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PA Health Policy Update for November 7

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

General Assembly and Budget Update

After Pennsylvania’s judicial and local election this past Tuesday, four members of the PA House won local elected offices which will require special elections early next year following their respective swearing-in to those offices. As Rep. Lou Schmitt, winner of a county judicial race indicated, “People were focused on the election… Now that the election is out of the way, people can go back to policy.” The House and Senate will have the opportunity to do so when both chambers are set to return on November 17^th.

On Monday, November 10^th at 10am, the Senate Democratic Policy Committee will hold a public hearing on supporting home care workers and consumers. The hearing can be streamed live here.

Department of Health

The Department’s Special Pharmaceutical Benefits Program released their approved covered drug list in their October Advisory Council meeting which will take effect on December 1^st. The Department also updated its list of Medicare Part C and D plans with premium payment agreements with SPBP for 2026.

Department of Human Services

DHS has issued helpful guidance and information to assist individuals in understanding the federal SNAP work requirements instituted earlier this fall.

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

State Board of Medicine

The State Board of Medicine shared Education and Volunteer Services proposed regulations to add new mandatory education requirements and clarify the process for a volunteer license.

Stakeholder Meetings

The Department of Health’s Statewide HIV Planning Group will hold their public meeting on Wednesday Nov. 19^th and Thursday November 20^th both from 9am-3pm.

DOH’s Infant Hearing Screening Advisory Committee will meet on Thursday Nov. 13^th from 10am – Noon.

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

Federal Update

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

PA Safety Net Admin2025-11-07T20:33:35+00:00November 7th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance, Pennsylvania state budget issues|Comments Off

PA Health Policy Update for October 10

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

Budget Update

Tensions rose in the continued budget impasse this week. As the stalemate reached 100 days, House Democrats amended and sent SB 160, a $50.25 billion budget bill, over to the Senate. All four caucuses and the Governor held press conferences staking out their respective positions and the path forward remains uncertain. The Senate placed itself on a 24-hour call-of-the-chair but is formally scheduled to return on October 20^th. The House is set to return on October 27^th.

General Assembly

Rep. Arvind Venkat introduced HB 1925, which would regulate the usage of AI in healthcare.

The House amended a technical amendment into HB 446 which would allow individuals to take dispensed, unused medications home with them following a hospital stay.

HB 1828, which requires private insurance coverage of vaccines without cost-sharing that are FDA-approved and recommended by recognized authorities, was reported from the House Insurance Committee as amended on a party-line vote, with Republicans voting in the negative.

HB 1881, which expands 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, was reported from the House Insurance Committee as amended on a party-line vote, with Republicans voting in the negative.

The House Aging & Older Adult Services Committee unanimously passed HB 1894 which would enhance counseling of individuals on the LIFE program during the MA long term care enrollment process.

SB 507 was advanced by the Senate on second consideration and by the Senate Appropriations Committee and is positioned for third and final consideration. This bill would create a licensure pathway for certified midwives in Pennsylvania, allow midwives to prescribe treatment for opioid use disorder, and modernizes the current collaborative agreement structure.

Department of Drug & Alcohol Programs

DDAP, in partnership with CODE PA, announced improvements to the ordering process for PA’s Overdose Prevention Program through a streamlined application process.

Department of Human Services

In this week’s PA Bulletin, DHS announced the addition of targeted case management (TCM) services for eligible juveniles effective October 12, 2025. The Department will use existing payment methodologies for the physical health and behavioral health pre-release and post-release TCM services rendered to eligible juveniles being released from a carceral setting, with CMS approval. The Department will issue an MA Bulletin to advise enrolled providers of the addition of TCM for eligible juveniles to the MA Program Fee Schedule and instructions for billing these services.

Following Executive Order 2025-02 ,  DHS affirmed that Pennsylvania’s Medicaid program will continue to support access to vaccinations at no out-of-pocket cost for Pennsylvanians whose health care is covered by Medicaid and CHIP.

The Department issued a MA Bulletin Notice adopting the American Academy of Pediatric Dentistry’s Dental Periodicity Schedule.

The Department released the MCO Enrollment Report for August 2025.

Department of Health

The Department of Health Division of Acute and Ambulatory Care (DAAC) revised its policy on when facilities must notify DAAC in advance of certain events and removed the requirement to provide 30 days’ notice before adding new equipment. See the revised guidance here and email DAAC at RA-DAAC@pa.gov with any questions.

DOH has updated the forms that hospitals and ambulatory surgical facilities should use for exception requests. Follow the links on this document for the most current forms.

DOH issued a notice to facilities explaining that the department will be adhering to the CMS guidance for survey activities during the federal government shutdown. DOH will continue to conduct state and Medicaid only licensure, occupancy, and complaint surveys. Federal survey activities will be limited to the excepted surveys identified by CMS, including hospice surveys and other facility surveys involving allegations of immediate jeopardy or actual harm and survey-related activities associated with federal terminations from CMS. The department is awaiting CMS guidance on managing any follow-up activities related to surveys completed prior to September 30.

