HB 1460 — An Act providing for approval from the Department of Health and the Office of Attorney General before certain transactions involving health care entities within this Commonwealth.
Congress · introduced 2025-05-13
Latest action: — Referred to INSTITUTIONAL SUSTAINABILITY AND INNOVATION, June 18, 2025
Sponsors
- Lisa A. Borowski (D, PA-168) — sponsor · 2025-05-13
- Paul Takac (D, PA-82) — cosponsor · 2025-05-13
- Tarik Khan (D, PA-194) — cosponsor · 2025-05-13
- Heather Boyd (D, PA-163) — cosponsor · 2025-05-13
- Jennifer O'Mara (D, PA-165) — cosponsor · 2025-05-13
- Leanne Krueger (D, PA-161) — cosponsor · 2025-05-13
- Gina H. Curry (D, PA-164) — cosponsor · 2025-05-13
- Carol Kazeem (D, PA-159) — cosponsor · 2025-05-13
- David M. Delloso (D, PA-162) — cosponsor · 2025-05-13
- Regina G. Young (D, PA-185) — cosponsor · 2025-05-13
- Carol Hill-Evans (D, PA-95) — cosponsor · 2025-05-13
- Jose Giral (D, PA-180) — cosponsor · 2025-05-13
- Elizabeth Fiedler (D, PA-184) — cosponsor · 2025-05-13
- Benjamin V. Sanchez (D, PA-153) — cosponsor · 2025-05-13
- Robert Freeman (D, PA-136) — cosponsor · 2025-05-13
- Tarah Probst (D, PA-189) — cosponsor · 2025-05-13
- Joseph C. Hohenstein (D, PA-177) — cosponsor · 2025-05-13
- Kyle Donahue (D, PA-113) — cosponsor · 2025-05-13
- Michael H. Schlossberg (D, PA-132) — cosponsor · 2025-05-13
- Jim Prokopiak (D, PA-140) — cosponsor · 2025-05-13
- Johanny Cepeda-Freytiz (D, PA-129) — cosponsor · 2025-05-13
- Melissa Cerrato (D, PA-151) — cosponsor · 2025-05-13
- Ben Waxman (D, PA-182) — cosponsor · 2025-05-13
- Mary Jo Daley (D, PA-148) — cosponsor · 2025-05-13
- Joe Ciresi (D, PA-146) — cosponsor · 2025-05-13
- Malcolm Kenyatta (D, PA-181) — cosponsor · 2025-05-13
- Dan Frankel (D, PA-23) — cosponsor · 2025-05-13
- G. Roni Green (D, PA-190) — cosponsor · 2025-05-13
- Joe Webster (D, PA-150) — cosponsor · 2025-05-13
- Bridget M. Kosierowski (D, PA-114) — cosponsor · 2025-05-13
- Liz Hanbidge (D, PA-61) — cosponsor · 2025-05-13
- Dave Madsen (D, PA-104) — cosponsor · 2025-05-13
Action timeline
- · house — Referred to HEALTH, May 13, 2025
- · house — Reported as amended, June 3, 2025
- · house — First consideration, June 3, 2025
- · house — Re-committed to RULES, June 3, 2025
- · house — Re-reported as committed, June 9, 2025
- · house — Second consideration, with amendments, June 9, 2025
- · house — Re-committed to APPROPRIATIONS, June 9, 2025
- · house — Re-reported as committed, June 10, 2025
- · house — Third consideration and final passage, June 10, 2025 (121-82)
- · senate — In the Senate
- · senate — Referred to INSTITUTIONAL SUSTAINABILITY AND INNOVATION, June 18, 2025
- · house — (Remarks see House Journal Page 832-838), June 9, 2025
- · house — (Remarks see House Journal Page 884-889), June 10, 2025
Text versions
No text versions on file yet — same ingest as the action timeline populates these. Each version has direct links to the XML / HTML / PDF at govinfo.gov.
