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PA Health Policy Update for June 6

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

General Assembly

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

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

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

Department of Human Services 

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

Department of Health

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

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

Independent Regulatory Review Commission  

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

Revenue Collection Update 

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

Around the State  

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

Stakeholder Meetings

Pharmaceutical Assistance Advisory Board – June 16

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

Patient Safety Authority – June 17

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

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

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

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

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

Governor Shapiro

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

General Assembly

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

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

Department of Human Services

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

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

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

Department of Health

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

Independent Regulatory Review Commission

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

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

State Board of Psychology 

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

Around the State  

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

Stakeholder Meetings

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

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

Patient Safety Authority – June 17

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

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

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

Primary Election Update 

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

General Assembly

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

Department of Human Services 

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

Board of Nursing 

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

Insurance Department 

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

Independent Fiscal Office 

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

Around the State 

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

Stakeholder Meetings

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

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

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

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

Election Update

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

Governor Shapiro 

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

General Assembly

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

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

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

Department of Human Services

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

Around the State

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

Stakeholder Meetings

DHS – Consumer Sub-MAAC – May 21

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

DHS – Medical Assistance Advisory Committee – May 22

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

DOH – Spinal Cord Research Committee – May 23

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

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

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

General Assembly

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

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

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

Department of Human Services

Department of Health 

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

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

Around the State

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

Stakeholder Meetings

The Patient Safety Authority – April 29

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

DOH – Brain Injury Advisory Board – May 2

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

DOH – HIV Planning Committee – May 14

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

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

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

Governor Shapiro 

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

General Assembly

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

Department of Human Services

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

Department of Health 

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

Around the State  

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

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

Stakeholder Meetings

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

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

DHS – Consumer Sub-MAAC – April 23

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

DHS – Medical Assistance Advisory Committee – April 24

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

The Patient Safety Authority – April 29

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

DOH – Brain Injury Advisory Board – May 2

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

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

2025-03-28T19:22:00+00:00March 28th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for March 28
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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 AssemblyHarrisburg, PA capital building

  • 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.

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.

 

2025-03-07T22:13:24+00:00March 7th, 2025|Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for March 7
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PA Health Policy Update for February 21

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

 General Assembly

The state House of Representatives and Senate began 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 Health appeared before the Senate Appropriations Committee on Wednesday, February 19. A recording of that hearing is viewable here.
  • The Department of Health and the Department of Drug & Alcohol Programs appeared before the House Appropriations Committee on Friday, February 21. A recording of that hearing is viewable here.  

The House of Representatives and Senate will continue budget hearings next week. The only health-related agency scheduled to appear is the Department of Aging, which will be before the Senate Appropriations Committee on Tuesday, February 25 at 1:00 p.m. and the House Appropriations Committee on Thursday, February 27 at 1:00 p.m. The House Appropriations Committee’s full hearing schedule is viewable here and the Senate Appropriations Committee’s full hearing schedule is viewable here. 

Department of Human Services

The Department of Human Services (DHS) has released a rate and wage study for its long-term services and supports (LTSS) and home and community-based services (HCBS) programs. The study assessed rates paid to LTSS and HCBS providers in order to inform the commonwealth’s budget and rate setting process. The study is viewable here.

DHS has issued a Medical Assistance Bulletin to advise providers that effective February 18, the Medical Assistance (MA) program will cover Early and Periodic Screening, Diagnostic and Treatment (EPSDT) screening and diagnostic services to eligible juveniles in the 30 days prior to release, and targeted case management services, both physical and behavioral health, in the 30 days prior to and for at least 30 days following release from a carceral setting.  

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) has announced it will hold a webinar on March 3 at 10:00 a.m. to discuss the changes to 42 CFR Part 8 (Medications for the Treatment of Opioid Use Disorders) and their practical implications in treatment settings. Find additional information and details on how to participate here. 

Pennsylvania Health Care Cost Containment Council

The Pennsylvania Health Care Cost Containment Council (PHC4) has announced the release of a special report on the finances of rural hospitals in Pennsylvania. Find the full report and data visualizations from the report here. 

Around the State  

The Philadelphia Inquirer’s Harold Brubaker has written an article about Sharon Regional Medical Center and Crozer Health and the financial support provided by the state to help keep them open and serving patients.

Governor Shapiro’s appointment by President Trump to serve a two-year term on the Council of Governors was covered by The Philadelphia Inquirer. Among other things, the council is tasked with improving state-federal partnerships and coordinating national security and disaster response efforts. 

