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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 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.

2026-06-06T01:56:22+00:00June 5th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for June 5
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PA Health Policy Update for May 8

The following is an update of selected state health policy developments in Pennsylvania from May 4 –May 8 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

The Center for Rural Pennsylvania held a public hearing on PA’s Rural Health Transformation Program and its implementation and utilization of federal RHTP funds. The Penn Capital-Star reported on the hearing, sharing a summary of some of the topics discussed such as EMS and the 988 hotline. 

General Assembly

The House and Senate held session earlier this week addressing the following healthcare related issues:

  • Tuesday
    • The House Communications & Technology Committee passed HB 1925 out of committee with amendment with a 19-7 vote. This bill would provide regulation and standards of AI use in healthcare.
  • Wednesday
    • The House Health Committee held an informational hearing on the Uniform Healthcare Decision Act.
    • The House Insurance Committee convened a voting meeting on HB 2427; consolidation of utilization management statutes, HB 2464; replacing outdated references in PA’s Insurance Law, and HB 2473; repealing obsolete insurance laws and completed statutorily required studies. All three bills advanced unanimously out of committee.
    • The Senate Banking & Insurance Committee advanced SB 1321 which would prohibit state funds from being used for certain gender affirming care services.
    • HB 1251 was signed into law as Act 12 of 2026, which allows nurse midwives to refer patients to pelvic floor therapy.
    • SB 507 was signed into law as Act 14 of 2026, which implements licensure for certified midwives and modernizes other midwifery practices.
  • Thursday
    • The Senate Institutional Sustainability and Innovation Committee held a hearing on SB 792, which would provide for an increase in the Research & Development Tax Credit program in PA.

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

  • Rep. Bridget Kosierowski introduced HR 513 which would direct a study on the financial impact of outdated hospital regulations on Pennsylvania hospitals.
  • Rep. La’Tasha Mayes introduced HR 517 recognizing May 2026 as Preeclampsia Awareness Month in Pennsylvania.
  • A co-sponsor memo was filed by Rep. Kristin Marcell for legislation requiring insurance coverage for Ovarian Cancer Screening.

The House and Senate will now break from session until June to accommodate Pennsylvania’s upcoming Primary Elections on Tuesday, May 19th.

Department of Aging

The Department announced an RFP for a READY Community funding collaborative to help support the implementation of PA’s Aging Our Way PA strategic plan. The collaborative will work across the Shapiro Administration and Pennsylvania philanthropic leaders to support funding opportunities to advance the Aging Our Way PA plan. The RFP closes on Friday June 12, and the department will host a webinar for prospective applicants on Tuesday, May 19 at 1:00pm. 

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 a bulletin notice with its methodology for determining case-mix rates for nonpublic nursing facilities across several peer groups in State Fiscal Year 25-26.

The Department issued a bulletin notice detailing its annual Nonpublic and County Nursing Facility Per Diem Rates for State Fiscal Year 25-26.

DHS issued a notice of Implementation of the Qualitrac® Provider Portal for Prior Authorization and Program Exception Submissions. 

Stakeholder Meetings

The Department of Health’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.

2026-05-08T20:21:37+00:00May 8th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Rural Health Transformation Program|Comments Off on PA Health Policy Update for May 8
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PA Health Policy Update for May 1

The following is an update of selected state health policy developments in Pennsylvania from April 27 –May 1 (Some of the language used below is taken directly from state documents). 

Rural Health Transformation Program

Applications are being accepted today for providers to submit their RHTP eligibility certification and required documentation to show they meet all of the qualifications for providers:

  • 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.

DHS released FAQs to help address provider questions. Submissions can be made via email to:  RA-HHRRLHLTHTRNSPLAN@pa.gov.

Submissions will be reviewed for those 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. 

General Assembly

The House held session earlier this week addressing the following healthcare related issues:

  • Monday
    • The House Aging & Older Adult Services Committee held a public hearing on Rep. Maureen Madden’s HB 2435, providing for dementia training for EMS personnel.
  • Tuesday
    • The House Health Committee passed HB 916, legislation to update the Child Blood Lead Testing Act, as amended by a vote of 14-12.
    • The House Human Services Committee unanimously advanced House Resolution 134, a resolution directing a comprehensive review of home & community-based services waiver programs and areas of improvement that can be identified.

