Budgeting / en Fri, 02 May 2025 19:55:22 -0500 Fri, 02 May 25 15:40:20 -0500 White House releases 鈥榮kinny budget鈥� request for fiscal year 2026聽 /news/headline/2025-05-02-white-house-releases-skinny-budget-request-fiscal-year-2026 <p>President Trump today released his discretionary spending <a href="https://www.whitehouse.gov/wp-content/uploads/2025/05/Fiscal-Year-2026-Discretionary-Budget-Request.pdf">budget blueprint</a> for fiscal year 2026. The 鈥渟kinny budget鈥� request, which includes top line discretionary funding priorities, is not binding but can act as a starting point for Congress and the administration as they begin the appropriations process to fund the government. The administration later this month is expected to issue its full budget request, which will include its proposed changes to mandatory spending and tax policy.  <br> <br>The budget proposes $93.8 billion for the Department of Health and Human Services, which is a 26.2% reduction from the FY 2025 enacted level. </p><p>AHA members today received a <a href="/2025-05-02-white-house-releases-skinny-budget-request-fiscal-year-2026">Special Bulletin </a>with information on some of the discretionary budget proposals that could impact hospitals and health systems. </p> Fri, 02 May 2025 15:40:20 -0500 Budgeting White House Releases 鈥楽kinny Budget鈥� Request for Fiscal Year 2026 /2025-05-02-white-house-releases-skinny-budget-request-fiscal-year-2026 <div class="container"><div classs="row"><div class="col-md-8"><p>President Trump today released <a href="https://www.whitehouse.gov/wp-content/uploads/2025/05/Fiscal-Year-2026-Discretionary-Budget-Request.pdf" target="_blank" title="discretionary spending budget blueprint">his discretionary spending budget blueprint</a> for fiscal year (FY) 2026. The 鈥渟kinny budget鈥� request, which includes top line discretionary funding priorities, is not binding but can act as a starting point for Congress and the administration as they begin the appropriations process to fund the government. The administration later this month is expected to issue its full budget request, which will include its proposed changes to mandatory spending and tax policy.</p><p>Highlights of some of the provisions affecting hospitals and health systems follow.</p><h2>DISCRETIONARY BUDGET PROPOSALS THAT COULD IMPACT HOSPITALS AND HEALTH SYSTEMS</h2><p><strong>Department of Health and Human Services (HHS):</strong> The budget proposes $93.8 billion for HHS, which is a 26.2% reduction from the FY 25 enacted level.</p><p><strong>Make America Health Again (MAHA)</strong>: The budget proposes $500 million for the MAHA initiative. The administration says this funding will allow the HHS secretary to tackle nutrition, physical activity, healthy lifestyles, over-reliance on medication and treatments, the effects of new technological habits, environmental impacts, and food and drug quality and safety across HHS.</p><p><strong>Health Resources and Services Administration (HRSA):</strong> The budget proposes to reduce funding by $1.73 billion and consolidate a variety of programs that were formerly part of HRSA. Based on the high-level details provided, the administration proposes cuts to maternal and child health programs ($274 million) and workforce programs ($1 billion reduction). The budget proposes to maintain $6 billion for priority activities that were formerly part of HRSA.</p><p><strong>Centers for Disease Control and Prevention (CDC)</strong>: The budget proposes to reduce CDC funding by $3.6 billion and refocus the agency鈥檚 mission on core activities such as emerging and infectious disease surveillance and maintaining the nation鈥檚 public health infrastructure, while eliminating or streamlining programs the administration identifies as waste. The budget proposes maintaining more than $4 billion in funding for CDC.