Stakeholder Meetings

DHS and the Treasury Department are partnering on a webinar on a PA Achieving a Better Life Experience (ABLE) Savings Program for OLTL Service Coordinators, Direct Service Providers, MCO Staff, and anyone working in employment support services. The webinar is scheduled for October 29^th from Noon to 1pm. Individuals can register here.

PA Safety Net Admin2025-10-14T16:33:27+00:00October 10th, 2025|Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania state budget issues|Comments Off

PA Health Policy Update for September 19

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

Budget Update

The state budget impasse continues, and the House and Senate did not meet in session in Harrisburg this week. Various potential budget bills are positioned to be passed within a few days of a deal being reached. This article from Spotlight PA offers insight on the issues that are still preventing a deal, even as the issue of transit funding was taken out of the mix when the governor released funding to SEPTA and other regional authorities last week. The caucuses continue to disagree on issues including the overall spending amount, welfare program reforms, school choice, and education funding.

The Senate stands in recess to the call of the President Pro Tempore and the House will return for non-voting scheduled session on Monday, September 22.

General Assembly

Although legislators are not present at the Capitol, they have circulated a number of health care-related co-sponsorship memos this week:

Senator Michele Brooks (R), chairwoman of the House Human Services committee, issued a co-sponsorship memo about her intent to introduce a series of bills designed to strengthen Pennsylvania’s eligibility for new federal funding streams under the Rural Health Transformation Fund that was designed in the One, Big Beautiful Bill Act (OBBBA). The funding application offers states additional points in their total application score if they have adopted certain policy priorities of the Trump Administration or introduced legislation to do so.
House Aging & Older Adult Services Committee Chairs Maureen Madden (D) and Steve Mentzer (R) have circulated a co-sponsorship memo to introduce legislation intended to help ensure Pennsylvanians are fully informed of the Living Independence for the Elderly (LIFE) as an available long-term care option.
Senator Tim Kearney (D) circulated a memo announcing his plan to introduce a bill to create an all-payer claims database in Pennsylvania. This was an initiative in the governor’s budget proposal, which sought to allocate $4 million for the Pennsylvania Health Care Cost Containment Council (PHC4) to develop that tool.

Pennsylvania Commission on Crime and Delinquency

The Pennsylvania Commission on Crime and Delinquency (PCCD) is accepting applications for funding under the Local Hospital-based Violence Intervention Program (HVIP) Supports grant program. HVIPs are multidisciplinary programs that connect violently injured patients with trauma-informed care and long-term community supports that start at the emergency department or at the hospital bedside. Local governments should apply for this funding in collaboration with a designated provider, nonprofit organization, or institution of higher education. View the full notice of funding here. Applications are due October 30.

Department of Human Services

The Department of Human Services (DHS) issued a Provider Quick Tip to notify providers that the commonwealth’s Sterilization Consent Form (MA 31) will be issued soon with updates to reflect changes to the federal Consent for Sterilization Form (HHS-687). Stay tuned to this health policy update for an announcement of the updated form when it is released.

DHS has updated its calendar of Remittance Advice mailing dates to include October dates.

Department of Health

The Department of Health (DOH) added new training material to the Project Firstline training portal, which offers free on-demand training on infection prevention and control for all frontline workers in Pennsylvania. The new training is tailored for environmental services staff and discusses the importance of hand hygiene and the critical moments when hand hygiene matters most for these staff members. See this and more trainings and posters on the Project Firstline webpage and request free training materials through this form.

DOH issued the new income eligibility guidelines that will be used in the Special Pharmaceutical Benefits Program (SPBP) effective on October 1, 2025 for new enrollees and on the next date of renewal for any current program participants. The SPBP provides FDA-approved medications to low-income individuals living with HIV who are uninsured or have limited health care coverage. The department explained that due to the recent unprecedented increase in both program enrollment and the overall cost of medications, it is necessary for SPBP to lower the income limits as a measure to sustain the long-term viability of SPBP. Individuals that lose SPBP eligibility are encouraged to explore options on Pennie.

Around the State

Pennsylvania has joined a consortium of northeast states to make collaborative decisions about vaccination guidance and emergency response, in the wake of changes to the Centers for Disease Control and Prevention (CDC) vaccine approval process. See details in this article by the Pennsylvania Capital Star.
Several PA publications, including WHYY, raised the alarm this week about how 2026 costs could increase for Pennsylvanians who get their insurance coverage in the ACA marketplace unless Congress acts to expand enhanced federal tax credits. The PA Insurance Department reported that statewide average premium costs could increase by about 19 percent. The Kaiser Family Foundation has created a cost estimator tool for individuals to get personalized estimates of their costs with and without the tax credits.

Stakeholder Meetings

Medical Assistance Advisory Committee (MAAC) – Sept. 25

The DHS Medical Assistance Advisory Committee will meet virtually on September 25, 2025, at 10:00am. To register, click here.

