Independent Fiscal Office Archives - Safety-Net Association of Pennsylvania

PA Health Policy Update for June 12

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

Budget Update

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

General Assembly

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

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

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

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

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

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

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

Independent Fiscal Office

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

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

Department of Human Services

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

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

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

DHS issued the following notices in the PA Bulletin:

Changes to Supplemental Payments to Qualifying Hospitals – Making adjustment to some eligibility criteria
Delay in Implementing Fee Schedule Rates for Supports Coordination Services and Targeted Support Management
Disproportionate Share Hospital Payments to Qualifying Hospitals – Creating a new class of disproportionate share hospital payments promoting additional access for inpatient & outpatient services and supporting academic medical center programs & services.
Disproportionate Share Payments and Supplemental Payments to Qualifying Hospitals – Making updates to some payment methodologies to allocate supplemental payments for hospitals with negative operating margins serving high-MA populations in high-need areas of the Commonwealth.
School-Based ACCESS Program Payment Methodology Updates
Supplemental Payments to Qualifying Hospitals – Creating a new class of supplemental payments for hospitals impacted by hospital closures in Delaware County.
Supplemental Payments to Qualifying Hospitals – Creating a new class of supplemental payments for hospitals in Allegheny County that operate a level 1 trauma center, a comprehensive burn center and a nursing school.

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

Stakeholder Meetings

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

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

Monday, June 15^th from 1:00-2:00pm

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

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

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

Federal Update

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

PA Safety Net Admin2026-06-12T21:21:36+00:00June 12th, 2026|Federal Medicaid issues, Medicaid supplemental payments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off

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 1^st and provided the following actions:

Monday, June 1^st
- 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 2^nd
- 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 3^rd
- 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 8^th
- 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 9^th
- The House Human Services Committee will hold an informational meeting on Complex Care Assistant Programs.
Wednesday, June 10^th
- 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

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 23^rd 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 10^th 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 11^th from 10am to Noon.

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

Federal Update

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

PA Safety Net Admin2026-06-06T01:56:22+00:00June 5th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off

PA Health Policy Update for April 10

The following is an update of selected state health policy developments in Pennsylvania from April 6 –April 10 (Some of the language used below is taken directly from state documents).

General Assembly

The House returns to session next week where we anticipate the following actions:

Monday
- The House Judiciary Committee is scheduled to vote on several bills, one of which is HB 1104 which proposed to cap fees for obtaining medical records.
- The House Human Services Committee will hold a hearing on the impacts of HR 1 on the SNAP Program in PA.
Tuesday
- The House Health Committee will hold a hearing on HB 836, preserving access to fertility treatment; HB 916, providing for further Blood Lead Testing; and HB 2254, which would allow for medical marijuana usage in licensed healthcare facilities; along with several resolutions.
- The House Aging & Older Adult Services Committee will hold an informational hearing on the LIFE Program.
- The House Democratic Policy Committee will hold a public hearing on Black Maternal Health and Hospital Accountability.

The Senate is scheduled to return to session the following week.

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

Rep. Danilo Burgos introduced House Bill 2368 to create the Healthcare Human Trafficking Screening and Intervention Act to provider greater structure and increased requirements for human trafficking intervention protocols.
House Bill 2364, introduced by Rep. Nikki Rivera would expand the scope of physical therapy services to include dry needling.
Sen. Tracy Pennycuick released a co-sponsor memo for legislation to require drug & alcohol recovery residences to obtain licensure within three years.
A co-sponsor memo was released by Sen. Maria Collett for legislation to create a Commission on Comprehensive Health Coverage.

Department of Human Services

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

DHS issued a Medical Assistance Bulletin for Prior Authorization Guidelines for Pediatric Adaptive Seating Equipment.

The Department shared remittance advice alerts for Fee-for-Service Relative Weight Adjustments.

Governor’s Advisory Commission on Women

The Governor’s Advisory Commission on Women has released a “State of the Woman” Survey to assess the experiences of women living in the Commonwealth. The survey is open through May 30^th.

State Board of Pharmacy

The State Board of Pharmacy issued notice of final deemed approved regulations on Injectable Medications.

Independent Fiscal Office

The Independent Fiscal Office provided a state budget and economic update to the Education Policy and Leadership Center. The report highlights state population decline and migration, limited job growth with the largest driver being the health care sector, and state general fund revenue and spending trends. The presentation can be found here.

