HB 79 Pennsylvania House · 2025-2026 Regular Session

An Act establishing requirements for hospital-based financial assistance; providing for hospital-based financial assistance forms, for information about hospital-based financial assistance programs and for reporting of hospital-based financial assistance policies; and imposing duties on the Department of Health.

HB 79 requires hospitals to establish clear financial assistance programs for patients who cannot afford care, including standardized forms and easily accessible information about eligibility and coverage. It mandates that hospitals publicly share details about their financial aid policies and report their program rules to the Department of Health. These requirements directly affect hospitals operating in the state and patients seeking financial help with medical bills. The bill aims to standardize and increase transparency in hospital financial aid offerings.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Jan 10, 2025 Last action May 22, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Printer's No. PN0030 Printer's No. PN1326 · 6 edits
MODERATE
The bill was significantly expanded from a state-funded program to purchase and discharge medical debt for residents to a comprehensive set of requirements for hospitals to establish and disclose their own financial assistance policies. The new version removes the state's role in buying debt and instead mandates that hospitals create uniform application forms, post their policies online, and provide clear information to patients upon intake and discharge.
Scope change
The bill's scope shifted from a specific state-administered relief program to broad regulatory requirements applicable to all hospitals with financial assistance policies in the Commonwealth.
FISCAL

Eliminated the state-funded Medical Debt Relief Program that previously allowed the Department of Health to contract with coordinators to purchase and discharge medical debt for eligible residents.

REQUIREMENT

Added mandatory requirements for hospitals to develop and use uniform application forms and a one-page summary template for their financial assistance policies.

Required hospitals to post their financial assistance forms and policies on their websites and provide them to patients upon intake and discharge.

DEFINITION

Added a specific definition for 'HOSPITAL' to clarify that the rules apply to nonprofit or private hospitals.

TIMELINE

Changed the effective date structure so that the new hospital reporting and disclosure requirements take effect 270 days after enactment, while other sections take effect immediately.

ELIGIBILITY

Removed the specific eligibility criteria and income thresholds that previously defined who could receive state-funded debt relief.

Floor votes · House May 13, 2025

How they voted

18716
Passed
Total votes 203
May 13, 2025
D Democratic102
102 Yea
100% Yea
R Republican101
85 Yea 16 Nay
84% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
10
Key actions
3
Committee
4
Amendments
1
May 22, 2025
Committee
Referred to Health & Human Services
upper
May 13, 2025
Lower · Passed
Third consideration and final passage
lower
May 13, 2025
Lower · Passed
Re-reported as committed
lower
May 12, 2025
Committee
Re-committed to Appropriations
lower
Apr 9, 2025
Lower · Passed
Reported as amended
lower
Jan 10, 2025
Committee
Referred to Health
lower
1 primary · 53 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Arvind Venkat
Arvind Venkat
DDemocratic
PA
30
Co
Photo of Abigail Salisbury
Abigail Salisbury
DDemocratic
PA
34
Co
Photo of Aerion Abney
Aerion Abney
DDemocratic
PA
19
Co
Photo of Andrew Kuzma
Andrew Kuzma
RRepublican
PA
39
Co
Photo of Ben Sanchez
Ben Sanchez
DDemocratic
PA
153
Co
Photo of Ben Waxman
Ben Waxman
DDemocratic
PA
182
Co
Photo of Bob Freeman
Bob Freeman
DDemocratic
PA
136
Co
Photo of Bridget Malloy Kosierowski
Bridget Malloy Kosierowski
DDemocratic
PA
114
Co
Photo of Carol Hill-Evans
Carol Hill-Evans
DDemocratic
PA
95
Co
Photo of Chris Pielli
Chris Pielli
DDemocratic
PA
156
Co
Photo of Chris Rabb
Chris Rabb
DDemocratic
PA
200