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Rural Hospital Sustainability Act
Legislative Progress
Momentum (last 30 days)
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0 actions · 0 new cosponsors · 0 votes
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vs 5,086 other S bills in the 116th — cohort avg 30d
Rural Hospital Sustainability Act This bill specifically allows the Center for Medicare and Medicaid Innovation to test a model for global payments to hospitals in rural areas. Under the model, rural hospitals receive fixed, monthly payments from all participating payers (e.g., Medicare, Medicaid, and private payers) for inpatient and outpatient services (rather than on a fee-for-service basis). In order to participate, hospitals must conduct a community health needs assessment survey and submit a transformation plan that incorporates the survey results and includes other specified information relating to the global payment model, including targeted populations, types of services, and anticipated Medicare savings.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (2)
2021 · first_quarter · Medicare/Medicaid
Medicare Access and CHIP Reauthorization Act (PL 114-10) S.2157, Rural Hospital Sustainability Act: CMMI payment model to rural hospitals H.R.1763, Resident Physician Shortage Reduction Act of 2019:residency positions eligible for graduate medical education payments H.R. 1384, Medicare for All Act of 2019: Medicare for All H.R. 4056, Medicare Audiologist Access and Services Act of 2019: audiology H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act of 2018: Opioids H.R. 6, SUPPORT for Patients and Communities Act: Opioids H.R. 2550, Medicare Telehealth Parity Act of 2017 H.R. 676, Expanded and Improved Medicare for All Act: Medicare for All, payment H.R. 8702, Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020: payment H.R. 8756, COVID Health Care Provider Assurance Act of 2020: payment H.R. 315, Medicare Sequester COVID Moratorium Act: Medicare sequester, PAYGO Independent Payment Advisory Board (IPAB) Repeal Rural Anesthesiology: Rural Pass Through Out of Network/Out of Network Payment Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS 45 CFR Parts 147, 155, and 156, PPACA; Market Stabilization rule CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2017 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling - Medicare sequestration QCDR - Qualified Clinical Data Registry CMS Meaningful Use Stage 3 Executive Order Promoting Healthcare Choice and Competition (Trumpcare) Ambulatory Surgery Center Critical Care and Anesthesia Services Payment Reform: Increase payments for anesthesia and critical care services for Medicare COVID patients Prescription Drug Management Programs: Evaluation and Monitoring codes & cuts Certified Anesthesiologist Assistants Public Option
Read twice and referred to the Committee on Finance.
Introduced in Senate
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $260,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability COVID-19 testing and tracing Funding for school safety related to COVID-19 State and local funding related to COVID-19 Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 1895, The Lower Health Care Costs Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act H.R. 6496 - The Insular Area Medicaid Parity Act S. 4740 - Public Health Infrastructure Saves Lives Act S. 4666 - National Coronavirus Commission Act of 2020 HR. 1865
Client expense: $580,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability COVID-19 testing and tracing Funding for school safety related to COVID-19 State and local funding related to COVID-19 Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 1895, The Lower Health Care Costs Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act H.R. 6496 - The Insular Area Medicaid Parity Act S. 4740 - Public Health Infrastructure Saves Lives Act S. 4666 - National Coronavirus Commission Act of 2020 HR. 1865
Client expense: $580,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Medicare/Medicaid