Stakeholder Meetings

The Department of Health’s Renal Advisory Committee will hold their quarterly public meeting on April 17^th from 10am-Noon.

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

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

Federal Update

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

PA Safety Net Admin2026-04-10T21:18:43+00:00April 10th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations|Comments Off

PA Health Policy Update for February 13

The following is an update of selected state health policy developments in Pennsylvania from February 9 – February 13 (Some of the language used below is taken directly from state documents).

Governor’s Office

As highlighted in the Governor’s Budget Proposal, Governor Shapiro released his Housing Action Plan this week proposing strategic initiatives to compact housing instability and increase affordability.

General Assembly

Beginning next week, the Senate Appropriations Committee will begin their work reviewing the Governor’s Budget Proposal inviting Commonwealth Agency heads to testify on their respective budget proposals. The House Appropriations Committee will begin their hearings the following week. Key hearings are as follows:

Insurance Department: House – Feb. 24^th at 10am
Department of Health & Department of Drug & Alcohol Programs: House – Feb. 24^th at 1pm
Department of Human Services: Senate – Feb. 25^th at 10am; House – Mar. 4^th at 10am
Department of Aging: House – Mar. 10^th at 1pm
Governor’s Budget Office: Senate – Mar. 4^th at 1pm; House – Mar. 12^th at 10am

On Wednesday, the House Democratic Policy Committee held a hearing in Scranton which can be viewed here on threats and strains on community hospitals across the Pennsylvania.

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

Rep. Melissa Shusterman and Rep. La’Tasha Mayes issued a co-sponsor memo for legislation placing restrictions on the activities of US Immigration & Customs Enforement (ICE) in Pennsylvania hospitals.
A co-sponsor memo released by Rep. Maureen Madden and Rep. Darisha Parker for a bill that would broaden PA’s age requirements for the flu vaccine from age 65 to age 50.
Rep. Johanny Cepeda-Freytiz and Rep. Mike Schlossberg circulated a co-sponsor memo for a resolution designating May as Mental Health Awareness Month in PA.
Sen. Judy Ward released a co-sponsor memo designating March 7^th as Suddenly Sleepy Saturday for Narcolepsy Awareness in PA.
Rep. Joe Hogan introduced House Bill 2201, which would create the PA Physical Health Improvement Tax Credit program.
House Bill 2212, introduced by Rep. Steve Malagari would require health insurers in integrated delivery networks to allow patient access to physician-owned facilities that meet certain standards.
Reps. Jeanne McNeill, Chris Pielli, and Greg Scott issued House Bill 2215 which regulates the use of AI by minors through implementing age verifications for use, prohibiting sexually explicit content, and prohibiting encouragement of self-harm or sexual violence.

Department of Human Services

DHS’ Office of Mental Health & Substance Abuse Services is seeking new members for its Mental Health Planning Council. Applications must be received by March 31^st. More information on how to apply can be found here.

Independent Fiscal Office

The IFO released its long-term budget outlook this week once again highlighting concerns with projected deficits in the coming fiscal years.

Federal Update

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

PA Safety Net Admin2026-02-13T21:10:06+00:00February 13th, 2026|Governments, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for January 30

The following is an update of selected state health policy developments in Pennsylvania from January 26 – January 30 (Some of the language used below is taken directly from state documents).

Governor’s Office

Governor Shapiro will offer his annual budget address, laying out his priorities for the 2026-2027 Fiscal Year Budget, before a joint session of the House and Senate on Tuesday Feb. 3^rd. You can watch the address live at 11am on Tuesday.

The Governor’s Office of Policy & Planning released its updated Regulatory Agenda detailing estimated timelines for the release of proposed or final regulations to the Independent Regulatory Review Commission. The Department of Health estimates that it will publish proposed changes to the hospital regulations in May 2026.

General Assembly

The House and Senate will both convene next week in session Monday through Wednesday and will convene in joint session for the Governor’s Budget Address Tuesday morning.

The House also has another vacancy as Rep. Seth Grove of York County resigned his office effective January 31st. Rep. Grove most recently chaired the House Labor & Industry Committee and previously chaired the House Appropriations Committee. Until special elections are finalized this leaves the House with five vacancies and a balance of power at 100 (D) – 98 (R).