PA Safety Net Admin2025-09-22T14:10:02+00:00September 19th, 2025|Meetings and notices, Pennsylvania proposed FY 2026 budget|Comments Off

PA Health Policy Update for September 12

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

Budget Update

The state budget impasse continues, more than ten weeks past the constitutional deadline. Senate Majority Leader Pittman told reporters this week that he is “encouraged by the meaningful work at the negotiating table” but there is no agreement on a final budget at this time. Various potential budget-related bills continue to be positioned in order for a completed budget to be passed within a few days of a budget deal being reached. The Senate stands in recess to the call of the President Pro Tempore and the House stands adjourned until Monday, September 22, 2025 unless sooner recalled by the Speaker.

General Assembly

The Senate met for voting session this week. The following is a summary of health care related legislative activity:

The Senate passed SB 381 that would prohibit the use of commonwealth funding for certain animal testing activities in research facilities. The bill will be sent to the House for consideration.

The Senate Consumer Protection and Professional Licensure committee favorably reported SB 507 with amendments. The bill provides for licensure of certified midwives, allows them to prescribe treatment for opioid use disorder, and seeks to modernize the collaborative agreement structure for midwives.

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) issued comments on the State Board of Nursing’s proposed regulations for the certified registered nurse anesthetists. See IRRC’s comments in this Pennsylvania Bulletin notice. The nursing board is required to address IRRC’s comments and questions when issuing its final form regulations.

Department of Human Services

The Department of Human Services (DHS) updated its list of Remittance Advices with information on a new ADA claim form that should be used for dental claims with dates of service after November 1, 2025. See the alert here.

DHS issued its 2024 Annual Report from the Bureau of Human Services Licensing, which licenses personal care homes and assisted living residences. The report shows data on the number of facilities, patient census and demographics, and facility incidents and complaints. Click here for the full report.

The Office of Long-Term Living is accepting statements of interest from new and existing Living Independence for the Elderly (LIFE) program operators to serve 12 counties that do not yet have LIFE program services available for seniors age 55 and older. Click here to view the announcement in the Pennsylvania Bulletin with instructions on how to request information about the application and evaluation process.

DHS issued an Medical Assistance Bulletin with updates to the Dental Fee Schedule. These updates include revised frequency and unit limitations for several codes as well as a change in age limits for two codes. These changes are considered effective as of August 1, 2025.

Around the State

An article from the Penn Capital Star explores the ways in which health care providers in Pennsylvania are already responsibly using artificial intelligence (AI) amid discussions from lawmakers to introduce legislation to regulate AI use in health care.
ABC27 describes the geographic split that may be compounding the political split between legislative leaders as the budget impasse wears on. With caucus leaders from opposite sides of the commonwealth and regional transit funding issues at the core of negotiations, “There’s no question geography of the membership and leadership members has played a role,” said Senate Minority Leader Jay Costa (D-Allegheny).
Though it is not an unusual financing move for many school districts, the Philadelphia district this week voted to borrow up to $1.55 billion (WHYY) to support services during the state budget impasse. Because of the lack of state and federal funds, this year’s borrowed amount is $1 billion more compared to previous years, costing millions more in interest payments for the district.

Stakeholder Meetings

Medical Assistance Advisory Committee (MAAC) – Sept. 25

The DHS Medical Assistance Advisory Committee will meet virtually on September 25, 2025, at 10:00am. To register, click here.

Department of Drug and Alcohol Programs Emerging Drug Trends Symposium – Nov. 18

DDAP will host its 2025 Emerging Drug Trends Symposium on November 18 from 7:00am to 4:00pm at the Penn Harris Hotel & Conference Center in Camp Hill, PA. Attendees will discuss the latest drug use and overdose trends in PA, shifting overdose patterns and drug supply, and evidence-based best practices. Click here to register for this free event.

PA Safety Net Admin2025-09-12T21:51:32+00:00September 12th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2026 budget|Comments Off

PA Health Policy Update for August 29

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

Fiscal Year 2025-26 Budget Update

There was no legislative activity surrounding the state budget this week, with both houses in recess, but officials continue their informal negotiations. The budget impasse is expected to extend into mid-September.

Governor Shapiro pitched an amended budget to legislative leaders, which would increase spending by 5% rather than the 8% increase proposed in February. Democrats, including House Majority Leader Matt Bradford, showed a new willingness to help support transit operating budgets through a special trust fund – as pitched by the Senate Republicans earlier in August – if there could be a plan to replenish that fund with new revenue sources. For more perspectives and statements from other legislators on the budget, see this Spotlight PA article.

The House stands adjourned until September 22 and the Senate until September 8.

Department of Human Services

The Department of Human Services (DHS) shared several resources from the federal government on how individuals can take action to move their Social Security benefit payments to electronic payments before the September 30, 2025 deadline after which paper checks will no longer be issued to beneficiaries. This action is particularly important for administrators of personal care and assisted living facilities who may be receiving checks on behalf of their residents. DHS will host a webinar for providers on September 10 at 1pm.

DHS updated its Medicaid managed care organization directory for September 2025.

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) will kick off Recovery Month next week, with events continuing throughout September. For event details taking place throughout the state click here.

