
In an effort to combat the healthcare worker shortage in rural Pennsylvania, the House of Representatives has passed House Bill 157, which proposes up to $250,000 in student loan repayment grants for healthcare professionals willing to work in rural communities. The bill aims to alleviate staffing shortages by incentivizing physicians, nurses, midwives, dentists, and dental hygienists to commit to rural medical centers for at least three years.
The legislation, sponsored by Rep. Kathy Rapp (R-Warren), addresses the critical challenges faced by rural health facilities in maintaining operations due to recruitment difficulties. “Our rural communities continue to face a health care crisis,” Rep. Rapp stated, highlighting the struggle of rural health centers and hospitals to keep their doors open.
Current statistics show a significant gap in staffing, with vacancies for nursing support staff and registered nurses in rural hospitals at 28% and 26%, respectively. This shortage not only strains the existing workforce, leading to burnout and further attrition but also impacts patient care and access.
The bill, which passed the House with a vote of 194-8, also responds to the alarming situation of maternity deserts in Pennsylvania. With several counties lacking labor and delivery units, and many women living 30 minutes or more from a birthing center, the need for stable and accessible healthcare in rural areas is more pressing than ever.

Governor Josh Shapiro and Rep. Jordan Harris (D-Philadelphia) have also expressed concerns about the rural healthcare crisis, emphasizing the need for supportive measures in the state’s budget and the potential impacts of Medicaid cuts on rural hospitals.
As House Bill 157 moves to the Senate for consideration, lawmakers remain hopeful that these incentives will encourage long-term commitments from healthcare professionals, thereby stabilizing and enhancing healthcare access in Pennsylvania’s rural communities.
