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PA Health Policy Update for July 10

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

Budget Update

Pennsylvania’s state budget is now more than a week late. The General Assembly was not able to come to an agreement this week, despite warnings from local leaders about the lasting impacts of budget impasses over the last five years. Stakeholders are optimistic that an agreement can be found this weekend.

Senators will return to Harrisburg for a nonvoting session on Friday for committee meetings and voting sessions are expected to take place on Saturday and Sunday. The House Appropriations Committee is planning to meet on Saturday night, and the full House will convene for a voting session at noon on Sunday.

The Pennsylvania Revenue Department released final Fiscal Year 2025-26 collections, which were $1.1 billion above the original estimate. 

General Assembly

The House and Senate were not in Session this week. The following are healthcare-related bills or cosponsor memos released by legislators this past week:

  • Sen. Judy Ward issued a cosponsor memo describing legislation to create an attestation process for ambulatory surgical facilities to add new services and update the Medicare covered procedures list used by the Department of Health.
  • Rep. Dan Frankel and Minority Leader Bryan Cutler notified legislators that they will soon introduce legislation to remove the sunset provision governing the Pennsylvania Health Care Cost Containment Council’s (PHC4) operations.
  • Rep. Liz Hanbidge plans to introduce legislation to cap the cost of epinephrine delivery systems and limit out-of-pocket costs for consumers to $35.
  • Rep. Natalie Mihalik circulated a cosponsor memo on her plan to introduce a bill urging action by the FDA to address ongoing shortages of hormone replacement therapy medications, particularly transdermal estradiol products. 

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 announced the availability of $25 million in Rural Health Transformation Funds to support qualified onboarding with the statewide health information exchange, the Pennsylvania Patient and Provider Network (P3N). Eligible applicants include hospitals, nursing facilities, home health agencies, behavioral health providers, substance use disorder providers, group homes, and intermediate care facilities and each provider type is subject to an award cap. Applications open on July 27 and will remain open until August 14. Find more information in this PA Bulletin notice and stay tuned to this DHS webpage for the application form.

DHS updated its Provider Quick Tip #85 on the Breast & Cervical Cancer Prevention and Treatment program.

The Commonwealth Office of Digital Experience (CODE PA) is working with the DHS’s Bureau of Human Services Licensing to survey providers on their experience with applying for and maintaining licenses issued by the commonwealth. Interested providers can complete this short survey to show interest in participating in virtual interviews with CODE PA researchers.

DHS has announced the replacement SNAP benefits available for Pennsylvanians affected by recent severe weather and power outages.

The Pennsylvania Capital-Star reports that one year after President Donald Trump signed the One Big Beautiful Bill Act, which added work requirements for certain Medicaid recipients and reduced federal aid for administering food benefits, 98,000 fewer Pennsylvanians are receiving food benefits.

Elsewhere, the Pennsylvania Capital-Star reports that Pennie (the state’s Affordable Care Act marketplace) enrollment has dropped by 160K after federal subsidies expired.

Department of Health

The Department of Health (DOH) issued a health alert with information on New World Screwworm, a parasitic fly, that has been identified in livestock in Texas and New Mexico. Providers are advised to suspect infection in patients with recent travel to these areas.

Stakeholder Meetings

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

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

Federal Update

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

2026-07-11T15:58:54+00:00July 10th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid laws and regulations, Pennsylvania proposed FY 2027 budget, Pennsylvania Rural Health, Pennsylvania state budget issues, Rural Health Transformation Program|Comments Off on PA Health Policy Update for July 10
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PA Health Policy Update for July 2

The following is an update of selected state health policy developments in Pennsylvania from June 29 – July 2 (Some of the language used below is taken directly from state documents). 

Budget Update

Pennsylvania’s new Fiscal Year has arrived but an agreed-to budget remains incomplete. Senate Republicans plan to return only when a final negotiated budget has been achieved to move the necessary bills and votes to send a bill to the Governor. Meanwhile, the House remained in session until Wednesday, July 1st as tensions rose during some budget-related committee meetings. Parties express hope that an agreement can be reached in the coming days. 

Rural Health Transformation Program

The Department of Human Services released two updates regarding RHTP dollars.

  • A funding opportunity has opened for FQHCs and FQHC look-alikes to help improve electronic health record utilization or to connect to existing health information exchange networks.
  • The cap of total available funds for RHTP Rapid Response Stabilization funds was increased to $42.2 million from the initial $25 million. 

