Meetings and notices Archives - Safety-Net Association of Pennsylvania

PA Health Policy Update for May 16

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

Election Update

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

Governor Shapiro

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

General Assembly

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

The House of Representatives passed an amended House Bill 561, which while still prioritizing non-narcotic medication-assisted treatment (MAT) expands Act 80 to include all FDA-approved MAT. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 79, which establishes uniform hospital-based financial assistance forms and requirements. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 433, which eliminates out-of-pocket costs for diagnostic imaging related to breast cancer. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 309, which amends the Osteopathic Medical Practice Act to allow team physicians traveling internationally with their club or national team to treat their own players on site during games without needing a Pennsylvania medical license. The bill will now be sent to the Senate for consideration.

The House Health Committee met on Wednesday, May 14 and favorably reported House Bill 704, which establishes the “Pennsylvania Neurodegenerative Disease Research Program.” A recording of the hearing is viewable here.

The House Aging & Older Adult Services Committee held a joint hearing with the House Health Committee on Wednesday, May 14 regarding Pennsylvania’s registered nurse aide program. A recording of the hearing is viewable here.

The Senate Banking & Insurance Committee met on Tuesday, May 13 and favorably reported Senate Resolution 27, which directs the Legislative Budget and Finance Committee to study the feasibility of establishing a no-fault catastrophic loss fund to provide payment for claims brought as the result of birth-related neurological injuries. A recording of the hearing is viewable here.

The House Human Services Committee met on Tuesday, May 13 and favorably reported House Bill 1429, which requires a study on the feasibility of implementing chip-enabled electronic benefit cards (EBT) for the Supplemental Nutrition Assistance Program (SNAP). A recording of the hearing is viewable here.

The Senate Veterans Affairs & Emergency Preparedness Committee met on Monday, May 12 and favorably reported, among other bills, Senate Bill 95, which permits EMS providers to leave naloxone with a caregiver of a patient who overdosed.

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

Department of Human Services

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

DHS has announced that the Office of Mental Health and Substance Abuse Services (OMHSAS) is conducting a survey, which will be the first step to begin the development of one proposed chapter of licensing regulations for inpatient psychiatric services in psychiatric units of general hospitals, private psychiatric hospitals, and extended acute care services located within those inpatient settings. The survey is for all stakeholders, including licensed providers, and will remain open until May 26. Find the survey here.

DHS has issued a Medical Assistance Bulletin with the U.S. Department of Health & Human Services’ (HHS) Centers for Disease Control and Prevention (CDC) 2025 recommended child and adolescent immunization schedule.

DHS has also issued a Medical Assistance Bulletin to advise dental providers enrolled in the Medical Assistance (MA) program that will accept the 2024 American Dental Association (ADA) claim form effective May 1, 2025.

DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through the month of June. Find the updated calendar here.

DHS has announced the implementation of the 2025 Federal Poverty Income Guidelines (FPIG), which were issued by HHS and published at 90 FR 5917 on January 17, 2025. Find additional information in this Pennsylvania Bulletin notice.

Around the State

Spotlight PA has written an article about private equity, its role in health care companies, and the scrutiny its drawing from critics. Spotlight also wrote an article about health systems’ opposition to initiatives aimed at implementing more stringent health care transaction oversight.

The Pittsburgh Post-Gazette has published an article about Medicaid cuts being contemplated by Congress and their potential impact on providers in Fayette County.

The Associated Press covered Governor Shapiro’s remarks about the potential impact of Medicaid proposals being considered by Congress.

The Philadelphia Inquirer has reported about this what is anticipated to be this year’s biggest election issue, the retention of three sitting Pennsylvania Supreme Court justices.

