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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.

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.

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.

PA Health Policy Update for June 19

The following is an update of selected state health policy developments in Pennsylvania from June 15 – June 18 (Some of the language used below is taken directly from state documents).

Budget Update

As budget negotiators continue discussions, a Supreme Court decision regarding the legality of skill games could give momentum to a potential new source of revenue. The taxation and regulation of skill games in Pennsylvania was a key piece of Governor Shapiro’s budget proposal and a court-imposed deadline could add urgency to finally resolve this outstanding issue with twelve days remaining until the budget deadline arrives.

General Assembly

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

  • Monday June 15th
  • The House voted 200-2 to approve and send HB 377to the Senate. This bill would prohibit the sale, manufacture, or delivery of tianeptine, often called “gas station heroin” in Pennsylvania.
  • Wednesday, June 17th
  • The House Aging & Older Adult Services Committee & Human Services Committee held a joint hearingon the “In Lieu of Services” pilot program.
  • The House Health Committeevoted 25-1 on HB 2379, legislation to expand Flu vaccine offering requirements from age 65 to age 50; 26-0 on HB 2614, legislation prohibiting DEHP in IV bags and tubing; and 25-1 on HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS); and HR 528, a resolution to require a study on PANS & PANDAS.
  • The House Health Committeealso met in a public hearing to hear testimony on HB 2309, legislation to regulate the sale of beverages containing Delta-9 THC.

The House will return to session from Monday June 22nd through the week but adjusted their scheduled voting session days, moving June 26th through 28th from voting session to non-voting session. The Senate is scheduled for voting session from Monday June 22nd through Friday June 26th.

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

  • Catherine Wallen released a co-sponsor memo for legislation to hasten the reporting requirements of tick-borne diseases to the PA Department of Health.
  • Dave Argall issued a co-sponsor memoregulating the leasing of dental provider networks.
  • Christina Sappey introduced a co-sponsor memofor legislation requiring insurers to accept any willing, qualified behavioral health provider into network. This legislation is a Governor’s legislative priority.
  • Health Committee Chairs Dan Frankel, Kathy Rapp and Reps. Jessica Benham and Charity Krupa released a co-sponsor memofor legislation requiring pharmacies to submit drug price information to DHS to offer better understanding of actual pharmaceutical acquisition costs in the MA program.
  • Chairman Dan Frankel also issued a co-sponsor memofor legislation to require additional health information awareness and counseling for parents who opt their children out of required school vaccinations.
  • Arvind Venkat circulated a co-sponsor memofor legislation requiring insurance coverage of preventative services as recommended by several national health authorities.
  • Liz Hanbidge released a co-sponsor memofor legislation allowing broader usage and liability protections for utilization for expired naloxone.
  • Nate Davidson and Rep. Catherine Wallen introduced HB 2646, legislation to prohibit insurers from limiting access to drugs within the FDAs accelerated approval pathway.

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 July 2026 Remittance Advice Date information for providers.

Stakeholder Meetings

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

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

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

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

Federal Update 

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

PA Health Policy Update for June 12

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

Budget Update

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

General Assembly

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

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

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

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

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

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

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

Independent Fiscal Office

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

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

Department of Human Services

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

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

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

DHS issued the following notices in the PA Bulletin:

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

Stakeholder Meetings

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

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

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

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

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

Federal Update

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

PA Health Policy Update for June 5

The following is an update of selected state health policy developments in Pennsylvania from June 1 –June 5 (Some of the language used below is taken directly from state documents). 

General Assembly

The House and Senate returned to session on Monday June 1st and provided the following actions:

  • Monday, June 1st
    • The House sent HB 2254, which allows limited medical cannabis access in healthcare facilities, to the Senate by a vote of 174-27.
  • Tuesday, June 2nd
    • The House amended HB 69, legislation creating a more formalized framework around unused cancer drug donation programs, by broadening out the bill to all pharmaceutical drugs.
    • The House Health Committee approved HB 2162 by 25-1 with an amendment, legislation to streamline wholesale pharmaceutical state licensure; HB 2341 by 20-6 with an amendment, which would create a Health Care Facility Threat Assessment Grant Program. These bills have advanced to the full House for consideration.
    • The Senate Agriculture & Rural Affairs Committee unanimously advanced SB 866, which would set Medetomidine as a Schedule III Drug.
  • Wednesday, June 3rd
    • The House unanimously passed HB 69, unused prescription drug repository legislation, sending the bill to the Senate for consideration.