Medicare Access and CHIP Reauthorization Act (PL 114-10) S.2157, Rural Hospital Sustainability Act: CMMI payment model to rural hospitals H.R.1763, Resident Physician Shortage Reduction Act of 2019:residency positions eligible for graduate medical education payments H.R. 1384, Medicare for All Act of 2019: Medicare for All H.R. 4056, Medicare Audiologist Access and Services Act of 2019: audiology H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act of 2018: Opioids H.R. 6, SUPPORT for Patients and Communities Act: Opioids H.R. 2550, Medicare Telehealth Parity Act of 2017 H.R. 676, Expanded and Improved Medicare for All Act: Medicare for All, payment H.R. 8702, Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020: payment H.R. 8756, COVID Health Care Provider Assurance Act of 2020: payment Independent Payment Advisory Board (IPAB) Repeal Rural Anesthesiology: Rural Pass Through Out of Network/Out of Network Payment Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS 45 CFR Parts 147, 155, and 156, PPACA; Market Stabilization rule CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2017 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling - Medicare sequestration QCDR - Qualified Clinical Data Registry CMS Meaningful Use Stage 3 Executive Order Promoting Healthcare Choice and Competition (Trumpcare) Ambulatory Surgery Center Critical Care and Anesthesia Services Payment Reform: Increase payments for anesthesia and critical care services for Medicare COVID patients Prescription Drug Management Programs: Evaluation and Monitoring codes & cuts Certified Anesthesiologist Assistants Public Option
Client expense: $410,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · third_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 1895, The Lower Health Care Costs Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act H.R. 6496 - The Insular Area Medicaid Parity Act S. 4740 - Public Health Infrastructure Saves Lives Act S. 4666 - National Coronavirus Commission Act of 2020
Client expense: $510,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Medicare/Medicaid
Medicare Access and CHIP Reauthorization Act (PL 114-10) S.2157, Rural Hospital Sustainability Act: CMMI payment model to rural hospitals H.R.1763, Resident Physician Shortage Reduction Act of 2019:residency positions eligible for graduate medical education payments H.R. 1384, Medicare for All Act of 2019: Medicare for All H.R. 4056, Medicare Audiologist Access and Services Act of 2019: audiology H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act of 2018: Opioids H.R. 6, SUPPORT for Patients and Communities Act: Opioids H.R. 2550, Medicare Telehealth Parity Act of 2017 H.R. 676 Expanded and Improved Medicare for All Act: Medicare for All, payment Independent Payment Advisory Board (IPAB) Repeal Rural Anesthesiology: Rural Pass Through Department of Labor Health and Human Services funding - out of network payment Out of Network/Out of Network Payment Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS 45 CFR Parts 147, 155, and 156, PPACA; Market Stabilization rule CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2017 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling - Medicare sequestration QCDR - Qualified Clinical Data Registry CMS Meaningful Use Stage 3 Executive Order Promoting Healthcare Choice and Competition (Trumpcare) Ambulatory Surgery Center Critical Care and Anesthesia Services Payment Reform: Increase payments for anesthesia and critical care services for Medicare COVID patients Prescription Drug Management Programs: Evaluation and Monitoring codes & cuts Certified Anesthesiologist Assistants Public Option
2020 · second_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing S. 1895, The Lower Health Care Costs Act of 2019 SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act
Client expense: $510,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medicare/Medicaid
Medicare Access and CHIP Reauthorization Act (PL 114-10) S.2157, Rural Hospital Sustainability Act: CMMI payment model to rural hospitals H.R.1763, Resident Physician Shortage Reduction Act of 2019:residency positions eligible for graduate medical education payments H.R. 1384, Medicare for All Act of 2019: Medicare for All H.R. 4056, Medicare Audiologist Access and Services Act of 2019: audiology H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act of 2018: Opioids H.R. 6, SUPPORT for Patients and Communities Act: Opioids H.R. 2550, Medicare Telehealth Parity Act of 2017 H.R. 676 Expanded and Improved Medicare for All Act: Medicare for All, payment Independent Payment Advisory Board (IPAB) Repeal Rural Anesthesiology: Rural Pass Through Department of Labor Health and Human Services funding - out of network payment Out of Network/Out of Network Payment Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS 45 CFR Parts 147, 155, and 156, PPACA; Market Stabilization rule CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2017 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling - Medicare sequestration QCDR - Qualified Clinical Data Registry CMS Meaningful Use Stage 3 Executive Order Promoting Healthcare Choice and Competition (Trumpcare) Ambulatory Surgery Center Increase payments for anesthesia and critical care services for Medicare COVID patients
Client expense: $330,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
Client expense: $380,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office