The House passed HB 348, sponsored by Rep. Tim Bonner, by a measure of 199-0. This legislation would require nursing facilities to make residents aware of the option to have legal counsel assist residents with their eligibility for Medical Assistance. The bill now moves to the Senate for its consideration.

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

Rep. Justin Fleming issued a co-sponsor memo for legislation to create a tax credit program for Direct Support Professionals.
Rep. Brenda Pugh released two emergency services-related co-sponsor memos. The first would require additional transparency for the Emergency Services Operating Fund (EMSOF) and the other would create a Fire & EMS Recruitment & Retention Grant program.
A co-sponsor memo released by Rep. Kyle Mullins and Rep. Bryan Cutler would create regulations and licensure requirements for medical imaging professionals.
Representatives Lisa Borowski, Paul Friel, and Thomas Kutz introduced HB 2162 which would allow for companies to apply for a state pharmaceutical licensure concurrently with FDA approvals.
Rep. Bridget Kosierowski introduced HB 2164 which would create a Complex Care Assistant certification for family members of medically fragile children.
Sen. Cris Dush released a co-sponsor memo directing the Legislative Budget & Finance Committee to perform a study examining the PA Medicaid program.
Senators Katie Muth, Lindsey Williams, and Nikil Saval circulated a co-sponsor memo establishing combined tax reporting for businesses in Pennsylvania.
Sen. Maria Collett released a co-sponsor memo for legislation maintaining coverage for Affordable Care Act- required preventative services.

Department of Drug & Alcohol Programs

The Department highlighted nine grants totaling $1.9M for Single County Authorities supporting fourteen counties to support the expansion and development of recovery houses and recovery support services.

Department of Health

DOH issued notice of the inclusion of Deuchenne’s Muscular Dystrophy to the Recommended Uniform Screening Panel (RUSP) supplemental conditions list for the Newborn Screening Program effective Jan. 1, 2027.

Department of Human Services

DHS issued notice of Medical Assistance Day One Incentive (MDOI) payments for nonpublic nursing facilities.

The Department released notice of renewal of the OBRA Waiver and the Community Health Choices Waiver. Both waiver updates would add teleservice delivery, behavior therapy, and benefits counseling, among others.

DHS shared Prior Authorization guidelines for Manual Hospital Beds and Accessories and Face and Ear Prosthesis.

PA Health Care Cost Containment Council

PHC4 issued a report detailing data behind the closures of Brandywine Hospital and Jennersville Hospital.

Independent Fiscal Office

The Independent Fiscal Office released its 2026 Mid-Year Revenue Update. The report details prior revenue estimates vs actual revenues for the Commonwealth. The IFO continues to issue caution on a structural deficit for the Commonwealth at current spending & revenue levels.

Joint State Government Commission

As directed by House Resolution 170 of 2023, the Joint State Government Commission released a report and advisory committee recommendations on the Adoption and Use of Artificial Intelligence in Pennsylvania.

Stakeholder Meetings

The Department of Health’s Organ Donation Advisory Committee will meet on Thurs. Feb. 5^th at 10am.

DOH’s Brain Injury Advisory Board will hold a public meeting on Fri. Feb. 6^th from 10am to 3pm.

The Patient Safety Authority will hold a public board meeting on Tues. Feb. 10^th at 1pm.

Federal Update

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

PA Safety Net Admin2026-01-30T21:48:31+00:00January 30th, 2026|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania proposed FY 2027 budget, Pennsylvania state budget issues|Comments Off

PA Health Policy Update for December 19

The following is an update of selected state health policy developments in Pennsylvania from December 15 – December 19 (Some of the language used below is taken directly from state documents).

SNAP Eligibility Screening Tool

DHS issued a new screening tool designed to help Pennsylvanians determine their eligibility for SNAP benefits. This tool follows new federal rules implemented by the One Big Beautiful Bill Act which changed eligibility requirements for public assistance programs such as SNAP.

General Assembly

The House concluded its voting days for the remainder of the year. As the year concludes, so does the tenure of service for some in the legislature. State Representatives Dan Miller in Allegheny County and Josh Siegel in Lehigh County both have tendered resignations to the Speaker to assume local offices won in November’s elections. The Speaker has set dates for special elections on Feb. 24^th to replace these members. Two additional resignations will also be forthcoming between now and early 2026 for Reps. Torren Ecker of Adams County and Lou Schmitt of Blair County, also to assume local elected positions.

