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PA SR216
Resolution
Status
1/30/2026
Primary Sponsor
Cris Dush
Click for details
AI Summary
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Legislative Budget and Finance Committee directed to audit Pennsylvania's medical assistance (Medicaid) programs and report findings to the General Assembly within 18 months
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Medical assistance funding comprised 30% of General Fund spending in FY 2024-2025, with total Medicaid funding rising from approximately $30 billion in FY 2018-2019 to nearly $50 billion in FY 2024-2025
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Audit must evaluate actuarial standards for Medicaid managed care contracts, including medical loss ratio standards, and compare them to federal and other state standards
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Report must assess whether Pennsylvania adopted recommendations from U.S. Office of Inspector General audits in 2017 (on managed care savings) and 2024 (which found $551 million improperly claimed for school-based programs)
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Audit required to analyze high-risk programs and contracts for indicators of widespread fraud within the system
Legislative Description
Directing the Legislative Budget and Finance Committee to conduct an audit of the medical assistance programs of the Commonwealth and provide a report to the General Assembly.
Last Action
Referred to Health & Human Services
1/30/2026