</p><p><strong>National Institute of Health (NIH):</strong> The budget proposes to reduce funding by $18 billion to reform and refocus NIH research activities in line with the president鈥檚 commitment to MAHA, including consolidating programs into five new focus areas: The National Institute on Body Systems Research; National Institute on Neuroscience and Brain Research; National Institute of General Medical Sciences; National Institute of Disability Related Research; and National Institute on Behavioral Health. The budget also proposes to eliminate funding for the National Institute of Minority and Health Disparities. The budget also retains the Advanced Research Projects Agency for Health (ARPA-H). It proposes to maintain $27 billion in funding for NIH research.</p><p><strong>Substance Abuse and Mental Health Services Administration (SAMHSA):</strong> The budget would reduce SAMHSA funding by $1.1 billion and proposes several reductions to grants that the administration believes are duplicative or too small to have a national impact. The budget would maintain $5.7 billion for activities that were formerly part of SAMHSA.</p><p><strong>Centers for Medicare & Medicaid Services (CMS):</strong> The budget proposes a reduction of $674 million to eliminate funding the administration believes has been used to carry out non-statutory and wasteful activities and support projects, while maintaining funding for core Medicare and Medicaid operations. It would eliminate health-equity focused activities.</p><p><strong>Administration for Strategic Preparedness and Response (ASPR):</strong> The budget proposes to eliminate funding for the Hospital Preparedness Program ($240 million). The budget proposes allowing states and territories to scope and fund hospital preparedness.</p><p><strong>Agency for Healthcare Research and Quality (AHRQ):</strong> The budget proposes reducing funding by $129 million to eliminate what the administration believes is duplicative and wasteful grants and contracts. AHRQ also would end new grants and offload contracts and interagency agreements outside of core statistical activities. The proposal also reflects that AHRQ functions have been reorganized and integrated into the new HHS Office of Strategy.</p><h2>FURTHER QUESTIONS</h2><p>If you have further questions, please contact AHA at 800-424-4301.</p></div><div class="col-md-4"><p><a href="/system/files/media/file/2025/05/white-house-releases-skinny-budget-request-for-fiscal-year-2026-bulletin-5-2-2025.pdf" target="_blank" title="Click here to download the Special Bulletin: Senate Passes Revised Budget Resolution PDF"><img src="/sites/default/files/2025-05/cover-white-house-releases-skinny-budget-request-for-fiscal-year-2026-bulletin-5-2-2025.png" data-entity-uuid data-entity-type="file" alt="Cover Special Bulletin: White House Releases 鈥楽kinny Budget鈥� Request for Fiscal Year 2026." width="690" height="892"></a></p></div></div></div> Fri, 02 May 2025 13:29:34 -0500 Budgeting We Must Urge Congress to Protect Access to Medicaid, Patient Care and 24/7 Hospital Services /news/perspective/2025-04-11-we-must-urge-congress-protect-access-medicaid-patient-care-and-247-hospital-services <p>Congressional lawmakers are heading home for a two-week district work period after both the Senate and House passed a revised budget resolution for fiscal year 2025, allowing the chambers to move forward with the <a href="/issue-landing-page/2025-02-07-budget-reconciliation-process-resource-page" target="_blank" title="Reconciliation Process">reconciliation process</a> and begin drafting the specific policies that will be included in the reconciliation bill. This is where the hard work begins.</p><p>The revised resolution still includes instructions for the House Energy and Commerce Committee to cut spending by $880 billion, which means cuts to Medicaid and other health programs are very much still on the table.</p><p>However, this week鈥檚 budget action is another step in a long process and no specifics on anything have been decided. It鈥檚 important to note that the House Energy and Commerce Committee includes broad jurisdiction over many sectors of the economy beyond health care, and the Senate seems inclined to take a more modest approach. In the meantime, we have been building momentum with lawmakers and the public to demonstrate that devastating cuts to the Medicaid program 鈥� and the 72 million individuals who rely on it for coverage 鈥� should not be used to pay for the reconciliation bill.