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PA Health Policy Update for October 9

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

General Assembly

The House and Senate returned to session this week from Monday through Wednesday and advanced the following healthcare-related legislation:

  • Monday October 5
    • The House Communications & Technology Committee met and unanimously advanced HB 806, requiring disclosure of AI generated content.
    • The House passed the following bills:
      • HB 2657, regulating Kratom in PA, unanimously.
      • HB 2614, legislation to prohibit toxic additives in IV bags and medical equipment, unanimously.
      • HB 1652, adding Gaucher’s Disease to the Newborn Screening Panel, by a vote of 195-7.
      • HB 1434, increasing penalties for e-cigarette sales to minors, unanimously.
      • HR 582, recognizing Childhood Cancer Awareness Month, unanimously.
  • Tuesday October 6
    • The House Human Services Committee met and unanimously passed HB 1939, legislation to set market index for Intellectual Disability & Autism Direct Service Provider rates with amendment and HR 627, directing the Joint State Government Committee to study suicide prevention and data collection efforts.
    • The House Professional Licensure Committee met and advanced SB 1334, legislation proposing additional regulations and oversight of medical imaging and radiation therapy.
    • The House Education Committee met to consider HB 2787, an AI-healthcare bill prohibiting the use of AI in student mental health services.
    • The Senate Health & Human Services Committee met and voted out:
      • SB 865, requiring screening for Medetomidine during drug testing in hospitals, unanimously.
      • SB 1147, providing reimbursement for EMS when patient treatment is rendered without transportation, unanimously.
      • SB 1196, legislation to provide parity between opioid and non-opioid pain medications, unanimously.
      • SB 1424, adding Gaucher’s Disease to the Newborn Screening Panel
  • The Senate Banking & Insurance Committee met and voted on:
      • SB 1315, providing for fertility preservation coverage for those in cancer treatment, unanimously as amended.
      • SB 1439, enhancing fraud protections in PA’s state-based health insurance exchange, Pennie®, unanimously as amended.
      • HB 2464, replacing outdated terms in PA’s Insurance statutes, unanimously.
      • HB 2473, repealing obsolete provisions and completed studies in PA’s Insurance statutes, unanimously.
    • The House passed the following bills:
      • HB 2702, removing the sunset provision of the PA Health Care Cost Containment Council, by a margin of 200-3.
      • HB 1411, enhancing menopause education for healthcare providers, by a measure of 189-14.
      • SB 115, a long-term care workforce flexibility legislation, which was amended 131-72 to include language to enact the PA False Claims Act.
    • The Senate passed the following bills:
      • SB 535 and SB 536, both of which provide for genetic testing and genetic counseling services in osteopathic medical practice and medical practice, unanimously.
  • Wednesday October 7
    • The House Communications & Technology Committee met and advanced HB 2637, setting a moratorium on AI Chatbots in children’s toys, by a margin of 24-2 with amendments.
    • The House Health Committee met and advanced:
      • SB 730, the PA Orders for Life Sustaining Treatment (POLST) legislation, by a margin of 14-12.
      • SB 804, legislation prohibiting toxic additives in IV bags and medical equipment, unanimously.
      • HB 2593, legislation enhancing prostate cancer education and awareness, by a margin of 25-1, with amendment.
      • HR 534, commissioning a Joint State Government Commission study on Medical Student Choice in Primary Care, by a margin of 25-1.
    • The House passed:
      • SB 115, a long-term care workforce flexibility legislation and PA False Claims Act, by a margin of 139-64
      • SB 806, requiring the disclosure of AI generated content, by a margin of 163-40.
      • HB 2135, adding workplace protections for those experiencing menopause and perimenopause, by a margin of 125-78.
      • HB 1346, requiring private insurance coverage of menopause treatment, by a margin of 146-57.
      • HB 1345, requiring coverage of menopause treatment in Medicaid, by a margin of 193-10.

The House and Senate will both return to session on Monday October 19th through Wednesday October 21st.

The following are healthcare-related bills or cosponsor memos released by legislators this past week

  • Rep. Marla Brown issued a cosponsor memo for legislation to require suspicious death reviews of older adults.
  • Rep. Jessica Benham circulated a cosponsor memo for legislation placing a reimbursement floor in commercial insurance plans for pharmacy services.
  • Sen. Dave Argall released a cosponsor memo for legislation allowing DDAP to purchase generic brands of naloxone.
  • Rep. Pat Gallagher introduced HB 2827, which would update the scope of Physician Associates in the Medical Practice Act.
  • Rep. Eric Nelson released HB 2842, legislation to clarify judgement interest in medical malpractice suits. 

Department of Aging

The Department announced free Medicare choice counseling beginning October 15th offered through PA MEDI to help Pennsylvanians navigate the Medicare open enrollment period. 

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

DHS issued a notice of fee increases for Direct Nursing Services provided by a Home Health agencies in the MA program.

The Department issued updated guidance and details on Error Status Codes for October 2026.

