Expanding Access to Healthcare

Healthcare

Governor Shapiro is expanding access to quality, affordable healthcare for Pennsylvanians and their families—and protecting Pennsylvanians’ fundamental freedom to make their own healthcare decisions.

The Governor prioritized funding to ensure Pennsylvanians have access to the recovery support services they need.

  • Awarded almost $9 million in grants via the Department of Drugs and Alcohol Programs from the historic opioid settlement spearheaded by then-Attorney General Josh Shapiro to four counties to establish and expand services for individuals with mental health and substance disorders. 
  • Allocated an additional $10 million in Department of Drugs and Alcohol Programs’ grant funding to establish six regional recovery hubs to expand resources for Pennsylvanians in recovery in their community and to 19 organizations to establish and expand substance use disorder services.
  • Invested more than $85 million in overdose prevention, treatment, and recovery.
  • Awarded nearly $40 million to help approximately 675 substance use disorder treatment professionals with student loan repayment as an incentive to retain this critical workforce.
  • Distributed over 922,000 xylazine/fentanyl test strips and approximately 824,000 doses of naloxone through the Pennsylvania Overdose Prevention Program to community-based organizations and other groups.

Governor Shapiro secured vital funding to ensure Pennsylvanians receive high-quality healthcare services while lowering the costs of prescription drugs.

  • Followed through on his commitment to reform pharmacy benefit managers’ operations to help lower out-of-pocket costs for Pennsylvanians on prescription medication, bring price transparency to bad actors, and support locally-owned pharmacies. 

  • Signed a landmark, bipartisan bill into law that requires healthcare insurers to cover preventative breast and ovarian cancer screenings for high-risk women at no cost.

  • Rolled out the Pennsylvania Department of Insurance’s Independent Review Program to offer Pennsylvanians a chance to appeal health insurance companies’ denials, which overturned 50.1 percent of appealed denials to help ensure more Pennsylvanians receive the health services they deserve. 

  • Repeatedly secured funding to expand programming to reduce maternal mortality and morbidity in the Commonwealth and signed Act 5, which requires more data to be shared between the Maternal Mortality Review Committee and Department of Health around maternal mortality. 

  • Unveiled Pennsylvania's first-ever Maternal Health Strategic Action Plan – a comprehensive multi-agency plan that contained strategic goals, data and research, ongoing work, and recommendations to combat maternal health disparities that can shape quality of life for both mothers and their children.

  • Since the historic investment of $354.8 million in federal and state funding secured in the 2024-25 budget, there was a 31 percent reduction in the ID/A adult emergency waiting list for services and a complete elimination of the emergency waiting list in three counties. 

  • Created a Behavioral Health Council to create a plan of action to streamline and improve the accessibility of mental health and substance use disorder services in the Commonwealth.

The Governor has taken critical steps to protect Pennsylvanians’ health and ensure every Pennsylvanian has access to safe and effective vaccines and the ability to put food on the table for their families:

  • Filed a multi-state lawsuit challenging  the Centers for Disease Control and Prevention’s dangerous overhaul of the CDC’s longstanding childhood immunization schedule, ignoring overwhelming evidence supporting its effectiveness.

  • Directed the State Board of Pharmacy to convene to address disruptions in vaccine access. The Board subsequently voted to permit pharmacists to follow guidance from the American College of Obstetricians and Gynecologists, American Academy of Pediatrics, American Academy of Family Physicians, and U.S. Food & Drug Administration. 

  • Created Pennsylvania’s own vaccination guidance, ensuring that all Pennsylvanians have clear, trusted guidance on immunizations to protect themselves, their families, and their communities. 

  • Signed an executive order that directed the PA Department of Health to establish a state-based safety net to protect children’s access to vaccines, required all state agencies to align policies with trusted medical experts, launched a central online vaccine portal, and created a Vaccine Education Workgroup

  • Signed a declaration of disaster emergency  to quickly drive out $5 million in state funding to Feeding Pennsylvania so food banks’ shelves weren’t empty and raised $2 million more in private donations to offset the impact of the federal government’s failure to deliver SNAP benefits. 
  • Sued the federal government for unlawfully suspending SNAP payments and failing to use billions in Congressionally approved contingency funds to supply benefits. The Shapiro Administration then issued full November 2025 SNAP benefits less than 24 hours after the Trump Administration released the funds.

The Shapiro-Davis Administration is investing in our critical healthcare workers like doctors, nurses, and direct support professionals.