Pennsylvania Health Insurance Exchange Authority

Pennie, Pennsylvania’s official health insurance marketplace, in coordination with Health Market Connect LLC (HMC), the newly appointed contractor of Pennie’s Assister Network, are launching a new network of regional organizations dedicated to providing localized support throughout the Commonwealth.

Around the State

An op-ed from a retired county mental health commission member published in PennLive details the risk that the budget impasse poses to Pennsylvania’s behavioral health safety net.

WHYY reported on the state of traffic and commute disruptions in light of the current SEPTA service reductions and predicts how the situation will change as more cuts come into place next week.

The Pittsburgh area NPR partner, WSEA, hosted a story about how their regional transit authority’s cuts to the paratransit and ride share program will impact individuals living with disabilities.

Stakeholder Meetings

Patient Safety Authority – Sept 16

The Patient Safety Authority established by the MCARE Act will hold a virtual board meeting on September 16 at 1pm. For registration and meeting instructions, see this PA Bulletin notice.

Pennsylvania Association of Addiction Professionals (PAAP) Annual Conference – Sept 18

The PAAP annual conference will take place in Trevose, PA on September 18 from 8:00 am to 4:30 pm. The addiction-specific educational experience will feature immersive training sessions, an exhibit hall, and networking opportunities. For more information and to register, click here.

PA Safety Net Admin2025-09-02T13:49:51+00:00August 29th, 2025|Meetings and notices, Pennsylvania Medicaid, Pennsylvania proposed FY 2026 budget|Comments Off

PA Health Policy Update for July 3

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

Fiscal Year 2025-26 Budget Update

Governor Shapiro and legislative leaders have yet to reach a final agreement on the commonwealth’s Fiscal Year (FY) 2025-26 spending plan. In a statement released by Senate Republican leadership, they indicated they’ll continue to “work with all parties to reach a final agreement.” Governor Shapiro and House Democratic leadership have indicated an agreement may be possible in the coming weeks. Presently, the Senate is recessed until the call of the chair and the House is scheduled to return to Harrisburg on Monday, July 7.

Governor Shapiro

Governor Shapiro has signed into law House Bill 640, which is now known as Act 14 of 2025. Act 14 updates annual reporting requirements for the Department of Drug & Alcohol Programs (DDAP) and eliminates the sunset date of the state’s provider assessments in anticipation of certain changes to provider assessments being contemplated by the U.S. Congress.

Governor Shapiro has signed Senate Bill 411 into law. Act 24 of 2025, as it’s now known, provides the ability for the Pennsylvania Department of Health to create and utilize a stroke registry.

The Shapiro administration has released a document with estimates regarding how many Pennsylvanians may lose Medicaid and SNAP benefits as a result of the reconciliation package being considered by the U.S. Congress.

General Assembly

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

The Senate voted to concur with the House amendments to Senate Bill 95, which permits EMS providers to leave naloxone with a caregiver of a patient who overdosed. The bill also places certain disclosure requirements on pharmacies related to the retail and generic versions of prescribed medications and allows for the provisional licensing of pharmacists. The bill has been presented to Governor Shapiro for his signature.

The House of Representatives passed House Bill 1234, which expands the Medical Assistance (MA) program to cover blood pressure monitors for home use as a pregnancy-related service on a per pregnancy basis. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 482, which authorizes Pennsylvania to join the National Occupational Therapy Licensure Compact. The bill will now be sent to the Senate for consideration.

The House of Representatives voted to concur with the Senate’s amendments to House Bill 309, which amends the Osteopathic Medical Practice Act to allow team physicians traveling internationally with their club or national team to treat their own players on site during games without needing a Pennsylvania medical license. The bill was subsequently presented to Governor Shapiro for his signature.

The House Labor & Industry Committee met on Tuesday, July 1 and favorably reported House Bill 1676, which establishes the Nursing Shortage Assistance Program. A recording of the meeting is viewable here.

The House Health Committee met on Tuesday, July 1 and favorably reported Senate Bill 715, which extends the Rare Disease Advisory Council’s sunset date to 2028. A recording of the meeting is viewable here.

The House Finance Committee met on Monday, June 30 and favorably reported House Bill 1129, which allows early-stage technology and biotechnology businesses to sell their net operating losses (NOL) and unused research and development tax credits to unrelated companies. A recording of the meeting is viewable here.

The House of Representatives is currently scheduled to return to session on Monday, July 7. The Senate is recessed until the call of the chair.

Department of Human Services

The Department of Human Services (DHS) has published its annual list of exceptional Durable Medical Equipment (DME) for nursing facilities. Find the list and additional information in this Pennsylvania Bulletin notice.

DHS has issued an updated Pennsylvania Medicaid Managed Care Directory.

DHS has issued its report on Medicaid managed care enrollment in Pennsylvania for the month of May 2025.

Department of Health

The Department of Health (DOH) has published notice that, effective July 1, 2025, ConcussionWise is no longer an approved concussion management certification training course. The only approved courses are through the Centers for Disease Control and Prevention (CDC) and the National Federation of State High School Associations (NFHS). Find additional information in this Pennsylvania Bulletin notice.

