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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.
Advocacy Issue: Workplace Violence
Since the beginning of the COVID-19 pandemic, health care workers across the nation have experienced a sharp increase in incidences of workplace violence, with no sign that this trend is receding. Despite the diligent efforts of hospitals and health systems to prevent violence, health care workers remain five times more likely than any other type of worker to be physically attacked on the job, according to the Bureau of Labor Statistics.
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: 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.
Issue Briefs
AHA's Issue briefs frame the issue of affordability and can be used by hospitals and health systems to initiate conversations with stakeholders in their communities.
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.
Post-Acute Care Advocacy Alliance
Post-acute care is a growing and essential health and social service, accounting for more $2.7 trillion spent on personal health care, and, of that, almost 15% of total Medicare spending. Post-acute care settings include long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs) and home health agencies.
Advocacy Issue: Medicaid
The Medicaid program is the largest single source of health care coverage in the United States, covering nearly half of all children, many low-income elderly and disabled individuals, and working adults in low-wage jobs. With the passage of the One Big Beautiful Bill Act (P.L. 119-21), Congress made policy changes that will reduce federal spending for the Medicaid program by hundreds of billions of dollars over the next 10 years.
AHA Post-Acute Care Advocacy Alliance News Update - October 16, 2025
Your guide to the latest post-acute care news and resources.
Advocacy Issue: Rural LVA and MDH 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 Low-volume Adjustment (LVA), Medicare-dependent Hospitals (MDHs) and Sole Community Hospitals (SCHs).