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What’s next for Shapiro’s pick for PA health secretary

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What’s next for Shapiro’s pick for PA health secretary


Spotlight PA is an independent, nonpartisan newsroom powered by The Philadelphia Inquirer in partnership with PennLive/The Patriot-News, TribLIVE/Pittsburgh Tribune-Review, and WITF Public Media. Sign up for our free newsletters.

HARRISBURG — Seven months into his first term as Pennsylvania’s governor, two of Democrat Josh Shapiro’s picks for top cabinet posts haven’t been confirmed by the state Senate.

In practice, the distinction between an acting and confirmed secretary is minimal. Shapiro’s two acting secretaries, Debra Bogen of the Department of Health and Wendy Spicher of the Department of Banking and Securities, have essentially the same powers as cabinet officials approved by state senators.

But Bogen’s continued service in that role has roiled at least two Republican lawmakers who now want to curtail the powers of acting secretaries.

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Shapiro recalled Bogen’s nomination in late June after it became clear she did not have the votes to be confirmed by the GOP-controlled state Senate.

Bogen, a pediatrician, had served as the head of the Allegheny County Health Department during the first years of the COVID-19 pandemic, and Republican leadership attributed the lack of support to Bogen’s “past management work.”

The governor has yet to announce publicly whether he will once again put Bogen before the state Senate for consideration or will nominate someone else to fill the role on a permanent basis.

State Sens. Kristin Phillips-Hill (R., York) and Judy Ward (R., Blair) say that allowing acting secretaries to perform their duties without lawmakers’ approval permits the governor and his cabinet to evade oversight set up in the state constitution. They intend to introduce a constitutional amendment that would limit the powers of such secretaries in September.

“We’re supposed to be three co-equal branches of government and over the last three years we’ve seen the executive branch gain power,” Phillips-Hill told Spotlight PA. “The advice and consent of the Senate in a governor’s cabinet official is something that is articulated in our constitution.”

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Shapiro isn’t the only governor who has made use of acting secretaries. At the end of former Gov. Tom Wolf’s administration, over one-third of the state’s agencies were led by officials who never received state Senate approval.

Wolf’s former press secretary, J.J. Abbott, said the governor wasn’t trying to circumvent the state Senate. He told Spotlight PA it was always a challenge to recruit officials for short cabinet stints late in an administration, and the long approval process didn’t help. But more importantly, he said, he blames the state Senate for injecting politics into the process.

He noted that leaders at one point tried to block appointments to the state utility regulator over a legislative conflict — something Abbott called “the straw that broke the camel’s back” in terms of getting nominees confirmed.

“They screwed up things with Wolf by turning things from [the state Senate’s constitutional duty of] ‘advise and consent’ to a ransom-taking,” he said.

The 21 cabinet secretaries who require state Senate approval lead state agencies, advise the governor, and recommend policy. Their responsibilities are wide-ranging and include administering the state’s elections, directing billions of dollars in education funds, and deploying state and federal dollars for a slew of human services programs, like SNAP and Medicaid.

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The state’s constitution directs the governor to nominate a secretary to fill a position within 90 days of its vacancy.

Following the nomination, the state Senate has 25 legislative days to vote on the nominee, who needs approval from two-thirds of the body in order to be confirmed. If the nomination occurs during a recess, the clock starts after the chamber reconvenes.

If the state Senate fails to vote on a nomination within those 25 legislative days, the nominee can assume the role as if the body had voted in their favor. This happened for three of the secretaries in Shapiro’s administration — those in charge of the Departments of Human Services, Revenue, and State.

The administration’s two remaining unconfirmed secretaries, in the Departments of Banking and Securities and Health, followed different paths to their current acting statuses.

Shapiro initially nominated Sarah Hammer, executive director at the University of Pennsylvania’s Wharton School, as banking secretary in January. However, Hammer announced in early May that she would be “returning to serve the [University of Pennsylvania] community.”

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Following Hammer’s withdrawal, Shapiro nominated Spicher in early July. Prior to her nomination, Spicher had served as the deputy secretary for depository institutions in the Department of Banking and Securities since 2008. As of Aug. 17, the state Senate had 24 legislative days to vote on Spicher’s nomination.

Bogen, meanwhile, is Shapiro’s original nominee to lead the Department of Health. In late June, Shapiro recalled Bogen’s nomination because there were not enough votes to confirm her.

