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Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act
Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these 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).
Rural Health Services
Over 57 million rural Americans depend on their hospital as an important source of care as well as a critical component of their area's economic and social fabric. Location, size, workforce, payment and access to capital challenge small or rural hospitals and the communities they serve. Collaborating with state and regional hospital associations and with advice from its member council, the Section tracks the issues, develops policies and identifies solutions to our most pressing problems.
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.
AHA 340B Advocacy Alliance Newsletter
The Department of Health and Human Services today issued a notice announcing a 340B Rebate Model Pilot Program as a voluntary mechanism for qualifying drug manufacturers to effectuate the 340B ceiling price on select drugs to all 340B covered entities.
Medicaid Coverage Supports Rural Patients, Hospitals, and Communities
One in seven Americans live in rural areas and rely on rural hospitals and health systems for the health and well-being of their communities. Many in Congress are currently considering cuts to the Medicaid program, which could have a devastating impact on rural hospitals and patients.
AHA 340B Advocacy Alliance Bulletin - AHA Regulatory Advisory on 340B Rebate Pilot Program
The Health Resources and Services Administration (HRSA) July 31 announced a 340B rebate model pilot program that will provide certain drugmakers the option to effectuate access to 340B discounted pricing for certain drugs under a rebate model.
TAKE ACTION: Engage Lawmakers in August to Build Support for Key Priorities
It is important to engage with your lawmakers while they are home and discuss the impact that the recently passed One Big Beautiful Bill Act and additional policy proposals that are under consideration will have on hospitals’ ability to provide care.
Action Alert: Respond to CMS' Proposals on Medicare Clawback, Drug Acquisition Survey
The Centers for Medicare & Medicaid Services, in its outpatient prospective payment system proposed rule for calendar year 2026, issued proposals to accelerate the timeline for clawing back funds resulting from the agency’s unlawful policy between calendar years 2018 and 2022, as well as to conduct a drug acquisition survey.
Home Health Prospective Payment System Proposed Rule for CY 2026
The Centers for Medicare & Medicaid Services (CMS) June 30 issued its proposed rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS). Comments are due Sept. 2, and a final rule is expected around Nov. 1. New policies would generally be effective Jan. 1, 2026.