HB 812 establishes a grant program to fund security improvements protecting hospital and emergency care workers from workplace violence. It directly affects hospitals and freestanding emergency medical facilities in Pennsylvania, which can apply for grants to implement violence prevention projects. The bill requires applicants to submit detailed plans with timelines, budgets, and measurable goals for reducing verbal/physical violence, with priority given to innovative, sustainable approaches. The Department of Health will administer the program, accept applications starting March 1, 2025, and manage the dedicated grant fund.
HB 1128 establishes Pennsylvania's Medicaid Care Transition Program to address delays in moving Medicaid patients from emergency departments to appropriate follow-up care. It directly affects Medicaid patients stuck in emergency settings, hospitals, and "responsible entities" (like county Medicaid managed care plans) that must create dedicated care transition units. Key provisions require responsible entities to: contact hospitals within 24 hours for placement, seek out-of-network options if in-network care isn't available quickly, and notify the Department of Human Services after 48 hours if placement fails. The Department then intervenes to resolve barriers like clinical issues, payment problems, or coordination with other agencies. The law aims to reduce emergency department overcrowding and ensure timely access to necessary postacute care for Medicaid enrollees.
SB 1083 increases the required distance between oil and gas wells and certain structures in Pennsylvania. It raises the minimum distance for unconventional gas wells from 500 feet to 2,500 feet from buildings and from 1,000 feet to 2,500 feet from water wells and water supply points. The bill also prohibits drilling within 5,000 feet of any school or hospital. Well operators seeking to drill closer must apply for a variance with a detailed safety plan and additional measures, and the law takes effect 60 days after enactment.
SB 752 requires Pennsylvania hospitals to publicly disclose standardized pricing for services in a clear, online format. Hospitals must list gross charges, negotiated rates with insurers, discounted cash prices, and billing codes for all services - especially "shoppable" outpatient procedures - on their websites and provide printed copies upon request. The law prohibits hospitals from pursuing debt collection from patients if they fail to comply with these transparency rules. This directly affects hospitals (requiring new reporting duties) and patients (providing clearer cost information before care). The policy aims to increase price visibility without mandating specific pricing structures.
SB 648 establishes new requirements for hospital-based financial assistance programs for residents of Pennsylvania. It mandates the Department of Health to create uniform application forms, a one-page summary template for hospital eligibility policies, and a brief statement about financial assistance availability. Hospitals must post these forms and their full financial assistance policies online, provide the summary to patients upon intake and discharge, and include the brief statement on all billing and admission paperwork. Additionally, patients are not responsible for bills while their application is under review, and hospitals must submit their policies to the Department of Health for public display.
This bill bans health insurers in Pennsylvania from setting annual or lifetime dollar limits on essential medical services (like hospital care, surgery, and emergency treatment), affecting both in-network and out-of-network providers. It applies to individual and group health insurance policies, directly protecting enrollees from coverage caps on core benefits. Insurers must comply with these limits, with enforcement including fines up to $5,000 per violation. The law takes effect for policies filed with the Insurance Department after its effective date.
HB 1254 clarifies and updates Pennsylvania's laws regarding advance health care directives, specifically strengthening the legal framework for "Pennsylvania orders for life-sustaining treatment" (POLST) and out-of-hospital do-not-resuscitate (DNR) orders. The bill adds criminal penalties for falsifying, forging, or tampering with these documents, or for concealing a patient's revocation of them. It also specifies that emergency medical services must follow valid POLST or DNR orders when present, providing standard care only when no such order exists. This directly affects patients with advance directives, their families, and health care providers who must comply with these legal documents.
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.
HB 271 establishes a grant program to help financially struggling or geographically isolated hospitals in Pennsylvania avoid closing or cutting services. Hospitals must meet specific criteria (e.g., three consecutive years of financial losses or being over 25 miles from another hospital) and apply through the Department of Health to receive funds. Grants must be used solely to maintain operations - prohibiting executive pay - and applicants must certify they’ve explored partnerships with other providers. The Department of Health will review applications within 60 days and award funds until December 31, 2029, or until the allocated budget is exhausted.
HB 831 establishes a 24-month moratorium on transferring hospital ownership to for-profit entities in Pennsylvania. It directly affects hospitals and health systems seeking to change ownership structures, pausing approvals for such transactions. The bill also requires the Joint State Government Commission to study for-profit hospital ownership patterns, including causes for their rise, cost/benefit comparisons with non-profits, and policy recommendations. The Commission must issue a report to state leaders within 18 months of the law's effective date. The moratorium and study requirements expire 24 months after the bill takes effect.
