GREATER NEW YORK HOSPITAL ASSOCIATION

Oppose H.R. 1 limitations on premium tax credit eligibility. Support Restoring Essential Plan Coverage Act, H.R. 10692/S.5619, repealing H.R. premium tax credit eligibility restrictions and creating permanent option for expanded basic health plan. Support permanently extending Affordable Care Act enhanced premium tax credits. Support 340B Drug Pricing Program and discuss certain changes: oppose 340B ACCESS Act, SECURE 340B Act, HRSA Rebate Model Pilot Program, support enforcement action against manufacturer claims data policies. Support recommendations to address workforce shortages for nursing and ancillary health care workforce: faculty recruitment and retention, additional financial support for supervision and precepting students, Medicare payment for nursing and allied health, testing new workforce models, establishing incentives and early recruitment strategies, providing funding for clinical training sites, and immigration reforms that expedite entry for foreign health care workers. Support SAVE Healthcare Workers Act (H.R. 3178/S. 1600). Discuss New York State transition from Affordable Care Act Section 1332 State Innovation Waiver to Section 1331 Basic Health Plan. Discuss legislative proposals to regulate the use of artificial intelligence in health care settings. Discuss non-profit tax-exempt status of hospitals and examples of community benefit for IRS purposes (H.R. 9504, Tax Exempt Hospital Transparency Act). Discuss price transparency regulations and legislative proposals: Lower Costs, More Transparency Act; Patients Deserve Price Tags Act; Prices on the Wall Act; Transparency in Billing Act, Health Care Price Certainty for All Americans Act. Support commercial insurance reforms. Discuss antitrust exemption for National Resident Matching Program. Discuss organ donation policies.

Support Medicare GME expansion proposals: the Resident Physician Shortage Reduction Act, the Pathway to Practice Act of 2021, the Substance Use Disorder Workforce Act, additional GME slots in CAA, 2021 and CAA, 2023; Rural Residency Planning and Development Act. Discuss rural reclassification for Medicare wage index and Medicare GME purposes. Support legislative proposals to permanently extend PHE telehealth flexibilities and further extend Medicare Acute Hospital Care at Home Waiver. Oppose Medicare site-neutral payment policies. Oppose unique national provider identifier (NPI) requirement for hospital outpatient departments and discuss implementation - H.R. 7148-Sec. 6225. Support Medicare Advantage reforms - Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), MA Prompt Pay Act (H.R. 5454/S.2879). Discuss proposals that stabilize long-term care and post-acute care providers: establish a temporary per diem Medicare payment to ease capacity issues and address financial challenges from slow discharges, make permanent three-day hospital stay waiver, extend COVID-19 regulatory flexibilities, address Medicare Advantage issues, support health care workforce investments. Oppose Medicaid program and financing changes in H.R. 1: work requirements as a condition of coverage, changes to state-directed payments, reductions to Federal matching funds, reductions to the safe harbor threshold for provider taxes, sunset of broad-based and uniform provider tax waivers, rescission of Medicaid Eligibility rule and Medicaid/CHIP Access rule, reductions to retroactive coverage. Discuss Medicaid Section 1115 waiver. Discuss Calendar Year 2027 Medicare Outpatient Prospective Payment Rule; oppose site-neutral proposals and proposed reductions to 340B reimbursement. Oppose CMS pricing methodology for proton therapy centers. Support creation of new reimbursement pathway for mobile stroke units.

Discuss Medicare GME funding in CAA, 2021 and CAA, 2023 with Congressional staff and HHS staff. Support health extenders in H.R. 7148, Consolidated Appropriations Act of 2026: extend COVID-19 Medicare-covered telehealth flexibilities, Acute Hospital Care at Home waiver, Medicaid DSH cut elimination; Medicaid DSH cap calculation changes, workforce programs, hospital reimbursement adjustments. Discuss support for Hospital Preparedness Program funding with Congressional staff. Support language in H.R. 6500, Continuing Appropriations and Extensions Act, 2027, blocking implementation of OMB Uniform Guidance Proposed Rule.

Support revisions to Conrad 30 waiver program to increase the number of foreign physicians that may remain in the US after completing GME: S.665/H.R.4942, S.2719/H.R.6980, H.R. 4875. Discuss RIN 1653-AB01, DHS Proposed Rule - Optional Practical Training Fees. Oppose $100,000 fee for H-1B visa applications: Oppose September 19 Presidential Proclamation imposing $100,000 fee; support health care sector exemption; support H-1Bs for Physicians and the Healthcare Workforce Act (H.R. 7961). Discuss RIN 1615-AD20, Fee for Certain H-1B Petitions, and support exemption for cap-exempt institutions. Discuss H.R.1689, designating Haiti for Temporary Protected Status.