Bill text
Printer's No. 1696 · 33,837 characters · source document
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PRINTER'S NO. 1696
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1460
Session of
2025
INTRODUCED BY BOROWSKI, TAKAC, KHAN, BOYD, O'MARA, KRUEGER,
CURRY, KAZEEM, DELLOSO, YOUNG, HILL-EVANS, GIRAL, FIEDLER,
SANCHEZ, FREEMAN, PROBST, HOHENSTEIN, DONAHUE, SCHLOSSBERG,
PROKOPIAK, CEPEDA-FREYTIZ, CERRATO, WAXMAN, DALEY, CIRESI,
KENYATTA, FRANKEL AND GREEN, MAY 13, 2025
REFERRED TO COMMITTEE ON HEALTH, MAY 13, 2025
AN ACT
1 Providing for approval from the Department of Health and the
2 Office of Attorney General before certain transactions
3 involving health care entities within this Commonwealth.
4 TABLE OF CONTENTS
5 Chapter 1. Preliminary Provisions
6 Section 101. Short title.
7 Section 102. Definitions.
8 Chapter 3. Covered Health Care Transactions
9 Section 301. Transaction against public interest.
10 Section 302. Filing of transactions.
11 Section 303. Public input.
12 Section 304. Determination and restraining prohibited
13 transactions.
14 Section 305. Compliance and power of court.
15 Section 306. Powers and duties of Attorney General.
16 Section 307. Powers and duties of department.
17 Section 308. Confidential treatment.
1 Chapter 10. Miscellaneous Provisions
2 Section 1001. Construction.
3 Section 1002. Effective date.
4 The General Assembly of the Commonwealth of Pennsylvania
5 hereby enacts as follows:
6 CHAPTER 1
7 PRELIMINARY PROVISIONS
8 Section 101. Short title.
9 This act shall be known and may be cited as the Health System
10 Protection Act.
11 Section 102. Definitions.
12 The following words and phrases when used in this act shall
13 have the meanings given to them in this section unless the
14 context clearly indicates otherwise:
15 "Affected community." A county within this Commonwealth
16 where an existing health care facility is physically located or
17 a county whose residents are regularly served by the existing
18 health care facility.
19 "Affiliate." A person that directly or indirectly, through
20 one or more intermediaries, controls or is controlled by, or is
21 under common control with, the person specified.
22 "Against the public interest." A covered transaction that,
23 as determined by the Attorney General, results in any of the
24 following:
25 (1) A significant reduction in competition or a
26 significant increase in costs for health care payers,
27 purchasers or consumers.
28 (2) An unfair method of competition in or affecting
29 health care commerce or an unfair or deceptive act or
30 practice in or affecting health care commerce.
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1 (3) A significant reduction in the quality of care.
2 (4) A significant reduction in access to or availability
3 of health care services for payers, purchasers or consumers.
4 (5) A significant reduction in access to care in a
5 rural, low-income or disadvantaged community.
6 (6) A health care leaseback agreement.
7 "Attorney General." The Office of Attorney General of the
8 Commonwealth.
9 "Capital distribution." A payment made, liability incurred
10 or other consideration given by a health care entity to a person
11 for the purchase, acquisition, redemption, repurchase, payment
12 or retirement of capital stock or other equity interest of the
13 health care entity or as a dividend, return of capital or other
14 distribution in respect of the health care entity's capital
15 stock or other equity interest.
16 "Control," "controlled by" or "under common control with."
17 As follows:
18 (1) The possession, direct or indirect, of the power to
19 direct or cause the direction of the management and policies
20 of a person, whether through the ownership of voting
21 securities, by contract other than a commercial contract for
22 goods or nonmanagement services or otherwise, unless the
23 power is the result of an official position with or corporate
24 office held by the person. Control shall be presumed to exist
25 if a person, directly or indirectly:
26 (i) owns more than 10% of a person; or
27 (ii) controls, holds with the power to vote or holds
28 proxies representing 10% or more of the votes that all
29 shareholders or members would be entitled to cast in the
30 election of directors or managers.
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1 (2) The presumption under paragraph (1) may be rebutted
2 by a showing that control does not exist in fact. The
3 Attorney General may determine, after furnishing all persons
4 in interest notice and opportunity to be heard and making
5 specific findings of fact to support the determination, that
6 control exists in fact, notwithstanding the absence of a
7 presumption to that effect or that another person has
8 control.
