SNAPShots

SNAPShots

PA Health Policy Update for June 26

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

Budget Update

Tuesday’s budget deadline approaches and key negotiators and legislative leaders continue to discuss options to close an agreement. Part of those options may be utilizing the Rainy Day Fund if other proposed revenue options such as the taxation and regulation of adult -use cannabis and skill games are not agreed-to by the Governor, House, and Senate. Even parties reluctant to agree to utilizing the Rainy Day fund last year such as Senate Majority Leader Joe Pittman, acknowledge, “It’s going to be a difficult task to not have any conversation about the Rainy Day Fund.” Additionally this week, legislative efforts were underway to remove tax breaks for data centers in both the House and Senate. 

General Assembly

The House and Senate were in session from Monday to Thursday and provided the following actions:

  • Monday June 22nd
    • The House voted 200-2 to approve and send HB 377 to the Senate. This bill would prohibit the sale, manufacture, or delivery of tianeptine, often called “gas station heroin” in Pennsylvania.
    • The Senate advanced SB 1352, 45-5, over to the House which allows for two-year licensure for addiction treatment providers.
  • Tuesday, June 23rd
    • The House voted unanimously on HB 75 and HB 76, both of which addressed dual recognition for Physician Assistants by removing the requirement of PAs to maintain the same board licensure as their supervising physician.
    • The House passed HB 1127 by a margin of 136-66. This legislation authorizes the Commonwealth to join the Dentist and Dental Hygienist Compact.
    • The Senate unanimously supported SB 730, the PA Orders for Life Sustaining Treatment legislation which outlines orders during end-of-life decisions.
  • Wednesday, June 24th
    • The House unanimously voted to send HB 2162, legislation to streamline the wholesale drug manufacturing licensure process, to the Senate.
    • HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS), was voted favorably out of the House by a margin of 190-12.
    • The Senate moved SB 482 by a party-line vote over to the House. This legislation would increase education and awareness provisions for the LIFE Program.
    • The Senate unanimously advanced SB 1206, legislation to streamline the wholesale drug manufacturing licensure process, to the House.
    • The Senate Health & Human Services Committee advanced several bills; HB 69 unanimously, which is legislation formalizing unused pharmaceutical drug donation programs; SR 216, 8-5, requiring the Legislative Budget & Finance Committee conduct an audit of PA’s Medicaid program; HB 1117, unanimously, which shifts to recovery-focused language within the Department of Drug & Alcohol Programs operating statute.
    • The Senate Institutional Sustainability and Innovation Committee held a voting meeting to amend HB 1460, the mergers & acquisitions in healthcare bill by a 8-3 margin. The bill was sent to the full Senate by a margin of 9-2.
    • The House Insurance Committee held a voting meeting to amend HB 2226, legislation addressing co-pay accumulator policies, and HB 2652, legislation acknowledging out-of-pocket costs in cash pay or online prescription marketplace transactions by insurers. Both bills were amended in committee and advanced by a 14-12 vote. The Committee also reported out in a 14-12 vote HB 2653, which is legislation requiring insurers to accept any willing, qualified behavioral health provider into network and referred several healthcare-related bills to other committees.

The House and Senate return to session on Monday, June 29th as they work towards the June 30th Budget Deadline.

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

  • Rep. Steve Malagari issued a co-sponsor memo for legislation requiring insurance coverage for infertility care.
  • Rep. Emily Kinkead released a co-sponsor memo for legislation allowing the Commonwealth to purchase generic naloxone.
  • Sen. Frank Farry circulated a co-sponsor memo for legislation to broaden EMS transportation options for patients with behavioral health crisis needs.
  • Sen. Tracy Pennycuick issued a co-sponsor memo for legislation to prevent fraudulent claims within PA’s insurance marketplace, Pennie ®.
  • Rep. Bridget Kosierowski introduced HB 2649, which would require access to fertility coverage for patients diagnosed with cancer.
  • Rep. Tarik Khan proposed HB 2648, legislation to prevent insurers from changing coverage terms or premiums during a contract year.
  • Rep. Arvind Venkat introduced HB 2673, legislation requiring insurance coverage of preventative services as recommended by several national health authorities.
  • Sen. Steve Santarsiero introduced SB 1399, legislation to require advanced emergency planning and preparation for nursing home facilities. 

Department of Aging

The Department released the PA Long Term Care Council’s meeting schedule for 2026. 

Department of Health

The Department issued a Health Alert Network release with guidance to medical providers in response to the ongoing measles outbreak in certain counties in PA. 