Stakeholder Meetings

DHS – Consumer Sub-MAAC – May 21

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

DHS – Medical Assistance Advisory Committee – May 22

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

DOH – Spinal Cord Research Committee – May 23

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

PA Safety Net Admin2025-05-16T19:25:46+00:00May 16th, 2025|Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for May 9

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

General Assembly

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

The House of Representatives passed House Bill 1200, which legalizes and regulates adult-use cannabis, by a party-line vote of 102 – 101. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 926, which seeks to prevent health care workplace violence by placing several requirements on health care facilities, by a vote of 124 – 79. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 1117, which updates language defining DDAP’s duties and responsibilities. The bill will now be sent to the Senate for consideration.

The Senate passed Senate Bill 115, which requires the Department of Human Services to offer a skills competency exam in lieu of high school diploma or GED requirements for individuals seeking employment as direct care staff in personal care homes or assisted living residences. The bill will now be sent to the House of Representatives for consideration.

The House Aging & Older Adult Services Committee held an informational meeting on Monday, May 5 regarding updates to Pennsylvania’s Older Adult Protective Services Act (OAPSA). A recording of the meeting is viewable here.

The House Judiciary Committee met on Monday, May 5 and favorably reported, among other bills, House Bill 282, which authorizes the Department of Corrections (DOC) to establish a medical assistance (i.e., Medicaid) reentry program for incarcerated individuals who are scheduled to be released and returning to the community. A recording of the meeting is viewable here.

The House Professional Licensure Committee met on Tuesday, May 6 and favorably reported, among other bills, House Bill 554, which authorizes the commonwealth to join the Social Work Licensure Compact.

The Senate Institutional Sustainability & Innovation Committee held an informational meeting on Wednesday, May 7 regarding hospital and health system sustainability in Pennsylvania. Testimony presented to the committee and a recording of the hearing are viewable here.

The House Health Committee met on Wednesday, May 7 and favorably reported, among other bills, House Bill 1269, which establishes a Brain Injury Advisory Board at the Department of Health (DOH). A recording of the hearing is viewable here.

The House Insurance Committee met on Wednesday, May 7 and favorably reported House Bill 1088, which expands maternal blood pressure monitoring coverage, and House Bill 1140, which expands access to contraceptives. A recording of the meeting is viewable here.

The House Judiciary Committee met on Wednesday, May 7 for an informational meeting on the Mental Health Procedures Act. A recording of the meeting is viewable here.

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

Department of Human Services

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

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

Department of Aging

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

Around the State

The House of Representatives’ passage of an adult-use cannabis legalization measure and its prospects in the Senate is the subject of an article published by Spotlight PA. Cannabis legalization and the revenue it would generate are a hallmark of Governor Shapiro’s FY 2025-26 budget proposal.

An article written by City & State Pennsylvania highlights the Senate Institutional Sustainability & Innovation Committee’s hearing on the financial health of hospitals.

Spotlight PA has published an article about security enhancements the Pennsylvania State Police will be making in response to the arson attack at the Governor’s Residence last month.

Stakeholder Meetings

DHS – Consumer Sub-MAAC – May 21

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

DHS – Medical Assistance Advisory Committee – May 22

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

PA Safety Net Admin2025-05-09T20:27:09+00:00May 9th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid policy|Comments Off

PA Health Policy Update for May 2

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

General Assembly

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

The House Aging & Older Adult Services Committee will hold an informational meeting on Monday, May 5 at 10:00 a.m. regarding Pennsylvania’s Older Adult Protective Services Act (OAPSA). The meeting will be held in Room G-50 of the Irvis Building and livestreamed here.

The House Judiciary Committee will meet on Monday, May 5 at 11:00 a.m. to consider, among other bills, House Bill 282, which authorizes the Department of Corrections (DOC) to establish a medical assistance (i.e., Medicaid) reentry program for incarcerated individuals who are scheduled to be released and returning to the community. The meeting will be livestreamed here.

The Senate Institutional Sustainability & Innovation Committee will hold an informational hearing on Wednesday, May 7 at 9:30 a.m. regarding hospital and health system sustainability in Pennsylvania. The hearing will be held Room 8E-B and livestreamed here.