9 "Covered entity." Includes:
10 (1) A for-profit entity or an affiliate of a for-profit
11 entity that owns, operates or controls or seeks to own,
12 operate or control a health care entity.
13 (2) An investor or group of investors who primarily
14 engage in the raising or returning of capital and who invest,
15 develop or dispose of specified assets, a private equity
16 company, a private equity fund or a real estate investment
17 trust or affiliate.
18 "Covered transaction." A transaction or a series of
19 transactions involving at least one health care entity and one
20 covered entity, and includes any of the following:
21 (1) The sale, transfer, lease or other encumbrance of a
22 material amount of a health care entity's assets, including
23 real property, employment groups, emergency departments or
24 other units.
25 (2) A change in control of a health care entity.
26 (3) A capital distribution or similar reduction of a
27 health care entity's equity capital by a material amount or
28 the incursion of an obligation that commits the health care
29 entity to making a capital distribution or similar reduction
30 of equity by a material amount.
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1 "Department." The Department of Health of the Commonwealth.
2 "Health care entity." The term includes:
3 (1) A person that directs, or through an affiliate
4 directs, control of one or more health care facilities.
5 (2) A practitioner organization, representing eight or
6 more health care practitioners, valued at or above a material
7 amount.
8 "Health care facility." The term shall have the same meaning
9 as in section 802.1 of the act of July 1, 1979 (P.L.130, No.48),
10 known as the Health Care Facilities Act.
11 "Health care leaseback agreement." A transaction whereby a
12 person sells, transfers, leases or otherwise encumbers a
13 material amount of the assets or real property of a health care
14 entity and enters into an agreement with another person to lease
15 back the same assets or real property.
16 "Health care practitioner." The term shall have the same
17 meaning as in section 103 of the Health Care Facilities Act.
18 "Material amount." An amount equal to $5,000,000 or more.
19 "Practitioner organization." A person, other than a health
20 care facility, which is in the business of health care delivery
21 or management and that represents health care practitioners in
22 contracting with carriers or third-party administrators for the
23 payment of health care services.
24 "Private equity company." A nonpublicly traded entity that
25 collects capital investments from individuals or entities.
26 "Private equity fund." An entity that directly, or through
27 an affiliate, acts as a control person and is any of the
28 following:
29 (1) A person considered an investment company under 15
30 U.S.C. § 80a-3 (relating to definition of investment
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1 company), except for the application of 15 U.S.C. § 80a-3(c)
2 (1) and (7).
3 (2) A venture capital fund as defined in 17 CFR
4 275.203(l)-1 (relating to venture capital fund defined).
5 (3) A sovereign wealth fund.
6 "Professional licensing board." A professional licensing
7 board within the Bureau of Professional and Occupational Affairs
8 of the Department of State.
9 "Real estate investment trust." The term shall have the same
10 meaning as in 26 U.S.C. § 856 (relating to definition of real
11 estate investment trust).
12 CHAPTER 3
13 COVERED HEALTH CARE TRANSACTIONS
14 Section 301. Transactions against public interest.
15 (a) General rule.--Except as provided under subsection (b),
16 a person may not enter into a covered transaction that is
17 against the public interest.
18 (b) Exception.--An action prohibited under subsection (a)
19 may be permitted when, as determined by the Attorney General,
20 there is no feasible alternative to prevent a health care
21 entity's closure or a greater loss of health care services.
22 Section 302. Filing of transactions.
23 (a) Duties of health care entity.--Prior to entering into a
24 covered transaction, a health care entity shall complete one of
25 the following:
26 (1) file a notification in accordance with subsection
27 (b) and observe the waiting period under subsection (c); or
28 (2) obtain a written determination from the Attorney
29 General that the covered transaction is not against the
30 public interest.
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1 (b) Notice.--Notification of a covered transaction shall be
2 submitted to the Attorney General and the department on a form
3 and in a manner developed by the Attorney General. The
4 notification shall include all of the following, as applicable:
5 (1) All organic documents, including articles of
6 incorporation, bylaws, operating agreements and other
7 documents related to governance and ownership of each party.
