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PA Health Policy Update for October 9

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

General Assembly

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

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

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

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

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

Department of Aging

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

Department of Human Services

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

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

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

Department of Health

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

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

Independent Regulatory Review Commission

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

State Licensure Boards

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

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

Stakeholder Meetings

The Department of Health has scheduled the following advisory meetings:

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

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

Federal Update

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

2026-10-10T07:51:01+00:00October 9th, 2026|Governments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for October 9
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PA Health Policy Update for October 2

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

General Assembly

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

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

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

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

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

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

Department of Human Services

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

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

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

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

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

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

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

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

DHS issued its August 2026 MA Enrollment Report.

Department of Health

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

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

Independent Regulatory Review Commission

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

Department of Revenue

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

Stakeholder Meetings

The Department of Health has scheduled the following advisory meetings:

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

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

Federal Update

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

2026-10-02T20:30:33+00:00October 2nd, 2026|Governments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for October 2
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PA Health Policy Update for September 25

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

General Assembly

The House Judiciary Committee met on Thursday September 24th and voted favorably on the following healthcare-related bills: HB 2699, updating membership on the Child Fatality and Near Fatality Review Committees; HR 618, commissioning a study on Behavioral Health Care in County Jails; and SB 381, legislation prohibiting testing and experimentation on animals in PA.

The House and Senate will return on Monday September 28th. The following healthcare-related bill activity has been announced:

  • Monday September 28
    • The House Children & Youth will meet to vote on HR 582, recognizing Childhood Cancer Awareness; HR 602, recognizing Infant Safe Sleep Month; and HR 609, recognizing Prematurity Awareness Month and Day.
    • The House Communications & Technology Committee will meet to consider HB 2637, a moratorium on AI Chatbots in children’s toys.
    • The House Human Services Committee will meet to vote on HB 1345, legislation requiring Medicaid Coverage of menopause treatments; HR 612, recognizing National Recovery Month; HR 613, recognizing Medium-Chain Acyl-Coenzyme A Dehydrogenase (MCAD) Deficiency; HR 615, and recognizing White Cane Safety Day; SB 115, Creating a competency exam pathway for direct care workers without a high school diploma or GED.
  • Tuesday September 29
    • The Senate Law & Justice Committee will meet to consider SB 1035, providing access to medical cannabis in healthcare facilities.
    • The House Health Committee will consider HB 1411, legislation enhancing menopause education for medical practitioners; HB 2657, regulating Kratom in PA; HB 2702, removing the sunset provision for the PA Health Care Cost Containment Council; HR 591, recognizing Community Health Workers; HR 597, recognizing Alopecia Awareness Month; HR 604, recognizing Suicide Prevention Month and Day; HR 605, recognizing Chiari Malformation Awareness Month; HR 616, recognizing Ovarian Cancer Awareness Month; and HR 625, recognizing World Cerebral Palsy Day
    • The House Consumer Protection, Technology, & Utilities Committee will meet to re-refer HB 2648, legislation prohibiting the changing of health insurance coverage terms within a contract year, to the House Insurance Committee.
    • The House Aging & Older Adult Services Committee will meet to consider HB 1244, coverage and education for Pelvic Floor treatments; HB 1346, providing for insurance coverage for menopause treatments; HB 1827, measures to prevent hip fractures; HB 2545, insurance coverage for vaginal estrogen and UTI prevention; and HR 623, recognizing Ageism Awareness Day.
  • Wednesday September 30
    • The House Professional Licensure Committee will meet to consider HB 2774, an omnibus licensure compact authorization; HR 631, recognizing Respiratory Care Week; SB 114, streamlining the Nurse Aide training and education requirements; and SB 1133, updating members of the State Board of Pharmacy.

