HB 1234 amends Pennsylvania's Human Services Code to require public assistance programs to cover the cost of blood pressure monitors for eligible recipients. This change directly affects individuals enrolled in state public assistance programs who need blood pressure monitoring for health management. The bill adds blood pressure monitors to the list of covered medical equipment under the public assistance program, ensuring these devices are provided without cost to recipients. It does not change eligibility requirements but expands existing coverage to include this specific monitoring tool. The bill passed final passage on July 1, 2025, and was referred to the Health & Human Services committee.
SB 95 amends Pennsylvania's Pharmacy Act to create a 180-day provisional license for pharmacists moving from other states, allowing them to practice without demonstrating competency under Pennsylvania's requirements. It also permits emergency medical services providers to distribute naloxone dose packages for opioid overdose reversal under specific conditions, including a Department of Health standing order and voluntary distribution without liability. Additionally, the bill requires pharmacies to disclose prescription drug prices (brand vs. generic), cost-sharing amounts, and health insurance options upon customer request. These changes aim to improve pharmacist mobility, expand naloxone access, and increase price transparency for consumers.
HB 1590 removes specific regulatory requirements that clinics must meet to receive payment for services provided within their own facilities under public assistance programs like Medicaid. This change directly affects clinics offering on-site care covered by these programs, simplifying their billing process. The bill amends the Human Services Code to eliminate the need for clinics to comply with certain prior payment rules when services occur inside their physical premises. It focuses solely on modifying reimbursement procedures without altering eligibility or funding levels.
HB 1100 amends Pennsylvania's Human Services Code to allow public assistance recipients to use their benefits to purchase diapers and menstrual hygiene products through a new waiver program. This directly affects low-income individuals and families enrolled in public assistance programs who currently cannot use their benefits for these essential items. The key provision adds diapers and menstrual hygiene products to the list of eligible purchases under an administrative waiver, changing the existing code to expand access to basic necessities. The bill does not change benefit amounts or eligibility criteria but creates a new pathway for purchasing specific hygiene products. It passed the legislature in June 2025 and was referred to the Health & Human Services committee for implementation.
This bill modifies Pennsylvania's Human Services Code to change how medical providers are reimbursed for specific services provided to public assistance recipients. It updates reimbursement rules for certain medical items and services while replacing outdated regulations that conflicted with these changes. The primary effect is on healthcare providers who bill state assistance programs, streamlining the process for claiming payments. The bill does not create new benefits but adjusts existing reimbursement procedures under public assistance programs.
HB 1445 requires health insurers in Pennsylvania to cover medically necessary health services provided in schools - such as mental health care, behavioral health services, and speech therapy - without denying coverage solely because the service occurs in a school setting. It prohibits insurers from excluding coverage based on location (e.g., through "school setting" or "place of service" exclusions), applying to public, charter, cyber charter, and private schools. Exceptions allow denials if services are provided by unlicensed individuals, are not medically necessary per insurer policies, or conflict with existing legal obligations (like IEPs). This law directly affects students receiving school-based care, insurers, and school entities, ensuring coverage parity for services delivered on school premises.
HB 27 amends the Health Care Facilities Act to require hospitals and surgical clinics to install systems that remove smoke generated during certain medical procedures. This directly affects healthcare facilities performing surgeries where smoke is produced, such as those using lasers or electrosurgery. The bill mandates these evacuation systems as part of facility licensing standards under the existing 1979 law. The change focuses on improving air quality and safety for both patients and medical staff during operations.
HB 282 amends Pennsylvania's Human Services Code (1967) to clarify eligibility rules for individuals receiving medical assistance under public assistance programs. The bill directly affects current and prospective recipients of medical assistance, ensuring consistent application of qualification standards. Key provisions update how eligibility is determined for medical assistance, though specific changes are not detailed in the provided context. The bill passed the House on June 3, 2025, and was referred to the Health & Human Services committee for further review.
HB 1140 requires health insurers and Medicaid/CHIP managed care plans in Pennsylvania to cover all FDA-approved contraceptives - including prescription drugs, devices, emergency contraception (like levonorgestrel), and oral contraceptives - without any out-of-pocket costs for enrollees. It specifically prohibits prior authorization or step therapy for emergency and oral contraceptives, and mandates coverage for sterilization procedures and related services like counseling. The bill directly affects health insurers, managed care plans, and their enrollees by expanding contraceptive coverage under state insurance regulations. It exempts male condoms from coverage requirements but ensures no cost-sharing for covered contraceptive methods.
This bill updates Pennsylvania's pilot program for non-narcotic medication-assisted treatment (MAT) in prisons and parole settings. It removes outdated rules about the program's establishment, clarifies requirements for county participation, and specifies how grant funds can be used for treatment services. The Pennsylvania Commission on Crime and Delinquency gains new duties to oversee the program, and the bill includes administrative updates to the state statutes governing it. The changes directly affect counties administering the pilot program and individuals in prison or parole under the MAT initiative.
