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Fact Sheet: Rural Hospital Support Act (S. 335) and the Assistance for Rural Community Hospitals Act
Medicare pays most acute-care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare to help address potential financial challenges associated with being rural, geographically isolated and low volume.These programs are Medicare- dependent Hospitals (MDHs), Low-volume Adjustment (LVA) and Sole Community Hospitals (SCHs).
Fact Sheet: Medicaid DSH Program
The Medicaid Disproportionate Share Hospital (DSH) program provides essential financial assistance to hospitals that care for our nation’s most vulnerable populations, including children and those who are disabled and elderly. These hospitals also provide critical community services, such as trauma and burn care, maternal and child health, high-risk neonatal care and disaster preparedness resources.
Fact Sheet: Extending the Hospital-at-Home Program
The AHA supports the Hospital Inpatient Services Modernization Act (H.R. 8260/S. 4350) introduced in the House by Representatives Brad Wenstrup, R-Ohio, and Earl Blumenauer, D-Ore., and in the Senate by Senators Tom Carper, D-Del., and Tim Scott, R-S.C. The bill extends the H@H waiver for five years through the end of 2029.
Fact Sheet: Telehealth Waivers
At the outset of the COVID-19 pandemic, the federal government moved quickly to ensure hospitals and health systems were able to leverage telehealth services to respond efficiently and effectively to a wave of unprecedented need.
Fact Sheet: Enhanced Premium Tax Credits
In support of the health of our patients and communities, as well as the stability of the entire health care system, the AHA urges Congress to extend the enhanced premium tax credits.
Fact Sheet: One Big Beautiful Bill Act Would Significantly Reduce Availability of Coverage in the Health Insurance Marketplaces
The House-passed One Big Beautiful Bill Act (OBBBA, H.R. 1) makes significant changes to the Affordable Care Act (ACA) marketplaces that would lead to millions of people losing their coverage and becoming uninsured.
Rural Hospitals at Risk: Cuts to Medicaid Would Further Threaten Access
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
Fact Sheet: Budget Reconciliation 101
Budget reconciliation is an optional process under the Congressional Budget Act of 1974 that allows for expedited consideration of certain fiscal legislation that makes changes to mandatory spending, revenues and/or the debt limit.
Fact Sheet: Presumptive Eligibility
A growing trend in hospital and health system financial assistance programs is the incorporation of presumptive eligibility screenings for charity care. Presumptive eligibility refers to an automated process of analyzing readily available financial and other data to approximate a patient’s financial need.
Estimated Impact of FMAP Reduction
The table below summarizes the 10-year impact on federal Medicaid hospital spending if the Federal Medical Assistance Percentage (FMAP) were reduced to the traditional level for Medicaid expansion enrollees due to program churn.