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

  • Reps. Jen O’Mara & Bridget Kosierowski issued a co-sponsor memo for legislation to enhance medical education around Inflammatory Breast Cancer (IBC).
  • Reps. Jason Ortitay and Joe Ciresi circulated a co-sponsor memo for legislation to prohibit AI Chatbots from posing as licensed professionals.
  • Reps. Heather Boyd and Jen Mazzocco released a co-sponsor memo for legislation to require companies that employ non-disabled, full-time workers receiving Medicaid to make payments to help offset Medicaid costs.
  • Sen. Lisa Baker circulated a co-sponsor memo for legislation to create a designation for a Rural Emergency Hospital to align with the federal designation.
  • Rep. Greg Scott introduced HR 627, which directs the Joint State Government Commission to study suicide prevention and data collection efforts and make recommendations for improvements.
  • Rep. Maureen Madden introduced HR 628, which is a resolution designating September 2026 as Living Independence for the Elderly (LIFE) Month.
  • Rep. Steve Malagari released HR 631 which would designate Respiratory Care Week in PA.
  • Rep. Melissa Shusterman introduced HB 2787, which would establish guardrails and protections around the use of AI in students’ mental and behavioral health services. 

Department of Human Services

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

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

The Department issued its annual list and total amount notice of Disproportionate Share Payments for qualifying hospitals.

DHS has submitted final-form regulations for its Chapter 5100 Regulations to the Independent Regulatory Review Commission for its review.

Department of Health

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

DOH announced on Wednesday, September 23, that 835 measles cases have been confirmed across 39 counties in Pennsylvania so far in 2026.

DOH issued minimum standard requirements of sexual assault evidence collection.

The Department issued a PA Health Alert Network advisory to assist providers with guidance in preparation for the upcoming respiratory virus season. 

PA Insurance Department

Late last week, the Department released its approved ACA health insurance premium rates, seeing increases of 15.9% in the individual market and 10.2% increases in the small group market.

PA Health Care Cost Containment Council

PHC4 released its Financial Analysis 2025 – Volume Two, providing an overview of the financial health and procedure volumes for surgeries performed at ambulatory surgical centers in PA. 

Stakeholder Meetings

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

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

Federal Update

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

2026-09-26T04:25:07+00:00September 25th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for September 25
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PA Health Policy Update for September 4

The following is an update of selected state health policy developments in Pennsylvania from August 31 – September 4 (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. Arvind Venkat circulated a co-sponsor memo for legislation to prohibit unilateral contract modifications or reinterpretations between insurers and healthcare providers.
  • Both Rep. Melissa Shusterman and Sen. Nick Miller released a House co-sponsor memo and Senate co-sponsor memo for legislation to place guardrails around the use of AI when providing mental or behavioral health.
  • Rep. Gina Curry filed a co-sponsor memo for legislation establishing the right of women to receive medically necessary sterilization.
  • Rep. Dan Frankel introduced HB 2754, legislation to place additional oversight and requirements during the change of ownership process for nursing homes. 

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 posted a recording of their recent HR1 Webinar for community partners and stakeholders detailing the Department’s approach to upcoming Medicaid changes necessitated by the federal HR1.

DHS released two Medical Assistance Bulletins to meet federal HR 1 requirements:

The Department also shared an alert with revisions to the participating drug company list for the Medicaid Drug Rebate Program.

Department of Health

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

The Pennsylvania Department of Health (DOH) is accepting applications for its Long-Term Care Quality Investment Program, funded through approximately $12 million in RHTP dollars, for grants to eligible skilled nursing facilities, personal care homes, assisted living facilities, and intermediate care facilities. Funding can be used for workforce development and infrastructure improvements to enhance operations, support resident and staff well-being, and strengthen participation in value-based care initiatives. DOH anticipates issuing between 48 and 100 awards for grant agreements beginning January 1, 2027 and ending September 30, 2027. Find more information here.

On September 1st, DOH launched its annual questionnaire of long-term care facilities for the data reporting period of 7/1/2025 through 6/30/2026. This web-based questionnaire must be submitted to the department by October 23, 2026. Completion of this questionnaire is mandatory and failure to complete could result in a facility deficiency and a fine. DOH shared an email with log-in information to all licensed long-term care facilities earlier this week, but facilities that have not received the information may reach out to Aicha Hassane Noma at ahassaneno@pa.gov to get the proper information. 

Stakeholder Meetings

The Patient Safety Authority will hold a public board meeting on September 15th at 1pm.