</p><p>We can use the next two weeks while representatives and senators are in their districts and states to drive this point home and explain how significant cuts to Medicaid would stress the availability of health care services for everyone and jeopardize access to the 24/7 care and services that hospitals provide.</p><p><strong>New Polling Shows Widespread Support for Medicaid.</strong> New <a href="https://modernmedicaid.org/wp-content/uploads/2025/04/MMA-Poll-Memo-4-2-25.pdf" target="_blank" title="New polls show widespread support for Medicaid">polling</a> released this week from President Trump鈥檚 2024 pollster showed that 74% of all voters and 61% of Trump voters have a favorable view of Medicaid. In addition, 70% of total voters, including a majority of Trump voters, opposed cutting Medicaid to pay for tax cuts. 鈥淥ur recent survey shows there is no appetite across the political spectrum for cutting Medicaid to pay for tax cuts,鈥� the poll memo said. 鈥淢edicaid is well-liked by most voters, in large part due to the broad impact it has across the electorate and the high level of importance voters place on as many Americans as possible having health insurance.鈥�</p><p><strong>Advocacy Resources and Advertising.</strong> The AHA continues to share new resources that hospitals and health systems can use to assist their advocacy efforts. Visit our <a href="/advocacy/advocacy-issues/medicaid" target="_blank" title="Medicaid Advocacy webpage">Medicaid advocacy webpage</a> for fact sheets, blogs pushing back on misguided reports and other resources you can use in conversations with your lawmakers. And watch for an Action Alert soon with additional resources.</p><p>At the same time, the <a href="https://strengthenhealthcare.org/" target="_blank" title="Coalition to Strengthen America's Healthcare">Coalition to Strengthen America鈥檚 Healthcare</a>, of which the AHA is a founding member, continues to run its <a href="https://strengthenhealthcare.org/coalition-launches-national-ad-campaign-to-protect-medicaid-patients-from-cuts-to-care/" target="_blank" title="Faces of Medicaid national ad compaign">Faces of Medicaid</a> national ad campaign that highlights Medicaid鈥檚 critical impact on the tens of millions of people who rely on the program for access to care. During the last two weeks, the Coalition launched two new ads, 鈥�<a href="https://strengthenhealthcare.org/coalition-launches-national-ad-highlighting-president-trumps-promises-to-protect-medicaid/" target="_blank" title="Coalition to Strengthen America鈥檚 Healthcare Promises Ad">Promises</a>,鈥� which underscores President Trump鈥檚 public commitments about protecting Medicaid and Medicare and calls on Congress not to cut Medicaid, and 鈥�<a href="https://www.youtube.com/watch?v=qAglo-JZzdY&t=1s" target="_blank" title="Coalition to Strengthen America鈥檚 Healthcare 30 Million ad">30 Million</a>,鈥� focusing on Medicaid coverage for children. The ads are running on national cable and digitally. In addition, the Coalition continues to engage its 2.6 million advocates in a grassroots campaign to send letters, make phone calls and send social media posts to their legislators urging them to protect access to care and services.</p><p><strong>Make Your Voices Heard.</strong> While the AHA and Coalition provide the air cover in Washington, nothing is more powerful than your voice 鈥� and the voices of your team members, trustees, patients and community members 鈥� with your senators and representatives. You live, work and, most importantly, vote in their districts and states. You have their attention and can explain to them the impact policy proposals would have for their constituents and your ability to provide care. Please take advantage of your legislators being home and highlight for them the need to protect Medicaid and access to the 24/7 services that hospitals and health systems provide.