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Pennsylvania Prohibits Health Care Facility Retaliation Against Patients and Workers

Original title: An Act providing for the protection of patients and medical personnel from health care facility retaliation, for prohibitions, for rebuttable presumptions, for discriminatory treatment, for evidence, for civil penalties and remedies, for criminal penalty, for restitution and damages, for injunctive relief, for peer review activity and for exemption.

Last action · January 22, 2025: Referred to JUDICIARY, Jan. 22, 2025Sponsors: Joe Ciresi and 13 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Pennsylvania House Bill 226 prohibits health care facilities and their parent entities from retaliating or discriminating against patients and medical personnel who file grievances, report quality-of-care issues, or participate in administrative investigations. The measure establishes legal s if negative actions occur within specific timelines, authorizes the Secretary of Health to issue civil penalties up to $25,000, establishes criminal misdemeanor penalties with fines up to $20,000 for willful violations, and takes effect in 60 days.

Why it matters

Patients and medical workers gain legal protections when reporting facility safety concerns, while health care employers face fines up to $25,000, criminal misdemeanor charges, and mandatory restitution for retaliatory terminations, demotions, or discriminatory treatment.

Background
  • House Bill 226 was introduced in the Pennsylvania General Assembly on January 22, 2025, by Representative Ciresi and multiple co-sponsors. context
  • Whistleblower and anti-retaliation protections in health care are designed to ensure patient safety reporting without fear of job loss or professional reprisal. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Patients

Patients gain legal protections against discrimination or retaliation after filing grievances or complaints regarding facility care.

Directly affected

Medical personnel

Medical staff and employees are protected from adverse employment actions like discharge or demotion when reporting quality-of-care issues.

Directly affected

Health care facilities

Facilities and their governing entities face civil penalties up to $25,000, criminal fines, and mandatory restitution for retaliatory actions.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What actions trigger protections for patients and medical personnel under this bill?
Protections are triggered if a patient or medical worker presents a grievance, complaint, or report to the facility, an accrediting entity, or a government agency, or if they participate in an investigation related to the quality of care or conditions at the facility.
What penalties can a health care facility face for violating the anti-retaliation rules?
The Secretary of Health may impose civil penalties of up to $25,000 per violation, issue cease and desist orders, and suspend or revoke facility licenses. Additionally, willful violations are classified as misdemeanors carrying fines of up to $20,000.
Are incarcerated individuals covered under this legislation?
No, the act explicitly exempts inmates of State correctional institutions, local detention facilities, county correctional institutions, and juvenile detention facilities.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

1 action
  1. Jan 22, 2025HouseCommittee
    Referred to JUDICIARY, Jan. 22, 2025

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Establishment of Statutory Rebuttable Presumptions in Healthcare Retaliation

The bill shifts the evidentiary burden by establishing strict 120-day and 180-day windows where adverse actions against reporting workers and patients are presumed retaliatory.

Connected Entities

Secretary of Health
OrganizationSecretary of Health“Authorized to determine violations, issue cease and desist orders, suspend or re”Map →

Sources

Open source document

www.palegis.us

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy50
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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