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PA Health Policy Update for October 9

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

General Assembly

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

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

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

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

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

Department of Aging

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

Department of Human Services

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

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

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

Department of Health

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

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

Independent Regulatory Review Commission

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

State Licensure Boards

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

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

Stakeholder Meetings

The Department of Health has scheduled the following advisory meetings:

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

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

Federal Update

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

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

PA Health Policy Update for September 25

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

General Assembly

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

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

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

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

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

Department of Human Services

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

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

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

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

Department of Health

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

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

DOH issued minimum standard requirements of sexual assault evidence collection.

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

PA Insurance Department

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

PA Health Care Cost Containment Council

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

Stakeholder Meetings

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

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

Federal Update

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

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

PA Health Policy Update for September 11

The following is an update of selected state health policy developments in Pennsylvania from September 7 – September 11 (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. Brandon Dukes circulated a co-sponsor memo for legislation to establish responsible policies and guidelines on the use of AI in schools.
  • Rep. Liz Handbidge released a co-sponsor memo for legislation to require the coverage of preeclampsia testing by insurers.
  • Sen. Amanda Cappelletti issued a co-sponsor memo for legislation that would remove religious exemptions from providing necessary medical treatment and/or vaccinations.
  • Rep. Bridget Kosierowski introduced HB 2762, which would require coverage of orthotic and prosthetic devices needed to restore bodily functions.
  • Rep. Greg Scott introduced HB 2763, legislation creating a statewide guaranteed health insurance program. 

Department of Human Services

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

DHS released a Remittance Advice Alert for Date of Death Recovery Updates.

Department of Health

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

Stakeholder Meetings

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

Federal Update

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

PA Health Policy Update for August 28

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

General Assembly

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

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

Department of Human Services

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

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

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

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

Department of Health

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

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

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

State Board of Pharmacy

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

Stakeholder Meetings

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

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

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

Federal Update

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

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 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 April 24

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

Rural Health Transformation Program

Today, DHS announced the qualifications for providers to receive Rapid Response Stabilization payments of at least $10,000 and up to $1 million to be used for the purchase of supplies, equipment, renovations, or structural improvements in alignment with the goals outlined in the commonwealth’s RHTP application to the federal government. Providers may submit the eligibility certification and required documentation beginning on May 1 to show they meet all of the following criteria:

  • Licensed as a hospital, health care provider, or rural health facility;
  • Currently in operation in Pennsylvania at the time of application and at the time funding is received;
  • Located in one of the RHTP-eligible rural counties or in a HRSA-defined rural census tract of a county of the second class A or third class.

This program payment is limited to one payment per qualified entity. Under the first tranche of this program request, program payments are limited to two program payments per region. There is a planned second tranche of funds to be made available after June 1, 2026 and that second tranche will not be limited by region.

DHS will authorize program payments in the order eligibility certifications are received, as evidenced by the date and time the email containing the full eligibility certification and receipt of all required documents. Providers should begin preparing the required documentation and budget narrative now for email submission on May 1. Submissions can be made via email to: RA-HHRRLHLTHTRNSPLAN@pa.gov. 

General Assembly

The Senate held session earlier week addressing the following issues:

  • Monday
    • The Senate passed Sen. Rosemary Brown’s SB 998, by a measure of 43-4, which would provide an expansion of resources for accredited nursing programs in PA through the Nurse Education Capacity Expansion Grant program.
  • Tuesday
    • The Senate Local Government Committee advanced HB 1442, which would require that all autopsies include a review to whether a seizure or epilepsy was part of the cause of death.
  • Wednesday

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

  • Sen. Amanda Cappelletti circulated a co-sponsor memo for legislation requiring the inclusion of Gaucher’s Disease on Pennsylvania’s Newborn Screening Panel and a co-sponsor memo for legislation that would allow access to PrEP and PEP medications without prescriptions.
  • Sen. Elder Vogel issued a co-sponsor memo for a resolution recognizing IgA Nephropathy Awareness Day in Pennsylvania.
  • Senator Michele Brooks released a co-sponsor memo for a resolution to designate May 2026 as Lyme Disease & Tick-Borne Illness Awareness Month in PA.
  • Rep. Frank Burns introduced HB 2431 which would require PBMs to accept Medicaid prescriptions from any pharmacy and pharmacist in good standing with the State Board of Pharmacy and US DEA.
  • Rep. Maureen Madden introduced HB 2435, providing for dementia training for EMS personnel. This legislation will receive a public hearing in the House Aging & Older Adult Services Committee on Monday April 27th.  