</p><p>In addition, if you haven鈥檛 done so yet, there鈥檚 still time to make plans to join nearly 1,000 hospital and health system leaders for the <a href="/education-events/2025-aha-annual-membership-meeting" target="_blank" title="AHA Annual Membership Meeting">AHA鈥檚 Annual Membership Meeting</a> May 4-6 in Washington, D.C. You鈥檒l hear directly from legislators, policymakers and thought leaders, as well as have the opportunity to go to Capitol Hill to deliver our field鈥檚 message about protecting access to care and services, providing relief from burdensome regulations and policies, and strengthening and supporting the health care workforce.</p><p>We鈥檝e seen time and time again when our field speaks with a strong and united voice, lawmakers hear us. And we get results. That unity will be more important than ever over the next few weeks and months as we stand up for patients to protect access to the care that hospitals and health systems provide in every community across America.</p> Fri, 11 Apr 2025 08:25:31 -0500 Budgeting House passes revised budget resolution /news/headline/2025-04-10-house-passes-revised-budget-resolution <p>The House, by a vote of 216-214, passed the revised <a href="https://www.budget.senate.gov/imo/media/doc/senate_amendment_h_con_res_14.pdf" title="House res">budget resolution</a> for fiscal year 2025. This follows the Senate鈥檚 passage of the bill <a href="/news/headline/2025-04-04-senate-expected-vote-revised-budget-resolution-over-weekend" title="Senate bill pass">last week</a>. Reps. Victoria Spartz, R-Ind., and Thomas Massie, R-Ky., joined all Democrats today in voting 鈥渘o.鈥�  </p><p> </p><p>Notably, the resolution instructs the House Energy and Commerce Committee, which has primary jurisdiction over Medicaid and other health care programs, to cut a minimum of $880 billion in spending. AHA members April 3 received a <a href="/2025-04-03-senate-unveils-amendment-house-budget-resolution-vote-expected-week" title="bulletin">Special Bulletin</a> with additional highlights of what鈥檚 included in the revised budget resolution and AHA resources.   </p><p> </p><p>With the House and Senate's passage of the resolution, Congress can move forward with the <a href="/issue-landing-page/2025-02-07-budget-reconciliation-process-resource-page" title="recon process">reconciliation process</a>. The next step calls for specific committees to begin drafting legislation consistent with their instructions in the budget resolution. This is where the hard work begins, as House and Senate committees must decide on the specific policies to be included within the reconciliation bill.  </p><p> </p><p>The budget resolution gives Senate and House committees until May 9 to report legislation, but this is not a binding deadline. </p> Thu, 10 Apr 2025 15:45:39 -0500 Budgeting Senate Passes Revised Budget Resolution <div class="container"><div classs="row"><div class="col-md-8"><p>Early this morning, the Senate by a vote of 51 to 48 passed its <a href="https://www.budget.senate.gov/imo/media/doc/senate_amendment_h_con_res_14.pdf" target="_blank" title="Senate.gov: H.Con.Res.14">revised budget resolution</a> for fiscal year 2025 with Sens. Rand Paul, R-Ky., and Susan Collins, R-Maine, voting with Democrats in opposition.</p><p>During the six-hour 鈥渧ote-a-rama session,鈥� Sen. Ron Wyden, R-Ore., offered an amendment to strike the instructions for the House Energy & Commerce Committee to cut spending by $880 billion, citing his concerns around potential cuts to the Medicaid program. The amendment was not agreed to by a vote of 49-50. Three Republicans, Sens. Collins, Josh Hawley, R-Mo., and Lisa Murkowski, R-Alaska, voted in favor of the amendment along with Senate Democrats.</p><p>The House is expected to consider the revised resolution next week. This marks the next step toward reaching a common budget resolution that will allow Congress to move forward with the <a href="/issue-landing-page/2025-02-07-budget-reconciliation-process-resource-page">reconciliation process</a>.</p><p>The resolution is drafted to provide flexibility to Senate and House Committees when they begin drafting their individual bills. As is customary, the budget resolution does not provide details on potential cuts to Medicaid or Medicare, as well as the extension of the Enhanced Premium Tax Credits (EPTCs).