During House Session this week, the House Communications & Technology Committee held a public hearing on HB 1925, Rep. Arvind Venkat’s AI in Healthcare legislation. The hearing can be viewed here.

The House Health Committee unanimously voted out both HB 1202 & HB 1851 this week. Rep. David Zimmerman’s HB 1202 would create a Commonwealth Medical Stockpile which could be accessed by healthcare facilities. HB 1851, sponsored by Rep. Gina Curry, would allow nurse-midwives to sign fetal death certificates.

Additionally, the House acted on the following healthcare-related bills this week:

Receiving Second Consideration
- HB 348, by Rep. Tim Bonner, which requires nursing facilities to make residents and their families aware of their rights and options to apply for Medicaid benefits at the time of entering a nursing home;
- HB 1129, sponsored by Rep. Paul Friel, which provides for the sale of Net Operating Losses and unused Research & Development Tax Credits.
Final Passage from the House
- HB 1530, by Rep. Danilo Burgos, which establishes privacy protections for Pennsylvania consumers regarding their genetic data collected by direct-to-consumer genetic testing companies (e.g., commercial DNA testing services). This bill was passed unanimously.
- HB 1957, by Rep. Melissa Shusterman, which would establish the reproductive right in the Pennsylvania Constitution. This legislation passed 102-101.
- HB 1881, by Rep. Arvind Venkat, passed 106-97. This bill would mirror an executive order by Governor Shapiro, allowing pharmacists’ practice authority to provide vaccines recommended by Pennsylvania’s health authorities that may be informed by our professional medical societies.

Department of Human Services

DHS launched 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 an MA Bulletin regarding prior authorization for Lynkuet.

DHS updates to the Pennsylvania Medicaid Managed Care Directory and issued its MCO Enrollment Report for November 2025.

The Shapiro Administration announced the launching of a suite of new technology and tools to support the Commonwealth’s administration and management of public assistance programs and improve customer experience.

State Board of Pharmacy

The State Board of Pharmacy proposed rulemaking that sets forth the board’s criteria for eligibility for licensure by endorsement, including the specific methods required for an applicant to demonstrate competency. It also sets forth the requirements for granting a provisional endorsement license.

Independent Fiscal Office

The IFO published a new budget brief that uses the latest SNAP benefits data for November 2025. The data show that the number of enrollees declined by 158,000 (-8%) from the prior year as new work requirements take effect.

Stakeholder Meetings

The Department of Health’s Renal Disease Advisory Committee will meet for its quarterly public meeting on Friday, January 16, 2026, from 10 a.m. to 12 p.m.

Federal Update

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

PA Safety Net Admin2025-12-19T21:18:56+00:00December 19th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off

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 8^th through the 10th. The House will return for non-voting session on December 15^th and voting session on the 16^th & 17^th.

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.

PA Safety Net Admin2025-12-05T20:44:06+00:00December 5th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off

PA Health Policy Update for June 20

The following is an update of selected state health policy developments in Pennsylvania from June 16 – 20. (Some of the language used below is taken directly from state documents).

Governor Shapiro

The Shapiro administration has shared a document with stakeholders outlining the potential impact of H.R. 1, the reconciliation package currently being considered by the U.S. Congress. The assessment primarily addresses the impact on Medicaid coverage. It does not include a detailed overview of the provisions in the reconciliation package related to provider taxes or state directed payments, from which Pennsylvania receives significant funding.

General Assembly

The state House of Representatives convened in Harrisburg this week. The following is an overview of selected health care-related legislative activity that occurred.

The House Health Committee met on Monday, June 16 and favorably reported, among other bills, House Bill 1234, which expands the Medical Assistance program to cover blood pressure monitors for home use as a pregnancy-related service on a per pregnancy basis.

The House Professional Licensure Committee met on Tuesday, June 17 and favorably reported House Bills 80 and 482, which enable Pennsylvania to join the Audiology and Speech-Language Pathology Interstate Compact and the National Occupational Therapy Licensure Compact respectively, and Senate Bill 115, which requires the Department of Human Services to offer a skills competency exam in lieu of high school diploma or GED requirements for individuals seeking employment as direct care staff in personal care homes or assisted living residences.

The House Insurance Committee met on Tuesday, June 17 and favorably reported House Bill 1445, which prohibits an insurer from denying what would otherwise be a service covered by the policy simply because the health care service was received in a school setting.

