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Advocacy Issue: Medicaid
AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of the most vulnerable populations but also destabilize hospitals and health systems, leading to a loss of services that would impact patients and communities nationwide.
Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Advocacy Issue: Enhanced Premium Tax Credits
In support of the health of our patients and communities, as well as the stability of the entire health care system, the AHA urges Congress to extend the enhanced premium tax credits.
Advocacy Issues
AHA is engaged on a number of evolving issues that impact the field and the patients and communities that hospitals and health systems serve. Each issue page explains the issue, outlines AHA’s position and provides resources and other supporting materials to help advocates succeed in their work.
Advocacy Issue: Transparency and Competition
Hospitals and health systems have made important progress in adopting federal price transparency requirements that require they both publicly post machine-readable files of a wide range of rate information and provide more consumer-friendly displays of pricing information for at least 300 shoppable services.
Advocacy Issue: 340B Drug Pricing Program
The 340B program has worked successfully for over 30 years to allow eligible providers to stretch limited federal resources to provide more comprehensive programs and services to more patients. This is exactly what Congress intended when it created the program in 1992.
Advocacy Issue: Rural MDH and LVA Programs
Rural hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume. These programs are Medicare-dependent Hospitals (MDHs), Low-volume Adjustment (LVA) and Sole Community Hospitals (SCHs).
Advocacy Issue: Telehealth Waivers
Recognizing both the immediate and potential long-term benefits of telehealth, we urge Congress, CMS and other executive agencies to take action to make critical telehealth flexibilities permanent.
Advocacy Issue: Hospital-at-Home Waivers
The hospital-at-home (H@H) model — where patients receive acute-level care in their homes, rather than in a hospital — has emerged as an innovative and promising approach to providing high-quality care to patients in the comfort of their homes. Congressional action is needed to extend the waivers for this program, which are set to expire March 31, 2025.
Advocacy Issue: Tax-Exempt Status
Every single hospital and health system provides benefits to their communities that far outstrip any other sector in health care. Some hospitals are exempt from federal and some state and local taxes. Hospitals more than earn their tax exemption, in part because of the immense benefits they provide to the communities they serve.