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PA Health Policy Update for August 14

The following is an update of selected state health policy developments in Pennsylvania from August 10 – August 14 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Plan

The Shapiro Administration announced its Rural Health Transformation Plan Advisory Council to help provide subject matter expertise and strategic guidance to the work of the six regional Rural Care Collaboratives that are being stood up across PA. The Administration is still soliciting members for the Rural Care Collaboratives and nomination forms for those can be completed here.

Additionally, a Frequently Asked Questions document was shared in advance of the upcoming funding round for RHTP dollars opening Monday August 17th. 

General Assembly

While awaiting session to gavel back in this September, one special election will be held on Tuesday August 18th in Butler County to fill the vacancy in the 12th Legislative District.

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

  • Sen. Michele Brooks circulated a co-sponsor memo for legislation that would limit certain regulations proposed by the Department of Health by adding sunset dates and requiring General Assembly approval.
  • Rep. Emily Kinkead introduced HB 2731, which would allow the Commonwealth to purchase generic naloxone.
  • Sen. Amanda Cappelletti introduced SB 1424, which would add Gaucher Disease to Pennsylvania’s required Newborn Screening Panel.
  • Sen. John Kane introduced SB 1430 which would provide protections against immigration enforcement in hospitals.

Department of Health

PA Secretary of Health Dr. Debra Bogen released the following statement in response to the Trump Administration’s executive order proposing changes to the nation’s childhood vaccine schedule:

“In Pennsylvania, public health decisions are guided by rigorous medical science, not shifting national agendas. Vaccines are the best tools we have to protect our communities from preventable diseases, and they have demonstrated this over and over again for generations. As a pediatrician, I know that splitting up combination immunizations, like the MMR vaccine, creates unnecessary hurdles for parents, needlessly extends the window of risk for our youngest residents, and doesn’t follow the results of the many studies that went into developing the previous vaccine schedules. Here in Pennsylvania, we will continue to follow the facts and evidence-based medicine to keep our children and communities safe.” 

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.

Independent Fiscal Office

The IFO issued a brief highlighting the Department of Human Services’ work to reduce the administrative error rate within the SNAP Program from a high of 16.6% in 2023 to 9.2% in 2025. This work is important as states with error rates above 6% will see additional federal costs as required by HR 1.

Pennsylvania Commission on Crime & Delinquency

PCCD has issued a notice of funding availability for 26-27 School Safety & Mental Health Grants. A Q&A tracker document has been compiled to assist interested parties assess what funds can be used to support. 

Stakeholder Meetings

The Department of Health’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9am – 12pm & August 20th from 9am – 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.

2026-08-14T19:38:55+00:00August 14th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Rural Health Transformation Program|Comments Off on PA Health Policy Update for August 14

PA Health Policy Update for August 7

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

Shapiro Administration

Governor Shapiro’s Behavioral Health Council released its Behavioral Health Action Plan this week which details over 40 recommendations to strengthen and improve access to care across the behavioral health sector. The recommendations in the report focus on the following goals:

  1. Develop an Integrated Care System
  2. Expand Access to Services
  3. Strengthen the Workforce and Provider Support
  4. Enhance Accountability and Transparency
  5. Advance Equity in Behavioral Health
  6. Improve Criminal Justice and Behavioral Health Integration  

General Assembly

On September 9th, the state House will hold for a ceremonial session day in Philadelphia for the US 250th Anniversary. The House and Senate return for regular voting session on September 28th.

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

  • Sen. Amanda Cappelletti issued a co-sponsor memo for legislation to require the reporting of Cyclosporiasis to the Department of Health.
  • Sen. Tim Kearney circulated a co-sponsor memo for legislation to protect the undisclosed sharing and sale of consumer’s health data by mobile and computer apps and programs.

Department of Health

The Department released a new online dashboard providing school-level vaccination data for the MMR, DTap, Tdap, Hepatitis B, Varicella, and MCV4 vaccines.

DOH published notice of intent to promulgate updates to the Communicable and Noncommunicable Diseases Regulations (Ch. 27). There is a 45-day public comment period to be submitted at RA-DHCHAPTR27PROPREG@pa.gov. Regulations will become final upon approval of the State Health Advisory Board. 