The state House of Representatives and Senate will reconvene in Harrisburg for voting on Monday, June 23.

Department of Human Services

The Department of Human Services (DHS) has announced the proposed annual case-mix per diem payment rates for state Fiscal Year (FY) 2025-26 for non-public and county nursing facilities that participate in the Medical Assistance (MA) program. Find additional information in this Pennsylvania Bulletin notice.

DHS has issued Provider Quick Tip #263 regarding the electronic submission process for Office of Medical Assistance Programs’ (OMAP) fee-for-service (FFS) and the Office of Long-Term Living’s (OLTL) and LTC 180-day exception requests and other claims requiring documentation in the Promise Portal.

Department of Health

The Department of Health (DOH) has announced the Newborn Screening and Follow-up Technical Advisory Board is adding Metachromatic Leukodystrophy (MLD) screening, effective January 1, 2026, to the supplemental conditions mandated for screening and follow-up by commonwealth submitters and follow-up by the commonwealth newborn screening program. Find additional information in this Pennsylvania Bulletin notice.

DOH has published notice of the clinical laboratories approved for the following services.

Independent Fiscal Office

The Independent Fiscal Office (IFO) has published a document outlining the impact of the Medicaid provisions included in the federal reconciliation bill passed by the U.S. House of Representatives. The document also includes a budget brief highlighting Pennsylvania Medicaid enrollment and funding trends from FY 2018-19 through the Shapiro administration’s proposal for FY 2025-26.

Insurance Department

The Pennsylvania Insurance Department (PID) has announced that most health insurers are requesting significant premiums increases for plan year 2026. On average, insurers are asking for a 19 percent increase to premiums in the individual market, and a 13 percent increase to premiums in the small group market.

Around the State

State Senate Majority Leader Joe Pittman (R-Indiana) has stated he, “sees no practical way that a budget will be completed on June 30.” His comments and the significant increase in funding for the Medicaid program were the subject of an article by the Pennsylvania Capital-Star.

The Pew Charitable Trusts has published an article about the share of state budgets spent on Medicaid and which states have increased their own resources on Medicaid.

A CBS3 report has highlighted insurance denials and called attention to the Pennsylvania Insurance Department’s external review process for claim denials.

Stakeholder Meetings

DHS – Consumer Sub-MAAC – June 25

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on June 25 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – June 26

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on June 26 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

PHC4 – Council Meeting – July 3

The Pennsylvania Health Care Cost Containment Council (PHC4) has announced it will hold a council meet on July 3 at 10:00 a.m. PHC4 will also hold an Education Committee meeting on June 25. Find additional information in this Pennsylvania Bulletin notice.

DOH – Newborn Screening Advisory Board – July 24

The Newborn Screening and Follow-Up Technical Advisory Board will hold a public meeting on Thursday, July 24 from 10:00 a.m. until 12:00 p.m. The meeting will be conducted in person only. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

DOH – Health Research Advisory Committee – July 30

The Health Research Advisory Committee will hold a public meeting on Wednesday, July 30 from 10:00 a.m. to 11:00 a.m. The meeting will be held at the Nesquehoning Recreational Center. Find additional details on how to participate in this Pennsylvania Bulletin notice.

DOH – Brain Injury Advisory Board – August 1

The Brain Injury Advisory Board will hold a public meeting on Friday, August 1 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person at the Pennsylvania Training and Technical Assistance Network. Find additional details on how to participate in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-06-23T19:51:18+00:00June 20th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for June 13

The following is an update of selected state health policy developments in Pennsylvania from June 9 – 13. (Some of the language used below is taken directly from state documents).

General Assembly

The state House of Representatives and Senate convened in Harrisburg this week. The following is an overview of selected health care-related legislative activity that occurred this week.

The Senate unanimously passed Senate Bill 95, which permits EMS providers to leave naloxone with a caregiver of a patient who overdosed. The bill also places certain disclosure requirements on pharmacies related to the retail and generic versions of prescribed medications. The bill was subsequently received in the House and referred to the Veterans Affairs and Emergency Preparedness Committee.

The House of Representatives passed House Bill 1549, which increases the state’s minimum wages, by a party-line vote. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 1460, which provides for more oversight of health care entity merger and acquisition activities. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 1088, which expands maternal blood pressure monitoring coverage. The bill will now be sent to the Senate for consideration.