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

Federal Update

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

2026-09-04T22:41:23+00:00September 4th, 2026|Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for September 4
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PA Health Policy Update for August 28

The following is an update of selected state health policy developments in Pennsylvania from August 24 – August 28 (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

  • Sen. Nikil Saval circulated a co-sponsor memo for legislation creating a single-payer healthcare system in Pennsylvania.
  • Rep. Valerie Gaydos introduced HB 2745, which would authorize Pennsylvania to join the Interstate Podiatric Medical Licensure Compact.
  • Rep. Doyle Heffley circulated HB 2747, legislation to permanently schedule Nitazene Compounds as a Schedule I substance.
  • Rep. Liz Hanbidge introduced HB 2749, which authorizes the utilization of expired Naloxone five years past its expiration date.
  • Rep. Tarik Khan released HR 602, a resolution designating October as Infant Safe Sleep Month. 

Department of Human Services

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

DHS released a comprehensive toolkit for the upcoming Medicaid changes resulting from HR 1. The toolkit includes flyers, draft social media posts, FAQs, and more to help Medicaid recipients understand the upcoming changes and the impacts to them regarding changing work requirements and renewal frequency.

The Department issued its September 2026 Remittance Advice Dates, shared an updated Medicaid Managed Care Directory, and published an MA Bulletin for the Off-Cycle Revalidation of High-Risk Providers.

The Department issued a report entitled Recommendations for Improving Transportation Services in Community HealthChoices Report. The Report can be found on the CHC Participant communications page (pa.gov) under “Community Meetings/Information Sessions.” The purpose of this report is to provide CHC stakeholders with identified barriers and recommendations to improve and increase the use of Transportation Services in CHC.

Department of Health

In response to the continued measles outbreak in Pennsylvania, the Department of Health issued an updated PA Health Alert Network notice with guidance for providers on the response to the disease.

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

The Department released approved prearrest and evidential breath testing devices and also shared a list of laboratories approved for the following determinations under the Clinical Laboratory Act, the Vehicle Code, Fish & Boat Code, and Game & Wildlife Code:

State Board of Pharmacy

The Board issued final-form rulemaking allowing for the board to issue licensure by endorsement for individuals licensed in other states, territories, or countries and meeting certain criteria. 

Stakeholder Meetings

The Pennsylvania Health Care Cost Containment Council will hold a public council meeting on September 3rd at 10am.

The PA Drug, Device, & Cosmetic Board will hold a public meeting on September 3rd at 1pm.

The Patient Safety Authority will hold a public board meeting on September 15th at 1pm. 

Federal Update

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

2026-08-28T18:57:14+00:00August 28th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for August 28
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PA Health Policy Update for August 14

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

Rural Health Transformation Plan

The Shapiro Administration announced its Rural Health Transformation Plan Advisory Council to help provide subject matter expertise and strategic guidance to the work of the six regional Rural Care Collaboratives that are being stood up across PA. The Administration is still soliciting members for the Rural Care Collaboratives and nomination forms for those can be completed here.

Additionally, a Frequently Asked Questions document was shared in advance of the upcoming funding round for RHTP dollars opening Monday August 17th. 

General Assembly

While awaiting session to gavel back in this September, one special election will be held on Tuesday August 18th in Butler County to fill the vacancy in the 12th Legislative District.

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

  • Sen. Michele Brooks circulated a co-sponsor memo for legislation that would limit certain regulations proposed by the Department of Health by adding sunset dates and requiring General Assembly approval.
  • Rep. Emily Kinkead introduced HB 2731, which would allow the Commonwealth to purchase generic naloxone.
  • Sen. Amanda Cappelletti introduced SB 1424, which would add Gaucher Disease to Pennsylvania’s required Newborn Screening Panel.
  • Sen. John Kane introduced SB 1430 which would provide protections against immigration enforcement in hospitals.

Department of Health

PA Secretary of Health Dr. Debra Bogen released the following statement in response to the Trump Administration’s executive order proposing changes to the nation’s childhood vaccine schedule:

“In Pennsylvania, public health decisions are guided by rigorous medical science, not shifting national agendas. Vaccines are the best tools we have to protect our communities from preventable diseases, and they have demonstrated this over and over again for generations. As a pediatrician, I know that splitting up combination immunizations, like the MMR vaccine, creates unnecessary hurdles for parents, needlessly extends the window of risk for our youngest residents, and doesn’t follow the results of the many studies that went into developing the previous vaccine schedules. Here in Pennsylvania, we will continue to follow the facts and evidence-based medicine to keep our children and communities safe.” 