State Senate Majority Leader Joe Pittman (R., Indiana) said in a statement that “given concerns with Dr. Bogen’s past management work, we felt she was not well suited” to the role. He added the chamber is ready to review a new nominee once Shapiro submits a name for the position.

However, state Senate Minority Leader Jay Costa (D., Allegheny) said he hopes Bogen can resolve some of the differences within the Republican caucus and “get to a place where she will get renominated.”

Costa previously told the Philadelphia Inquirer that some Republican members had issues with Bogen’s time at Allegheny County’s health department “but was not sure of the details.”

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“Had her nomination been given the opportunity to get to the floor to the vote, I believe she would have been confirmed,” Costa told Spotlight PA.

Since recalling her nomination, Shapiro has kept Bogen in her role in an acting capacity. A spokesperson from Shapiro’s office declined to comment on any future plans regarding Bogen’s nomination.

Phillips-Hill and Ward said that their constitutional amendment will explicitly spell out what unconfirmed secretaries can’t do, such as issuing executive orders and promulgating regulations on behalf of the governor.

Phillips-Hill said she saw the need to distinguish the powers of acting secretaries during the pandemic when the Department of Health mandated mask-wearing in public schools and social distancing procedures through executive orders.

Three secretaries who served during the pandemic — Alison Beam, Keara Klineparter, and Denise Johnson — were never confirmed by the state Senate.

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“Whether it was masking children in child care facilities and in schools, there were a ton of things that were on a daily basis coming out of the Department of Health and this is a person who’s not been confirmed by the Senate,” Phillips-Hill said.

A proposed constitutional amendment needs to pass both the state House and state Senate in two consecutive sessions, before going to voters to be voted up or down in a statewide referendum.

Pat Christmas, the policy director of the good-government group the Committee of 70, said he is unsure that the constitutional amendment will solve any problems.

Christmas said he has yet to see any bill language, but he believes that the lack of confirmations under Wolf’s administration was primarily caused by increased partisanship and a polarized political environment rather than a flaw in the state constitution’s confirmation process.

It isn’t clear, he said, if the constitution needs to be amended to solve such an issue.

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“Every change we make to the structure of government — and in this case how the legislature has some oversight authority over the executive — we need to weigh it very carefully,” Christmas said.

Spotlight PA’s Katie Meyer contributed reporting.

WHILE YOU’RE HERE… If you learned something from this story, pay it forward and become a member of Spotlight PA so someone else can in the future at spotlightpa.org/donate. Spotlight PA is funded by foundations and readers like you who are committed to accountability journalism that gets results.





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Pennsylvania

Shapiro threatens to pull Pennsylvania out of PJM over electricity prices

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Shapiro threatens to pull Pennsylvania out of PJM over electricity prices


Pennsylvania Gov. Josh Shapiro (D) is warning regional electricity grid operator PJM that the state will consider leaving the organization if it doesn’t do more to protect consumers against soaring power prices.

Shapiro’s letter marks a sharp escalation of his dispute with PJM, the largest U.S. wholesale power market and transmission coordinator, serving 65 million people from the Atlantic Seaboard to Chicago.

The risk of more power price escalation “threatens to undermine public confidence in PJM as an institution,” Shapiro said in his letter to Mark Takahashi, chair of PJM’s board of managers.

In a statement Tuesday, PJM said, “We appreciate the governor’s letter and have reached out to his office to discuss next steps.”

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Group weighs potential and peril of performance funding for Pa. universities • Pennsylvania Capital-Star

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Group weighs potential and peril of performance funding for Pa. universities • Pennsylvania Capital-Star


A group of lawmakers, university administrators and the head of the Department of Education heard Tuesday about the possibilities — and perils — of tying public funding of state-related universities at least in part to their performance and students’ academic outcomes.

The Performance-Based Funding Council was created by the General Assembly last summer and tasked with making recommendations on a performance-based funding formula by the end of April. Members include four lawmakers, Interim Acting Secretary of Education Angela Fitterer and three non-voting members from the state-related schools that would be affected: Penn State, Temple University and the University of Pittsburgh. Lincoln University, an HBCU and a fourth state-related university, would not be affected.

Currently, the three state-related schools collectively receive more than $550 million in state funding annually. The move to a performance-based funding formula has been supported by lawmakers from both parties, as well as Gov. Josh Shapiro.