8 (2) All complete transaction documents with attachments,
9 including collateral or ancillary agreements involving
10 officers, directors or employees.
11 (3) All documents signed by the principals, or the
12 principal's agents, that are necessary to determine the
13 proposed transaction's effect, if any, on affiliates, whether
14 nonprofit or for profit.
15 (4) Any of the following that comprise part or all of
16 the transaction:
17 (i) Asset contribution agreements.
18 (ii) Operating agreements.
19 (iii) Management contracts.
20 (5) All information necessary to evaluate the effects of
21 the transaction on each component of an integrated delivery
22 system if that transaction involves a hospital, including any
23 changes in contracts between the integrated delivery system
24 entities and related physician groups.
25 (6) All financial documents of the transaction parties
26 and related entities, if applicable, including audited
27 financial statements, ownership records, business projection
28 data, current capital asset valuation data and any records
29 upon which future earnings, existing asset values and fair
30 market value analysis can be based.
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1 (7) All fairness opinions and independent valuation
2 reports of the assets and liabilities of the parties,
3 prepared on the parties' behalf.
4 (8) A list of all donor restricted assets, together with
5 origination documents and current fund balances.
6 (9) All relevant contracts that may affect value,
7 including business contracts and employee contracts, such as
8 buy-out provisions, profit-sharing agreements and severance
9 packages.
10 (10) All information and representations disclosing
11 related party transactions that are necessary to assess
12 whether the transaction is at arm's length or involves self-
13 dealing.
14 (11) All documents relating to noncash elements of the
15 transaction, including pertinent valuations of security for
16 loans and stock restrictions.
17 (12) All tax-related information, including the
18 existence of tax-free debt subject to redemption and
19 disqualified person transactions yielding tax liability.
20 (13) A list of ongoing litigation, including full court
21 captions, involving the transaction parties or the
22 transaction parties' related entities, that may affect the
23 interests of the parties.
24 (14) All information in the possession of the
25 transacting parties relative to the perspective of the health
26 care entity's patient base and communities served, or their
27 representatives.
28 (15) All information, including internal and external
29 reports and studies, bearing on the effect of the proposed
30 transaction on the availability or accessibility of health
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1 care in the affected community.
2 (16) A complete list of all insurance plans under
3 contract and the policies' expiration dates.
4 (17) Organizational charts of the parties to the
5 transaction, as they exist both preconsummation and
6 postconsummation of the transaction, detailing the
7 relationship between the principal parties, including any
8 subsidiary.
9 (18) All additional documents that the Attorney General
10 deems necessary for review purposes.
11 (c) Waiting period.--Prior to entering into a covered
12 transaction, a health care entity shall undergo a 90-day waiting
13 period, which shall begin on the date the Attorney General
14 receives the notification required under subsection (b). Within
15 two business days, the Attorney General shall confirm receipt of
16 the notification with the health care entity that submitted the
17 notification. Upon the expiration of the waiting period provided
18 for under this subsection, and any extension of a waiting period
19 under subsection (d), the covered transaction may proceed unless
20 the Attorney General determines the covered transaction is
21 against the public interest.
22 (d) Additional information and waiting period extensions.--
23 (1) The Attorney General may, no later than 30 days
24 prior to the expiration of the waiting period under
25 subsection (c), require the submission of additional
26 information or documentary material from a person who is a
27 party to the proposed covered transaction for which a
28 notification was filed under subsection (b) or from any
29 officer, director, partner, agent or employee of the person.
30 (2) The Attorney General may, in its discretion, extend
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1 the waiting period under subsection (c) for an additional 30
2 days for a covered transaction after the date on which the
3 Attorney General receives either of the following from a
4 person to whom a request is made under paragraph (1):
5 (i) all of the additional information and
6 documentary material requested; or
7 (ii) if the request is not fully complied with, the
8 information and documentary material submitted and a
9 statement of the reasons for the noncompliance.
10 (3) Additional extensions of the waiting period beyond
11 what is required under subsection (b) must be granted by a
12 court in accordance with section 305.