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.

Independent Fiscal Office

The IFO issued a brief highlighting the Department of Human Services’ work to reduce the administrative error rate within the SNAP Program from a high of 16.6% in 2023 to 9.2% in 2025. This work is important as states with error rates above 6% will see additional federal costs as required by HR 1.

Pennsylvania Commission on Crime & Delinquency

PCCD has issued a notice of funding availability for 26-27 School Safety & Mental Health Grants. A Q&A tracker document has been compiled to assist interested parties assess what funds can be used to support. 

Stakeholder Meetings

The Department of Health’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9am – 12pm & August 20th from 9am – 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.

2026-08-14T19:38:55+00:00August 14th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Rural Health Transformation Program|Comments Off on PA Health Policy Update for August 14
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PA Health Policy Update for August 7

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

Shapiro Administration

Governor Shapiro’s Behavioral Health Council released its Behavioral Health Action Plan this week which details over 40 recommendations to strengthen and improve access to care across the behavioral health sector. The recommendations in the report focus on the following goals:

  1. Develop an Integrated Care System
  2. Expand Access to Services
  3. Strengthen the Workforce and Provider Support
  4. Enhance Accountability and Transparency
  5. Advance Equity in Behavioral Health
  6. Improve Criminal Justice and Behavioral Health Integration  

General Assembly

On September 9th, the state House will hold for a ceremonial session day in Philadelphia for the US 250th Anniversary. The House and Senate return for regular voting session on September 28th.

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

  • Sen. Amanda Cappelletti issued a co-sponsor memo for legislation to require the reporting of Cyclosporiasis to the Department of Health.
  • Sen. Tim Kearney circulated a co-sponsor memo for legislation to protect the undisclosed sharing and sale of consumer’s health data by mobile and computer apps and programs.

Department of Health

The Department released a new online dashboard providing school-level vaccination data for the MMR, DTap, Tdap, Hepatitis B, Varicella, and MCV4 vaccines.

DOH published notice of intent to promulgate updates to the Communicable and Noncommunicable Diseases Regulations (Ch. 27). There is a 45-day public comment period to be submitted at RA-DHCHAPTR27PROPREG@pa.gov. Regulations will become final upon approval of the State Health Advisory Board. 

Department of Human Services

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

DHS will host a free webinar for community-based organizations to provide information regarding HR 1 related-changes. The webinar is scheduled for Friday, August 14th at 9:30am and those interested can register here.

The Department released its June 2026 HealthChoices Enrollment Report.

DHS issued its 2026 Medical Assistance Program Dental Fee Schedule Update. 

Stakeholder Meetings

The Department of Health’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9am – 12pm & August 20th from 9am – 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.

2026-08-07T19:23:35+00:00August 7th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for August 7
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PA Health Policy Update for July 24

The following is an update of selected state health policy developments in Pennsylvania from July 20 – July 24 (Some of the language used below is taken directly from state documents). 

Shapiro Administration

The Governor’s Office released its updated Summer Regulatory Agenda sharing estimated timeframes on upcoming regulatory updates.

The Governor announced a leadership transition for the Office of Administration with current Executive Deputy Secretary Sandra Aguilar moving into the role of Acting Secretary upon the July 31st resignation of Secretary Reggie McNeil. 

Rural Health Transformation Program

The Shapiro Administration released FAQs for both its forthcoming RHTP funding opportunities for Modernizing Healthcare Technology & Enabling Interoperability Grants for EHRs & HIOs and FQHC and FQHC-Lookalikes. DHS will begin accepting eligibility certifications at 8am on Monday July 27th for both opportunities. 

General Assembly

The House of Representatives briefly returned to session on Thursday July 23rd in an attempt to address a court-imposed deadline related to criminal justice sentencing. The state House will return on September 9th and the state Senate returns on September 28th.

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

  • Rep. Kristine Howard circulated a co-sponsor memo for legislation to require dental providers to utilize provider portals.
  • Rep. Liz Hanbidge introduced HB 2708, legislation to cap the cost of epinephrine delivery systems and consumer out-of-pocket costs to $35.
  • Rep. Catherine Wallen introduced HB 2710, legislation requiring further reporting of tick-borne diseases to the Department of Health.

