# Pennsylvania HB 749: 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.

Pennsylvania HB 749, 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., is a 2025-2026 Regular Session House bill sponsored by Dave Madsen (Democratic); status signed, last action 2025-11-12 (Act No. 46 of 2025); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/PA-HB749-2025-2026
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Pennsylvania HB 749
- State: Pennsylvania
- Session: 2025-2026 Regular Session
- Title: 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.
- Status: signed
- Chamber: House
- Introduced: 2025-02-26
- Last action: 2025-11-12, Act No. 46 of 2025
- Sponsor: Dave Madsen (Democratic)
- Cosponsors: 23
- Touches household money: yes
- Roll calls: 8 (568 yes, 5 no in all)
- Economic provisions PRIA read: 6

## Summary

No summary available.

## Bill overview: provisions PRIA read

- More child-care help at family renewals: benefit, high. 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 pover…
- Medicaid behavioral care payments beyond clinics: benefit, medium. 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: cost, medium. 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-des…
- More record checks for benefit recipients: cost, low. 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 change…
- Medicaid suspension lasts throughout incarceration: mixed, medium. 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 s…
- Regular reviews of SNAP payment dates: mixed, low. 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, pu…

## Sponsors and cosponsors

- Sponsor: Dave Madsen (Democratic), House
- Cosponsor: Abigail Salisbury (Democratic), House
- Cosponsor: Benjamin V. Sanchez (Democratic), House
- Cosponsor: Brenda M. Pugh (Republican), House
- Cosponsor: Clint Owlett (Republican), House
- Cosponsor: G. Roni Green (Democratic), House
- Cosponsor: Gina H. Curry (Democratic), House
- Cosponsor: Jeanne McNeill (Democratic), House
- Cosponsor: Joe Ciresi (Democratic), House
- Cosponsor: Joe Webster (Democratic), House
- Cosponsor: Jose Giral (Democratic), House
- Cosponsor: Justin C. Fleming (Democratic), House
- Cosponsor: Keith S. Harris (Democratic), House
- Cosponsor: Kristine C. Howard (Democratic), House
- Cosponsor: La'Tasha D. Mayes (Democratic), House
- Cosponsor: Lisa A. Borowski (Democratic), House
- Cosponsor: Liz Hanbidge (Democratic), House
- Cosponsor: Maureen E. Madden (Democratic), House
- Cosponsor: Melissa Cerrato (Democratic), House
- Cosponsor: Nathan Davidson (Democratic), House
- Cosponsor: Nikki Rivera (Democratic), House
- Cosponsor: Tarik Khan (Democratic), House
- Cosponsor: Thomas H. Kutz (Republican), House
- Cosponsor: Tina M. Davis (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-11-12 | Senate | House Bill 749 PN2575, Final Passage | pass | 46 | 3 |   |
| 2025-11-11 | committee | 20 1 | pass | 20 | 1 |   |
| 2025-11-11 | committee | 20 1 | pass | 20 | 1 |   |
| 2025-06-26 | committee | 13 0 | pass | 13 | 0 |   |
| 2025-04-22 | committee | 37 0 | pass | 37 | 0 |   |
| 2025-04-22 | House | House Bill 749 PN1332, FINAL PASSAGE | pass | 203 | 0 |   |
| 2025-04-09 | House | House Bill 749 PN0765 A00325 | pass | 203 | 0 |   |
| 2025-03-05 | committee | 26 0 | pass | 26 | 0 |   |

## Actions (24)

- 2025-11-12: Act No. 46 of 2025 (Governor)
- 2025-11-12: Approved by the Governor (Governor)
- 2025-11-12: Presented to the Governor (House)
- 2025-11-12: Signed in Senate (House)
- 2025-11-12: Signed in House (House)
- 2025-11-12: House concurred in Senate amendments (199-4) (House)
- 2025-11-12: Re-reported on concurrence, as committed (House)
- 2025-11-12: Referred to Rules (House)
- 2025-11-12: Third consideration and final passage (46-3) (Senate)
- 2025-11-11: Re-reported as amended (Senate)
- 2025-06-30: Re-referred to Appropriations (Senate)
- 2025-06-30: Second consideration (Senate)
- 2025-06-26: First consideration (Senate)
- 2025-06-26: Reported as committed (Senate)
- 2025-04-28: Referred to Health & Human Services (Senate)
- 2025-04-22: Third consideration and final passage (203-0) (House)
- 2025-04-22: Re-reported as committed (House)
- 2025-04-09: Re-committed to Appropriations (House)
- 2025-04-09: Second consideration, with amendments (House)
- 2025-04-08: Removed from table (House)
- 2025-03-17: Laid on the table (House)
- 2025-03-17: First consideration (House)
- 2025-03-17: Reported as committed (House)
- 2025-02-26: Referred to Human Services (House)