Department of Health

DOH announced 1,078 measles cases confirmed as of Wednesday, October 7th across 41 counties in Pennsylvania so far for 2026.

The Department issued formal notice of withdrawal of its proposed Chapter 27 Communicable Disease Regulations. 

Independent Regulatory Review Commission

IRRC will hold their public hearing on October 15th to consider DHS’ Mental Health Procedures Act Final Form Regulations and several other updates to state licensure boards. 

State Licensure Boards

The State Board of Nursing issued formal notice of final form regulatory updates for Certified Registered Nurse Anesthetists along with updates to application & renewal fees.

The State Board of Optometry issued formal notice of final form regulatory updates to continuing education requirements. 

Stakeholder Meetings

The Department of Health has scheduled the following advisory meetings:

DHS’ Office of Mental Health & Substance Abuse Services (OMHSAS) will host a series of youth suicide prevention trainings held on Tuesdays from 12-1pm beginning on September 29th and concluding in April 2027.

The Department of Health’s HIV Community Prevention Planning Committee will hold its public meetings on Wednesday, November 18th and Thursday, November 19th, both from 9am-2pm. 

Federal Update

Click here for a review of this week’s federal activities.

2026-10-10T07:51:01+00:00October 9th, 2026|Governments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for October 9

PA Health Policy Update for October 2

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

General Assembly

The House and Senate returned to session this week from Monday through Wednesday and advanced the following healthcare-related legislation:

  • Monday September 28
    • The House Children & Youth unanimously voted favorably on HR 582, recognizing Childhood Cancer Awareness; HR 602, recognizing Infant Safe Sleep Month; and HR 609, recognizing Prematurity Awareness Month and Day.
    • The House Communications & Technology Committee held a hearing on HB 2637, a moratorium on AI Chatbots in children’s toys.
    • The House Human Services Committee met and unanimously voted favorably on HB 1345, with amendment, legislation requiring Medicaid Coverage of menopause treatments; HR 612, recognizing National Recovery Month; HR 613, recognizing Medium-Chain Acyl-Coenzyme A Dehydrogenase (MCAD) Deficiency; HR 615, recognizing White Cane Safety Day; and SB 115, Creating a competency exam pathway for direct care workers without a high school diploma or GED.
    • The House voted favorably on the following healthcare-related bills:
      • HB 2378, which updates flu vaccine offering to age 50, by a margin of 157-46.
      • HB 2649, which requires fertility preservation coverage for cancer patients, by a margin of 172-31.
  • Tuesday September 29
    • The Senate Law & Justice Committee met and voted on SB 1035, providing access to medical cannabis in healthcare facilities (11-0).
    • The House Health Committee met and advanced HB 1411, legislation enhancing menopause education for medical practitioners (24-2); HB 2657, regulating Kratom in PA (26-0); HB 2702, removing the sunset provision for the PA Health Care Cost Containment Council (24-2); HR 591, recognizing Community Health Workers; HR 597, recognizing Alopecia Awareness Month (26-0); HR 604, recognizing Suicide Prevention Month and Day (26-0); HR 605, recognizing Chiari Malformation Awareness Month (26-0); HR 616, recognizing Ovarian Cancer Awareness Month (26-0); and HR 625, recognizing World Cerebral Palsy Day (26-0).
    • The House Consumer Protection, Technology, & Utilities Committee met to re-refer HB 2648, legislation prohibiting the changing of health insurance coverage terms within a contract year, to the House Insurance Committee.
    • The House Aging & Older Adult Services Committee met and voted on HB 1244, coverage and education for Pelvic Floor treatments (22-4); HB 1346, providing for insurance coverage for menopause treatments (24-2); HB 1827, measures to prevent hip fractures (23-3); HB 2545, insurance coverage for vaginal estrogen and UTI prevention (23-3); HR 623, recognizing Ageism Awareness Day (26-0), and HR 628, recognizing September as LIFE Awareness Month (26-0).
    • The House voted favorably on the following healthcare-related resolution:
      • HR 287, which directs the Joint State Government Committee to study Perimenopause and Menopause policies, by a margin of 159-44.
  • Wednesday September 30
    • The House Professional Licensure Committee met to vote on HB 2774, an omnibus licensure compact authorization (17-9); HR 631, recognizing Respiratory Care Week, unanimously; SB 114, streamlining the Nurse Aide training and education requirements unanimously; and SB 1133, updating members of the State Board of Pharmacy, unanimously.
    • The Senate Aging & Youth Committee met and unanimously voted out SB 807, legislation to create a statewide elder abuse registry.
    • The Senate Institutional Sustainability met to unanimously vote out SB 1403, which expands facilities eligible for EMS transport for patients in mental and behavioral health crisis.
    • The House voted favorably on the following healthcare-related bills:
      • HB 2653, which would require insurance networks to include any willing behavioral health providers, by a margin of 120-83.
      • HB 1925, which would regulate the use of AI in healthcare, by a margin of 144-59.
      • HR 628, recognizing September as Living Independence for the Elderly (LIFE) Awareness Month, by a margin of 202-1.
      • HR 612 unanimously acknowledging September as National Recovery Month.
      • HR 604, recognizing National Suicide Prevention Awareness Month and Day, by a margin of 202-1
      • HR 575, acknowledging Prostate Cancer Awareness Month, 201-2.
      • HR 546, recognizing Frontotemporal Degeneration Awareness Week, by a margin of 202-1.
    • The Senate voted favorably on the following healthcare-related bills:
      • HB 1442, which would require all autopsies performed by coroners & medical examiners to examine whether a death resulted from seizure or epilepsy, by a margin of 49-1.
      • SB 1376, which would codify training, communication and reporting requirements in older adult protective services, by a margin of 33-16.
      • SB 738, which adds provisions and protections to the Older Adult Protective Services Act related to older adult financial exploitation, by a vote of 47-2.

