Pennsylvania 2025_0 Regular Session Status: Passed House Bipartisan · 27 D · 1 R cosponsors

HB 409 — An Act amending the act of October 24, 2018 (P.L.719, No.112), known as the Patient Test Result Information Act, further providing for definitions, for test results and for duties of Department of Health.

Last action — Referred to HEALTH AND HUMAN SERVICES, April 21, 2025

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the House. Introduced January 29, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based 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

Likely to advance 74% · high confidence

  • Passed House

    Current position in the legislative process.

  • 28 sponsors

    1 primary, 27 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (27 D · 1 R) — cross-party backing.

  • 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

Patient Test Results

Bill Text

What changed in the latest version

160 added · 163 removed

Plain-language change summary

In the latest version of Bill HB 409, the term "significant abnormality," which referred to findings in diagnostic imaging that might prompt a patient to seek further medical care, has been removed. This change simplifies the language and may affect how diagnostic results are communicated to patients. By eliminating this specific terminology, the bill could ensure that health care practitioners focus more on the overall interpretation of test results rather than a specific threshold for abnormalities. This matters because it may lead to a more straightforward process for informing patients about their health status.

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PRIOR PRINTER'S NO.
PRINTER'S NO.
381 PRINTER'S NO.
381 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.
476 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.
WILLIAMS, MAYES, KENYATTA, GUENST, MERSKI, BOYD, CURRY, GREEN AND WEBSTER, JANUARY 29, 2025 AS REPORTED FROM COMMITTEE ON HEALTH, HOUSE OF REPRESENTATIVES, AS AMENDED, FEBRUARY 5, 2025 AN ACT Amending the act of October 24, 2018 (P.L.719, No.112), entitled "An act providing for notification of patient test results to providing for duties of the Department of Health," furthernd providing for definitions, for test results and for duties of Department of Health.
WILLIAMS, MAYES, KENYATTA, GUENST, MERSKI AND BOYD, JANUARY 29, 2025 REFERRED TO COMMITTEE ON HEALTH, JANUARY 29, 2025 AN ACT Amending the act of October 24, 2018 (P.L.719, No.112), entitled "An act providing for notification of patient test results to be sent directly to a patient or the patient's designee;
and providing for definitions, for test results and for duties of Department of Health.
20250HB0409PN0476 - 2 - (4) The following statements:
(4) The following statements:
You are receiving this notice as a result of a determination by your diagnostic imaging service that further discussions of your test results are warranted and would be beneficial to you.
20250HB0409PN0381 - 2 - You are receiving this notice as a result of a determination by your diagnostic imaging service that further discussions of your test results are warranted and would be beneficial to you.
(2) Diagnostic imaging services performed on a patient 20250HB0409PN0476 - 3 - who is being treated on an inpatient basis [or] in an emergency [room] department or observation unit of a hospital.
(2) Diagnostic imaging services performed on a patient who is being treated on an inpatient basis [or] in an 20250HB0409PN0381 - 3 - emergency [room] department or observation unit of a hospital.
or (v) provided directly to the patient at the time of 20250HB0409PN0476 - 4 - service, so long as the patient acknowledges the receipt of the results and signs the patient's medical record accordingly.
or (v) provided directly to the patient at the time of service, so long as the patient acknowledges the receipt 20250HB0409PN0381 - 4 - of the results and signs the patient's medical record accordingly.
(1) Pathology reports or, radiology reports OR CLINICAL <-- LABORATORY TESTS that have a reasonable likelihood of showing a finding of malignancy.
(1) Pathology reports or radiology reports that have a reasonable likelihood of showing a finding of malignancy.
20250HB0409PN0476 - 5 - (2) Tests that could reveal genetic markers.
(2) Tests that could reveal genetic markers.
(g) Exception.--The prohibition under subsection (f) shall not apply if the test results are provided to a patient or the patient's designee at the time of the test.
(g) Exception.--The prohibition under subsection (f) shall 20250HB0409PN0381 - 5 - not apply if the test results are provided to a patient or the patient's designee at the time of the test.
(h) Policies and procedures.--A health care facility, <-- clinical laboratory or an entity performing a diagnostic imaging service shall develop and implement policies and procedures for providing patient test results in accordance with this section.
(h) Policies and procedures.--A health care facility, clinical laboratory or an entity performing a diagnostic imaging service shall develop and implement policies and procedures for providing patient test results in accordance with this section.
and (2) establish a complaint procedure, which shall be made available on the department's publicly accessible Internet website.] conduct compliance reviews on health care facilities and clinical laboratories licensed or permitted <-- LICENSED by the department.
and (2) establish a complaint procedure, which shall be made available on the department's publicly accessible Internet website.] conduct compliance reviews on health care facilities and clinical laboratories licensed or permitted by the department.
<-- (b) Limitation.--The Department of Health shall limit the scope of the compliance reviews under subsection (a) to determining whether policies and procedures have been developed and implemented in accordance with section 3(h).
(b) Limitation.--The Department of Health shall limit the scope of the compliance reviews under subsection (a) to determining whether policies and procedures have been developed and implemented in accordance with section 3(h).
20250HB0409PN0476 - 6 - Section 2.
Section 2.
20250HB0409PN0476 - 7 -
20250HB0409PN0381 - 6 -
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Action History

