Action Center

Congress Must Act to Support Hospitals’ Key Legislative Priorities in Year-End Package

Congress will tackle a full slate of business following the November mid-term elections, providing an opportunity to advance key priorities that support hospitals and health systems.

In your conversations with lawmakers, please urge them to:

  • Prevent any further damaging cuts to health programs, including stopping the forthcoming 4% Statutory Pay-As-You-Go (PAYGO) sequester
  • Establish a temporary per diem payment targeted to hospitals to address the issue of hospitals not being able to discharge patients to post-acute care or behavioral facilities because of staffing shortages
  • Increase the number of Medicare-funded graduate medical education positions to address the need for additional physicians in the U.S.
  • Extend, or make permanent, the Low-volume Adjustment and the Medicare Dependent Hospital programs — critical rural programs that are due to expire on Dec. 16
  • Make permanent the expansion of telehealth services and extend the hospital-at-home program
  • Finalize passage of the Improving Seniors Timely Access to Care Act, which streamlines prior authorization requirements under Medicare Advantage plans
  • Create a special statutory designation for certain hospitals that serve marginalized urban communities

Don’t Allow Expiration of Critical Lifelines for Rural Hospitals

The AHA is asking hospital and health system leaders to contact their Senators to cosponsor the Rural Hospital Support Act (S.4009) and their House members to cosponsor the Assistance for Rural Community Hospitals Act (H.R.8747). These bipartisan bills would extend the Medicare-dependent Hospital (MDH) and enhanced Low-volume Adjustment (LVA) programs, which are slated to expire on Sept. 30, 2022.

It is imperative that we deliver a strong, unified message: Congress should support programs that prevent the expiration of the MDH and LVA programs, two critical lifelines on which rural hospitals rely to maintain services to the patients and communities they serve.

Support the SAVE Act to Protect Health Care Workers

With Congress back in Washington, D.C., the AHA is asking hospital and health system leaders to contact their House members to cosponsor the bipartisan Safety from Violence for Healthcare Employees (SAVE) Act of 2022. The health care workforce needs Congress’ help to stop the increasing violence they face on the job. Recent studies indicate that 44% of nurses reported experiencing physical violence and 68% reported experiencing verbal abuse during the COVID-19 pandemic. Workplace violence has severe consequences for the entire health care system. Not only does violence cause physical and psychological injury for health care workers, workplace violence and intimidation make it more difficult for nurses, doctors and other clinical staff to provide quality patient care.

AHA Advocacy Alliances Logo

Join an Alliance

AHA Advocacy Alliance were created to help you engage your legislators on specific issues that have a direct impact on your ability to continue providing quality health services in your community. Alliance activities include special briefing calls and emails to keep members up-to-date on key developments, breakout sessions at AHA Advocacy Days, direct member outreach and other issue-specific resources.

Register for an alliance
Coalition to Protect America's Health Care

Support the Coalition to Protect America's Health Care

The Coalition to Protect America's Health Care was formed to protect access to the best quality health care for all Americans. We are a community of more than one million people who recognize the important role hospitals play in communities all over America, and advocate on their behalf to elected officials in Washington who too-often put funding for paitent care on chopping block.

Read about the Coalition

Learn about AHA's PAC

The AHA Political Action Committee (AHAPAC) allows eligible hospital leaders to make voluntary donations toward the support of federal candidates of both political parties who support the hospital policy agenda. AHAPAC is bipartisan, working with state hospital associations and others. AHAPAC raised more than $4 million for the 2020 elections, making more than 1,000 different contributions.

For more information, please email

Learn more about AHAPAC
The AHA Advocacy Alliance for Coordinated Care focuses on ensuring adequate payment for the higher level of care capability that hospitals provide in the outpatient setting and for post-acute care providers. It also monitors payment reduction proposals for other care sites.
The AHA Advocacy Alliance for Graduate Medical Education focuses on advocacy related to GME funding and ensuring an adequate supply of physicians. This alliance is a joint effort between the AHA and the Association of American Medical Colleges.
Building on the AHA's extensive work on behalf of small and rural hospitals, this alliance focuses on extending key Medicare provisions that would otherwise sunset, including the low-volume hospital payment adjustment, the Medicare-Dependent Hospital Program, Section 508 reclassifications and the outpatient hold harmless. In addition, the alliance will continue to work to protect Critical Access Hospitals and other rural hospital designations.
The AHA Advocacy Alliance for the 340B Program focuses primarily on promoting the value that the 340B program provides to hospitals, patients and communities, as well as preventing attempts to scale back this program. For more information, click here.
Post-Acute Care Advocacy Alliance newsletter for June 2022.