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PA Health Policy Update for April 26

The following is an update of selected state health policy developments in Pennsylvania from April 22 – 26.  (Some of the language used below is taken directly from state documents). 

2024 Primary Election Update 

Pennsylvania held its 2024 primary election on Tuesday, April 23. In the race for Attorney General, former Auditor General Eugene DePasquale won the Democratic nomination and York County District Attorney David Sunday won the Republican nomination. Current State Representative Malcolm Kenyatta won the Democratic nomination for Auditor General. He will face the incumbent Auditor General Tim DeFoor in the fall. Lastly, Erin McClellan from Allegheny County won the Democratic nomination to challenge incumbent State Treasurer Stacy Garrity in the general election this fall. Find the comprehensive election results, including those for state House of Representative and Senate, here. 

General Assembly

The House Health Committee and the Liquor Control Committee held a joint informational hearing on Thursday, April 25 examining public health challenges of cannabis legalization. A recording of the hearing is viewable here.

The state House of Representatives and Senate will convene for voting session in Harrisburg next Monday, April 29 through Wednesday, May 1. Following is an overview of selected health care-related legislative activity currently scheduled next week.

  • The House Human Services Committee will meet on Monday, April 29 at 10:00 a.m. in Room 523 of the Irvis Office Building to consider, among other bills, House Bill 1783, which requires the development of opioid-related overdose public information, and House Bill 2137, which establishes the Maternal and Newborn Supply Kit Program. The meeting will be livestreamed here.
  • The House Health Committee will meet on Tuesday, April 30 at 9:30 a.m. in Room 140 of the Main Capitol to consider the following bills.
    • House Bill 2127, which requires clinicians to distribute information related to postpartum depression and conduct a postpartum screening for depression.
    • House Bill 2208, which strengthens the Department of Health’s oversight of laboratories that test medical marijuana.
    • Senate Bill 721, which establishes the Women, Infants and Children (WIC) State Advisory Board.

The meeting will be livestreamed here.

  • The House Aging & Older Adult Services Committee will hold an informational meeting on Tuesday, April 30 at 10:00 a.m. regarding local Area Agencies on Aging. The meeting will take place in Room B31 of the Irvis Office Building. The meeting will also be livestreamed here.
  • The House Human Services Committee will hold an informational meeting on Wednesday, May 1 regarding performance-based contracting for the Department of Human Services’ Office of Developmental Programs. The meeting will take place in Room 515 of the Irvis Office Building. The meeting will also be livestreamed here. 

Department of Health 

The Department of Health (DOH) has released a schedule of five public comment sessions to provide interested stakeholders an opportunity to comment on the development of the 2025 plan for the state’s Special Supplemental Nutrition Program for Women, Infants, and Children (i.e., WIC Program). Find the schedule and details on how to participate in this Pennsylvania Bulletin notice. 

Department of Human Services 

The Department of Human Services (DHS) has announced changes to the Medical Assistance (MA) program fee schedule based upon provider requests and clinical review. DHS is adding procedure codes for ECG services and removing prior authorization for fetal congenital abnormality testing. The changes are effective for dates of service on and after April 29, 2024. 

Department of Drug & Alcohol Programs 

The Department of Drug & Alcohol Programs (DDAP) has announced a virtual webinar in collaboration with the Center for Substance Abuse Treatment (CSAT) on strategies for preventing and treating xylazine in a behavioral health or clinical setting. It will be held virtually on Wednesday, May 8 at 3:00 p.m. The webinar is open to the public, but registration is required. 

Stakeholder Events  

DOH – HIV Community Prevention Planning Committee – May 1

The Human Immunodeficiency Virus (HIV) Prevention Planning Committee will hold a public meeting on Wednesday and Thursday, May 1-2, 2024. The meeting will be held in person and virtually. Find additional details in this Pennsylvania Bulletin notice. 

PHC4 – Council Meeting – May 2

The Pennsylvania Health Care Cost Containment Council (PHC4) has announced it will hold a council meeting on May 2 at 8:30 a.m. Find additional information in this Pennsylvania Bulletin notice. 

DOH – Organ Donation Advisory Committee – May 2

The Organ Donation Advisory Committee will hold a public meeting on Thursday, May 2 from 10:15 a.m. to 1:15 p.m. The meeting will be held virtually and in person. Find additional details in this Pennsylvania Bulletin notice. 

