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Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries

Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Medicare Advantage, Access & Health Coverage, Medicare
Member

CMS Proposes Updates to Conditions of Coverage for Organ Procurement Organizations

The Centers for Medicare & Medicaid Services (CMS) Jan. 28 issued a proposed rule that would update the Medicare Conditions for Coverage for Organ Procurement Organizations (OPOs).
Organ and Tissue Donation, Procurement, Medicare

AHA submits comments on CMS proposed rule on prohibiting ‘sex-rejecting procedures’ for children

The AHA Feb. 17 submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.
Medicaid, Medicare, Child and Adolescent Health
Public

AHA Submits Comments on CMS Proposed Rule on Prohibiting 'Sex-Rejecting Procedures' for Children

The AHA today submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.
Conditions of Participation, Medicare, Medicaid

Senate Aging Committee holds hearing on physician burnout 

The Senate Special Committee on Aging held a hearing Feb. 11 on issues impacting physician burnout.
Legislation and Legislative Advocacy, Workforce, Geriatric, Medicare Advantage, Workplace Violence
Member

HHS Proposes Actions Regarding ‘Sex-rejecting Procedures’ on Children

The Department of Health and Human Services (HHS) Dec. 18 proposed a series of regulatory actions intended to end the practice of “sex-rejecting procedures” (SRPs) on children.
Medicaid, CHIP, Advocacy & Public Policy, Medicare, Reimbursement, Access to Behavioral Health
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) Nov. 21 released its calendar year (CY) 2026 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care, Post-Acute Care, Advocacy & Public Policy, Medicare, Access to Behavioral Health, Reimbursement

CMS announces state distribution of $50 billion in rural health funds

The Centers for Medicare & Medicaid Services Dec. 29 announced $50 billion in funds awarded to all 50 states through the Rural Health Transformation Program.
Rural issues, One Big Beautiful Bill Act (OBBBA), Advocacy & Public Policy, Access to Behavioral Health, Medicare, Capacity Planning, Reimbursement
Public

Providing Solutions to Address Challenges with MA Plans

More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries.
Medicare Advantage

Making our Voice Heard and Leading the Way to Advance Health in America

It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
Advocacy & Public Policy, Medicaid, Medicare, Medicare DSH, Medicaid DSH, Access to Behavioral Health, Workforce