CAMERON KRIER MASSEY jd

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Provided comments on CMS Request for Information: Comprehensive Regulations to Uncover Suspicious Healthcare (CMS-6098-NC) regarding hospital efforts to prevent waste, fraud, and abuse. Provided comments on CMS-1827-P - SNF PPS, CMS-1845-P - IRF PPS, and CMS-1847-P - IPF PPS about proposed revisions to the prospective payment systems for skilled nursing facilities and inpatient rehab facilities. Urged support for H.R. 5454/S.2879, the Medicare Advantage Prompt Pay Act, which would put payment timelines in place for Medicare Advantage claims. Opposed H.R. 9504 (Tax-Exempt Hospital Transparency Act) that would implement onerous reporting requirements for non-for-profit and other hospitals.

Opposing Sec. 12006 in the Farm, Food, and National Security Act of 2026 (H.R. 7567) that would preempt state laws, like Proposition 12, that ban the extreme confinement of farm animals. Opposing inclusion of a similar provision in the Agricultural Act of 2026 (S.5526).

Opposing Sec. 12006 in the Farm, Food, and National Security Act of 2026 (H.R. 7567) that would preempt state laws, like Proposition 12, that ban the extreme confinement of farm animals. Opposing inclusion of a similar provision in the Agricultural Act of 2026.

Stated opposition to section 3201(d) of the Farm, Food, and National Security Act of 2026 (H.R. 7567) which would earmark taxpayer dollars for the mink industry to develop and expand into international markets.

Expressed support for The H-1Bs for the Physicians and Healthcare Workforce Act (H.R. 7961), legislation that would exempt physicians and other health professionals from the new $100,000 H-1B fee. Provided comment to the Health Resources & Services Administration on its Request for Information: 340B Rebate Model Pilot Program, HHS Docket No. HRSA-2026-03042, related to the negative impacts of a 340B rebate model pilot program.

Support the extension of Medicare-Dependent Hospital and Low-Volume Adjustment programs, which are set to expire Dec. 31, 2026. Opposed H.R. 9504 (Tax-Exempt Hospital Transparency Act) that would implement onerous reporting requirements for non-for-profit and other hospitals. Advocate for the approval of Medicaid state-directed payment programs in Texas. Comments on Medicaid Program: Indirect Hold Harmless Threshold ofHealthcare-Related Taxes [File Code CMS-2452-P], seeking revisions to the proposed rule to preserve state Medicaid financing flexibility, reduce unnecessary administrative burden and protect access to care for low-income Texans. Comments on Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program, provisions related to accounting of E/M services, remote psychologic and therapeutic monitoring requirements, and the 340B data repository. Comments on Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies, calling on CMS to withdraw the provider enrollment portion of the proposed rule and republish as a standalone rule, among other requested changes.

Provided comments on CMS Request for Information: Comprehensive Regulations to Uncover Suspicious Healthcare (CMS-6098-NC) regarding hospital efforts to prevent waste, fraud, and abuse. Provided comments on CMS-1827-P - SNF PPS, CMS-1845-P - IRF PPS, and CMS-1847-P - IPF PPS about proposed revisions to the prospective payment systems for skilled nursing facilities and inpatient rehab facilities. Urged support for H.R. 5454/S.2879, the Medicare Advantage Prompt Pay Act, which would put payment timelines in place for Medicare Advantage claims. Opposed H.R. 9504 (Tax-Exempt Hospital Transparency Act) that would implement onerous reporting requirements for non-for-profit and other hospitals.

Provided comments on CMS Request for Information: Comprehensive Regulations to Uncover Suspicious Healthcare (CMS-6098-NC) regarding hospital efforts to prevent waste, fraud, and abuse. Provided comments on CMS-1827-P - SNF PPS, CMS-1845-P - IRF PPS, and CMS-1847-P - IPF PPS about proposed revisions to the prospective payment systems for skilled nursing facilities and inpatient rehab facilities. Urged support for H.R. 5454/S.2879, the Medicare Advantage Prompt Pay Act, which would put payment timelines in place for Medicare Advantage claims. Opposed H.R. 9504 (Tax-Exempt Hospital Transparency Act) that would implement onerous reporting requirements for non-for-profit and other hospitals.

Opposing Sec. 12006 in the Farm, Food, and National Security Act of 2026 (H.R. 7567) that would preempt state laws, like Proposition 12, that ban the extreme confinement of farm animals. Opposing inclusion of a similar provision in the Agricultural Act of 2026 (S.5526).