Revenue Collection Update

The Department of Revenue has announced that Pennsylvania ended the 2024-25 fiscal year with $46.4 billion in General Fund collections, which is $321 million, or 0.7 percent, above estimate. The Independent Fiscal Office’s (IFO) monthly revenue update for June 2025 is viewable here.

Department of Drug & Alcohol Programs

The Department of Drug & Alcohol Programs (DDAP) has announced that the agency recently issued Pennsylvania’s first telehealth exceptions for a DDAP-licensed substance use disorder (SUD) treatment provider. Prior to this, only SUD treatment facilities with a physical location in Pennsylvania could apply to DDAP for a license to also offer telehealth services. This new program does not require a physical location in order for a treatment provider to administer telehealth services.

Board of Medicine

The State Board of Medicine has published final-form rulemaking, which is effective upon publication in the Pennsylvania Bulletin, implementing Act 79 of 2021. This rulemaking modernizes physician assistant (PA) practice by removing certain restrictions and allowing for greater autonomy for PAs. Find additional information in this Pennsylvania Bulletin notice.

Board of Physical Therapy

The State Board of Physical Therapy has published final-form rulemaking regarding changes to the physical therapy examination process and continuing education requirements. Find the final rule in this Pennsylvania Bulletin notice.

Around the State

Spotlight PA has written an article about the increasing prevalence of Nitazines, a class of powerful synthetic opioids, and the Department of Health’s efforts to reschedule these drugs to limit access and allow prosecutors to charge suppliers.

The Philadelphia Inquirer has published an article about Pennsylvania’s late FY 2025-26 budget and what the immediate impact may be. CBS 21 has also published a piece of the status of the state budget.

PA Safety Net Admin2025-07-03T20:30:51+00:00July 3rd, 2025|Meetings and notices, Pennsylvania Medicaid, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy|Comments Off

PA Health Policy Update for June 6

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

General Assembly

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

The Senate passed Senate Bill 411, which provides the ability for the Pennsylvania Department of Health to create and utilize a stroke registry. The bill will now be sent to the House for consideration.

The House of Representatives passed House Bill 704, which establishes the “Pennsylvania Neurodegenerative Disease Research Program.” The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 668, which authorizes Pennsylvania to join the National Counseling Compact. The bill will now be sent to the Senate for consideration.

The House of Representatives also passed House Bill 554, which authorizes Pennsylvania to join the Social Work Licensure Compact. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 1140, which expands access to contraceptives. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 282, which authorizes the Department of Corrections (DOC) to establish a medical assistance (i.e., Medicaid) reentry program for incarcerated individuals who are scheduled to be released and returning to the community. The bill will now be sent to the Senate for consideration.

The House Aging & Older Adult Services Committee met on Monday, June 2 for a public hearing on House Bill 1310, which establishes a minimum budget adjust factor (BAF) floor at $0.90 for skilled nursing facilities. A recording of the meeting is viewable here.

The Senate Consumer Protection & Professional Licensure Committee met on Tuesday, June 3 and favorably reported, among other bills, Senate Bill 583, which authorizes the state to enter the Social Work Licensure Compact, and Senate Bill 604, which authorizes the state to join the National Counseling Compact. A recording of the hearing is viewable here.

The House Health Committee met on Tuesday, June 3 and favorably reported the following bills. A recording of the meeting is viewable here.
- House Bill 425, which establishes a J-1 visa waiver primary care physician grant program.
- House Bill 583, which requires the Department of Human Services to establish a benefit package for dental services for Medicaid.
- House Bill 1460, which provides for more oversight of health care entity merger and acquisition activities.

The House Human Services Committee met on Wednesday, June 4 and favorably reported two suicide prevention related bills, House Bill 415 and House Bill 564. A recording of the meeting is viewable here.

The state House and Senate will return to Harrisburg next Monday, June 9 through Wednesday, June 11 for voting session.

Department of Human Services

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

The Office of Mental Health & Substance Abuse Services (OHMSAS) has announced it will pause the implementation of OMHSAS-25-02 Voluntary and Involuntary Commitment Forms for 90 days in response to concerns raised by stakeholders. In addition to giving providers the opportunity to update electronic health records and print new forms, OMHSAS will use the time to continue to receive and respond to stakeholder questions and to schedule Q&A sessions.

DHS has issued a Request for Applications (RFA) for organizations to provide community health worker services to reduce barriers to care for individuals living within the North Philadelphia Health Enterprise Zone (HEZ). The HEZ was established in 2017 and encompasses 15 zip codes in the region. Up to six selected organizations can receive up to $500,000 per year for two years to increase CHW capacity and deploy innovative care management programs within the HEZ. Applicants shall be a 501(c)(3) charitable organization or have an association with a national charitable organization. However, applicants may not be owned, operated, or controlled by a hospital, institution of higher education, or managed care organization (MCO). For more information, see the RFA here.

DHS has issued its report on Medicaid managed care enrollment in Pennsylvania for the month of April 2025.

Department of Health

The Department of Health (DOH) has launched a public survey looking for feedback on and suggestions for improving women’s health care across the commonwealth. The 10-minute survey is open through July 7 and focuses on women’s preventive health care, like health screenings, birth control, pregnancy care and mental health services.