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 issued an MA Bulletin for  Prior Authorization Guidelines for Upper Extremity Prosthetics and Components.

DHS released its 2026 Healthcare Common Procedure Coding System Updates; Fee Adjustments and Other Procedure Code Changes.

Department of Health

The Department released its approved reorganization with an updated organization chart, shifting offices into a new Bureau of Healthcare Transformation under the Deputate of Health Resources and Services. 

Department of Insurance

The Department shared proposed rate increases from health insurers for 2027 and offered opportunity for public comment, which can be made to ra-in-comment@pa.gov by Aug. 22nd.

Stakeholder Meetings

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

DOH’s Organ Donation Advisory Committee will meet from August 6th from 10am-1:30pm.

Brain Injury Advisory Board of the Department of Health will hold a public meeting on August 7th from 10am-3pm.

The Department of Health’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.

2026-07-27T01:51:26+00:00July 24th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Rural Health, Rural Health Transformation Program|Comments Off on PA Health Policy Update for July 24
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PA Health Policy Update for July 17

The following is an update of selected state health policy developments in Pennsylvania from July 11 – July 17 (Some of the language used below is taken directly from state documents). 

Budget Update

The General Assembly passed a comprehensive Fiscal Year (FY) 2026-2027 budget. The state Senate passed House Bill 2400 – the General Appropriations Act – by a vote of 44-6. The House of Representatives passed it by a vote of 167-35, sending the bill to Governor Shapiro who offered quick signature to conclude the process. Additionally, the Governor quickly signed the Fiscal Code Bill along with other budget-related bills, enacting the various pieces of legislation necessary to implement the FY 2026-27 budget agreement.

In the health and human services space, the $50.8 billion spending plan provides new spending for Medicaid supports under PA’s approved federal 1115 Waiver, an increase in the floor for the Budget Adjustment Factor (BAF) for nursing facilities under Medical Assistance, a rate increase for the LIFE Program, and offers $41 million in new behavioral health dollars to support the 988 crisis hotline, walk-in stabilization clinics and other transition supports to individuals reentering the community out of the criminal justice system or state hospital care, among other areas.

The budget was balanced through the utilization of “cycle rolls” – which will push Medicaid capitation payments into other fiscal years as well as utilizing $1.2 billion in lapsed funds. The Rainy Day fund remains untouched as legislators did not utilize any of its balance to help close a budget deal. 

General Assembly

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

  • Rep. Liz Hanbidge released a co-sponsor memo for a comprehensive update to the Child Protective Services Law and a co-sponsor memo to update the Uniform Law Commission model law for advance healthcare directives.
  • Rep. Dan Williams and Rep. Tina Pickett issued a co-sponsor memo to broaden the allowance of advanced practice professionals to provide on-site coverage for behavioral health care provided through telehealth.
  • Rep. Sean Dougherty circulated a co-sponsor memo for a resolution directing a Legislative Budget & Finance Committee study on behavioral health care in county jails.
  • Rep. Dan Frankel and Rep. Bryan Cutler introduced HB 2702, legislation to repeal the sunset date for the PA Health Care Cost Containment Council.

The state House will return on September 9th and the state Senate returns on September 28th.

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 2026 Healthcare Common Procedure Coding System (HCPCS) Updates, Fee Adjustments and Other Procedure Code Changes.

DHS issued its August 2026 Remittance Advice Date guidance for providers.

The Department shared a Medical Assistance Bulletin for Prior Authorization Guidelines for Standers.

DHS also shared a preview of their All courses | MyODP training portal, a new resource for self-paced learning designed to support families and caregivers as they navigate the complex and often challenging landscape of pediatric complex care.

Department of Health

The Department of Health has exercised its one-year extension of the temporary scheduling of Nitazene substances as a Schedule I substance.

DOH issued a Health Advisory Network alert regarding cyclosporiasis and provider considerations and testing recommendations.

The Department of Health launched a measles dashboard to keep Pennsylvanians better informed about cases and ongoing efforts to contain the spread among people who are unvaccinated.