DOH – Brain Injury Advisory Board – May 3

The Brain Injury Advisory Board will hold a public meeting on Friday, May 3, 2024 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person. Find additional details in this Pennsylvania Bulletin notice.

PA Health Policy Update for April 19

The following is an update of selected state health policy developments in Pennsylvania from April 15 – 19.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives convened for voting session in Harrisburg this week. Following is an overview of selected health care-related legislative activity that occurred.

  • The House passed House Bill 1633, which prohibits non-compete agreements for health care practitioners and establishes certain notification requirements, by a vote of 150-50. The bill will now be sent to the Senate for consideration.
  • The House Professional Licensure Committee met on Monday, April 15 and favorably reported House Bill 2200, which makes certain changes to Pennsylvania statute that will enable the state to join, among others, the medical and nursing interstate licensure compacts. A recording of the meeting is viewable here.
  • The House Children and Youth Committee met on Tuesday, April 16 and favorably reported House Bill 1059, which updates the definition of sexual abuse or exploitation in the Child Protective Services law, and House Bill 321, which establishes an implementation deadline for the Department of Human Services’ enterprise case management system. A recording of the hearing is viewable here.
  • The House Health Committee met on Wednesday, April 17 and favorably reported, among other bills, House Bill 1608, which extends Medicaid coverage to doula services and creates a doula advisory board, and House Bill 2097, which provides Medicaid coverage of blood pressure monitors for pregnant or postpartum beneficiaries. A recording of the meeting is viewable here.
  • The House Judiciary Committee met on Wednesday, April 17 and favorably reported, among other bills, House Bill 2012, which establishes a state antitrust statute and expands notification requirements for health care facilities when there is a merger, acquisition, etc. A recording of the meeting is viewable here.
  • The House Democratic Policy Committee held a roundtable discussion on Tuesday, April 16 examining maternal health deserts. Find the agenda and testimony presented to the committee here.
  • The Senate Democratic Policy Committee held an informational meeting on Monday, April 15 examining pharmacy deserts. Find a recording of meeting and testimony presented to the committee here.

The state House of Representatives and the Senate are in recess until Monday, April 29. 

Department of Health 

The Department of Health (DOH) has issued a Health Advisory (PA-HAN 745) with information regarding recent increases in reported congenital syphilis. The department is recommending that pregnant individuals be offered a test for Syphilis at the first prenatal visit, at the third trimester of pregnancy, and at delivery. 

Department of Human Services 

  • The Department of Human Services (DHS) has published a Medical Assistance Bulletin with the 2024 recommended child and adolescent immunization schedule.
  • DHS has published a Medical Assistance Bulletin to advise providers that the department will begin paying for ground ambulance mileage for each loaded mile in addition to increasing the fees for certain ambulance services on the Medical Assistance (MA) program fee schedule, effective with dates of service on or after January 1, 2024.
  • DHS has published the minutes of the March 28, 2024 Medical Assistance Advisory Committee (MAAC) meeting.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through May 2024. Find the updated calendar here. 

Stakeholder Events  

DHS – Consumer Sub-MAAC – April 24

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 24 at 1:00 p.m. Find the agenda here and register to participate here. 

DHS – Medical Assistance Advisory Committee – April 25

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 25 at 10:00 a.m. Find the agenda here and register to participate here. 

DOH – HIV Community Prevention Planning Committee – May 1

The Human Immunodeficiency Virus (HIV) Prevention Planning Committee will hold a public meeting on Wednesday and Thursday, May 1-2, 2024. The meeting will be held in person and virtually. Find additional details in this Pennsylvania Bulletin notice. 

DOH – Organ Donation Advisory Committee – May 2

The Organ Donation Advisory Committee will hold a public meeting on Thursday, May 2 from 10:15 a.m. to 1:15 p.m. The meeting will be held virtually and in person. Find additional details in this Pennsylvania Bulletin notice. 

DOH – Brain Injury Advisory Board – May 3

The Brain Injury Advisory Board will hold a public meeting on Friday, May 3, 2024 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person. Find additional details in this Pennsylvania Bulletin notice.

2024-04-19T20:14:21+00:00April 19th, 2024|Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for April 19

PA Health Policy Update for April 12

The following is an update of selected state health policy developments in Pennsylvania from April 8 – 12.  (Some of the language used below is taken directly from state documents). 