General Assembly

The House and Senate were in Session this week and provided the following actions:

  • Monday June 29th
    • The Senate amended HB 2400, the House’s proposed budget legislation, to remove most of the bill’s spending proposals.
  • Tuesday, June 30th
    • The House sent SB 604, authorizing PA’s inclusion into the National Counseling Compact, to the Governor’s Desk by a vote of 188-14.
    • HB 2529 advanced out of the House by a vote of 198-4. This legislation would schedule Medetomidine,- an emergent additive – to the illicit drug supply, as a Schedule III Controlled Substance.
    • The Senate Banking & Insurance Committee amended and advanced HB 1123, insurance coverage for colorectal cancer screenings; and SB 738, the Senate’s proposed Older Adult Protective Services Act update.
  • Wednesday, July 1st
    • The House Rules Committee advanced HB 2378, which would expand flu vaccine offerings to Pennsylvanians ages 50 and older; HB 2649, which would preserve access to fertility preservation coverage for cancer patients; and HB 1667, a potential Tax Code bill that may move within the Budget process.

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

  • Rep. Dallas Kephart released a co-sponsor memo for a resolution directing a study of budgetary impacts that result from Health Insurance mandates.
  • Rep. Joe Hohenstein circulated a co-sponsor memo for legislation creating a task force to identify gaps and barriers experienced by Pennsylvanians with disabilities in digital access to state government services and information.
  • Sen. Frank Farry introduced SB 1403, which would broaden EMS transportation options for patients with behavioral health crisis needs. 

Department of Human Services

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

The Department issued the following MA Bulletins on Prior Authorization Requirements:

DHS released its report on the potential utilization of a full-risk capitated broker model for the Medical Assistance Transportation Program.

The Department released its annual list of exceptional Durable Medical Equipment for nursing facilities.

Stakeholder Meetings

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

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

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

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

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

Federal Update

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

2026-07-02T20:20:54+00:00July 2nd, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Rural Health, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for July 2
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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 9th
    • 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 10th
    • 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 15th while the Senate will return on Monday, June 22nd.

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

  • Wednesday, June 17th
    • 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:

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 23rd 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.

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

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.

2026-06-12T21:21:36+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 on PA Health Policy Update for June 12
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PA Health Policy Update for February 27

The following is an update of selected state health policy developments in Pennsylvania from February 23 – February 27 (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 Human Services: House – Mar. 4th at 10am
  • Department of Aging: House – Mar. 10th at 1pm
  • Governor’s Budget Office: Senate – Mar. 4th at 1pm; 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:

  • Rep. Tarik Khan introduced a co-sponsor memo for legislation allowing students to carry and  self-administer pancreatic medications at school.
  • Sen. Michele Brooks introduced a co-sponsor memo for legislation to implement reforms around the 340B program.
  • Sens. Tracy Pennycuick and Nick Miller released a co-sponsor memo requiring insurance coverage for fertility preservation for patients prior to cancer treatment.
  • Sen. Devlin Robinson issued a co-sponsor memo for legislation to address the cost of topical medications in PA’s workers’ compensation system.
  • Sen. Maria Collett released a co-sponsor memo for legislation that would create benchmarks for healthcare cost growth to align with inflation.
  • Sens. Judy Ward and Maria Collett issued a co-sponsor memo for a resolution recognizing Rare Disease Day in PA.
  • Sen. Vince Hughes introduced, Senate Bill 1161, a General Fund Budget Bill for the 26-27 Fiscal Year
  • Rep. Kyle Mullins introduced House Bill 2173 to regulate and license medical imaging and radiation therapy.
  • Rep. Joe Webster released House Bill 2241 which would require broader medical price transparency

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 its fee schedule rates for Personal Assistance Services in the OBRA Waiver and Act 150 Program.

The Department issued an MA Bulletin on Prior Authorization Guidelines for Blood Glucose Meters with Voice Synthesizer or Integrated Lancing Blood Sample.

DHS released its January 2026 HealthChoices Enrollment Report.

Department of Health

DOH released its list of hospitals that may not provide emergency contraception or sexual assault emergency services.

The Department issued notice of availability of its proposed Preventative Health and Human Services Block Grant Application to the US Department of Health & Human Services. A public hearing will be held on the application on June 10th from 1:30-2:30pm. The Preventative Health & Human Services Block Grant Advisory Committee will also hold a public meeting on March 25th from 1:30 to 2:30pm to discuss status of funding.

