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PA Health Policy Update for October 2

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

General Assembly

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

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

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

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

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

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

Department of Human Services

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

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

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

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

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

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

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

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

DHS issued its August 2026 MA Enrollment Report.

Department of Health

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

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

Independent Regulatory Review Commission

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

Department of Revenue

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

Stakeholder Meetings

The Department of Health has scheduled the following advisory meetings:

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

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

Federal Update

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

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

2026-09-11T19:21:57+00:00September 11th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for September 11
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PA Health Policy Update for July 17

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

Budget Update

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

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

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

General Assembly

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

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

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

Department of Human Services

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

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

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

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

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

Department of Health

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

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

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

PA Health Care Cost Containment Council

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

Independent Fiscal Office

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

Stakeholder Meetings

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

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

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

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

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

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

Federal Update

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

2026-07-17T23:01:51+00:00July 17th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for July 17
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PA Health Policy Update for June 26

The following is an update of selected state health policy developments in Pennsylvania from June 22 – June 26 (Some of the language used below is taken directly from state documents). 

Budget Update

Tuesday’s budget deadline approaches and key negotiators and legislative leaders continue to discuss options to close an agreement. Part of those options may be utilizing the Rainy Day Fund if other proposed revenue options such as the taxation and regulation of adult -use cannabis and skill games are not agreed-to by the Governor, House, and Senate. Even parties reluctant to agree to utilizing the Rainy Day fund last year such as Senate Majority Leader Joe Pittman, acknowledge, “It’s going to be a difficult task to not have any conversation about the Rainy Day Fund.” Additionally this week, legislative efforts were underway to remove tax breaks for data centers in both the House and Senate. 

General Assembly

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

  • Monday June 22nd
    • The House voted 200-2 to approve and send HB 377 to the Senate. This bill would prohibit the sale, manufacture, or delivery of tianeptine, often called “gas station heroin” in Pennsylvania.
    • The Senate advanced SB 1352, 45-5, over to the House which allows for two-year licensure for addiction treatment providers.
  • Tuesday, June 23rd
    • The House voted unanimously on HB 75 and HB 76, both of which addressed dual recognition for Physician Assistants by removing the requirement of PAs to maintain the same board licensure as their supervising physician.
    • The House passed HB 1127 by a margin of 136-66. This legislation authorizes the Commonwealth to join the Dentist and Dental Hygienist Compact.
    • The Senate unanimously supported SB 730, the PA Orders for Life Sustaining Treatment legislation which outlines orders during end-of-life decisions.
  • Wednesday, June 24th
    • The House unanimously voted to send HB 2162, legislation to streamline the wholesale drug manufacturing licensure process, to the Senate.
    • HB 2621, which would fund the Department of Health Pregnancy Risk Assessment Monitoring System (PRAMS), was voted favorably out of the House by a margin of 190-12.
    • The Senate moved SB 482 by a party-line vote over to the House. This legislation would increase education and awareness provisions for the LIFE Program.
    • The Senate unanimously advanced SB 1206, legislation to streamline the wholesale drug manufacturing licensure process, to the House.
    • The Senate Health & Human Services Committee advanced several bills; HB 69 unanimously, which is legislation formalizing unused pharmaceutical drug donation programs; SR 216, 8-5, requiring the Legislative Budget & Finance Committee conduct an audit of PA’s Medicaid program; HB 1117, unanimously, which shifts to recovery-focused language within the Department of Drug & Alcohol Programs operating statute.
    • The Senate Institutional Sustainability and Innovation Committee held a voting meeting to amend HB 1460, the mergers & acquisitions in healthcare bill by a 8-3 margin. The bill was sent to the full Senate by a margin of 9-2.
    • The House Insurance Committee held a voting meeting to amend HB 2226, legislation addressing co-pay accumulator policies, and HB 2652, legislation acknowledging out-of-pocket costs in cash pay or online prescription marketplace transactions by insurers. Both bills were amended in committee and advanced by a 14-12 vote. The Committee also reported out in a 14-12 vote HB 2653, which is legislation requiring insurers to accept any willing, qualified behavioral health provider into network and referred several healthcare-related bills to other committees.

The House and Senate return to session on Monday, June 29th as they work towards the June 30th Budget Deadline.