For the upcoming week, we anticipate the following activity:

  • Monday, June 8th
    • The Senate Appropriations Committee will consider SB 866, which would set Medetomidine as a Schedule III Drug, and HB 1442, which places additional requirements on coroners to ensure epilepsy death reporting accuracy.
    • The House Aging & Older Adult Services Committee will meet to vote on HB 1611, a comprehensive update to the Older Adult Protective Services Act.
  • Tuesday, June 9th
    • The House Human Services Committee will hold an informational meeting on Complex Care Assistant Programs.
  • Wednesday, June 10th
    • The Senate Consumer Protection & Professional Licensure Committee will meet to consider SB 1133, which would update membership of the Board of Pharmacy, and  SB 1334, which proposes additional regulations and oversight of medical imaging and radiation therapy.
    • The House Health Committee will hold a public hearing on HB 2270, which would require PA to utilize a single pharmaceutical benefit administrator model for the Medicaid program.

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

  • Sen. Lynda Culver circulated a cosponsor memo for legislation that would require employment history reviews for positions requiring direct care of and contact with older adults.
  • Rep. Bridget Kosierowski introduced HB 2583, which would increase reimbursement rates for durable medical equipment.
  • Rep. Keith Harris introduced a package of three bills aimed at increasing prostate cancer prevention, education, and awareness efforts.
  • Rep. Mary Jo Daley introduced HB 2605, which would codify an explicit right to access and use fertility treatments in PA.
  • Rep. Justin Fleming released HR 551, commissioning a behavioral health crisis study
  • Senator Michele Brooks formally introduced SB 1352, legislation providing for multi-year licensure for addiction treatment providers. 

Department of Health

The Department released updated guidance for clinicians for Hantavirus disease surveillance.

The Department issued interpretive guidance to clarify its expectations on the administration of anesthesia in hospitals and ambulatory surgical facilities. This interpretive guidance is responsive to requests from the regulated community for clarity on what constitutes anesthesia and which health care providers can administer anesthesia 

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.

As part of these updates, the Department launched a new website to highlight the changes in Medicaid. This will be updated as new information is provided by CMS.

Independent Fiscal Office

Commonwealth revenues are beating projections by close to a billion dollars for the fiscal year. The Independent Fiscal Office (IFO) released revenue projections for fiscal year (FY) 2025-26. May General Fund collections of $3.31 billion were $14 million (+0.4%) more than projected, while fiscal-year-to-date (FYTD) collections of $44.97 billion are $846 million (+1.9%) above estimate. (The comparable figures for the administration’s estimate released November 2025 are -$65 million (-1.9%) and $928 million (+2.1%)). Compared to the prior year, May collections were $73 million (+2.3%) higher and FYTD collections are $2.30 billion (+5.4%) higher.

Stakeholder Meetings

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

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

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

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

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

Federal Update

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

PA Health Policy Update for May 28

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

General Assembly

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

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

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

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

Department of Drug & Alcohol Programs

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

Department of Human Services

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

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

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

Stakeholder Meetings

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

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

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

Federal Update

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

PA Health Policy Update for May 22

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

Primary Election

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

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

General Assembly

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

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

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

Pennsylvania Insurance Department

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

Department of Human Services

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

Federal Update

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

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

PA Health Policy Update for May 15

The following is an update of selected state health policy developments in Pennsylvania from May 11 –May 15 (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. Greg Scott and Rep. Liz Hanbidge issued a co-sponsor memo for legislation to formally schedule Medotomidine as a Schedule III Controlled Substance.
  • Sen. Tracy Pennycuick and Sen. Lisa Boscola circulated a co-sponsor memo for legislation to further streamline the prior authorization process for mental health treatments.
  • Sen. Chris Gebhard released a co-sponsor memo for a resolution directing the Legislative Budget & Finance Committee to study the potential impacts of federal review of state-based essential benefit mandates implemented since the creation of the Affordable Care Act and potential future financial obligations to the Commonwealth that may result from federal action.