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

Avian Influenza: The Avian Influenza Vaccination Strategy Act (S. 908), The Supporting Avian Virus Eradication Act (H.R. 2868), and other efforts to advance poultry vaccination. Reauthorization of the Farm Bill: Provisions related to preemption of state laws protecting farm animals from extreme confinement. Federal funding for the mass depopulation of animals and the addvancement of higher-welfare methods.

H.R. 1 - One Big Beautiful Bill Act. Expressed opposition to the following items being considered for a budget reconciliation package: capped Medicaid funding, restrictions on provider taxes, restrictions on state directed payment programs, site-neutral payment policies. Expressed support for delaying cuts to Medicaid Disproportionate Share hospitals, extending telehealth flexibilities, extending Medicare-related programs that support rural hospitals, and repealing the nursing home minimum staffing rule. Endorse Prompt and Fair Pay Act (HR 4559), legislation to establish payment parity between Medicare Advantage and fee-for-service Medicare, and to establish prompt payment requirements under Medicare Advantage. Endorse Medicare Advantage Prompt Pay Act (HR 5454), legislation that establishes payment timelines and penalties for "clean claims" by Medicare Advantage plans. Provide comments to CMS on Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency CMS-1834-P; specifically, the market basket factor update, payment of "inpatient only" services, reduction of payment for services furnished in excepted off-campus hospital outpatient departments (HOPD), and other provisions. Stated opposition to CMS about a new Aetna payment policy for its Medicare Advantage (MA) and Special Needs Plans. General appropriations package (FY 2026): Expressed support for delaying/repealing cuts to Medicaid Disproportionate Share Hospitals, extending telehealth flexibilities, extending Hospital at Home program, extending Medicare-related programs that support rural hospitals.

H.R. 1 - One Big Beautiful Bill Act. Expressed opposition to the following items being considered for a budget reconciliation package: capped Medicaid funding, restrictions on provider taxes, restrictions on state directed payment programs, site-neutral payment policies. Expressed support for delaying cuts to Medicaid Disproportionate Share hospitals, extending telehealth flexibilities, extending Medicare-related programs that support rural hospitals, and repealing the nursing home minimum staffing rule. Express support for Centers for Medicare and Medicaid Services (CMS) proposal to collect information from Medicare Advantage organizations (MAO) participating in the Medicare Advantage (MA) program; more specifically, the addition and clarification of data elements that will ensure CMS has appropriate insight into areas where patients and providers are struggling.

H.R. 1 - One Big Beautiful Bill Act. Expressed opposition to the following items being considered for a budget reconciliation package: capped Medicaid funding, restrictions on provider taxes, restrictions on state directed payment programs, site-neutral payment policies. Expressed support for delaying cuts to Medicaid Disproportionate Share hospitals, extending telehealth flexibilities, extending Medicare-related programs that support rural hospitals, and repealing the nursing home minimum staffing rule. Endorse Prompt and Fair Pay Act (HR 4559), legislation to establish payment parity between Medicare Advantage and fee-for-service Medicare, and to establish prompt payment requirements under Medicare Advantage. Endorse Medicare Advantage Prompt Pay Act (HR 5454), legislation that establishes payment timelines and penalties for "clean claims" by Medicare Advantage plans. Provide comments to CMS on Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency CMS-1834-P; specifically, the market basket factor update, payment of "inpatient only" services, reduction of payment for services furnished in excepted off-campus hospital outpatient departments (HOPD), and other provisions. Stated opposition to CMS about a new Aetna payment policy for its Medicare Advantage (MA) and Special Needs Plans. General appropriations package (FY 2026): Expressed support for delaying/repealing cuts to Medicaid Disproportionate Share Hospitals, extending telehealth flexibilities, extending Hospital at Home program, extending Medicare-related programs that support rural hospitals.

H.R. 1 - One Big Beautiful Bill Act. Expressed opposition to the following items being considered for a budget reconciliation package: capped Medicaid funding, restrictions on provider taxes, restrictions on state directed payment programs, site-neutral payment policies. Expressed support for delaying cuts to Medicaid Disproportionate Share hospitals, extending telehealth flexibilities, extending Medicare-related programs that support rural hospitals, and repealing the nursing home minimum staffing rule. Endorse Prompt and Fair Pay Act (HR 4559), legislation to establish payment parity between Medicare Advantage and fee-for-service Medicare, and to establish prompt payment requirements under Medicare Advantage. Endorse Medicare Advantage Prompt Pay Act (HR 5454), legislation that establishes payment timelines and penalties for "clean claims" by Medicare Advantage plans. Provide comments to CMS on Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency CMS-1834-P; specifically, the market basket factor update, payment of "inpatient only" services, reduction of payment for services furnished in excepted off-campus hospital outpatient departments (HOPD), and other provisions. Stated opposition to CMS about a new Aetna payment policy for its Medicare Advantage (MA) and Special Needs Plans. General appropriations package (FY 2026): Expressed support for delaying/repealing cuts to Medicaid Disproportionate Share Hospitals, extending telehealth flexibilities, extending Hospital at Home program, extending Medicare-related programs that support rural hospitals.

