State Advocacy

The Hospital and Healthsystem Association of Pennsylvania (HAP) advocates on behalf of its members, educating state and federal lawmakers and policymakers about the health care delivery system and the numerous health care issues that impact hospitals, patients, and communities. Working with our members, HAP works to ensure that elected officials and policy leaders have the resources needed to make informed and balanced decisions.

State Legislative Priorities: 20212022 Session


HAP has a mission to empower Pennsylvania’s hospitals and health systems to be the leading advocates for improving health in their communities. To be able to do that, hospitals and health systems need to have a strong workforce. With the guidance of HAP’s Health Care Talent Task Force, HAP supports initiatives to:

  • Allow health care practitioners to practice at the top of their license
  • Remove barriers to harness the workforce of the entire nation
  • Study supply/demand data to inform policy decisions
  • Improve the legal environment
  • Promote diversity and inclusion


Payor Reforms

Patients and providers oftentimes experience frustrating and unnecessary bureaucratic barriers to accessing and providing care when interacting with health insurance carriers. These barriers delay time-sensitive care, deny payment for necessary medical care, and postpone patient access to providers throughout Pennsylvania.

HAP supports: 

  • Prior Authorization Reform: Patients and providers are experiencing an increasing number of situations in which some insurers use the prior authorization process to deny payment or delay approval for necessary medical care. Recognizing there is a role that the prior authorization process plays, HAP supports reforming administrative barriers that delay patient access to care and services and burden providers.
  • Credentialing Reform: Before new health care practitioners or practitioners who are relocating can start seeing patients, they must be credentialed or re-credentialed separately for every insurer accepted by their practice. This lengthy and repetitive process means unnecessary delayed access to care for patients. For practitioners, it means lost income. HAP supports legislation to simplify and streamline the state’s physician credentialing process, and create a common credentialing form that all insures could use.


Telemedicine can be used to connect providers to patients at a distance and address shortages of specialty providers, such as behavioral health or dermatology. It can be used to deliver life-saving care, such as stroke care, and routine care in a timely, cost-effective manner.

COVID-19 has propelled the use of telemedicine forward years in the span of months. HAP is dedicated to ensuring the innovations in technology and payment for services provided through telemedicine are maintained so that Pennsylvania doesn’t slip backwards, but keeps its eyes on the future of health care.

False Claims Act

HAP opposes a state-based false claims act. The hospital industry is already heavily regulated and implementing a state false claims act would jeopardize the financial viability of struggling rural hospitals and likely result in financial drain across the state. A state false claims act would:

  • Be duplicative of the federal false claims act
  • Incentivize attorneys and whisleblowers to file meritless lawsuits
  • Further stress the financial stability of hospitals, especially in rural areas

Read HAP's fact sheet for more details about how a state false claims act could jeopardize access to care in Pennsylvania.

State Surprise Billing

HAP is engaged with state policymakers regarding surprise balance billing practices. HAP continues to message that any state balance billing proposal be grounded around any federal action on the issue.

HAP Contacts

For more information, contact Warren Kampf, senior vice president, advocacy and external affairs; Stephanie Watkins, vice president, state legislative advocacy, or; Sue Stewart, manager, political development. For media inquiries, contact Rachel Moore, director, media relations.

HAP News

January 25, 2021

HAP Achievement Awards: Phoenixville Hospital

HAP’s Achievement Awards showcase exceptional programs throughout Pennsylvania’s hospital community. This week, HAP is proud to recognize Phoenixville Hospital for its Healthy Baby Program that ensures underserved women have access to excellent prenatal, delivery and post-partum care.