Federal Issues

IHA is at the center of healthcare advocacy in Washington, D.C. Our efforts focus on legislation in Congress and policy proposals within federal regulatory agencies to advance healthcare in Illinois.

  • Advocacy
  • Policy
Jul 16, 2021

Urge Your US Senators NOT to Use Medicare Sequester, PRF to Pay for Bipartisan Infrastructure Bill

Urge Sens. Durbin and Duckworth NOT to extend the 2% Medicare sequestration cut or use unspent COVID Provider Relief Funds (PRF) to offset the cost of the bipartisan infrastructure package.

May 19, 2021

Letter from the Graduate Medical Education Advocacy Coalition

The pandemic exposed the critical need for additional federal investment in our healthcare infrastructure, in particular the need for more physicians. IHA joins other organizations in urging action.

Apr 27, 2021

IHA Letter to Congressional Delegation: Support Hospital Priorities in Infrastructure Bill

IHA requests that members of the Illinois Congressional Delegation consider policies and investments to support healthcare infrastructure in Illinois.

Mar 03, 2021

IHA Alert: Urge Senate to Include Hospital Priorities in COVID-19 Legislation

Contact Sens. Dick Durbin and Tammy Duckworth to thank them for their support for Illinois hospitals and urge them to include urgent hospital priorities in the next COVID-19 legislation.  

Feb 23, 2021

340B Drug Payment Program “Good Stewardship” Principles

Join over half of Illinois’ 340B hospitals in committing to AHA’s 340B “Good Stewardship” Principles to communicate how the program enables you to stretch scarce resources to care for patients. 

Feb 04, 2021

IHA Alert: Urge Congress to Support Hospital Priorities in Next COVID Legislation

Contact your representatives in the U.S. House and Senate and urge them to include urgent hospital priorities in the next COVID-19 legislation.

Jan 11, 2021

Letter from A.J. Wilhelmi: IHA's 2021 Federal Advocacy Agenda

IHA is eager to partner with members of the Illinois Congressional Delegation on our shared goal of building a better, stronger, more equitable healthcare system.

Jan 05, 2021

Federal Legislation Signed into Law, Includes Numerous IHA Priorities

On Dec. 28 the president signed the Consolidated Appropriations Act into law, which includes funding for the federal government through the 2021 fiscal year, COVID relief and additional provisions.

Dec 01, 2020

IHA Alert: Urge Congress to Address Hospital Priorities in Lame Duck Session

Congress is working to pass funding bills and may consider a COVID-19 relief package by year-end. Please urge your US Senators and Representatives to support critical hospital priorities.

Dec 01, 2020

Federal COVID-19 Legislative Priorities

IHA is advocating for several actions to support hospitals during COVID-19, including additional funding, suspension of Medicare sequestration cuts and resources for frontline healthcare workers.

Oct 27, 2020

IHA Federal COVID-19 Legislative Priorities

In this unprecedented crisis, hospitals and healthcare professionals continue to provide care in extraordinary circumstances. See a summary of IHA's latest Federal COVID-19 Legislative Priorities.

Oct 01, 2020

Urge Federal Lawmakers to Contact White House and HHS to Reinstate June Guidance on Use of PRF Funds

HHS drastically changed the definition of “lost revenue” for purposes of applying Provider Relief Fund (PRF) dollars. New Sept. 19 guidance severely restricts how hospitals may direct PRF dollars.

Aug 05, 2020

IHA Alert: Urge Congress to Include Hospital Priorities in Next COVID-19 Legislation

Congress is negotiating the next COVID-19 relief legislation. Action is needed to ensure additional federal support for hospitals and health systems.

Jul 14, 2020

IHA Alert: Urge Congress to Include Hospital Priorities in Next COVID-19 Legislation

Congress is working on the next COVID-19 relief legislation, and we need to make sure hospital and health system priorities are included.

Jul 14, 2020

IHA Legislative Priorities for Next COVID-19 Legislation (July 14, 2020)

Among IHA's COVID-19 legislative priorities are: additional resources for hospitals, safeguarding frontline providers from legal action, and protecting and increasing health insurance coverage.

Jun 17, 2020

IHA Alert: Urge Congress to Include Hospital Priorities in Next COVID-19 Legislation

Congress is working on the next COVID-19 relief legislation. Reach out to your Representatives and Senators to ensure urgent hospital priorities are included in the next bill.

Jun 17, 2020

Hospital Losses Due to COVID-19; Impact Illinois Communities

Hospitals have experienced billions in short-term losses. As they prepare for an expected surge this fall, resources are needed to address financial stability for hospitals and their communities.

May 29, 2020

IHA Letter to HHS Secretar Alex M. Azar

As the number of COVID-19 cases continues to seriously impact Chicago, Cook County and other areas of the country, IHA requests an additional targeted distribution for high-impact areas.

Apr 16, 2020

IHA Alert: Urge Congress to Pass Additional Funding for Hospitals/Health Systems

Members of Congress are now discussing additional legislation to respond to the COVID-19 pandemic. 