The House is scheduled to return to session this upcoming week. In addition to the hearing on HB 2435, the following activity is anticipated:

  • On Monday, the House Human Services Committee will meet to consider House Resolution 134, a resolution directing a comprehensive review of home & community-based services waiver programs and areas of improvement that can be identified.
  • On Tuesday, the House Health Committee will meet to consider HB 916, legislation to update the Child Blood Lead Testing Act.

Both the House and Senate will return to session on May 4th. 

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. Recently highlighted in DHS’ Human Services Helpers Substack was a toolkit for Long-Term Care Services & Caregivers to help all parties better understand and navigate the enrollment process.

DHS is currently hiring Regional Policy Specialists and an Executive Policy Specialist to help implement PA’s Rural Health Transformation Plan.

The Department issued its March 2026 HealthChoices Enrollment Report.

DHS announced its schedule for onboarding provider types to begin using the Qualitrac electronic prior authorization portal for MA fee-for-service claims. For each wave of the rollout, providers will receive a kickoff communication with instructions on how to register for the portal, then complete the registration and attend an initial training session focused on how to use the portal for their specific review type. There is no deadline at this time for mandatory use of Qualitrac for these authorizations, but DHS strongly encourages providers to use the portal once they are ready.

Department of Health

The Department released a Health Advisory Network alert for an increase in emergency department visits for tick bites and urging providers to heighten suspicion for tickborne diseases.

DOH, the Patient Safety Authority, and other stakeholders released updated guidance to acute care facilities regarding the definition of serious events, incidents, or infrastructure failures. 

Stakeholder Meetings

The Patient Safety Authority will hold a public meeting on April 28th at 1pm.

DOH’s Special Pharmaceutical Benefits Program will hold a public teleconference on April 30th from 10am to Noon.

The Department of Health’s Spinal Cord Research Advisory Committee Meeting will hold a public meeting on May 1st from 9am – 10am and the Brain Injury Advisory Board Meeting will also hold their public meeting on May 1st from 10am – 3pm.

DOH’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.

PA Health Policy Update for April 17

The following is an update of selected state health policy developments in Pennsylvania from April 13 –April 17 (Some of the language used below is taken directly from state documents). 

General Assembly

The House held session earlier week addressing the following issues:

  • Monday
    • The House Judiciary Committee voted out HB 1104, proposing to cap fees for obtaining medical records, by a margin of 14-12.
    • The House Human Services Committee held an informational hearing on the impacts of HR 1 on the SNAP Program in PA.
  • Tuesday
    • The House Health Committee held a voting meeting on HB 836, preserving access to fertility treatment, which passed out of committee with amendment by a measure of 17-9 and HB 2254, which would allow for medical marijuana usage in licensed healthcare facilities passed 22-3; along with several resolutions. HB 916, providing for further Blood Lead Testing was to be considered but was passed over.
    • The House Aging & Older Adult Services Committee held an informational hearing on the LIFE Program. The hearing highlighted the current state of the program in PA and nationally, aired enrollment challenges experienced by providers, and vetted potential legislative and policy solutions that could help address barriers to care.
    • The House Democratic Policy Committee held a public hearing on Black Maternal Health and Hospital Accountability.

The Senate is scheduled to return to session this upcoming week. The House will return to session on April 27th.