DOH has announced it will make copies of the proposed Preventative Health and Health Services Block Grant Application for Federal Fiscal Year 2025 available for public review. The department has also announced it will hold a virtual public hearing on June 17 from 1:00 p.m. to 2:00 p.m. to receive public input on the block grant application. Find additional information in this Pennsylvania Bulletin notice.

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) has announced it received the Department of Human Services’ (DHS) regulation regarding the transition to the Patient-Driven Payment Model (PDPM). IRRC will consider the regulation at its June 26 public meeting.

Revenue Collection Update

The Department of Revenue has announced that Pennsylvania collected $3.2 billion in General Fund revenue in May, which was $66.3 million, or 2.0 percent, less than anticipated. Fiscal year-to-date General Fund collections total $42.7 billion, which is $262.5 million, or 0.6 percent, above estimate.

Around the State

The Pennsylvania Capital-Star has published an article about an event Pennsylvania Democrats held on the Capitol steps in Harrisburg this week to caution against the potential impact of the budget reconciliation bill currently being considered in Congress.

An article published by City & State Pennsylvania has detailed the current home health workforce challenges and how Pennsylvania’s aging population may exacerbate those challenges.

The Pennsylvania Capital-Star has written an article about pharmacists’ call for additional regulation of pharmacy benefit managers amid increasing closures of pharmacies across the state.

Stakeholder Meetings

Pharmaceutical Assistance Advisory Board – June 16

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

Patient Safety Authority – June 17

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

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

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

PA Safety Net Admin2025-06-06T21:10:26+00:00June 6th, 2025|Governments, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for May 16

The following is an update of selected state health policy developments in Pennsylvania from May 12 – 16. (Some of the language used below is taken directly from state documents).

Election Update

Pennsylvania’s 2025 Primary Election will be held next Tuesday, May 20. On the ballot there are judicial candidates seeking to fill vacancies on the Commonwealth and Superior Courts, along with municipal races. Find additional election information on the Department of State’s website here.

Governor Shapiro

On Thursday, May 15 Governor Shapiro visited Crozer-Chester Medical Center, which is ceasing operations, in Delaware County to highlight efforts to support impacted workers, maintain emergency medical services, and “hold private equity firms accountable.” Find additional information in this press release.

General Assembly

The state House of Representatives and Senate convened for voting session this week. The following is an overview of selected legislative activity that occurred.

The House of Representatives passed an amended House Bill 561, which while still prioritizing non-narcotic medication-assisted treatment (MAT) expands Act 80 to include all FDA-approved MAT. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 79, which establishes uniform hospital-based financial assistance forms and requirements. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 433, which eliminates out-of-pocket costs for diagnostic imaging related to breast cancer. The bill will now be sent to the Senate for consideration.

The House of Representatives passed House Bill 309, which amends the Osteopathic Medical Practice Act to allow team physicians traveling internationally with their club or national team to treat their own players on site during games without needing a Pennsylvania medical license. The bill will now be sent to the Senate for consideration.

The House Health Committee met on Wednesday, May 14 and favorably reported House Bill 704, which establishes the “Pennsylvania Neurodegenerative Disease Research Program.” A recording of the hearing is viewable here.

The House Aging & Older Adult Services Committee held a joint hearing with the House Health Committee on Wednesday, May 14 regarding Pennsylvania’s registered nurse aide program. A recording of the hearing is viewable here.

The Senate Banking & Insurance Committee met on Tuesday, May 13 and favorably reported Senate Resolution 27, which directs the Legislative Budget and Finance Committee to study the feasibility of establishing a no-fault catastrophic loss fund to provide payment for claims brought as the result of birth-related neurological injuries. A recording of the hearing is viewable here.

The House Human Services Committee met on Tuesday, May 13 and favorably reported House Bill 1429, which requires a study on the feasibility of implementing chip-enabled electronic benefit cards (EBT) for the Supplemental Nutrition Assistance Program (SNAP). A recording of the hearing is viewable here.

The Senate Veterans Affairs & Emergency Preparedness Committee met on Monday, May 12 and favorably reported, among other bills, Senate Bill 95, which permits EMS providers to leave naloxone with a caregiver of a patient who overdosed.

The House of Representatives and the Senate are now recessed until Monday, June 2.

Department of Human Services

The Department of Human Services (DHS) has announced it will hold a listening session on May 19 from 1:00 – 2:30 p.m. entitled, “Food is Medicine: Screening and Referral.” This is part of DHS’ Keystone of Health Section 1115 demonstration waiver initiative. The listening session is intended for representatives from health care and other settings that interact with consumers that may be eligible for Food is Medicine programs. Find additional information and register here.

DHS has announced that the Office of Mental Health and Substance Abuse Services (OMHSAS) is conducting a survey, which will be the first step to begin the development of one proposed chapter of licensing regulations for inpatient psychiatric services in psychiatric units of general hospitals, private psychiatric hospitals, and extended acute care services located within those inpatient settings. The survey is for all stakeholders, including licensed providers, and will remain open until May 26. Find the survey here.

