Regulatory Relief

The regulatory burden faced by hospitals is substantial and unsustainable.

Every day, hospitals, health systems and post-acute care providers confront the daunting task of complying with a growing number of federal regulations. They are constantly challenged to understand and implement new or revised regulations, while maintaining their core mission of providing high-quality patient care.

Providers appreciate that federal regulation is intended to ensure that health care patients receive safe, high-quality care, and prioritize it as a critical part of their day-to-day work.

But the scope and pace of the changes being made is out-stripping many providers’ ability to absorb them. At the same time, many of these regulations do not improve the quality of patient care or access to services.

Providers need relief now. Read on for more information and resources on the AHA's regulatory relief agenda.

Apr 12, 2018
On April 9, the Centers for Medicare & Medicaid Services issued a final rule and related guidance that will implement the standards governing health insurance issuers and the Health Insurance Marketplaces for 2019. In the rule, CMS provides details on the benefit and payment parameters for…
Apr 12, 2018
Reforming the Medicare conditions of participation and modernizing the Stark Law are key to regulatory relief and the transition to value, Advocate Aurora Health Chief Medical Officer Lee Sacks, M.D., told the House Ways and Means Health Subcommittee yesterday. Testifying at a closed-door forum on…
Feb 23, 2018
Govs. John Hickenlooper (D-CO), Jon Kasich (R-OH), Bill Walker (I-AK), Tom Wolf (D-PA) and Brian Sandoval (R-NV) today issued a bipartisan plan to transform the nation’s health care system based on certain guiding principles and beliefs and specific strategies to reorient the system on value. The…
Feb 20, 2018
340B Payment Reductions in the CY2018 Final OPPS Rule Letter to Court of Appeals for the D.C. Circuit providing MAC notices (June 14, 2018) Government's 28(j) Letter (May 10, 2018) AHA Response to the Government's 28(j) Letter (May 11, 2018) AHA Reply Brief Calls for Preliminary…
Feb 20, 2018
Additional legal briefs and documents from 2014 to 2017. For the most current litigation briefs and resources, visit AHA's Litigation section.
Appeals court sends order to eliminate backlog of Medicare appeals back to trial court (August 11, 2017) Government's reply brief in the ALJ Delay Mandamus Appeal (April 6, 2017) AHA, Hospitals Reply Brief (and Statutory Addendum) in the Government’s appeal of the ALJ Delay mandamus order (March…
Feb 8, 2018
Axios’ recent article on hospital audits conducted by CMS’s Office of Inspector General (OIG) is misleading and only tells one side of the story by leaving out key information that readers deserve to know. Most important, the article fails to mention that OIG’s hospital audits regularly include…
Feb 2, 2018
Introduction As you attend various workshops and sessions throughout the 2018 Rural Health Care Leadership Conference, you can share the following messages on social media to encourage support for rural health coverage. Join in with the #ruralhealth hashtag. Feel free to contact Emily Gustafson…
Jan 29, 2018
Rural Health Care Rural hospitals provide essential health care services to some 57 million people.  Because of their size, modest assets and financial reserves, and higher percentages of Medicare patients, small and rural hospitals disproportionately rely on government payments. Please join…
Jan 19, 2018
We know that every day America’s hospitals and health systems—and other health care providers—are faced with the daunting task of complying with a growing number of federal regulations.   Make no mistake about it—we understand the need for “responsible” regulation—that ensures public…