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

  • Rep. Steve Malagari issued a co-sponsor memo for legislation requiring insurance coverage for infertility care.
  • Rep. Emily Kinkead released a co-sponsor memo for legislation allowing the Commonwealth to purchase generic naloxone.
  • Sen. Frank Farry circulated a co-sponsor memo for legislation to broaden EMS transportation options for patients with behavioral health crisis needs.
  • Sen. Tracy Pennycuick issued a co-sponsor memo for legislation to prevent fraudulent claims within PA’s insurance marketplace, Pennie ®.
  • Rep. Bridget Kosierowski introduced HB 2649, which would require access to fertility coverage for patients diagnosed with cancer.
  • Rep. Tarik Khan proposed HB 2648, legislation to prevent insurers from changing coverage terms or premiums during a contract year.
  • Rep. Arvind Venkat introduced HB 2673, legislation requiring insurance coverage of preventative services as recommended by several national health authorities.
  • Sen. Steve Santarsiero introduced SB 1399, legislation to require advanced emergency planning and preparation for nursing home facilities. 

Department of Aging

The Department released the PA Long Term Care Council’s meeting schedule for 2026. 

Department of Health

The Department issued a Health Alert Network release with guidance to medical providers in response to the ongoing measles outbreak in certain counties in PA. 

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 proposed methodology for the Nursing Facility Assessment Program payments for FY 2026-2027. Public comment on the proposed assessment methodology will be accepted for 30 days and can be filed to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov.

DHS issued notice of proposed amendments to the Commonwealth’s State Plan to update payments and methodology for the Budget Adjustment Factor for nursing facilities. Interested persons are invited to submit written comments regarding the BAF formula during a 30-day public comment period to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov.

The Department also issued proposed case-mix rates for payments to nonpublic and county-operated nursing facilities. Interested persons are invited to submit written comments regarding the proposed annual rates for FY 2026-2027 to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Benjamin Spager, P.O. Box 8025, Harrisburg, PA 17105-8025 or at RA-PWOLTLNFPUBLICCOM@pa.gov. Comments received within 30 days will be reviewed and considered.

DHS released Prior Authorization Guidelines for Upper Extremity Orthoses.

The Department also shared its May 2026 HealthChoices Enrollment Report.

Stakeholder Meetings

DHS is hosting a public hearing for public comment on the proposed LIHEAP state plan on July 2nd, both from 10am – Noon.

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

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

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

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

Federal Update

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

2026-06-26T20:10:52+00:00June 26th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for June 26
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PA Health Policy Update for May 1

The following is an update of selected state health policy developments in Pennsylvania from April 27 –May 1 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

Applications are being accepted today for providers to submit their RHTP eligibility certification and required documentation to show they meet all of the qualifications for providers:

  • 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.

DHS released FAQs to help address provider questions. Submissions can be made via email to:  RA-HHRRLHLTHTRNSPLAN@pa.gov.

Submissions will be reviewed for those 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. 

General Assembly

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

  • Monday
    • The House Aging & Older Adult Services Committee held a public hearing on Rep. Maureen Madden’s HB 2435, providing for dementia training for EMS personnel.
  • Tuesday
    • The House Health Committee passed HB 916, legislation to update the Child Blood Lead Testing Act, as amended by a vote of 14-12.
    • The House Human Services Committee unanimously advanced House Resolution 134, a resolution directing a comprehensive review of home & community-based services waiver programs and areas of improvement that can be identified.

