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Pennsylvania Establishes Medical Debt Relief Program and Uniform Hospital Financial Assistance Standards

Original title: An Act establishing requirements for hospital-based financial assistance; providing for hospital-based financial assistance forms, for information about hospital-based financial assistance programs and for reporting of hospital-based financial assistance policies; and imposing duties on the Department of Health.

Last action · May 22, 2025: Referred to HEALTH AND HUMAN SERVICES, May 22, 2025Sponsors: Arvind Venkat and 53 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Pennsylvania House Bill 79 establishes a statewide Medical Debt Relief Program within the Department of Health to purchase and discharge medical debt for eligible residents using state-appropriated funds. The legislation also standardizes hospital-based financial assistance across the Commonwealth by requiring uniform applications, one-page summary templates, plain-language translations, and consistent income-eligibility rules.

Why it matters

Residents with household incomes at or below 400% of the federal poverty level, or whose medical debt equals 5% or more of household income, become eligible for debt relief and standardized financial assistance protections, while hospitals must adopt uniform intake forms, translate documents into primary languages, and pause bill liability upon application submission.

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

Eligible residents

Eligible residents receive medical debt discharge, standardized financial assistance applications, and protection from billing liability while applications are pending.

Directly affected

Hospitals

Hospitals must adopt uniform financial assistance applications, provide one-page summary templates to patients upon intake and discharge, and publish their policies online.

Directly affected

Department of Health

The department is tasked with establishing the debt relief program, contracting with debt relief coordinators, developing uniform forms, and submitting annual legislative reports.

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

Who qualifies for medical debt relief under this program?
An eligible resident is an individual living in Pennsylvania who has a household income at or below 400% of the Federal poverty guidelines or has medical debt equal to 5% or more of their household income.
Can hospitals continue billing a patient while their financial assistance application is being reviewed?
No. Once a patient submits a completed financial assistance application form, they are not liable for any bills until the hospital has rendered a decision on the application.
Will discharged medical debt count as taxable income?
No. The interest and principal balance of medical debt discharged under the program are explicitly excluded from state taxable income classes.

What else do you want to know?

News Coverage

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

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

11 actions
  1. May 22, 2025SenateCommittee
    Referred to HEALTH AND HUMAN SERVICES, May 22, 2025
  2. May 22, 2025Senate
    In the Senate
  3. May 13, 2025HouseFloor
    Third consideration and final passage, May 13, 2025 (187-16)
  4. May 13, 2025HouseCommittee
    Re-reported as committed, May 13, 2025
  5. May 12, 2025House
    Re-committed to APPROPRIATIONS, May 12, 2025
  6. May 12, 2025HouseFloor
    Second consideration, May 12, 2025
Show 5 earlier actions
  1. May 7, 2025House
    Removed from table, May 7, 2025
  2. Apr 9, 2025House
    Laid on the table, April 9, 2025
  3. Apr 9, 2025HouseIntroduced
    First consideration, April 9, 2025
  4. Apr 9, 2025House
    Reported as amended, April 9, 2025
  5. Jan 10, 2025HouseCommittee
    Referred to HEALTH, Jan. 10, 2025

Version history & redline

2 versions on file
Comparing Printer's No. 0030 → Printer's No. 1326
removed addedOfficial text
added: PRIOR PRINTER'S NO. 30 added: PRINTER'S NO. 1326 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No. 79 Session of 2025 INTRODUCED BY VENKAT, DAVIDSON, KHAN, KOSIEROWSKI, KUZMA, RIGBY, TWARDZIK, GUENST, PROBST, ABNEY, D. MILLER, GIRAL, HANBIDGE, CIRESI, SANCHEZ, HOWARD, FIEDLER, HADDOCK, POWELL, BOROWSKI, HILL-EVANS, FREEMAN, KENYATTA, DONAHUE, FRANKEL, FLEMING, FRIEL, MALAGARI, SHUSTERMAN, PIELLI, PASHINSKI, CEPEDA- FREYTIZ, BOYD, SIEGEL, removed: O'MARA AND added: O'MARA, OTTEN, added: INGLIS, DEASY, CERRATO, GREEN, RABB, WAXMAN, D. WILLIAMS, STEELE AND McNEILL, JANUARY 10, 2025 removed: REFERRED TO added: AS REPORTED FROM COMMITTEE ON HEALTH, removed: JANUARY 10, added: HOUSE OF REPRESENTATIVES, AS AMENDED, APRIL 9, 2025 AN ACT Establishing the Medical Debt Relief Program; establishing requirements for hospital-based financial assistance; and imposing duties on the Department of Health. added: ESTABLISHING REQUIREMENTS FOR HOSPITAL-BASED FINANCIAL ASSISTANCE; PROVIDING FOR HOSPITAL-BASED FINANCIAL ASSISTANCE FORMS, FOR INFORMATION ABOUT HOSPITAL-BASED FINANCIAL ASSISTANCE PROGRAMS AND FOR REPORTING OF HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES; AND IMPOSING DUTIES ON THE DEPARTMENT OF HEALTH. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Short title. This act shall be known and may be cited as the Medical Debt Relief added: HOSPITAL-BASED FINANCIAL ASSISTANCE Act. Section 2. Definitions. The following words and phrases when used in this act shall have the meanings given to them in this section unless the context clearly indicates otherwise: removed: "Bad debt expense." The cost of care for which a health care provider expected payment from the patient or a third-party payor, but which the health care provider or commercial debt collection agency subsequently determines to be uncollectible.added: <-- <-- <-- <-- <--
Redline computed from the official version text (record lane).View this version →

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

Show 49 more sponsors
D. MILLERHouse · District 42DCosponsorNo profile match
SIEGELHouse · District 22DCosponsorNo profile match

Discoveries

1 pattern noticed across the record

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

policy shift99% confidence

Standardization of Hospital Financial Assistance

The legislation shifts hospital financial assistance from disparate individual hospital policies to a mandatory statewide uniform application and one-page summary template.

Connected Entities

Department of Human Services, Pennsylvania Health Insurance Exchange Authority, Department of Health
OrganizationDepartment of Human Services“Administers public health coverage options and explores electronic eligibility c”Map →
OrganizationPennsylvania Health Insurance Exchange Authority“Administers public health coverage options.”Map →
OrganizationDepartment of Health“Administers the Medical Debt Relief Program and develops uniform financial assis”Map →

Sources

Open source document

www.palegis.us

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy35
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz60
    Current news / social attention level

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