All Roll Calls
Yes: 568 • No: 5
PennsylvaniaHB 7492025-2026 Regular SessionHouseWALLET
An Act amending the act of June 13, 1967 (P.L.31, No.21), entitled "An act to consolidate, editorially revise, and codify the public welfare laws of the Commonwealth," in public assistance, further pr . . .oviding for uniformity in administration of assistance and regulations as to assistance and for copayments for subsidized child care, providing for report on transition to chip-enabled access cards, further providing for reports to General Assembly, for persons eligible for medical assistance and for nonemergency medical transportation services and providing for abrogation of regulatory requirements for payment for outpatient behavioral health services within physical confines of behavioral health clinic facilities and for SNAP benefit reporting; and making a repeal.
Sponsored By: Dave Madsen (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 2 benefits, 2 costs, 2 mixed.
More child-care help at family renewals
Families applying for child-care help must have income no higher than 200% of federal poverty guidelines. At renewal, the usual limit is 235% of poverty guidelines or 85% of state median income, whichever is lower. With appropriated funding, families above that limit can qualify up to 300% of poverty guidelines, still capped at 85% of state median income. At least $25 million in child-care funding must support this higher-income group annually, starting in fiscal year 2023–24. Children keep eligibility for 12 months despite temporary work or training changes or income increases, provided income stays within the 85% state median income limit for their family size.
Medicaid behavioral care payments beyond clinics
Pennsylvania removes specified rules that limited Medicaid payment for outpatient behavioral health care to services delivered inside clinic facilities. Those location restrictions no longer block payment. The law does not set a new payment amount or rate.
Income sets families’ child-care copayments
Families receiving subsidized child care pay on a sliding scale updated each year. At or below 235% of federal poverty guidelines, annual copayments range from 3% to 7% of family income. Above 235% and up to 300%, they range from 7% to 12%. Amounts are rounded to the nearest whole dollar. State-designated special populations are exempt from the specified minimum copayments.
Medicaid suspension lasts throughout incarceration
Pennsylvania suspends Medical Assistance, its Medicaid program, for the full period of incarceration, replacing the two-year suspension limit. Suspension ends when the state receives notice of release. Coverage after release depends on meeting Pennsylvania's Medicaid eligibility requirements. The state must review eligibility when it receives an application, and coverage is not available before release.
More record checks for benefit recipients
Pennsylvania must compare Medicaid and SNAP recipient records with state income and employment records every three months. It must also compare those recipients with death records every month. These are agency checks, not new household reporting duties. The provision does not specify benefit changes that follow a record match.
Regular reviews of SNAP payment dates
Pennsylvania must review SNAP payment schedules within 12 months of the section's effective date, then every five years. When a review or SNAP report recommends changes, the state must develop and implement updates, subject to legislative funding. Changes require advisory committee consultation, publication in the Pennsylvania Bulletin, and federal approval. Implementation costs come from the Enterprise and Technology Restricted Account, and the approved schedule must be posted publicly. The law itself does not set new payment dates.
Sponsors & Cosponsors
Sponsor
Dave Madsen
Democratic • House
Cosponsors
Abigail Salisbury
Democratic • House
Benjamin V. Sanchez
Democratic • House
Brenda M. Pugh
Republican • House
Clint Owlett
Republican • House
G. Roni Green
Democratic • House
Gina H. Curry
Democratic • House
Jeanne McNeill
Democratic • House
Joe Ciresi
Democratic • House
Joe Webster
Democratic • House
Jose Giral
Democratic • House
Justin C. Fleming
Democratic • House
Keith S. Harris
Democratic • House
Kristine C. Howard
Democratic • House
La'Tasha D. Mayes
Democratic • House
Lisa A. Borowski
Democratic • House
Liz Hanbidge
Democratic • House
Maureen E. Madden
Democratic • House
Melissa Cerrato
Democratic • House
Nathan Davidson
Democratic • House
Nikki Rivera
Democratic • House
Tarik Khan
Democratic • House
Thomas H. Kutz
Republican • House
Tina M. Davis
Democratic • House
Roll Call Votes
Senate vote • 11/12/2025
House Bill 749 PN2575, Final Passage
Yes: 46 • No: 3
committee vote • 11/11/2025
20 1
Yes: 20 • No: 1
committee vote • 11/11/2025
20 1
Yes: 20 • No: 1
committee vote • 6/26/2025
13 0
Yes: 13 • No: 0
committee vote • 4/22/2025
37 0
Yes: 37 • No: 0
House vote • 4/22/2025
House Bill 749 PN1332, FINAL PASSAGE
Yes: 203 • No: 0
House vote • 4/9/2025
House Bill 749 PN0765 A00325
Yes: 203 • No: 0
committee vote • 3/5/2025
26 0
Yes: 26 • No: 0
Actions Timeline
Act No. 46 of 2025
11/12/2025GovernorApproved by the Governor
11/12/2025GovernorPresented to the Governor
11/12/2025HouseSigned in Senate
11/12/2025HouseSigned in House
11/12/2025HouseHouse concurred in Senate amendments (199-4)
11/12/2025HouseRe-reported on concurrence, as committed
11/12/2025HouseReferred to Rules
11/12/2025HouseThird consideration and final passage (46-3)
11/12/2025SenateRe-reported as amended
11/11/2025SenateRe-referred to Appropriations
6/30/2025SenateSecond consideration
6/30/2025SenateFirst consideration
6/26/2025SenateReported as committed
6/26/2025SenateReferred to Health & Human Services
4/28/2025SenateThird consideration and final passage (203-0)
4/22/2025HouseRe-reported as committed
4/22/2025HouseRe-committed to Appropriations
4/9/2025HouseSecond consideration, with amendments
4/9/2025HouseRemoved from table
4/8/2025HouseLaid on the table
3/17/2025HouseFirst consideration
3/17/2025HouseReported as committed
3/17/2025HouseReferred to Human Services
2/26/2025House
Bill Text
PN 2575
11/11/2025
PN 1332
4/9/2025
PN 765
2/26/2025
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