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 will host a free webinar for community-based organizations to provide information regarding HR 1 related-changes. The webinar is scheduled for Friday, August 14th at 9:30am and those interested can register here.

The Department released its June 2026 HealthChoices Enrollment Report.

DHS issued its 2026 Medical Assistance Program Dental Fee Schedule Update. 

Stakeholder Meetings

The Department of Health’s HIV Community Prevention & Planning Committee will hold public meetings on August 19th from 9am – 12pm & August 20th from 9am – 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.

2026-08-07T19:23:35+00:00August 7th, 2026|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for August 7

PA Health Policy Update for July 24

The following is an update of selected state health policy developments in Pennsylvania from July 20 – July 24 (Some of the language used below is taken directly from state documents). 

Shapiro Administration

The Governor’s Office released its updated Summer Regulatory Agenda sharing estimated timeframes on upcoming regulatory updates.

The Governor announced a leadership transition for the Office of Administration with current Executive Deputy Secretary Sandra Aguilar moving into the role of Acting Secretary upon the July 31st resignation of Secretary Reggie McNeil. 

Rural Health Transformation Program

The Shapiro Administration released FAQs for both its forthcoming RHTP funding opportunities for Modernizing Healthcare Technology & Enabling Interoperability Grants for EHRs & HIOs and FQHC and FQHC-Lookalikes. DHS will begin accepting eligibility certifications at 8am on Monday July 27th for both opportunities. 

General Assembly

The House of Representatives briefly returned to session on Thursday July 23rd in an attempt to address a court-imposed deadline related to criminal justice sentencing. The state House will return on September 9th and the state Senate returns on September 28th.

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

  • Rep. Kristine Howard circulated a co-sponsor memo for legislation to require dental providers to utilize provider portals.
  • Rep. Liz Hanbidge introduced HB 2708, legislation to cap the cost of epinephrine delivery systems and consumer out-of-pocket costs to $35.
  • Rep. Catherine Wallen introduced HB 2710, legislation requiring further reporting of tick-borne diseases to the Department of Health.

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 an MA Bulletin for  Prior Authorization Guidelines for Upper Extremity Prosthetics and Components.

DHS released its 2026 Healthcare Common Procedure Coding System Updates; Fee Adjustments and Other Procedure Code Changes.

Department of Health

The Department released its approved reorganization with an updated organization chart, shifting offices into a new Bureau of Healthcare Transformation under the Deputate of Health Resources and Services. 

Department of Insurance

The Department shared proposed rate increases from health insurers for 2027 and offered opportunity for public comment, which can be made to ra-in-comment@pa.gov by Aug. 22nd.

Stakeholder Meetings

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

DOH’s Organ Donation Advisory Committee will meet from August 6th from 10am-1:30pm.

Brain Injury Advisory Board of the Department of Health will hold a public meeting on August 7th from 10am-3pm.

The Department of Health’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.

PA Health Policy Update for July 17

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

Budget Update

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

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

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

General Assembly

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

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

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

Department of Human Services

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

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

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

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

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

Department of Health

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

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

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

PA Health Care Cost Containment Council

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

Independent Fiscal Office

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

Stakeholder Meetings

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

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

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

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

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

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

Federal Update

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

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.

PA Health Policy Update for June 26

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

Budget Update

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

General Assembly

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

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

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

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

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

Department of Aging

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

Department of Health

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

Department of Human Services

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

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

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

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

DHS released Prior Authorization Guidelines for Upper Extremity Orthoses.

The Department also shared its May 2026 HealthChoices Enrollment Report.

Stakeholder Meetings

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

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

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

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

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

Federal Update

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

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 1st and provided the following actions:

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

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.

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

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. 

Federal Update

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

PA Health Policy Update for May 15

The following is an update of selected state health policy developments in Pennsylvania from May 11 –May 15 (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. Greg Scott and Rep. Liz Hanbidge issued a co-sponsor memo for legislation to formally schedule Medotomidine as a Schedule III Controlled Substance.
  • Sen. Tracy Pennycuick and Sen. Lisa Boscola circulated a co-sponsor memo for legislation to further streamline the prior authorization process for mental health treatments.
  • Sen. Chris Gebhard released a co-sponsor memo for a resolution directing the Legislative Budget & Finance Committee to study the potential impacts of federal review of state-based essential benefit mandates implemented since the creation of the Affordable Care Act and potential future financial obligations to the Commonwealth that may result from federal action.

