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PA Health Policy Update for June 13

The following is an update of selected state health policy developments in Pennsylvania from June 9 – 13.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives and Senate convened in Harrisburg this week. The following is an overview of selected health care-related legislative activity that occurred this week.

  • The Senate unanimously passed Senate Bill 95, which permits EMS providers to leave naloxone with a caregiver of a patient who overdosed. The bill also places certain disclosure requirements on pharmacies related to the retail and generic versions of prescribed medications. The bill was subsequently received in the House and referred to the Veterans Affairs and Emergency Preparedness Committee.
  • The House of Representatives passed House Bill 1549, which increases the state’s minimum wages, by a party-line vote. The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 1460, which provides for more oversight of health care entity merger and acquisition activities. The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 1088, which expands maternal blood pressure monitoring coverage. The bill will now be sent to the Senate for consideration.
  • The Senate Consumer Protection & Professional Licensure Committee met on Wednesday, June 11 and favorably reported, among other bills, Senate Bills 535 & 536, which amend the Osteopathic and Medical Practice Acts to enable genetic counselors to order genetic tests as appropriate.
  • The Senate Health & Human Services Committee met on Wednesday, June 11 and favorably reported, among other bills, the following.
    • Senate Bill 461, which seeks to improve testing and insurance coverage for Lyme disease testing.
    • Senate Bill 715, which extends the Rare Disease Advisory Council’s sunset date to 2028.
    • House Bill 27, which requires operating rooms to utilize surgical smoke evacuation systems.
    • House Bill 640, which updates annual reporting requirements for the Department of Drug & Alcohol Programs (DDAP).

A recording of the meeting is viewable here.

  • The House Human Services Committee met on Tuesday, June 10 and favorably reported House Bill 1100, which creates a grant program to provide eligible public-school entities with funding to acquire and distribute menstrual hygiene products, and House Bill 1590, which supports Pennsylvania’s implementation of a new federal Medicaid flexibility that waives the longstanding “four walls” requirement for outpatient behavioral health clinics. A recording of the hearing is viewable here.
  • The House Health Committee met on Tuesday, June 10 and favorably reported House Bill 1442, which places requirements on coroners to report Sudden Unexpected Death in Epilepsy (SUDEP), and House Bill 1527, which extends the Rate Disease Advisory Council’s sunset date to 2028. A recording of the meeting is viewable here.
  • The House Aging & Older Adult Services Committee met on Tuesday, June 10 for an informational hearing on the Older Adult Protective Services Act (OAPSA) and financial exploitation of older adults. A recording of the hearing is viewable here.
  • The Legislative Budget & Finance Committee (LBFC) met on Wednesday, June 11 and released its report on the effect of home and community-based workforce shortages on commonwealth-supported Medicaid waiver programs. The full report is viewable here and highlights from the report are viewable here. 

The state House of Representatives will reconvene in Harrisburg for voting on Monday, June 16. The Senate is recessed until Monday, June 23.

Department of Human Services

  • The Department of Human Services (DHS) has announced it will hold another listening session in its “Food is Medicine Stakeholder Engagement Series,” which is part of the Bridges to Success: Keystones of Health demonstration waiver. The next session, which will focus on medically tailored meals, will take place on June 16 at 1:00 p.m. Find additional information and registration details here.
  • DHS has issued a Medical Assistance Bulletin to inform providers about updates to the Statewide Preferred Drug List (PDL) related to glucose sticks made at the April 23 Pharmacy & Therapeutics (P&T) Committee meeting. The PDL changes are effective July 7, 2025.
  • DHS has announced changes to the Medical Assistance (MA) program fee schedule. The department is adding and end-dating codes as a result of the 2025 updates published by the Centers for Medicare & Medicaid Services to the Healthcare Common Procedure Coding System (HCPCS). The changes are effective for dates of service on and after June 16, 2025. Find additional information in this Pennsylvania Bulletin notice.
  • DHS has released a document with revisions to the participating drug companies list for the Medicaid Drug Rebate Program.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through the month of July. Find the updated calendar here.
  • DHS has issued a Remittance Advice Alert regarding action needed to continue submitting claims and eligibility requests electronically with PROMISe™. 

Department of Health

The Department of Health (DOH) has published notice of intent to issue a final notice to temporarily schedule any material, compound, mixture, or preparation which contains any quantity of the several Nitazene substances. This final notice to temporarily schedule will place this group of substances in Schedule I under The Controlled Substance, Drug, Device and Cosmetic Act. 

Independent Fiscal Office

The Independent Fiscal Office (IFO) has published a budget brief highlighting Pennsylvania Medicaid enrollment and funding trends from FY 2018-19 through the administration’s proposal for FY 2025-26. It also provides projections of the impact for certain Medicaid provisions included in the federal reconciliation bill passed by the U.S. House of Representatives. 

Insurance Department 

The Pennsylvania Insurance Department (PID) has announced that the largest health insurers operating in the commonwealth are taking steps to expand coverage for medications used to treat postpartum depression and related maternal mental health conditions. Find additional information in this press release. 

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) has shared an opportunity from the Health Resources and Services Administration (HRSA),  the Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program. The program offers up to $250,000 in student loan repayment for eligible professionals who commit to six years of full-time work providing direct SUD treatment or recovery support at an approved facility. The program is open to a range of providers, including medical, behavioral health, and peer support professionals. Applications are due July 10, 2025. 