Next week, we expect the following healthcare-related bills to be considered:

  • Monday
    • The House Communications & Technology Committee will meet to consider HB 806, requiring disclosure of AI generated content.
  • Tuesday
    • The House Human Services Committee will meet to consider HB 1939, legislation to set market index for Intellectual Disability & Autism Direct Service Provider rates and HR 627, directing the Joint State Government Committee to study suicide prevention and data collection efforts.
    • The House Education Committee will meet to consider HB 2787, an AI-healthcare bill prohibiting the use of AI in student mental health services
  • Wednesday
    • The House Health Committee will meet to consider HB 2593, legislation for provider education and awareness on Prostate Cancer; HR 534, legislation directing a study on Medical Student Choice in Primary Care; and SB 804, legislation to prohibit toxic additives in IV bags and medical equipment.

The following are healthcare-related bills or cosponsor memos released by legislators this past week

  • Rep. Jason Ortitay released HB 2797, which provides changes to the 340B drug provisions, reimbursement, and access.
  • Rep. Liz Hanbidge introduced HB 2819, which provides for preeclampsia testing coverage.
  • Sen. Christine Tartaglione introduced SR 383, which acknowledges Breast Cancer Awareness Month & National Mammography Day in 2026.
  • Rep. John Lawrence circulated a cosponsor memo for legislation to allow for a court-based Death Certificate amendment process.
  • Rep. Chris Rabb circulated a cosponsor memo for legislation to help protect healthcare practitioners from out-of-state investigations and legal actions.
  • Rep. Lisa Borowski circulated a cosponsor memo for legislation to create a new Primary Care Investment Collaborative. 

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

In their Medicaid Toolkit, DHS released information on changes to the retroactive coverage window for Medicaid recipients which take effect January 1st, how recipients can prepare, and how and where to find more information on the changes.

The Department released an Rural Health Transformation Program (RHTP) resource guide pooling together helpful information regarding PA’s approach to RHTP.

DHS issued MA Bulletins with updates to retroactive eligibility for MA beneficiaries and updated guidance on hospital presumptive eligibility determinations effective October 1, 2026 to align with federal changes made by the Working Families Tax Cut legislation impacting:

  • Lawful Permanent Resident/Other Qualified Noncitizen
  • Temporary Residents
  • Refugees/Asylees/Parolees
  • Refugee Unaccompanied Minors

The Department issued an MA Bulletin for updates to Medical Assistance Program Fee Increases for Direct Nursing Services Provided by a Home Health Agency.

DHS’s Office of Mental Health & Substance Abuse Services (OMHSAS) issued a Remittance Advice notice for fee for service codes.

The Department released an MA Bulletin for direct nursing services provided by home health agencies in MA fee for service.

DHS issued its August 2026 MA Enrollment Report.

Department of Health

DOH announced on Wednesday, September 30th, a fifth measles-associated death along with 943 measles cases confirmed across 39 counties in Pennsylvania so far in 2026.

The Department issued a Health Alert Network Advisory regarding cases of La Crosse Virus in Crawford County. 

Independent Regulatory Review Commission

IRRC scheduled a public hearing at 10am on October 15th for DHS’ Mental Health Procedures Act Final Form Regulations and several other updates to state licensure boards.

Department of Revenue

The Department of Revenue released September 2026 revenue collections.  Pennsylvania collected $4.8 billion in General Fund revenue in September, which was $550.8 million, or 12.8 percent, more than anticipated. Fiscal year-to-date General Fund collections total $11.2 billion, which is $529.3 million, or 4.9 percent, above estimate.  Strong corporate net income tax collections attributable to rescinded federal tariffs were a primary contributor.   

Stakeholder Meetings

The Department of Health has scheduled the following advisory meetings:

DHS’ Office of Mental Health & Substance Abuse Services (OMHSAS) will host a series of youth suicide prevention trainings held on Tuesdays from 12-1pm beginning on September 29th and concluding in April 2027.

The Department of Health’s HIV Community Prevention Planning Committee will hold its public meetings on Wednesday, November 18th and Thursday, November 19th, both from 9am-2pm. 