General AssemblyHarrisburg, PA capital building

  • The state House of Representatives and Senate convened for voting session in Harrisburg this week. Following is an overview of selected health care-related legislative activity that occurred.
    • The House passed House Bill 1512, which provides for the coverage of telemedicine services, by a vote of 197-3. The bill will now be sent to the Senate for consideration.
    • The Senate unanimously passed House Bill 1795, which aligns state statute with federal requirements for source plasma donation centers. The bill was subsequently presented to the governor.
    • The House Human Services Committee met on Monday, April 8 and favorably reported House Resolution 373, which recognizes the week of April 11 through 17, 2024, as “Black Maternal Health Week” in Pennsylvania. The full House subsequently adopted the resolution. The committee also held an informational hearing on the delivery of quality home care services under Community HealthChoices. A recording of the meeting is viewable here.
    • The House Health Committee held an informational meeting on Thursday, April 11 on advancing social equity through cannabis legalization. A recording of the meeting is viewable here. 
  • The House will reconvene for voting session on Monday, April 15. The Senate is recessed until Monday, April 29.
  • The House Children and Youth Committee is scheduled to meet on Tuesday, April 16 at 10:00 a.m. to consider, among other bills, House Bill 1059, which updates the definition of sexual abuse or exploitation in the Child Protective Services law, and House Bill 2175, which codifies the Office of Child Advocate as a permanent office in the Department of Human Services. The hearing will be livestreamed here.
  • The House Health Committee is scheduled to meet on Wednesday, April 17 at 9:30 a.m. to consider, among other bills, House Bill 1608, which extends Medicaid coverage to doula services and creates a doula advisory board, and House Bill 2097, which provides Medicaid coverage of blood pressure monitors for pregnant or postpartum beneficiaries. The hearing will be livestreamed here. 

Department of Health 

  • The Department of Health (DOH) released updated guidance at the end of March for hospitals to submit attestations for new services and new or replacement equipment. The revised guidance narrows the scope of new and replacement equipment. Find the updated guidance here. 
  • DOH has issued a Health Advisory (PA-HAN 744) to alert health care providers of an increase in invasive meningococcal disease. Providers should have a heightened suspicion for invasive meningococcal disease and initiate antibiotic treatment immediately, particularly in people who are disproportionately affected by the current increase, including people ages 30-60 years, Black or African American people, and people with HIV.
  • DOH has invited stakeholders to a session with the Drug Enforcement Administration (DEA) to discuss pharmacy best practices when ordering and dispensing controlled substances, with a focus on medications for opioid use disorder. The session will be held virtually on Wednesday, April 24, 2024, from 12:30-2:00 p.m. Register here. 

Department of Human Services 

  • The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers that DHS provides coverage and payment for over-the-counter (OTC) oral contraceptives. 
  • The Office of Long-Term Living has made changes to the MA 376 based on recommendations from CMS and nursing facility admissions should use the updated form as of March 1. Click here for a bulletin outlining those changes and here for the updated form.
  • DHS has issued Provider Quick Tip #273 to remind providers of the policy for benefit limit exceptions (BLE) for certain dental services.
  • DHS has published a statement of policy to clarify the meaning of “purchase service agreement” relating to the contracted delegate function for the delivery of emergency involuntary commitment services. The statement of policy obsoletes Bulletin OMHSAS-21-05 regarding contracted delegate services. Find the statement of policy in this Pennsylvania Bulletin notice. 

Stakeholder Events  

DOH – WIC Program Advisory – April 16

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program) Advisory will meet on April 16, 2024, from 1 p.m. to 2 p.m. The purpose of this meeting is to collaborate to gather suggestions of strategies for increasing participation and improving the WIC program to better support participants. Find additional information and details on how to participate in this Pennsylvania Bulletin notice. 

Patient Safety Authority – April 25

The Patient Safety Authority will hold a meeting of the authority’s board on Thursday, April 25 at 1:00 p.m. The meeting will be held virtually. Find details on how to participate in this Pennsylvania Bulletin notice.