Mar 18, 2020

IHA Alert: Urge Congress to Support Financial Assistance for Hospitals re: COVID-19

IHA is urgently requesting that Congress approve funding support for hospitals and health systems be included in a new COVID-19 response bill.

Mar 03, 2020

Register Now for IHA’s Federal Advocacy Day April 21

Please join hospital and health system colleagues from across the state as we make our voices heard on Capitol Hill during IHA’s annual Federal Advocacy Day April 20-21.

Dec 10, 2019

IHA Alert: Urge Members of Congress to Reject New Surprise Billing Proposal

Proposed legislation to address surprise billing includes rate setting and unrelated provisions on price transparency and contracting opposed by IHA.

Oct 14, 2019

Joint Letter to Congressional Delegation Supports IPC Funding

IHA and IPC sent a joint letter to the Congressional delegation thanking them for supporting federal funding for the Poison Control Center program.

Sep 12, 2019

IHA Letter to U.S. Senator Dick Durbin re: Rural America Health Corps Act

IHA supports the Rural America Health Corps Act (S. 2406), which would help address workforce shortages in rural communities.

Sep 09, 2019

Joint IHA-ICAHN Letter to Illinois Congressional Delegation on Surprise Medical Bills

Illinois’ rural hospitals support federal action to ban “balance billing,” along with a standard process of negotiation between providers and health plans.

Sep 09, 2019

IHA Position Paper on Surprise Medical Bills

Legislation being considered by Congress would ban “balance billing,” but still unresolved is an approach for determining provider payment.

Aug 07, 2019

IHA Alert: Urge Members of Congress to Reject Setting Rates for Hospitals in Federal Law

Members of Congress are in their home districts for the August recess and need to hear from hospitals about surprise billing.

Jul 25, 2019

IHA Letter re: Social Determinants Accelerator Act of 2019

IHA supports the Social Determinants Accelerator Act of 2019 to improve social determinants of health for participants in the Medicaid program.

Jul 12, 2019

IHA Alert: Oppose Setting Payment Rates in Law for Out-of-Network Bills

Members are urged to contact their U.S. Representative to oppose setting a benchmark rate for payment to providers for certain out-of-network and emergency services.

Jun 24, 2019

IHA Position Paper on Surprise Medical Bills

We support legislation to protect patients from surprise bills that uses “baseball-style” arbitration to resolve disputes between providers and health plans.

Jun 20, 2019

IHA Alert: Surprise Billing Legislation: Contact Your U.S. Representatives and Senators

IHA urges Congress to use successful state-level laws, such as those in Illinois, which preserve the standard process of negotiation, as a model for federal legislation.

Jun 10, 2019

IHA Letter to Senator Richard J. Durbin on Surprise Billing

IHA letter urges the Illinois Congressional delegation to use successful state laws as a model for federal legislation on surprise billing.

Mar 21, 2019

Support Legislation to Increase Medicare-funded Residency Slots

The Medicare Resident Physician Shortage Reduction Act of 2019  would increase the number of Medicare-funded residency positions by 15,000 over five years, beginning in fiscal year 2021.

Nov 27, 2018

IHA Alert: Public Charge Proposed Rule

Members are urged to comment on the rule by Dec. 10.

Nov 21, 2018

IHA Letter to Dept. of Homeland Security

IHA opposes the Inadmissibility on Public Charge Grounds proposed rule concerning legal immigrants.

Oct 05, 2018

Urge Your U.S. Representative to Sign Letter on OPPS Site-Neutral Cuts

Contact your U.S. Representative now and ask him/her to sign the Roskam-Thompson letter on OPPS site-neutral cuts.

Jun 25, 2018

House Passes Opioid Package-Support for Patients and Communities Act

This memo summarizes legislation passed by the U.S. House to address the opioid crisis.

Jun 13, 2018

Rural Emergency Medical Center (REMC) Act of 2018

U.S. Representatives have introduced bipartisan legislation that would establish a new rural facility designation under the Medicare program.
May 23, 2018

IHA Letter to CMS re: Medicaid Program

IHA has strong concerns about proposed changes to Methods for Assuring Access to Medicaid Services-Exemptions for States with High Managed Care Penetration Rates and Rate Reduction Threshold.

May 14, 2018

IHA Letter to CMS re: Hospital Assessment Program

IHA urges the Centers for Medicare & Medicaid Services to approve the Illinois Hospital Assessment Program redesign to preserve access to care for Illinois Medicaid beneficiaries.

May 07, 2018

Congressional Delegation Letter to CMS

The Illinois Congressional Delegation urges CMS to expeditiously review and approve Illinois state plan amendments, which include reforms to modernize the state’s Hospital Assessment Program.

Apr 20, 2018

Support Illinois Hospital Assessment Program

IHA asks the Illinois Congressional Delegation to urge the Centers for Medicare & Medicaid Services to review and approve the State Plan Amendments for the redesigned Hospital Assessment Program.