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

  • Rep. Darisha Parker introduced House Bill 2464 which would replace outdated terminology in PA’s Insurance Company Law.
  • Rep. Anthony Bellmon circulated a co-sponsor memo for a resolution designating May 2026 as Guillain-Barre Syndrome Awareness Month.
  • A co-sponsor memo issued by Rep. Russ Diamond proposes a resolution designating October 13th as Metastatic Breast Cancer Awareness Day in 2026.
  • Rep. Kerry Benninghoff released a co-sponsor memo for Childhood Cancer Awareness Month in September of 2026.
  • Rep. Arvind Venkat issued a cosponsor memo for legislation to establish timelines for the processing of Medical Assistance applications in long-term care and another for a resolution directing a study on medical schools and their promotion of careers in primary care.
  • Rep. Kathy Rapp issued co-sponsor memos for resolutions designating Surgical Technologist Week and Idiopathic Pulmonary Fibrosis Research Awareness Week.
  • A co-sponsor memo was filed by both Rep. Tina Davis and Sen. Steve Santarsiero for legislation requiring the sharing of emergency plans and contacts for nursing facilities with local emergency responders.
  • Sen. Tina Tartaglione issued co-sponsor memos for resolutions designating Mental Health Awareness Month and Older Americans Month.
  • Sen. Amanda Cappelletti and Sen. Steve Santarsiero released a co-sponsor memo for legislation requiring insurance coverage for breastfeeding and feeding support services.
  • Sen. Michele Brooks issued a co-sponsor memo for a resolution designating National Hospital Week.
  • Sen. Judy Ward released a co-sponsor memo for a resolution designating Nursing Week in Pennsylvania.
  • A co-sponsor memo circulated by Sen. Elder Vogel for a resolution designating May 14th as IgA Nephropathy Awareness Day in PA.

The House and Senate are scheduled to return to session this upcoming week where the following activity is anticipated:

  • Tuesday
    • The House Communications & Technology Committee will hold a voting meeting to consider HB 1925, which would provide regulations and parameters on the use of AI in Healthcare.
    • The House Aging & Older Adult Services and Human Services Committees will hold a joint public hearing on In Lieu of Services.
  • Wednesday
    • The House Health Committee will hold an informational hearing on the Uniform Healthcare Decision Act.
    • The House Insurance Committee will hold a voting meeting on HB 2427; consolidation of utilization management statutes, HB 2464; replacing outdated references in PA’s Insurance Law, and HB 2473; repealing obsolete insurance laws and completed statutorily required studies.
  • Thursday
    • The Senate Institutional Sustainability and Innovation Committee will hold a hearing on SB 792, which would provide for an increase in the Research & Development Tax Credit program in PA.

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.

The Department released a bulletin notice announcing the approval of doula services’ inclusion in the PA Medicaid State Plan by CMS retroactive to Jan. 1, 2025, as required by Act 115 of 2024.

DHS issued a provider tip for streamlining provider revalidation submissions.

The Department released their latest updated PA Managed Care Directory. 

Stakeholder Meetings

The Department of Health’s Organ Donation Advisory Committee will hold a public meeting on May 7th from 10am-1:30pm.

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.

2026-05-01T20:28:03+00:00May 1st, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medical Assistance, Rural Health Transformation Program|Comments Off on PA Health Policy Update for May 1
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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.

2026-04-24T20:24:41+00:00April 24th, 2026|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for April 24
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PA Health Policy Update for March 27

The following is an update of selected state health policy developments in Pennsylvania from March 23 –March 27 (Some of the language used below is taken directly from state documents). 

Budget Update

House Appropriations Committee Chairman Jordan Harris has introduced and begun to advance budget bills to kick off the legislative budget process for this year. HB 2400, the General Appropriations Bill, HB 2401, the Capitol Budget Bill, and HB 2402, the Capitol Budget Itemization Bill, were all introduced and moved out of the House Appropriations Committee this week along with other budget-related bills. 

Rural Health Transformation Program

The Department of Human Services has released a registration link for their Rural Health Transformation Program (RHTP) Webinar scheduled for March 31st at 3:30pm where the Department will share information and details on Pennsylvania’s approach to dispersing and operationalizing the $193M RHTP funds awarded to the Commonwealth. We will be joining to monitor the webinar but we encourage you to sign up as well to hear the Shapiro Administration’s plans to deploy these dollars in Year 1. 