13 Section 303. Public input.
14 (a) Public hearing.--Prior to the expiration of the
15 respective waiting period under section 302(c), along with any
16 extension granted under section 302(d), the Attorney General may
17 conduct one or more public hearings on the proposed covered
18 transaction.
19 (b) Accessibility.--
20 (1) A public hearing required under subsection (a) shall
21 be live-streamed on the Attorney General's publicly
22 accessible Internet website.
23 (2) A video recording of the public hearing shall be
24 posted on the Attorney General's publicly accessible Internet
25 website.
26 (c) Specific entities.--If a covered transaction involves
27 the acquisition of a health care facility, the Attorney General
28 may hold a public hearing in any county in which the acquired
29 entity is located to hear comments from interested parties.
30 Interested parties shall include employees of the health care
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1 entity, legal aid organizations, public officials and health
2 advocacy organizations within a county in which the health care
3 facility is located. The Attorney General may request testimony
4 at a hearing from State agencies subject to section 306(d).
5 (d) Notice.--At least 14 days before the date of the public
6 hearing, the Attorney General shall provide written notice of
7 the date, time and place of the public hearing:
8 (1) On the Attorney General's publicly accessible
9 Internet website.
10 (2) Through social and broadcast media.
11 (3) Through publication in one or more newspapers of
12 general circulation in the affected community.
13 (4) To the governing body of each county in which the
14 health care entity is located.
15 (e) Substantive changes to proposal.--If a substantive
16 change in the covered transaction is submitted to the Attorney
17 General after the initial public hearing, the Attorney General
18 may conduct an additional public hearing to hear comments from
19 interested parties with respect to the change.
20 Section 304. Determination and restraining prohibited
21 transactions.
22 (a) Determination.--No later than the final date of
23 expiration of the respective waiting period under section
24 302(c), along with any extension granted under section 302(d),
25 the Attorney General shall determine whether the covered
26 transaction is likely to have an impact that is against the
27 public interest.
28 (b) Department review.--Prior to making a determination
29 whether a covered transaction is against the public interest,
30 the Attorney General shall consult and request feedback from the
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1 department regarding the covered transaction's potential impact
2 on the existing patient base and affected community.
3 (c) Action.--If the Attorney General, in consultation with
4 the department, determines that the proposed covered transaction
5 is against the public interest under subsection (a), the
6 Attorney General, on behalf of the Commonwealth, may:
7 (1) commence an action in a court of competent
8 jurisdiction to enjoin the covered transaction; or
9 (2) enter into a voluntary agreement with the covered
10 entity and the health care entity, which shall be filed with
11 Commonwealth Court, that imposes conditions or otherwise
12 mitigates the aspects that make the covered transaction
13 against the public interest.
14 (d) Monitoring.--
15 (1) A voluntary agreement entered into under subsection
16 (c) shall include an initial monitoring period of not more
17 than five years. The monitoring period may be extended for
18 additional periods of not more than five years at the
19 discretion of the Attorney General.
20 (2) The Attorney General shall consult with the
21 department prior to setting the length of the initial
22 monitoring period and any extension.
23 (3) During the monitoring period, the Attorney General
24 and the department shall monitor, evaluate and assess the
25 covered entity and health care entity's compliance with the
26 terms and conditions of the voluntary agreement.
27 (e) Costs of monitoring.--
28 (1) The covered entity shall pay for the costs of the
29 Attorney General and the department's monitoring, evaluation
30 and assessment of the covered entity and health care entity's
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1 compliance with the terms and conditions of the voluntary
2 agreement during a monitoring period established under
3 subsection (d).
4 (2) The Attorney General, in consultation with the
5 department, shall determine the amount of the compliance
6 monitoring cost under this subsection, which shall be paid by
7 the covered entity and placed in an escrow account during the
8 monitoring period.
9 (f) Licensing.--A health care facility's license may not be
10 revoked, denied, impeded or cited for noncompliance due solely
11 to a filing or review under this chapter.
12 Section 305. Compliance and power of court.
13 If a person substantially fails to comply with the
14 notification requirement under section 302(a) or any request for
15 the submission of additional information or documentary material
16 under section 302(b) within the respective waiting period under
17 302(c), along with any extension granted under section 302(d),
18 the court may, in its discretion, do any or all of the
19 following:
20 (1) Order compliance.
