Advocacy

The House recently passed a reconciliation package that would make sweeping changes to Medicaid and the ACA Marketplaces that will result in significant coverage losses and will further limit access to care for all rural patients by closing rural facilities and ending health care coverage for rural residents nationwide. The National Rural Health Association (NRHA) is extremely concerned by the House’s efforts to limit enrollees’ access to health care coverage through constraining states’ use of provider taxes and state directed payments, apply work requirements, more frequent eligibility redeterminations, and limiting retroactive coverage.

Legislation from the House Energy and Commerce Committee proposes changes to Medicaid that will result in massive coverage losses and will further stifle access to care for all rural patients by closing rural facilities and ending health care coverage for rural residents nationwide. The National Rural Health Association (NRHA) is extremely concerned by the Committee’s efforts to limit enrollees’ access to healthcare coverage through constraining states’ use of provider taxes and state directed payments, work requirements, more frequent eligibility redeterminations, and limiting retroactive coverage.

The National Rural Health Association released the following statement in response to the President’s FY 2026 draft budget proposal: "The National Rural Health Association (NRHA) is extremely concerned about the devastating cuts proposed in the President’s fiscal year 2026 draft budget proposal. The draft budget proposal calls for the elimination of bipartisan, fundamental, and longstanding rural health programs, such as the Medicare Rural Hospital Flexibility program and State Offices of Rural Health, which are essential to ensuring access to care for rural Americans. This will upend rural health care by ending proven programs, leading to a critical underfunding of rural health care and ultimately threatening rural provider stability and patient access. We are urging our rural champions on Capitol Hill to reject these proposed cuts and fully fund the rural health safety net.” – Alan Morgan, Chief Executive Officer

The National Rural Health Association issued the following statement in response to a federal district court in Texas vacating the Minimum Staffing Standards for Long-Term Care Facilities rule.