HB 157 — An Act providing for grant awards to entities in rural counties and designated medically underserved areas to pay for the education debt of practitioners employed at the entity.
Last action — Re-referred to APPROPRIATIONS, Oct. 29, 2025
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✓Introduced
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✓In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill has passed the House. Introduced January 14, 2025. It now moves to the second chamber.
Next likely step: consideration and a floor vote in the Senate.
Odds of enactment
Moderate chanceBased on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Passed House
Current position in the legislative process.
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23 sponsors
1 primary, 22 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (14 D · 9 R) — cross-party backing.
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Cleared a recorded vote
Passed 1 recorded vote so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Summary
Rural Healthcare Grant Program - Prior Session House Bill 2382
Bill Text
What changed in the latest version
237 added · 246 removed237 line(s) added, 246 removed.
PRIOR PRINTER'S NO.
99 PRINTER'STHE NO.GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.
475157 THE2025 GENERALINTRODUCED ASSEMBLYBY OFRAPP, PENNSYLVANIAFRANKEL, HOUSETWARDZIK, BILLSANCHEZ, SessionZIMMERMAN, VENKAT, HOWARD, KHAN, CUTLER, GREINER, HILL-EVANS, FREEMAN, PICKETT AND WEBSTER, JANUARY 14, 2025 REFERRED TO COMMITTEE ON HEALTH, JANUARY 14, 2025 AN ACT Prodesignated medically underserved areas to pay for the and education debt of No.practitioners employed at the entity.
157 2025 INTRODUCED BY RAPP, FRANKEL, TWARDZIK, SANCHEZ, ZIMMERMAN, VENKAT, HOWARD, KHAN, CUTLER, GREINER, HILL-EVANS, FREEMAN, PICKETT, WEBSTER, GREEN, BOROWSKI AND HANBIDGE, JANUARY 14, 2025 AS REPORTED FROM COMMITTEE ON HEALTH, HOUSE OF REPRESENTATIVES, AS AMENDED, FEBRUARY 5, 2025 AN ACT Providing for grant awards to entities in rural counties and designated medically underserved areas to pay for the education debt of practitioners employed at the entity.
"DENTAL HYGIENIST." AS DEFINED IN SECTION 2 OF THE ACT OF <-- MAY 1, 1933 (P.L.216, NO.76), KNOWN AS THE DENTAL LAW.
"DENTIST." AN INDIVIDUAL LICENSED IN THE PRACTICE OF DENTISTRY UNDER THE DENTAL LAW.
20250HB0157PN0475 - 2 - "Hospital." A general acute care or specialty hospital located in a designated medically underserved area or rural county.
"Licensed practical nurse." An individual licensed to practice practical nursing under the act of March 2, 1956 (1955 20250HB0157PN0099 - 2 - P.L.1211, No.376), known as the Practical Nurse Law.
"PRACTICE"Practitioner." OFA DENTISTRY."physician, ASnurse DEFINEDor INmidwife SECTIONor 2nurse- OFmidwife. THE <-- DENTAL LAW.
"Practitioner.""Program." AThe physician,Rural nurseHealth or,Care midwifeGrant orProgram nurse-established <--under midwife,section DENTIST4. OR DENTAL HYGIENIST.
<-- "Program." The Rural Health Care Grant Program established under section 4.
20250HB0157PN0475 - 3 - Section 4.
20250HB0157PN0099 - 3 - (b) Distribution by entity.--An entity shall use the grant awarded under subsection (a) to pay for the education debt of practitioners that the entity employs according to the following:
(a) Criteria for grant from department.--The department shall award a grant to an entity that is located in a designated 20250HB0157PN0475 - 4 - medically underserved area or rural county.
20250HB0157PN0099 - 4 - (2) The amount distributed to a practitioner may not exceed the amount owed in education debt.
(b) Certification.--An entity shall certify in good faith 20250HB0157PN0475 - 5 - that the information provided in the application and all supporting documents and forms are true and accurate in all material aspects.