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.

The Department released its proposed methodology for the Nursing Facility Assessment Program payments for FY 2026-2027. Public comment on the proposed assessment methodology will be accepted for 30 days and can be filed to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov.

DHS issued notice of proposed amendments to the Commonwealth’s State Plan to update payments and methodology for the Budget Adjustment Factor for nursing facilities. Interested persons are invited to submit written comments regarding the BAF formula during a 30-day public comment period to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov.

The Department also issued proposed case-mix rates for payments to nonpublic and county-operated nursing facilities. Interested persons are invited to submit written comments regarding the proposed annual rates for FY 2026-2027 to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov. Comments received within 30 days will be reviewed and considered.

DHS released Prior Authorization Guidelines for Upper Extremity Orthoses.

The Department also shared its May 2026 HealthChoices Enrollment Report.

Stakeholder Meetings

DHS is hosting a public hearing for public comment on the proposed LIHEAP state plan on July 2nd, both from 10am – Noon.

DOH’s Renal Disease Advisory Committee will hold their public meeting on July 17th.

The Department of Health’s Special Pharmaceutical Benefits Program Advisory Council will hold a public meeting on July 30th from 10am-Noon.

DOH’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9-12pm & August 20th from 9-2pm.

The Department of Health’s Infant Hearing Screening Advisory Committee will hold a public meeting on Thursday August 20th from 10am- Noon. 

Federal Update

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

2026-06-26T20:10:52+00:00June 26th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for June 26
Read More

PA Health Policy Update for June 12

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

Budget Update

Budget season is underway in Harrisburg as the legislature advanced and positioned several budget-adjacent bills that are needed to pass along with a final budget bill. Recent reporting noted that negotiating parties have traded proposals and begun discussions. In addition to the encouraging revenue returns, the House passed a proposed 5% digital ad sales tax proposal 139-63 as another potential measure to help address the Commonwealth’s fiscal picture. 

General Assembly

The House and Senate were in session from Monday to Wednesday and provided the following actions:

  • Monday, June 8th
    • The Senate Appropriations Committee unanimously advanced both SB 866, which would set Medetomidine as a Schedule III Drug, and HB 1442, which places additional requirements on coroners to ensure epilepsy death reporting accuracy.
    • The House Aging & Older Adult Services Committee advanced HB 1611, a comprehensive update to the Older Adult Protective Services Act by a vote of 17-9.
    • The House passed HB 916, which updates childhood blood lead testing guidelines, by a vote of 157-44.
  • Tuesday, June 9th
    • The House Human Services Committee held an informational meeting on Complex Care Assistant Programs for home care services to hear potential benefits and concerns from both families and providers.
    • The Senate Health & Human Services Committee voted unanimously in favor of SB 1352, legislation providing for multi-year licensure for addiction treatment providers; SB 1373, expanding National Provider Identifier number requirements for Medicaid providers; and SB 730, legislation to codify orders for life-sustaining treatment for patients.
    • SB 866, which sets Medetomidine as a Schedule III Drug, was passed 47-2 by the Senate.
    • In a 7-4 vote, the Senate Aging & Youth Committee passed SB 482, which would increase education and awareness provisions for the LIFE Program.
    • The Senate Institutional Sustainability & Innovation Committee advanced 10-1 SB 792, to increase the Research & Development Tax Credit program, and SB 1206, streamlining wholesale pharmaceutical manufacturer licensure, unanimously.
    • The House passed HB 836, which would preserve the right to utilize IVF in PA, by a margin of 147-55.
  • Wednesday, June 10th
    • The Senate Consumer Protection & Professional Licensure Committee unanimously passed SB 1133, which would update membership of the Board of Pharmacy, and  SB 1334, which proposes additional regulations and oversight of medical imaging and radiation therapy, by a margin of 12-2.
    • The House Health Committee held a public hearing on HB 2270, which would require PA to utilize a single pharmaceutical benefit administrator model for the Medicaid program. DHS staff noted that the proposal would be unlikely to save Commonwealth dollars or provide a benefit to struggling independent pharmacies.

The House returns to session on Monday June 15th while the Senate will return on Monday, June 22nd.

For the upcoming week, we anticipate the following healthcare-related activity:

  • Wednesday, June 17th
    • The House Aging & Older Adult Services Committee & Human Services Committee will hold a joint hearing on the “In Lieu of Services” pilot program.
    • The House Health Committee will meet to consider HB 2379, legislation to expand Flu vaccine offering requirements from age 65 to age 50; HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS); and HR 528, a resolution to require a study on PANS & PANDAS.

