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HAPAC and HAPAC-Federal are the political action committees of HAP. Participation in HAPAC helps HAP communicate to lawmakers the vital role that health care facilities and their employees play in their communities every day. Learn more

Related Information

HAP Testimony
On Pennsylvania hospitals’ Ebola preparedness (Oct 2014)


HAP Testimony
Comments regarding the commonwealth’s Hospital Preparedness Partnership Program (Jun 2017)


In early February, Governor Wolf introduced his proposed state spending plan for the 2018–2019 fiscal year. The budget maintains 2017–2018 funding levels for hospital payments, including the Medical Assistance (MA) Supplemental payments for critical access hospitals, obstetrics/neonatal payments, hospital burn centers, and trauma centers.

HAP is seeking an increase to the MA Supplemental payments for critical access hospitals to address increased Medicaid losses in these facilities.

In addition to the specific line item appropriations found in the state’s General Fund, the Governor’s budget also includes assumptions related to the reauthorization of the statewide hospital Quality Care Assessment (QCA).

Since 2010, Pennsylvania hospitals have been taxed in order to generate additional state revenue and to increase funds available for hospital Medicaid payments. The Governor’s budget seeks to increase the commonwealth’s share from the Hospital QCA from $220 million to $350 million––an approximately 60 percent increase ($130 million) over the current year amount. Pennsylvania hospitals oppose this unsustainable increase.

Related News

June 20, 2018

Fast Tracked Spending Plan Includes Increase for Critical Access Hospitals, Work on Assessment and State Contribution from QCA Continues

The state House of Representatives voted 188 to 10 to send House Bill 2121 (the 2018­­–2019 General Appropriations bill) to the Senate for approval. Included in the measure is an additional $3.4 million to cover increased Medicaid losses suffered by Pennsylvania’s critical access hospitals. Work continues on the Quality Care Assessment.


June 19, 2018

IFO Releases State Economic Picture; Hospital QCA Assessment Increase Too High

The Pennsylvania Independent Fiscal Office (IFO) released its June 2018 revenue forecast, which points to a more stable state economic picture.


June 18, 2018

Governor Proposes Raid on PA Hospital Funds as New Report Says Federal Hospitals Cuts will Total $218.2 Billion by 2028

A new report says hospitals across the country will be hit with ongoing federal payment cuts that will total $218.2 billion by 2028. 


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Related Blogs

January 14, 2016

Do Rural Residents Deserve Less Access Than Their Urban Counterparts?


May 14, 2015

Jobs That Pay Off in More Ways Than One

Unemployment, poverty, and low wages jeopardize Pennsylvania’s health as well as its economy. The many good jobs provided by Pennsylvania hospitals address these challenges in more ways than you might think.

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