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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.
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 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: 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.
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: 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: Medicaid DSH Payment Cuts
The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations — children, impoverished, disabled and elderly. The Medicaid DSH payment reductions are scheduled to be implemented on Oct. 1, 2025, when $8 billion in reductions take effect.
Register for Feb. 5 AHA Advocacy Briefing on Key Issues for Hospitals and Health Systems
As the 119th Congress and new Administration begin their work for 2025, the AHA invites members to participate in a Feb. 5 virtual briefing to learn about important issues affecting hospitals and health systems.
Advocacy Issue: Presumptive Eligibility
This fact sheet provides hospitals and health systems with an overview of key considerations for implementing presumptive eligibility for charity care. The AHA encourages all members to consider whether some form of presumptive eligibility for charity care makes sense for their organization.