National Association of Rural Health Clinics

Spending by Year

Lobbying Firms

What They Lobby For

• Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act. Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010. Adoption of negotiated rulemaking committee recommendations on new methodology for designating areas as underserved. Standards for meaningful use of electronic health records. Consumer ability to change plans when qualified health plan changes network. QHP network adequacy standards. Essential Community Provider designation for RHCs under ACA. Development of Alternative payment models. Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015. Reconciliation legislation (the American Health Care Act and the Better Care Reconciliation Act) repealing and replacing the Affordable Care Act. Language dealing with Medicaid expansion and establishment of a per capita cap and/or block granting of Medicaid.
• FY 2017 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy and appropriations for rural health programs in general. FY 2018 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy and appropriations for rural health programs in general. Including language improving Medicare telehealth coverage to include RHCs as "distant site" in the 2018 Continuing Resolution
• Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act. Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010. Proposed Regulations affecting Rural Health Clinics. Regulations establishing standards for the meaningful use of electronic health records. Provider enrollment (PECOS) in Medicare and the ability to order or refer patients. Possible cuts in Medicare bad debt payments for RHCs. Proposed Changes in RHC regulations dealing with employment of PAs and NPs. Changes to the RHC manual by CMS. Network Adequacy. Chronic Care Management and payment for RHCs. Coding on RHC claims. Development of the RHC Qualifying Visit list and clarification of billing requirements. PQRS application to RHCs. Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015. Proposed regulations dealing with ACA Essential Community Providers and network adequacy Legislation to repeal and replace the Affordable Care Act Legislation making changes to the Medicaid program, in particular language impacting RHC payments. Regulations mandating new emergency preparedness requirements for RHCs Legislative initiatives aimed at reducing regulatory burdens for RHCs Support for the Connect for Health Act and other legislation improving the telehealth benefit in the Medicare program Legislation improving coverage of Medicare hospice service provided by Rural Health Clinics, including allow RHC practitioners to be attending providers for hospice patients. Increasing the cap for RHCs subject to the RHC All-inclusive rate cap. Establishment of a grant program for state office of rural health for RHC technical assistance. Changes to RHC Interpretive Guidance/State Operations Manual Appendix G RHC Survey and certification Regulations
• Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act. Raising the RHC Medicare cap for those RHC subject to the Cap. Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010. Proposed Regulations affecting Rural Health Clinics. Regulations establishing standards for the meaningful use of electronic health records. Provider enrollment (PECOS) in Medicare and the ability to order or refer patients. Possible cuts in Medicare bad debt payments for RHCs. Proposed Changes in RHC regulations dealing with employment of PAs and NPs. Changes to the RHC manual by CMS. Network Adequacy. Chronic Care Management and payment for RHCs. Coding on RHC claims. Development of the RHC Qualifying Visit list and clarification of billing requirements. PQRS application to RHCs. Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015. Proposed regulations dealing with ACA Essential Community Providers and network adequacy Legislation to repeal and replace the Affordable Care Act Legislation making changes to the Medicaid program, in particular language impacting RHC payments. Regulations mandating new emergency preparedness requirements for RHCs Legislative initiatives aimed at reducing regulatory burdens for RHCs Support for the Connect for Health Act and other legislation improving the telehealth benefit in the Medicare program Legislation improving coverage of Medicare hospice service provided by Rural Health Clinics, including allow RHC practitioners to be attending providers for hospice patients. Increasing the cap for RHCs subject to the RHC All-inclusive rate cap. Establishment of a grant program for state office of rural health for RHC technical assistance. Changes to RHC Interpretive Guidance/State Operations Manual Appendix G RHC Survey and certification Regulations Issues arising from improper payments for services that should have been covered by MA plans
• FY 2017 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy and appropriations for rural health programs in general. FY 2018 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy and appropriations for rural health programs in general. Including language improving Medicare telehealth coverage to include RHCs as "distant site" in the 2018 Continuing Resolution 2019 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy
• 2019 Appropriations for the Department of Health and Human Services, Federal Office of Rural Health Policy
• Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act. Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010. Adoption of negotiated rulemaking committee recommendations on new methodology for designating areas as underserved. Consumer ability to change plans when qualified health plan changes network. QHP network adequacy standards. Essential Community Provider designation for RHCs under ACA. Development of Alternative payment models. Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015. Language dealing with Medicaid expansion and establishment of a per capita cap and/or block granting of Medicaid.
• Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act. Raising the RHC Medicare cap for those RHC subject to the Cap. Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010. Proposed Regulations affecting Rural Health Clinics. Regulations establishing standards for the meaningful use of electronic health records. Provider enrollment (PECOS) in Medicare and the ability to order or refer patients. Possible cuts in Medicare bad debt payments for RHCs. Proposed Changes in RHC regulations dealing with employment of PAs and NPs. Changes to the RHC manual by CMS. Network Adequacy. Chronic Care Management and payment for RHCs. Coding on RHC claims. Development of the RHC Qualifying Visit list and clarification of billing requirements. PQRS application to RHCs. Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015. Proposed regulations dealing with ACA Essential Community Providers and network adequacy Legislation to repeal and replace the Affordable Care Act Legislation making changes to the Medicaid program, in particular language impacting RHC payments. Regulations mandating new emergency preparedness requirements for RHCs Legislative initiatives aimed at reducing regulatory burdens for RHCs Support for the Connect for Health Act and other legislation improving the telehealth benefit in the Medicare program Legislation improving coverage of Medicare hospice service provided by Rural Health Clinics, including allow RHC practitioners to be attending providers for hospice patients. Increasing the cap for RHCs subject to the RHC All-inclusive rate cap. Establishment of a grant program for state office of rural health for RHC technical assistance. Changes to RHC Interpretive Guidance/State Operations Manual Appendix G RHC Survey and certification Regulations Issues arising from improper payments for services that should have been covered by MA plans Legislation seeking to modernize the RHC program
• any legislation that seeks to make changes to the Affordable Care Act benefit package or coverage requirements.
• Rural Health Clinic Modernization Act Federal regulations and policies related to rural health clinic legislation on what services constitute rural health clinic services Medicaid changes at state level affecting Rural Health Clinics and/or their patients requiring a change in State Plan Amendments

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