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Read. Follow. Verify.Pennsylvania House Bill 595 Directs Integration of Behavioral and Physical Health Services in Medicaid
Last action · February 12, 2025: Referred to HEALTH, Feb. 12, 2025Sponsors: GROVE and 4 others
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What This Bill Would Do
Pennsylvania House Bill 595 requires the Department of Human Services to integrate behavioral health services, physical health services, and pharmacy drug benefits into the HealthChoices medical assistance by October 1, 2025. The measure mandates managed care participation for all medical assistance-eligible persons and directs the department to submit necessary waiver proposals to the federal Centers for Medicare and Medicaid Services.
Medical assistance recipients will receive both physical and mental health care through a single coordinated managed care system, altering how approximately two million Pennsophanians access medical and addiction treatments.
- The Human Services Code governs public assistance and welfare programs across the Commonwealth of Pennsylvania. 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.
medical assistance-eligible persons
Must participate in a mandatory capitated managed care program that combines physical health, behavioral health, and pharmacy benefits.
managed care organizations
Must contract with the department under new integration requirements, outcome metrics, and procurement rules.
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 services are included in the new integrated managed care program?
Does this integration include intellectual developmental disorders?
When must the federal waiver be submitted?
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- Feb 12, 2025HouseCommitteeReferred to HEALTH, Feb. 12, 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
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Integration of Physical and Behavioral Health
The legislation shifts Pennsylvania's medical assistance delivery from separate silos to an integrated managed care model overseen by the Department of Human Services.
Connected Entities
Sources
www.palegis.us
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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