Comments submitted to CMS: Re: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly. (Specifically on internal coverage criteria and appeals determinations) HR. 4713 (Rural Hospital Technical Assistance Act): support for legislation that provides statutory authority for the Rural Hospital Technical Assistance Program within the Department of Agriculture. Proposed legislative solutions for supporting critical access hospitals achieve cost based reimbursement for Medicare Advantage patients Expressed support for delaying cuts to Medicaid Disproportionate Share hospitals, extending telehealth flexibilities, extending Medicare-related programs that support rural hospitals. Expressed opposition to the following items being considered for a budget reconciliation package: capped Medicaid funding, restrictions on provider taxes, restrictions on state directed payment programs, site-neutral payment policies. Express support for the following item considered for a budget reconciliation package: repeal nursing home minimum staffing rule.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties. Oppose efforts to mandate specific cybersecurity measures for hospitals. Oppose efforts to restrict access to the 340B drug discount program by providers. Request congressional member sign on to a letter about 340B rebates implemented by Johnson & Johnson.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties. Oppose efforts to mandate specific cybersecurity measures for hospitals.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties. Oppose efforts to mandate specific cybersecurity measures for hospitals. Oppose efforts to restrict access to the 340B drug discount program by providers.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. H.R. 4366 - Consolidated Appropriations Act of 2024 - supporting provision to delay cuts to the Medicaid Disproportionate Share hospital program, extend rural hospital funding programs, and extend telehealth flexibilities. Oppose efforts to include site neutral payment reforms. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Provide feedback on draft legislation to extend//make permanent certain rural hospital payment programs: Healthcare Enhancement for Americas Rural Towns Act (HEART) Act. Submitted comments to CMS in response to an RFI about Medicare Advantage Data (CMS-4207-NC), specifically on contracting, prior authorization and coverage, payment denials and appeals, payment rates, and supplemental benefits. Submitted comments to CMS on the Inpatient Prospective Payment System (PPS) for Hospitals (CMS-1808), specifically about inadequate payment rates, generally, and for the Medicare Disproportionate Share Hospital program, and an enhanced rural labor and delivery payment add-on. Submitted comments to CMS on the Inpatient Psych PPS proposed rule (CMS-1806), specifically about inadequate payment rates. Submitted comments to CMS about the Inpatient Rehab PPS proposed rule (CMS-1804), specifically about inadequate payment rates. Submitted comments to CMS about the Skilled Nursing Facility PPS proposed rule (CMS-1802), specifically about inadequate payment rates.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Support amendment to the FY 2024 Labor, Health and Human Services Appropriations bill filed by Rep. Pfluger that would prohibit use of funds by CMS to implement state financing methods in Medicaid. H.R. 4366 - Consolidated Appropriations Act of 2024 - supporting provision to delay cuts to the Medicaid Disproportionate Share hospital program and extend rural hospital funding programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. H.R. 4366 - Consolidated Appropriations Act of 2024 - supporting provision to delay cuts to the Medicaid Disproportionate Share hospital program, extend rural hospital funding programs, and extend telehealth flexibilities. Oppose efforts to include site neutral payment reforms. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Provide feedback on draft legislation to extend//make permanent certain rural hospital payment programs: Healthcare Enhancement for Americas Rural Towns Act (HEART) Act. Submitted comments to CMS in response to an RFI about Medicare Advantage Data (CMS-4207-NC), specifically on contracting, prior authorization and coverage, payment denials and appeals, payment rates, and supplemental benefits. Submitted comments to CMS on the Inpatient Prospective Payment System (PPS) for Hospitals (CMS-1808), specifically about inadequate payment rates, generally, and for the Medicare Disproportionate Share Hospital program, and an enhanced rural labor and delivery payment add-on. Submitted comments to CMS on the Inpatient Psych PPS proposed rule (CMS-1806), specifically about inadequate payment rates. Submitted comments to CMS about the Inpatient Rehab PPS proposed rule (CMS-1804), specifically about inadequate payment rates. Submitted comments to CMS about the Skilled Nursing Facility PPS proposed rule (CMS-1802), specifically about inadequate payment rates.