Primary Elections will be held on Tuesday May 19th along with a Special Election to fill the vacant seat in the 196th Legislative District in York County. The House and Senate will return on Monday June 1st.

Department of Health

The Department issued two Health Alert Network notices for an outbreak of measles in Lebanon County and guidance for healthcare practitioners related to hantavirus. 

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 its June 2026 Remittance Advice Date for providers.

Federal Update

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

CMS shared a unified guidance document for the EPSDT Program including guidance shared through the past few decades into one stop.

2026-05-15T20:52:18+00:00May 15th, 2026|Federal Medicaid issues, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for May 15

PA Health Policy Update for April 24

The following is an update of selected state health policy developments in Pennsylvania from April 20 –April 24 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

Today, DHS announced the qualifications for providers to receive Rapid Response Stabilization payments of at least $10,000 and up to $1 million to be used for the purchase of supplies, equipment, renovations, or structural improvements in alignment with the goals outlined in the commonwealth’s RHTP application to the federal government. Providers may submit the eligibility certification and required documentation beginning on May 1 to show they meet all of the following criteria:

  • Licensed as a hospital, health care provider, or rural health facility;
  • Currently in operation in Pennsylvania at the time of application and at the time funding is received;
  • Located in one of the RHTP-eligible rural counties or in a HRSA-defined rural census tract of a county of the second class A or third class.

This program payment is limited to one payment per qualified entity. Under the first tranche of this program request, program payments are limited to two program payments per region. There is a planned second tranche of funds to be made available after June 1, 2026 and that second tranche will not be limited by region.

DHS will authorize program payments in the order eligibility certifications are received, as evidenced by the date and time the email containing the full eligibility certification and receipt of all required documents. Providers should begin preparing the required documentation and budget narrative now for email submission on May 1. Submissions can be made via email to: RA-HHRRLHLTHTRNSPLAN@pa.gov. 

General Assembly

The Senate held session earlier week addressing the following issues:

  • Monday
    • The Senate passed Sen. Rosemary Brown’s SB 998, by a measure of 43-4, which would provide an expansion of resources for accredited nursing programs in PA through the Nurse Education Capacity Expansion Grant program.
  • Tuesday
    • The Senate Local Government Committee advanced HB 1442, which would require that all autopsies include a review to whether a seizure or epilepsy was part of the cause of death.
  • Wednesday

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

  • Sen. Amanda Cappelletti circulated a co-sponsor memo for legislation requiring the inclusion of Gaucher’s Disease on Pennsylvania’s Newborn Screening Panel and a co-sponsor memo for legislation that would allow access to PrEP and PEP medications without prescriptions.
  • Sen. Elder Vogel issued a co-sponsor memo for a resolution recognizing IgA Nephropathy Awareness Day in Pennsylvania.
  • Senator Michele Brooks released a co-sponsor memo for a resolution to designate May 2026 as Lyme Disease & Tick-Borne Illness Awareness Month in PA.
  • Rep. Frank Burns introduced HB 2431 which would require PBMs to accept Medicaid prescriptions from any pharmacy and pharmacist in good standing with the State Board of Pharmacy and US DEA.
  • Rep. Maureen Madden introduced HB 2435, providing for dementia training for EMS personnel. This legislation will receive a public hearing in the House Aging & Older Adult Services Committee on Monday April 27th.  

The House is scheduled to return to session this upcoming week. In addition to the hearing on HB 2435, the following activity is anticipated:

  • On Monday, the House Human Services Committee will meet to consider House Resolution 134, a resolution directing a comprehensive review of home & community-based services waiver programs and areas of improvement that can be identified.
  • On Tuesday, the House Health Committee will meet to consider HB 916, legislation to update the Child Blood Lead Testing Act.

Both the House and Senate will return to session on May 4th. 

Department of Human Services

Check out DHS’ Human Services Helpers, on the Substack platform – a media platform for video, podcasts, etc. – that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities. Recently highlighted in DHS’ Human Services Helpers Substack was a toolkit for Long-Term Care Services & Caregivers to help all parties better understand and navigate the enrollment process.