Stakeholder Meetings

DHS – Consumer Sub-MAAC – February 26

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

DHS – Medical Assistance Advisory Committee – February 27

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

Pennsylvania Health Care Cost Containment Council – Committee Meetings

The Pennsylvania Health Care Cost Containment Council (PHC4) has announced the schedule of various committee meetings for the first quarter of 2025. Find a detailed schedule and details on how to participate in this Pennsylvania Bulletin notice.

2025-02-21T21:58:30+00:00February 21st, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2026 budget|Comments Off on PA Health Policy Update for February 21
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PA Health Policy Update for February 7

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

Fiscal Year 2025-26 Budget Proposal 

Governor Shapiro delivered his third annual budget address before the General Assembly this week. In total, the proposed FY 2025-26 budget spends $51.5 billion, a $3.6 billion or 7.5 percent increase over the current fiscal year. The governor’s speech included a mixture of accomplishments from his administration’s first two years in office and aspirational policy goals focused on economic competitiveness, education and workforce development, energy infrastructure, public safety, and health care access and affordability. The budget does not propose any broad-based tax increases, but it does rely on a significant amount of fund transfers and new revenue sources, including the elimination of the Delaware tax loophole, the legalization of recreational marijuana, and the taxing of skill games.

The following are budget-related documents released by the budget office, including a proposed line item appropriation spreadsheet.

Governor Shapiro 

Governor Shapiro signed Senate Bill 184, now known as Act 2 of 2025, into law this week following its passage in the Senate. Act 2 enables team physicians traveling internationally with their club or national team to treat their team players on site during games without requiring a Pennsylvania medical license. 

General Assembly

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

  • The House Aging & Older Adult Services Committee held an informational meeting on Monday, February 3 on the Area Agencies on Aging (AAAs). A recording of the hearing is viewable here. 
  • The Human Services Committee held an informational hearing on Wednesday, February 5 on treatment and support for traumatic brain injuries. A recording of the hearing is viewable here.   
  • The House Health Committee met on Wednesday, February 5, a recording of which is viewable here, and favorably reported the following bills from committee.
    • House Bill 60, which aligns Pennsylvania with federal policies to permit the electronic transfer of certain prescribed controlled substances between pharmacies.
    • House Bill 157, which establishes a rural health care grant program to provide financial incentives to health care providers to practice in rural areas.
    • House Bill 409, which requires health care providers to inform patients that they will be receiving their test results in their electronic health record, or that they can request to receive the results in the mail. 

Department of Health 

The Department of Health (DOH) has updated its Event Reporting System (ERS) with new flu and RSV reporting enhancements to streamline the reporting of both event types. This is similar to the enhancements made during COVID-19 in March 2021. As a reminder, all flu and RSV events are to be reported to ERS within 24 hours of the facility becoming aware of the diagnosis. Find additional information on the enhancement in this Quick Start Guide (opens as a Word document). 

Insurance Department 

The Pennsylvania Insurance Department (PID) has announced it is conducting a medical professional liability insurance study to determine whether sufficient capacity exists to increase the basic coverage limits of insurance required by the Medical Care Availability and Reduction of Error (MCARE) Act. Find additional information and details on how to provide written comments to PID in this Pennsylvania Bulletin notice. 

Revenue Collection Update 

The Department of Revenue has announced Pennsylvania collected $3.9 billion in General Fund revenue in January, which was $51.3 million, or 1.3 percent, less than anticipated. Fiscal year-to-date General Fund collections total $24.1 billion, which is $148.3 million, or 0.6 percent, below estimate. 

Around the State  

  • The Philadelphia Inquirer has written an article about the bankruptcy proceedings of Crozer Health’s parent company, Prospect Medical Holding, and the judge’s recent approval of the appointment of a temporary manager, FTI Consulting, for 30 days. 
  • An article published by the Pennsylvania Capital-Star highlighted Governor Shapiro’s FY 2025-26 budget proposal and the response by Republican leaders in the General Assembly. 
  • The Pittsburgh Post-Gazette wrote an article about comments made by Governor’s Shapiro in his budget address about the need to remove private equity money from health care and implement a more stringent regulatory review process.
  • WHYY published an article about the health care issues receiving attention at the start of the 2025-2026 legislative session and in Governor Shapiro’s budget address.  

Stakeholder Meetings

Patient Safety Authority – February 18

The Patient Safety Authority will hold a meeting of the Authority’s board on Tuesday, February 18 at 1:00 p.m. The meeting will be held virtually and is open to the public. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

2025-02-07T21:45:49+00:00February 7th, 2025|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2026 budget|Comments Off on PA Health Policy Update for February 7
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  • 2020 Safety-Net Association of Pennsylvania

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

  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

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