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

  • Rep. Emily Kinkead circulated a co-sponsor memo to introduce legislation proposed by Gov. Shapiro to count out-of-pocket pharmaceutical costs towards patient deductible and out-of-pocket maximum.
  • Rep. Brenda Pugh issued a co-sponsor memo for legislation requiring PA’s professional licensure boards to establish profession-specific regulations governing the use of AI by licensed professionals.
  • Rep. Kyle Mullins released a co-sponsor memo for legislation requiring insurers to cover all FDA-approved Alzheimer’s treatments.
  • Sen. Michele Brooks introduced SB 1373, which would broaden the requirement for providers to have an individualized National Provider Identifier (NPI) number.
  • Rep. Kinkead also introduced HB 2611, which would create criminal liability for insurance company executives in the case of serious injuries or deaths caused by adverse benefit determinations.
  • Rep. Bridget Kosierowski introduced HB 2613, which would require insurance coverage for wheelchair maintenance and repairs and HB 2614, legislation to prohibit DEHP in IV bags and medical equipment tubing.
  • Rep. Melissa Shusterman introduced HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS). 

Independent Fiscal Office

The IFO issued two releases this week. The first release provides an update to Medical Assistance (MA) enrollment and funding in Pennsylvania. As of April 2026, 2.95 million residents were enrolled in MA programs, at a projected fiscal year (FY) 2025-26 cost of $53.9 billion in state and federal funds. MA enrollment declined from 3.05 million (April 2025) to 2.95 million residents (April 2026, -3.3%), while the Cost Per Enrollee ($000) increased from $16.2 to $18.3 (13%).

The second release provides a budget and economic update for the Commonwealth.  Slide 13 presents an updated financial statement, which includes a projected FY2026-27 structural deficit of -$5.56 billion, despite current fiscal year general fund year-over-year revenue growth of $2.29 billion (5.4%) through May 2026. 

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 most recent Substack update, DHS highlighted the beginning of the 2026 SUN Bucks Program, a federal program offering eligible children and families with a SNAP-like food benefit for the summer months when school is not in session. SUN Bucks provides a one-time payment of $40 per summer month ($120 total) per eligible child. Interested households can use the SUN Bucks Eligibility Navigator to see if they are eligible and can apply using the online application or application forms on the SUN Bucks webpage.

In response to federal requirements, the Department issued notice of a Temporary Moratorium on Enrollment of New Hospices.

DHS issued the following notices in the PA Bulletin:

The Department issued revisions to the Participating Drug Company list for the Medicaid Drug Rebate Program.

Stakeholder Meetings

The Patient Safety Authority will hold its board meeting on June 23rd at 1pm.

DHS’ Office of Mental Health and Substance Abuse Services (OMHSAS) will be host one remaining listening session on the 55 Pa. Code Chapter 5250 Crisis Licensing Regulations to provide a high-level summary of changes being made to the final form package based on the comments received and to gather provider perspectives on those specific areas. Those interested can register below.

DHS is hosting two public hearings to take public comment on the proposed LIHEAP state plan on June 25th and July 2nd, both from 10am – Noon.

DOH’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9-12pm & August 20th from 9-2pm.

The Department of Health’s Infant Hearing Screening Advisory Committee will hold a public meeting on Thursday August 20th from 10am- Noon. 

Federal Update

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

2026-06-12T21:21:36+00:00June 12th, 2026|Federal Medicaid issues, Medicaid supplemental payments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for June 12
Read More

PA Health Policy Update for May 28

The following is an update of selected state health policy developments in Pennsylvania from May 25 –May 29 (Some of the language used below is taken directly from state documents). 

General Assembly

The House and Senate return to session on Monday June 1st and we anticipate the following activity:

  • Tuesday, June 2nd
    • The House Children & Youth Committee will vote on House Bill 432, legislation creating Maternal Care Access Zones, and House Bill 1569, legislation to establish a Maternal Health Monitoring Pilot Program.
    • The House Health Committee will vote on HB 1365, which would create a medication-induced movement disorder education program; HB 2162, legislation to streamline wholesale pharmaceutical state licensure; HB 2341, which would create a Health Care Facility Threat Assessment Grant Program; along with several health-related resolutions.