PA Health Care Cost Containment Council

The Pennsylvania Health Care Cost Containment Council (PHC4) released the Cardiac Procedures Report today, displaying performance ratings and utilization data for several cardiac procedures performed in Pennsylvania acute care hospitals, hospital outpatient departments, and ambulatory surgery centers (ASCs) from Jan. 1, 2023 through Dec. 31, 2024. 

Independent Fiscal Office

The Independent Fiscal Office (IFO) released a budget brief that updates the General Fund financial statement based on the FY 2026-27 enacted budget.  The brief updates the IFO estimate of the FY 2026-27 structural deficit to $5.03 billion, down from $5.56 billion. 

Stakeholder Meetings

The Department of Health’s Newborn Screening & Follow-Up Technical Advisory Board will hold a public meeting on July 23rd from 10am-Noon.

The Medical Assistance Advisory Committee (MAAC) will hold its monthly meeting on July 23rd at 10am. Register here. The MAAC Consumer Subcommittee will meet on July 22nd at 1pm. Register here.

The Office of Mental Health and Substance Abuse Services (OMHSAS) will host its quarterly stakeholder webinar at 3pm on July 23rd. Register here.

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.

2026-07-17T23:01:51+00:00July 17th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for July 17
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PA Health Policy Update for July 2

The following is an update of selected state health policy developments in Pennsylvania from June 29 – July 2 (Some of the language used below is taken directly from state documents). 

Budget Update

Pennsylvania’s new Fiscal Year has arrived but an agreed-to budget remains incomplete. Senate Republicans plan to return only when a final negotiated budget has been achieved to move the necessary bills and votes to send a bill to the Governor. Meanwhile, the House remained in session until Wednesday, July 1st as tensions rose during some budget-related committee meetings. Parties express hope that an agreement can be reached in the coming days. 

Rural Health Transformation Program

The Department of Human Services released two updates regarding RHTP dollars.

  • A funding opportunity has opened for FQHCs and FQHC look-alikes to help improve electronic health record utilization or to connect to existing health information exchange networks.
  • The cap of total available funds for RHTP Rapid Response Stabilization funds was increased to $42.2 million from the initial $25 million. 

General Assembly

The House and Senate were in Session this week and provided the following actions:

  • Monday June 29th
    • The Senate amended HB 2400, the House’s proposed budget legislation, to remove most of the bill’s spending proposals.
  • Tuesday, June 30th
    • The House sent SB 604, authorizing PA’s inclusion into the National Counseling Compact, to the Governor’s Desk by a vote of 188-14.
    • HB 2529 advanced out of the House by a vote of 198-4. This legislation would schedule Medetomidine,- an emergent additive – to the illicit drug supply, as a Schedule III Controlled Substance.
    • The Senate Banking & Insurance Committee amended and advanced HB 1123, insurance coverage for colorectal cancer screenings; and SB 738, the Senate’s proposed Older Adult Protective Services Act update.
  • Wednesday, July 1st
    • The House Rules Committee advanced HB 2378, which would expand flu vaccine offerings to Pennsylvanians ages 50 and older; HB 2649, which would preserve access to fertility preservation coverage for cancer patients; and HB 1667, a potential Tax Code bill that may move within the Budget process.

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

  • Rep. Dallas Kephart released a co-sponsor memo for a resolution directing a study of budgetary impacts that result from Health Insurance mandates.
  • Rep. Joe Hohenstein circulated a co-sponsor memo for legislation creating a task force to identify gaps and barriers experienced by Pennsylvanians with disabilities in digital access to state government services and information.
  • Sen. Frank Farry introduced SB 1403, which would broaden EMS transportation options for patients with behavioral health crisis needs. 

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 issued the following MA Bulletins on Prior Authorization Requirements:

DHS released its report on the potential utilization of a full-risk capitated broker model for the Medical Assistance Transportation Program.

The Department released its annual list of exceptional Durable Medical Equipment for nursing facilities.

Stakeholder Meetings

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

The Department of Health’s Newborn Screening & Follow-Up Technical Advisory Board will hold a public meeting on July 23rd from 10am-Noon.

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.

2026-07-02T20:20:54+00:00July 2nd, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Rural Health, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for July 2
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  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

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