Federal Update

Click here for a review of this week’s federal activities.

PA Health Policy Update for September 18

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

General Assembly

The following are healthcare-related bills or cosponsor memos released by legislators this past week

  • Representatives Maureen Madden & Steve Mentzer issued a co-sponsor memo recognizing September 2026 as Living Independence for the Elderly (LIFE) Month in PA.
  • Rep. Keith Greiner circulated a co-sponsor memo for legislation to broaden aggravated assault protections for behavioral health workers in their provision of services to patients.
  • Senators Judy Ward and Maria Collett released a co-sponsor memo recognizing September 2026 as Living Independence for the Elderly (LIFE) Month in PA.
  • Sens. Nick Miller and Maria Collett issued a co-sponsor memo for legislation to prohibit the usage of AI in behavioral healthcare with the exception of administrative functions.
  • Sen. Lisa Boscola circulated a co-sponsor memo for legislation requiring the disclosure of PFAS intentionally added to consumer products & packaging.
  • Senators Amanda Cappelletti and Nick Pisciottano issued a co-sponsor memo for legislation providing for paid leave for parents of children in NICUs.
  • Rep. Dan Frankel introduced HB 2770, legislation adding transparency to DHS from pharmaceutical manufacturers on drug acquisition costs for the Medicaid program.
  • Rep. Arvind Venkat introduced HB 2773, legislation prohibiting health insurers from imposing unilateral modification of contract terms and interpretations.
  • Rep. Sean Dougherty introduced HR 618, a resolution to study the state of mental health treatment in county jails. 

Department of Human Services

In an ever-changing healthcare landscape, stay plugged in to DHS updates for managing HR 1, new rules and regulations, among others. DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – covers DHS program updates, agency news, and how organizations and partners can help their communities.

DHS announced next steps to protect Supplemental Nutrition Assistance Program (SNAP) benefits from skimming and theft by transitioning to chip-enabled EBT cards, which will begin to be automatically mailed to SNAP recipients starting in late Spring 2027.

DHS released a new video explaining upcoming changes for some Medicaid recipients, how they can prepare, and how and where to find more information on the changes.

The Department issued its October 2026 Remittance Advice Date delivery information.

DHS announced its FY26-27 Medical Assistance Day One Incentive payments to non-public Nursing Facilities.

Department of Health

The PA Health Alert Network is moving to a new platform so current users are encouraged to register with the new platform here to continue to receive alerts.

DOH announced on Tuesday, September 16, that 731 measles cases have been confirmed across 38 counties in Pennsylvania so far in 2026.

DOH issued notice of the addition of Duchenne Muscular Dystrophy to the Recommended Uniform Screening Panel (RUSP) which will take effect January 1, 2027.

The Department issued a PA Health Alert Network advisory noting an increase in medetomidine withdrawal symptoms observed by hospitals in Allegheny County along with guidance for providers on notifications. 

PA Health Care Cost Containment Council

PHC4 released its 2025 Outpatient Procedures Report detailing the volume of surgeries performed at hospitals and ambulatory surgical centers in PA. 

Independent Regulatory Review Commission

IRRC issued notice of final rulemaking on several packages including healthcare related updates for Massage Therapy, Nursing Home Administrators, and Nursing. 

State Board of Dentistry

The Board of Dentistry issued a statement of policy regarding mobile dental units. 

Stakeholder Meetings

DHS’ Office of Mental Health & Substance Abuse Services (OMHSAS) will host a series of youth suicide prevention trainings held on Tuesdays from 12-1pm beginning on September 29th and concluding in April 2027.

The Department of Health’s HIV Community Prevention Planning Committee will hold its public meetings on Wednesday, November 18th and Thursday, November 19th, both from 9am-2pm. 

Federal Update

Click here for a review of this week’s federal activities.

2026-09-18T19:53:35+00:00September 18th, 2026|Financial, Governments, Meetings and notices, Pennsylvania Bulletin|Comments Off on PA Health Policy Update for September 18

PA Health Policy Update for May 22

The following is an update of selected state health policy developments in Pennsylvania from May 18 –May 22 (Some of the language used below is taken directly from state documents). 

Primary Election

Pennsylvania’s Primary Elections were held on Tuesday May 19th. Four sitting House members, Republican Bud Cook and Democrats Keith Harris, Ana Tiburcio, and Greg Vitali were defeated by their challengers.

In the Special Election to fill the vacant seat in the 196th Legislative District in York County, Republican George Margetas was elected to serve for the remainder of the legislative session. 

