The Role and Impact of Pharmacy Benefit Managers in PA


Senate Health & Human Services Committee AND Senate Majority Policy Committee

Tuesday, October 16, 2018 | 10:15 a.m.

North Office Building, Hearing Room #1


10:00 a.m. – 10:15 a.m.           Committee Meeting

10:15 a.m. – 10:20 a.m.           Hearing – Opening Remarks

  • Senator Lisa Baker
  • Senator Argall
  • Senator Schwank

10:20 a.m. – 10:40 a.m.           Panel I

10:40 a.m. – 11:10 a.m.           Panel II

  • Sally Kozak, Deputy Secretary of the Office of Medical Assistance Programs, Department of Human Services
  • Laurie Rock, Director of the Bureau of Managed Care Operations, Department of Human Services
  • Kristin Hoover, Clinical Pharmacy Manager, Department of Human Services

11:10 a.m. – 11:30 a.m.           Panel III

  • Lauren Rowley, VP, State Affairs, Pharmaceutical Care Management Association
  • Ben Twilley, Director, State Government Affairs, Express Scripts
  • Erik Woehrmann, Director, Government Affairs, CVS Health
  • Natalie Pons, Sr. Vice President and General Counsel, OptumRx

11:30 a.m. – 11:55 a.m.           Panel IV

  • Auditor General Eugene A. DePasquale

11:55 a.m. – 12:15 p.m.          Panel V

12:15 p.m. – 12:30 p.m.          Panel VI


Written Testimony Submitted:

Mary Bartlett, Arthritis Foundation
Mara Brough, National Multiple Sclerosis Society
Additional Testimony and Handouts

Meeting to consider Senate Bills 912, 1220, 1237 and House Bills 122, 1532, 1829, 1884

Senate Health & Human Services

Committee Meeting

September 26, 2018
10:00 a.m. – Room 461

The committee will meet to considering the following bills:

HB 122 – Rep. Kaufer – Amends the Pennsylvania Drug and Alcohol Abuse Control Act by establishing a Project Lazarus Commission.

HB 1532 – Rep. Phillips-Hill – Amends the Achieving Better Care by Monitoring All Prescriptions Program (“ABC-MAP”) Act by providing a Medicaid managed care organization with the ability to query the ABC-MAP electronic prescription monitoring system.

HB 1884 – Rep. Quinn – Enacts the Patient Test Result Information Act which provides for notice directly to a patient by an entity performing a diagnostic imaging service indicating that the entity has completed a review of the test performed and has sent results to the health care practitioner ordering the test when there is a finding of a significant abnormality. 

SB 1220 – Sen. Schwank – Establishes the Advisory Council on PANDAS and PANS.

SB 1237 – Sen. Baker – Enacts the Rural Health Redesign Center Authority Act which establishes the Rural Health Redesign Center Authority and the Rural Health Redesign Center Fund.  The purpose of the Act is to protect and promote access by residents of rural counties to high-quality health care and to encourage innovation in health care delivery. 

SB 912 – Sen. Brooks – Requires the Department of Human Services to establish a presumptive eligibility program for home care services and home health services.

HB 1829 – Rep. Bernstine – Amends the Human Services Code to create a new section for deemed eligibility for home care and home health services and older adult daily living center services.

Meeting to consider SB 1054, SB 1089, and SB 1001

Senate Health and Human Services

Tuesday, May 22, 2018
10:30 A.M.
Room 461 MC

S.B. 1054 – Sen. Brooks – Enacts the Buprenorphine Medically Assisted Treatment Act (the “Act”) providing for the licensure of Buprenorphine prescribers.


S.B. 1089 – Sen. Stefano – Amends certain specified provisions of the Administrative Code (i) to correctly name the Department of Drug and Alcohol Programs and the Department of Human Services, (ii) to add Section 2334 (b) (4) requiring that behavioral health managed care organizations that provide substance abuse treatment on behalf of counties do so through a provider network that is geographically accessible to members, and (iii) to make other necessary modifications.


S.B. 1001 – Sen. Costa – Enacts the Public Health Emergency Act (the “Act”) allowing the Secretary of the Department of Health to declare a public health emergency


Meeting to Consider SB 576, SB 1087, HB 1233 and HB 1869

Senate Health and Human Services

Tuesday, March 20, 2018
10:30 A.M.
Room 461 MC



SB 576 – (Dinniman) Enacts the Cancer Trial Access for Pennsylvania Patients (TAPP) Act.  The bill clarifies that the reimbursement of travel and ancillary expenses of cancer clinical trial patients and their companions do not constitute impermissible “inducements.”


SB 1087 – (Senator Schwank and Senator Baker) Creates the Interbranch Commission on the Child-Welfare System.  The Commission would be charged with reviewing and analyzing the child welfare system and making appropriate recommendations for improvement.

HB 1233 – (Murt) Seeks to establish a new standard for court ordered assisted outpatient treatment while leaving in place the current “clear and present danger” standard necessary for involuntary hospitalization.


HB 1869 – (Mackenzie) Establishes a Maternal Mortality Review Committee within the Pennsylvania Department of Health.