DHS has issued a Medical Assistance Bulletin with the U.S. Department of Health & Human Services’ (HHS) Centers for Disease Control and Prevention (CDC) 2025 recommended child and adolescent immunization schedule.

DHS has also issued a Medical Assistance Bulletin to advise dental providers enrolled in the Medical Assistance (MA) program that will accept the 2024 American Dental Association (ADA) claim form effective May 1, 2025.

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

DHS has announced the implementation of the 2025 Federal Poverty Income Guidelines (FPIG), which were issued by HHS and published at 90 FR 5917 on January 17, 2025. Find additional information in this Pennsylvania Bulletin notice.

Around the State

Spotlight PA has written an article about private equity, its role in health care companies, and the scrutiny its drawing from critics. Spotlight also wrote an article about health systems’ opposition to initiatives aimed at implementing more stringent health care transaction oversight.

The Pittsburgh Post-Gazette has published an article about Medicaid cuts being contemplated by Congress and their potential impact on providers in Fayette County.

The Associated Press covered Governor Shapiro’s remarks about the potential impact of Medicaid proposals being considered by Congress.

The Philadelphia Inquirer has reported about this what is anticipated to be this year’s biggest election issue, the retention of three sitting Pennsylvania Supreme Court justices.

Stakeholder Meetings

DHS – Consumer Sub-MAAC – May 21

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on May 21 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – May 22

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on May 22 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

DOH – Spinal Cord Research Committee – May 23

The Spinal Cord Research Advisory Committee will hold a public meeting on Friday, May 23 from 10:00 a.m. to 11:00 a.m. The meeting will be held in person and virtually. Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-05-16T19:25:46+00:00May 16th, 2025|Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for April 18

The following is an update of selected state health policy developments in Pennsylvania from April 14 – 18. (Some of the language used below is taken directly from state documents).

Governor Shapiro

An arsonist attacked the Governor’s Residence in Harrisburg on Sunday, April 13, which forced the Governor and his family, who were present at the time of the attack, to be evacuated. The suspect has been arrested and formally charged with attempted murder, terrorism, and other charges. Find additional details, and the Governor’s statement on political violence, in this press release.

General Assembly

The state House of Representatives and Senate were recessed this week. The House of Representatives will return to Harrisburg on Tuesday, April 22. The Senate will remain recessed until Monday, May 5.

The House Majority Policy Committee held an informational meeting on Monday, April 14 examining the impact of the life science sector on advanced manufacturing and health care workforce development. Find additional details and a recording of the meeting here.

The House Majority Policy Committee also held an informational meeting on Tuesday, April 15 examining midwifery modernization and maternal health deserts in Pennsylvania. Find additional details and a recording of the meeting here.

The House Insurance Committee has scheduled an informational meeting on Wednesday, April 23 at 9:15 a.m. to examine infertility care in Pennsylvania. The meeting will be held in Room 523 of the Irvis Building and livestreamed here.

Department of Human Services

The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers enrolled on the Medical Assistance (MA) program of updates to the MA program fee schedule, including the addition of new procedure codes and the end-dating of certain codes based on provider request and clinical review. These changes will take effect May 1.

DHS has issued a Medical Assistance Bulletin to advise federally qualified health centers (FQHCs) and rural health clinics (RHCs) of the procedure codes, modifiers, and places of service to utilize when billing for covered services provided to Medicaid beneficiaries.

DHS Secretary Val Arkoosh along with other health-related cabinet officials participated in the Western Pennsylvania Regional Rural Healthcare Summit to discuss opportunities and challenges communities face accessing health care services. Find more information in this press release.

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

Department of Health

The Department of Health has announced that an individual from another state tested positive for measles while visiting Lancaster County after a trip to Texas, creating a potential for exposure to others. Find additional details and information about measles from DOH here.

The Newborn Screening and Follow-up Technical Advisory Board had voted to recommend the addition of Metachromatic leukodystrophy (MLD), a lysosomal storage disorder, to the commonwealth newborn screening panel effective January 1, 2026. Find additional information in this Pennsylvania Bulletin notice.

DOH has announced it will hold four public comment sessions to provide stakeholders an opportunity to comment on the development of the 2026 State Plan for the Pennsylvania Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program). Find additional information and details on how to participate in this Pennsylvania Bulletin notice.

Around the State

Crozer Health’s ongoing challenges, as well as efforts to transition certain service lines were the subject of an article published by The Philadelphia Inquirer.

PA has published an article about measles, the increasing cases nationally, and growing vaccine hesitancy.

Stakeholder Meetings

DHS – Pharmacy & Therapeutics (P&T) Committee – April 23

The Department of Human Services (DHS) has cancelled the April 23 Drug Utilization Board meeting and will instead hold an ad hoc P&T Committee meeting. Find registration information and details here.

DHS – Consumer Sub-MAAC – April 23

The Consumer Subcommittee of the Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 23 at 1:00 p.m. The meeting will be held virtually. Click here for additional information.