General Assembly

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Nate Davidson and Rep. Catherine Wallen released a co-sponsor memo for legislation to prohibit insurers from limiting access to drugs within the FDAs accelerated approval pathway.
  • Rep. Mary Jo Daley issued a co-sponsor memo for legislation to codify the right to access and use fertility treatments.
  • Se. Amanda Cappelletti circulated a co-sponsor memo for a resolution designating Pediatric Brain Cancer Awareness Day.
  • Rep. Greg Scott introduced HB 2529 which would schedule Medetomidine as a Schedule III Controlled Substance in Pennsylvania.
  • Rep. Arvind Venkat introduced HR 534, a resolution to study Medical Student Choice in Primary Care.
  • SB 1334, introduced by Sen. Lynda Culver, would provide regulations and oversight to Medical Imaging & Radiation Therapy modalities.
  • Sen. Tracy Pennycuick and Sen. Nick Miller released SB 1315 which would ensure fertility preservation coverage for individuals in cancer treatment.

The House and Senate will return on Monday June 1st.

Pennsylvania Insurance Department

The Department announced the release of its report on the business practices and impacts therein of Pharmacy Benefit Managers required by Act 77 of 2024. The report examines the impacts of spread pricing, patient steering and the potentials for an increased dispensing fee. The report also highlights some policy recommendations for continued reforms related to PBMs. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

Federal Update

Click here for a review of this week’s federal activities.

2026-05-22T19:00:12+00:00May 22nd, 2026|Governments, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for May 22

PA Health Policy Update for April 10

The following is an update of selected state health policy developments in Pennsylvania from April 6 –April 10 (Some of the language used below is taken directly from state documents). 

General Assembly

The House returns to session next week where we anticipate the following actions:

  • Monday
    • The House Judiciary Committee is scheduled to vote on several bills, one of which is HB 1104 which proposed to cap fees for obtaining medical records.
    • The House Human Services Committee will hold a hearing on the impacts of HR 1 on the SNAP Program in PA.
  • Tuesday
    • The House Health Committee will hold a hearing on HB 836, preserving access to fertility treatment; HB 916, providing for further Blood Lead Testing; and HB 2254, which would allow for medical marijuana usage in licensed healthcare facilities; along with several resolutions.
    • The House Aging & Older Adult Services Committee will hold an informational hearing on the LIFE Program.
    • The House Democratic Policy Committee will hold a public hearing on Black Maternal Health and Hospital Accountability.

The Senate is scheduled to return to session the following week.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Danilo Burgos introduced House Bill 2368 to create the Healthcare Human Trafficking Screening and Intervention Act to provider greater structure and increased requirements for human trafficking intervention protocols.
  • House Bill 2364, introduced by Rep. Nikki Rivera would expand the scope of physical therapy services to include dry needling.
  • Sen. Tracy Pennycuick released a co-sponsor memo for legislation to require drug & alcohol recovery residences to obtain licensure within three years.
  • A co-sponsor memo was released by Sen. Maria Collett for legislation to create a Commission on Comprehensive Health Coverage. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS issued a Medical Assistance Bulletin for Prior Authorization Guidelines for Pediatric Adaptive Seating Equipment.

The Department shared remittance advice alerts for Fee-for-Service Relative Weight Adjustments.

Governor’s Advisory Commission on Women

The Governor’s Advisory Commission on Women has released a “State of the Woman” Survey to assess the experiences of women living in the Commonwealth. The survey is open through May 30th.

State Board of Pharmacy

The State Board of Pharmacy issued notice of final deemed approved regulations on Injectable Medications. 

Independent Fiscal Office

The Independent Fiscal Office provided a state budget and economic update to the Education Policy and Leadership Center.  The report highlights state population decline and migration, limited job growth with the largest driver being the health care sector, and state general fund revenue and spending trends.  The presentation can be found here. 

Stakeholder Meetings

The Department of Health’s Renal Advisory Committee will hold their quarterly public meeting on April 17th from 10am-Noon.

The Patient Safety Authority will hold a public meeting on April 28th at 1pm.

DOH’s Special Pharmaceutical Benefits Program will hold a public teleconference on April 30th from 10am to Noon.

Federal Update

Click here for a review of this week’s federal activities.

2026-04-10T21:18:43+00:00April 10th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for April 10

PA Health Policy Update for March 6

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

General Assembly

Appropriations Committee hearings were held this week examining the Governor’s 26-27 Budget with executive agencies. Below are links to watch the relevant health & human services hearings that have been held so far along with a schedule for forthcoming hearings in the next two weeks.

Upcoming Hearings:

  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: House – Mar. 12th at 10am
  • Department of Health and Department of Drug & Alcohol Programs: Mar. 12th at 1pm

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Senators Devlin Robinson and Chris Gebhard released a co-sponsor memo for legislation to include Medicaid Fee for Service coverage for biomarker testing.
  • Sen. Michele Brooks issued a co-sponsor memo for two-year licensure for programs licensed by the Department of Drug & Alcohol Programs.
  • Rep. Paul Takac and Rep. Tina Pickett introduced House Bill 2265, which would require on-site Emergency Physicians in all Hospital Emergency Departments.
  • Rep. Dan Frankel sponsored House Bill 2254, which would require healthcare facilities in PA to allow certain medical marijuana use for terminally ill patients.

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS released updated prior authorization guidelines for GLP-1 medications in the MA program.

