SB 730 Pennsylvania Senate · 2025-2026 Regular Session

An Act amending Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes, in health care, further providing for applicability, for definitions, for criminal penalties, for emergency medical services, for definitions, for orders, bracelets and necklaces, for revocation, for absence of order, bracelet or necklace and for emergency medical services, repealing provisions relating to advisory committee and providing for discontinuance and for Pennsylvania orders for life-sustaining treatment.

SB 730 amends Pennsylvania law regarding end-of-life medical decisions, affecting patients, their designated surrogates, and healthcare providers, including emergency medical services. The bill introduces and integrates "Pennsylvania orders for life-sustaining treatment" (POLST) into the existing framework, alongside advance health care directives and out-of-hospital do-not-resuscitate (OOH-DNR) orders. It updates definitions for various healthcare roles to align with current state law and modifies criminal penalties for actions like falsifying or interfering with these medical orders. Additionally, the bill clarifies the applicability of emergency medical services in situations without an OOH-DNR order and standardizes the issuance of OOH-DNR orders, bracelets, and necklaces by physicians.
Bill status passed 3 of 5 stages cleared
Introduction
May 2025
Committee Review
Jun 2026
Senate Passage
Jun 2026
House Passage
Governor
Introduced May 12, 2025 Last action Jun 24, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Printer's No. PN0782 Printer's No. PN1799 · 6 edits
MODERATE
This bill update transitions Pennsylvania's end-of-life planning system from the older Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) order to a new Pennsylvania Orders for Life-Sustaining Treatment (POLST) program. The changes establish a new medical order form that is immediately actionable across all healthcare settings, including nursing homes and hospitals, rather than just for emergency services. It also adds specific protections to prevent insurance companies or healthcare facilities from penalizing patients or providers for using these orders.
Scope change
The bill expands the scope of applicability from emergency medical services only to all healthcare settings, including hospitals and long-term care facilities.
DEFINITION

Added a new definition for 'Life-Limiting and Irreversible Condition' to clarify when a POLST form is appropriate.

Added a new definition for 'Health Care Facility' to explicitly include hospitals, long-term care facilities, and other licensed facilities.

TIMELINE

Established a one-year transition period where old OOH-DNR orders executed after the new POLST form is adopted will still be presumed valid if executed in good faith.

REQUIREMENT

Added new prohibitions preventing insurance companies from requiring a POLST for coverage or charging different rates based on whether a patient has one.

Added new prohibitions preventing healthcare facilities from making consent to a POLST a condition for admission or continued occupancy.

Modified the definition of 'Health Care Provider' to include personnel recognized under the Emergency Medical Services Act and Good Samaritan laws.

Floor votes · Senate Jun 23, 2026

How they voted

490
Passed · 1 other
Total votes 50
Jun 23, 2026
D Democratic23
22 Yea 1
95% Yea
R Republican27
27 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
3
Committee
4
Amendments
1
Jun 24, 2026
Committee
Referred to Health
lower
Jun 23, 2026
Upper · Passed
Third consideration and final passage
upper
Jun 22, 2026
Upper · Passed
Re-reported as committed
upper
Jun 10, 2026
Committee
Re-referred to Appropriations
upper
Jun 9, 2026
Upper · Passed
Reported as amended
upper
May 12, 2025
Committee
Referred to Health & Human Services
upper
1 primary · 3 co-sponsors

Sponsors