</p><h2>Key Highlights of the Budget Resolution</h2><h3>Debt Ceiling</h3><p>The resolution includes instructions to allow Congress to increase the debt limit. The House Ways & Means Committee instruction is $4 trillion, and the Senate Finance Committee鈥檚 is $5 trillion.</p><h3>Tax Policy</h3><p>The resolution assumes a budget mechanism called 鈥渃urrent policy baseline鈥� to set up a pathway toward making the tax cuts within the Tax Cuts & Jobs Act (TCJA) permanent.</p><h3>Preserves House Instructions</h3><ul><li>The House Ways & Means Committee is instructed to increase deficits by not more than $4.5 trillion (TCJA extension).</li><li>The House Energy and Commerce Committee is instructed to reduce deficits by not less than $880 billion. The Energy and Commerce Committee has primary jurisdiction over Medicaid and other health care programs.</li><li>The resolution reflects the desire of the House-passed budget resolution to reach $2 trillion in spending cuts.</li></ul><h3>Adds Senate Health Committee Instructions</h3><ul><li>The Senate Finance Committee is instructed to increase deficits by not more than $1.5 trillion (TCJA extension and other tax policy).</li><li>The Senate Health, Education, Labor and Pensions (HELP) Committee is instructed to reduce deficits by not less than $1 billion. This is a change from the Senate鈥檚 original previous budget resolution. The HELP Committee has jurisdiction over measures relating to education, labor, health and public welfare.</li></ul><h3>Deadline for Committees</h3><p>The budget resolution gives Senate and House committees a May 9 deadline to report legislation, but this is not a binding deadline.</p><h2>Next Steps</h2><p>The resolution now moves to the House for consideration next week. Congressional leaders hope to complete work on the budget resolution before leaving for their two-week April recess (April 14-25).</p><p>Once both chambers have passed the budget resolution, committees that have received instructions in the budget resolution will begin drafting the reconciliation bill.</p><h2>AHA Take</h2><p>As the Senate and House forge ahead on the fiscal year 2025 budget resolution and reconciliation process, the AHA continues to urge Congress to take seriously the impact of reductions in health care programs, particularly Medicaid. We ask Congress to construct a path forward that protects Medicaid and patients from harmful cuts that would impact access to care for millions of Americans. The AHA will continue to keep the field updated on the latest developments and action needed.</p><h2>Resources on Protecting Medicaid, Other Health Programs</h2><p>The AHA continues to develop and share resources with hospitals and health systems on the importance of protecting Medicaid and other health programs. Please visit our <a href="/advocacy/action-center">Action Center</a> for a host of resources on key advocacy issues. In addition, the Coalition to Strengthen America鈥檚 Healthcare, of which the AHA is a founding member, continues to run advertising, share digital resources and engage in grassroots activity on the importance of protecting Medicaid. See the <a href="https://strengthenhealthcare.org/" target="_blank" title="Coalition to Strengthen America's Healthcare homepage">Coalition website</a> for the latest advertising and resources.</p><h2>Further Questions</h2><p>If you have further questions, please contact Rachel Jenkins, AHA senior associate director of federal relations, at <a href="mailto:rjenkins@aha.org?subject=RE: Special Bulletin: Senate Passes Revised Budget Resolution">rjenkins@aha.org</a>.