Around the State  

  • Spotlight PA has published an article on the potential impact of the budget reconciliation bill being considered by the U.S. Congress on the state’s Medicaid program. 
  • The Wall Street Journal has written an article about the Pennsylvania General Assembly’s efforts to enact legislation creating more scrutiny over health care entity transactions involving private equity. 
  • LancasterOnline covered Senate Appropriations Committee Chairman Scott Martin’s comments about the state budget unpredictability created federal budget discussions. 

Stakeholder Meetings

Pharmaceutical Assistance Advisory Board – June 16

The Department of Aging has announced the Pharmaceutical Assistance Advisory Board will hold a virtual meeting on Monday, June 16 from 1:00 p.m. to 2:30 p.m. Find information on how to participate in this Pennsylvania Bulletin notice. 

Patient Safety Authority – June 17

The Patient Safety Authority has announced it will hold a meeting of the Authority’s board on Tuesday, June 17 at 1:00 p.m. The meeting will be held virtually and is open to the public. Find additional details on how to participate in this Pennsylvania Bulletin notice.

DOH – Preventative Health Services Block Grant Advisory Committee – June 17

The Preventative Health and Health Services Block Grant Advisory Committee will hold a public meeting on Tuesday, June 17 from 9:30 a.m. to 10:30 a.m. The purpose of the meeting is to present the Federal Fiscal Year 2025 Workplan and budget information. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

2025-06-13T19:46:49+00:00June 13th, 2025|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for June 13
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PA Health Policy Update for June 6

The following is an update of selected state health policy developments in Pennsylvania from June 2 – 6.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives and Senate convened in Harrisburg this week. The following is an overview of selected health care-related legislative activity that occurred this week.

  • The Senate passed Senate Bill 411, which provides the ability for the Pennsylvania Department of Health to create and utilize a stroke registry. The bill will now be sent to the House for consideration.
  • The House of Representatives passed House Bill 704, which establishes the “Pennsylvania Neurodegenerative Disease Research Program.” The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 668, which authorizes Pennsylvania to join the National Counseling Compact. The bill will now be sent to the Senate for consideration.
  • The House of Representatives also passed House Bill 554, which authorizes Pennsylvania to join the Social Work Licensure Compact. The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 1140, which expands access to contraceptives. The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 282, which authorizes the Department of Corrections (DOC) to establish a medical assistance (i.e., Medicaid) reentry program for incarcerated individuals who are scheduled to be released and returning to the community. The bill will now be sent to the Senate for consideration.
  • The House Aging & Older Adult Services Committee met on Monday, June 2 for a public hearing on House Bill 1310, which establishes a minimum budget adjust factor (BAF) floor at $0.90 for skilled nursing facilities. A recording of the meeting is viewable here.
  • The Senate Consumer Protection & Professional Licensure Committee met on Tuesday, June 3 and favorably reported, among other bills, Senate Bill 583, which authorizes the state to enter the Social Work Licensure Compact, and Senate Bill 604, which authorizes the state to join the National Counseling Compact. A recording of the hearing is viewable here.
  • The House Health Committee met on Tuesday, June 3 and favorably reported the following bills. A recording of the meeting is viewable here.
    • House Bill 425, which establishes a J-1 visa waiver primary care physician grant program.
    • House Bill 583, which requires the Department of Human Services to establish a benefit package for dental services for Medicaid.
    • House Bill 1460, which provides for more oversight of health care entity merger and acquisition activities.  
  • The House Human Services Committee met on Wednesday, June 4 and favorably reported two suicide prevention related bills, House Bill 415 and House Bill 564. A recording of the meeting is viewable here. 

The state House and Senate will return to Harrisburg next Monday, June 9 through Wednesday, June 11 for voting session.

Department of Human Services 

  • The Department of Human Services (DHS) has announced it will hold another listening session in its “Food is Medicine Stakeholder Engagement Series,” which is part of the Bridges to Success: Keystones of Health demonstration waiver. The next session, which will focus on medically tailored meals, will take place on June 16 at 1:00 p.m. Find additional information and registration details here.
  • The Office of Mental Health & Substance Abuse Services (OHMSAS) has announced it will pause the implementation of OMHSAS-25-02 Voluntary and Involuntary Commitment Forms for 90 days in response to concerns raised by stakeholders. In addition to giving providers the opportunity to update electronic health records and print new forms, OMHSAS will use the time to continue to receive and respond to stakeholder questions and to schedule Q&A sessions. 
  • DHS has issued a Request for Applications (RFA) for organizations to provide community health worker services to reduce barriers to care for individuals living within the North Philadelphia Health Enterprise Zone (HEZ). The HEZ was established in 2017 and encompasses 15 zip codes in the region. Up to six selected organizations can receive up to $500,000 per year for two years to increase CHW capacity and deploy innovative care management programs within the HEZ. Applicants shall be a 501(c)(3) charitable organization or have an association with a national charitable organization. However, applicants may not be owned, operated, or controlled by a hospital, institution of higher education, or managed care organization (MCO). For more information, see the RFA here.

Department of Health

The Department of Health (DOH) has launched a public survey looking for feedback on and suggestions for improving women’s health care across the commonwealth. The 10-minute survey is open through July 7 and focuses on women’s preventive health care, like health screenings, birth control, pregnancy care and mental health services.

DOH has announced it will make copies of the proposed Preventative Health and Health Services Block Grant Application for Federal Fiscal Year 2025 available for public review. The department has also announced it will hold a virtual public hearing on June 17 from 1:00 p.m. to 2:00 p.m. to receive public input on the block grant application. Find additional information in this Pennsylvania Bulletin notice.  

Independent Regulatory Review Commission  

The Independent Regulatory Review Commission (IRRC) has announced it received the Department of Human Services’ (DHS) regulation regarding the transition to the Patient-Driven Payment Model (PDPM). IRRC will consider the regulation at its June 26 public meeting. 