Primary Elections will be held on Tuesday May 19th along with a Special Election to fill the vacant seat in the 196th Legislative District in York County. The House and Senate will return on Monday June 1st.

Department of Health

The Department issued two Health Alert Network notices for an outbreak of measles in Lebanon County and guidance for healthcare practitioners related to hantavirus. 

Department of Human Services

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

DHS issued its June 2026 Remittance Advice Date for providers.

Federal Update

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

CMS shared a unified guidance document for the EPSDT Program including guidance shared through the past few decades into one stop.

2026-05-15T20:52:18+00:00May 15th, 2026|Federal Medicaid issues, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for May 15

PA Health Policy Update for May 8

The following is an update of selected state health policy developments in Pennsylvania from May 4 –May 8 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

The Center for Rural Pennsylvania held a public hearing on PA’s Rural Health Transformation Program and its implementation and utilization of federal RHTP funds. The Penn Capital-Star reported on the hearing, sharing a summary of some of the topics discussed such as EMS and the 988 hotline. 

General Assembly

The House and Senate held session earlier this week addressing the following healthcare related issues:

  • Tuesday
    • The House Communications & Technology Committee passed HB 1925 out of committee with amendment with a 19-7 vote. This bill would provide regulation and standards of AI use in healthcare.
  • Wednesday
    • The House Health Committee held an informational hearing on the Uniform Healthcare Decision Act.
    • The House Insurance Committee convened a voting meeting on HB 2427; consolidation of utilization management statutes, HB 2464; replacing outdated references in PA’s Insurance Law, and HB 2473; repealing obsolete insurance laws and completed statutorily required studies. All three bills advanced unanimously out of committee.
    • The Senate Banking & Insurance Committee advanced SB 1321 which would prohibit state funds from being used for certain gender affirming care services.
    • HB 1251 was signed into law as Act 12 of 2026, which allows nurse midwives to refer patients to pelvic floor therapy.
    • SB 507 was signed into law as Act 14 of 2026, which implements licensure for certified midwives and modernizes other midwifery practices.
  • Thursday
    • The Senate Institutional Sustainability and Innovation Committee held a hearing on SB 792, which would provide for an increase in the Research & Development Tax Credit program in PA.

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

  • Rep. Bridget Kosierowski introduced HR 513 which would direct a study on the financial impact of outdated hospital regulations on Pennsylvania hospitals.
  • Rep. La’Tasha Mayes introduced HR 517 recognizing May 2026 as Preeclampsia Awareness Month in Pennsylvania.
  • A co-sponsor memo was filed by Rep. Kristin Marcell for legislation requiring insurance coverage for Ovarian Cancer Screening.

The House and Senate will now break from session until June to accommodate Pennsylvania’s upcoming Primary Elections on Tuesday, May 19th.

Department of Aging

The Department announced an RFP for a READY Community funding collaborative to help support the implementation of PA’s Aging Our Way PA strategic plan. The collaborative will work across the Shapiro Administration and Pennsylvania philanthropic leaders to support funding opportunities to advance the Aging Our Way PA plan. The RFP closes on Friday June 12, and the department will host a webinar for prospective applicants on Tuesday, May 19 at 1:00pm. 

Department of Human Services

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

DHS released a bulletin notice with its methodology for determining case-mix rates for nonpublic nursing facilities across several peer groups in State Fiscal Year 25-26.

The Department issued a bulletin notice detailing its annual Nonpublic and County Nursing Facility Per Diem Rates for State Fiscal Year 25-26.

DHS issued a notice of Implementation of the Qualitrac® Provider Portal for Prior Authorization and Program Exception Submissions. 

Stakeholder Meetings

The Department of Health’s Statewide HIV Planning Group will hold a public meeting on May 20th from 9am to Noon.

Federal Update

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

2026-05-08T20:21:37+00:00May 8th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Rural Health Transformation Program|Comments Off on PA Health Policy Update for May 8
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