20250HB0157PN0099 - 5 - (a) Selection.--The department shall select an appropriate number of entities to receive a grant under this act each calendar year, dependent upon the amount of money appropriated for the program by the General Assembly.
20250HB0157PN0475 - 6 - Section 10.
(2) For approved grants, the department shall award a grant to an entity in increments of $10,000 up to the limit 20250HB0157PN0099 - 6 - under section 6(b)(1).
20250HB0157PN0475 - 7 - (5) The amount of each grant awarded.
(b) Confidentiality.--The name, address and other personal 20250HB0157PN0099 - 7 - information of a practitioner who received a payment of education debt from an entity may not be listed on the department's publicly accessible Internet website and may not be considered accessible under the act of February 14, 2008 (P.L.6, No.3), known as the Right-to-Know Law.
20250HB0157PN0475 - 8 - Section 13.
If an entity or practitioner fails to comply with the requirements of this act, the entity or practitioner shall reimburse the Commonwealth for the amount of the grant received or awarded based on the period of noncompliance, including interest 20250HB0157PN0099 - 8 - accrued, as determined by the department based on a determination of which party violated this act.
20250HB0157PN047520250HB0157PN0099 - 9 -
Action History
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Re-referred to APPROPRIATIONS, Oct. 29, 2025
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First consideration, Oct. 28, 2025
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Reported as committed, Oct. 28, 2025
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Referred to INSTITUTIONAL SUSTAINABILITY AND INNOVATION, April 14, 2025
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In the Senate
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(Remarks see House Journal Page 246-247), March 19, 2025
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Third consideration and final passage, March 19, 2025 (194-8)
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Re-reported as committed, March 19, 2025
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Re-committed to APPROPRIATIONS, March 18, 2025
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Second consideration, March 18, 2025
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Removed from table, March 17, 2025
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Laid on the table, Feb. 5, 2025
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First consideration, Feb. 5, 2025
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Reported as amended, Feb. 5, 2025
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Referred to HEALTH, Jan. 14, 2025
Sponsors
- Kathy L. Rapp · Primary
- Dan Frankel · Cosponsor
- Tim Twardzik · Cosponsor
- Benjamin V. Sanchez · Cosponsor
- David H. Zimmerman · Cosponsor
- Arvind Venkat · Cosponsor
- Kristine C. Howard · Cosponsor
- Tarik Khan · Cosponsor
- Bryan Cutler · Cosponsor
- Keith J. Greiner · Cosponsor
- Carol Hill-Evans · Cosponsor
- Robert Freeman · Cosponsor
- Tina Pickett · Cosponsor
- G. Roni Green · Cosponsor
- Lisa A. Borowski · Cosponsor
- Liz Hanbidge · Cosponsor
- Leslie Rossi · Cosponsor
- Mike Armanini · Cosponsor
- Martin T. Causer · Cosponsor
- Dave Madsen · Cosponsor
- Anthony A. Bellmon · Cosponsor
- Joe Webster · Cosponsor
- Keith S. Harris · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 22 co-sponsors · 230 not signed on · 8 voted No
Sponsors (1)
- Kathy L. Rapp Republican
Co-sponsors (22)
- Dan Frankel Democratic
- Tim Twardzik Republican
- Benjamin V. Sanchez Democratic
- David H. Zimmerman Republican
- Arvind Venkat Democratic
- Kristine C. Howard Democratic
- Tarik Khan Democratic
- Bryan Cutler Republican
- Keith J. Greiner Republican
- Carol Hill-Evans Democratic
- Robert Freeman Democratic
- Tina Pickett Republican
- G. Roni Green Democratic
- Lisa A. Borowski Democratic
- Liz Hanbidge Democratic
- Leslie Rossi Republican
- Mike Armanini Republican
- Martin T. Causer Republican
- Dave Madsen Democratic
- Anthony A. Bellmon Democratic
- Joe Webster Democratic
- Keith S. Harris Democratic
Not signed on (230)
230 members have not signed on to this bill.