Independent Regulatory Review Commission

IRRC scheduled public meetings for consideration of State Board of Medicine Education and Volunteer Services Regulations on March 19th.

The State Board of Social Workers, Marriage and Family Therapists & Professional Counselors released proposed regulatory updates for 30 day public comment. This proposed rulemaking includes amendments relating to qualifications for licensure, supervisor qualifications, supervision of clinical experience, including the provision of supervision through electronic means, codes of ethics, professional corporations and fictitious names and continuing education. This proposed rulemaking is also necessary to comply with recently enacted laws. 

Health Care Cost Containment Council

PHC4 issued notice of public meetings from March through May 2026. 

Stakeholder Meetings

The Department of Health’s Newborn Screening and Follow Up Technical Advisory Board will meet on March 3rd from 10am to Noon.

The Department of Health’s WIC Advisory Board will hold their meeting rescheduled from January 26th on March 5th from 1pm to 2pm.

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 Pennsylvania Long-Term Care Council released its 2026 Meeting Schedule. 

Federal Update

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

2026-02-27T21:54:20+00:00February 27th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2027 budget|Comments Off on PA Health Policy Update for February 27
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PA Health Policy Update for January 16

The following is an update of selected state health policy developments in Pennsylvania from January 12 – January 16 (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. Joe Webster introduced House Bill 2115 which creates antitrust review processes in healthcare transactions.
  • Rep. Greg Scott introduced HB 2134 to modernize the State Fire Commission Fire Company & EMS Grant Program
  • House Bill 2135, introduced by Rep. Morgan Cephas, would provide workplace protections and accommodations for menopause and perimenopause.
  • Sen. Nick Pisciottano introduced SB 1113, which would regulate the use of AI in healthcare.
  • Senate Bill 1133, sponsored by Sen. Frank Farry, would add two additional members to the State Board of Pharmacy – a pharmacy tech and an additional acute care institutional pharmacist.
  • Reps. Borowski, Friel, and Kutz have released a cosponsor memo to allow for companies to apply for a state pharmaceutical licensure concurrently with FDA approvals.

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 an MA Bulletin on Orthopedic footwear.

The Department released its proposed renewal of the Adult Autism Waiver for a 30 day public comment period. Proposed updates would change the lifetime limit on assistive technology to an annual limit, continue supports for competitive, integrated employment, and update Specialized Skill Development services. 

Stakeholder Meetings

DOH’s Statewide HIV Planning Group will hold public meetings on Jan. 21-Jan. 22 from 9am-3pm on both days.

DHS has a scheduled Medical Assistance Advisory Committee meeting for Thurs. Jan. 22nd at 10am.

DOH’s WIC State Advisory Board meeting will be held on Tues. Jan. 27th from 1-2pm.

The Department of Health’s Special Pharmaceutical Benefit Program Advisory Council will meet on Thurs. Jan. 29 from 10a.m. to 12p.m. The Council will offer guidance and recommendations to the Department on the program’s drug formulary, covered lab services, drug utilization review, clinical programs, eligibility and program management.

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

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

Federal Update

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

2026-01-16T22:13:12+00:00January 16th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin|Comments Off on PA Health Policy Update for January 16
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PA Health Policy Update for December 31

The following is an update of selected state health policy developments in Pennsylvania from December 22 – December 31 (Some of the language used below is taken directly from state documents).

Rural Health Transformation Program

The Shapiro Administration announced Pennsylvania’s $193 million portion of federal Rural Health Transformation Program funds. As previously shared in other updates, the Administration’s plan focuses on several initiative areas to drive federal investment:

  • Technology & Infrastructure
  • Workforce
  • Maternal Health
  • Behavioral Health
  • Aging & Access
  • EMS & Transportation

Investments will be coordinated through Partnerships for Regional Economic Performance (PREP) organizations, already existing regional economic collaboratives, and coordination with locally created Rural Care Collaboratives steered by regional stakeholders and healthcare leaders. Updates on these investments will be shared as more information becomes available. 

Reorganizations

The Shapiro Administration released departmental reorganizations for both the Office of Administration and the Department of General Services. 

General Assembly

The House and Senate will briefly convene Session on Tuesday, Jan. 6, 2026. House Session will be non-voting. The House shared scheduled Session days through 2026 and Senate Session days are released through June. 

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 proposed notice for Disproportionate Share and Supplemental Payments to Qualifying Hospitals for 2025-2026.