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

  • Rep. Dan Frankel has issued a co-sponsor memo for legislation to increase oversight and review requirements for nursing home ownership and operator changes.
  • Rep. Mike Schlossberg has released a co-sponsor memo for legislation to update the Mental Health Procedures Act.
  • Rep. Pat Gallagher circulated a co-sponsor memo for legislation to update the Medical Practice Act to add updates and clarifications for the role of Physician Assistants.
  • Rep. Arvind Venkat introduced HB 2543, which would establish timelines and protocols for Medicaid pending applications in long-term care settings.

Department of Drug & Alcohol Programs

The Department announced the opening of an application period for HRSA’s STAR LRP student loan repayment program for eligible substance-use disorder treatment professionals. The application window closes on June 23rd at 7:30pm. 

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.

The Department released their April 2026 HealthChoices Enrollment report and shared its updated Medicaid Managed Care Directory.

The Department issued a Medicaid Assistance Bulletin for Random Moment Time Study Updates for School-Based ACCESS Program Providers.

Stakeholder Meetings

The Patient Safety Authority will hold its board meeting on June 23rd at 1pm.

The Department of Health’s Newborn Screening and Follow Up Technical Advisory Board will hold a public meeting on June 11th from 10am to Noon.

The Department of Health’s Preventative Health and Health Services Block Grant Advisory Committee will hold a public meeting on June 10th from 9am to 10am to receive testimony on the block grant application. 

Federal Update

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

2026-05-29T20:05:54+00:00May 28th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for May 28
Read More

PA Health Policy Update for February 27

The following is an update of selected state health policy developments in Pennsylvania from February 23 – February 27 (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 Human Services: 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
  • 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:

  • Rep. Tarik Khan introduced a co-sponsor memo for legislation allowing students to carry and  self-administer pancreatic medications at school.
  • Sen. Michele Brooks introduced a co-sponsor memo for legislation to implement reforms around the 340B program.
  • Sens. Tracy Pennycuick and Nick Miller released a co-sponsor memo requiring insurance coverage for fertility preservation for patients prior to cancer treatment.
  • Sen. Devlin Robinson issued a co-sponsor memo for legislation to address the cost of topical medications in PA’s workers’ compensation system.
  • Sen. Maria Collett released a co-sponsor memo for legislation that would create benchmarks for healthcare cost growth to align with inflation.
  • Sens. Judy Ward and Maria Collett issued a co-sponsor memo for a resolution recognizing Rare Disease Day in PA.
  • Sen. Vince Hughes introduced, Senate Bill 1161, a General Fund Budget Bill for the 26-27 Fiscal Year
  • Rep. Kyle Mullins introduced House Bill 2173 to regulate and license medical imaging and radiation therapy.
  • Rep. Joe Webster released House Bill 2241 which would require broader medical price transparency

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 its fee schedule rates for Personal Assistance Services in the OBRA Waiver and Act 150 Program.

The Department issued an MA Bulletin on Prior Authorization Guidelines for Blood Glucose Meters with Voice Synthesizer or Integrated Lancing Blood Sample.

DHS released its January 2026 HealthChoices Enrollment Report.

Department of Health

DOH released its list of hospitals that may not provide emergency contraception or sexual assault emergency services.

The Department issued notice of availability of its proposed Preventative Health and Human Services Block Grant Application to the US Department of Health & Human Services. A public hearing will be held on the application on June 10th from 1:30-2:30pm. The Preventative Health & Human Services Block Grant Advisory Committee will also hold a public meeting on March 25th from 1:30 to 2:30pm to discuss status of funding.

Independent Regulatory Review Commission

IRRC scheduled public meetings for consideration of State Board of Medicine Education and Volunteer Services Regulations on March 19th.

The State Board of Social Workers, Marriage and Family Therapists & Professional Counselors released proposed regulatory updates for 30 day public comment. This proposed rulemaking includes amendments relating to qualifications for licensure, supervisor qualifications, supervision of clinical experience, including the provision of supervision through electronic means, codes of ethics, professional corporations and fictitious names and continuing education. This proposed rulemaking is also necessary to comply with recently enacted laws. 

Health Care Cost Containment Council

PHC4 issued notice of public meetings from March through May 2026. 

Stakeholder Meetings

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

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

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 Pennsylvania Long-Term Care Council released its 2026 Meeting Schedule. 