</p></div><div class="col-md-4"><p><a href="/system/files/media/file/2025/04/Special-Bulletin-Senate-Passes-Revised-Budget-Resolution-20250405.pdf" target="_blank" title="Click here to download the Special Bulletin: Senate Passes Revised Budget Resolution PDF"><img src="/sites/default/files/inline-images/Page-1-Special-Bulletin-Senate-Passes-Revised-Budget-Resolution-20250405.png" data-entity-uuid="457fa1ef-79fd-44b7-9ca9-266f7310196e" data-entity-type="file" alt="Special Bulletin: Senate Passes Revised Budget Resolution page 1." width="690" height="900"></a></p></div></div></div> Sat, 05 Apr 2025 10:50:00 -0500 Budgeting Senate Unveils Amendment to House Budget Resolution with Vote Expected This Week <div class="container"><div class="row"><div class="col-md-8"><p>Senate Budget Committee Chair Lindsey Graham, R-S.C., April 2 released the <a href="https://www.budget.senate.gov/imo/media/doc/senate_amendment_h_con_res_14.pdf?mkt_tok=NzEwLVpMTC02NTEAAAGZl8RTAeR77E_lSejQRLXuYl1AOsKjOdJI0nU2PMfXA8wXmmXVYF7CcZk5tv11NHb3ujccKHrsSVucOEOWX58ycMOSAOS21R7ZAFkGPAKzprtG7Q" target="_blank">Senate's amendment</a> to the House budget resolution for fiscal year 2025. This marks the next step toward reaching a common budget resolution that will allow Congress to move forward with the <a href="/issue-landing-page/2025-02-07-budget-reconciliation-process-resource-page" target="_blank">reconciliation process</a>.  </p><p>The amendment is drafted to provide flexibility to Senate and House Committees when they begin drafting their individual bills. As is customary, the budget resolution does not provide details on potential cuts to Medicaid or Medicare, as well as the extension of the Enhanced Premium Tax Credits (EPTCs).</p><h2>Key Highlights of the Budget Resolution</h2><p><strong>Debt Ceiling:</strong> The resolution includes instructions to allow Congress to increase the debt limit. The House Ways & Means Committee instruction is $4 trillion, and the Senate Finance Committee鈥檚 is $5 trillion.</p><p><strong>Tax Policy: </strong>The resolution assumes a budget mechanism called 鈥渃urrent policy baseline鈥� to set up a pathway toward making the tax cuts within the Tax Cuts & Jobs Act (TCJA) permanent.</p><p><strong>Preserves House Instructions:</strong></p><ul><li>The House Ways & Means Committee is instructed to increase deficits by not more than $4.5 trillion (TCJA extension).</li><li>The House Energy and Commerce Committee is instructed to reduce deficits by not less than $880 billion. The Energy and Commerce Committee has primary jurisdiction over Medicaid and other health care programs.</li><li>The resolution reflects the desire of the House-passed budget resolution to reach $2 trillion in spending cuts.</li></ul><p><strong>Adds Senate Health Committee Instructions:</strong></p><ul><li>The Senate Finance Committee is instructed to increase deficits by not more than $1.5 trillion (TCJA extension and other tax policy).</li><li>The Senate Health, Education, Labor and Pensions (HELP) Committee is instructed to reduce deficits by not less than $1 billion. This is a change from the  Senate鈥檚 original previous budget resolution. The HELP Committee has jurisdiction over measures relating to education, labor, health and public welfare.</li></ul><p><strong>Deadline for Committees:</strong> The budget resolution gives Senate and House committees a May 9 deadline to report legislation, but this is not a binding deadline.</p><h2>Next Steps</h2><p>The Senate is expected to begin consideration of the budget resolution as soon as tonight. We anticipate the Senate to potentially work into the weekend processing amendments prior to a final vote. Health-related amendments are expected, particularly around Medicaid and EPTCs. We will be monitoring these developments.</p><p>If the revised resolution passes the Senate, it will move to the House for consideration next week. Congressional leaders hope to complete work on the budget resolution before leaving for their two-week April recess (April 14-25).</p><p>Once both chambers have passed the budget resolution, committees that have received instructions in the budget resolution will begin drafting the reconciliation bill.</p><h2>AHA Take</h2><p>As the Senate and House forge ahead on the fiscal year 2025 budget resolution and reconciliation process, the AHA continues to urge Congress to take seriously the impact of reductions in health care programs, particularly Medicaid. We ask Congress to construct a path forward that protects Medicaid and patients from harmful cuts that would impact access to care for millions of Americans. The AHA will continue to keep the field updated on the latest developments and action needed.