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.

This bill establishes a new paid family and medical leave program in Pennsylvania, creating a fund to support workers who need time off for family care or medical reasons. It requires employers to contribute to the program and sets rules for how long employees can take leave, how much money they receive, and what situations qualify for benefits, including care for family members with serious health conditions or recovery from domestic violence. The Department of Labor and Industry will administer the program, handle claims, and enforce rules, while employees have the right to take legal action if their rights are violated. The legislation also includes provisions for self-employed individuals to opt into the program and establishes an advisory board to guide program development.