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PA Bulletin, Doc. No. 05-2304

THE GOVERNOR

PART I. GOVERNOR'S OFFICE

[4 PA. CODE CH. 6]

[EXECUTIVE ORDER 2003-1]

[35 Pa.B. 6740]

Commonwealth's Health Care Reform Agenda

   

January 21, 2003

   Whereas, the citizens of the Commonwealth are entitled to an accessible and affordable health care system of the highest quality; and

   Whereas, the Commonwealth agencies responsible for administering and delivering health care services have over time been delegated overlapping responsibilities; and

   Whereas, due to redundant responsibilities, the current health care system is subject to unnecessary duplication, inefficiency, and added costs; and

   Whereas, it is the responsibility of the Commonwealth to determine how best to reform Pennsylvania's health care system and to develop sound fiscal policy so as to resolve the concerns of the Commonwealth's patients, health care providers, and insurance carriers; and

   Whereas, the establishment of an Office of Health Care Reform and the establishment of the Governor's Health Care Reform Cabinet will coordinate and implement the Commonwealth's Health Care Reform Agenda.

   Now, Therefore, I, Edward G. Rendell, Governor of the Commonwealth of Pennsylvania, by virtue of the authority vested in me by the Constitution of the Commonwealth of Pennsylvania and other laws of the Commonwealth, do hereby establish the Office of Health Care Reform and the Governor's Health Care Reform Cabinet. By doing so, I invest it with the necessary powers to perform the duties and functions set forth herein and to advise and counsel me in the development and operation of the Commonwealth's Health Care Reform Agenda.


 

   Governor

   Fiscal Note: GOV 03-1. (1) General Fund; (2) Implementing Year 2004-05 is $1.209 million; (3) 1st Succeeding Year 2005-06 is $1.209 million; 2nd Succeeding Year 2006-07 is $1.209 million; 3rd Succeeding Year 2007-08 is $1.209 million; 4th Succeeding Year 2008-09 is $1.209 million; 5th Succeeding Year 2009-10 is $1.209 million; (4) 2003-04 Program--$N/A; 2002-03 Program--$N/A; 2001-02 Program--$N/A; (7) General Government Operations; (8) recommends adoption.

Annex A

TITLE 4. ADMINISTRATION

PART I. GOVERNOR'S OFFICE

CHAPTER 6. ADDITIONAL COUNCILS AND COMMITTEES

Subchapter R. COMMONWEALTH'S HEALTH CARE REFORM AGENDA

Sec.

6.251.Office of Health Care Reform.
6.252.Governor's Health Care Reform Cabinet.
6.253.Relationship with other agencies.
6.254.Effective date.
6.255.Termination date.

§ 6.251. Office of Health Care Reform.

   The Office of Health Care Reform shall be managed by the Director of the Office of Health Care Reform (Director), who serves at the pleasure of, and reports directly to, the Governor. The Director, in consultation with the Office of Administration, shall determine the appropriate staffing levels and associated classifications necessary to support the operation of the Office of Health Care Reform.

   (1)  Responsibilities. The purpose of the Office of Health Care Reform is to coordinate the Commonwealth's Health Care Reform Agenda. In coordinating the Commonwealth's Health Care Reform Agenda, the Office of Health Care Reform shall:

   (i)  Facilitate the analysis of administrative, fiscal and regulatory policies and practices.

   (ii)  Oversee the redesign of operations and infrastructure.

   (iii)  Direct the creation and maintenance of a system to assure the accountability of designated agencies for their assigned powers, duties and responsibilities.

   (2)  Authority. The Office of Health Care Reform shall, at the direction of the Governor, direct the restructuring of the Commonwealth's health care system and the implementation of its Health Care Reform Agenda.

   (3)  Reporting. The Office of Health Care Reform will not have line responsibility for day-to-day operations of the departments, agencies, commissions and offices with a health care purview or regulatory function. Certain relevant policy and process experts from throughout the government shall be designated ''on-loan'' or detailed to report to the Director to aid its mission. In addition, members of the Governor's Health Care Reform Cabinet shall report to the Office of Health Care Reform and all accountabilities related to the Commonwealth's Health Care Reform Agenda.

   (4)  Health Care Reform Advisory Council. The Office of Health Care Reform shall establish a Health Care Reform Advisory Council (Advisory Council), consisting of stakeholder experts recommended by the Director and appointed by the Governor. The Advisory Council shall advise the Director, and the Governor's Health Care Reform Cabinet on matters relating to health care. The Director is the Chairperson of the Advisory Council.

   (i)  Terms. The members of the Advisory Council serve at the pleasure of the Governor.

   (ii)  Compensation. Members of the Advisory Council serve without compensation for their services. The members of the Advisory Council may be reimbursed the necessary and actual expenses incurred in attending meetings of the Advisory Council and in the performance of their duties in accordance with established Commonwealth policy. See Chapter 40 (relating to travel and subsistence).

§ 6.252. Governor's Health Care Reform Cabinet.

   (a)  Responsibilities. The Governor's Health Care Reform Cabinet shall advise the Director of the Office of Health Care Reform (Director) and the Governor on matters related to health care reform and direct government resources in the implementation of the Health Care Reform Agenda. The Director is the Chairperson for the Governor's Health Care Reform Cabinet.

   (b)  Composition. The Governor's Health Care Reform Cabinet consists of the following officials and individuals:

   (1)  The Director of the Office of Health Care Reform.

   (2)  The Secretary of Aging.

   (3)  The Adjutant General.

   (4)  The Secretary of Health.

   (5)  The Commissioner of Insurance.

   (6)  The Secretary of Public Welfare.

   (7)  The Director of the Governor's Policy Office.

   (8)  Additional members as may be recommended by the Director and appointed by the Governor.

§ 6.253. Relationship with other agencies.

   The agencies under the Governor's jurisdiction shall cooperate with and provide assistance and support to the Office of Health Care Reform and the Governor's Health Care Reform Cabinet. The Office of Health Care Reform shall also be directed and appointed by the Governor to participate in certain other commissions, panels, cabinet and initiatives.

§ 6.254. Effective date.

   This subchapter takes effect immediately.

§ 6.255. Termination date.

   This subchapter shall remain in effect unless revised or rescinded by the Governor.

[Pa.B. Doc. No. 05-2304. Filed for public inspection December 16, 2005, 9:00 a.m.]


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