Show all 230 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 99 | 0 | 0 | 0 |
| Republican | 89 | 8 | 0 | 0 |
| Unaffiliated | 6 | 0 | 0 | 0 |
| Total | 194 | 8 | 0 | 0 |
| % of votes cast | 96% | 4% | 0% | 0% |
How each member voted (202)
| Member | Party | Vote |
|---|---|---|
| Rep. Torren Ecker | — | Yea |
| Rep. Seth Grove | — | Yea |
| Rep. Dan Miller | — | Yea |
| Rep. Louis Schmitt | — | Yea |
| Rep. Stephenie Scialabba | — | Yea |
| Rep. Joshua Siegel | — | Yea |
| Abigail Salisbury | Democratic | Yea |
| Aerion Abney | Democratic | Yea |
| Amen Brown | Democratic | Yea |
| Andre D. Carroll | Democratic | Yea |
| Anita Astorino Kulik | Democratic | Yea |
| Anthony A. Bellmon | Democratic | Yea |
| Arvind Venkat | Democratic | Yea |
| Ben Waxman | Democratic | Yea |
| Benjamin V. Sanchez | Democratic | Yea |
| Brandon J. Markosek | Democratic | Yea |
| Brian Munroe | Democratic | Yea |
| Bridget M. Kosierowski | Democratic | Yea |
| Carol Hill-Evans | Democratic | Yea |
| Carol Kazeem | Democratic | Yea |
| Chris Pielli | Democratic | Yea |
| Christina D. Sappey | Democratic | Yea |
| Christopher M. Rabb | Democratic | Yea |
| Dan Frankel | Democratic | Yea |
| Dan K. Williams | Democratic | Yea |
| Daniel J. Deasy | Democratic | Yea |
| Danielle Friel Otten | Democratic | Yea |
| Danilo Burgos | Democratic | Yea |
| Darisha K. Parker | Democratic | Yea |
| Dave Madsen | Democratic | Yea |
| David M. Delloso | Democratic | Yea |
| Ed Neilson | Democratic | Yea |
| Eddie Day Pashinski | Democratic | Yea |
| Elizabeth Fiedler | Democratic | Yea |
| Emily Kinkead | Democratic | Yea |
| Frank Burns | Democratic | Yea |
| G. Roni Green | Democratic | Yea |
| Gina H. Curry | Democratic | Yea |
| Greg Scott | Democratic | Yea |
| Greg Vitali | Democratic | Yea |
| Heather Boyd | Democratic | Yea |
| Ismail Smith-Wade-El | Democratic | Yea |
| Jacklyn Rusnock | Democratic | Yea |
| Jared G. Solomon | Democratic | Yea |
| Jason Dawkins | Democratic | Yea |
| Jeanne McNeill | Democratic | Yea |
| Jennifer O'Mara | Democratic | Yea |
| Jessica Benham | Democratic | Yea |
| Jim Haddock | Democratic | Yea |
| Jim Prokopiak | Democratic | Yea |
| Joanna E. McClinton | Democratic | Yea |
| Joe Ciresi | Democratic | Yea |
| Joe McAndrew | Democratic | Yea |
| Joe Webster | Democratic | Yea |
| Johanny Cepeda-Freytiz | Democratic | Yea |
| John C. Inglis III | Democratic | Yea |
| Jordan A. Harris | Democratic | Yea |
| Jose Giral | Democratic | Yea |
| Joseph C. Hohenstein | Democratic | Yea |
| Justin C. Fleming | Democratic | Yea |
| Keith S. Harris | Democratic | Yea |
| Kristine C. Howard | Democratic | Yea |
| Kyle Donahue | Democratic | Yea |
| Kyle J. Mullins | Democratic | Yea |
| La'Tasha D. Mayes | Democratic | Yea |
| Leanne Krueger | Democratic | Yea |
| Lindsay Powell | Democratic | Yea |
| Lisa A. Borowski | Democratic | Yea |
| Liz Hanbidge | Democratic | Yea |
| Malcolm Kenyatta | Democratic | Yea |
| Mandy Steele | Democratic | Yea |
| Manuel Guzman | Democratic | Yea |