“These legislative hearings offer a unique opportunity to fundamentally reassess how we align public resources and educational outcomes,” said Rep. Jesse Topper (R-Bedford), the council chairperson. “I believe we need to show the public how those resources are used and why — why we invest in higher education.”

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More than 30 states already use a performance-based funding model. According to testimony heard by the council, the most common academic targets in states with performance-based funding models include graduation rates, student retention and degree or credential completion. But a potential formula could also take into account factors like research output, administrative efficiency, and employment rates of graduated students.

While policies vary greatly around the country, about 10% of money sent to four-year schools in states with performance-based funding formulas is based on the targeted metrics, according to testimony by Andrew Smalley, a policy specialist who focuses on higher education at the National Conference of State Legislatures.

But experts warned that coming up with a comprehensive formula can be “daunting.”

“Everyone knows that colleges and universities subject to these formulas find themselves in a bit of a Catch-22,” said Charles Ansell, vice president of research, policy and advocacy at Complete College America, a nonprofit focused on best practices in higher education. “They need funds for their performance and improved graduation rates, but they cannot access funds without demonstrating improvement first.”

One potential solution, another expert testified, could be awarding funds based on improvements at an individual school over time instead of an arbitrary benchmark, like graduation rate, that applies to all schools.

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Experts also warned that some performance-based funding models can exacerbate disparities in educational outcomes between high- and low-income students, and between white and minority students.

“Performance funding is typically tied to advantages for the advantaged students and disadvantages for the disadvantaged,” said Justin Ortagus, an associate professor of higher education administration and policy at the University of Florida. Though he noted that a funding formula can take these pitfalls into account by incentivizing enrollment and degree or certification attainment for students in impacted groups.

Speakers also highlighted the benefits of performance-based funding models. Ortagus noted that they can promote institutional accountability.

It could also provide predictability when it comes to school budgets.

As it stands, Pennsylvania’s method for funding these universities requires a two-thirds vote of the legislature, which has led to months-long delays in the past. Creating a predictable funding formula that would be distributed through the Department of Education would mean future appropriations would only require a simple majority.

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Moreover, lawmakers could use performance metrics to encourage specific educational outcomes. Part of the funding formula, for example, could rely on students enrolling or graduating in programs of study that would lead to them entering high-demand fields in the job market.  

The state could also target specific outcomes based on goals like increasing low-income, veteran or minority student graduation rates, encouraging adult education and incentivizing students to enter high-demand jobs by focusing on particular majors. And the formula can be adapted when new needs or issues arise.

“It’s very common for states to revise these frequently,” Smalley said.

The council expects to hold three more hearings, some at the campuses of affected state-related universities.  Its recommendations are due to the legislature and governor April 30.

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High levels of respiratory illness reported across Pennsylvania, New Jersey and Delaware

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High levels of respiratory illness reported across Pennsylvania, New Jersey and Delaware


NEWARK, Del. (WPVI) — If you feel like everyone around you is coughing and sneezing, it’s not your imagination.

The CDC says the level of respiratory illness, including flu, COVID, and RSV, is classified as “high” in Pennsylvania and New Jersey, while Delaware is classified as “very high.”

Doctors say they’re seeing it all.

“Everyone is sick. We have RSV going on. We have flu. We have COVID going on. We have GI distress. Essentially, you’re getting sick in some fashion,” said Dr. Theresa Metanchuk, the Regional Clinical Director for ChristianaCare.

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Dr. Claiborne Childs, the vice president of medical affairs at Riddle Hospital, is seeing the same thing.

“It’s sort of a confluence of all the different viruses all together. We’re seeing an uptick all around the hospital,” Childs said.

We’re at the center of the respiratory illness season.

“We still have some time to go. We have the rest of the month of January, February and early March,” said Dr. Childs.

That means there is still time to protect yourself with vaccines.

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Dr. Metanchuk said the latest statistics show this year’s flu shot is 40% beneficial, which she said is “better than nothing.”

“They’re meant to keep you out of the hospital. They are meant to limit how severe the illness makes you,” she said.

As people heal from those illnesses, their bodies are at greater risk.

“Whenever you get sick, our immune system has to get a chance to recuperate, bounce back, so we’re more likely to get sick with something else,” said Dr. Metanchuk.

Staying hydrated, working out, and eating healthy – common New Year’s resolutions – are good ideas for preventing these illnesses too.

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