Pennsylvania legislation · 2025-2026 Regular Session
Pennsylvania SR238: A Resolution directing the Legislative Budget and Finance Committee to conduct a study and issue a report on reimbursement rates and workforce issues for shift nursing services provided to individuals under Pennsylvania's Medical Assistance program.
Status: Passed both chambers, October 20, 2026
What the bill says
A resolution Directing the Legislative Budget and Finance Committee to conduct a study and issue a report on reimbursement rates and workforce issues for shift nursing services provided to individuals under Pennsylvania's Medical Assistance program.
From the introduced text, April 1, 2026:
A RESOLUTION Directing the Legislative Budget and Finance Committee to conduct a study and issue a report on reimbursement rates and workforce issues for shift nursing services provided to individuals under Pennsylvania's Medical Assistance program. WHEREAS, Shift nursing services are a critical component of care for medically fragile individuals, including children and adults with complex health needs who require extended skilled nursing support in home settings; and WHEREAS, The availability of qualified shift nurses to provide care has been significantly impacted by workforce shortages, missed shifts, rising cost to care, reimbursement disparities, including rates in surrounding states, differences in reimbursement rates across the medical assistance system and rising operational costs; and WHEREAS, Current reimbursement rates for shift nurse services under Pennsylvania's Medical Assistance program does not reflect the true cost of care delivery, contributing to shift nurse attrition and reduced access for vulnerable populations; and WHEREAS, Families and providers across this Commonwealth have reported increasing difficulty securing consistent nursing coverage, resulting in hospital readmissions, caregiver burnout, underemployment and unemployment, out-of-home placements of children and disruptions to patient stability and safety; and WHEREAS, A data-driven rate study is necessary to evaluate the adequacy of existing reimbursement structures, assess regional and acuity-based cost variations, wages and benefits and inform future policy and funding decisions to stabilize and strengthen the skilled nursing workforce …
Sponsors
- Frank Farry (R, 6) · primary sponsor
- Tracy Pennycuick (R, 24)
- Timothy Kearney (D, 26)
- Wayne Fontana (D, 42)
- Judith Ward (R, 30)
- Vogel Jr., Elder A. (R, 47)
Latest actions
- : Adopted, Oct. 20, 2026 (50-0)
- : Reported as committed, Oct. 19, 2026
- : Referred to HEALTH AND HUMAN SERVICES, April 1, 2026
Votes
- Senate Floor: SR238, RC 574 (October 20, 2026): 50 yea, 0 nay, passed
- Senate Health & Human Services: Reported as Committed (October 19, 2026): 13 yea, 0 nay, passed
Subjects: HEALTH AND HUMAN SERVICES
Common questions
- What is SR238?
- SR238 is a bill in the Pennsylvania Legislature (2025-2026 Regular Session): A Resolution directing the Legislative Budget and Finance Committee to conduct a study and issue a report on reimbursement rates and workforce issues for shift nursing services provided to individuals under Pennsylvania's Medical Assistance program.
- What does SR238 do?
- In its own words: A resolution Directing the Legislative Budget and Finance Committee to conduct a study and issue a report on reimbursement rates and workforce issues for shift nursing services provided to individuals under Pennsylvania's Medical Assistance program.
- What is the status of SR238?
- Passed both chambers as of October 20, 2026. Latest action: Adopted, Oct. 20, 2026 (50-0) (October 20, 2026).
- Who sponsored SR238?
- Frank Farry (R, 6), with 5 co-sponsors.
- Where is the official record for SR238?
- On the Pennsylvania Legislature website: https://www.palegis.us/legislation/bills/2025/sr238
Source: official Pennsylvania record. Tracked by Delilah, AI for legislation across all 50 states and Congress.