Healthcare

This bill establishes rules requiring the Pennsylvania Department of Human Services to deny payments for medical claims that violate specific federal funding limits on services provided to minors. It mandates that the department and the Office of Attorney General investigate any suspected violations of these payment restrictions by healthcare facilities or practitioners. If a provider is found to have knowingly submitted non-compliant claims, the bill allows for the suspension of their eligibility to receive state funds and requires them to repay between two and three times the amount of the invalid claim. Additionally, the legislation imposes penalties for failing to produce records or cooperate with investigations into these compliance issues.