21 (2) Extend the waiting period until there has been
22 substantial compliance.
23 (3) Grant other equitable relief as the court determines
24 necessary or appropriate.
25 Section 306. Powers and duties of Attorney General.
26 (a) Rules and regulations.--The Attorney General, in
27 coordination with the department, shall issue rules and
28 promulgate regulations as may be necessary to carry out and
29 enforce this chapter. The department and the Attorney General
30 shall ensure that the rules and regulations of the department
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1 and the Attorney General are not in conflict.
2 (b) Contracts.--
3 (1) The Attorney General may do any of the following:
4 (i) Contract with, share information with and
5 consult and receive advice from any Federal agency or
6 Commonwealth agency as the Attorney General deems
7 appropriate to implement this chapter.
8 (ii) At the Attorney General's sole discretion,
9 contract with experts or consultants to assist in
10 reviewing the proposed covered transaction.
11 (2) The cost of a contract entered into under paragraph
12 (1) must be an amount that is reasonable and necessary to
13 conduct the review and evaluation and in accordance with the
14 following:
15 (i) A contract may be on a noncompetitive bid basis.
16 (ii) Upon request, the Attorney General shall be
17 paid promptly for all contract costs by the entities
18 seeking approval or the covered transaction.
19 (3) The Attorney General shall be entitled to
20 reimbursement from the entities seeking consent for the
21 covered transaction for all actual, reasonable and direct
22 costs incurred in reviewing, evaluating and making a
23 determination under section 304(a), including administrative
24 costs. The entities seeking consent shall promptly pay the
25 Attorney General, upon request, for the costs.
26 (4) Notwithstanding the other provisions of this act, a
27 covered transaction may not be completed unless an agreement
28 has been executed between the Attorney General and the
29 covered entity, the health care entity or both for the
30 payment of costs in accordance with this subsection.
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1 (c) Compliance.--If a covered entity or health care entity
2 enters into a voluntary agreement with the Commonwealth under
3 section 304(c)(2):
4 (1) The Attorney General shall monitor, assess and
5 evaluate a covered entity and health care entity to ensure
6 compliance with the terms and conditions of the voluntary
7 agreement for the duration of the monitoring period
8 established under section 304(d).
9 (2) The Attorney General may request documents and other
10 information from a covered entity or a health care entity, or
11 both, to monitor compliance with the terms of the voluntary
12 agreement under section 304(c). Upon receiving a request from
13 the department, a covered entity or health care entity shall
14 comply with the request within 30 days.
15 (3) If the Attorney General determines that the health
16 care entity or covered entity has failed to comply with terms
17 of the voluntary agreement, the Attorney General may seek
18 immediate relief in Commonwealth Court to enforce the
19 conditions of the voluntary agreement and may impose any
20 penalties authorized by law or the terms of the voluntary
21 agreement.
22 (d) Agency cooperation.--
23 (1) The department, the Department of Aging, the
24 Department of Human Services and the Insurance Department
25 shall assist the Attorney General in reviewing the proposed
26 agreement and transaction, if requested, and shall comply
27 with any request for testimony or information as may be
28 necessary and appropriate for the Attorney General to review
29 a proposed covered transaction.
30 (2) The Attorney General shall comply with any request
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1 for information from the Insurance Department as may be
2 necessary and appropriate for the Insurance Department to
3 concurrently review a proposed transaction under Article XIV
4 of the act of May 17, 1921 (P.L.682, No.284), known as The
5 Insurance Company Law of 1921. Documents provided by the
6 Attorney General to the Insurance Department under this
7 paragraph shall be treated as confidential and are exempt
8 from public access under the act of February 14, 2008 (P.L.
9 6, No.3), known as the Right-to-Know Law.
10 (3) The Attorney General shall comply with any request
11 for information from the department as may be necessary and
12 appropriate to concurrently review a proposed transaction
13 under the act of July 19, 1979 (P.L.140, No.48), known as the
14 Health Care Facilities Act. Documents provided by the
15 Attorney General to the department under this paragraph shall
16 be treated as confidential and are exempt from public access
17 under the Right-to-Know Law.