Revenue Collection Update 

The Department of Revenue has announced that Pennsylvania collected $3.2 billion in General Fund revenue in May, which was $66.3 million, or 2.0 percent, less than anticipated. Fiscal year-to-date General Fund collections total $42.7 billion, which is $262.5 million, or 0.6 percent, above estimate. 

Around the State  

  • The Pennsylvania Capital-Star has published an article about an event Pennsylvania Democrats held on the Capitol steps in Harrisburg this week to caution against the potential impact of the budget reconciliation bill currently being considered in Congress. 
  • An article published by City & State Pennsylvania has detailed the current home health workforce challenges and how Pennsylvania’s aging population may exacerbate those challenges. 
  • The Pennsylvania Capital-Star has written an article about pharmacists’ call for additional regulation of pharmacy benefit managers amid increasing closures of pharmacies across the state. 

Stakeholder Meetings

Pharmaceutical Assistance Advisory Board – June 16

The Department of Aging has announced the Pharmaceutical Assistance Advisory Board will hold a virtual meeting on Monday, June 16 from 1:00 p.m. to 2:30 p.m. Find information on how to participate in this Pennsylvania Bulletin notice. 

Patient Safety Authority – June 17

The Patient Safety Authority has announced it will hold a meeting of the Authority’s board on Tuesday, June 17 at 1:00 p.m. The meeting will be held virtually and is open to the public. Find additional details on how to participate in this Pennsylvania Bulletin notice.

DOH – Preventative Health Services Block Grant Advisory Committee – June 17

The Preventative Health and Health Services Block Grant Advisory Committee will hold a public meeting on Tuesday, June 17 from 9:30 a.m. to 10:30 a.m. The purpose of the meeting is to present the Federal Fiscal Year 2025 Workplan and budget information. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

2025-06-06T21:10:26+00:00June 6th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for June 6
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PA Health Policy Update for May 30

The following is an update of selected state health policy developments in Pennsylvania from May 26 – 30.  (Some of the language used below is taken directly from state documents). 

Governor Shapiro

Governor Shapiro joined Department of Community & Economic Development (DCED) Secretary Rick Siger in Pittsburgh this week to discuss supporting Pennsylvania’s life science and innovation economy. Governor Shapiro highlighted his administration’s FY 2025-26 budget proposal to invest $50 million to support large-scale innovation and life science sector growth. Find additional information in this press release.

General Assembly

The state House of Representatives and Senate were recessed this week. Both chambers are scheduled to return to Harrisburg on Monday, June 2. The following is an overview of selected health care-related legislative activity currently scheduled for next week.

  • The House Aging & Older Adult Services Committee will meet on Monday, June 2 at 10:00 a.m. in Room G-50 of the Irvis Building for a public hearing on House Bill 1310, which establishes a minimum budget adjust factor (BAF) floor at $0.90 for skilled nursing facilities. The meeting will be livestreamed here.
  • The House Health Committee will meet on Tuesday, June 3 at 9:30 a.m. in Room 523 of the Irvis Building to consider the following bills. The meeting will be livestreamed here.
    • House Bill 425, which establishes a J-1 visa waiver primary care physician grant program.
    • House Bill 583, which requires the Department of Human Services to establish a benefit package for dental services for Medicaid.
    • House Bill 1460, which provides for more oversight of health care entity merger and acquisition activities.  
  • The House Human Services Committee will meet on Wednesday, June 4 at 9:15 a.m. in Room G-50 of the Irvis Building to consider two suicide prevention related bills, House Bill 415 and House Bill 564. The meeting will be livestreamed here. 

Department of Human Services

The Office of Mental Health & Substance Abuse Services (OHMSAS) has issued a bulletin announcing it has revised the forms for voluntary and involuntary commitment evaluations and created a unified procedure for updating all forms utilized under the Mental Health Procedures Act (MHPA) to ensure consistency statewide. The revised forms include the following.

  • MH 781 Consent for Voluntary Inpatient Treatment
  • MH 783 Application for Involuntary Emergency Examination and Treatment
  • MH 783A Explanation of Rights under Involuntary Emergency Treatment
  • MH 783B Explanation of Warrant
  • MH 785 Petition for Involuntary Treatment (Sections 304 and 305)
  • MH 788 Petition to Transfer for Persons in Involuntary Treatment (Section 306) 

The Department of Human Services (DHS) has shared the following materials utilized at the Medical Assistance Advisory Committee (MAAC) meeting on May 22.

Department of Health

The Department of Health (DOH) has given notice that the temporary scheduling of several Nitazene substances, compounds, and mixtures will expire on June 3, 2025. Find additional information in this Pennsylvania Bulletin notice. 

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) has announced that it approved the State Board of Pharmacy’s final-form regulation that implements Act 140 of 2020, which establishes criteria for pharmacy technician training programs, as well as the standards of practice and registration fees for pharmacy technicians and pharmacy technician trainees.

IRRC has also approved the State Board of Medicine’s final-form regulation effectuating Act 79 of 2021. The regulation provides for definitions, written agreement requirements, responsibilities of supervising physicians, countersignature requirements, and prohibitions on practice and prescribing by physician assistants. It also updates terminology and removes outdated provisions. 

State Board of Psychology 

The State Board of Psychology has published proposed rulemaking to update, revise, and clarify continuing education requirements for psychologists. Find the proposed rulemaking in this Pennsylvania Bulletin notice. 

