AMERICAN HEALTH CARE ASSOCIATION for AMERICAN HEALTH CARE ASSOCIATION

Medicare/Medicaid MMM

Observation Stays and 3 Day Stay Issue Outreach to HHS/CMS/Administration Survey Relief/Civil Monetary Penalties CMS on Public Health Waiver and other waivers SNF Payment Rule OSHA Emergency Temporary Standards Care For Our Seniors Act Medicare Advantage H.R. 177 - To amend title XI of the Social Security Act to ensure nursing facilities report information on medical directors of such facilities. CDC/COVID Safety Guidance Outreach to hill, HHS and ONC on LTPAC health information technology needs (zoom meetings and letters) Outreach to hill on needed Physician Fee Schedule reforms (sign on letters only) Improve Access to Mental Access Act S838/HR1638 (sign on letters) Improving Access to Medicare Coverage Act of 2023 s.4137/H.R.5138 HR 5796, S. 3410 - Protecting Rural Seniors Access to Care Act Outreach to hill on needed telehealth reforms (sign on letters only) Improving Seniors Timely Access to Care Act

Contacted: Centers For Medicare and Medicaid Services (CMS); Health & Human Services, Dept of (HHS); SENATE; Health Resources & Services Administration (HRSA); HOUSE OF REPRESENTATIVES

Bills named: H.R. 1638 (118th), H.R. 5796 (118th), S. 4137 (118th), S. 3410 (118th), H.R. 5138 (118th), H.R. 177 (118th)

Veterans VET

Outreach to VA and DOL: VA Provider Agreements, PDPM, IDIQ, and Community Care Network (CNN) Implementation AHCA is working with the VA on implementation of the provider agreement section of the VA Mission Act of 2018 VA contracts and federal contracting minimum wage - outreach to VA, DOL, & the Hill S.495/H.R.1815 - The Expanding Veterans Options for Long Term Care Act Outreach to the VA on VCAs and CCNs The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

Contacted: HOUSE OF REPRESENTATIVES; Veterans Affairs, Dept of (VA); Labor, Dept of (DOL); SENATE

Bills named: S. 495 (118th), H.R. 1815 (118th)

Housing HOU

HUD Congressional and Agency related COVID proposals for SNFs, ALs, and ICFs Educating and Advocacy around NCAL Affordable AL Project Outreach to HUD via coalition letter on an Office of General Counsel legal opinion impacting current Section 232 Handbook Guidelines and Section 232 Program Regulations

Contacted: HOUSE OF REPRESENTATIVES; SENATE; Housing & Urban Development, Dept of (HUD)

Health Issues HCR

Support for 21st Century House LTC Caucus Outreach to CMS, the Administration, OMB and the Hill on SNF Minimum Staffing Anticipated Proposal from CMS Senator Tester Led Minimum Staffing Letter to CMS Reps. Golden/Pence Led Minimum Staffing Letter to CMS Nursing home transparency & private equity outreach to Hill and CMS Doggett-Schakowsky letter to CMS supporting minimum staffing requirements Casey-Wyden letter to CMS supporting minimum staffing requirements Tester-Lankford Senate Letter to CMS on minimum staffing Pence, Guthrie, Fischbach, Golden and Pappas House letter to CMS on minimum staffing Outreach to HHS and CMS in response to invitation to participate in Change Healthcare cybersecurity breach response roundtable LTPAC HIT coalition outreach to hill committee and member staff to educate on need for support regarding advancing interoperability

Contacted: Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; SENATE; Centers For Medicare and Medicaid Services (CMS)

Labor Issues/Antitrust/Workplace LBR

The Elder Justice Reauthorization and Modernization Act of 2023 AHCA/NCAL proposal of Care For Our Seniors Act Staff Agency Practices - Outreach to the Hill Immigration Delays - outreach to U.S. Departments of State, Homeland Security, & USCIS Advocating for providing temporary nurse aides a reasonable grace period as the public health emergency ends Administration nursing home reform plan Appropriations related outreach Support of the 21st Century Long-Term Care Caucus Outreach to DOL in support of LTC apprenticeship programs Outreach to LTC workforce related and appropriations matters Outreach to CMS and the Hill on the TNA waiver issue Outreach to CMS and the Hill on minimum staffing standards Outreach to DOE on SNF Loan Repayment Issues impacting the LTC workforce, including advocacy on the Care for Seniors Act H.R. 9067 Building Americas Health Care Workforce Act Senate HELP Comm Workforce RFI Comments S.1749/H.R. 3227 -- Ensuring Seniors Access to Quality Care Act Joined coalition in support for the bipartisan resolution S.J.Res.49/H.J.Res.98 Protecting American's Seniors' Access to Care Act (S. 3410/H.R. 7513) Outreach to DOL and NLRB on regulatory related workforce matters impacting LTC providers Advocacy around observation stays bill in the Senate Advocacy around the mark-up of the Protecting Americans Seniors Access to Care Act in the House Ways and Means Committee Advocacy around LTC workforce and AL with the Senate Aging Committee on policies they are considering Support for the SENIOR Act (H.R. 7605), which increases access and affordability of assisted living and address our workforce needs. Outreach to Dept of Labor, Employment and Training Admin on RIN 1205-AC13 - National Apprenticeship System Enhancements Train More Nurses Act (S. 2853/H.R. 6122) Safeguarding Elderly Needs for Innovation and Occupational Resources (SENIOR) Act (H.R. 7605) Protecting America's Seniors' Access to Care Act (S. 3410/H.R. 7513) Support for the Health Care Workforce Investment Act (H.R. 9812)

Contacted: SENATE; State, Dept of (DOS); Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES; Labor, Dept of (DOL)

Bills named: H.R. 3227 (118th), S. 1749 (118th), H.J.Res. 98 (118th), H.R. 6122 (118th), H.R. 9067 (118th), H.R. 7513 (118th), H.R. 9812 (118th), H.R. 7605 (118th), S. 2853 (118th), S.J.Res. 49 (118th), S. 3410 (118th)

Immigration IMM

Advocacy Around the Health Care Workforce Resilience Act Outreach to the Hill and U.S. State Department on visa retrogression issue

Contacted: Labor, Dept of (DOL); Homeland Security, Dept of (DHS); SENATE; State, Dept of (DOS); HOUSE OF REPRESENTATIVES