An Act amending Title 12 (Commerce and Trade) of the Pennsylvania Consolidated Statutes, providing for health care antitrust; and imposing civil penalties.

HB 2115 requires advance notice to Pennsylvania's Attorney General for certain major healthcare transactions that could reduce competition. It specifically applies to mergers, acquisitions, or "contracting affiliations" between healthcare facilities, systems, or provider organizations when they generate at least $10 million in Pennsylvania revenue annually. The bill mandates that these entities submit premerger notifications, supplementing federal antitrust rules, to allow the Attorney General to review potential anti-competitive harm before deals close. This aims to protect consumers by ensuring robust competition in healthcare markets across Pennsylvania. The law creates new enforcement mechanisms but does not alter existing federal antitrust standards.