Around the State  

  • Senate President Tempore Kim Ward’s (R-Westmoreland) comments about the state budget process and commitment to not raise taxes were the focus of an article by the Tribune-Review. 
  • Spotlight PA has published an article about the current debate to legalize recreational cannabis and whether a deal will be reached by the June 30 budget deadline. 
  • WHYY has written an article about a rally held by health care advocates in Pennsylvania to caution about the potential impact of certain Medicaid proposals included in the federal reconciliation bill that recently passed the U.S. House of Representatives. 

Stakeholder Meetings

DHS – Long-Term Services & Supports Subcommittee – June 4

The Long-Term Services and Supports (LTSS) Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold its next public meeting on June 4 at 10:00 a.m. The meeting will be held virtually. Register to participate here.

Patient Safety Authority – June 17

The Patient Safety Authority has announced it will hold a meeting of the Authority’s board on Tuesday, June 17 at 1:00 p.m. The meeting will be held virtually and is open to the public. Find additional details on how to participate in this Pennsylvania Bulletin notice.

2025-06-02T14:24:10+00:00May 30th, 2025|Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for May 30
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PA Health Policy Update for May 23

The following is an update of selected state health policy developments in Pennsylvania from May 19 – 13.  (Some of the language used below is taken directly from state documents). 

Primary Election Update 

Voters went to the polls on Tuesday, May 20 for Pennsylvania’s 2025 Primary Election. On the ballot there were judicial candidates seeking to fill vacancies on the Commonwealth and Superior Courts, along with municipal races. Find the Department of State’s unofficial election results here.  

General Assembly

The state House of Representatives and Senate were recessed this week. Both chambers are scheduled to return to Harrisburg on Monday, June 2. 

Department of Human Services 

The Department of Human Services (DHS) has issued a Medical Assistance Bulletin with Pennsylvania’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule and Coding Matrix. This bulletin applies to all providers enrolled in the Medical Assistance program who provide EPSDT screens for Medical Assistance (MA) beneficiaries. 

Board of Nursing 

The State Board of Nursing has announced that it has adopted temporary regulations, which can be found here, necessary to implement the Nurse Licensure Compact. The temporary regulations are effective upon their publication in the Pennsylvania Bulletin. Additional information about the Nurse Licensure Compact is available on the Department of State’s website here. 

Insurance Department 

The Pennsylvania Insurance Department (PID), along with the Department of Health, the Department of Human Services, and the Department of Drug and Alcohol Programs (DDAP), has announced the  launch of a women’s health survey to identify challenges and questions women have about their health insurance benefits, and to remind women about preventive health services that are available to them at no cost through their insurance. 

Independent Fiscal Office 

The Independent Fiscal Office (IFO) has released its initial revenue estimate for FY 2025-26. The IFO has estimated Pennsylvania’s General Fund revenues will total $47 billion in FY 2025-26. The IFO has also revised the current fiscal year’s deficit to $3.6 billion, an increase of $280 million. Find the full report here and the IFO’s presentation here. 

Around the State 

  • The Tribune-Review has published an article about the potential spike in the number of Pennsylvanians without health insurance that will occur if the reconciliation bill passed by the U.S. House this week moves forward. 
  • Spotlight PA has continued to report about state legislative efforts to implement additional oversight of health care facility mergers and acquisitions. 
  • The mayoral elections that featured prominently in Tuesday’s Primary Election were the focus of an article by City & State Pennsylvania. 
  • Spotlight PA has published an article about the Commonwealth and Superior Court candidates advancing to November’s General Election. 

Stakeholder Meetings

DHS – Long-Term Services & Supports Subcommittee – June 4

The Long-Term Services and Supports (LTSS) Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold its next public meeting on June 4 at 10:00 a.m. The meeting will be held virtually. Register to participate here.

2025-05-23T20:21:35+00:00May 23rd, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for May 23
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PA Health Policy Update for May 16

The following is an update of selected state health policy developments in Pennsylvania from May 12 – 16.  (Some of the language used below is taken directly from state documents). 

Election Update

Pennsylvania’s 2025 Primary Election will be held next Tuesday, May 20. On the ballot there are judicial candidates seeking to fill vacancies on the Commonwealth and Superior Courts, along with municipal races. Find additional election information on the Department of State’s website here.  

Governor Shapiro 

On Thursday, May 15 Governor Shapiro visited Crozer-Chester Medical Center, which is ceasing operations, in Delaware County to highlight efforts to support impacted workers, maintain emergency medical services, and “hold private equity firms accountable.” Find additional information in this press release. 

General Assembly

The state House of Representatives and Senate convened for voting session this week. The following is an overview of selected legislative activity that occurred.

  • The House of Representatives passed an amended House Bill 561, which while still prioritizing non-narcotic medication-assisted treatment (MAT) expands Act 80 to include all FDA-approved MAT. The bill will now be sent to the Senate for consideration. 
  • The House of Representatives passed House Bill 79, which establishes uniform hospital-based financial assistance forms and requirements. The bill will now be sent to the Senate for consideration. 
  • The House of Representatives passed House Bill 433, which eliminates out-of-pocket costs for diagnostic imaging related to breast cancer. The bill will now be sent to the Senate for consideration. 
  • The House of Representatives passed House Bill 309, which amends the Osteopathic Medical Practice Act to allow team physicians traveling internationally with their club or national team to treat their own players on site during games without needing a Pennsylvania medical license. The bill will now be sent to the Senate for consideration. 
  • The House Health Committee met on Wednesday, May 14 and favorably reported House Bill 704, which establishes the “Pennsylvania Neurodegenerative Disease Research Program.” A recording of the hearing is viewable here. 
  • The House Aging & Older Adult Services Committee held a joint hearing with the House Health Committee on Wednesday, May 14 regarding Pennsylvania’s registered nurse aide program. A recording of the hearing is viewable here. 
  • The Senate Banking & Insurance Committee met on Tuesday, May 13 and favorably reported Senate Resolution 27, which directs the Legislative Budget and Finance Committee to study the feasibility of establishing a no-fault catastrophic loss fund to provide payment for claims brought as the result of birth-related neurological injuries. A recording of the hearing is viewable here. 
  • The House Human Services Committee met on Tuesday, May 13 and favorably reported House Bill 1429, which requires a study on the feasibility of implementing chip-enabled electronic benefit cards (EBT) for the Supplemental Nutrition Assistance Program (SNAP). A recording of the hearing is viewable here. 
  • The Senate Veterans Affairs & Emergency Preparedness Committee met on Monday, May 12 and favorably reported, among other bills, Senate Bill 95, which permits EMS providers to leave naloxone with a caregiver of a patient who overdosed.

