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Read. Follow. Verify.Pennsylvania updates ambulatory surgical facility procedures and establishes written attestation process for new services
Last action · September 24, 2026: Referred to HEALTH AND HUMAN SERVICES, Sept. 24, 2026Sponsors: Judy Ward and 4 others
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What This Bill Would Do
Pennsylvania Senate Bill 1453 updates the Health Care Facilities Act to adopt the 2026 CMS Ambulatory Surgical Center Covered Procedures List and establishes a written process allowing ambulatory surgical facilities to implement new services without prior state exception approvals.
Ambulatory surgical facilities can implement new health care services by submitting a written to the Department of Health at least 60 days in advance, altering the prior notification and waiver requirements for facilities and state regulators.
- The Health Care Facilities Act of 1979 governs the licensing, certification, and regulation of hospitals and ambulatory surgical facilities in Pennsylvania. context
- The Centers for Medicare and Medicaid Services maintains the Ambulatory Surgical Center Covered Procedures List to determine which surgical procedures are approved for reimbursement in ambulatory centers. 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.
Ambulatory surgical facilities
Ambulatory surgical facilities gain the ability to perform procedures listed on the 2026 CMS ASC-CPL without waiver exceptions and must follow a new written attestation process to implement new services.
Department of Health
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 is the CMS 2026 Ambulatory Surgical Center Covered Procedures List?
How far in advance must an ambulatory surgical facility submit an attestation for a new service?
What information must be included in the new service attestation?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
1 action- Sep 24, 2026SenateCommitteeReferred to HEALTH AND HUMAN SERVICES, Sept. 24, 2026
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
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Streamlining Health Facility Approvals
The legislation shifts oversight from individual case-by-case exception requests to a standardized 60-day written attestation framework for new services.
Connected Entities
Sources
www.palegis.us
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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