18 Section 307. Powers and duties of department.
19 (a) Rules and regulations.--The department, in coordination
20 with the Attorney General, shall issues rules and promulgate
21 regulations as may be necessary to carry out and enforce this
22 chapter. The department and the Attorney General shall ensure
23 that the rules and regulations of the department and the
24 Attorney General are not in conflict.
25 (b) Compliance.--If a health care facility or covered entity
26 enters into a voluntary agreement with the Commonwealth under
27 section 304(c):
28 (1) The department shall monitor, assess and evaluate a
29 health care facility and covered entity to ensure compliance
30 with the terms and conditions of the voluntary agreement. If
20250HB1460PN1696 - 16 -
1 the department determines the health care facility or covered
2 entity has failed to comply with terms of the voluntary
3 agreement, the department shall immediately notify the
4 Attorney General of its findings.
5 (2) The department may request documents and other
6 information from a covered entity, a health care facility or
7 both to monitor compliance with the terms of the voluntary
8 agreement under section 304(c). Upon receiving a request from
9 the department, a covered entity or health care facility
10 shall comply with the request within 30 days.
11 (3) The department shall be reimbursed from an escrow
12 account established under section 304(e) for costs related to
13 the ongoing monitoring, assessment and evaluation of a health
14 care facility and covered entity's compliance with the terms
15 and conditions of the voluntary agreement during the
16 monitoring period.
17 Section 308. Confidential treatment.
18 (a) Confidentiality.--All information, documents, materials
19 and copies thereof in the possession or control of the Attorney
20 General or the department that are produced for, obtained by or
21 disclosed to the Attorney General or the department in the
22 course of a covered entity or health care entity complying with
23 the requirements of section 302(b), 306(c) or (d) or 307(b)
24 shall be privileged and given confidential treatment and shall
25 not be:
26 (1) Subject to discovery or admissible in evidence in a
27 private civil action.
28 (2) Subject to subpoena.
29 (3) Subject to the act of February 14, 2008 (P.L.6,
30 No.3), known as the Right-to-Know Law.
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1 (4) Made public by the Attorney General, the department
2 or any other person, except to regulatory or law enforcement
3 officials of this Commonwealth or other jurisdictions or
4 experts or consultants under contract with the Attorney
5 General under section 306(b), without the prior written
6 consent of the health care entity or covered entity to which
7 it pertains, unless the Attorney General, after giving the
8 health entity or covered entity that would be affected notice
9 and opportunity to be heard, determines that the interest of
10 the public is served by the publication, in which event it
11 may publish all or any part in such manner as it may deem
12 appropriate.
13 (b) Testifying in a civil action.--The Attorney General, the
14 department, any other Commonwealth agency or any individual or
15 person, who receives documents, materials or other information,
16 while acting under the authority of the Attorney General or the
17 department, or with whom the documents, materials or other
18 information are shared under this chapter, shall not be
19 permitted or required to testify in any private civil action
20 concerning any confidential documents, materials or information
21 covered under this section.
22 CHAPTER 10
23 MISCELLANEOUS PROVISIONS
24 Section 1001. Construction.
25 This act shall not be construed to:
26 (1) Narrow, abrogate or otherwise alter the authority of
27 the Attorney General to maintain competitive markets and
28 prosecute or enforce violations of antitrust and unfair trade
29 practices laws.
30 (2) Narrow, abrogate or otherwise alter the authority of
20250HB1460PN1696 - 18 -
1 the department to oversee and approve or disapprove the
2 change of ownership of or regulate a health care facility
3 under the act of July 1, 1979 (P.L.130, No.48), known as the
4 Health Care Facilities Act.
5 (3) Narrow, abrogate or otherwise alter the authority of
6 a professional licensing board to issue, suspend or revoke a
7 health care practitioners license or regulate the practice of
8 the health arts in this Commonwealth.