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

  • Rep. Darisha Parker introduced House Bill 2464 which would replace outdated terminology in PA’s Insurance Company Law.
  • Rep. Anthony Bellmon circulated a co-sponsor memo for a resolution designating May 2026 as Guillain-Barre Syndrome Awareness Month.
  • A co-sponsor memo issued by Rep. Russ Diamond proposes a resolution designating October 13th as Metastatic Breast Cancer Awareness Day in 2026.
  • Rep. Kerry Benninghoff released a co-sponsor memo for Childhood Cancer Awareness Month in September of 2026.
  • Rep. Arvind Venkat issued a cosponsor memo for legislation to establish timelines for the processing of Medical Assistance applications in long-term care and another for a resolution directing a study on medical schools and their promotion of careers in primary care.
  • Rep. Kathy Rapp issued co-sponsor memos for resolutions designating Surgical Technologist Week and Idiopathic Pulmonary Fibrosis Research Awareness Week.
  • A co-sponsor memo was filed by both Rep. Tina Davis and Sen. Steve Santarsiero for legislation requiring the sharing of emergency plans and contacts for nursing facilities with local emergency responders.
  • Sen. Tina Tartaglione issued co-sponsor memos for resolutions designating Mental Health Awareness Month and Older Americans Month.
  • Sen. Amanda Cappelletti and Sen. Steve Santarsiero released a co-sponsor memo for legislation requiring insurance coverage for breastfeeding and feeding support services.
  • Sen. Michele Brooks issued a co-sponsor memo for a resolution designating National Hospital Week.
  • Sen. Judy Ward released a co-sponsor memo for a resolution designating Nursing Week in Pennsylvania.
  • A co-sponsor memo circulated by Sen. Elder Vogel for a resolution designating May 14th as IgA Nephropathy Awareness Day in PA.

The House and Senate are scheduled to return to session this upcoming week where the following activity is anticipated:

  • Tuesday
    • The House Communications & Technology Committee will hold a voting meeting to consider HB 1925, which would provide regulations and parameters on the use of AI in Healthcare.
    • The House Aging & Older Adult Services and Human Services Committees will hold a joint public hearing on In Lieu of Services.
  • Wednesday
    • The House Health Committee will hold an informational hearing on the Uniform Healthcare Decision Act.
    • The House Insurance Committee will hold 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.
  • Thursday
    • The Senate Institutional Sustainability and Innovation Committee will hold a hearing on SB 792, which would provide for an increase in the Research & Development Tax Credit program in PA.

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 a bulletin notice announcing the approval of doula services’ inclusion in the PA Medicaid State Plan by CMS retroactive to Jan. 1, 2025, as required by Act 115 of 2024.

DHS issued a provider tip for streamlining provider revalidation submissions.

The Department released their latest updated PA Managed Care Directory. 

Stakeholder Meetings

The Department of Health’s Organ Donation Advisory Committee will hold a public meeting on May 7th from 10am-1:30pm.

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.

2026-05-01T20:28:03+00:00May 1st, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medical Assistance, Rural Health Transformation Program|Comments Off on PA Health Policy Update for May 1
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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.

2026-04-24T20:24:41+00:00April 24th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for April 24
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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.

2026-04-17T19:33:18+00:00April 17th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for April 17
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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
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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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PA Health Policy Update for November 7

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

General Assembly and Budget Update

After Pennsylvania’s judicial and local election this past Tuesday, four members of the PA House won local elected offices which will require special elections early next year following their respective swearing-in to those offices. As Rep. Lou Schmitt, winner of a county judicial race indicated, “People were focused on the election… Now that the election is out of the way, people can go back to policy.” The House and Senate will have the opportunity to do so when both chambers are set to return on November 17th.

On Monday, November 10th at 10am, the Senate Democratic Policy Committee will hold a public hearing on supporting home care workers and consumers. The hearing can be streamed live here.

Department of Health

The Department’s Special Pharmaceutical Benefits Program released their approved covered drug list in their October Advisory Council meeting which will take effect on December 1st. The Department also updated its list of Medicare Part C and D plans with premium payment agreements with SPBP for 2026. 

Department of Human Services

DHS has issued helpful guidance and information to assist individuals in understanding the federal SNAP work requirements instituted earlier this fall.

DHS released MA Bulletins on updated prior authorization policies for several drug classes in response to recommendations from the Pharmacy and Therapeutics Committee.

State Board of Medicine

The State Board of Medicine shared Education and Volunteer Services proposed regulations to add new mandatory education requirements and clarify the process for a volunteer license. 

Stakeholder Meetings

The Department of Health’s Statewide HIV Planning Group will hold their public meeting on Wednesday Nov. 19th and Thursday November 20th both from 9am-3pm.

DOH’s Infant Hearing Screening Advisory Committee will meet on Thursday Nov. 13th from 10am – Noon.

The DHS Medical Assistance Advisory Committee plans to meet December 4th at 10am. You can register for the meeting here. 

Federal Update

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

2025-11-07T20:33:35+00:00November 7th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for November 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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