The House of Representatives and the Senate are now recessed until Monday, June 2. 

Department of Human Services

  • The Department of Human Services (DHS) has announced it will hold a listening session on May 19 from 1:00 – 2:30 p.m. entitled, “Food is Medicine: Screening and Referral.” This is part of DHS’ Keystone of Health Section 1115 demonstration waiver initiative. The listening session is intended for representatives from health care and other settings that interact with consumers that may be eligible for Food is Medicine programs. Find additional information and register here.
  • DHS has announced that the Office of Mental Health and Substance Abuse Services (OMHSAS) is conducting a survey, which will be the first step to begin the development of one proposed chapter of licensing regulations for inpatient psychiatric services in psychiatric units of general hospitals, private psychiatric hospitals, and extended acute care services located within those inpatient settings. The survey is for all stakeholders, including licensed providers, and will remain open until May 26. Find the survey here.
  • DHS has issued a Medical Assistance Bulletin with the U.S. Department of Health & Human Services’ (HHS) Centers for Disease Control and Prevention (CDC) 2025 recommended child and adolescent immunization schedule.
  • DHS has also issued a Medical Assistance Bulletin to advise dental providers enrolled in the Medical Assistance (MA) program that will accept the 2024 American Dental Association (ADA) claim form effective May 1, 2025.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through the month of June. Find the updated calendar here.
  • DHS has announced the implementation of the 2025 Federal Poverty Income Guidelines (FPIG), which were issued by HHS and published at 90 FR 5917 on January 17, 2025. Find additional information in this Pennsylvania Bulletin notice. 

Around the State

  • Spotlight PA has written an article about private equity, its role in health care companies, and the scrutiny its drawing from critics. Spotlight also wrote an article about health systems’ opposition to initiatives aimed at implementing more stringent health care transaction oversight.  
  • The Pittsburgh Post-Gazette has published an article about Medicaid cuts being contemplated by Congress and their potential impact on providers in Fayette County. 
  • The Associated Press covered Governor Shapiro’s remarks about the potential impact of Medicaid proposals being considered by Congress. 
  • The Philadelphia Inquirer has reported about this what is anticipated to be this year’s biggest election issue, the retention of three sitting Pennsylvania Supreme Court justices. 

Stakeholder Meetings

DHS – Consumer Sub-MAAC – May 21

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on May 21 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – May 22

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on May 22 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

DOH – Spinal Cord Research Committee – May 23

The Spinal Cord Research Advisory Committee will hold a public meeting on Friday, May 23 from 10:00 a.m. to 11:00 a.m. The meeting will be held in person and virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

2025-05-16T19:25:46+00:00May 16th, 2025|Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for May 16
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PA Health Policy Update for May 9

The following is an update of selected state health policy developments in Pennsylvania from May 5 – 9.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives and Senate convened for voting session this week. The following is an overview of selected legislative activity that occurred.

  • The House of Representatives passed House Bill 1200, which legalizes and regulates adult-use cannabis, by a party-line vote of 102 – 101. The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 926, which seeks to prevent health care workplace violence by placing several requirements on health care facilities, by a vote of 124 – 79. The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 1117, which updates language defining DDAP’s duties and responsibilities. The bill will now be sent to the Senate for consideration.
  • The Senate passed Senate Bill 115, which requires the Department of Human Services to offer a skills competency exam in lieu of  high school diploma or GED requirements for individuals seeking employment as direct care staff in personal care homes or assisted living residences. The bill will now be sent to the House of Representatives for consideration.
  • The House Aging & Older Adult Services Committee held an informational meeting on Monday, May 5 regarding updates to Pennsylvania’s Older Adult Protective Services Act (OAPSA). A recording of the meeting is viewable here.
  • The House Judiciary Committee met on Monday, May 5 and favorably reported, among other bills, House Bill 282, which authorizes the Department of Corrections (DOC) to establish a medical assistance (i.e., Medicaid) reentry program for incarcerated individuals who are scheduled to be released and returning to the community. A recording of the meeting is viewable here.
  • The House Professional Licensure Committee met on Tuesday, May 6 and favorably reported, among other bills, House Bill 554, which authorizes the commonwealth to join the Social Work Licensure Compact.
  • The Senate Institutional Sustainability & Innovation Committee held an informational meeting on Wednesday, May 7 regarding hospital and health system sustainability in Pennsylvania. Testimony presented to the committee and a recording of the hearing are viewable here.
  • The House Health Committee met on Wednesday, May 7 and favorably reported, among other bills, House Bill 1269, which establishes a Brain Injury Advisory Board at the Department of Health (DOH). A recording of the hearing is viewable here.
  • The House Insurance Committee met on Wednesday, May 7 and favorably reported House Bill 1088, which expands maternal blood pressure monitoring coverage, and House Bill 1140, which expands access to contraceptives. A recording of the meeting is viewable here.
  • The House Judiciary Committee met on Wednesday, May 7 for an informational meeting on the Mental Health Procedures Act. A recording of the meeting is viewable here. 

