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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.

PA Health Policy Update for May 28

The following is an update of selected state health policy developments in Pennsylvania from May 25 –May 29 (Some of the language used below is taken directly from state documents). 

General Assembly

The House and Senate return to session on Monday June 1st and we anticipate the following activity:

  • Tuesday, June 2nd
    • The House Children & Youth Committee will vote on House Bill 432, legislation creating Maternal Care Access Zones, and House Bill 1569, legislation to establish a Maternal Health Monitoring Pilot Program.
    • The House Health Committee will vote on HB 1365, which would create a medication-induced movement disorder education program; HB 2162, legislation to streamline wholesale pharmaceutical state licensure; HB 2341, which would create a Health Care Facility Threat Assessment Grant Program; along with several health-related resolutions.

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

  • Rep. Dan Frankel has issued a co-sponsor memo for legislation to increase oversight and review requirements for nursing home ownership and operator changes.
  • Rep. Mike Schlossberg has released a co-sponsor memo for legislation to update the Mental Health Procedures Act.
  • Rep. Pat Gallagher circulated a co-sponsor memo for legislation to update the Medical Practice Act to add updates and clarifications for the role of Physician Assistants.
  • Rep. Arvind Venkat introduced HB 2543, which would establish timelines and protocols for Medicaid pending applications in long-term care settings.

Department of Drug & Alcohol Programs

The Department announced the opening of an application period for HRSA’s STAR LRP student loan repayment program for eligible substance-use disorder treatment professionals. The application window closes on June 23rd at 7:30pm. 

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 their April 2026 HealthChoices Enrollment report and shared its updated Medicaid Managed Care Directory.

The Department issued a Medicaid Assistance Bulletin for Random Moment Time Study Updates for School-Based ACCESS Program Providers.

Stakeholder Meetings

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

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.

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. 

Federal Update

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

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.

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

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.

 

PA Health Policy Update for February 27

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

General Assembly

Appropriations Committee hearings were held this week examining the Governor’s 26-27 Budget with executive agencies. Below are links to watch the relevant health & human services hearings that have been held so far along with a schedule for forthcoming hearings in the next two weeks.

Upcoming Hearings:

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

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

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

Department of Human Services

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

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

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

DHS released its January 2026 HealthChoices Enrollment Report.

Department of Health

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

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

Independent Regulatory Review Commission

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

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

Health Care Cost Containment Council

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

Stakeholder Meetings

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

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

DOH’s Statewide HIV Planning Group will hold a public meeting on Wednesday Mar. 18th from 10am to Noon.

The Independent Regulatory Review Commission will review proposed updates to the State Board of Pharmacy’s Final Immunization Regulation Updates at a public meeting on March 19th at 10am.

DOH’s Medical Marijuana Advisory Board released their schedule of board meetings for 2026 with the first upcoming on March 26th from 10:30am to 12:30pm.

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

Federal Update

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

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

PA Health Policy Update for February 6

The following is an update of selected state health policy developments in Pennsylvania from February 2 – February 6 (Some of the language used below is taken directly from state documents). 

Budget Update

Governor Shapiro issued his fourth budget address before a joint session of the House and Senate this past Tuesday, sharing his priorities for the 2026-2027 Fiscal Year Budget. In total, the FY 2026-2027 budget proposes spending $53.26 billion, $2.7 billion more than the current fiscal year. The proposed budget, which exceeds anticipated revenues by $4.6 billion, represents a $2.72 billion, or a 5.4 percent, increase over the prior fiscal year. The budget is balanced primarily by utilizing $4.6 billion in Rainy Day Fund reserves, leaving approximately $3 billion in the fund’s balance. This budget does not include a broad-based tax increase but it once again proposes legalization and taxation of skill games and recreational adult use cannabis and raising the minimum wage to $15 per hour. 

General Assembly

The House and Senate both were in session this week but will break from session until March 23rd for the House and March 16th for the Senate. Both the House and Senate Appropriations Committees will begin their hearings to examine the Governor’s Budget Proposal. Key hearings are as follows:

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

Dates for all five special elections to fill vacancies in the House have now been scheduled. House District 22 in Lehigh County & House District 42 in Allegheny County are scheduled for February 24th. Elections for House District 79 in Blair County and House District 193 in Adams County will be held on March 17th. Lastly, the special election for the vacancy in York County’s House District 196 will be on May 19th to coincide with this year’s primary election.

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

  • Rep. Bridget Kosierowski and Rep. Jim Struzzi released a co-sponsor memo for legislation directing the Legislative Budget & Finance Committee (LBFC) to study the financial and administrative impacts of compliance with hospital regulations, and recommend action on any duplicative or outdated regulations currently in effect.
  • Rep. Joe Webster issued a co-sponsor memo soliciting support for legislation banning facility fees for outpatient services by healthcare providers and creating “site-neutral” payment caps.
  • In support of Gov. Shapiro’s Innovate PA 2.0 budget priority, Rep. Tim Briggs circulated a co-sponsor memo in the House for legislation to implement the program and Chairman Vince Hughes released a corresponding version in the Senate.
  • Sen. Michele Brooks has also released a co-sponsor memo directing the Legislative Budget & Finance Committee (LBFC) to study the burden of regulations on healthcare facilities and providers in PA.
  • Sen. Tracy Pennycuick and Sen. Frank Farry issued a co-sponsor memo for legislation to establish the Biobonds Innovation Fund, modeled after the federal “Loans for Biomedical Research Act.”
  • Reps. Emily Kinkead, Andrew Kuzma, Tarik Khan, Liz Hanbidge, and Darisha Parker have issued a co-sponsor memo for legislation prohibiting co-pay accumulator policies.