DHS is currently hiring Regional Policy Specialists and an Executive Policy Specialist to help implement PA’s Rural Health Transformation Plan.

The Department issued its March 2026 HealthChoices Enrollment Report.

DHS announced its schedule for onboarding provider types to begin using the Qualitrac electronic prior authorization portal for MA fee-for-service claims. For each wave of the rollout, providers will receive a kickoff communication with instructions on how to register for the portal, then complete the registration and attend an initial training session focused on how to use the portal for their specific review type. There is no deadline at this time for mandatory use of Qualitrac for these authorizations, but DHS strongly encourages providers to use the portal once they are ready.

Department of Health

The Department released a Health Advisory Network alert for an increase in emergency department visits for tick bites and urging providers to heighten suspicion for tickborne diseases.

DOH, the Patient Safety Authority, and other stakeholders released updated guidance to acute care facilities regarding the definition of serious events, incidents, or infrastructure failures. 

Stakeholder Meetings

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

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

The Department of Health’s Spinal Cord Research Advisory Committee Meeting will hold a public meeting on May 1st from 9am – 10am and the Brain Injury Advisory Board Meeting will also hold their public meeting on May 1st from 10am – 3pm.

DOH’s Statewide HIV Planning Group will hold a public meeting on May 20th from 9am to Noon.

Federal Update

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

PA Health Policy Update for April 3

The following is an update of selected state health policy developments in Pennsylvania from March 30 –April 3 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

The Department of Human Services held a webinar for PA’s Rural Health Transformation Program (RHTP) this week where the Department shared details on Pennsylvania’s approach to dispersing and operationalizing the $193M RHTP funds awarded to the Commonwealth. The Commonwealth is soliciting nominations for interested parties to join RHTP Rural Care Collaboratives or the RHTP Advisory Council. Nominations can be submitted here and the deadline for nominations is Friday 4/10 at 5pm. Webinar slides and information on upcoming regional forums can be found here. 

Maternal Health

The Shapiro Administration released PA’s Maternal Health Strategic Action Plan called, “Healthy Moms, Vibrant Futures.” The plan was developed collaboratively across DHS, DOH, DDAP, Insurance Department, with feedback from the Black Maternal Health Caucus in the General Assembly, and stakeholders across 16 roundtables statewide. 

General Assembly

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

  • Rep. Jason Ortitay introduced both House Bill 2341, which would provide grants to healthcare facilities to procure standardized threat and risk assessment platforms and House Bill 2342, which would provide consumer protections in the application for or switching of Medicare supplemental plans in PA.
  • Rep. Lisa Borowski introduced House Bill 2335 which would expand the scope of practice for certified nurse anesthetists.
  • Senate Bill 1206, introduced by Sen. Tracy Pennycuick, would provide for virtual manufacturer license for prescription drugs and medical devices.

The House will return to session the week of April 13th and the Senate is scheduled to return the week of April 20th. 

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 several Medical Assistance Bulletins for the following areas:

The Department shared their February 2026 HealthChoices Enrollment Report.

DHS published a bulletin notice of the availability of FY 26-27 Social Services Block Grant’s Intended Use Plan. The Department offered a 30-day public comment period.

The Department published final notice of its intent to allocate funding for Disproportionate Share and Supplemental Hospital payments at 55 Pa.B. 6643 (September 13, 2025).

Department of Health

The Department encouraged providers to complete the Respiratory Virus Dashboard survey. The purpose of this survey is to understand how healthcare personnel in Pennsylvania use the dashboard, what they would like to see in future iterations, and how the department can curate data and visualizations for you. Deadline for submission is April 10th and any questions about the survey can be sent to Hannah Lund at hlund@pa.gov

Independent Regulatory Review Commission

IRRC has either approved or deemed approved the following regulatory packages:

  • State Board of Medicine # 16A-4960: Education and Volunteer Services
  • State Board of Osteopathic Medicine # 16A-5337: Education and Volunteer Services
  • State Board of Pharmacy # 16A-5434: Immunization Updates 

Stakeholder Meetings

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

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

Federal Update

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

2026-04-03T23:18:45+00:00April 3rd, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Rural Health Transformation Program|Comments Off on PA Health Policy Update for April 3
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