The House of Representatives and the Senate will return to Harrisburg for voting session Monday, May 12 through Wednesday May 14. 

Department of Human Services 

The Department of Human Services (DHS) has announced it will hold a listening session on May 19 from 1:00 – 2:30 p.m. entitled, “Food is Medicine: Screening and Referral.” This is part of DHS’ Keystone of Health Section 1115 demonstration waiver initiative. The listening session is intended for representatives from health care and other settings that interact with consumers that may be eligible for Food is Medicine programs. Find additional information and register here.

DHS has issued Provider Quick Tip #207 with Medical Assistance (MA) program fee schedule updates for Act 62 of 2008, the Pennsylvania Autism Insurance Act, procedure codes.   

Department of Aging  

The Department of Aging has announced a 30-day public comment period on its updated Intrastate Funding Formula (IFF), which is used to distribute federal funding to the commonwealth’s 52 Area Agencies on Aging. Find additional information and details on how to comment in this Pennsylvania Bulletin notice. 

Around the State  

  • The House of Representatives’ passage of an adult-use cannabis legalization measure and its prospects in the Senate is the subject of an article published by Spotlight PA. Cannabis legalization and the revenue it would generate are a hallmark of Governor Shapiro’s FY 2025-26 budget proposal. 
  • An article written by City & State Pennsylvania highlights the Senate Institutional Sustainability & Innovation Committee’s hearing on the financial health of hospitals. 
  • Spotlight PA has published an article about security enhancements the Pennsylvania State Police will be making in response to the arson attack at the Governor’s Residence last month. 

Stakeholder Meetings

DHS – Consumer Sub-MAAC – May 21

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on May 21 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – May 22

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on May 22 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

2025-05-09T20:27:09+00:00May 9th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for May 9
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PA Health Policy Update for May 2

The following is an update of selected state health policy developments in Pennsylvania from April 28 – May 2.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives and Senate will reconvene in Harrisburg next Monday, May 5 through Wednesday, May 7. The following is an overview of selected health care-related legislative activity currently scheduled.

  • The House Aging & Older Adult Services Committee will hold an informational meeting on Monday, May 5 at 10:00 a.m. regarding Pennsylvania’s Older Adult Protective Services Act (OAPSA). The meeting will be held in Room G-50 of the Irvis Building and livestreamed here.
  • The House Judiciary Committee will meet on Monday, May 5 at 11:00 a.m. to consider, among other bills, House Bill 282, which authorizes the Department of Corrections (DOC) to establish a medical assistance (i.e., Medicaid) reentry program for incarcerated individuals who are scheduled to be released and returning to the community. The meeting will be livestreamed here.
  • The Senate Institutional Sustainability & Innovation Committee will hold an informational hearing on Wednesday, May 7 at 9:30 a.m. regarding hospital and health system sustainability in Pennsylvania. The hearing will be held Room 8E-B and livestreamed here.
  • The House Health Committee will meet on Wednesday, May 7 at 9:00 a.m. to consider, among other bills, House Bill 1269, which establishes a Brain Injury Advisory Board at the Department of Health (DOH). The hearing will be held in Room G-50 of the Irvis Building and livestreamed here.
  • The House Insurance Committee will meet on Wednesday, May 7 at 10:00 a.m. to consider House Bill 1088, which expands maternal blood pressuring monitoring coverage, and House Bill 1140, which expands access to contraceptives. The meeting will be held in Room B-31 of the Capitol and livestreamed here. 

Department of Human Services 

The Department of Human Services (DHS) has issued an updated Pennsylvania Medicaid Managed Care Directory.

DHS has issued its report on Medicaid managed care enrollment in Pennsylvania for the month of March 2025. 

Department of Health 

The Department of Health (DOH) commemorated its 120th Anniversary this week, reflecting on its history and mission of safeguarding the public’s health, and strengthening its commitment to improving health outcomes for all Pennsylvanians. Find additional information in this press release. 

Revenue Collection Update 

The Department of Revenue has announced Pennsylvania collected $6.2 billion in General Fund revenue in April, which was $363.2 million, or 6.2 percent, more than anticipated. Fiscal year-to-date General Fund collections total $39.4 billion, which is $328.8 million, or 0.8 percent, above estimate. 

Around the State  

  • City & State Pennsylvania has published an article about the federal funding challenges currently confronting medical and higher educations institutions.
  • The Philadelphia Inquirer’s Harold Brubaker has written an article about the closure of Crozer Chester Medical Center in Delaware County. 
  • The Erie Times-News has published an article about Pennsylvania health experts’ reflections of COVID-era missteps amid an increase in measles cases. 

Stakeholder Meetings

DOH – HIV Planning Committee – Meeting Cancelled

The Statewide HIV Planning Group public meeting scheduled for Wednesday, May 14 from 3:00 p.m. to 6:00 p.m. and on Thursday, May 15 from 9:00 a.m. to 2:30 p.m. has been cancelled. Find additional information on how to participate in this Pennsylvania Bulletin notice.

2025-05-02T20:27:52+00:00May 2nd, 2025|Financial, Meetings and notices, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for May 2
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PA Health Policy Update for April 25

The following is an update of selected state health policy developments in Pennsylvania from April 21 – 25.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives convened for voting session this week. The following is an overview of selected health care-related legislative activity.