Federal Update

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

2026-02-27T21:54:20+00:00February 27th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2027 budget|Comments Off on PA Health Policy Update for February 27
Read More

PA Health Policy Update for January 16

The following is an update of selected state health policy developments in Pennsylvania from January 12 – January 16 (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:

  • Rep. Joe Webster introduced House Bill 2115 which creates antitrust review processes in healthcare transactions.
  • Rep. Greg Scott introduced HB 2134 to modernize the State Fire Commission Fire Company & EMS Grant Program
  • House Bill 2135, introduced by Rep. Morgan Cephas, would provide workplace protections and accommodations for menopause and perimenopause.
  • Sen. Nick Pisciottano introduced SB 1113, which would regulate the use of AI in healthcare.
  • Senate Bill 1133, sponsored by Sen. Frank Farry, would add two additional members to the State Board of Pharmacy – a pharmacy tech and an additional acute care institutional pharmacist.
  • Reps. Borowski, Friel, and Kutz have released a cosponsor memo to allow for companies to apply for a state pharmaceutical licensure concurrently with FDA approvals.

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 an MA Bulletin on Orthopedic footwear.

The Department released its proposed renewal of the Adult Autism Waiver for a 30 day public comment period. Proposed updates would change the lifetime limit on assistive technology to an annual limit, continue supports for competitive, integrated employment, and update Specialized Skill Development services. 

Stakeholder Meetings

DOH’s Statewide HIV Planning Group will hold public meetings on Jan. 21-Jan. 22 from 9am-3pm on both days.

DHS has a scheduled Medical Assistance Advisory Committee meeting for Thurs. Jan. 22nd at 10am.

DOH’s WIC State Advisory Board meeting will be held on Tues. Jan. 27th from 1-2pm.

The Department of Health’s Special Pharmaceutical Benefit Program Advisory Council will meet on Thurs. Jan. 29 from 10a.m. to 12p.m. The Council will offer guidance and recommendations to the Department on the program’s drug formulary, covered lab services, drug utilization review, clinical programs, eligibility and program management.

DOH’s Brain Injury Advisory Board will hold a public meeting on Fri. February 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.

2026-01-16T22:13:12+00:00January 16th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin|Comments Off on PA Health Policy Update for January 16
Read More

PA Health Policy Update for December 31

The following is an update of selected state health policy developments in Pennsylvania from December 22 – December 31 (Some of the language used below is taken directly from state documents).

Rural Health Transformation Program

The Shapiro Administration announced Pennsylvania’s $193 million portion of federal Rural Health Transformation Program funds. As previously shared in other updates, the Administration’s plan focuses on several initiative areas to drive federal investment:

  • Technology & Infrastructure
  • Workforce
  • Maternal Health
  • Behavioral Health
  • Aging & Access
  • EMS & Transportation

Investments will be coordinated through Partnerships for Regional Economic Performance (PREP) organizations, already existing regional economic collaboratives, and coordination with locally created Rural Care Collaboratives steered by regional stakeholders and healthcare leaders. Updates on these investments will be shared as more information becomes available. 

Reorganizations

The Shapiro Administration released departmental reorganizations for both the Office of Administration and the Department of General Services. 

General Assembly

The House and Senate will briefly convene Session on Tuesday, Jan. 6, 2026. House Session will be non-voting. The House shared scheduled Session days through 2026 and Senate Session days are released through June. 

Department of Human Services

DHS launched 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.

The Department issued proposed notice for Disproportionate Share and Supplemental Payments to Qualifying Hospitals for 2025-2026.

DHS issued updated Emergency Medical Services Rates for Publicly Owned Providers which will be effective 1/1/2026.

The Department released a Bulletin notice regarding the Medical Assistance Program Compensable Service Change: GLP-1 Drugs to Treat Overweight and Obesity and issued an MA Bulletin notice revising Prior Authorization Requirements for GLP-1 medications.

DHS issued an MA Bulletin updating the EPSDT Periodicity Schedule to reflect vaccine schedule changes.

The Department released an MA Bulletin with guidelines for Hospital-Grade Breast Pumps.

DHS shared an MA Bulletin with updates to Limited English Proficiency Requirements. 

Department of Health

The Department published final-form Sexual Assault Victim Emergency Services Regulations listing hospitals that do not provide emergency contraception due to a stated moral or religious belief.  

Stakeholder Meetings

The Department of Health’s Renal Disease Advisory Committee will meet for its quarterly public meeting on Friday, January 16, 2026, from 10 a.m. to 12 p.m.

The Department of Health’s Special Pharmaceutical Benefit Program Advisory Council will meet on Thursday Jan. 29, 2026, from 10a.m. to 12p.m. The Council will offer guidance and recommendations to the Department on the program’s drug formulary, covered lab services, drug utilization review, clinical programs, eligibility and program management. 

Federal Update

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

Wishing you all a happy, healthy, and prosperous 2026.