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Support amendment to the FY 2024 Labor, Health and Human Services Appropriations bill filed by Rep. Pfluger that would prohibit use of funds by CMS to implement state financing methods in Medicaid. H.R. 4366 - Consolidated Appropriations Act of 2024 - supporting provision to delay cuts to the Medicaid Disproportionate Share hospital program and extend rural hospital funding programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. H.R. 4366 - Consolidated Appropriations Act of 2024 - supporting provision to delay cuts to the Medicaid Disproportionate Share hospital program, extend rural hospital funding programs, and extend telehealth flexibilities. Oppose efforts to include site neutral payment reforms. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Provide feedback on draft legislation to extend//make permanent certain rural hospital payment programs: Healthcare Enhancement for Americas Rural Towns Act (HEART) Act. Submitted comments to CMS in response to an RFI about Medicare Advantage Data (CMS-4207-NC), specifically on contracting, prior authorization and coverage, payment denials and appeals, payment rates, and supplemental benefits. Submitted comments to CMS on the Inpatient Prospective Payment System (PPS) for Hospitals (CMS-1808), specifically about inadequate payment rates, generally, and for the Medicare Disproportionate Share Hospital program, and an enhanced rural labor and delivery payment add-on. Submitted comments to CMS on the Inpatient Psych PPS proposed rule (CMS-1806), specifically about inadequate payment rates. Submitted comments to CMS about the Inpatient Rehab PPS proposed rule (CMS-1804), specifically about inadequate payment rates. Submitted comments to CMS about the Skilled Nursing Facility PPS proposed rule (CMS-1802), specifically about inadequate payment rates.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. H.R. 4366 - Consolidated Appropriations Act of 2024 - supporting provision to delay cuts to the Medicaid Disproportionate Share hospital program, extend rural hospital funding programs, and extend telehealth flexibilities. Oppose efforts to include site neutral payment reforms. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Provide feedback on draft legislation to extend//make permanent certain rural hospital payment programs: Healthcare Enhancement for Americas Rural Towns Act (HEART) Act. Submitted comments to CMS in response to an RFI about Medicare Advantage Data (CMS-4207-NC), specifically on contracting, prior authorization and coverage, payment denials and appeals, payment rates, and supplemental benefits. Submitted comments to CMS on the Inpatient Prospective Payment System (PPS) for Hospitals (CMS-1808), specifically about inadequate payment rates, generally, and for the Medicare Disproportionate Share Hospital program, and an enhanced rural labor and delivery payment add-on. Submitted comments to CMS on the Inpatient Psych PPS proposed rule (CMS-1806), specifically about inadequate payment rates. Submitted comments to CMS about the Inpatient Rehab PPS proposed rule (CMS-1804), specifically about inadequate payment rates. Submitted comments to CMS about the Skilled Nursing Facility PPS proposed rule (CMS-1802), specifically about inadequate payment rates.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Provide feedback on reforms to the Rural Emergency Hospital designation program: The Second Chances for Rural Hospitals Act (H.R. 8246) and the Rural Emergency Hospital Designation Improvement Act (S. 4322). Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Submit comments to CMS on CMS-10856: Agency Information Collection Activities: Proposed Collection, specifically about attestations for providers participating in state directed payment programs. Submit comments to CMS on Re: CMS-1809-P; Proposed Rule - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; specifically, provisions related to the market basket payment update, the four walls exception to clinic services in Medicaid, changes to prior authorization for outpatient services, and health and safety standards of obstetrical services in hospitals/critical access hospitals.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional member sign on to bi-partisan letter expressing support for Medicaid Disproportionate Share hospital program and addressing scheduled cuts. Support the Rural Hospital Support Act (S. 1110) and the Assistance for Rural Community Hospitals Act (H.R. 6430), which extend or make permanent the Low Volume Adjustment and Medicare Dependent Hospital programs. Support the Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532), which would streamline prior authorization in Medicare Advantage and improve access to care. Support for the Hospital Inpatient Modernation Act (S. 4350/H.R. 8260), which extends telehealth flexibilities and the Hospital at Home program. Oppose efforts to advance Medicare site neutral payment policies, as seen in the Lower Costs, More Transparency Act (HR 5378). Support the Telehealth Modernization Act (H.R. 7623), which extends COVID telehealth flexibilities for two years and Hospital at Home for five years.