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Medicaid

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Photo by Joakim Honkasalo on Unsplash

The House Appropriations Committee held the 2025 Department of Human Services (DHS) Budget Hearing at the Capitol in Harrisburg on Tuesday, March 4, 2025. DHS was represented by Secretary Dr. Valerie Arkoosh and Gloria Gilligan, Director of Fiscal Management, Office of the Budget. Other DHS leadership was also present.

The House Appropriations Committee was equipped with questions surrounding the proposed $21B DHS budget that focused on intersects with operating critical services for vulnerable Pennsylvanians across the human services landscape. RCPA submitted questions to the House Appropriations Committee’s legislators that voiced the concerns of the membership across all policy areas.

The hearing today covered several of those questions, including:

  • The projected $2.5B dollar increase in the capitation and intersects with Medicaid unwinding in PA;
  • Impacts of potential federal Medicaid cuts on state Medicaid funding;
  • Addressing IDD waitlists and funding;
  • The ongoing funding of SNAP benefits and how the state is addressing fraud, waste, and abuse;
  • Efforts to stabilize the human services workforce infrastructure with hiring and retention funding;
  • Childcare and early education funding, including $10M in early intervention workforce monies;
  • Concerns about the fiscal and operational risks of covering GLP-1 medications; and
  • The sustainability of State human services with the increases over the last several years.

RCPA will continue to monitor the hearings and subsequent reporting, and we plan to provide an overview of the Senate Appropriations Committee DHS Budget Hearing held today, March 5. If you have any questions, please contact your respective RCPA Policy Director.

Members can watch the full hearings and read the transcripts below:

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Photo by Kane Reinholdtsen on Unsplash

Message from Representative Dan Miller’s Office: 

Supporting and defending Medicaid funding to our Commonwealth has always been a top priority of mine, and this week we’re having a press conference to discuss the potential impact that Federal cuts to Medicaid may have on our most vulnerable populations.

Joining me will be U.S. Reps. Chris Deluzio and Summer Lee, other state lawmakers, and Allegheny County officials to highlight why defending Medicaid is imperative. We will also hear from self-advocates who would be directly impacted by Medicaid changes.

The loss of Federal funding to states would be devasting for the more than 3 million Pennsylvanians who are enrolled in Medicaid. Medicaid also pays for 30% of Medicare. Those that depend on its supports and services, include:

  • Seniors
  • Low-income families and individuals
  • People with disabilities
  • Pregnant women and children, and many more.

The news conference will be held at 10:15 am Friday, February 28, at the Portico of the City-County Building, 414 Grant St., Pittsburgh.

We’ll also be joined by state Reps. Dan Frankel, Emily Kinkead, Jess Benham, Lindsay Powell, Aerion Abney, La’Tasha D. Mayes and Arvind Venkat; state Sens. Jay Costa, Wayne Fontana, Lindsey Williams and Nick Pisciottano; Mayor Ed Gainey; Allegheny County Controller Corey O’Connor; Pittsburgh Councilwoman Erika Strassburger; and the offices of County Executive Sara Innamorato and U.S. Sen. John Fetterman.

There is a lot to be discussed, and everyone is welcome to join us this Friday at 10:15 am at the Portico of the City-County Building located at 414 Grant Street in downtown Pittsburgh.

As always, if you have questions about this event or any state-related matter, please contact our office at 412-343-3870 or RepMiller@pahouse.net.

Pennsylvania State Capitol
109 Irvis Office Building
Harrisburg, PA 17120
(717) 783-1850
District Office
650 Washington Rd., Suite 102
Mt. Lebanon, PA 15228
(412) 343-3870

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Photo by Chris Montgomery on Unsplash

The Pennsylvania Department of Human Services (DHS) is holding a post-award forum to afford the public with an opportunity to provide comments on the progress of the federal Section 1115 Demonstration titled “Medicaid Coverage for FFCY from a Different State and SUD Demonstration.” The FFCY component of the demonstration was approved by the Centers for Medicare & Medicaid Services (CMS) effective October 1, 2017, and enables the Commonwealth to provide Medicaid coverage to out‑of‑state former foster care youth under the age of 26 years who were in foster care under the responsibility of another state or tribe when they turned 18. The SUD component of the demonstration was approved by CMS effective July 1, 2018, and provides necessary funding that is critical to continue supporting the provision of a full continuum of medically necessary SUD services, including residential services. In September 2022, CMS approved the Commonwealth’s application to renew the Demonstration through September 30, 2027.

The forum will be held on Friday, March 28, 2025, from 2:00 pm – 3:30 pm via WebEx. Please register for the Post Award Forum prior to the meeting date here.

Please contact RCPA Policy Associate Emma Sharp with any questions.

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The Office of Long-Term Living (OLTL) released the rate study that was commissioned last August after RCPA and other industry associations collaborated to access the information needed to establish rates for services.

For background purposes, HCBS are offered through Medicaid as an alternative to facility or institutional care. Reimbursement rates for these programs are set by DHS and are informed by an actuarial rate setting process and a public comment process. Long-term services and supports (LTSS) help older Pennsylvanians and adults with physical disabilities.

The rate study revealed the need for substantial and immediate rate increases for the services which were evaluated. The study concluded, “Given the comparisons to benchmark rates, it appears that revisions to the rates studied for this report would be appropriate. The tables below show detailed results from the benchmark rate comparison.” The specific rate gaps were:

  • Adult Day                                                                     19%
  • Employment and Training Services                             35%
  • Personal Assistance — Agency                                   23%
  • Personal Assistance — PDS                                       12%
  • Residential Habilitation                                                44%
  • Structured Day Habilitation                                          22%

Findings of the study are used to inform the Commonwealth’s budget and future rate setting processes. View the results here.

If you have any questions, please contact Fady Sahhar or Melissa Dehoff.

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Dear ANCOR Members,

Next week, some Members of Congress will be back in their districts, making it the perfect time to meet with them and urge them to protect Medicaid funding for home and community-based services (HCBS).

The newly released House budget framework calls for 1.5 trillion in cuts over ten years and directs the House committee with jurisdiction over Medicaid to cut at least $880 billion in spending. While the details have not yet been finalized, these reductions would likely result in deep cuts to Medicaid funding. Even if proposals do not specifically target funding for I/DD services, the resulting pressure on state budgets from Medicaid cuts creates an elevated risk of further limits and cuts to services for individuals with I/DD. In-district meetings and site visits are some of the most effective ways to educate lawmakers and their staff on how these cuts would harm people with intellectual and developmental disabilities (I/DD), providers, and families.

To help you prepare, we’ve put together key advocacy resources, including:

Why Your Action Matters:
Studies show that constituent messages are the most effective way to influence lawmakers. When they see firsthand the impact of Medicaid-funded services in their communities, they are far more likely to protect funding.

Take this opportunity to reach out to your Members of Congress while they’re home next week or check their website for an email list signup to make sure you don’t miss any opportunities to engage while they are home — let’s make sure they understand why Medicaid funding must be protected.

Thank you for your advocacy.

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