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 Medical Assistance prior authorization guidance for the following:

DHS’ Office of Mental Health & Substance Abuse Services (OMHSAS) issued an MA Fee Schedule Bulletin announcing the addition of Psychiatric Rehabilitation Services to the MA Fee Schedule.

Independent Regulatory Review Commission

Independent Regulatory Review Commission issued comments to the DHS’ proposed Mental Health Procedures Regulations. 

Stakeholder Meetings

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.

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

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.

PA Health Policy Update for October 24

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

Budget Update 

Earlier this week, the Senate passed Senate Bill 160 (PN 1258) by party line vote in yet another volleying of a General Appropriations Act bill to the House. The Senate’s amendments to the bill reduced the overall spend number to $47.9 billion, down from the House’s last proposal of $50.25 billion.

The bill reflects a prior version (PN 529) of the budget bill but with increased appropriations for debt service payments and school employees’ pensions, while also reducing operating expense line items for the General Assembly. The Governor labeled the Senate’s most recent effort as “unserious.”

As the impasse continues, meaningful impacts to Pennsylvanians and providers are becoming more frequent. Absent budget enactment, Head Start providers are signaling closures, Westmoreland County plans to furlough workers soon, and Lancaster County intends to pause social services payments.

The House and Senate are both set to return on October 27th.

General Assembly 

Last week, the Senate was in session and passed by a margin of 49-1, Sen. Rosemary Brown’s SB 507, legislation to update and modernize midwifery services in Pennsylvania. The bill will be considered by the House Professional Licensure Committee on October 28th.

The Senate Labor & Industry Committee voted in support of SB 69 offered by Sen. Langerholc by a party line vote. This bill would create a “Recovery-to-Work” pilot program.

Next week, on October 28th, the House Health Committee will hold an informational meeting on the Department of Health’s Newborn Screening program.

On October 29th, the House Human Services Committee will meet to consider Rep. Benham’s HB 1939, and House Bill 1974 by Rep. Venkat. HB 1939 would require DHS to update fee schedule rates for home and community-based services provided through intellectual disability and autism programs based on the Consumer Price Index. HB 1974 proposes to create a Contingency Management Support Grant Program within the Department of Drug and Alcohol Programs (DDAP), enabling Single County Authorities to apply for grants supporting Contingency Management programs and activities like staff training, drug-testing supplies, incentive tracking systems, evaluation, and non-cash incentives.

The House Consumer Protection, Technology, and Utilities Committee will meet on October 29th to vote on HB 1530 which would establish privacy protections for Pennsylvania consumers regarding their genetic data collected by direct-to-consumer genetic testing companies (e.g., commercial DNA testing services).

On October 27th, the Senate State Government Committee will consider SB 125, Sen. Dush’s proposed constitutional amendment to address change of judicial venues.

Below is a list of health and human services-related legislation and co-sponsor memos released this week.

  • Marla Brown introduced HB 1962 which would cease state funding for any provider offering abortion services in PA.
  • HB 1965, introduced by Rep. Ryan Bizzarro, would allow EMS providers to perform community paramedicine services.
  • Paul Takac introduced HB 1980 which would require doctors to do an hour of medical nutrition continuing education every two years.
  • Mastriano introduced SB 1018 which would eliminate any mRNA vaccine mandates in Pennsylvania.
  • SB 1041 by Sen. Rosemary Brown would create the Complex Care Assistant Program, creating a certification program for family caregivers offering complex medical care to loved ones.
  • Senator Tartaglione introduced SB 1054 which would require the availability of opioid antagonists in Pennsylvania public schools.
  • Senator Collett has introduced SB 1055, companion legislation to HB 1881, which would expand pharmacists’ practice authority to provide vaccines in accordance with recommendations from Pennsylvania’s health authorities informed by professional medical societies in addition to FDA guidelines.

Department of Human Services

The Department of Human Services released September’s Physical Health Managed Care enrollment report.

Department of Health 

In response to revised CMS guidance on conducting facility surveys during the federal shutdown, which will allow states to request approval from CMS to conduct revisit surveys, DOH notified providers that it will be reviewing outstanding surveys, their timelines, and the deficient practice(s) to request permission from CMS to perform revisit surveys that are necessary to prevent termination or the denial of payment for new admissions.

DOH updated the Resident Data Reporting Manual for long-term care facilities to reflect changes to use the Patient Driven Payment Model (PDPM) for the Pennsylvania case mix payment system.

Stakeholder Meetings

On Nov. 7 from 10am to 3pm, the Brain Injury Advisory Board will hold their quarterly meeting to discuss the Department of Health’s Head Injury Program.

Federal Update 

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

2025-10-24T19:20:42+00:00October 24th, 2025|Meetings and notices, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for October 24
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