Public Hearing to Consider Nominations and Confirmations of Teresa Miller, Jennifer Smith and Rachel Levine

Senate Health and Human Services

Monday, March 19, 2018
10:30 a.m. in Room 8E-B, East Wing

Public hearing to consider the nominations and confirmations of
Department of Human Services Acting Secretary Teresa Miller
Department of Drug & Alcohol Programs Acting Secretary Jennifer Smith
and Department of Health Acting Secretary Rachel Levine


Establish a Quorum

Opening Statements
Sen. Lisa Baker & Sen. Judy Schwank

Administer Oath to Acting Secretaries
Sen. Lisa Baker

Introduce Acting Secretary Jennifer Smith
Sen. Folmer

Opening statement followed by Q &A by committee members
Acting Secretary Jennifer Smith | Attachments

Vote on Confirmation

Introduce Acting Secretary Dr. Rachel Levine
Sen. Folmer

Opening statement followed by Q & A by committee members
Acting Secretary Dr. Rachel Levine | Attachments

Vote on Confirmation

Introduce Acting Secretary Teresa Miller
Sen. Baker

Opening statement followed by Q & A by committee members
Acting Secretary Teresa Miller | Attachments

Vote on Confirmation


Meeting to Consider Senate Bills 623, 938 and 978

Senate Health and Human Services

December 12, 2017
10:30 A.M.
Room 461 MC

SB 623 – Bill Summary – Sen. Yaw – Amends Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes to codify Pennsylvania Orders for Life Sustaining Treatment (POLST) and to clarify certain provisions regarding Out-Of-Hospital Do Not Resuscitate (OOH-DNR) orders and preventing the use of new OOH-DNR orders executed after the date that the Department of Health adopts an initial POLST form.

SB 938  – Bill Summary – Sen. Sabatina & Sen. Vulakovich – Amends Sections 6337 (d) and 6337 (f) of Title 23 of the Pennsylvania Consolidated Statutes to require that certain general protective services reports (regarding child abuse) in a Statewide database maintained by the Department of Human Services (DHS) be retained for a period of 10 years, or until the child who is the subject of the report attains the age of 23, and that a County agency is permitted to retain protective service reports that have been expunged from the Statewide database.

Amendment A05239

Amendment A05165

SB 978  – Bill Summary – Sen. Baker – Enacts the Hospice and Home Health Prescription Medication Disposal Act which authorizes a home health agency or hospice, upon the death or discharge of a patient, and with appropriate permission, to dispose of a patient’s unused prescription medicines.


Lyme Disease Task Force Report – Joint Public Hearing


Senate Aging and Youth Committee AND Senate Health and Human Services Committee

Tuesday, October 24, 2017 at 9:30 a.m.
Senate Majority Caucus Room

Lyme Disease Task Force Report


9:30 a.m. – 9:40 a.m. – Opening Remarks – Committee Chairs 

  • Sen. Michele Brooks, Aging & Youth Committee
  • Sen. Lisa Baker, Health & Human Services Committee 

9:40 a.m. – 10:10 a.m. – Panel I 

  • Julia Wagner, MBA, PhD pending, President, PA Lyme Resource Network, Member of Act 83 of 2014 Lyme Disease Task Force
  • Dr. John Goldman, Internist and Infectious Disease Specialist, UPMC Pinnacle Harrisburg, Member of Act 83 of 2014 Lyme Disease Task Force 

10:10 a.m. – 10:40 a.m. – Panel II 

  • Nicole Chinnici, Forensic Scientist/Northeast Wildlife DNA Laboratory, East Stroudsburg University
  • Erika Machtinger, PhD, CWB, Assistant Professor of Veterinary Entomology, Penn State University, Dept. of Entomology
  • Doug Fearn, President, Lyme Disease Association of Southeastern Pennsylvania

10:40 a.m. – 11:05 a.m. – Panel III

  • Dr. Loren K. Robinson, Deputy Secretary for Health Promotion & Disease Prevention, Department of Health
  • Dr. Rachel Levine,  Acting Secretary, Department of Health
  • Sara Nicholas, Ex. Policy Specialist, Office of Policy & Planning, Department of Conservation and Natural Resources

11:05 a.m. – 11:30 a.m. – Panel IV

Additional Testimony:

To Consider SB 674, SB 179 and SB 439

Senate Health & Human Services Committee

October 17, 2017
10:30 a.m.
Room 461 


To consider the following bills:

SB 674 – Sen. Rafferty – Amends the Controlled Substance, Drug, Device and Cosmetic Act (the “Act”) to provide that when the Federal Government adds, deletes or transfers a substance to the schedules of controlled substances, the same shall occur within 60 days to the corresponding schedules contained in the Act.Summary

SB 179 – Sen. Bartolotta – Requires the Department of Health to develop and administer an Internet based acute care mental health bed registry to facilitate the temporary hospitalization and treatment of individuals who meet the criteria for inpatient examination and treatment under the Mental Health Procedures Act.  Amendment to be offered by Sen. Baker.  – Summary

SB 439 – Sen. Fontana – Enacts the Carbon Monoxide Alarm Standards in Child Care Facilities Act (the “Act”).  The Act would require the installation, maintenance, repair or replacement of carbon monoxide detectors in child care facilities that use fossil fuel-burning heaters or appliances, fireplaces or are attached to garages.  Amendment to be offered by Sen. Schwank. – Summary