The House Health Committee will meet on Wednesday, May 7 at 9:00 a.m. to consider, among other bills, House Bill 1269, which establishes a Brain Injury Advisory Board at the Department of Health (DOH). The hearing will be held in Room G-50 of the Irvis Building and livestreamed here.

The House Insurance Committee will meet on Wednesday, May 7 at 10:00 a.m. to consider House Bill 1088, which expands maternal blood pressuring monitoring coverage, and House Bill 1140, which expands access to contraceptives. The meeting will be held in Room B-31 of the Capitol and livestreamed here.

Department of Human Services

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

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

Department of Health

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

Revenue Collection Update

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

Around the State

City & State Pennsylvania has published an article about the federal funding challenges currently confronting medical and higher educations institutions.

The Philadelphia Inquirer’s Harold Brubaker has written an article about the closure of Crozer Chester Medical Center in Delaware County.

The Erie Times-News has published an article about Pennsylvania health experts’ reflections of COVID-era missteps amid an increase in measles cases.

Stakeholder Meetings

DOH – HIV Planning Committee – Meeting Cancelled

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

PA Safety Net Admin2025-05-02T20:27:52+00:00May 2nd, 2025|Financial, Meetings and notices, Pennsylvania Medical Assistance|Comments Off

PA Health Policy Update for April 25

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

General Assembly

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

The House of Representatives passed House Bill 269, which requires the Department of Health, in consultation with the Department of Drug & Alcohol Programs, to develop opioid overdose public education materials.

The House Insurance Committee held an informational meeting on Wednesday, April 23 to examine infertility care in Pennsylvania. A recording of the meeting is viewable here.

Senator Hughes hosted an intergovernmental roundtable with federal, state, and local policymakers and various health care stakeholders to discuss various proposals being considered in Washington, D.C. that could impact Pennsylvania’s Medicaid funding and the state’s health care system. Find additional information and a recording of the meeting in this press release.

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

Department of Human Services

The Department of Human Services (DHS) has made the Fiscal Year 25-2026 Social Services Block Grant Intended Use Plan available for public review and comment. Details on how to comment may be found in this Pennsylvania Bulletin notice.

DHS has shared the following presentations utilized at the Medical Assistance Advisory Committee (MAAC) meeting on February 27.

DHS has shared the following prior authorization guideline briefing documents that were the subjects of this week’s Pharmacy & Therapeutics (P&T) Committee meeting.

Department of Health

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

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

Around the State

The Morning Call has published an article about the impact of a potential $500 million loss of federal funding for Pennsylvania that has supported public health efforts and local health agencies.

Following the arsonist attack on the Governor’s Residence, Governor Shapiro has published a guest essay in The New York Times entitled, “Finding Moral Clarity After an Arsonists Attack.”

An article written by WHYY details the current state of operations at Crozer Health amidst its impending closure. The Philadelphia Inquirer also published an article about this.

Stakeholder Meetings

The Patient Safety Authority – April 29

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

DOH – Brain Injury Advisory Board – May 2

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

DOH – HIV Planning Committee – May 14

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

PA Safety Net Admin2025-04-25T22:14:16+00:00April 25th, 2025|Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for April 18

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

Governor Shapiro

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

General Assembly

The state House of Representatives and Senate were recessed this week. The House of Representatives will return to Harrisburg on Tuesday, April 22. The Senate will remain recessed until Monday, May 5.

The House Majority Policy Committee held an informational meeting on Monday, April 14 examining the impact of the life science sector on advanced manufacturing and health care workforce development. Find additional details and a recording of the meeting here.

The House Majority Policy Committee also held an informational meeting on Tuesday, April 15 examining midwifery modernization and maternal health deserts in Pennsylvania. Find additional details and a recording of the meeting here.

The House Insurance Committee has scheduled an informational meeting on Wednesday, April 23 at 9:15 a.m. to examine infertility care in Pennsylvania. The meeting will be held in Room 523 of the Irvis Building and livestreamed here.

