PA HB1460

Requires health care entities to file notice with the Attorney General and Department of Health and complete a 60-day waiting period before entering binding transactions with for-profit entities, private equity companies, or investors involving $10,000,000 or more in assets, change in control, or capital distributions

Authorizes the Attorney General to block transactions deemed "against the public interest," including those causing significant reduction in competition, increased costs, reduced quality or access to care, or harm to rural, low-income, or disadvantaged communities

Permits the Attorney General to hold public hearings in affected counties, with 14 days advance notice, and allows negotiation of voluntary agreements with conditions to mitigate public interest concerns as an alternative to blocking transactions

Establishes monitoring periods of up to 5 years (with possible extensions) for approved transactions under voluntary agreements, with compliance costs paid by the covered entity into an escrow account

Grants confidential treatment to documents submitted during review, exempting them from Right-to-Know Law requests, discovery, and subpoenas, while preserving existing regulatory authority of the Insurance Department and professional licensing boards