  • The House of Representatives passed House Bill 269, which requires the Department of Health, in consultation with the Department of Drug & Alcohol Programs, to develop opioid overdose public education materials.
  • The House Insurance Committee held an informational meeting on Wednesday, April 23 to examine infertility care in Pennsylvania. A recording of the meeting is viewable here.
  • Senator Hughes hosted an intergovernmental roundtable with federal, state, and local policymakers and various health care stakeholders to discuss various proposals being considered in Washington, D.C. that could impact Pennsylvania’s Medicaid funding and the state’s health care system. Find additional information and a recording of the meeting in this press release. 

The House of Representatives and Senate are currently in recess. Both chambers will return to Harrisburg on Monday, May 5. 

Department of Human Services

Department of Health 

The Department of Health (DOH) has issued a Health Advisory (PA-HAN 791) to alert health care providers of an expected increase in tick bite-related health care visits and to exercise a heightened clinical suspicion of tickborne illnesses.  

DOH has published notice of its intent to effectuate the recommendation of the Medical Marijuana Advisory Board to add ‘Moderate to Severe Traumatic Brain Injury (TBI) with Chronic Symptoms’ and ‘Type II Diabetes Mellitus’ to the list of serious medical conditions for Chapter 20 research purposes only. Find additional information in this Pennsylvania Bulletin notice. 

Around the State

  •   The Morning Call has published an article about the impact of a potential $500 million loss of federal funding for Pennsylvania that has supported public health efforts and local health agencies.
  • An article written by WHYY details the current state of operations at Crozer Health amidst its impending closure. The Philadelphia Inquirer also published an article about this.  

Stakeholder Meetings

The Patient Safety Authority – April 29

The Patient Safety Authority board will hold a public meeting on Tuesday, April 29 at 10:30 a.m. The meeting will be held in person and virtually. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

DOH – Brain Injury Advisory Board – May 2

The Brain Injury Advisory Board will hold a public meeting on May 2 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person at the Pennsylvania Training and Technical Assistance Network, 6340 Flank Drive, Harrisburg, PA 17112 in the Cumberland conference room. Find additional details in this Pennsylvania Bulletin notice.

DOH – HIV Planning Committee – May 14

The Statewide HIV Planning Group will hold public meetings on Wednesday, May 14 from 3:00 p.m. to 6:00 p.m. and on Thursday, May 15 from 9:00 a.m. to 2:30 p.m. The meeting will be held in person and virtually. Find additional information on how to participate in this Pennsylvania Bulletin notice.

2025-04-25T22:14:16+00:00April 25th, 2025|Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for April 25
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PA Health Policy Update for April 18

The following is an update of selected state health policy developments in Pennsylvania from April 14 – 18.  (Some of the language used below is taken directly from state documents). 

Governor Shapiro 

An arsonist attacked the Governor’s Residence in Harrisburg on Sunday, April 13, which forced the Governor and his family, who were present at the time of the attack, to be evacuated. The suspect has been arrested and formally charged with attempted murder, terrorism, and other charges. Find additional details, and the Governor’s statement on political violence, in this press release. 

General Assembly

  • The state House of Representatives and Senate were recessed this week. The House of Representatives will return to Harrisburg on Tuesday, April 22. The Senate will remain recessed until Monday, May 5.
  • The House Majority Policy Committee held an informational meeting on Monday, April 14 examining the impact of the life science sector on advanced manufacturing and health care workforce development. Find additional details and a recording of the meeting here.
  • The House Majority Policy Committee also held an informational meeting on Tuesday, April 15 examining midwifery modernization and maternal health deserts in Pennsylvania. Find additional details and a recording of the meeting here.
  • The House Insurance Committee has scheduled an informational meeting on Wednesday, April 23 at 9:15 a.m. to examine infertility care in Pennsylvania. The meeting will be held in Room 523 of the Irvis Building and livestreamed here. 

Department of Human Services

  • The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers enrolled on the Medical Assistance (MA) program of updates to the MA program fee schedule, including the addition of new procedure codes and the end-dating of certain codes based on provider request and clinical review. These changes will take effect May 1.
  • DHS has issued a Medical Assistance Bulletin to advise federally qualified health centers (FQHCs) and rural health clinics (RHCs) of the procedure codes, modifiers, and places of service to utilize when billing for covered services provided to Medicaid beneficiaries.
  • DHS Secretary Val Arkoosh along with other health-related cabinet officials participated in the Western Pennsylvania Regional Rural Healthcare Summit to discuss opportunities and challenges communities face accessing health care services. Find more information in this press release.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through the month of May. Find the updated calendar here. 

Department of Health 

  • The Department of Health has announced that an individual from another state tested positive for measles while visiting Lancaster County after a trip to Texas, creating a potential for exposure to others. Find additional details and information about measles from DOH here.
  • The Newborn Screening and Follow-up Technical Advisory Board had voted to recommend the addition of Metachromatic leukodystrophy (MLD), a lysosomal storage disorder, to the commonwealth newborn screening panel effective January 1, 2026. Find additional information in this Pennsylvania Bulletin notice.
  • DOH has announced it will hold four public comment sessions to provide stakeholders an opportunity to comment on the development of the 2026 State Plan for the Pennsylvania Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program). Find additional information and details on how to participate in this Pennsylvania Bulletin notice. 

Around the State  

Crozer Health’s ongoing challenges, as well as efforts to transition certain service lines were the subject of an article published by The Philadelphia Inquirer.  

PA has published an article about measles, the increasing cases nationally, and growing vaccine hesitancy. 