| Mary Jo Daley | Democratic | Yea |
| MaryLouise Isaacson | Democratic | Yea |
| Matthew D. Bradford | Democratic | Yea |
| Maureen E. Madden | Democratic | Yea |
| Melissa Cerrato | Democratic | Yea |
| Melissa L. Shusterman | Democratic | Yea |
| Michael H. Schlossberg | Democratic | Yea |
| Morgan Cephas | Democratic | Yea |
| Nancy Guenst | Democratic | Yea |
| Napoleon J. Nelson | Democratic | Yea |
| Nathan Davidson | Democratic | Yea |
| Nikki Rivera | Democratic | Yea |
| Pat Gallagher | Democratic | Yea |
| Patrick J. Harkins | Democratic | Yea |
| Paul Friel | Democratic | Yea |
| Paul Takac | Democratic | Yea |
| Perry S. Warren | Democratic | Yea |
| Peter Schweyer | Democratic | Yea |
| Regina G. Young | Democratic | Yea |
| Rick Krajewski | Democratic | Yea |
| Robert E. Merski | Democratic | Yea |
| Robert F. Matzie | Democratic | Yea |
| Robert Freeman | Democratic | Yea |
| Ryan A. Bizzarro | Democratic | Yea |
| Scott Conklin | Democratic | Yea |
| Sean Dougherty | Democratic | Yea |
| Steve Samuelson | Democratic | Yea |
| Steven R. Malagari | Democratic | Yea |
| Tarah Probst | Democratic | Yea |
| Tarik Khan | Democratic | Yea |
| Tim Brennan | Democratic | Yea |
| Tim Briggs | Democratic | Yea |
| Tina M. Davis | Democratic | Yea |
| Aaron Bernstine | Republican | Yea |
| Abby Major | Republican | Yea |
| Alec J. Ryncavage | Republican | Yea |
| Andrew Kuzma | Republican | Yea |
| Ann Flood | Republican | Yea |
| Barbara Gleim | Republican | Yea |
| Brad Roae | Republican | Yea |
| Brenda M. Pugh | Republican | Yea |
| Brett R. Miller | Republican | Yea |
| Brian C. Rasel | Republican | Yea |
| Brian Smith | Republican | Yea |
| Bryan Cutler | Republican | Yea |
| Bud Cook | Republican | Yea |
| Carl Walker Metzgar | Republican | Yea |
| Chad G. Reichard | Republican | Yea |
| Charity Grimm Krupa | Republican | Nay |
| Clint Owlett | Republican | Yea |
| Craig T. Staats | Republican | Yea |
| Craig Williams | Republican | Yea |
| Dallas Kephart | Republican | Nay |
| Dan Moul | Republican | Yea |
| Dane Watro | Republican | Yea |
| David H. Rowe | Republican | Yea |
| David H. Zimmerman | Republican | Yea |
| David M. Maloney | Republican | Yea |
| Donna Scheuren | Republican | Yea |
| Doyle Heffley | Republican | Yea |
| Eric Davanzo | Republican | Yea |
| Eric J. Weaknecht | Republican | Yea |
| Eric R. Nelson | Republican | Yea |
| Gary W. Day | Republican | Yea |
| Jack Rader | Republican | Yea |
| Jacob D. Banta | Republican | Yea |
| James B. Struzzi | Republican | Yea |
| Jamie Barton | Republican | Yea |
| Jamie L. Flick | Republican | Yea |
| Jamie Walsh | Republican | Nay |
| Jason Ortitay | Republican | Yea |
| Jeff Olsommer | Republican | Yea |
| Jeremy Shaffer | Republican | Yea |
| Jesse Topper | Republican | Yea |
| Jill N. Cooper | Republican | Yea |
| Jim Rigby | Republican | Yea |
| Joanne Stehr | Republican | Yea |
| Joe Emrick | Republican | Yea |
| Joe Hamm | Republican | Nay |
| Joe Hogan | Republican | Yea |
