Analyses or Summaries

Summary of a report, legislation, regulation or measure, and analysis of what it means to children's health and children's hospitals.

Resources

Analysis or Summary
Hospital Negotiated Rates Disclosure Final Rule Summary
December 6, 2019

CMS released the Price Transparency Requirements proposed rule on Nov. 15.

Analysis or Summary
CHA Summary of Tennessee Medicaid Block Grant Proposal
December 6, 2019

Tennessee has released its Medicaid block grant proposal for public comment.

Analysis or Summary
CY 2020 Physician Fee Schedule Final Rule Summary
December 2, 2019

CMS released the CY 2020 Physician Fee Schedule final rule that outlines annual updates to the Schedule and Quality Payment Program.

Analysis or Summary
CMS announces plan to collect 340B drug acquisition price information
December 2, 2019

CMS announced a proposed hospital survey for specified covered outpatient drugs.

Analysis or Summary
Medicaid Fiscal Accountability Regulation Summary
November 26, 2019

Please provide comments on CMS' proposed rule, "Medicaid Fiscal Accountability Regulation," which includes requirements on how states generate their non-federal Medicaid funding.

Analysis or Summary
Medicaid Disproportionate Share Hospital Cuts Methodology
November 25, 2019

CMS released a final rule to implement statutorily required DSH state allotment reductions that are scheduled to begin in FY 2020.

Analysis or Summary
HHS proposes overhaul of Stark Law and Anti-Kickback Statute regulations
November 14, 2019

HHS released two proposed rules revising the Stark Law and Anti-Kickback Statute regulations.

Analysis or Summary
Medicaid Throwdown Leadership Summary
November 11, 2019

Analysis or Summary
House E&C Subcommittee holds oversight hearing on CMS’ health care actions
October 24, 2019

The House Energy and Commerce Oversight Subcommittee held a hearing examining actions on health insurance coverage under the Trump Administration.

Analysis or Summary
Omnibus Burden Reduction (Conditions of Participation) Final Rule Summary
October 17, 2019

CMS released the Omnibus Burden Reduction final rule.

Analysis or Summary
CMS issues hospital discharge planning final rule
October 10, 2019

CMS released the Discharge Planning for Hospitals final rule.

Analysis or Summary
CY 2020 Medicare OPPS Proposed Rule Comment Letter
October 9, 2019

CHA submitted a comment letter for CMS' CY 2020 Medicare Hospital Outpatient Prospective Payment System proposed rule.

Analysis or Summary
Medicaid Access Rule Rescission – CHA Summary and Comment Letter
September 16, 2019

CMS released a proposed rule that removes critical regulatory provisions outlining current fee-for-service requirements.

Analysis or Summary
CHA summary of proposed changes to confidentiality of substance use disorder patient records regulations
September 13, 2019

SAMHSA released a proposed rule that modifies the confidentiality of SUD patient records regulations.

Analysis or Summary
Administrative Actions Chart
September 12, 2019

An overview of federal regulations and other administrative guidance of interest to children's hospitals.

Analysis or Summary
Alston & Bird Backgrounder on Medical Deferred Action Status for Immigrants in Need of Medical Care
September 6, 2019

Alston & Bird prepared a backgrounder on medical deferred action status.

Analysis or Summary
FY 2020 Medicare IPPS Final Rule Summary
August 21, 2019

On August 2, the Centers for Medicare & Medicaid Services (CMS) released its FY 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule.

Analysis or Summary
High-level Summary of Final Public Charge Rule
August 16, 2019

On Aug. 12, the U.S. Department of Homeland Security (DHS) released the final rule, “Inadmissibility on Public Charge Grounds.”

Analysis or Summary
CHA Comments on Proposed Rule to Roll Back Nondiscrimination Protections
August 13, 2019

HHS released a proposed rule to roll back key aspects of a former rule that implemented the ACA's non-discrimination provisions, known as Section 1557.

Analysis or Summary
Avalere Report: The Effect of Block Grants and Per Capita Caps on Children
July 17, 2019

Under block grant or per capita cap proposals, Avalere estimates a potential loss in federal Medicaid funding to states, specifically for children, ranging from $89B to $163B nationally over 10 years.

Analysis or Summary
CHA Summary of Informational Bulletin on Addressing Mental Health and Substance Use Issues in Schools
July 11, 2019

The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare and Medicaid Services (CMS) released a Joint Informational Bulletin (Bulletin) that includes examples of approaches for mental health and substance abuse related treatment services in schools and describes the existing Medicaid authorities states may use to cover these services in school-based settings.

Analysis or Summary
New Hampshire Granite Advantage Health Care Program
July 5, 2019

New Hampshire's demonstration implements a premium assistance program for adults between the ages 19 to 65 with incomes up to 133 percent of the federal poverty level.

Analysis or Summary
New Hampshire Building Capacity for Transformation
July 5, 2019

New Hampshire proposes to establish six Designated State Health Programs to support the state's broader Medicaid Care Management program and expansion of coverage under the New Hampshire Health Protection Program.

Analysis or Summary
Maryland HealthChoice Demonstration
July 3, 2019

Maryland's HealthChoice demonstration provides health care services for most Medicaid beneficiaries, including children up to age 21, through a managed care delivery system and provides additional benefits for targeted individuals.

Analysis or Summary
New York Medicaid Redesign Team Waiver
July 3, 2019

New York's demonstration aims to lower Medicaid costs and improve patient care through better care coordination and management among different types of providers within defined geographic areas.