  1. Referred to HEALTH AND HUMAN SERVICES, April 21, 2025

  2. In the Senate

  3. (Remarks see House Journal Page 325-327), April 7, 2025

  4. Third consideration and final passage, April 7, 2025 (202-1)

  5. Re-reported as committed, April 7, 2025

  6. Re-committed to APPROPRIATIONS, March 19, 2025

  7. Second consideration, March 19, 2025

  8. Removed from table, March 18, 2025

  9. Laid on the table, Feb. 5, 2025

  10. First consideration, Feb. 5, 2025

  11. Reported as amended, Feb. 5, 2025

  12. Referred to HEALTH, Jan. 29, 2025

Sponsors

Sponsorship breakdown

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1 sponsors · 27 co-sponsors · 225 not signed on · 1 voted No

Sponsors (1)

Co-sponsors (27)

Not signed on (225)

225 members have not signed on to this bill.

Show all 225 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

FINAL PASSAGE

Passed 202 Yea · 1 Nay
Party YeaNayPresentNot Voting
Democratic 100000
Republican 96100
Unaffiliated 6000
Total 202100
% of votes cast 100%0%0%0%
How each member voted (203)
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 Goughnour 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 Yea
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 Yea
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 Yea
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 Yea
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 Yea
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 Yea
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 Yea
Zachary Mako Republican Yea

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Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 409 do?
Patient Test Results
Who sponsors HB 409?
HB 409 is sponsored by Bridget M. Kosierowski (Democratic), Dan K. Williams (Democratic), Carol Hill-Evans (Democratic), Arvind Venkat (Democratic), Kyle Donahue (Democratic), Benjamin V. Sanchez (Democratic), Robert Freeman (Democratic), Ed Neilson (Democratic), Christopher M. Rabb (Democratic), Perry S. Warren (Democratic), Jose Giral (Democratic), Tarah Probst (Democratic), Mandy Steele (Democratic), Danielle Friel Otten (Democratic), La'Tasha D. Mayes (Democratic), Malcolm Kenyatta (Democratic), Keith S. Harris (Democratic), Nancy Guenst (Democratic), Robert E. Merski (Democratic), Heather Boyd (Democratic), Gina H. Curry (Democratic), G. Roni Green (Democratic), Joe Webster (Democratic), John C. Inglis III (Democratic), Bryan Cutler (Republican), Lisa A. Borowski (Democratic), Tina M. Davis (Democratic), and Carol Kazeem (Democratic).
What is the current status of HB 409?
This bill has passed the House. Introduced January 29, 2025. It now moves to the second chamber.
Where can I track HB 409?
Track HB 409 free on One Click Politics — get push/email alerts when it moves.

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