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File #: 2019-1389    Version: 1
Type: Will of Council Status: Adopted
File created: 2/12/2019 In control: City Council
On agenda: 2/12/2019 Final action: 2/12/2019
Enactment date: 2/12/2019 Enactment #: 85
Effective date: 2/12/2019    
Title: WHEREAS, as recently as 2018, the Council of the City of Pittsburgh ratified its recognition of healthcare as a fundamental human right through Bill No. 377 of 2018, in which the body affirmed its conviction that each and every person in the City of Pittsburgh - as well as in the United States - is deserving of robust, high-quality healthcare that provides excellent, patient-oriented outcomes; and
Sponsors: Corey O'Connor, Anthony Coghill, Darlene M. Harris, Erika Strassburger
Indexes: PROCLAMATION - MR. COGHILL, PROCLAMATION - MR. O'CONNOR, PROCLAMATION - MRS. HARRIS, PROCLAMATION - MRS. STRASSBURGER
Title
WHEREAS, as recently as 2018, the Council of the City of Pittsburgh ratified its recognition of healthcare as a fundamental human right through Bill No. 377 of 2018, in which the body affirmed its conviction that each and every person in the City of Pittsburgh - as well as in the United States - is deserving of robust, high-quality healthcare that provides excellent, patient-oriented outcomes; and

Body
WHEREAS, although the University of Pittsburgh Medical Center (UPMC) and Highmark have operated under a state-brokered consent decrees since 2014 that mandated that each party not deny in-network services to patients who held the other's insurance, said consent decree is slated to expire on June 30, 2019; and

WHEREAS, that expiration is now colloquially referred to as a "divorce" between these two firms; and

WHEREAS, UPMC was the first integrated delivery and finance system (IDFS), an entity that holds through its common composition both healthcare insurers and healthcare providers, in the southwestern Pennsylvania region, with Highmark becoming the region's second IDFS after its acquisition of the West Penn Allegheny Health System; and

WHEREAS, despite consent decrees, invention in the form of mediated agreements across two Governors' Administrations, mediation actions from the Office of the Attorney General, and involvement from other state agencies was necessary simply to prevent further worsening of the situation for the region's residents; and

WHEREAS, the Commonwealth of Pennsylvania is currently without any mechanism to reconcile conflicts between IDFS despite the outsized impact that these institutions can have on the health and wellbeing of residents because of their market share, resource consolidation, and role as both provider and insurer; and

WHEREAS, knowing that people cannot and should not be denied care on the basis of their insurance status, Pennsylvania Senator Jay Costa will soon introduce a legislative package that seeks to amend...

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