2026-01-02T17:06:07+00:00December 31st, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Rural Health|Comments Off on PA Health Policy Update for December 31
Read More

PA Health Policy Update for December 19

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

SNAP Eligibility Screening Tool

DHS issued a new screening tool designed to help Pennsylvanians determine their eligibility for SNAP benefits. This tool follows new federal rules implemented by the One Big Beautiful Bill Act which changed eligibility requirements for public assistance programs such as SNAP. 

General Assembly

The House concluded its voting days for the remainder of the year. As the year concludes, so does the tenure of service for some in the legislature. State Representatives Dan Miller in Allegheny County and Josh Siegel in Lehigh County both have tendered resignations to the Speaker to assume local offices won in November’s elections. The Speaker has set dates for special elections on Feb. 24th to replace these members. Two additional resignations will also be forthcoming between now and early 2026 for Reps. Torren Ecker of Adams County and Lou Schmitt of Blair County, also to assume local elected positions.

During House Session this week, the House Communications & Technology Committee held a public hearing on HB 1925, Rep. Arvind Venkat’s AI in Healthcare legislation. The hearing can be viewed here.

The House Health Committee unanimously voted out both HB 1202 & HB 1851 this week. Rep. David Zimmerman’s HB 1202 would create a Commonwealth Medical Stockpile which could be accessed by healthcare facilities. HB 1851, sponsored by Rep. Gina Curry, would allow nurse-midwives to sign fetal death certificates.

Additionally, the House acted on the following healthcare-related bills this week:

  • Receiving Second Consideration
    • HB 348, by Rep. Tim Bonner, which requires nursing facilities to make residents and their families aware of their rights and options to apply for Medicaid benefits at the time of entering a nursing home;
    • HB 1129, sponsored by Rep. Paul Friel, which provides for the sale of Net Operating Losses and unused Research & Development Tax Credits.
  • Final Passage from the House
    • HB 1530, by Rep. Danilo Burgos, which establishes privacy protections for Pennsylvania consumers regarding their genetic data collected by direct-to-consumer genetic testing companies (e.g., commercial DNA testing services). This bill was passed unanimously.
    • HB 1957, by Rep. Melissa Shusterman, which would establish the reproductive right in the Pennsylvania Constitution. This legislation passed 102-101.
    • HB 1881, by Rep. Arvind Venkat, passed 106-97. This bill would mirror an executive order by Governor Shapiro, allowing pharmacists’ practice authority to provide vaccines recommended by Pennsylvania’s health authorities that may be informed by our professional medical societies. 

Department of Human Services

DHS launched 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.

The Department issued an MA Bulletin regarding prior authorization for Lynkuet.

DHS updates to the Pennsylvania Medicaid Managed Care Directory and issued its MCO Enrollment Report for November 2025.

The Shapiro Administration announced the launching of a suite of new technology and tools to support the Commonwealth’s administration and management of public assistance programs and improve customer experience.  

State Board of Pharmacy

The State Board of Pharmacy proposed rulemaking that sets forth the board’s criteria for eligibility for licensure by endorsement, including the specific methods required for an applicant to demonstrate competency. It also sets forth the requirements for granting a provisional endorsement license. 

Independent Fiscal Office

The IFO published a new budget brief that uses the latest SNAP benefits data for November 2025. The data show that the number of enrollees declined by 158,000 (-8%) from the prior year as new work requirements take effect. 

Stakeholder Meetings

The Department of Health’s Renal Disease Advisory Committee will meet for its quarterly public meeting on Friday, January 16, 2026, from 10 a.m. to 12 p.m. 

Federal Update

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

2025-12-19T21:18:56+00:00December 19th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for December 19
Read More

PA Health Policy Update for December 5

The following is an update of selected state health policy developments in Pennsylvania from November 24 – December 5 (Some of the language used below is taken directly from state documents).

Shapiro Administration Staffing Changes

The Shapiro Administration announced a change in senior leadership with Budget Secretary Uri Monson leaving his post to serve as Executive Director at the PA Public School Employees Retirement System (PSERS). The Governor has appointed Zach Reber, current Deputy Secretary for Fiscal Policy and Program Coordination in the Budget Office, to serve as the next Secretary of the Budget. 

General Assembly

The Senate returns next week for three voting session days from December 8th through the 10th. The House will return for non-voting session on December 15th and voting session on the 16th & 17th.

On Monday, Dec. 15th at 1pm, the House Communications & Technology Committee is holding a public hearing on HB 1925, Rep. Arvind Venkat’s AI in Healthcare legislation.