DHS – Medical Assistance Advisory Committee – April 24

The Medical Assistance Advisory Committee (MAAC) will hold a public meeting on April 24 at 10:00 a.m. The meeting will be held virtually. Click here for additional information.

The Patient Safety Authority – April 29

The Patient Safety Authority board will hold a public meeting on Tuesday, April 29 at 10:30 a.m. The meeting will be held in person and virtually. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

DOH – Brain Injury Advisory Board – May 2

The Brain Injury Advisory Board will hold a public meeting on Friday, May 2 from 10:00 a.m. to 3:00 p.m. The meeting will be held in person at the Pennsylvania Training and Technical Assistance Network, 6340 Flank Drive, Harrisburg, PA 17112 in the Cumberland conference room. Find additional details in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-04-18T17:47:31+00:00April 18th, 2025|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid|Comments Off

PA Health Policy Update for April 4

The following is an update of selected state health policy developments in Pennsylvania from March 31 – April 4. (Some of the language used below is taken directly from state documents).

Governor Shapiro

The Shapiro administration has announced it joined a multi-state lawsuit against the Trump administration’s decision to cancel more than $500 million in public health grant funding that supported programs in the Department of Health, Department of Human Services, and the Department of Drug & Alcohol Programs. Find a copy of the lawsuit here and additional information in this press release.

General Assembly

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

The Senate passed Senate Bill 347, which prohibits the implementation of safe injection sites throughout the commonwealth, by a vote of 38-11. The bill will now be sent to the House of Representatives for consideration.

The Senate Institutional Sustainability & Innovation Committee held an informational hearing on Tuesday, April 1 examining the commonwealth’s life science sector and Pennsylvania’s innovation economy. A recording of the hearing is and testimony offered to the committee is viewable here.

The Senate Health & Human Services Committee held a voting meeting on Tuesday, April 1 and favorably reported, among other bills, Senate Bill 115, which provides skills competency examination opportunities to individuals seeking employment as a direct caregiver in lieu of successfully obtaining a high school diploma or GED equivalency, and Senate Bill 411, which implements a statewide stroke registry.

The Senate has now recessed until Monday, May 5. The state House of Representatives will reconvene Monday, April 7 through Wednesday, April 9.

Department of Human Services

The Department of Human Services (DHS) has issued a Medical Assistance Bulletin to advise providers that DHS is implementing an alternative payment methodology for federally qualified health centers (FQHCs) and rural health clinics (RHCs) for a supplemental payment at the Medicaid fee schedule rate for a long-acting reversible contraceptive (LARC) device and its insertion, or the removal of a LARC device.

DHS has announced a recent audit uncovered recipient date of death discrepancies and a claims recovery was completed to recoup monies paid in error. DHS also reminded providers that it is their responsibility to resubmit a correctly completed claim if they are due payment for services provided prior to the date of death. Find the notice here.

Revenue Collection Update

The Department of Revenue has announced Pennsylvania collected $6.2 billion in General Fund revenue in March, which was $70.0 million, or 1.1 percent, more than anticipated. Fiscal year-to-date General Fund collections total $33.2 billion, which is $34.3 million, or 0.1 percent, below estimate.

Board of Pharmacy ission,

The State Board of Pharmacy has published a notice in the Pennsylvania Bulletin of the current income levels necessary for participation in the Cancer Drug Repository program.

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) has published a notice in the Pennsylvania Bulletin that it has received the following final form rulemaking which will be considered at its May 15 meeting.

IRRC has also published a notice in the Pennsylvania Bulletin announcing it has issued comments to the State Board of Nursing regarding its proposed rule on nursing education programs issued January 25, 2025. Find IRRC’s comments here.

Around the State

The Philadelphia Inquirer has published an article about Independence Blue Cross’, the largest health insurer in southeastern Pennsylvania, reported financial loss in 2024 due, in part, to Medicare and Medicaid rates.

Governor Shapiro’s decision to join a multi-state lawsuit against the Trump administration’s decision to cancel public health grant funding was reported by the Pennsylvania Capital-Star.

The Pennsylvania Capital-Star also published an article about the potential impact Medicaid cuts at the federal level may have on rural health care access.

Spotlight PA has published an article about the Department of Aging’s decision to revise a policy that previously required the tracking of the cause of death for every adult who died during an active abuse or neglect investigation.

Stakeholder Meetings

DHS – Pharmacy & Therapeutics (P&T) Committee – April 23

The Department of Human Services (DHS) has cancelled the April 23 Drug Utilization Board meeting and will instead hold an ad hoc P&T Committee meeting. Find registration information and details here.

PHC4 – Meeting Schedule

The Pennsylvania Health Care Cost Containment Council (PHC4) has scheduled a Payment Data Advisory Group meeting for April 10 at 1:00 p.m., a Data Systems Committee meeting for April 15 at 10:00 a.m., an Education Committee meeting for April 23 at 10:00 a.m., and a Council meeting for May 1, 2025, at 10:00 a.m. Find additional details and information on how to participate in this Pennsylvania Bulletin notice.

PA Safety Net Admin2025-04-04T20:41:43+00:00April 4th, 2025|Financial, Governments, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin|Comments Off

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