The following is an update of selected state health policy developments in Pennsylvania December 16 – 20.  (Some of the language used below is taken directly from state documents). Please note, the next health policy update will be Friday, January 3, 2025. 

Governor Shapiro

Governor Shapiro has announced the appointment of Attorney General Michelle Henry to serve as Pennsylvania’s State Inspector General, effective January 21, 2025. The State Inspector General protects the integrity of commonwealth agencies by investigating fraud, misconduct, and abuse in executive agencies under the governor’s jurisdiction. Find additional information in this press release.

The Shapiro administration, including leaders from the Department of Human Services, Department of Health, Department of Drug & Alcohol Programs, and the Department of Aging, came together this week to highlight mental health, substance use disorder, and other resources available to Pennsylvanians this holiday season. Find additional information in this press release. 

General Assembly 

The Joint State Government Commission has released a report, “Women Veterans Health Care in the Commonwealth,” as directed by Senate Resolution 46. The report evaluates the access to

and quality of health care for women veterans in the commonwealth. A one-page summary of the report is viewable here. 

Department of Human Services 

  • The Department of Human Services (DHS) Office of Mental Health & Substance Abuse Services (OMHSAS) has issued a bulletin to update and clarify the procedure for submitting and processing waiver requests to OMHSAS. The bulletin also makes updates to regulatory waiver language and the process to appeal a waiver determination.
  • OMHSAS has announced updates to the Psychiatric Rehabilitation Services (PRS) regulations, which are scheduled for publication in the Pennsylvania Bulletin on January 18, 2025.  The regulations will be effective upon publication in the bulletin. The final form regulatory package submitted to the Independent Regulatory Review Commission (IRRC) is viewable here. The updates include lowering the minimum age to 14 years old for PRS eligibility, the inclusion of individuals with posttraumatic stress disorder, bipolar disorder, major depressive disorder, and anxiety disorders without requiring an exception process, and implementation of a weekly file note requirement.
  • DHS has announced the implementation of an alternative payment methodology for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) for a supplemental payment on the Medical Assistance (MA) program fee schedule for a Long-Acting Reversible Contraceptive (LARC) device and its insertion, or the removal of a LARC device, in addition to payment for an encounter. The effective date will be the date that the Centers for Medicare & Medicaid Services (CMS) approves DHS’ state plane amendment. Find additional information in this Pennsylvania Bulletin notice.

Department of Health

The Department of Health (DOH) has issued a Health Advisory (PA-HAN 779) to advise health care providers and stakeholders of severe and worsening presentations of withdrawal among people who use drugs in the Philadelphia area. 

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) has issued Licensing Alert 08-2024 to outline the steps for a drug and alcohol treatment facility to obtain a telehealth-only license from DDAP. Although existing providers may provide telehealth services, a telehealth-only license is new in Pennsylvania. It is also important to note that, currently, it is not possible to participate in the Pennsylvania Medical Assistance (MA) program as a 100 percent telehealth behavioral health clinic. 

State Board of Medicine 

Following approval from the Independent Regulatory Review Commission (IRRC), the State Board of Medicine has published final rulemaking which amends the Board’s regulations to allow the initial physical examination required for prescribing, administering, and dispensing controlled substances to be done via telehealth under certain conditions. The final rulemaking also conforms to regulations to the federal opioid use disorder treatment standards. Find additional information in this Pennsylvania Bulletin notice.

Around the StatePennsylvania State Map  

  • NBC local affiliate 21WFMJ has reported about Sharon Regional Medical Center’s filing to close after acquisition discussions with Meadville Medical Center failed to yield a positive outcome.
  • PennLive has written an article about the closure of Hershey Pharmacy in central Pennsylvania. The pharmacy’s owner cited the inability of “community pharmacy’s” to be profitable as a reason for its closure.
  • City & State Pennsylvania has written about the 60th Pennsylvania Electoral College meeting that took place in the Capitol on Tuesday. Nineteen electors convened to cast their votes for president and vice president, respectively. 

Stakeholder Meetings 

DOH – HIV Planning Group – January 15

The Statewide HIV Planning Group will hold a public meeting on Wednesday, January 15 and Thursday, January 16 from 9:00 a.m. to 4:30 p.m. The meeting will be held in person and virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

DOH – Brain Injury Advisory Board – February 7

The Brain Injury Advisory Board will hold a public meeting on Friday, February 7 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.