General Assembly

Both the House and Senate were in session this week. Four new members of the House, Ana Tiburcio (D) in HD 22 from Lehigh County, Jen Mazzocco (D) in HD 42 from Allegheny County, Andrea Verobish (R) in HD 79 from Blair County, and Catherine Wallen (R) in HD 193 from Adams County were seated this week following special elections. The House still must fill a vacancy in the 196th District from York County and will have a new vacancy at the end of the month with the resignation of Stephanie Scialabba of Butler County.

In the Senate, SB 1211, legislation to include Medicaid Fee for Service coverage for biomarker testing, passed unanimously and will now advance to the House Human Services Committee for consideration. The Senate also advanced SB 614, FQHC Preceptorship legislation, which included an amendment to broaden eligible entities and to address role of and opportunity for Rural Health Transformation Program funds to be used for this purpose, among other changes. The bill passed by a measure of 26-23, sending it to the House Health Committee. Lastly, the Senate advanced SB 804 which prohibits usage of IV solutions or medical equipment with certain additives. The bill passed 49-1 and now moves to the House Health Committee.

In the House, the House Health Committee met for a public joint hearing held along with the House Communications & Technology Committee on Tuesday examining the role of AI in Healthcare. The Health Committee met again for a voting meeting on Wednesday to consider several resolutions as well as House Bill 2265, which would require onsite, board-certified or board-eligible Emergency Physicians in all hospital emergency departments. The bill advanced out of committee with an amendment further clarifying some of the bills requirements and aligning with existing regulations, addressing some stakeholder concerns. The House also unanimously passed HB 1851 which would expand midwifery services in PA.

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

  • Rep. Paul Friel formally introduced HB 2315, legislation to compel the creation of regulations to allow direct primary care providers to submit referrals for individuals covered under HMO plans.
  • Rep. Justin Fleming introduced a co-sponsorship memo for additional safety measures around the sale and usage of compounded GLP-1 products in PA.
  • Rep. Bridget Kosierowski issued a co-sponsor memo for legislation to expand insurance coverage of wheelchair maintenance.

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 the following notices in the PA Bulletin effectuating special legislative payments for certain nursing facilities as outlined by the Budget and various code bills:

The Department released a bulletin notice for the Nursing Facility Assessment Program for FY 25-26.

Department of Health

DOH shared an announcement from the Pennsylvania Commission on Crime and Delinquency (PCCD) regarding the future implementation of Track-Kit, Pennsylvania’s statewide sexual assault kit (SAK) tracking system. This change is in response to Act 122 of 2024, which directed PCCD to establish and operate a statewide system to track sexual assault kits throughout the custody and testing process.

The Department released an RFA for neurodegenerative research with a due date of April 23rd. This funding was a result of new state dollars included in last year’s budget legislation.

Stakeholder Meetings

DOH’s Infant Hearing Screening Advisory Committee will hold their public meeting on March 31st from 9am-11am.

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.

 

2026-03-27T20:36:44+00:00March 27th, 2026|Federal Medicaid issues, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2027 budget, Pennsylvania Rural Health|Comments Off on PA Health Policy Update for March 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 12

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

General Assembly

The Senate held its final voting days for the calendar year this past week during which, the Senate Education Committee unanimously advanced SB 116, legislation by Sen. Dave Argall, which would allow high school juniors and seniors to earn course credits toward their graduation requirement for employment in a nursing facility, personal care home, assisted living residence, or hospital.

The House will return for non-voting session on December 15th when the House Communications & Technology Committee will hold a public hearing on HB 1925, Rep. Arvind Venkat’s AI in Healthcare legislation.

The House will hold voting session on the 16th & 17th and on Wednesday, the House Health Committee will meet to consider HB 1202 & HB 1851. 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.

Below are several healthcare-related bills or co-sponsor memos issued this week:

  • Sen. Nikil Saval introduced SB 1085 which would create a Direct Care Worker Wage Board.
  • Rep. Bryan Cutler introduced HB 2088 which would require Certificates of Merit in Healthcare liability claims.
  • HB 2096, sponsored by Rep. Seth Grove, would implement a Direct Primary Care payment model in Pennsylvania. 