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Submit comments to CMS on the following proposed rules: Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Childrens Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program. Specific positions taken on the Payer to Payer Data Exchange on FHIR and Improving Prior Authorization Processes. Submit comments to CMS on the following proposed rule: Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, Medicare Parts A,B,C, and D Overpayment Provisions of the Affordable Care Act and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications. Specific comments on marking practices, preauthorization, medication therapy management programs, preauthorization requirements, and behavioral health. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Request congressional engagement on the $8 billion in cuts to the Medicaid Disproportionate Share Hospital program scheduled to take effect October 1, 2023. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties. Endorse The Rural Hospital Technical Assistance Program (HR 4713) which would codify an existing USDA program that provides TA to vulnerable rural hospitals to help them keep their doors open, maintain essential healthcare services, and strengthen financial stability. Provide comments to proposed rule CMS-1793-P (Medicare Program; Hospital Outpatient Prospective Payment System: Remedy for the 340B Acquired Drug Payment Policy for Calendar Years 2018-2022 (RIN 0938-AV18) - supporting the proposed 340B lump sum payment and opposing the budget neutrality adjustment. Provide comments to proposed rule CMS-9904-P (Short-Term, Limited Duration Insurance; Independent, Noncoordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance) - advocating for high quality comprehensive coverage and supporting the Department of Health & Human Services-Centers for Medicare & Medicaid Services (HHS/CMS) and the Department of Labor (DOL) for limiting the availability of substandard health plans and taking steps to ensure consumers are properly educated on the coverage limitations of STLDI.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Support provision in the The Lower Costs, More Transparency Act (HR 5378) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the The Promoting Access to Treatments and Increasing Extremely Needed Transparency "PATIENT" Act (HR 3561) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the Health Care Price Transparency Act of 2023 (H.R. 4822) that would implement reforms to Medicare Advantage preauthorization practices and oppose provisions that would impose site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency and consolidation. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Provide comments on proposed rule CMS-1780-P (Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements) - calling for CMS to increase the HH Market Basket Percentage Increase and withdraw proposed budget neutrality cuts related to the implementation of Patient-driven Groupings Model (PDGM) for CY 2024. Provide comments to proposed rule CMS-1786-P (Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; (Vol. 88, No. 145), July 31, 2023) - specifically commented on the proposed market basket update, reimbursement to intensive cardiac rehabilitation services provided by a hospitals off-campus, non-excepted provider-based departments, behavioral health provisions, and reporting requirements on standard charges.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Support provision in the The Lower Costs, More Transparency Act (HR 5378) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Support amendment to the FY 2024 Labor, Health and Human Services Appropriations bill filed by Rep. Pfluger that would prohibit use of funds by CMS to implement state financing methods in Medicaid. Provide comments to CMS-3442-P; Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (Sept. 9, 2023), opposing a "one size fits all" approach to healthcare staffing requirements.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Support provision in the The Lower Costs, More Transparency Act (HR 5378) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the The Promoting Access to Treatments and Increasing Extremely Needed Transparency "PATIENT" Act (HR 3561) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the Health Care Price Transparency Act of 2023 (H.R. 4822) that would implement reforms to Medicare Advantage preauthorization practices and oppose provisions that would impose site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency and consolidation. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Provide comments on proposed rule CMS-1780-P (Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements) - calling for CMS to increase the HH Market Basket Percentage Increase and withdraw proposed budget neutrality cuts related to the implementation of Patient-driven Groupings Model (PDGM) for CY 2024. Provide comments to proposed rule CMS-1786-P (Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; (Vol. 88, No. 145), July 31, 2023) - specifically commented on the proposed market basket update, reimbursement to intensive cardiac rehabilitation services provided by a hospitals off-campus, non-excepted provider-based departments, behavioral health provisions, and reporting requirements on standard charges.