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

  • Rep. Bridget Kosierowski circulated a cosponsor memo for legislation to ensure commercial and government insurance plan coverage for orthotics and prosthetics and another cosponsor memo requiring coverage of fertility preservation for cancer patients.
  • A cosponsor memo released by Rep. Maureen Madden providing for dementia training for EMS personnel.
  • Rep. Melissa Cerrato issued a cosponsor memo for legislation to require DHS to submit a waiver request to CMS to allow legally responsible family members to perform paid care for a care-dependent relative.
  • Rep. Maureen Madden introduced HB 2378, which would expand flu vaccine availability for patients age 50 and older.
  • HB 2379, sponsored by Rep. Marla Brown, would require continuing education in Trauma-Informed Maternity Care.
  • Rep. Rob Kauffman introduced HB 2399, which would place additional identification requirements for public assistance benefits.
  • Sen. Tracy Pennycuick introduced SB 1285, to establish the PA BioBonds Innovation Fund to help spur further bio-tech and life-sciences investment. 

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.

Recently highlighted in DHS’ Human Services Helpers Substack was a toolkit for Long-Term Care Services & Caregivers to help all parties better understand and navigate the enrollment process.

DHS issued its May 2026 Remittance Advice Dates.

PA Healthcare Cost Containment Council

The Pennsylvania Health Care Cost Containment Council (PHC4) announced the release of new data detailing ownership of hospitals and ambulatory surgery centers (ASCs) across Pennsylvania, along with updated access to care information on facility locations and services for hospitals, ASCs, and nursing homes.  

Stakeholder Meetings

The Patient Safety Authority will hold a public meeting on April 28th at 1pm.

DOH’s Special Pharmaceutical Benefits Program will hold a public teleconference on April 30th from 10am to Noon.

The Department of Health’s Spinal Cord Research Advisory Committee Meeting will hold a public meeting on May 1st from 9am – 10am and the Brain Injury Advisory Board Meeting will also hold their public meeting on May 1st from 10am – 3pm.

Federal Update

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

PA Health Policy Update for March 6

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

General Assembly

Appropriations Committee hearings were held this week examining the Governor’s 26-27 Budget with executive agencies. Below are links to watch the relevant health & human services hearings that have been held so far along with a schedule for forthcoming hearings in the next two weeks.

Upcoming Hearings:

  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: House – Mar. 12th at 10am
  • Department of Health and Department of Drug & Alcohol Programs: Mar. 12th at 1pm

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

  • Senators Devlin Robinson and Chris Gebhard released a co-sponsor memo for legislation to include Medicaid Fee for Service coverage for biomarker testing.
  • Sen. Michele Brooks issued a co-sponsor memo for two-year licensure for programs licensed by the Department of Drug & Alcohol Programs.
  • Rep. Paul Takac and Rep. Tina Pickett introduced House Bill 2265, which would require on-site Emergency Physicians in all Hospital Emergency Departments.
  • Rep. Dan Frankel sponsored House Bill 2254, which would require healthcare facilities in PA to allow certain medical marijuana use for terminally ill patients.

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 updated prior authorization guidelines for GLP-1 medications in the MA program.

The Department issued fee schedule rate updates for Office of Developmental Programs’ Consolidated, Community Living, and Person/Family Directed Support Waivers and Targeted Support Management.

Department of Health

DOH released notice for their MCARE Act Surcharge for Ambulatory Surgical Facilities in PA.

Department of Aging

The Department of Aging released a bulletin notice for a reorganization of the Department. 

Stakeholder Meetings

DOH’s Statewide HIV Planning Group will hold a public meeting on Wednesday Mar. 18th from 10am to Noon.

The Independent Regulatory Review Commission will review proposed updates to the State Board of Pharmacy’s Final Immunization Regulation Updates at a public meeting on March 19th at 10am.

DOH’s Medical Marijuana Advisory Board released their schedule of board meetings for 2026 with the first upcoming on March 26th from 10:30am to 12:30pm.

The Council on Aging released their 2026 Meeting Schedule. 

Federal Update

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

2026-03-06T17:30:01+00:00March 6th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for March 6

PA Health Policy Update for December 5

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

Shapiro Administration Staffing Changes

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

General Assembly

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

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

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

Department of Health

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

Department of Human Services

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

The Department issued Medical Assistance Bulletins on the following areas:

DHS released its October 2025 Managed Care Enrollment Report.

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

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

Independent Fiscal Office

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

Independent Regulatory Review Commission

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

Pennsylvania Health Care Cost Containment Council

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

Stakeholder Meetings

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

Federal Update

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

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