Department of Human Services

The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers enrolled on the Medical Assistance (MA) program of updates to the MA program fee schedule, including the addition of new procedure codes and the end-dating of certain codes based on provider request and clinical review. These changes will take effect May 1.

DHS has issued a Medical Assistance Bulletin to advise federally qualified health centers (FQHCs) and rural health clinics (RHCs) of the procedure codes, modifiers, and places of service to utilize when billing for covered services provided to Medicaid beneficiaries.

DHS Secretary Val Arkoosh along with other health-related cabinet officials participated in the Western Pennsylvania Regional Rural Healthcare Summit to discuss opportunities and challenges communities face accessing health care services. Find more information in this press release.

DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through the month of May. Find the updated calendar here.

Department of Health

The Department of Health has announced that an individual from another state tested positive for measles while visiting Lancaster County after a trip to Texas, creating a potential for exposure to others. Find additional details and information about measles from DOH here.

The Newborn Screening and Follow-up Technical Advisory Board had voted to recommend the addition of Metachromatic leukodystrophy (MLD), a lysosomal storage disorder, to the commonwealth newborn screening panel effective January 1, 2026. Find additional information in this Pennsylvania Bulletin notice.

DOH has announced it will hold four public comment sessions to provide stakeholders an opportunity to comment on the development of the 2026 State Plan for the Pennsylvania Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program). Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

Around the State

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

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

Stakeholder Meetings

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

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

DHS – Consumer Sub-MAAC – April 23

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

DHS – Medical Assistance Advisory Committee – April 24

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

The Patient Safety Authority – April 29

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

DOH – Brain Injury Advisory Board – May 2

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

PA Safety Net Admin2025-04-18T17:47:31+00:00April 18th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for April 4

The following is an update of selected state health policy developments in Pennsylvania from March 31 – April 4. (Some of the language used below is taken directly from state documents).

Governor Shapiro

The Shapiro administration has announced it joined a multi-state lawsuit against the Trump administration’s decision to cancel more than $500 million in public health grant funding that supported programs in the Department of Health, Department of Human Services, and the Department of Drug & Alcohol Programs. Find a copy of the lawsuit here and additional information in this press release.

General Assembly

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

The Senate passed Senate Bill 347, which prohibits the implementation of safe injection sites throughout the commonwealth, by a vote of 38-11. The bill will now be sent to the House of Representatives for consideration.

The Senate Institutional Sustainability & Innovation Committee held an informational hearing on Tuesday, April 1 examining the commonwealth’s life science sector and Pennsylvania’s innovation economy. A recording of the hearing is and testimony offered to the committee is viewable here.

The Senate Health & Human Services Committee held a voting meeting on Tuesday, April 1 and favorably reported, among other bills, Senate Bill 115, which provides skills competency examination opportunities to individuals seeking employment as a direct caregiver in lieu of successfully obtaining a high school diploma or GED equivalency, and Senate Bill 411, which implements a statewide stroke registry.

The Senate has now recessed until Monday, May 5. The state House of Representatives will reconvene Monday, April 7 through Wednesday, April 9.

Department of Human Services

The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers that DHS is implementing an alternative payment methodology for federally qualified health centers (FQHCs) and rural health clinics (RHCs) for a supplemental payment at the Medicaid fee schedule rate for a long-acting reversible contraceptive (LARC) device and its insertion, or the removal of a LARC device.

DHS has announced a recent audit uncovered recipient date of death discrepancies and a claims recovery was completed to recoup monies paid in error. DHS also reminded providers that it is their responsibility to resubmit a correctly completed claim if they are due payment for services provided prior to the date of death. Find the notice here.

Revenue Collection Update

The Department of Revenue has announced Pennsylvania collected $6.2 billion in General Fund revenue in March, which was $70.0 million, or 1.1 percent, more than anticipated. Fiscal year-to-date General Fund collections total $33.2 billion, which is $34.3 million, or 0.1 percent, below estimate.