The Department issued fee schedule rate updates for Office of Developmental Programs’ Consolidated, Community Living, and Person/Family Directed Support Waivers and Targeted Support Management.

Department of Health

DOH released notice for their MCARE Act Surcharge for Ambulatory Surgical Facilities in PA.

Department of Aging

The Department of Aging released a bulletin notice for a reorganization of the Department. 

Stakeholder Meetings

DOH’s Statewide HIV Planning Group will hold a public meeting on Wednesday Mar. 18th from 10am to Noon.

The Independent Regulatory Review Commission will review proposed updates to the State Board of Pharmacy’s Final Immunization Regulation Updates at a public meeting on March 19th at 10am.

DOH’s Medical Marijuana Advisory Board released their schedule of board meetings for 2026 with the first upcoming on March 26th from 10:30am to 12:30pm.

The Council on Aging released their 2026 Meeting Schedule. 

Federal Update

Click here for a review of this week’s federal activities.

2026-03-06T17:30:01+00:00March 6th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for March 6

PA Health Policy Update for February 20

The following is an update of selected state health policy developments in Pennsylvania from February 16 – February 20 (Some of the language used below is taken directly from state documents). 

General Assembly

Senate and House Appropriations Committee Hearings relevant to healthcare and human services are underway this upcoming week with key hearings are as follows:

  • Insurance Department: House – Feb. 24th at 10am
  • Department of Health & Department of Drug & Alcohol Programs: House – Feb. 24th at 1pm
  • Department of Human Services: Senate – Feb. 25th at 10am; House – Mar. 4th at 10am
  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: Senate – Mar. 4th at 1pm; House – Mar. 12th at 10am

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Frank Burns released a co-sponsor memo for legislation requiring prescriptions for MA recipients to be filled by any pharmacist in good federal & state standing.
  • Rep. Bridget Kosierowski and Rep. Natalie Mihalek issued a co-sponsor memo for legislation allowing the coverage of medically-tailored meals prescribed for Medicaid recipients.
  • A co-sponsor memo circulated by Senators Lynda Schlegel Culver and Nick Pisciottano

would provide for legislation to regulate and license medical imaging and radiation therapy.

  • Sen. Doug Mastriano has issued a co-sponsor memo for legislation to enhance EMS within PA by elevating the EMS Director position in DOH to a Deputy Secretary role, along with additional regulatory flexibilities and educational requirement changes.
  • PBM reforms highlighted in a co-sponsor memo released by Senators Wayne Langerholc, Judy Ward, and Pat Stefano would institute Attorney General reviews to the PBM contracting and adjudication process, allowing PBMs to appear in PA courts for legal cause of action, among other reforms expanding on the PBM reforms of Act 77 of 2024.
  • Rep. Emily Kinkead introduced House Bill 2226 which would ensure that all patient out of pocket costs like co-pays and other assistance are credited towards out-of-pocket cost limits of insurance plans.

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS released 2026 Income Limits for presumptive eligibility of pregnant women in Medicaid.

The Department issued its March 2026 remittance advice as well as remittance advice for date of death recovery.

Independent Regulatory Review Commission

The Commission will review proposed updates to the State Board of Pharmacy’s Final Immunization Regulation Updates at a public meeting on March 19th at 10am. 

Stakeholder Meetings

The Department of Health’s Newborn Screening and Follow Up Technical Advisory Board will meet on March 3rd from 10am to Noon.

DOH’s Medical marijuana Advisory Board released their schedule of board meetings for 2026 with the first upcoming on March 26th from 10:30am to 12:30pm.

The Department of Health’s WIC Advisory Board will hold their meeting rescheduled from January 26th on March 5th from 1pm to 2pm. 

Federal Update

Click here for a review of this week’s federal activities.

2026-02-20T21:51:13+00:00February 20th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for February 20

PA Health Policy Update for February 13

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

Governor’s Office

As highlighted in the Governor’s Budget Proposal, Governor Shapiro released his Housing Action Plan this week proposing strategic initiatives to compact housing instability and increase affordability. 

General Assembly

Beginning next week, the Senate Appropriations Committee will begin their work reviewing the Governor’s Budget Proposal inviting Commonwealth Agency heads to testify on their respective budget proposals. The House Appropriations Committee will begin their hearings the following week. Key hearings are as follows:

  • Insurance Department: House – Feb. 24th at 10am
  • Department of Health & Department of Drug & Alcohol Programs: House – Feb. 24th at 1pm
  • Department of Human Services: Senate – Feb. 25th at 10am; House – Mar. 4th at 10am
  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: Senate – Mar. 4th at 1pm; House – Mar. 12th at 10am