Support for The Safety from Violence for Healthcare Employees (SAVE) Act of 2023 (H.R. 2584), which would make it a federal crime to assault or intimidate a hospital employee and as a result interfere with the ability of that employee to perform their duties. Endorse The Rural Hospital Technical Assistance Program (HR 4713) which would codify an existing USDA program that provides TA to vulnerable rural hospitals to help them keep their doors open, maintain essential healthcare services, and strengthen financial stability. Provide comments to proposed rule CMS-1793-P (Medicare Program; Hospital Outpatient Prospective Payment System: Remedy for the 340B Acquired Drug Payment Policy for Calendar Years 2018-2022 (RIN 0938-AV18) - supporting the proposed 340B lump sum payment and opposing the budget neutrality adjustment. Provide comments to proposed rule CMS-9904-P (Short-Term, Limited Duration Insurance; Independent, Noncoordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance) - advocating for high quality comprehensive coverage and supporting the Department of Health & Human Services-Centers for Medicare & Medicaid Services (HHS/CMS) and the Department of Labor (DOL) for limiting the availability of substandard health plans and taking steps to ensure consumers are properly educated on the coverage limitations of STLDI.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Support provision in the The Lower Costs, More Transparency Act (HR 5378) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the The Promoting Access to Treatments and Increasing Extremely Needed Transparency "PATIENT" Act (HR 3561) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the Health Care Price Transparency Act of 2023 (H.R. 4822) that would implement reforms to Medicare Advantage preauthorization practices and oppose provisions that would impose site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency and consolidation. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Provide comments on proposed rule CMS-1780-P (Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements) - calling for CMS to increase the HH Market Basket Percentage Increase and withdraw proposed budget neutrality cuts related to the implementation of Patient-driven Groupings Model (PDGM) for CY 2024. Provide comments to proposed rule CMS-1786-P (Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; (Vol. 88, No. 145), July 31, 2023) - specifically commented on the proposed market basket update, reimbursement to intensive cardiac rehabilitation services provided by a hospitals off-campus, non-excepted provider-based departments, behavioral health provisions, and reporting requirements on standard charges.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Support provision in the The Lower Costs, More Transparency Act (HR 5378) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Support amendment to the FY 2024 Labor, Health and Human Services Appropriations bill filed by Rep. Pfluger that would prohibit use of funds by CMS to implement state financing methods in Medicaid. Provide comments to CMS-3442-P; Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (Sept. 9, 2023), opposing a "one size fits all" approach to healthcare staffing requirements.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Support provision in the The Lower Costs, More Transparency Act (HR 5378) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the The Promoting Access to Treatments and Increasing Extremely Needed Transparency "PATIENT" Act (HR 3561) that would repeal two years of cuts to Medicaid Disproportionate Share hospital program and oppose provisions that would implement site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency, 340B and consolidation. Support provision in the Health Care Price Transparency Act of 2023 (H.R. 4822) that would implement reforms to Medicare Advantage preauthorization practices and oppose provisions that would impose site neutral payment policies and new mandatory reporting requirements on hospitals about price transparency and consolidation. Request Congressional engagement for critical access hospitals that are paid below cost by Medicare Advantage plans. Provide comments on proposed rule CMS-1780-P (Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements) - calling for CMS to increase the HH Market Basket Percentage Increase and withdraw proposed budget neutrality cuts related to the implementation of Patient-driven Groupings Model (PDGM) for CY 2024. Provide comments to proposed rule CMS-1786-P (Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; (Vol. 88, No. 145), July 31, 2023) - specifically commented on the proposed market basket update, reimbursement to intensive cardiac rehabilitation services provided by a hospitals off-campus, non-excepted provider-based departments, behavioral health provisions, and reporting requirements on standard charges.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Support HR 2665, the Supporting Safety Net Hospitals Act, which would repeal cuts to the Medicaid Disproportionate Share Hospital Program. Support for congressional House sign-on letter to leadership asking them to address the cuts to the Medicaid Disproportionate Share Hospital Program. Support for The Save Rural Hospitals Act (S. 803), which would establish a national minimum rate of 0.85 for the Area Wage Index reimbursement rate. Support for Rural Hospital Support Act (S. 1110), which would make the low-volume Medicare adjustment (LVA) and Medicare-dependent Hospital (MDH) program permanent, as well as add an additional base year MDHs could choose when calculating their payments. Request congressional engagement on Informational Bulletin released by CMS on February 17, 2023 related to permissible state financing arrangements in the Medicaid program. Oppose the Emergency Care Improvement Act (HR 1694), legislation related to free-standing emergency centers and participation as a Medicare provider. Oppose H.R. 3281, the Transparent PRICE Act, which would require additional reporting by hospitals on pricing. Oppose H.R. 3290, which requires additional reporting by hospitals participating in the 340B program. Oppose H.R. 3262, which requires new reporting by hospitals about ownership structure. Oppose H.R. 3237, which implements a site-neutral payment policy for drugs administered at off-campus hospital outpatient departments. Oppose site-neutral payment policies (generally) that reduce payments to hospitals for services delivered at off-campus hospital outpatient departments. Provide comments to CMS on CMS-2445-P Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule; provisions related to Hospital-Specific DSH Payment Limit ( 447.295) and Limitations on Aggregate Payments for DSHs Beginning October 1, 1992 ( 447.297). Provide comments to CMS on CMS-1788-P Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated With Section 1115 Demonstrations in the Medicaid Fraction; opposing a proposal to eliminate section 1115 demonstration waiver inpatient days that are associated with uncompensated care pools. Provide comments to CMS on CMS-1785-P CMS-1785-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Disclosure of Ownership; provisions related to IPPS payments to hospitals, funding for medical residents at Rural Emergency Hospitals, and others. Provide comments to CMS on CMS-2439-P, CMS-2439-P, Medicaid Program; Medicaid and Childrens Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; opposing limitations on state directed payment programs.

Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Request inclusion of the following provisions in H.R. 2617, the Consolidated Appropriations Act of 2023: (1) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; (2) Waive the statutory PAYGO reductions to avoid reductions in Medicare payments by an additional 4 percent in 2023; (3) extend telehealth flexibility's related to the COVID-19 pandemic emergency (including Hospital at Home program); (4) increase funding to address healthcare workforce shortages; (5) increase GME positions; and (6) require electronic prior authorization processes and other reforms to Medicare Advantage. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage.

Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Request inclusion of the following provisions in H.R. 2617, the Consolidated Appropriations Act of 2023: (1) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; (2) Waive the statutory PAYGO reductions to avoid reductions in Medicare payments by an additional 4 percent in 2023; (3) extend telehealth flexibility's related to the COVID-19 pandemic emergency (including Hospital at Home program); (4) increase funding to address healthcare workforce shortages; (5) increase GME positions; and (6) require electronic prior authorization processes and other reforms to Medicare Advantage. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage.

Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates, express support for Congressional sign on letter to CMS expressing concern with hospital reimbursement rates. CMS-3419-P, RIN 0938-AU92, Medicare and Medicaid Programs; Conditions of Participation (CoPs)for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates Proposed Rule, provide comments on new REH designation. Medicare Program; Request for Information on Medicare, provide comments to CMS on Medicare Advantage preauthorization, network adequacy, federal oversight, and payment rates. Support for Congressional sign-on letter led by Congressman Lloyd Doggett expressing similar concerns. Inflation Reduction Act (HR 5376), express support for efforts to address the Medicaid coverage gap in non-expansion states. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage. Endorsement of the Healthcare Enhancement for Americas Rural Towns (HEART) Act (HR 9034), would make permanent the Medicare Dependent Hospital program and extend for five years the Low Volume Adjustment.

Request to CMS and HHS that they approve directed payment programs related to Texas' 1115 Medicaid transformation waiver. Request for congressional delegation engagement on release of Medicaid supplemental payments to Texas providers. Provide comment on CMS-3415-IFC; Comments on Medicare and Medicaid Programs Omnibus COVID-19 Health Care Staff Vaccination; request additional time to be in compliance with interim final rule on mandatory staff vaccinations. Express support for the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act, draft legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Express support for The Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018), legislation that would improve timely access to quality care for seniors on Medicare Advantage by modernizing the way MA plans and health care providers use prior authorization.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates, express support for Congressional sign on letter to CMS expressing concern with hospital reimbursement rates. CMS-3419-P, RIN 0938-AU92, Medicare and Medicaid Programs; Conditions of Participation (CoPs)for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates Proposed Rule, provide comments on new REH designation. Medicare Program; Request for Information on Medicare, provide comments to CMS on Medicare Advantage preauthorization, network adequacy, federal oversight, and payment rates. Support for Congressional sign-on letter led by Congressman Lloyd Doggett expressing similar concerns. Inflation Reduction Act (HR 5376), express support for efforts to address the Medicaid coverage gap in non-expansion states. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage. Endorsement of the Healthcare Enhancement for Americas Rural Towns (HEART) Act (HR 9034), would make permanent the Medicare Dependent Hospital program and extend for five years the Low Volume Adjustment.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Request to CMS and HHS that they approve directed payment programs related to Texas' 1115 Medicaid transformation waiver. Request for congressional delegation engagement on release of Medicaid supplemental payments to Texas providers. Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Provide endorsement of the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. Provide comment to CMS in support of the Texas Healthcare Transformation and Quality Improvement Program (THTQIP) waiver amendment to implement an extension of postpartum Medicaid eligibility from 60 days to six months following delivery or involuntary miscarriage. Provide comment to CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates; specifically, provisions impacting hospitals, including opposition to a proposed adjustment to Medicare Disproportionate Share Hospital payments and exclusion of 1115 demonstration waiver uncompensated care days. Provide House Energy and Commerce Oversight and Investigations subcommittee information about Medicare Advantage and restrictions to care for seniors; offer policy solutions.

Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates, express support for Congressional sign on letter to CMS expressing concern with hospital reimbursement rates. CMS-3419-P, RIN 0938-AU92, Medicare and Medicaid Programs; Conditions of Participation (CoPs)for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates Proposed Rule, provide comments on new REH designation. Medicare Program; Request for Information on Medicare, provide comments to CMS on Medicare Advantage preauthorization, network adequacy, federal oversight, and payment rates. Support for Congressional sign-on letter led by Congressman Lloyd Doggett expressing similar concerns. Inflation Reduction Act (HR 5376), express support for efforts to address the Medicaid coverage gap in non-expansion states. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage. Endorsement of the Healthcare Enhancement for Americas Rural Towns (HEART) Act (HR 9034), would make permanent the Medicare Dependent Hospital program and extend for five years the Low Volume Adjustment.

Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates, express support for Congressional sign on letter to CMS expressing concern with hospital reimbursement rates. CMS-3419-P, RIN 0938-AU92, Medicare and Medicaid Programs; Conditions of Participation (CoPs)for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates Proposed Rule, provide comments on new REH designation. Medicare Program; Request for Information on Medicare, provide comments to CMS on Medicare Advantage preauthorization, network adequacy, federal oversight, and payment rates. Support for Congressional sign-on letter led by Congressman Lloyd Doggett expressing similar concerns. Inflation Reduction Act (HR 5376), express support for efforts to address the Medicaid coverage gap in non-expansion states. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage. Endorsement of the Healthcare Enhancement for Americas Rural Towns (HEART) Act (HR 9034), would make permanent the Medicare Dependent Hospital program and extend for five years the Low Volume Adjustment.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Request to CMS and HHS that they approve directed payment programs related to Texas' 1115 Medicaid transformation waiver. Request for congressional delegation engagement on release of Medicaid supplemental payments to Texas providers. Provide comment on CMS-3415-IFC; Comments on Medicare and Medicaid Programs Omnibus COVID-19 Health Care Staff Vaccination; request additional time to be in compliance with interim final rule on mandatory staff vaccinations. Express support for the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act, draft legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Express support for The Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018), legislation that would improve timely access to quality care for seniors on Medicare Advantage by modernizing the way MA plans and health care providers use prior authorization.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program. Conrad State 30 and Physician Access Reauthorization Act (S. 1810/H.R. 3541), allows international physicians trained in the United States to stay in country if they practice in underserved areas. Safety from Violence for Healthcare Employees, SAVE Act (HR 7961), establish legal penalties for assaulting or intimidating hospital employees.

Stopping Doctors Shortages Act (S.311), work to ensure eligibility of Texas physicians to the Public Service Loan Forgiveness Program.

Request to CMS and HHS that they approve directed payment programs related to Texas' 1115 Medicaid transformation waiver. Request for congressional delegation engagement on release of Medicaid supplemental payments to Texas providers. Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Provide endorsement of the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. Provide comment to CMS in support of the Texas Healthcare Transformation and Quality Improvement Program (THTQIP) waiver amendment to implement an extension of postpartum Medicaid eligibility from 60 days to six months following delivery or involuntary miscarriage. Provide comment to CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates; specifically, provisions impacting hospitals, including opposition to a proposed adjustment to Medicare Disproportionate Share Hospital payments and exclusion of 1115 demonstration waiver uncompensated care days. Provide House Energy and Commerce Oversight and Investigations subcommittee information about Medicare Advantage and restrictions to care for seniors; offer policy solutions.

Request to CMS and HHS that they approve directed payment programs related to Texas' 1115 Medicaid transformation waiver. Request for congressional delegation engagement on release of Medicaid supplemental payments to Texas providers. Provide comment on CMS-3415-IFC; Comments on Medicare and Medicaid Programs Omnibus COVID-19 Health Care Staff Vaccination; request additional time to be in compliance with interim final rule on mandatory staff vaccinations. Express support for the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act, draft legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Express support for The Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018), legislation that would improve timely access to quality care for seniors on Medicare Advantage by modernizing the way MA plans and health care providers use prior authorization.