Rep. Bryan Cutler released a cosponsor memo for Certificates of Merit in Healthcare liability claims. 

Department of Health

DOH updated its respiratory virus outbreak toolkit with minor changes and issued a new FAQ about Fall 2025 respiratory viral illness guidance. 

Department of Human Services

DHS is launching 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.

The Department issued Medical Assistance Bulletins on the following areas:

DHS released its October 2025 Managed Care Enrollment Report.

The Department issued revisions to its list of drug companies participating in the Medicaid Drug Rebate Program.

DHS issued a notice of intent to update its Chapter 5100 Mental Health Procedures Regulations to align with Act 32 of 2022. 

Independent Fiscal Office

The IFO released a report detailing its assessment of factors contributing to anticipated structural deficits for Pennsylvania’s budget. 

Independent Regulatory Review Commission

IRRC approved the final form covered outpatient drug regulations, which updated the payment methodology for pharmaceutical services, recognized the prescriptive and dispensing authority of certified registered nurse practitioners and midwives as well as made technical amendments to recognize advances in information technology. 

Pennsylvania Health Care Cost Containment Council

The PA Health Care Cost Containment Council (PHC4) released its 2024 Hospital Performance Report, which examines trends on mortality and readmissions, among other data points.

Stakeholder Meetings

The Patient Safety Authority will hold a virtual public meeting on Tuesday, December 9, 2025, at 1 p.m. Find registration and details here. 

Federal Update

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

2025-12-05T20:44:06+00:00December 5th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for December 5
Read More

PA Health Policy Update for November 21

The following is an update of selected state health policy developments in Pennsylvania from November 17 – November 21 (Some of the language used below is taken directly from state documents).

Rural Health Transformation Program

The Shapiro Administration released its application for the federal Rural Health Transformation Program dollars. The application highlights focuses on several initiative areas to drive federal investment, if awarded:

  • Technology & Infrastructure
  • Workforce
  • Maternal Health
  • Behavioral Health
  • Aging & Access
  • EMS & Transportation

Awarded investments will be coordinated through Partnerships for Regional Economic Performance (PREP) organizations, already existing regional economic collaboratives, and coordination with locally created Rural Care Collaboratives steered by regional stakeholders and healthcare leaders. CMS has indicated it will decide awards by December 31, 2025. 

General Assembly

In the wake of budget passage, the General Assembly will return for a few more session days before the end of the year. The Senate will return for three voting session days beginning on December 8th. The House will return for a non-voting session on December 15th and voting session on the 16th & 17th.

Earlier this week, the House Human Services Committee held an informational hearing on the federal SNAP changes in HR 1 and their impacts on Pennsylvania.

On Tuesday Nov. 18th, the House Health Committee voted unanimously to advance HB 1652 and HB 1715. Both bills amend the Newborn Child Testing Act to include Gaucher Disease (HB 1652) and Duchenne Muscular Dystrophy (HB 1715) in PA’s newborn screening requirements. Both bills move to the full House for consideration.

The House unanimously passed HB 1894, legislation which would require the Independent Enrollment Broker to enhance the counseling provided to individuals on the LIFE program during the MA long term care enrollment process. This legislation now moves to the Senate for its consideration.

The House passed SB 88 by a margin of 196-7. This legislation updates insurance coverage requirements for breast cancer screenings and is now awaiting signature by the Governor.

The Senate Health & Human Services met on Tuesday and voted in support of SB 1095, which changes references from global budgets to alternative payment models in laws relating to the Rural Health Redesign Center Authority.

Below is a list of health and human services related legislation introduced or cosponsor memos released:

  • HB 2041, sponsored by Rep. Shelby Labs, would update blood lead testing requirements for children.
  • Rep. Danilo Burgos introduced HB 2050, which would prohibit Pharmacy Benefit Managers from owning and operating pharmacies.
  • House Bill 2051, sponsored by Rep. Seth Grove, would impose a state False Claims Act in the MA program.
  • Rep. Burgos also introduced HB 2060, which would ensure prescribing parity between non-opioid and opioid pain medications in the MA program. 

Department of Human Services

DHS is launching 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.

The Department issued Medical Assistance Bulletins on the following areas:

The Department released updates to the School Based ACCESS Program Provider Handbook. 

State Board of Medicine

The State Board of Medicine released proposed regulations on continuing education and volunteer services.

Stakeholder Meetings

The DHS Medical Assistance Advisory Committee plans to meet December 4th at 10am. You can register for the meeting here.

