PENNSYLVANIA

Overview

Pennsylvania has a robust set of healthcare inspection and transparency laws. Notwithstanding, initiatives to adopt other measures, including a most-favored nations clause ban for healthcare contracts, a certificate of needs program, and a state-run health exchange have not gained traction in the legislature. In the 2017-2018 term, the Pennsylvania legislature introduced many bills affecting price transparency, prescription drug costs, and health care markets and competition. However, none were passed or signed into law, with the exception of a resolution to enact legislation that would allow states to regulate air ambulance billing and pricing practices.

State Action


2020 Legislative Session: 1/7/2020 - 11/30/2020 (2019-2020 term). *Current session bill updates are ongoing. Check back weekly for updates.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
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Additional Resources

STATE BUDGET

Pennsylvania’s budget operates on a twelve month cycle beginning July 1 and ending June 30 of the following calendar year, which is enacted during its regular legislative session in the previous year.

REGULATION & ENFORCEMENT

  • In October 2013, Attorney General Kathleen G. Kane announced that her office had reached an agreement with Geisinger Health System Foundation over antitrust concerns that the acquisition of Lewistown Hospital and its employed physician group may have substantially lessened or eliminated competition in the region.  The eight-year agreement placed several conditions on the merger.
  • Pennsylvania was one of 16 states to file an amicus brief supporting the FTC’s winning position in the Ninth Circuit appeal of St. Luke’s Health Care Sys. v. FTC, No. 14-35173 (March 7, 2014), decided February 10, 2015. The States’ brief stated that the acceleration of health care costs due to the growth of large health care provider systems had become a matter of grave concern for the states.
  • Enforcement Actions, Market Conduct Actions and Market Surveillance reports conducted by the Department of Insurance can be found here.

KEY RESOURCES