I’m officially releasing my **Pennsylvania Healthcare Affordability, Access & Medicaid Accountability Reform**.
Healthcare in Pennsylvania has become too expensive, too complicated, and too focused on managing problems instead of actually fixing them. My reform is built around one simple principle: **Treat the problem, not merely manage it.**
That means getting people diagnosed earlier, cutting unnecessary barriers between patients and their doctors, lowering prescription and hospital costs, protecting access to care, cracking down on Medicaid fraud and waste, rebuilding mental-health capacity, and holding insurers, healthcare systems, contractors, government agencies, and patients accountable for the responsibilities that are actually within their control.
The plan takes on insurance and prior authorization so companies cannot use endless delays, unnecessary fail-first rules, or AI-only decisions to block medically necessary care. It reforms prescription drugs and PBMs, strengthens hospital and provider price transparency, protects independent providers, and puts real oversight on Medicaid contractors and managed-care companies. It also strengthens mental-health treatment, rural healthcare, EMS, long-term care, hospice, patient safety, and access to doctors, specialists, and diagnostic testing.
It includes stronger protections against abusive medical debt collection, better rules for medical records and patient access, a five-year medical-record digitization requirement, tighter healthcare cybersecurity, and clear accountability for harmful or misleading use of artificial intelligence. It also puts firm limits on government public-health authority by requiring due process, legislative oversight, privacy protections, time limits, and stronger protections for parents and families.
Prevention and chronic disease are a major part of this plan too. That means earlier screening, better follow-up after abnormal results, better diabetes and obesity care, more attention to nutrition and metabolic health, and a stronger focus on diagnosing the actual cause of ongoing problems instead of endlessly repeating treatments that are not working. Patients deserve access to proper care, but patients also have a responsibility to make a reasonable effort to participate in treatment when they are capable of doing so.
And this reform does **not** start with another tax.
Before government asks Pennsylvanians for more money, it should first eliminate duplication, consolidate or dissolve unnecessary departments and programs, cut administrative waste, reform bad contracts, recover fraud and improper payments, use existing healthcare dollars more effectively, and maximize appropriate federal funding. If a program works, prove it. If a contractor provides value, prove it. If an agency needs to exist, prove it. If a treatment is working, continue it. If it is not working, figure out why and change course.
Healthcare should be about getting people better, protecting patients, supporting honest providers, and making sure taxpayers are not endlessly financing waste, fraud, bureaucracy, and systems that fail to deliver results.
The full reform is now available at **
mooreforpa.com**.
James Moore for Governor
They counted us out. Now write us in.
Unbought. Unafraid.
mooreforpa.com
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