On Wednesday, the House Democratic Policy Committee held a hearing in Scranton which can be viewed here on threats and strains on community hospitals across the Pennsylvania.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Melissa Shusterman and Rep. La’Tasha Mayes issued a co-sponsor memo for legislation placing restrictions on the activities of US Immigration & Customs Enforement (ICE) in Pennsylvania hospitals.
  • A co-sponsor memo released by Rep. Maureen Madden and Rep. Darisha Parker for a bill that would broaden PA’s age requirements for the flu vaccine from age 65 to age 50.
  • Rep. Johanny Cepeda-Freytiz and Rep. Mike Schlossberg circulated a co-sponsor memo for a resolution designating May as Mental Health Awareness Month in PA.
  • Sen. Judy Ward released a co-sponsor memo designating March 7th as Suddenly Sleepy Saturday for Narcolepsy Awareness in PA.
  • Rep. Joe Hogan introduced House Bill 2201, which would create the PA Physical Health Improvement Tax Credit program.
  • House Bill 2212, introduced by Rep. Steve Malagari would require health insurers in integrated delivery networks to allow patient access to physician-owned facilities that meet certain standards.
  • Reps. Jeanne McNeill, Chris Pielli, and Greg Scott issued House Bill 2215 which regulates the use of AI by minors through implementing age verifications for use, prohibiting sexually explicit content, and prohibiting encouragement of self-harm or sexual violence.

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS’ Office of Mental Health & Substance Abuse Services is seeking new members for its Mental Health Planning Council. Applications must be received by March 31st. More information on how to apply can be found here.

Independent Fiscal Office

The IFO released its long-term budget outlook this week once again highlighting concerns with projected deficits in the coming fiscal years. 

Federal Update

Click here for a review of this week’s federal activities.

2026-02-13T21:10:06+00:00February 13th, 2026|Governments, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for February 13

PA Health Policy Update for January 30

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

Governor’s Office

Governor Shapiro will offer his annual budget address, laying out his priorities for the 2026-2027 Fiscal Year Budget, before a joint session of the House and Senate on Tuesday Feb. 3rd. You can watch the address live at 11am on Tuesday.

The Governor’s Office of Policy & Planning released its updated Regulatory Agenda detailing estimated timelines for the release of proposed or final regulations to the Independent Regulatory Review Commission. The Department of Health estimates that it will publish proposed changes to the hospital regulations in May 2026. 

General Assembly

The House and Senate will both convene next week in session Monday through Wednesday and will convene in joint session for the Governor’s Budget Address Tuesday morning.

The House also has another vacancy as Rep. Seth Grove of York County resigned his office effective January 31st. Rep. Grove most recently chaired the House Labor & Industry Committee and previously chaired the House Appropriations Committee. Until special elections are finalized this leaves the House with five vacancies and a balance of power at 100 (D) – 98 (R).

The House passed HB 348, sponsored by Rep. Tim Bonner, by a measure of 199-0. This legislation would require nursing facilities to make residents aware of the option to have legal counsel assist residents with their eligibility for Medical Assistance. The bill now moves to the Senate for its consideration.

The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Rep. Justin Fleming issued a co-sponsor memo for legislation to create a tax credit program for Direct Support Professionals.
  • Rep. Brenda Pugh released two emergency services-related co-sponsor memos. The first would require additional transparency for the Emergency Services Operating Fund (EMSOF) and the other would create a Fire & EMS Recruitment & Retention Grant program.
  • A co-sponsor memo released by Rep. Kyle Mullins and Rep. Bryan Cutler would create regulations and licensure requirements for medical imaging professionals.
  • Representatives Lisa Borowski, Paul Friel, and Thomas Kutz introduced HB 2162 which would allow for companies to apply for a state pharmaceutical licensure concurrently with FDA approvals.
  • Rep. Bridget Kosierowski introduced HB 2164 which would create a Complex Care Assistant certification for family members of medically fragile children.
  • Sen. Cris Dush released a co-sponsor memo directing the Legislative Budget & Finance Committee to perform a study examining the PA Medicaid program.
  • Senators Katie Muth, Lindsey Williams, and Nikil Saval circulated a co-sponsor memo establishing combined tax reporting for businesses in Pennsylvania.
  • Sen. Maria Collett released a co-sponsor memo for legislation maintaining coverage for Affordable Care Act- required preventative services. 

Department of Drug & Alcohol Programs

The Department highlighted nine grants totaling $1.9M for Single County Authorities supporting fourteen counties to support the expansion and development of recovery houses and recovery support services.

Department of Health

DOH issued notice of the inclusion of Deuchenne’s Muscular Dystrophy to the Recommended Uniform Screening Panel (RUSP) supplemental conditions list for the Newborn Screening Program effective Jan. 1, 2027.

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

DHS issued notice of Medical Assistance Day One Incentive (MDOI) payments for nonpublic nursing facilities.

The Department released notice of renewal of the OBRA Waiver and the Community Health Choices Waiver. Both waiver updates would add teleservice delivery, behavior therapy, and benefits counseling, among others.

DHS shared Prior Authorization guidelines for Manual Hospital Beds and Accessories and Face and Ear Prosthesis.

PA Health Care Cost Containment Council

PHC4 issued a report detailing data behind the closures of Brandywine Hospital and Jennersville Hospital.

