An Act amending the act of April 9, 1929 (P.L.343, No.176), known as The Fiscal Code, in human services, further providing for medical assistance payments for institutional care.

SB 692 amends Pennsylvania's medical assistance program to set limits on how payment rates can change for nursing facilities. It requires that nonpublic nursing facility payments stay at or above 90% of prior rates starting July 1, 2025, while county facility payments must maintain 100% plus any percentage change applied to nonpublic rates. These payment rate limits will remain in effect until June 30, 2026, or until a new rate-setting system replaces the current one. The bill directly affects county and nonpublic nursing facilities enrolled in Pennsylvania's medical assistance program.