GREATER NEW YORK HOSPITAL ASSOCIATION

Oppose H.R. 1 limitations on Affordable Care Act premium tax credit eligibility and support legislatively delaying implementation. Support permanently extending Affordable Care Act enhanced premium tax credits. Support 340B Drug Pricing Program with Congressional staff and discuss certain changes: oppose 340B ACCESS Act, SECURE 340B Act, support PATIENTS Act, oppose HRSA back-end rebate models, 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). 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. Support Improving Seniors Timely Access to Care Act (S. 4532/H.R. 8702). Support SEPSIS Act (S.1929). 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 with Congressional staff. Discuss non-profit tax-exempt status of hospitals and examples of community benefit for IRS purposes. 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. Support commercial insurance reforms. Oppose HSA and price transparency provisions in H.R. 8324. Discuss antitrust exemption for National Resident Matching Program.

Discuss with Congressional staff and HHS staff support for Medicare GME expansion and changes to GME program: 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 with Congressional staff distribution methodology for Medicare GME slots created in the CAA, 2021. Discuss rural reclassification for Medicare wage index and Medicare GME purposes with Congressional staff. Discuss COVID-19 Public Health Emergency (PHE) Medicare flexibilities with Congressional staff and HHS staff and support legislative proposals to permanently extend PHE telehealth flexibilities and two-year extension of 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 Medicare wage index issues with CMS. 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 (support), make permanent three-day hospital stay waiver (support) and other COVID-19 PHE regulatory flexibilities. 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 with Congressional staff and HHS. Oppose proposed rule - Medicare and Medicaid Conditions of Participation: Limiting Participation Based on the Performance of Sex Trait Modification Procedures on Children with Congressional staff.

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. Discuss support for increased Hospital Preparedness Program funding with Congressional staff.

Oppose September 19 Presidential Proclamation imposing $100,000 fee on employers petitioning for new H-1B visas; support health care sector exemption; endorse H-1Bs for Physicians and the Healthcare Workforce Act (H.R. 7961). Discuss H.R.1689, designating Haiti for Temporary Protected Status, with Congressional staff.