DHS issued updated Emergency Medical Services Rates for Publicly Owned Providers which will be effective 1/1/2026.

The Department released a Bulletin notice regarding the Medical Assistance Program Compensable Service Change: GLP-1 Drugs to Treat Overweight and Obesity and issued an MA Bulletin notice revising Prior Authorization Requirements for GLP-1 medications.

DHS issued an MA Bulletin updating the EPSDT Periodicity Schedule to reflect vaccine schedule changes.

The Department released an MA Bulletin with guidelines for Hospital-Grade Breast Pumps.

DHS shared an MA Bulletin with updates to Limited English Proficiency Requirements. 

Department of Health

The Department published final-form Sexual Assault Victim Emergency Services Regulations listing hospitals that do not provide emergency contraception due to a stated moral or religious belief.  

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.

The Department of Health’s Special Pharmaceutical Benefit Program Advisory Council will meet on Thursday Jan. 29, 2026, from 10a.m. to 12p.m. The Council will offer guidance and recommendations to the Department on the program’s drug formulary, covered lab services, drug utilization review, clinical programs, eligibility and program management. 

Federal Update

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

Wishing you all a happy, healthy, and prosperous 2026.

2026-01-02T17:06:07+00:00December 31st, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Rural Health|Comments Off on PA Health Policy Update for December 31
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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. 24th 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.

2025-12-19T21:18:56+00:00December 19th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations|Comments Off on PA Health Policy Update for December 19
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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 21

The following is an update of selected state health policy developments in Pennsylvania from November 17 – November 21 (Some of the language used below is taken directly from state documents).

Rural Health Transformation Program

The Shapiro Administration released its application for the federal Rural Health Transformation Program dollars. The application highlights focuses on several initiative areas to drive federal investment, if awarded:

  • Technology & Infrastructure
  • Workforce
  • Maternal Health
  • Behavioral Health
  • Aging & Access
  • EMS & Transportation

Awarded investments will be coordinated through Partnerships for Regional Economic Performance (PREP) organizations, already existing regional economic collaboratives, and coordination with locally created Rural Care Collaboratives steered by regional stakeholders and healthcare leaders. CMS has indicated it will decide awards by December 31, 2025. 

General Assembly

In the wake of budget passage, the General Assembly will return for a few more session days before the end of the year. The Senate will return for three voting session days beginning on December 8th. The House will return for a non-voting session on December 15th and voting session on the 16th & 17th.

Earlier this week, the House Human Services Committee held an informational hearing on the federal SNAP changes in HR 1 and their impacts on Pennsylvania.

On Tuesday Nov. 18th, the House Health Committee voted unanimously to advance HB 1652 and HB 1715. Both bills amend the Newborn Child Testing Act to include Gaucher Disease (HB 1652) and Duchenne Muscular Dystrophy (HB 1715) in PA’s newborn screening requirements. Both bills move to the full House for consideration.

The House unanimously passed HB 1894, legislation which would require the Independent Enrollment Broker to enhance the counseling provided to individuals on the LIFE program during the MA long term care enrollment process. This legislation now moves to the Senate for its consideration.

The House passed SB 88 by a margin of 196-7. This legislation updates insurance coverage requirements for breast cancer screenings and is now awaiting signature by the Governor.

The Senate Health & Human Services met on Tuesday and voted in support of SB 1095, which changes references from global budgets to alternative payment models in laws relating to the Rural Health Redesign Center Authority.

Below is a list of health and human services related legislation introduced or cosponsor memos released:

  • HB 2041, sponsored by Rep. Shelby Labs, would update blood lead testing requirements for children.
  • Rep. Danilo Burgos introduced HB 2050, which would prohibit Pharmacy Benefit Managers from owning and operating pharmacies.
  • House Bill 2051, sponsored by Rep. Seth Grove, would impose a state False Claims Act in the MA program.
  • Rep. Burgos also introduced HB 2060, which would ensure prescribing parity between non-opioid and opioid pain medications in the MA program. 

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:

The Department released updates to the School Based ACCESS Program Provider Handbook. 

State Board of Medicine

The State Board of Medicine released proposed regulations on continuing education and volunteer services.

Stakeholder Meetings

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

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.

2025-11-21T19:18:40+00:00November 21st, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Rural Health, Rural Health Transformation Program|Comments Off on PA Health Policy Update for November 21
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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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Home / About Us / Advocacy / Why Join? / SNAPShots / Contact Us

  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

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