In this update:
Have a Happy Independence Day
I hope you have a great July 4th holiday with friends and family as we celebrate the birth of our great nation, which remains the best hope for freedom and liberty on Earth.
Bill to Improve Medical Care for Patients Approved by Senate
The Senate voted to improve the health care experience for patients by streamlining the prior authorization and step therapy processes for medical treatment. The bill goes to the House of Representatives for consideration.
Prior authorization means that, to qualify for payment, physicians and other health care providers must obtain advance approval from a health plan before a specific procedure or service. Step therapy requires patients to try prescription drug treatment options chosen by the patient’s insurance provider.
Senate Bill 225 would set standards for commercial insurance plans, as well as Medicaid plans, when seeking prior authorization approval and with step therapy protocols. The legislation would also provide a timely process for appeals determinations.
A recent American Medical Association survey found that prior authorization delays overwhelmingly result in patients forgoing treatment, leading to negative clinical impacts.
Wolf Administration Plan to Toll Interstate Bridges Halted by Court
In a major win for motorists and communities near interstate highways, the Commonwealth Court of Pennsylvania issued a ruling blocking the Wolf Administration from moving forward with its plan to toll nine interstate bridges across the state.
The decision follows a previous ruling temporarily halting the initiative, siding with a county and several municipalities that challenged the constitutionality of the plan to toll interstate bridges under the public-private partnership (P3) bridge program.
PennDOT attempted to move forward with tolling without approval from the General Assembly. The Senate passed Senate Bill 382 to require the P3 process to be more transparent while stopping the current initiative. Gov. Wolf vowed to veto the measure.
The new order voids the entire Major Bridge P3 Initiative, including the following bridges:
Increased Penalties for Hiring Unauthorized Workers Approved by Senate
A bill to improve enforcement of the construction industry’s use of the federal E-Verify system was approved by the Senate and sent to the House of Representatives for consideration.
The federal E-Verify system determines the eligibility of employees – both U.S. and foreign citizens – to work in America. The Public Works Employment Verification Act already requires all public construction contractors and subcontractors to use E-Verify to confirm the legal employment eligibility of new hires. However, despite these requirements, the practice of hiring unauthorized workers continues due to the enforcement mechanisms being weak.
Senate Bill 1147 would make the financial penalties more meaningful. Rather than the current penalty of $250 – $1,000, violators would face a fine of $2,500 – $25,000. Senate Bill 1147 streamlines enforcement and reduces the need for time-consuming audits by requiring construction contractors to be enrolled in E-Verify upfront and makes it a punishable offense if they are not.
Senate Acts to Improve Drug Overdose Tracking and Response
The Senate approved legislation to improve drug overdose tracking and response in Pennsylvania, which ranks third in the nation for overdose deaths. The bill will be sent to the House of Representatives for consideration.
Senate Bill 1152 would require law enforcement and emergency medical services agencies to report all overdose incidents within 72 hours to the statewide Overdose Information Network or any other platform approved by the Pennsylvania State Police to capture real-time overdose reporting.
The State Police will be required to document the numbers, trends and patterns associated with known and suspected overdoses and issue an annual report available in an online format for reference by public officials and the general public.
Access to real-time data will help public officials ensure that adequate overdose reversal drug supplies are available, substance use outreach efforts are enhanced and law enforcement investigations are undertaken to interrupt sources of deadly substances.
Legislation Boosting Safety of Child Care Facilities Set for Enactment
Legislation to improve safety in state-regulated child care facilities was approved by the Senate and is set to be signed into law.
Senate Bill 563 was introduced in response to a tragic fire that claimed the lives of five young children in Erie in 2019. Only one smoke detector was found in the care home, and it was in the attic.
The measure designates the locations where smoke alarms must be installed in child care facilities and require the alarms be interconnected so that if one is triggered, they all go off.
Bills to Limit Exposure of Sexually Explicit Content in PA Schools Passed by Senate
Two bills that would give parents a voice in discussions of gender identity and sexual orientation in Pennsylvania schools were approved by the Senate.
Senate Bill 1277 would require districts to identify sexually explicit content in school curriculum and materials and notify parents that their child’s coursework includes such content. Senate Bill 1278 would prohibit classroom instruction on gender identity and sexual orientation for pre-kindergarten through fifth-grade students, consistent with the timeline for when the existing academic standards on general sex education begins in sixth grade.
The proposals are in response to concerns of parents that age-inappropriate conversations about these sensitive topics are occurring prematurely and without parental knowledge in school classrooms around the state.
Senate Votes to Protect Sports for PA Women and Girls
The Senate gave final approval of legislation that protects the integrity of women’s sports. The measure was sent to the governor to be signed into law.
House Bill 972, the Fairness in Women’s Sports Act, ensures that biological males can’t compete on school athletic teams designated for women and girls. The bill also provides legal recourse for students harmed when schools and colleges violate the proposed law.
June 23 marked the 50th anniversary of enactment of Title IX, which guaranteed girls and women equal access to scholastic sports. Recently, more than a dozen states have passed legislation similar to House Bill 972 after women’s sports organizations were pressured to allow biological males to compete on their teams.
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