The following is an update of selected state health policy developments in Pennsylvania for the week of November 7-10, 2022. (Some of the language used below is taken directly from state documents.)
2022 Election Update
While the results are not official, current Democratic Lieutenant Governor John Fetterman has defeated Republican Mehmet Oz to replace retiring U.S. Senator Pat Toomey. Pennsylvania’s congressional incumbents all won another term. The state’s two open congressional seats (PA-12 and PA-17) were captured by Summer Lee (D) and Chris Deluzio (D), respectively.
At the state level, Democrat Josh Shapiro, the state’s current Attorney General, defeated Republican State Senator Doug Mastriano and will be Pennsylvania’s next governor.
Republicans will retain control of the state Senate with 28 of the chamber’s 50 seats; they have been in the majority in the Senate since 1994. In an unanticipated outcome, Democrats made significant gains in the state House, and as of Thursday afternoon, November 10, are in striking distance of having a majority. A handful of House races remain too close to officially call and may be headed for a recount. Except for a four-year period from 2007 through 2010, Republicans have been in the majority in the House since 1995.
Come January, Pennsylvania will have a new governor, a vacancy at Attorney General, and nearly a quarter of the General Assembly’s members will be new so there will be changes in caucus and committee leadership.
General Assembly
As of Thursday afternoon, the state House is schedule to return to session on Monday, November 14 and the Senate is scheduled to return on Tuesday, November 15.
The Senate Health and Human Services Committee will hold a public hearing next Tuesday, November 15th at 10:00 a.m.. to review the recently released Behavioral Health Commission report. The hearing can be livestreamed here.
Department of Human Services
- The Department of Human Services (DHS) has issued Medical Assistance Bulletins addressing requirements for prior authorization and the type of information needed to evaluate the medical necessity of prescriptions for:
- cytokine and CAM antagonists
- bile salts
- angiotensin modulator combinations
- anti-hemophilia agents
- hepatitis C agents
- orallucocorticoids
- inhaled glucocorticoids
- antibiotics, GI and related agents
- antifibrotic respiratory agents (formerly idiopathic pulmonary fibrosis agents)
- antipsychotics
- antivirals, CMV
- corticotropin (formerly H.P. acthar gel)
- dupixent (dupilumab)
- GI motility, chronic agents
- dry eye treatments (formerly ophthalmics, immunomodulators)
- hypoglycemics, insulin, and related agents
- hypoglycemics, TZDs
- immunomodulators, atopic dermatitis
- NSAIDS
- DHS has issued a Medical Assistance Bulletin advising providers that it will increase Medical Assistance fees for certain ambulance services effective January 1, 2023. Find the bulletin, complete with the new fees, here.
- DHS has issued a Medical Assistance Bulletin advising providers about updates of the Medical Assistance fee schedule for authorized over-the-counter COVID-19 tests, effective with dates of service on and after December 5, 2022. Find that bulletin here.
- DHS has posted the minutes of the October 27 meeting of the Medical Assistance Advisory Committee.
Department of Health
The Department of Health has written to nursing home administrators to inform them that temporary nurse aides (TNAs) hired on or before June 6, 2022 have until the end of the federal public health emergency or April 5, 2023, whichever date comes first, to successfully pass the nurse aide exams and have their name enrolled on the Nurse Aide Registry. Find that letter here.
COVID-19: By the Numbers
- According to the CDC, the number of new COVID-19 cases reported in Pennsylvania continues to fall in the 1700-1800 a day range while the number of deaths is generally between 17 and 20 a day.
- According to the Department of Health, the number of Pennsylvanians hospitalized with COVID-19, on ventilators because of the virus, and in hospital ICUs because of the disease remained relatively steady over the past week.
Stakeholder Events
DHS – Medical Assistance Advisory Committee – Managed Long-Term Services and Supports Subcommittee – December 7
The managed long-term services and supports subcommittee of DHS’s Medical Assistance Advisory Committee will meet in Harrisburg on Wednesday, December 7 at 10:00. Interested parties can join the meeting in person or via webinar. For information about the location of the meeting and how to join virtually, see this DHS notice.
DHS – Medical Assistance Advisory Committee – Consumer Subcommittee – December 7
The consumer subcommittee of DHS’s Medical Assistance Advisory Committee will meet virtually on Wednesday, December 7 at 1:00. Go here to register to participate.
DHS – Medical Assistance Advisory Committee – December 8
DHS’s Medical Assistance Advisory Committee will meet virtually on Thursday, December 8 at 10:00. Go here to register to participate.