Board of Pharmacy ission,

The State Board of Pharmacy has published a notice in the Pennsylvania Bulletin of the current income levels necessary for participation in the Cancer Drug Repository program.

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) has published a notice in the Pennsylvania Bulletin that it has received the following final form rulemaking which will be considered at its May 15 meeting.

IRRC has also published a notice in the Pennsylvania Bulletin announcing it has issued comments to the State Board of Nursing regarding its proposed rule on nursing education programs issued January 25, 2025. Find IRRC’s comments here.

Around the State

The Philadelphia Inquirer has published an article about Independence Blue Cross’, the largest health insurer in southeastern Pennsylvania, reported financial loss in 2024 due, in part, to Medicare and Medicaid rates.

Governor Shapiro’s decision to join a multi-state lawsuit against the Trump administration’s decision to cancel public health grant funding was reported by the Pennsylvania Capital-Star.

The Pennsylvania Capital-Star also published an article about the potential impact Medicaid cuts at the federal level may have on rural health care access.

Spotlight PA has published an article about the Department of Aging’s decision to revise a policy that previously required the tracking of the cause of death for every adult who died during an active abuse or neglect investigation.

Stakeholder Meetings

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

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

PHC4 – Meeting Schedule

The Pennsylvania Health Care Cost Containment Council (PHC4) has scheduled a Payment Data Advisory Group meeting for April 10 at 1:00 p.m., a Data Systems Committee meeting for April 15 at 10:00 a.m., an Education Committee meeting for April 23 at 10:00 a.m., and a Council meeting for May 1, 2025, at 10:00 a.m. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-04-04T20:41:43+00:00April 4th, 2025|Financial, Governments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin|Comments Off

PA Health Policy Update for March 28

The following is an update of selected state health policy developments in Pennsylvania from March 24 – 28. (Some of the language used below is taken directly from state documents).

Special Election Update

Two special elections occurred this week on Tuesday, March 25 to fill vacancies in the state House of Representatives and Senate. Democrat Dan Goughnour won the special election to represent House District 35, which was vacated after the passing of Representative Matt Gergely. His election sustains the Democratic one-vote majority in the House. In a surprising outcome, Democrat Jim Malone narrowly defeated Republican Josh Parsons to replace the Senate seat formerly held by Ryan Aument who resigned to work for U.S. Senator Dave McCormick. Malone’s election will narrow the Republican majority in the Senate to 27-23.

General Assembly

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

The House of Representatives passed a package of bills that seek to codify federal Affordable Care Act (ACA) patient protections in state statute.

- House Bill 404, which enables an adult child to receive insurance coverage until age 26.
- House Bill 535, which prohibits annual and lifetime coverage limits.
- House Bill 618, which prohibits the denial of health insurance coverage due to pre-existing conditions.
- House Bill 755, which maintains access to preventative health care services.

The House Aging & Older Adult Services Committee met on Monday, March 24 and favorably reported, in addition to other legislation, House Bill 372, which requires the Department of Aging to publicly release a compliance report on the Area Agencies on Aging (AAAs).

The House Labor & Industry Committee met on Tuesday, March 25 and favorably reported, among other bills, House Bill 926, which seeks to prevent health care workplace violence by placing several requirements on health care facilities.

The Senate Judiciary Committee met on Tuesday, March 25 and favorably reported, among other bills, Senate Bill 347, which prohibits the implementation of safe injection sites throughout the commonwealth, and Senate Bill 326, which amends the Controlled Substance, Drug Device, and Cosmetic Act to automatically schedule a controlled substance when one is added by the federal government and removes the Secretary of Health’s ability to reschedule a controlled substance.

The Senate will reconvene on Monday, March 31 through Wednesday, April 2. The House of Representatives is now recessed until Monday, April 7.

Department of Human Services

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

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

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) has issued comments to the State Board of Nursing regarding its proposed rule on nursing education programs issued January 25, 2025. Find IRRC’s comments here.