## Bill text

- PN 2575, 2025-11-11: [HTML](https://www.palegis.us/legislation/bills/text/HTM/2025/0/HB0749/PN2575), [PDF](https://www.palegis.us/legislation/bills/text/DOC/2025/0/HB0749/PN2575), [PDF](https://www.palegis.us/legislation/bills/text/PDF/2025/0/HB0749/PN2575)
- PN 1332, 2025-04-09: [HTML](https://www.palegis.us/legislation/bills/text/HTM/2025/0/HB0749/PN1332), [PDF](https://www.palegis.us/legislation/bills/text/DOC/2025/0/HB0749/PN1332), [PDF](https://www.palegis.us/legislation/bills/text/PDF/2025/0/HB0749/PN1332)
- PN 765, 2025-02-26: [HTML](https://www.palegis.us/legislation/bills/text/HTM/2025/0/HB0749/PN0765), [PDF](https://www.palegis.us/legislation/bills/text/DOC/2025/0/HB0749/PN0765), [PDF](https://www.palegis.us/legislation/bills/text/PDF/2025/0/HB0749/PN0765)

## Related bills

- HB 2545: An Act providing for insurance coverage for vaginal estrogen for the treatment of menopausal symptoms and urinary tract infections. (passed house)
- HB 1827: An Act providing for medical assistance coverage and insurance coverage of screening, prevention and treatment measures for osteoporosis as a result of menopau… (passed house)
- HB 2826: An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, providing for firefighter cancer screening and for firefighter cancer screening… (passed house)
- HB 2023: An Act amending the act of April 6, 1951 (P.L.69, No.20), known as The Landlord and Tenant Act of 1951, in recovery of possession, further providing for hearin… (passed house)
- HB 1345: An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for medical assistance coverage for… (passed house)
- HB 1346: An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, in casualty insurance, providing for menopause treatment… (passed house)

## Sources
- [PN 2575 (HTML)](https://www.palegis.us/legislation/bills/text/HTM/2025/0/HB0749/PN2575)
- [PN 2575 (PDF)](https://www.palegis.us/legislation/bills/text/DOC/2025/0/HB0749/PN2575)
- [PN 2575 (PDF)](https://www.palegis.us/legislation/bills/text/PDF/2025/0/HB0749/PN2575)
- [PN 1332 (HTML)](https://www.palegis.us/legislation/bills/text/HTM/2025/0/HB0749/PN1332)
- [PN 1332 (PDF)](https://www.palegis.us/legislation/bills/text/DOC/2025/0/HB0749/PN1332)
- [PN 1332 (PDF)](https://www.palegis.us/legislation/bills/text/PDF/2025/0/HB0749/PN1332)
- [PN 765 (HTML)](https://www.palegis.us/legislation/bills/text/HTM/2025/0/HB0749/PN0765)
- [PN 765 (PDF)](https://www.palegis.us/legislation/bills/text/DOC/2025/0/HB0749/PN0765)
- [PN 765 (PDF)](https://www.palegis.us/legislation/bills/text/PDF/2025/0/HB0749/PN0765)

## Related
- [HB 2545: An Act providing for insurance coverage for vaginal estrogen for the treatment…](https://policyrisk.com/state-bill/PA-HB2545-2025-2026)
- [HB 1827: An Act providing for medical assistance coverage and insurance coverage of scre…](https://policyrisk.com/state-bill/PA-HB1827-2025-2026)
- [HB 2826: An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes,…](https://policyrisk.com/state-bill/PA-HB2826-2025-2026)
- [HB 2023: An Act amending the act of April 6, 1951 (P.L.69, No.20), known as The Landlord…](https://policyrisk.com/state-bill/PA-HB2023-2025-2026)
- [HB 1345: An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Se…](https://policyrisk.com/state-bill/PA-HB1345-2025-2026)
- [HB 1346: An Act amending the act of May 17, 1921 (P.L.682, No.284), known as The Insuran…](https://policyrisk.com/state-bill/PA-HB1346-2025-2026)
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Source: PRIA, https://policyrisk.com/state-bill/PA-HB749-2025-2026 (as of 2026-10-17).