9 (4) Prohibit a Federal agency, Commonwealth agency or
10 other state agency from regulating a covered transaction or
11 joining as party in an action seeking to enjoin a covered
12 transaction, including the Insurance Department's
13 jurisdiction to review an exposed transaction under Article
14 XIV of the act of May 17, 1921 (P.L.682, No.284), known as
15 The Insurance Company Law of 1921.
16 Section 1002. Effective date.
17 This act shall take effect in 60 days.
20250HB1460PN1696 - 19 -Connected on the graph
Outbound (4)
| date | type | to | amount | role | source |
|---|---|---|---|---|---|
| — | referred_to_committee | Pennsylvania Senate Institutional Sustainability And Innovation Committee | — | pa-leg | |
| — | referred_to_committee | Pennsylvania House Appropriations Committee | — | pa-leg | |
| — | referred_to_committee | Pennsylvania House Rules Committee | — | pa-leg | |
| — | referred_to_committee | Pennsylvania House Health Committee | — | pa-leg |
The full graph
Every typed relationship touching this entity — 4 edges across 1 category. Grouped by what the connection is; the heaviest few are shown, with a link to the full list.
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Lisa A. Borowski (D, state_lower PA-168) | sponsor | 0 | — | 5 |
| 2 | Ben Waxman (D, state_lower PA-182) | cosponsor | 0 | — | 1 |
| 3 | Benjamin V. Sanchez (D, state_lower PA-153) | cosponsor | 0 | — | 1 |
| 4 | Bridget M. Kosierowski (D, state_lower PA-114) | cosponsor | 0 | — | 1 |
| 5 | Carol Hill-Evans (D, state_lower PA-95) | cosponsor | 0 | — | 1 |
| 6 | Carol Kazeem (D, state_lower PA-159) | cosponsor | 0 | — | 1 |
| 7 | Dan Frankel (D, state_lower PA-23) | cosponsor | 0 | — | 1 |
| 8 | Dave Madsen (D, state_lower PA-104) | cosponsor | 0 | — | 1 |
| 9 | David M. Delloso (D, state_lower PA-162) | cosponsor | 0 | — | 1 |
| 10 | Elizabeth Fiedler (D, state_lower PA-184) | cosponsor | 0 | — | 1 |
| 11 | G. Roni Green (D, state_lower PA-190) | cosponsor | 0 | — | 1 |
| 12 | Gina H. Curry (D, state_lower PA-164) | cosponsor | 0 | — | 1 |
| 13 | Heather Boyd (D, state_lower PA-163) | cosponsor | 0 | — | 1 |
| 14 | Jennifer O'Mara (D, state_lower PA-165) | cosponsor | 0 | — | 1 |
| 15 | Jim Prokopiak (D, state_lower PA-140) | cosponsor | 0 | — | 1 |
| 16 | Joe Ciresi (D, state_lower PA-146) | cosponsor | 0 | — | 1 |
| 17 | Joe Webster (D, state_lower PA-150) | cosponsor | 0 | — | 1 |
| 18 | Johanny Cepeda-Freytiz (D, state_lower PA-129) | cosponsor | 0 | — | 1 |
| 19 | Jose Giral (D, state_lower PA-180) | cosponsor | 0 | — | 1 |
| 20 | Joseph C. Hohenstein (D, state_lower PA-177) | cosponsor | 0 | — | 1 |
| 21 | Kyle Donahue (D, state_lower PA-113) | cosponsor | 0 | — | 1 |
| 22 | Leanne Krueger (D, state_lower PA-161) | cosponsor | 0 | — | 1 |
| 23 | Liz Hanbidge (D, state_lower PA-61) | cosponsor | 0 | — | 1 |
| 24 | Malcolm Kenyatta (D, state_lower PA-181) | cosponsor | 0 | — | 1 |
| 25 | Mary Jo Daley (D, state_lower PA-148) | cosponsor | 0 | — | 1 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)
By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-20 · was referred to Pennsylvania Senate Institutional Sustainability And Innovation Committee · pa-leg
- 2026-05-20 · was referred to Pennsylvania House Appropriations Committee · pa-leg
- 2026-05-20 · was referred to Pennsylvania House Rules Committee · pa-leg
- 2026-05-20 · was referred to Pennsylvania House Health Committee · pa-leg