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Pennsylvania Bill 298 Requires Department of Human Services to Seek Medicaid Waivers for Six-Month Redeterminations and Reporting Penalties

Original title: 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 waivers to be requested for medical assistance.

Last action · January 23, 2025: Referred to HUMAN SERVICES, Jan. 23, 2025Sponsors: Perry Stambaugh and 5 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Pennsylvania House Bill 298 requires the Department of Human Services to seek a federal from the Centers for Medicare and Medicaid Services to mandate six-month eligibility redeterminations, impose up to six-month re-enrollment bans for nondisabled, nonpregnant adults aged 19 to 64 who fail to report changes affecting eligibility, and suspend automatic and prepopulated renewal processes.

Why it matters

Nondisabled, nonpregnant adults aged 19 to 64 enrolled in medical assistance would face more frequent eligibility checks and potential six-month coverage denials for failing to report life circumstance changes.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

nondisabled, nonpregnant adults between nineteen and sixty-four years of age

Their medical assistance eligibility redetermination frequency changes to every six months, automatic renewals are suspended, and they face up to six months of eligibility denial for failing to report circumstance changes.

Directly affected

Department of Human Services

The department is required to request federal demonstration waivers, report approvals to various state entities, adopt implementation rules, and resubmit denied requests every twenty-four months.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Who is affected by the proposed reporting penalty?
Nondisabled, nonpregnant adults between nineteen and sixty-four years of age enrolled in medical assistance who fail to report changes in circumstances affecting their eligibility.
How often would eligibility be checked under the waiver?
Eligibility would be redetermined once every six months instead of once every twelve months.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

1 action
  1. Jan 23, 2025HouseCommittee
    Referred to HUMAN SERVICES, Jan. 23, 2025

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Attorney General, General Assembly, Legislative Reference Bureau and 4 more
otherAttorney General“Recipient of notice upon receipt of federal approval for any waiver.”Map →
OrganizationGeneral Assembly“Recipient of notice upon receipt of federal approval for any waiver.”Map →
OrganizationLegislative Reference Bureau“Recipient of notice for publication of waiver approval in the Pennsylvania Bulle”Map →
otherAuditor General“Recipient of notice upon receipt of federal approval for any waiver.”Map →
OrganizationUnited States Department of Health and Human Services“Federal department housing the Centers for Medicare and Medicaid Services.”Map →
OrganizationCenters for Medicare and Medicaid Services“Federal agency from which the department shall request approval for a demonstrat”Map →
OrganizationOffice of Inspector General“Recipient of notice upon receipt of federal approval for any waiver.”Map →

Sources

Open source document

www.palegis.us

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy65
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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