IRRC has announced it received the following final form rulemaking which will be considered at its May 15 meeting.

Pennsylvania Health Care Cost Containment Council

The Pennsylvania Health Care Cost Containment Council (PHC4) has announced the release of a report on Cancer Surgery Volume, giving stakeholders insight into cancer surgeries performed at hospitals and ambulatory/outpatient settings.

Around the State

The New York Times has written an article about Democrat Jim Malone’s surprising victory in a district that strongly supported President Trump in the 2024 election. Spotlight PA also published an article about this story.

The Pennsylvania Capital-Star has written an article about a package of bills that passed the state House of Representatives this week codifying federal Affordable Care Act (ACA) protections in state statute.

Fox43 has published a piece about unions representing Pennsylvania nurses and their efforts to pass legislation addressing workplace violence.

Stakeholder Meetings

DOH – Special Pharmaceutical Benefits Program Advisory Committee – April 24

The Statewide Special Pharmaceutical Benefits Program (SPBP) Advisory Council will hold a public teleconference meeting on Thursday, April 24 from 10:00 a.m. to 12:00 p.m. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

DOH – Medical Marijuana Advisory Board – 2025 Meeting Schedule

The Medical Marijuana Advisory Board has provided notice in the Pennsylvania Bulletin of its upcoming meeting dates. Meetings will be held from 10:30 a.m. to 12:30 p.m. on each day listed in the Capitol Media Center, Room 1, East Wing, Harrisburg, PA 17126, with an option for board members to participate virtually.

PA Safety Net Admin2025-03-28T19:22:00+00:00March 28th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for March 21

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

General Assembly

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

The House of Representatives passed House Bill 157, which establishes the Rural Health Care Grant Program to provide grants to entities in rural counties and designated medically underserved areas to pay for the education debt of certain health care practitioners. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 60, which allows pharmacies to make a one-time transfer of a prescription for a controlled substance to another pharmacy without requiring a new prescription. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 111, which prohibits insurers from denying coverage to individuals solely because they have an opioid reversal agent in their prescription profile. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 33, which implements greater oversight of medical marijuana labs and product testing. The bill will now be sent to the Senate for consideration.

The House Insurance Committee met on Monday, March 17 and favorably reported the following package of bills, which seek to codify the federal Affordable Care Act (ACA) patient protections in state statute.

- House Bill 404, which enables an adult child to receive insurance coverage until 26.
- House Bill 535, which prohibits annual and lifetime coverage limits.
- House Bill 618, which prohibits the denial of health insurance coverage due to pre-existing conditions.
- House Bill 755, which maintains access to preventative health care services.

The House Aging & Older Adult Services Committee held an informational hearing on Tuesday, March 18 about the Department of Aging’s newly launched oversight program of the Area Agency on Aging (AAA) network. A recording of the hearing is viewable here.

The House Human Services Committee held an informational hearing on House Bill 561, which expands Act 80 of 2015 to include all forms of FDA-approved medications for the treatment of substance use disorder (SUD). A recording of the hearing is viewable here.

The House Majority Policy Committee held an informational hearing on Wednesday, March 19 examining sustainable long-term care. Testimony offered to the committee is viewable here and a recording of the hearing is viewable here.

The Senate Majority Policy Committee held an informational hearing on improving access to quality health care through technological innovation. Testimony offered to the committee and a recording of the hearing is viewable here.

The state House of Representatives and the Senate will convene in Harrisburg for voting session next Monday, March 24 through Wednesday, March 26.

Department of Human Services

The Department of Human Services (DHS) has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through April. Find the updated calendar here.

Department of Insurance

The Pennsylvania Department of Insurance (PID) has published a Consumer Price Index for All Urban Consumers (CPI-U) adjustment, which is utilized as a benchmark for the maximum benefit for autism services required to be covered by an insurer. The CPI-U adjustment for policies issued or renewed in calendar year 2026 is a 2.9 percent increase, which results in a maximum benefit of $51,908. The department does not expect this to have any impact on the coverage of autism services in the commonwealth. Find additional information in this Pennsylvania Bulletin notice.

