Working with the executive branch
The executive branch, which includes the President, the Vice President, the Cabinet, and most federal agencies, is a critical partner in the implementation of programs supporting rural health care. NRHA frequently provides input on programs and policies by authoring letters and regulatory comments to ensure federal leadership considers the impact on rural providers. If you have any questions or concerns about upcoming regulations or policy actions, contact NRHA’s government affairs team.
Policy agenda
NRHA’s policy agenda is developed by soliciting input from membership. Policies adopted by the Rural Health Congress are included in the agenda, which is approved each year by the Government Affairs Committee. The agenda reflects the mission and values of the organization.
Letters to the executive branch
- Letter to CMS on new Census definition and RHCs - January 30, 2023
- Letter of support to MedPAC on draft 2024 payment recommendations - Dec. 15, 2022
- Letter to CMS Office of Minority Health on obesity and health equity - Sept. 27, 2022
- Comment for White House Conference on Hunger, Nutrition, and Health - July 15, 2022
- Letter to HHS on HPSAs proposed for withdrawal - June 16, 2022
- Summary of Rural ACO Roundtable with CMS - March 16, 2022
- Letter to HRSA Regarding HPSA - March 4, 2022
- 2022 State of the Union Initial NRHA Statement - March 1, 2022
- Letter to CMMI on ACO Transformation Track Status - Feb. 23, 2022
- Letter to Sectary Becerra on 340B Drug Pricing Program - Feb. 22, 2022
- Letter to the White House COVID-19 Health Equity Task Force - Oct. 28, 2021
- Letter to USDA Secretary on Community Facilities Direct Loan and Grant program loan refinancing - Oct. 18, 2021
- Letter to HHS Secretary on Provider Relief Fund Guidelines - Sept. 1, 2021
- Letter to U.S. Secretary of State on immigrant visas for registered nurses - July 13, 2021
- Letter to HHS Secretary on revised notice of reporting requirements for the Provider Relief Fund - June 17, 2021
- Statement on fiscal year 2022 budget request
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Letter to HHS Secretary on the Provider Relief Fund and Health Care Heroes Sustainability Fund - May 24, 2021
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Letter HHS Secretary on 340B Drug Pricing Program – May 14, 2021
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Rural Emergency Hospital (REH) model summary – April 15, 2021
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2021 requests for the Biden Administration – Feb. 15, 2021
Regulatory relief
NRHA stands ready to provide information and assistance to the Biden Administration as they work to protect and enhance rural health care. NRHA has identified regulatory actions that should be taken to further stabilize and support rural health care.
Regulatory comment letters
- HRSA 340B Administrative Dispute Resolution proposed rule - January 30, 2023
- SAMHSA draft CCBHC criteria update - January 20, 2023
- NRHA responds to CMS' "Make Your Voice Heard" Request for Information - November 4, 2022
- NRHA responds to Request for Information on SAMHSA's role in climate change - October 31, 2022
- NRHA responds to HHS Request for Information on Medicare Advantage - August 31, 2022
- Rural Emergency Hospital Conditions of Participation Proposed Rule - August 29, 2022
- Comment template for members on CY 2023 Outpatient Prospective Payment System proposed rule - August 19, 2022
- Comment template for members on Rural Emergency Hospital Conditions of Participation - August 5, 2022
- NRHA Responds to HHS Request for Information on Primary Care - August 1, 2022
- NRHA Responds to HHS Request for Information on Environmental Justice - June 18, 2022
- CMS Skilled Nursing Facilities PPS FY 2023 Proposed Rule - June 8, 2022
- NRHA Responds to FTC Solicitation for Public Comments on Pharmacy Benefit Managers Business Practices - May 17, 2022
- NRHA Comments on OSHA COVID19 IFR - April 20, 2022
- Access to Coverage and Care in Medicaid & CHIP RFI - April 19, 2022
- FCC Rural Health Care Program NPRM - April 14, 2022
- NTIA Infrastructure Investment and Jobs Act implementation RFI - Feb. 4, 2022
- MedPAC vote on payment recommendations for 2023 - Jan 18, 2022
- Requirements Related to Surprise Billing; Part 2 - Dec. 3, 2021
- CMS COVID-19 Health Care Staff Vaccination Interim Final Rule - Nov. 29, 2021
- HRSA proposed criteria for determining Maternity Care Health Professional Target Areas (MCTA) - Nov. 26, 2021
- National Quality Forum measuring quality in rural telehealth - Oct. 8, 2021
- Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
- Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies
- Requirements Related to Surprise Billing; Part I - Sept. 7, 2021
- Medicare Home Health Prospective Payment System
- OSHA occupational exposure to COVID-19 emergency temporary standard - July 19, 2021
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Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System
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OMB proposed MSA and MiSA adjustments – March 18, 2021
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HHS RFI on COVID-19 public health emergency waivers - Dec. 28, 2020
- HRSA FRN on definition of rural - Oct. 19, 2020
- Health Professional Shortage Area score factors- Sept. 8, 2020
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Medicaid Fiscal Accountability Regulation proposed rule – Jan. 29, 2020
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Medicare scope of practice information pursuant to the President’s executive order - Jan. 16, 2020
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Guidance for hospital co-location with other hospitals or healthcare facilities - July 1, 2019
Executive branch resources