DOH – Infant Hearing Screening Advisory Committee – April 25

The Infant Hearing Screening Advisory Committee established under the Infant Hearing Education, Assessment, Reporting and Referral (IHEARR) Act will hold a public meeting on Thursday, April 25 from 9:00 a.m. until 11:00 a.m. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

2024-04-12T20:43:51+00:00April 12th, 2024|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin|Comments Off on PA Health Policy Update for April 12

PA Health Policy Update for April 5

The following is an update of selected state health policy developments in Pennsylvania from April 1 – 5.  (Some of the language used below is taken directly from state documents). 

General Assembly 

The Senate Aging & Youth Committee held an informational hearing on Wednesday, April 3 to examine challenges facing Pennsylvania’s children and youth services agencies. A recording of the hearing and copies of testimony provided to the committee are viewable here.

The state House of Representatives and Senate will reconvene for session Monday, April 8 through Wednesday, April 10. Following is an overview of selected health care-related legislative activity currently scheduled next week.

  • The House Human Services Committee will meet on Monday, April 8 at 9:00 a.m. to consider House Resolution 373, which recognizes the week of April 11 through 17, 2024, as “Black Maternal Health Week” in Pennsylvania. The meeting will be held in Room 515 of the Irvis Office Building.
  • Following its voting meeting, the House Human Services Committee will hold an informational meeting on the delivery of quality home care services under Community HealthChoices. The meeting will be livestreamed here.
  • The House Health Committee will hold an informational meeting on Thursday, April 11 on advancing social equity through cannabis legalization. The meeting will be held in Room 60 of the East Wing and livestreamed here. 

Department of Human Services

After one year of processing Medicaid eligibility redeterminations following the end of pandemic-related continuous eligibility, the Department of Human Services (DHS) has reported that less than 600,000 applications are left to be processed and it should be completed with this effort by June 30.

About 70 percent of individuals remained eligible for Medicaid following their redetermination. To continue assisting Medicaid recipients with their annual redeterminations, providers are reminded to:

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) has provided an update on certification entities. Clinical supervisors and counselors that provide clinical treatment services in licensed substance use disorder (SUD) treatment facilities have a number of ways to meet minimum qualifications. One of those ways is full certification by a statewide certification body that is a member of a national body. In Pennsylvania, the Pennsylvania Certification Board (PCB) has historically been one of the entities that provides that certification. In addition to PCB, the newly developed Pennsylvania Certification Commission for Addiction Professionals (PCC AP), which is part of the Pennsylvania Association of Addiction Professionals, an affiliate of the National Association of Addiction Professionals (NAADAC), is also an option for certification for clinical counselors and supervisors.  

Department of Insurance

The Department of Insurance has published guidance on how insurers should govern the development, acquisition, and use of certain artificial intelligence (AI) technologies. This department has also informed insurers of the type of information and documentation that the department may request during an investigation or examination of any insurer regarding its use of the technologies and AI systems. Find additional information in this Pennsylvania Bulletin notice. 

Revenue Collection Update 

The Department of Revenue has announced that Pennsylvania collected $6.3 billion in General Fund revenue in March, which was $289.9 million, or 4.8 percent, more than anticipated. Fiscal year-to-date General Fund collections total $32.8 billion, which is $366.0 million, or 1.1 percent, above estimate. 

Stakeholder Events 

PHC4 – Meeting Dates

The Pennsylvania Health Care Cost Containment Council (PHC4) has scheduled the following meetings.

  • Data Systems Committee meeting on April 17, 2024, at 9:00 a.m.
  • Council meetings on May 4 at 8:30 a.m. and July 11 at 10:00 a.m.
  • Payment Data Advisory Group meetings on April 18, May 23, and June 20 at 10:00 a.m.

Agendas will be available 24 hours in advance here. Find details on how to register and participate here. 

Patient Safety Authority – April 25

The Patient Safety Authority will hold a meeting of the authority’s board on Thursday, April 25 at 1:00 p.m. The meeting will be held virtually. Find details on how to participate in this Pennsylvania Bulletin notice. 

DOH – Special Pharmaceutical Benefits Program Advisory Council – April 25

The Statewide Special Pharmaceutical Benefits Program (SPBP) Advisory Council will hold a public meeting on Thursday, April 25, 2024, from 10:00 a.m. to 3:00 p.m. The meeting will be held in person and virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

2024-04-06T06:34:47+00:00April 5th, 2024|Medicaid Eligibility Redetermination , Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for April 5
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