Department of Aging

The Department of Aging has announced the rollout of its new platform to increase transparency and accountability of Pennsylvania’s Area Agency on Aging (AAA) network – Comprehensive Agency Performance Evaluation (CAPE). In addition, the department will begin publicly posting performance results on its website for the first cohort of AAAs to be monitored under CAPE.

Around the State

The Pittsburgh Post-Gazette published an article about the reopening of Sharon Regional Medical Center and legislation being considered in the General Assembly focused on rural health and health care mergers and acquisitions.

Spotlight PA has written an article about hospital charity care programs and their lack of standardization, which was the focus of a recent Health Affairs article.

Legislative efforts to provide more assistance for health care practitioners’ student loan repayment was the focus of an article published by The Center Square.

Harold Brubaker has written an article for The Philadelphia Inquirer about the most recent emergency court hearing held on efforts to keep Crozer Health open in Delaware County.

Stakeholder Meetings

DHS – Consumer Sub-MAAC – March 26

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on March 26 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – March 27

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on March 27 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

PA Safety Net Admin2025-03-21T20:37:58+00:00March 21st, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off

PA Health Policy Update for March 14

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

General Assembly

The state House of Representatives and Senate Democratic Policy Committees held a joint hearing on health care access and the impact of hospital closures this week. The hearing was held in Delaware County and largely focused on the current challenges at Crozer Health/Prospect Medical Holdings. A recording of the hearing and written testimony are viewable here.

The House of Representatives will convene for session Monday, March 17 through Wednesday, March 19. The Senate is recessed until Monday, March 24.

Department of Health

The Department of Health (DOH) has issued a notice in the Pennsylvania Bulletin with the procedure that the department will follow in assessing and collecting the MCARE surcharge for FY 2024-25.

Department of Human Services

The Department of Human Services (DHS) has announced the final annual case-mix per diem payment rates for Fiscal Year 2024-25 for non-public and county nursing facilities that participate in the Medical Assistance (MA) program. The final annual per diem rates are available on DHS’ website here.

DHS has announced the peer groups, peer group medians, and peer group prices for non-public nursing facilities, including hospital-based nursing facilities and special rehabilitation facilities. Find additional details in this Pennsylvania Bulletin notice.

DHS has issued revisions to the participating drug company list for the Medicaid Drug Rebate Program. The revisions are viewable here.

Department of Drug & Alcohol Programs

The Department of Drug and Alcohol Programs (DDAP) has issued a Licensing Alert to notify licensed narcotic treatment programs (NTPs) that DDAP has aligned with 42 CFR part 8 to allow an NTP to utilize telehealth for an initial exam and initiate FDA-approved medications for opioid use disorder treatment.

Around the State

Spotlight PA has published an article about legislative efforts in Pennsylvania to alleviate medical debt.

The continued challenges related to keeping Crozer Chester Medical Center and Taylor Hospital in Delaware County open were covered by The Pennsylvania Capital-Star in this article.

WHYY has reported about Philadelphia’s first confirmed case of measles, unrelated to the recent case in Montgomery County.

Stakeholder Meetings

DOH – Health Policy Board – March 21

The Health Policy Board of the Department of Health will meet on Friday, March 21 at 1:00 p.m. The meeting will be held virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

DOH – Newborn Screening and Follow-Up Technical Advisory Board – March 25

The Newborn Screening and Follow-Up Technical Advisory Board will hold a public meeting on Tuesday, March 25 from 10:00 a.m. until 12:00 p.m. The meeting will be conducted in person and virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

DHS – Consumer Sub-MAAC – March 26

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on March 26 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – March 27

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on March 27 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

PA Safety Net Admin2025-03-14T20:47:35+00:00March 14th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin|Comments Off

PA Health Policy Update for March 7

The following is an update of selected state health policy developments in Pennsylvania from March 3 – 7. (Some of the language used below is taken directly from state documents).