</p><h2>Resources on Protecting Medicaid, Other Health Programs</h2><p>The AHA continues to develop and share resources with hospitals and health systems on the importance of protecting Medicaid and other health programs. Please visit our <a href="/advocacy/action-center" target="_blank">Action Center</a> for a host of resources on key advocacy issues. In addition, the Coalition to Strengthen America鈥檚 Healthcare, of which the AHA is a founding member, continues to run advertising, share digital resources and engage in grassroots activity on the importance of protecting Medicaid. See the Coalition <a href="https://strengthenhealthcare.org/" target="_blank">website</a> for the latest advertising and resources.</p><h2>Further Questions</h2><p>If you have further questions, please contact Rachel Jenkins, AHA senior associate director of federal relations, at <a href="mailto:rjenkins@aha.org">rjenkins@aha.org</a>. </p></div><div class="col-md-4"><a href="/system/files/media/file/2025/04/senate-unveils-amendment-to-house-budget-resolution-with-vote-expected-this-week-bulletin-4-3-2025.pdf"><img src="/sites/default/files/2025-04/cover-senate-unveils-amendment-to-house-budget-resolution-with-vote-expected-this-week-bulletin-4-3-2025.png" data-entity-uuid data-entity-type="file" alt="Special Bulletin Cover Image" width="640" height="833"></a></div></div></div> Thu, 03 Apr 2025 16:02:35 -0500 Budgeting House and Senate Pass Continuing Resolution Funding Government, Averting Shutdown <div class="container"><div class="row"><div class="col-md-8"><p>Today, the Senate voted 54-46 to pass a continuing resolution (CR) to fund the government through Sept. 30 and avoid a government shutdown. The House of Representatives March 11 passed the Full-year Continuing Appropriations and Extensions Act of 2025 (<a href="https://www.congress.gov/bill/119th-congress/house-bill/1968" target="_blank" title="H.R. 1968">H.R. 1968</a>) by a vote of 217-213.</p><p>Some of the health care provisions in the bill include:</p><p><strong>Medicaid disproportionate share hospital relief</strong>. The bill eliminates the Medicaid DSH cuts through Sept. 20, 2025, but also adds another year of cuts for fiscal year 2028.</p><p><strong>Medicare rural extenders</strong>. The bill extends the enhanced low-volume adjustment through Sept. 30, 2025, and the Medicare-dependent hospital program through Oct. 1, 2025.</p><p><strong>Medicare telehealth and hospital-at-home extensions</strong>. The bill extends key telehealth waivers and the hospital-at-home program through Sept. 30, 2025.</p><p><strong>Extension of the work geographic index floor under the Medicare program</strong>. The bill extends a 1.0 floor on the work geographic practice cost index through Oct. 1, 2025.</p><p><strong>Medicare rural ambulance</strong>. The bill extends add-on payments for ambulance services through Oct. 1, 2025. These add-on payments support rural, 鈥渟uper-rural鈥� and urban ambulance services.</p><p><strong>Workforce extenders</strong>. The bill includes an extension for Community Health Centers, the National Health Service Corps, and Teaching Health Centers Graduate Medical Education Program through Sept. 30, 2025.</p><h2>OTHER ITEMS OF INTEREST</h2><p><strong>Physician payment</strong>. The bill does not provide relief for Medicare physician reimbursement rates, which under current law and regulatory policy includes a 2.8% reduction for 2025.</p><p><strong>Medicaid and Site-neutral</strong>. The CR does not include any cuts to Medicaid or siteneutral payment cuts to hospitals.</p><h2>Further Questions</h2><p>If you have further questions, please contact the AHA at 800-424-4301.