Independent Fiscal Office

The Independent Fiscal Office released its 2026 Mid-Year Revenue Update. The report details prior revenue estimates vs actual revenues for the Commonwealth. The IFO continues to issue caution on a structural deficit for the Commonwealth at current spending & revenue levels.

Joint State Government Commission

As directed by House Resolution 170 of 2023, the Joint State Government Commission released a report and advisory committee recommendations on the Adoption and Use of Artificial Intelligence in Pennsylvania. 

Stakeholder Meetings

The Department of Health’s Organ Donation Advisory Committee will meet on Thurs. Feb. 5th at 10am.

DOH’s Brain Injury Advisory Board will hold a public meeting on Fri. Feb. 6th from 10am to 3pm.

The Patient Safety Authority will hold a public board meeting on Tues. Feb. 10th at 1pm. 

Federal Update

Click here for a review of this week’s federal activities.

PA Health Policy Update for October 3

The following is an update of selected state health policy developments in Pennsylvania from September 29- October 3 (Some of the language used below is taken directly from state documents).

Budget Update 

As the state budget impasse continues on, with added pressure of a federal shutdown, this week the House positioned a budget bill, SB 160, into the House Appropriations Committee for future potential action. Additionally, the House amended HB 1331, Capital Debt Itemization legislation, with additional capital projects for future consideration.

General Assembly 

Both the House and Senate will return for voting session beginning on Monday, October 6th, the first time both chambers will be in voting session together since June.  For the week ahead, the following hearings and voting meetings are scheduled:

  • On Monday, the House Aging & Older Adult Services Committee will hold a voting meeting on Chairwoman Maureen Madden and Chairman Steve Mentzer’s HB 1894, legislation which would enhance educational efforts for the LIFE program during the Medicaid long-term care enrollment process. The committee will also consider HB 1528, Grandfamilies Assistance legislation to benefit grandparents raising grandchildren.
  • On Tuesday, the House Insurance Committee will meet to consider HB 1828 which would set into law the Governor’s recent actions requiring private insurance coverage of vaccines without cost-sharing that are FDA-approved and recommended by the American Academy of Pediatrics (AAP), the American College of Obstetricians and Gynecologists (ACOG), the American College of Physicians (ACOP), or the American Academy of Family Physicians (AAFP) according to their immunization schedules. The committee will also consider HB 1123, updating the recommended age for insurance coverage of colorectal cancer screenings from 50 to 45.
  • On Wednesday, the House Professional Licensure Committee will consider adding a pharmacy technician and a second acute care institutional pharmacist to the State Board of Pharmacy through HB 980. Also, the committee will also consider HB 1881 which would guarantee that Pennsylvania pharmacists’ vaccination practice authority can be guided by recommendations from Pennsylvania’s health authorities that may be informed by our state’s professional medical societies.

Below are some health care-related legislation introduced or co-sponsorship memos circulated this week:

  • Rep. Marla Brown circulated a co-sponsor memo for legislation to remove staffing ratios for nursing homes in Pennsylvania.
  • Sen. Judy Ward released a co-sponsor memo on legislation to address lags in MA enrollment in long-term care.
  • Sen. Cris Dush filed SB 125 proposing a Constitutional Amendment giving the General Assembly the authority to establish laws on venues for civil litigation in the Commonwealth as a way to address venue shopping in malpractice cases.

Department of Human Services

The Department of Human Services (DHS) has shared an update for Community Service Support Provider fee-for-service rates for the start of the new federal fiscal year.

Department of Health 

The Department of Health (DOH) issued a health alert with recommendations for health care providers to take in preparation for the 2025-2026 Respiratory Season, including details on reporting requirements. The Department also updated its Respiratory Virus Outbreak Toolkit, which gives recommendations to long-term care facilities on how to prepare for and respond to outbreaks of influenza, RSV, COVID-19, adenovirus, and more.

Independent Regulatory Review Commission 

The Independent Regulatory Review Commission (IRRC) approved final regulations from the State Board of Nursing making additions to the continuing education requirements for certified registered nurse practitioners (CRNP) and registered nurses (RN) in the areas of opioid prescriptions and organ donation.

Around the State  

On Thursday, Governor Shapiro signed an Executive Order at the Children’s Hospital at Philadelphia directing the Department of Health to develop a plan to preserve access for children in the Vaccines for Children program without cost sharing if future Advisory Committee on Immunization Practices (ACIP) changes impact access, aligning vaccine guidance with American Academy of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), and American Academy of Pediatrics (AAP), creating a website for vaccine information and guidance, ensuring insurance coverage without prior authorizations or cost sharing, among other points.

Stakeholder Meetings

DHS will hold their scheduled MAAC meeting on October 23, 2025, at 10am. Prior Authorization Guideline briefing documents are linked here (downloaded as zip file) for review and public comments are due as indicated on each document.

DOH announced upcoming meetings of several of its advisory committees:

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