The Senate Consumer Protection & Professional Licensure Committee met on Wednesday, June 11 and favorably reported, among other bills, Senate Bills 535 & 536, which amend the Osteopathic and Medical Practice Acts to enable genetic counselors to order genetic tests as appropriate.

The Senate Health & Human Services Committee met on Wednesday, June 11 and favorably reported, among other bills, the following.
- Senate Bill 461, which seeks to improve testing and insurance coverage for Lyme disease testing.
- Senate Bill 715, which extends the Rare Disease Advisory Council’s sunset date to 2028.
- House Bill 27, which requires operating rooms to utilize surgical smoke evacuation systems.
- House Bill 640, which updates annual reporting requirements for the Department of Drug & Alcohol Programs (DDAP).

A recording of the meeting is viewable here.

The House Human Services Committee met on Tuesday, June 10 and favorably reported House Bill 1100, which creates a grant program to provide eligible public-school entities with funding to acquire and distribute menstrual hygiene products, and House Bill 1590, which supports Pennsylvania’s implementation of a new federal Medicaid flexibility that waives the longstanding “four walls” requirement for outpatient behavioral health clinics. A recording of the hearing is viewable here.

The House Health Committee met on Tuesday, June 10 and favorably reported House Bill 1442, which places requirements on coroners to report Sudden Unexpected Death in Epilepsy (SUDEP), and House Bill 1527, which extends the Rate Disease Advisory Council’s sunset date to 2028. A recording of the meeting is viewable here.

The House Aging & Older Adult Services Committee met on Tuesday, June 10 for an informational hearing on the Older Adult Protective Services Act (OAPSA) and financial exploitation of older adults. A recording of the hearing is viewable here.

The Legislative Budget & Finance Committee (LBFC) met on Wednesday, June 11 and released its report on the effect of home and community-based workforce shortages on commonwealth-supported Medicaid waiver programs. The full report is viewable here and highlights from the report are viewable here.

The state House of Representatives will reconvene in Harrisburg for voting on Monday, June 16. The Senate is recessed until Monday, June 23.

Department of Human Services

The Department of Human Services (DHS) has announced it will hold another listening session in its “Food is Medicine Stakeholder Engagement Series,” which is part of the Bridges to Success: Keystones of Health demonstration waiver. The next session, which will focus on medically tailored meals, will take place on June 16 at 1:00 p.m. Find additional information and registration details here.

DHS has issued a Medical Assistance Bulletin to inform providers about updates to the Statewide Preferred Drug List (PDL) related to glucose sticks made at the April 23 Pharmacy & Therapeutics (P&T) Committee meeting. The PDL changes are effective July 7, 2025.

DHS has announced changes to the Medical Assistance (MA) program fee schedule. The department is adding and end-dating codes as a result of the 2025 updates published by the Centers for Medicare & Medicaid Services to the Healthcare Common Procedure Coding System (HCPCS). The changes are effective for dates of service on and after June 16, 2025. Find additional information in this Pennsylvania Bulletin notice.

DHS has released a document with revisions to the participating drug companies list for the Medicaid Drug Rebate Program.

DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks through the month of July. Find the updated calendar here.

DHS has issued a Remittance Advice Alert regarding action needed to continue submitting claims and eligibility requests electronically with PROMISe™.

Department of Health

The Department of Health (DOH) has published notice of intent to issue a final notice to temporarily schedule any material, compound, mixture, or preparation which contains any quantity of the several Nitazene substances. This final notice to temporarily schedule will place this group of substances in Schedule I under The Controlled Substance, Drug, Device and Cosmetic Act.

Independent Fiscal Office

The Independent Fiscal Office (IFO) has published a budget brief highlighting Pennsylvania Medicaid enrollment and funding trends from FY 2018-19 through the administration’s proposal for FY 2025-26. It also provides projections of the impact for certain Medicaid provisions included in the federal reconciliation bill passed by the U.S. House of Representatives.

Insurance Department

The Pennsylvania Insurance Department (PID) has announced that the largest health insurers operating in the commonwealth are taking steps to expand coverage for medications used to treat postpartum depression and related maternal mental health conditions. Find additional information in this press release.