</p></div><div class="col-md-4"><a href="/system/files/media/file/2025/03/house-senate-pass-continuing-resolution-funding-government-averting-shutdown-bulletin-3-14-2025.pdf"><img src="/sites/default/files/inline-images/cover-house-senate-pass-continuing-resolution-funding-government-averting-shutdown-bulletin-3-14-2025.png" data-entity-uuid="949ebe90-eefe-40c3-804b-f38d9b846d3b" data-entity-type="file" alt="Special Bulletin Cover Image" width="640" height="834"></a></div></div></div> Fri, 14 Mar 2025 16:38:03 -0500 Budgeting House expected to consider CR to fund government through Sept. 30, extend key health care provisions /news/headline/2025-03-10-house-expected-consider-cr-fund-government-through-sept-30-extend-key-health-care-provisions <p>House Republican leaders March 8 unveiled a <a href="https://rules.house.gov/sites/evo-subsites/rules.house.gov/files/documents/crfull_xml.pdf" title="House extender bill">bill</a> that would fund the federal government through Sept. 30 of this year, as well as extend certain key health care provisions that are set to expire at the end of March. The bill, known as a continuing resolution, would largely keep government funding at current levels through the end of this fiscal year, with some adjustments. Current government funding is set to expire March 14. </p><p>The House Rules Committee is expected to consider the bill today, and it could be on the House floor for a vote on March 11. If it passes the House, it is expected to be on the Senate floor later this week.</p><p>Some key highlights of health care provisions include: </p><ul><li><strong>Medicaid Disproportionate Share Hospital Relief. </strong>The bill would eliminate the Medicaid DSH cuts through Sept. 30, 2025.   </li><li><strong>Medicare Rural Extenders. </strong>The bill would extend the enhanced low-volume adjustment program through Sept. 30, 2025, and the Medicare-dependent hospital program through Oct. 1, 2025.</li><li><strong>Medicare Telehealth and Hospital-at-home Extensions. </strong>The bill would extend key telehealth waivers and the hospital-at-home program through Sept. 30, 2025.</li><li><strong>Extension of the Work Geographic Index Floor under the Medicare Program. </strong>The bill will extend a 1.0 floor on the work geographic practice cost index through Oct. 1, 2025.</li><li><strong>Medicare Rural Ambulance.</strong> The bill will extend add-on payments for ambulance services through Oct. 1, 2025. These add-on payments support rural, 鈥渟uper-rural鈥� and urban ambulance services. </li></ul> Mon, 10 Mar 2025 14:43:08 -0500 Budgeting AHA Statement on House Budget Resolution /press-releases/2025-02-25-aha-statement-house-budget-resolution <p class="text-align-center"><strong>Rick Pollack</strong><br><strong>President and CEO</strong><br><strong>黑料正能量 Association</strong></p><p class="text-align-center"><strong>February 25, 2025</strong></p><p>On behalf of the hospitals, nurses, doctors and those who care for and serve the needs of the 72 million patients that rely on Medicaid, we urge you to consider the implications of hinging the budget reconciliation bill鈥檚 fate on removing health care access for millions of our nation's patients. These are hardworking families, children, seniors, veterans, and disabled individuals who rely on essential health care services.<br><br>We ask the House to construct a path forward that protects Medicaid from harmful cuts that would impact access to care for millions of Americans.</p><p class="text-align-center"> </p><p class="text-align-center">###</p> Tue, 25 Feb 2025 10:42:56 -0600 Budgeting AHA Statement on Congressional Budget Resolution Deliberations /press-releases/2025-02-12-aha-statement-congressional-budget-resolution-deliberations <p class="text-align-center"><strong>Rick Pollack</strong><br><strong>President and CEO</strong><br><strong>黑料正能量 Association</strong></p><p class="text-align-center"><strong>February 12, 2025</strong></p><p>As the Senate and House Budget Committees begin deliberations on their Fiscal Year 2025 budget resolutions, the 黑料正能量 Association urges Congress to take seriously the impact of reductions in health care programs, particularly Medicaid.</p><p>While some have suggested dramatic reductions in the Medicaid program as part of a reconciliation vehicle, we would urge Congress to reject that approach. Medicaid provides health care to many of our most vulnerable populations, including pregnant women, children, the elderly, disabled and many of our working class.</p><p class="text-align-center"> </p><p class="text-align-center">###</p> Wed, 12 Feb 2025 13:20:37 -0600 Budgeting