Take Action: State Advocacy

HAP continues to advocate with state officials and lawmakers to support Pennsylvania's hospitals during this challenging time. The Pennsylvania health care community cannot fight this pandemic alone. Learn more below about how organizations and individuals can advocate to support the health care community.

Help Pennsylvania’s Hospitals: Contact Your Lawmaker

A few minutes of your time can make a significant difference in ensuring the long-term stability of our hospitals

Pennsylvania’s hospitals are experiencing extreme financial losses as a result of the COVID-19 pandemic. Revenue from cancelled “non-essential” surgeries—as much as 40 percent of their revenue—is falling, while COVID-19 expenses increase. Hospitals continue to:

  • Develop surge capacity
  • Maintain staffing
  • Purchase personal protective equipment (PPE) supplies
  • Provide child care for staff and overtime pay
  • Transform units to COVID-19 wings for treatment
  • Set up drive-through testing sites

Based on total net patient revenues of $47.7 billion during 2019, Pennsylvania hospitals are losing more than one billion dollars per month.

HAP is asking the Governor and state lawmakers to help keep our hospitals financially stable with the initiatives below. Click on the heading to learn more about each effort, the advocacy tools available, and what you can do to support Pennsylvania's hospitals.

COVID-19's Impact on Hospitals

The COVID-19 pandemic is threatening the sustainability of Pennsylvania hospitals and the communities they serve. View HAP's new infographic in our Resource Center.

HAP Infographic about Hospital Losses from the COVID-19 Pandemic

Establish a Healthcare Coronavirus Emergency Response Fund

Immediately authorize emergency funding to directly support health care and human service workers on the front lines

Background: The need to provide Pennsylvania health care with critical financial resources to support ongoing efforts to treat patients who test positive for COVID-19 and to prevent further spread of the virus are both short and long term.

HAP is requesting funding to support Pennsylvania’s frontline health care providers in addressing the unprecedented public health emergency of the COVID-19 pandemic. The funding would authorize emergency funding to health care providers to address surge demand, support clinical infrastructure investments, provide temporary housing, and support the health care workforce, among other crucial items.


  • Using the TAKE ACTION link, contact your legislators in the General Assembly and the Governor’s Office and ask them to provide hospitals with more funding
  • Share the TAKE ACTION link with your hospital community

Advocacy Tools:

Establish Liability Protections During the COVID-19 Pandemic

Background: Frontline health care workers are risking their lives to care for and protect Pennsylvanians during this pandemic. During these unprecedented conditions, Pennsylvania should allow these workers to continue to treat COVID-19 patients without fear of being sued.

HAP is asking lawmakers to provide legal protections to health care workers, hospitals, and other health care facilities during the COVID-19 pandemic.


  • Call or email your lawmakers through Healthy Me PA to demand that they recognize the personal risks medical providers are taking in the midst of the pandemic. A letter has been created for your use
  • Utilize and share the TAKE ACTION link with your health care community to contact your legislators in the General Assembly and the Governor’s Office and ask them for medical liability protections for health care workers
  • Share the graphic HAP has developed for your use on social media outlets or via email

Advocacy Tools:

  • Customizable Liability Protections Letter to Lawmakers
  • Protect Health Care Workers Graphic for Social Media
  • Draft letter to Governor Wolf
  • Joint letter to Governor Wolf and Members of the General Assembly
  • Joint letter to Members of the Pennsylvania Congressional Delegation

Cancel Quality Care Assessment Payments for 2020 Third and Fourth Quarters

Free up approximately $500 million that hospitals can spend on COVID-19 patient treatment

Background: Pennsylvania's Quality Care Assessment (QCA), adopted during 2010, assesses each hospital in the state quarterly based on net patient revenues. A portion of the funds go to the state's General Fund and the remainder is used by the state to make Medicaid payments to hospitals, which are then matched by federal dollars.

For fiscal year 2019-2020, the third quarter assessment due date is May 1, 2020, and the fourth quarter assessment due date is June 5, 2020.

Cancelling the payments, while assuring state general funds are utilized to “back-fill” these payments and continued Medicaid payments to hospitals would free up immediate resources (approximately $500 million in aggregate).


Advocacy Tools:

Insurer Payment Solutions

Background: Congress and the Centers for Medicare & Medicaid Services made important legislative and regulatory changes to expand the Medicare accelerated/advanced payment programs, which allows hospitals and other eligible providers to request accelerated Medicare payments. This is intended to serve as a tool to help hospitals access stable cash flow.

HAP is advocating to establish periodic payments to health care providers from commercial insurers and within the Medicaid program, similar to recent changes that were made in the Medicare program.

HAP Contacts:

If you have questions or would like more information about HAP's state advocacy efforts, contact Warren Kampf, HAP's senior vice president, advocacy and external affairs, Stephanie Watkins, vice president, state legislative advocacy, or Sarah Lawver, director, advocacy activation. Media inquires should be directed to Rachel Moore, HAP's director, media relations.

COVID-19 hospital patient being treated

May 29, 2020

New KFF Poll Reveals Americans’ Views about COVID-19’s Impact

As Americans continue limiting social interaction—many just emerging from their homes after months-long state mandates—a newly released Henry J. Kaiser Family Foundation (KFF) poll represents their views about some of the most significant details surrounding how COVID-19 has affected the country.