| Joe Kerwin | Republican | Yea |
| John A. Lawrence | Republican | Yea |
| John A. Schlegel | Republican | Yea |
| Jonathan Fritz | Republican | Yea |
| Joseph D'Orsie | Republican | Nay |
| Josh Bashline | Republican | Yea |
| Joshua D. Kail | Republican | Yea |
| Kate A. Klunk | Republican | Yea |
| Kathleen C. Tomlinson | Republican | Yea |
| Kathy L. Rapp | Republican | Yea |
| Keith J. Greiner | Republican | Yea |
| Kerry A. Benninghoff | Republican | Yea |
| Kristin Marcell | Republican | Yea |
| Leslie Rossi | Republican | Yea |
| Marc S. Anderson | Republican | Nay |
| Marci Mustello | Republican | Yea |
| Mark M. Gillen | Republican | Yea |
| Marla Brown | Republican | Yea |
| Martin T. Causer | Republican | Yea |
| Martina A. White | Republican | Yea |
| Michael Stender | Republican | Yea |
| Mike Armanini | Republican | Yea |
| Mike Jones | Republican | Yea |
| Milou Mackenzie | Republican | Yea |
| Mindy Fee | Republican | Yea |
| Natalie Mihalek | Republican | Yea |
| Parke Wentling | Republican | Yea |
| Perry A. Stambaugh | Republican | Yea |
| R. Lee James | Republican | Yea |
| Rich Irvin | Republican | Yea |
| Rob W. Kauffman | Republican | Yea |
| Robert Leadbeter | Republican | Nay |
| Roman Kozak | Republican | Yea |
| Russ Diamond | Republican | Yea |
| Ryan Warner | Republican | Yea |
| Scott Barger | Republican | Yea |
| Shelby Labs | Republican | Yea |
| Sheryl M. Delozier | Republican | Yea |
| Stephanie Borowicz | Republican | Yea |
| Steven C. Mentzer | Republican | Yea |
| Thomas H. Kutz | Republican | Yea |
| Thomas L. Mehaffie | Republican | Yea |
| Tim Twardzik | Republican | Yea |
| Timothy J. O'Neal | Republican | Yea |
| Timothy R. Bonner | Republican | Yea |
| Tina Pickett | Republican | Yea |
| Tom Jones | Republican | Yea |
| Valerie S. Gaydos | Republican | Yea |
| Wendy Fink | Republican | Nay |
| Zachary Mako | Republican | Yea |
Subjects
Frequently asked questions
- What does HB 157 do?
- Rural Healthcare Grant Program - Prior Session House Bill 2382
- Who sponsors HB 157?
- HB 157 is sponsored by Kathy L. Rapp (Republican), Dan Frankel (Democratic), Tim Twardzik (Republican), Benjamin V. Sanchez (Democratic), David H. Zimmerman (Republican), Arvind Venkat (Democratic), Kristine C. Howard (Democratic), Tarik Khan (Democratic), Bryan Cutler (Republican), Keith J. Greiner (Republican), Carol Hill-Evans (Democratic), Robert Freeman (Democratic), Tina Pickett (Republican), G. Roni Green (Democratic), Lisa A. Borowski (Democratic), Liz Hanbidge (Democratic), Leslie Rossi (Republican), Mike Armanini (Republican), Martin T. Causer (Republican), Dave Madsen (Democratic), Anthony A. Bellmon (Democratic), Joe Webster (Democratic), and Keith S. Harris (Democratic).
- What is the current status of HB 157?
- This bill has passed the House. Introduced January 14, 2025. It now moves to the second chamber.
- Where can I track HB 157?
- Track HB 157 free on One Click Politics — get push/email alerts when it moves.
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