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Govt. Affairs

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The Rehabilitation and Community Providers Association Political Action Committee (RCPA PAC) is asking members to consider making a personal contribution to the PAC. With these donations, we have been successful in supporting legislative leadership who understand the severe challenges facing many of our providers. These representatives are willing to stand up for our issues as we fight to move Pennsylvania forward.

We urge you to view our 2025 Legislative & Administrative Priorities to see how RCPA is working, and will continue to work, for you. We are able to achieve these goals thanks to our members’ dedication and contributions.

Make an online contribution and advocate for yourself today. While the request is voluntary, we encourage you to make a contribution of $100, $250, $350, $500, or more to the RCPA PAC. If you are interested, you can also consider making a recurring monthly donation.

If you have any questions regarding the RCPA PAC or making a donation, please contact Jack Phillips, Director, Government Affairs.

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RCPA is excited to announce that we will be hosting our fall golf outing to support the RCPA PAC on Monday, September 8, 2025, in conjunction with the Annual Conference. Conference attendees, exhibitors, sponsors, and presenters can now register to participate in the RCPA PAC’s golf outing at the Colonial Golf & Tennis Club at 4901 Linglestown Road, Harrisburg, PA 17112. Registration and lunch will be held from 11:00 am – 12:00 pm, with the shotgun start beginning at 12:00 pm.

Sponsorships are available for this worthwhile cause. We hope you will consider becoming a golf outing sponsor; it’s a great way for your organization to receive name recognition as well as an opportunity to support the RCPA fundraiser!

Not a golfer but would still like to support the RCPA PAC? For your convenience, you can now make a personal online contribution, which will provide financial support to state legislators or representatives who have demonstrated a strong, consistent, and positive interest in our legislative priorities. If you are interested in learning more about the RCPA PAC or donating, please visit our website, download the PAC FAQ Card and Donation Card, or email Jack Phillips, Director of Government Affairs.

See you on the golf course! If you have any questions regarding registration, please contact Christine Tartaglione.

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Image by BestGraphics_Com from Pixabay

Today, the House voted and passed HR 1 by a margin of 218–214, to advance the bill known as the “Big Beautiful Bill,” which now moves to the White House to Trump’s desk to be signed into law in time to beat a self-imposed July 4 deadline.

The final version cuts about $1 trillion from Medicaid, the federal health insurance program for low-income individuals and people with disabilities, and other health care programs. It reduces spending on anti-hunger programs, including SNAP, the Supplemental Nutrition Assistance Program formerly known as food stamps, by $185 billion.

The Pennsylvania Congressional Delegation all voted on party lines, with the exception of Representative Brian Fitzpatrick, who was one of only two Republicans to join all Democrats in voting against the measure. RCPA thanks Congressman Brian Fitzpatrick for meeting with RCPA last week and for voting against this bill. We are grateful for the Congressman’s support in protecting the most vulnerable populations that rely on Medicaid.

Main Points Relating to Medicaid Include
About 71 million Americans are enrolled in Medicaid, according to the government’s most recent data. According to a Congressional Budget Office report published this week, the changes to Medicaid and the Affordable Care Act in the current version would result in an increase of nearly 12 million more uninsured people by 2034. It is estimated that nearly 600,000 Pennsylvanians could lose Medicaid coverage.

Work Requirements
The bill outlines new work requirements for the popular entitlement program that provides government-sponsored health care for low-income Americans and people with disabilities. They require adults to work, volunteer, or study 80 hours a month to qualify for enrollment, unless they have an exception. The bill also requires parents of children over the age of 14 to work, as well as those receiving SNAP benefits.

Reporting Requirements
The bill also requires Medicaid recipients to prove their eligibility twice a year, instead of annually.

From our Partners at the National Council on Mental Wellbeing
The scale of the funding reductions and new administrative burdens is immense. But it is also important to recognize that some last-minute changes made to the bill in the past week provide an opening for further advocacy efforts that could potentially mitigate some of the impacts. Most relevant provisions of the bill will not take effect immediately, and in some cases, the effects will be phased in gradually over the course of several years. In addition, several provisions require agency rulemaking for full implementation, and there will likely be opportunities for you to engage through the notice and comment process.

RCPA will continue to review the final bill language and will follow up with a detailed analysis on the impacts of the bill; and through ongoing advocacy channels we will engage in with our national and state partners.

