.
SB 537 would require Pennsylvania's Medicaid program to reimburse providers for custom orthotics (like braces) and prosthetics (like artificial limbs) at rates no lower than the current Medicare fee schedule. This change directly affects Medicaid recipients needing these medical devices and the healthcare providers who supply them. The bill mandates that the state update its reimbursement rates quarterly to match Medicare's current rates for all applicable codes. This policy aligns Pennsylvania's Medicaid payments more closely with federal Medicare standards for these specific medical equipment items.
Bill status
in committee
1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
Governor
Introduced Apr 4, 2025
Last action Apr 4, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
1
Apr 4, 2025
Committee
Referred to Health & Human Services
upper
1 primary · 18 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Tina Tartaglione
DDemocratic
Co
Amanda Cappelletti
DDemocratic
Co
Art Haywood
DDemocratic
Co
Devlin Robinson
RRepublican
Co
Elder Vogel
RRepublican
Co
Frank Farry
RRepublican
Co
Jay Costa
DDemocratic
Co
Joe Picozzi
RRepublican
Co
Judy Schwank
DDemocratic
Co
Judy Ward
RRepublican
Co
Katie Muth
DDemocratic
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