Department of Health

DOH issued notice that effective January 1, 2026, the certain fees may be charged by a health care facility or health care provider in response to a request for production of medical charts or records.

The Department released Call for Cases Health Alert Network advisory for Multistate Cluster of Extensively Drug-Resistant Acinetobacter baumannii and Enterobacter cloacae complex.

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.

DHS shared updated RA Mailing Dates Remittance Advice (RA) Mailing Dates/Electronic Remittance Advice (ERA) Delivery Dates. 

Federal Update

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

2025-12-12T22:55:51+00:00December 12th, 2025|Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off on PA Health Policy Update for December 12
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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 14

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

Budget Update

After a stalemate lasting 135 days, the General Assembly has passed a comprehensive Fiscal Year (FY) 2025-2026 budget. The state House of Representatives passed Senate Bill 160 – the General Appropriations Act – by a vote of 156-47. Senate passed it by a vote of 40-9. 

In total, the FY 2025-2026 budget spends $50.1 billion, which represents a $2.3 billion or 4.7 percent increase over the prior fiscal year. It is nearly $1.4 billion less than the budget proposed by Governor Shapiro in February. The budget is balanced primarily by utilizing prior-year funding lapses and special fund balances in state agencies totaling $3 billion. Using these funds in the 2025-26 budget prevented draining the state’s emergency reserves in the Rainy Day Fund, while leaving more than $200 million in the fund’s balance.

The budget includes a new Working Families Tax credit program. However, it does not include many of the spending initiatives highlighted in the governor’s proposal, such as additional mass transit funding, taxation for skill games, minimum wage increases, or legalization and taxation of recreational adult use cannabis. Also part of the deal includes the Commonwealth ending its participation in the Regional Greenhouse Gas Initiative.

In addition to the General Appropriations Bill, the General Assembly also passed code bills related to the budget and its enactment. House Bill 416 is an amended Fiscal Code which includes various instructions to help effectuate passage of the budget bill. House Bill 749 is an update to the Human Services Code which includes several policy provisions below:

  • Regulatory alignment with federal rules on MA reimbursement for behavioral health in telehealth settings – the “Four Walls” Requirement,
  • Requires DHS to report to the General Assembly on SNAP recipient data and lottery winnings, resources, and vehicles owned by public assistance recipients
  • Crosschecking MA and SNAP beneficiaries with data from DOH’s Vital Records system and wage records from the Department of Labor & Industry
  • Requires DHS to study the feasibility of a brokerage model for nonemergency Medical Transportation Services
  • Allows indefinite suspension of MA benefits for incarcerated individuals while incarcerated, among other provisions.

General Assembly

On Monday, November 17th, the House Human Services Committee will hold an informational hearing on the federal SNAP changes in HR 1 and their impacts on Pennsylvania. The livestream link will be made available here.

The House Health Committee will meet on Tuesday Nov. 18th to consider HB 1652 and HB 1715. Both bills would amend the Newborn Child Testing Act to update newborn screening requirements to include Gaucher Disease (HB 1652) and Duchenne Muscular Dystrophy (HB 1715), respectively.

Department of Health

The Department issued a Health Alert Network notice urging providers’ awareness for Acute Flaccid Myelitis through late Fall.

DOH updated the residency criteria for the Chronic Renal Disease Program effective November 15, 2025. 

Department of Human Services

DHS is launching Human Services Helpers, a Substack that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

The Department has announced it has restarted issuing full November Supplemental Nutrition Assistance Program (SNAP) benefit payments.

DHS shared a suicide prevention resource guide in recognition of National Suicide Prevention Month.

The Department released a Medical Assistance Bulletin with revisions to the MA Fee Schedule and prior authorization requirements.

The Department issued an updated Preferred Drug List which will be effective Jan. 1, 2026.

DHS released MA Bulletins on updated prior authorization policies for several drug classes in response to recommendations from the Pharmacy and Therapeutics Committee.

The Department released an updated Managed Care Directory. 

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.

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.

2025-11-14T21:03:25+00:00November 14th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2026 budget, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for November 14
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  • 2020 Safety-Net Association of Pennsylvania

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