The Patient Safety Authority will hold a virtual public meeting on Tuesday, December 9, 2025, at 1 p.m. Find registration and details here. 

Federal Update

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

2025-11-21T19:18:40+00:00November 21st, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Rural Health, Rural Health Transformation Program|Comments Off on PA Health Policy Update for November 21
Read More

PA Health Policy Update for November 14

The following is an update of selected state health policy developments in Pennsylvania from November 10 – November 14 (Some of the language used below is taken directly from state documents). 

Budget Update

After a stalemate lasting 135 days, the General Assembly has passed a comprehensive Fiscal Year (FY) 2025-2026 budget. The state House of Representatives passed Senate Bill 160 – the General Appropriations Act – by a vote of 156-47. Senate passed it by a vote of 40-9. 

In total, the FY 2025-2026 budget spends $50.1 billion, which represents a $2.3 billion or 4.7 percent increase over the prior fiscal year. It is nearly $1.4 billion less than the budget proposed by Governor Shapiro in February. The budget is balanced primarily by utilizing prior-year funding lapses and special fund balances in state agencies totaling $3 billion. Using these funds in the 2025-26 budget prevented draining the state’s emergency reserves in the Rainy Day Fund, while leaving more than $200 million in the fund’s balance.

The budget includes a new Working Families Tax credit program. However, it does not include many of the spending initiatives highlighted in the governor’s proposal, such as additional mass transit funding, taxation for skill games, minimum wage increases, or legalization and taxation of recreational adult use cannabis. Also part of the deal includes the Commonwealth ending its participation in the Regional Greenhouse Gas Initiative.

In addition to the General Appropriations Bill, the General Assembly also passed code bills related to the budget and its enactment. House Bill 416 is an amended Fiscal Code which includes various instructions to help effectuate passage of the budget bill. House Bill 749 is an update to the Human Services Code which includes several policy provisions below:

  • Regulatory alignment with federal rules on MA reimbursement for behavioral health in telehealth settings – the “Four Walls” Requirement,
  • Requires DHS to report to the General Assembly on SNAP recipient data and lottery winnings, resources, and vehicles owned by public assistance recipients
  • Crosschecking MA and SNAP beneficiaries with data from DOH’s Vital Records system and wage records from the Department of Labor & Industry
  • Requires DHS to study the feasibility of a brokerage model for nonemergency Medical Transportation Services
  • Allows indefinite suspension of MA benefits for incarcerated individuals while incarcerated, among other provisions.

General Assembly

On Monday, November 17th, the House Human Services Committee will hold an informational hearing on the federal SNAP changes in HR 1 and their impacts on Pennsylvania. The livestream link will be made available here.

The House Health Committee will meet on Tuesday Nov. 18th to consider HB 1652 and HB 1715. Both bills would amend the Newborn Child Testing Act to update newborn screening requirements to include Gaucher Disease (HB 1652) and Duchenne Muscular Dystrophy (HB 1715), respectively.

Department of Health

The Department issued a Health Alert Network notice urging providers’ awareness for Acute Flaccid Myelitis through late Fall.

DOH updated the residency criteria for the Chronic Renal Disease Program effective November 15, 2025. 

Department of Human Services

DHS is launching Human Services Helpers, a Substack that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

The Department has announced it has restarted issuing full November Supplemental Nutrition Assistance Program (SNAP) benefit payments.

DHS shared a suicide prevention resource guide in recognition of National Suicide Prevention Month.

The Department released a Medical Assistance Bulletin with revisions to the MA Fee Schedule and prior authorization requirements.

The Department issued an updated Preferred Drug List which will be effective Jan. 1, 2026.

DHS released MA Bulletins on updated prior authorization policies for several drug classes in response to recommendations from the Pharmacy and Therapeutics Committee.

The Department released an updated Managed Care Directory. 

Stakeholder Meetings

The Department of Health’s Statewide HIV Planning Group will hold their public meeting on Wednesday Nov. 19th and Thursday November 20th both from 9am-3pm.

The DHS Medical Assistance Advisory Committee plans to meet December 4th at 10am. You can register for the meeting here.

The Patient Safety Authority will hold a virtual public meeting on Tuesday, December 9, 2025, at 1 p.m. Find registration and details here. 

Federal Update

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

2025-11-14T21:03:25+00:00November 14th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2026 budget, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for November 14
Read More

Home / About Us / Advocacy / Why Join? / SNAPShots / Contact Us

  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

Home / About Us / Advocacy / Why Join? / SNAPShots / Contact Us

  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

Go to Top