NRHA Public Comments
Congress and the executive branch are a critical partners in the development and implementation of programs supporting rural health care. NRHA serves as the primary rural health resource for the administration, elected officials, policy leaders, and other organizations on the unique challenges and opportunities facing rural patients and providers. NRHA provides recommendations on programs and policies by authoring letters and regulatory comments to ensure federal policymakers consider the impact on rural providers and patients.
- H.R. 7855 Rural Residency Planning and Development Act - May 2024
- Protecting Air Ambulance Services for Americans Act - July 2023
- Bipartisan Primary Care and Health Workforce Act - September 2023
- H.R.3730 Rural Health Clinic Burden Reduction Act - September 2023
- CDC Office of Rural Health - June 2022
- S.2315 Medicaid Saves Lives - June 2022
- Letter to Senate Appropriations on RHC Behavioral Health Initiative - May 2022
- Letter to Congress FY 2026 Rural Health Appropriations Requests - April 2025
- Statement for the Record on Dr. Mehmet Oz's Nomination for CMS Administrator - March 2025
- Letter to Congress on Proposed Medicaid Cuts - February 2025
- Statement for the Record on Robert F. Kennedy's Nomination For HHS Secretary - January 2025
- Letter on 2024 Year-End Rural Health Priorities - December 2024
- Letter to Congress on Medicaid Payment to REHs - November 2024
- Letter to Senate HELP & House E&C on J&J 340B Rebate Model
- Response to Keeping Obstetrics Local Act Request for Information - August 2024
- Response to Pay PCPs Request for Information - July 2024
- Response to Senate Finance GME Policy Proposal - June 2024
- Response to Senate Finance White Paper: Bolstering Chronic Care through Medicare Physician Payment - June 2024
- Response to SUSTAIN 340B Act RFI - April 2024
- 340B Extender Letter to Rep. McMorris Rodgers, Pallone, Granger, and DeLauro - October 2023
- 340B Final Letter to Sen. Sanders, Cassidy, Murray, and Collins - September 2023
- Response to Sen. Cassidy's Request for Information on CDC - October 2023
- Response to Senate Budget Committee health care RFI - October 2023
- Response to House Ways & Means rural health care RFI - October 2023
- Letter to Senate HELP & Appropriations on 340B Extender - September 2023
- 2023 Farm Bill requests (updated) - September 2023
- Response to Senate 340B request for information - July 2023
- Letter to Senate HELP on PAHPA Discussion Draft - July 2023
- Response to Rep. Miller-Meek's Request for Information on CDC - April 2023
- Response to Senate Request for Information on the drivers of workforce shortages - April 2023
- Response to House Request for Information on the Pandemics and All Hazards Preparedness Act (PAHPA) - March 2023
- Response to House Request for Information on MACRA - October 2022
- Letter to Senate Request for Information on Behavioral Health - October 2022
- Letter to Congress on Provider-Based RHC Payment - July 2022
- Letter to Congress on Rural Health Clinic stability - June 2022
- Letter to Congress on CAH sustainability - May 2022
- FY 2023 Appropriations for rural health programs - April 2022
- COVID-19 Supplemental Funding Negotiations - April 2022
- FY 2022 Appropriations for Rural Health Programs - February 2022
- Response to Senate HELP Request for Information on PREVENT Pandemics Act - February 2022
- FY 2023 L-HHS appropriations testimony - 2022
- Response to Senate Finance Request for Information on mental health - November 2021
- Congressional RFI on proposed oral health benefits under Medicare
- FY 2022 Appropriations for Rural Health Programs - June 2021
- Letter to MedPAC on CAH and RHC cost sharing - February 2025
- Letter to HHS on Trump Administration rural health priorities - January 2025
- Letter to HHS OIG on swing bed report - January 2025
- Letter to MedPAC on December 2024 payment recommendations meeting - December 2024
- Letter to CMS on Medicaid payment to REHs - September 2024
- Letter to CMS on Minimum Staffing Standards for Long-Term Care Facilities - April 2024
- Letter to MedPAC on March 7, 2024 meeting - March 2024
- Summary of Rural ACO Roundtable with CMS - March 2024
- Letter to MedPAC on June 2023 Report - June 2023
- Letter to CMMI on Making Care Primary model - June 2023
- Letter to HHS on Census definition and RHCs (member template) - March 2023
- Letter to HHS on public health emergency flexibilities ending - February 2023
- Letter to HRSA on REHs and National Health Service Corps - February 2023
- Letter to CMS on GME residency slot distribution - February 2023
- Letter to CMS on new Census definition and RHCs - January 2023
- Letter of support to MedPAC on draft 2024 payment recommendations - December 2022
- Letter to CMS Office of Minority Health on obesity and health equity - September 2022
- Letter to HHS on HPSAs proposed for withdrawal - June 2022
- Letter to HRSA Regarding HPSA - March 2022
- Letter to CMMI on ACO Transformation Track Status - February 2022
- Letter to Sectary Becerra on 340B Drug Pricing Program - February 2022
- Letter to the White House COVID-19 Health Equity Task Force - October 2021
- Letter to USDA Secretary on Community Facilities Direct Loan and Grant program loan refinancing - October 2021
- Letter to HHS Secretary on Provider Relief Fund Guidelines - September 2021
- Letter to HHS Secretary on the Provider Relief Fund and Health Care Heroes Sustainability Fund - September 2021
- Letter to U.S. Secretary of State on immigrant visas for registered nurses - July 2021
- Letter HHS Secretary on 340B Drug Pricing Program - May 2021
- Provider Relief Fund reporting requests - March 2021
- Letter to Biden Administration on Rural Health Priorities - 2021
- CMS Marketplace Integrity and Affordability proposed rule - April 2025
- Drug Enforcement Administration's Special Registration for Telemedicine proposed rule - March 2025