Stakeholder Meetings

DHS – Pharmacy & Therapeutics (P&T) Committee – April 23

The Department of Human Services (DHS) has cancelled the April 23 Drug Utilization Board meeting and will instead hold an ad hoc P&T Committee meeting. Find registration information and details here. 

DHS – Consumer Sub-MAAC – April 23

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 23 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – April 24

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 24 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

The Patient Safety Authority – April 29

The Patient Safety Authority board will hold a public meeting on Tuesday, April 29 at 10:30 a.m. The meeting will be held in person and virtually. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

DOH – Brain Injury Advisory Board – May 2

The Brain Injury Advisory Board will hold a public meeting on Friday, May 2 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person at the Pennsylvania Training and Technical Assistance Network, 6340 Flank Drive, Harrisburg, PA 17112 in the Cumberland conference room. Find additional details in this Pennsylvania Bulletin notice.

2025-04-18T17:47:31+00:00April 18th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for April 18
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PA Health Policy Update for April 11

The following is an update of selected state health policy developments in Pennsylvania from April 7 – 11.  (Some of the language used below is taken directly from state documents). 

General Assembly

The state House of Representatives convened in Harrisburg this week. The following is an overview of selected health care-related legislative activity.

  • The House of Representatives passed House Bill 640, which updates annual reporting requirements for the Department of Drug & Alcohol Programs (DDAP). The bill will now be sent to the Senate for consideration.
  • The House of Representatives passed House Bill 409, which requires health care providers to inform patients that they will be receiving their test results in their electronic health record, or that they can request to receive the results in the mail. The bill will now be sent to the Senate for consideration.
  • The House Aging & Older Adult Services Committee held an informational meeting on Monday, April 7 to examine potential updates to the Older Adult Protective Services Act (OAPSA). A recording of the meeting is viewable here.
  • The House Human Services Committee met on Tuesday, April 8 and favorably reported House Bill 561, which expands Act 80 to include all FDA-approved medication assisted treatment, and House Bill 1117, which updates language defining DDAP’s duties and responsibilities. A recording of the meeting is viewable here.
  • The House Insurance Committee met on Tuesday, April 8 and favorably reported House Bill 433, which eliminates out-of-pocket costs for diagnostic imaging related to breast cancer. A recording of the meeting is viewable here.
  • The House Health Committee met on Wednesday, April 9 and favorably reported, among other legislation, the following pertinent bills. A recording of the meeting is viewable here.
    • House Bill 69, which expands the existing Cancer Drug Repository program to other prescription drugs.
    • House Bill 79, which establishes uniform hospital-based financial assistance forms and requirements.
    • House Bill 1104, which caps the costs of obtaining electronic medical records.

The House of Representatives and the Senate have now recessed. The House will reconvene Tuesday, April 22 and the Senate will reconvene Monday, May 5. 

Department of Human Services 

  • The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to remind physicians, physician assistants (PAs), and certified registered nurse practitioners (CRNPs) enrolled in Medicaid that they are able render topical fluoride varnish (TFV) services to Medicaid beneficiaries.
  • DHS has issued a reminder to all participating Medicaid providers of the need to complete a “MA 112 Form” after the birth of a child to a mother enrolled in Medicaid in order to notify the mother’s respective county assistance office (CAO).  The “MA 112 Form” should be completed and submitted within three working days of the child’s birth.
  • DHS has published final notice of its funding allocation for FY 2024-25 for several classes of inpatient disproportionate share hospital (DSH) and supplemental payments to Medicaid-enrolled, qualifying inpatient acute care general hospitals. Find additional information in this Pennsylvania Bulletin notice. 

Around the State  

  • CBS News has published an article about the continued challenges facing Crozer Health in Delaware County. An attorney for Prospect Medical Holdings, the parent company of Crozer, indicated Crozer would start transitioning certain service lines to other providers.
  • Pennsylvania’s home care industry and its need for additional funding was the focus of an article by Politics PA this week.
  • The Pennsylvania Capital-Star has published an article about increasing measles cases in the state and some counties’ lagging vaccination rates. 

Stakeholder Meetings

DOH – WIC State Advisory Board – April 22

The WIC State Advisory Board will hold a public meeting on April 22 from 1:00 p.m. to 2:00 p.m. The purpose of the meeting is to collaborate to gather suggestions of strategies for increasing participation and improving the WIC program to better support participants. The meeting will be held in person and virtually. Find additional details and information on how to participate in this Pennsylvania Bulletin notice. 

DHS – Pharmacy & Therapeutics (P&T) Committee – April 23

The Department of Human Services (DHS) has cancelled the April 23 Drug Utilization Board meeting and will instead hold an ad hoc P&T Committee meeting. Find registration information and details here. 

DHS – Consumer Sub-MAAC – April 23

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 23 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – April 24

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 24 at 10:00 a.m. The meeting will be held virtually. Click here for additional information. 

DOH – Renal Disease Advisory Committee – April 25

The Renal Disease Advisory Committee will hold its quarterly public meeting on Friday, April 25 from 10:00 a.m. to 12:00 p.m. The purpose of the meeting is to discuss new and ongoing issues relating to treatment of chronic renal disease and the Department of Health’s programs related to care and treatment. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

The Patient Safety Authority – April 29

The Patient Safety Authority board will hold a public meeting on Tuesday, April 29 at 10:30 a.m. The meeting will be held in person and virtually. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

2025-04-11T22:36:44+00:00April 11th, 2025|Governments, Medical Assistance Bulletin, Pennsylvania Bulletin|Comments Off on PA Health Policy Update for April 11
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  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

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