General Assembly

The state House of Representatives and Senate concluded their hearings on Governor Shapiro’s FY 2025-26 budget proposal this week. The following are the health-related agency budget hearings that occurred this week.

The Department of Human Services (DHS) appeared before the House Appropriations Committee on Tuesday, March 4. A recording of that hearing is viewable here and here.

DHS also appeared before the Senate Appropriations Committee on Wednesday, March 5. A recording of that hearing is viewable here and here.

The Pennsylvania Insurance Department and PENNIE appeared before the House Appropriations Committee on Wednesday, March 5. A recording of that hearing is viewable here.

The House Health Committee held an informational meeting on Monday, March 3 to examine the practice of community health workers. A recording of the meeting is viewable here.

The House Human Services Committee held a voting meeting on Wednesday, March 5 and favorably reported the bills below. A recording of the hearing is viewable here.

House Bill 269, which requires the Department of Health, in consultation with the Department of Drug & Alcohol Programs, to develop opioid overdose public education materials.

House Bill 640, which updates the annual reporting requirements for the Department of Drug & Alcohol Programs.

House Bill 749, which requires the Department of Human Services to conduct a study of Pennsylvania’s SNAP payment distribution.

The Senate Democratic Policy Committee will hold a meeting on Monday, March 10 at 2:00 p.m. to discuss “health care accessibility and the impacts of hospital closures.” The meeting will be held at Neumann University in Aston, PA and virtually. Find additional details here.

The House and Sente are currently recessed until Monday, March 17 and Monday, March 24, respectively,

Department of Health

The Department of Health (DOH) has announced the 2024-25 Patient Safety Surcharge (MCARE) letter and invoices for hospitals, ambulatory surgery centers, abortion facilities, and birthing centers have been emailed. Payment is due by June 1, 2025. If you have any questions, please call the Division of Acute and Ambulatory Care (DAAC) at 717-783-8980 or email RA-DAAC@pa.gov.

DOH has announced the Event Reporting System (ERS) has been updated with a new Flu A and separate Flu B, as well as RSV reporting enhancement to streamline the reporting of these event types. DOH has shared a Quick Start Guide (opens as a separate Microsoft Word document) for the new enhancement. This enhancement will function in the same manner as the COVID-19 enhancement initiated in March of 2021.

DOH has published a notice in the Pennsylvania Bulletin announcing the Nursing Home Patient Safety Trust Fund (MCARE) surcharge of $14.40 per bed for Fiscal Year 2024-25.

Department of Human Services

The Department of Human Services (DHS) has shared the following presentations utilized at the Medical Assistance Advisory Committee (MAAC) meeting on February 27.

Revenue Collection Update

The Department of Revenue has announced Pennsylvania collected $2.9 billion in General Fund revenue in February, which was $44.0 million, or 1.6 percent, more than anticipated. Fiscal year-to-date General Fund collections total $27.0 billion, which is $104.3 million, or 0.4 percent, below estimate.

Around the State

WHYY has published an article about Prospect Medical Holdings’ plan to file a preliminary request to begin closing its remaining Delaware County hospitals.

The Patriot-News has reported about potential for significant Medicaid cuts in Washington, D.C. and the concern that has raised in Pennsylvania with medical professionals and state legislators.

Stakeholder Meetings

DOH – Health Policy Board – March 21

The Health Policy Board of the Department of Health will meet on Friday, March 21 at 1:00 p.m. The meeting will be held virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

DOH – Newborn Screening and Follow-Up Technical Advisory Board – March 25

The Newborn Screening and Follow-Up Technical Advisory Board will hold a public meeting on Tuesday, March 25 from 10:00 a.m. until 12:00 p.m. The meeting will be conducted in person and virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-03-07T22:13:24+00:00March 7th, 2025|Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off

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