  • Secured $280 million state and federal funding to help raise wages for direct support professionals who provide care for Pennsylvanians with intellectual disabilities and/or autism. Thanks to this investment, the direct support professional vacancy rate was the lowest it has been in a decade. 

  • Worked with the General Assembly to secure $20.7 million in funding for increased mileage reimbursements for ambulance services, protecting access to healthcare and ensuring that EMS workers and first responders are properly reimbursed.

  • Secured $40 million in increased funding for county mental health services – after not receiving new funding since 2008 – and $375 million to support student mental health services and safety needs in schools throughout the Commonwealth.  

  • Secured $193 million in federal funding for the first year of its approved five-year Rural Health Transformation Plan (RHTP) to improve access to health care in Pennsylvania’s rural communities. 

  • Eliminated the Department of Human Services’ Medicaid provider enrollment backlog, which stood at 35,000 when he took office, lowering barriers to serving approximately 3 million Pennsylvanians in the Medicaid program.

  • Provided $2 million in first-time state funding for nursing apprenticeships. 

  • Signed the Fair Contracting for Health Care Practitioners Act, which limited noncompete clauses for doctors, nurse practitioners, nurse anesthetists, and physician assistants.

  • Fully implemented multistate licensure compacts that make it easier for doctors, nurses, and physical therapists who are qualified and licensed in other states to practice in the Commonwealth within days. 

  • The processing time for nursing licenses dropped from 25 days to just six days; doctors’ licenses from 43 days to five days; and pharmacist licenses from 20 days to just one day.

Being able to help with [student loan debt] really helps individuals come to work every day to be the best they can be. 

- Brandon Williams, Clinical Director at Silver Pines Treatment Center

The Administration is helping older adults age with dignity while also providing Pennsylvania’s veterans with high quality resources.

  • AARP designated the Commonwealth as an Age-Friendly State thanks to the Governor’s whole-of-government approach to supporting older Pennsylvanians.
  • Rolled out Aging Our Way, PA—a 10-year strategic roadmap for older adult services in Pennsylvania, ensuring services meet the needs of older adults.
  • Signed SB 607 into law that allowed 20,000 seniors to maintain their prescription medication benefits despite Social Security cost-of-living adjustments.
  • Secured final allocation of a $52 million federal grant for the construction/renovation project at the Hollidaysburg Veterans Home.
  • Allocated more than $14 million through the Department of Health to 127 long-term care facilities to help maintain quality healthcare through workforce development, staff retention, and infrastructure for residents and staff.
  • Increased state funding for the care of seniors and adults with physical disabilities living in skilled nursing facilities by $75 million.
  • Secured $5 million for the Help at Home (OPTIONS) program to reduce the waitlist of seniors seeking services, allowing them to stay in their homes.

The Governor will always defend Pennsylvanians’ fundamental freedom to choose.

  • Announced his Administration would not defend the state law banning Medicaid coverage for abortion as the ban violated the Commonwealth’s constitution and urged the Commonwealth Court to strike down the ban. 

  • Ended state funding to crisis pregnancy centers and allocated the funding for the comprehensive Women’s Health Service Program. In the first two years of the program, grantees distributed menstrual supplies to more than 32,000 clients, conducted over 42,500 screenings for substance abuse and chronic disease, and provided care navigation to nearly 10,000 clients.   

  • Issued new guidance strongly encouraging Pennsylvania health insurers to cover over-the-counter contraceptives with or without a prescription – resulting in major insurers to announce they would cover these contraceptives. 

  • Called on the federal government to ensure over-the-counter contraception is fully covered by insurance, expanding access to reproductive healthcare. 

  • Filed an amicus brief with the U.S. Supreme Court arguing the court should overrule a lower court decision that reversed the Federal Drug Administration’s decades-long approval of an abortion pill, mifepristone. 

  • Filed amicus briefs in two U.S. District Courts arguing that the federal government was grossly overstepping their authority when trying to subpoena the personal information of transgender patients at two Pennsylvania hospitals. 

  • Joined the Reproductive Freedom Alliance with governors from 20 states to safeguard the freedom to choose and improve abortion and reproductive health access. 

  • Maintained former Governor Tom Wolf’s Executive Order ensuring that non-Pennsylvania residents seeking abortion care in the Commonwealth can do so without fear of arrest or detention at the request of another state.  
  • Launched a Commonwealth website to provide resources for patients seeking abortion care in Pennsylvania in the wake of right-wing judicial attacks on abortion.

Hear from Pennsylvanians about the Shapiro-Davis Administration’s work: