Pennsylvania
To reduce hospital staffing shortages, Pennsylvania to allow out-of-state nurses to practice
Nurses with multi-state licenses issued by 40 states will be able to practice in Pennsylvania this fall as part of an effort to address an ongoing workforce shortage, the Department of State said Tuesday.
Beginning Sept. 5, registered nurses and licensed-practical nurses from states that are part of the Nurse Licensure Compact will be able to work in Pennsylvania without needing to obtain a Pennsylvania license. The NLC allows RNs and LPNs licensed in one compact state to work in the others.
Previously, all nurses needed to obtain a license from the state’s Board of Nursing to practice in Pennsylvania. That process can take several months, has left nurses exhausted and contributes to hospital staffing shortages.
New Jersey, Delaware, Maryland, Ohio and West Virginia are NLC members.
Though nurses from other NLC states can begin practicing in Pennsylvania early next month, nurses from Pennsylvania will not immediately be able to work in other states. Before the Board of Nursing can begin issuing multi-state licenses to Pennsylvania nurses, it must certify that it has performed FBI criminal background checks on its applicants, a process that requires FBI authorization. There is no timeline for when that will be completed.
“The Shapiro administration is committed to ensuring that Pennsylvanians can receive top-notch care from licensed, qualified health care professionals,” Secretary of the Commonwealth Al Schmidt said. “By implementing this first phase of Pennsylvania’s engagement in the NLC, we are expanding opportunities for patients and providing hospitals with access to an approved, vetted group of licensed RNs and LPNs.”
Pennsylvania has been working to become an active NLC member since July 2021, when Gov. Tom Wolf signed legislation allowing the state to join the compact.
But the law lacked language that the U.S. Department of Justice and the FBI needed to conduct and submit criminal background checks, which has stalled its execution, the Morning Call reported. The delay led to frustration among out-of-state nurses that came to Pennsylvania without realizing they still needed to apply for state certification.
By joining the NLC, Pennsylvania seeks to increase the number of nurses working in the state, thereby improving health care.
A 2022 survey from the Hospital and Healthsystem Association of Pennsylvania found that 30% of registered nurse positions in direct care went unfilled, a 10% increase from 2019. Another report by the same organization found Pennsylvania could have a shortfall of 20,000 nurses by 2026.
This shortage has persisted since the COVID-19 pandemic, despite Pennsylvania having one of the largest concentrations of registered nurses in the country. Pennsylvania has about 100 nursing schools that graduate about 9,000 nurses per year.
A survey conducted earlier this year by AMN Healthcare Services, Inc. found that nearly one-third of nurses are considering leaving the profession in the aftermath of the COVID-19 pandemic. The bulk of the 18,000 nurses surveyed said they were seeking increased salaries or better working conditions to help manage their stress.
“It’s critically important that we do everything we can to alleviate the hospital staffing crisis that is driving RNs from the bedside and imperiling patient care in every corner of our state,” said Maureen May, president of the Pennsylvania Association of Staff Nurses and Allied Professionals. “By drawing more nurses to (Pennsylvania), the Nurse Licensure Compact will help ensure that, at this very critical time, our hospitals are amply staffed and that our nurses are able to give the care they want and have been trained to give.”
In the wake of the COVID-19 pandemic, Pennsylvania waived some licensing requirements for health care providers, including nurses. Retired physicians, nurses and pharmacists could reactivate their licenses through the end of 2020 at no cost. In late 2021, the Federal Emergency Management Agency sent strike teams to the Pennsylvania hospitals hit hardest by COVID-19 to ease the strain on overburdened facilities.
In June, the Pennsylvania House passed the Patient Safety Act, which specifies the number of patients that can be cared for by one nurse in different health care settings. If it’s passed by the Senate and signed into law by Shapiro, Pennsylvania would be among the first states to enact specific staffing-level requirements for nurses in hospitals.
Though some hospital leaders have opposed the bill, saying it will further exacerbate the nursing shortage, supporters like Linda Aiken, the director of the Center for Health Outcomes at the University of Pennsylvania, told the Inquirer that Pennsylvania’s participation in the NLC will address that issue by bringing more nurses to the state.
Pennsylvania
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Pennsylvania
Pennsylvania bill would incentivize purchase of near-zero-emission large trucks
New legislation at the Pennsylvania statehouse is intended to incentivize purchases of near-zero-emission large trucks.
Sen. Rosemary Brown, R-Monroe, introduced a bill last week that would create a Near-Zero-Emission Truck Incentive Program.
The grant program would be administered by the Pennsylvania Department of Transportation. The state Department of Environmental Protection would work in consultation with the highway department to reduce emission from large trucks.
Brown wrote in a memo to state senators that “the federal government took steps to tightly regulate heavy-duty truck emissions between model years 2007 and 2010 by requiring the standardization of selective catalytic reduction and diesel particulate filters.” She added that trucks sold in 2006 emit about 10 times the amount of nitrogen oxides and particulate matter as trucks sold today.
Brown told lawmakers that about 34% of trucks registered in Pennsylvania are pre-2010 model trucks.
“These trucks contribute the majority of emissions from the trucking industry in the state,” she wrote. “The proposed grant program will lead to the replacement of these trucks with newer, much cleaner trucks, resulting in lower emissions from the trucking industry and cleaner air for all.”
Additionally, she said the addition of multiple standard safety technologies by original equipment manufacturers in post-2010 model trucks will save lives in Pennsylvania.
Grant program
Her bill, SB1348, would require the state DOT and Department of Environmental Protection to apply for federal funds available for the purpose of reducing pollution.
The state would use the funds to create a grant program to incentivize the purchase of model year 2010 or newer trucks to be titled and registered in Pennsylvania, if accompanied by a trade-in of a pre-2010 diesel truck that is also titled and registered in the state.
“No other single technology transfer can affect Pennsylvania’s air quality and provide immediate health benefits as much as replacing pre-2010 trucks with post-2010 models,” Brown wrote.
The Pennsylvania Motor Truck Association supports the bill.
Rebecca Oyler, PMTA president, said the federal excise tax acts as a disincentive to companies wishing to update their equipment to the latest technology.
“Providing an incentive program at the state level helps offset this impediment and avoids costly mandates that would cripple the trucking industry,” Oyler said in prepared remarks.
SB1348 is in the Senate Transportation Committee. LL
More Land Line coverage of news from Pennsylvania.
Pennsylvania
Pennsylvania Passes Bitcoin Rights Bill, Proposes Strategic Reserve
Pennsylvania is stepping into the digital future with bold legislation aimed at solidifying its role as a leader in the emerging digital asset economy. On October 23, 2024, the Pennsylvania House of Representatives passed House Bill 2481—dubbed the “Bitcoin Rights” bill by Dennis Porter, co-founder of the Satoshi Action Fund—with a decisive 176–26 bipartisan vote. This legislation positions Pennsylvania among states at the forefront of digital asset regulation and underscores its commitment to fostering innovation in the sector while addressing critical issues like economic empowerment and financial inclusion.
House Bill 2481 enshrines the rights of individuals and businesses to self-custody digital assets, operate blockchain nodes, and conduct transactions without interference from restrictive municipal ordinances. Sponsored by Rep. Mike Cabell (R-Luzerne) and supported by bipartisan vote, the bill reflects a growing recognition across party lines of blockchain technology’s transformative potential.
The vote also revealed divisions within the Democratic Party, with all 26 opposing votes coming from Democratic representatives. Nevertheless, prominent members of the Democratic party, including Majority Leader Joanna McClinton (D-Phila/Delaware) and Rep. Malcolm Kenyatta (D-Phila), backed the measure highlighting its potential to stimulate economic growth and expand opportunities for underserved communities. Their support signals a broader acknowledgment of blockchain’s role in empowering marginalized groups through equitable access to financial tools.
Building On Momentum: Strategic Bitcoin Reserve Act
Following the passage of HB 2481, Republican Representatives Mike Cabell and Aaron Kaufer introduced HB 2664 (the Strategic Bitcoin Reserve Act) on November 14, 2024. If enacted, this legislation would enable the state treasurer to allocate up to 10% of Pennsylvania’s General Fund, Rainy Day Fund, and State Investment Fund into bitcoin and crypto-based exchange-traded products (ETPs), as explained in the bill’s legislative memo. This could mean an investment of up to $970 million in bitcoin, leveraging its potential as both a hedge against inflation and a long-term growth asset, as reported by DeCrypt.
The Strategic Bitcoin Reserves Debate
The introduction of Pennsylvania’s Strategic Bitcoin Reserve Act aligns with a broader conversation about government-held cryptocurrency reserves, echoing national debates sparked by Wyoming Senator Cynthia Lummis and the Trump administration’s proposal for a U.S. strategic bitcoin reserve. The state-level initiative reflects Pennsylvania’s proactive stance, but it has also reignited concerns about the potential risks of investing public funds in bitcoin.
Proponents Highlight Benefits
Proponents argue that bitcoin’s decentralized nature and fixed supply make it a strong hedge against inflation and an asset comparable to gold. As Satoshi Action Fund CEO Dennis Porter noted in a recent CryptoSlate article, “Bitcoin aligns incentives. When incentives align, we all win.” Advocates highlight Bitcoin’s significant appreciation over time and its growing acceptance among financial institutions as a store of value.
Supporters believe the Strategic Bitcoin Reserve Act could enhance fiscal stability by diversifying the state’s investments. The proposal mirrors broader efforts in states like Wyoming, where Lummis has championed bitcoin’s inclusion in national reserves, describing it as a safeguard against dollar devaluation and economic volatility.
Critics Raise Concerns
Despite its potential benefits, the concept of holding bitcoin in government reserves faces substantial criticism. Skeptics, including financial analysts and environmental advocates, point to the cryptocurrency’s extreme price volatility as a major risk. Bitcoin’s historical price swings—both surging and plummeting within short periods—raise questions about the stability of using it to back state or national funds.
Additionally, critics highlight security vulnerabilities in holding digital assets. High-profile breaches of institutional-grade storage solutions have underscored the risks of cyberattacks, which could make bitcoin reserves a target for bad actors. Environmental concerns related to bitcoin mining’s energy consumption further fuel opposition to public investment in the asset.
These concerns underscore parallels between Pennsylvania’s debate and the national critique of the Trump administration’s rumored executive order to formalize a U.S. bitcoin reserve. Critics have questioned whether introducing bitcoin into government holdings would expose the economy to unnecessary risk and divert resources from more stable investments. The outcome of this legislation could set a precedent, not only for other states but also for shaping the broader discourse on digital assets in fiscal policy.
Bipartisan Innovation In Action
Pennsylvania’s recent actions stand out in a national landscape often marked by federal gridlock and partisan divides on crypto policy. The state’s forward-looking approach mirrors pioneering efforts in Wyoming, Texas, and Florida. The bipartisan support for HB 2481 and subsequent legislative proposals like the Strategic Bitcoin Reserve Act demonstrate the economic promise lawmakers on both sides of the aisle see in blockchain technology. By codifying the rights of digital asset holders and creating a framework for state-level investment in crypto, Pennsylvania is charting a path that other states can follow.
Why Pennsylvania’s Leadership Matters
Pennsylvania’s legislation arrives at a critical moment for the digital asset ecosystem. With the most pro-crypto presidency and Congress in U.S. history set to take office in 2025, states like Pennsylvania have a unique opportunity to shape national policy from the ground up. The Commonwealth’s decisive actions on HB 2481 and the proposed Strategic Bitcoin Reserve Act signal to businesses, investors, and policymakers that Pennsylvania is open for innovation.
HB 2481 is more than a regulatory milestone—it is a strategic move to attract fintech companies, blockchain developers, and digital asset investors. The Pennsylvania Chamber of Business and Industry has expressed strong support, emphasizing that the state’s clear stance on digital assets provides the regulatory certainty businesses need to innovate responsibly.
Beyond its economic implications, the legislation reflects an understanding of blockchain’s potential to drive financial inclusion. Decentralized financial tools can reduce barriers for underbanked communities, empowering individuals and small businesses with access to innovative financial services. Pennsylvania’s proactive approach ensures that these benefits are accessible to all, positioning the state as a model for equitable digital asset adoption.
A New Blueprint For State-Led Innovation
The impact of Pennsylvania’s leadership extends far beyond its borders. In the absence of comprehensive federal regulation, states have emerged as laboratories for blockchain policy, testing innovative approaches to digital asset management. From Wyoming’s recognition of decentralized autonomous organizations (DAOs) to Florida’s integration of digital assets into its regulatory framework, state-led initiatives are shaping the future of the U.S. digital economy.
Pennsylvania’s efforts build on this momentum, offering a clear roadmap for other states. By fostering a crypto-friendly environment, the Commonwealth is not only boosting its own economic competitiveness but also contributing to a broader movement that could influence federal policy. As blockchain technology continues to redefine global finance, states that embrace innovation now will be well-positioned to lead in the years to come.
Stepping Into The Digital Future
Pennsylvania’s recent legislative efforts demonstrate a pragmatic approach to navigating the complexities of blockchain technology and digital assets. The passage of HB 2481 and the introduction of the Strategic Bitcoin Reserve Act highlight the Commonwealth’s focus on creating a clear regulatory framework while fostering innovation and economic growth.
By addressing both opportunities and challenges in this rapidly evolving space, Pennsylvania offers a practical model for other states to consider. Its actions underscore the growing role of state governments in shaping the future of the digital economy and ensuring its benefits reach residents and businesses alike. As the legislative process continues, Pennsylvania’s leadership may serve as a valuable reference point for balancing innovation with inclusivity and economic resilience.
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