- NRHA Comment to HHS: HIPAA Security Rule to Strengthen Cybersecurity of Electronic Protected Health Information - March 2025
- Expansion of Buprenorphine Treatment via Telemedicine Encounter Delay - February 2025
- CY 2026 Medicare Advantage and Part D proposed rule - January 2025
- Rescission of Low Wage Index Policy and Changes to IPPS Rates - November 2024
- Request for Information on New Residency Programs - October 2024
- CY 2025 Outpatient Prospective Payment System proposed rule - 2024
- NRHA comment - September 2024
- Member comment template - 2024
- CY 2025 Medicare Physician Fee Schedule proposed rule - 2024
- NRHA comment - September 2024
- Member comment template - 2024
- CY 2025 Home Health Prospective Payment System proposed rule - August 2024
- FY 2025 Medicare Inpatient Prospective Payment System proposed rule - June 2024
- CMS Medicare Advantage RFI - May 2024
- FY 2025 Skilled Nursing Facilities Prospective Payment System proposed rule - May 2024
- HRSA Proposed Inclusion of Terrain Factors in Rural Definition - May 2024
- SAMHSA Maternal Mental Health RFI - February 2024
- Comment for White House Conference on Hunger, Nutrition, and Health
- CMS' Minimum Staffing Standards for Long-Term Care Facilities proposed rule - November 2023
- CDC's National One Health Framework To Address Zoonotic Diseases and Advance Public Health Preparedness - November 2023
- Comment template for members on CMS Minimum Staffing Standards for Long-Term Care Facilities - November 2023
- Encouraging Rural Participation in Population-Based Total Cost of Care Models RFI - October 2023
- Requirements Related to the Mental Health Parity & Addiction Equity Act proposed rule - October 2023
- CY 2024 Outpatient Prospective Payment System (member comment template) - September 2023
- CY 2024 Medicare Physician Fee Schedule (member comment template) - September 2023
- CY 2024 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - September 2023
- CY 2024 Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies - September 2023
- CY 2024 Home Health Prospective Payment System proposed rule - August 2023
- NRHA response to Episode-Based Payment Model Request for Information - August 2023
- Medicaid and CHIP Managed Care Access, Finance, and Quality - July 2023
- Ensuring Access to Medicaid Services proposed rule - July 2023
- FY 2024 Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - June 2023
- FY 2024 Skilled Nursing Facilities Prospective Payment System proposed rule - June 2023
- FCC Rural Healthcare Program proposed rule - April 2023
- DEA Expansion of Induction of Buprenorphine via Telemedicine Encounter - March 2023
- Advancing Interoperability and Improving Prior Authorization proposed rule - March 2023
- SAMHSA medications for opioid use disorder proposed rule - February 2023
- CY 2024 Medicare Advantage Policy and Technical Changes proposed rule - February 2023
- HRSA 340B Administrative Dispute Resolution proposed rule - January 2023
- OPPS Remedy for the 340B-Acquired Drugs Payment Policy for CYs 2018 - 2022 - September 2022
- OPPS 340B Remedy proposed rule (member comment template) - September 2022
- CMS' "Make Your Voice Heard" Request for Information
- SAMHSA's role in climate change Request for Information - October 2022
- CY 2023 Outpatient Prospective Payment System proposed rule (member comment template) - September 2022
- HHS Request for Information on Medicare Advantage - August 2022
- Rural Emergency Hospital Conditions of Participation Proposed Rule - August 2022
- Rural Emergency Hospital Conditions of Participation (member comment template) - August 2022
- HHS Request for Information on Primary Care - August 2022
- HHS Request for Information on Environmental Justice - 2022
- CMS Skilled Nursing Facilities PPS FY 2023 Proposed Rule - June 2022
- FTC Solicitation for Public Comments on Pharmacy Benefit Managers Business Practices - April 2022
- OSHA COVID19 Interim Final Rule - April 2022
- FCC Rural Health Care Program - April 2022
- Access to Coverage and Care in Medicaid & CHIP Request for Information - February 2022
- NTIA Infrastructure Investment and Jobs Act implementation Request for Information - February 2022
- MedPAC vote on payment recommendations for 2023 - January 2022
- Requirements Related to Surprise Billing; Part 2 - January 2022
- CY 2023 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - September 2022
- CY 2023 Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies - September 2022
- FY 2023 Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - June 2022
- Letter to Biden Administration on Regulatory Relief for Rural Providers - 2021
- CMS COVID-19 Health Care Staff Vaccination Interim Final Rule - November 2021
- HRSA proposed criteria for determining Maternity Care Health Professional Target Areas (MCTA) - November 2021
- National Quality Forum measuring quality in rural telehealth - October 2021
- CY 2022 Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies - September 2021
- Requirements Related to Surprise Billing; Part I - September 2021
- CY 2022 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - September 2021
- OSHA occupational exposure to COVID-19 emergency temporary standard - July 2021
- OMB proposed MSA and MiSA adjustments - March 2021
- FY 2022 addendum Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - January 2021
- FY 2021 Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - July 2020
- HHS RFI on COVID-19 public health emergency waivers - December 2020
- HRSA FRN on definition of rural - October 2020
- Health Professional Shortage Area score factors - September 2020
- CY 2021 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - September 2020
- Medicaid Fiscal Accountability Regulation proposed rule - January 2020
- Medicare scope of practice information pursuant to the President’s executive order - January 2020