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) has shared an opportunity from the Health Resources and Services Administration (HRSA), the Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program. The program offers up to $250,000 in student loan repayment for eligible professionals who commit to six years of full-time work providing direct SUD treatment or recovery support at an approved facility. The program is open to a range of providers, including medical, behavioral health, and peer support professionals. Applications are due July 10, 2025.

Around the State

Spotlight PA has published an article on the potential impact of the budget reconciliation bill being considered by the U.S. Congress on the state’s Medicaid program.

The Wall Street Journal has written an article about the Pennsylvania General Assembly’s efforts to enact legislation creating more scrutiny over health care entity transactions involving private equity.

LancasterOnline covered Senate Appropriations Committee Chairman Scott Martin’s comments about the state budget unpredictability created federal budget discussions.

Stakeholder Meetings

Pharmaceutical Assistance Advisory Board – June 16

The Department of Aging has announced the Pharmaceutical Assistance Advisory Board will hold a virtual meeting on Monday, June 16 from 1:00 p.m. to 2:30 p.m. Find information on how to participate in this Pennsylvania Bulletin notice.

Patient Safety Authority – June 17

The Patient Safety Authority has announced it will hold a meeting of the Authority’s board on Tuesday, June 17 at 1:00 p.m. The meeting will be held virtually and is open to the public. Find additional details on how to participate in this Pennsylvania Bulletin notice.

DOH – Preventative Health Services Block Grant Advisory Committee – June 17

The Preventative Health and Health Services Block Grant Advisory Committee will hold a public meeting on Tuesday, June 17 from 9:30 a.m. to 10:30 a.m. The purpose of the meeting is to present the Federal Fiscal Year 2025 Workplan and budget information. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-06-13T19:46:49+00:00June 13th, 2025|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off

PA Health Policy Update for May 23

The following is an update of selected state health policy developments in Pennsylvania from May 19 – 13. (Some of the language used below is taken directly from state documents).

Primary Election Update

Voters went to the polls on Tuesday, May 20 for Pennsylvania’s 2025 Primary Election. On the ballot there were judicial candidates seeking to fill vacancies on the Commonwealth and Superior Courts, along with municipal races. Find the Department of State’s unofficial election results here.

General Assembly

The state House of Representatives and Senate were recessed this week. Both chambers are scheduled to return to Harrisburg on Monday, June 2.

Department of Human Services

The Department of Human Services (DHS) has issued a Medical Assistance Bulletin with Pennsylvania’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Periodicity Schedule and Coding Matrix. This bulletin applies to all providers enrolled in the Medical Assistance program who provide EPSDT screens for Medical Assistance (MA) beneficiaries.

Board of Nursing

The State Board of Nursing has announced that it has adopted temporary regulations, which can be found here, necessary to implement the Nurse Licensure Compact. The temporary regulations are effective upon their publication in the Pennsylvania Bulletin. Additional information about the Nurse Licensure Compact is available on the Department of State’s website here.

Insurance Department

The Pennsylvania Insurance Department (PID), along with the Department of Health, the Department of Human Services, and the Department of Drug and Alcohol Programs (DDAP), has announced the launch of a women’s health survey to identify challenges and questions women have about their health insurance benefits, and to remind women about preventive health services that are available to them at no cost through their insurance.

Independent Fiscal Office

The Independent Fiscal Office (IFO) has released its initial revenue estimate for FY 2025-26. The IFO has estimated Pennsylvania’s General Fund revenues will total $47 billion in FY 2025-26. The IFO has also revised the current fiscal year’s deficit to $3.6 billion, an increase of $280 million. Find the full report here and the IFO’s presentation here.

Around the State

The Tribune-Review has published an article about the potential spike in the number of Pennsylvanians without health insurance that will occur if the reconciliation bill passed by the U.S. House this week moves forward.

Spotlight PA has continued to report about state legislative efforts to implement additional oversight of health care facility mergers and acquisitions.

The mayoral elections that featured prominently in Tuesday’s Primary Election were the focus of an article by City & State Pennsylvania.

Spotlight PA has published an article about the Commonwealth and Superior Court candidates advancing to November’s General Election.

Stakeholder Meetings

DHS – Long-Term Services & Supports Subcommittee – June 4

The Long-Term Services and Supports (LTSS) Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold its next public meeting on June 4 at 10:00 a.m. The meeting will be held virtually. Register to participate here.

PA Safety Net Admin2025-05-23T20:21:35+00:00May 23rd, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Medicaid|Comments Off

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