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