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The Senate today approved the “Big Beautiful Bill” with the collateral impact of taking away health care from hundreds of thousands of Pennsylvanians. The bill will now return to the House for a final vote before it goes to the President’s desk for signature and approval. The House is expected to act quickly.

The Senate bill makes even more drastic cuts to health coverage than the House version, totaling over $1 trillion, including Medicaid. Millions of Americans will lose access to health care; specifically, these cuts will take away health care from more than 600,000 Pennsylvanians and could double health insurance premiums for many more. In addition, the bill adds trillions to the growing Federal deficit by way of sizable tax cuts.

This will deeply impact our most vulnerable individuals and families that our members serve in the Commonwealth. We must act now to save access to health care. Find your legislator and their contact information here to let them know that you do not support the passage of the “Big Beautiful Bill.”

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MEDICAID text on a keyboard with stethoscope , medical concept

The Mental Health Safety Net (MHSN) Coalition’s weekly advocacy communication focused this week on the Commonwealth’s need for an increase in Behavioral Health Capitation to ensure sound rates to sustain providers and access to services. The full advocacy letter can be read here.

The Mental Health Safety Net (MHSN) Coalition is a group of stakeholders participating in a joint advocacy effort to protect and preserve our mental health service delivery system. RCPA invites all members, non-members, and systems-wide behavioral health stakeholders to participate in the MHSN Coalition meeting on Monday, June 30, 2025, from 2:30 pm – 3:00 pm. This meeting will serve to update the group on strategy, activities, and engagement opportunities.

Please contact Emma Sharp with questions or if you would like to join the coalition.

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There’s been a lot of talk — and a lot of concern — about the federal budget and what it could mean for Medicaid. We’re all hearing it from you, too: “What’s actually happening?” “What does this mean for our funding?” “Are these changes final?”

This guide will help answer those questions. It lays out what’s in the current House bill, what’s at stake for providers, and what we’re watching next as the Senate and CMS weigh in.

Inside, you’ll find:

  • What changes are being proposed, like new work requirements and copays
  • What it could mean for your clients and funding
  • What we know, what we don’t, and what comes next

These updates aren’t always easy to follow, so we’re breaking them down in plain language, and we’ll keep doing so as things evolve. Stay up to date with our Medicaid Intel here.

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The Rehabilitation and Community Providers Association Political Action Committee (RCPA PAC) is asking members to consider making a personal contribution to the PAC. With these donations, we have been successful in supporting legislative leadership who understand the severe challenges facing many of our providers. These representatives are willing to stand up for our issues as we fight to move Pennsylvania forward.

We urge you to view our 2025 Legislative & Administrative Priorities to see how RCPA is working, and will continue to work, for you. We are able to achieve these goals thanks to our members’ dedication and contributions.

Make an online contribution and advocate for yourself today. While the request is voluntary, we encourage you to make a contribution of $100, $250, $350, $500, or more to the RCPA PAC. If you are interested, you can also consider making a recurring monthly donation.

If you have any questions regarding the RCPA PAC or making a donation, please contact Jack Phillips, Director, Government Affairs.

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The Mental Health Safety Net Coalition is a group of stakeholders participating in a joint advocacy effort to protect and preserve our mental health service delivery system. The Coalition’s first advocacy bulletin discusses the critical areas of funding for the FY 2025/26 budget, including community mental health, school-based services, crisis intervention services, psychiatric centers, and the Behavioral HealthChoices program.

The full letter can be read here.

RCPA invites all members, non-members, and systems-wide behavioral health stakeholders to participate in the Mental Health Safety Net Coalition meeting on Monday, June 9, 2025, from 2:30 pm – 3:00 pm. This meeting will serve to update the group on strategy, activities, and engagement opportunities.

Please contact Emma Sharp with any questions or if you would like to join the Coalition.

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The Shapiro Administration has released a response to potential federal Medicaid cuts. This document provides information on the Medicaid and SNAP programs in Pennsylvania and offers a high-level analysis of the potential impacts of HR 1, Congressional Republicans’ budget reconciliation bill, on the commonwealth. As currently proposed, the legislation would kick over 300,000 Pennsylvanians off Medicaid, shift $1B in food assistance costs from the federal government onto our state budget, and strain our hospitals, potentially leading to the closure of as many as 25 rural hospitals across Pennsylvania. The legislation would also add significant new IT and administrative burdens for commonwealth agencies in the form of unfunded mandates from Washington.

Read the full report here. In addition, you can view this infographic for details on the impacts of implementing work requirements to SNAP benefits. Contact Emma Sharp with any questions.

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