Apr 09, 2018

340B Suggested Talking Points

Use IHA’s talking points in your advocacy for the 340B Drug Pricing Program, which allows certain hospitals to offer affordable prescription drugs to financially vulnerable and fragile patients.

Mar 22, 2018

IHA Letter to U.S. Senators on Healthcare Price Transparency

In a letter to U.S. senators, IHA provided requested input on healthcare price transparency and shared Illinois’ progress on offering patients relevant and meaningful price information.

Feb 01, 2018

Support Rural Medicare Extenders in Funding Bill

The Rural Hospital Access Act (H.R. 1955/S. 872) would make  permanent the Medicare-dependent Hospital and enhanced Low-volume Adjustment programs. Urge Congress to support it.

Nov 16, 2017

Protect the 340B Drug Pricing Program

Ask your U.S. Representative to co-sponsor H.R. 4392 to protect the 340B Drug Pricing Program from a 30 percent pay reduction that could cost hospitals $1.6 billion.

Nov 07, 2017

Private Activity Bonds Comment Letter

IHA supports preserving the tax exemption for private activity bonds, which are a vital source of affordable financing that enables non-profit hospitals to make investments in their facilities.

Aug 22, 2017

Support Rural Medicare Extenders

Urge Congress to support Rural Medicare Extenders. Funding for the Medicare-dependent hospital and enhanced low-volume adjustment programs expires Sept. 30, 2017.

Jun 11, 2021

OSHA Issues Rule on COVID-19 Healthcare Workplace Safety

The Occupational Safety and Health Administration (OSHA) issued a final emergency rule requiring healthcare employers to protect workers against on-the-job COVID-19 infection.

Mar 15, 2021

Federal Position Paper: Extending Telehealth Flexibilities in the Medicare Program

Early in the COVID-19 crisis, Congress and HHS temporarily lifted longstanding barriers to expanding telehealth in Medicare. See IHA's federal position paper on extending telehealth flexibilities.

Mar 02, 2021

IHA Statement on Virtual Care for Hearing in the Subcommittee on Health of the US House Committee on

IHA appreciates the commitment of the Subcommittee on Health to ensuring all individuals have access to the care they need and its recognition of the critical role of virtual care. 

Feb 04, 2021

Federal Position Paper: 340B Drug Pricing Program

The 340B Drug Pricing Program is critical in expanding access to lifesaving prescription drugs and comprehensive healthcare services for low-income and uninsured individuals.

Sep 30, 2020

How Telehealth Flexibilities Benefit Patients

Telehealth flexibilities benefit patients across Illinois. See case examples from UChicago Medicine, La Rabida Children's Hospital, Hospital Sisters Health System and more.

Aug 05, 2020

Federal COVID-19 Legislative Priorities

See IHA's federal COVID-19 legislative priorities from Aug. 5, 2020. Congress should provide additional relief funds to hospitals, which are coping with a public health crisis and financial crisis.
Apr 13, 2020

IHA Federal Position Paper: Surprise Medical Billing

IHA supports federal legislation to protect patients from surprise medical bills, which may occur after a patient receives emergency care or out-of-network services at an in-network facility.

Nov 29, 2019

IHA on Key Priorities for Rural and Underserved Communities

IHA responded to a Congressional task force RFI on key priorities affecting health status and outcomes in rural and underserved communities.

Nov 06, 2019

IHA Summary: Stark and Anti-Kickback Proposed Regulations

On October 9, 2019, the US Dept. of Health and Human Services proposed significant amendments to the Stark, Anti-Kickback and Civil Monetary Penalty laws.

Oct 24, 2018

IHA Summary: President Signs Federal Opioid Package

Today, President Donald Trump signed the bipartisan SUPPORT for Patients and Communities Act, H.R. 6 (115).

Jul 19, 2018

CMS Request for Information on Stark Law

CMS seeks input on concerns about current Physician Self-Referral law; deadline is Aug. 24

Apr 24, 2018

Regulatory Relief

IHA urges Congress to require Medicare Administrative Contractors to extend the site-neutral exception opportunity to those HOPDs that relocated after Nov. 2, 2015.

Apr 19, 2018

Resident Physician Shortage Reduction Act

IHA urges Congress to support the Resident Physician Shortage Reduction Act (H.R. 2267/S. 1301) and prevent cuts and overly burdensome regulations to the Medicare Graduate Medical Education program.

Apr 09, 2018

340B Position Paper

IHA’s position paper on the 340B Drug Pricing Program outlines why the program is critical to patients and hospitals and the specific actions Congress can take to protect it.

Jan 17, 2018

Illinois is Getting Shortchanged

Illinois receives less federal funding per Medicaid beneficiary than any other state and has one of the lowest Medicaid matching rates in the country.

Dec 14, 2017

Private Activity Bonds Letter from Congress

U.S. Reps. Michael Bost, Rodney Davis and Randy Hultgren from Illinois signed a letter in support of maintaining tax-exempt status for private activity bonds in the final tax reform bill.

Nov 29, 2017

IPPS Proposed Rule Talking Points

See IHA's talking points on the Inpatient Prospective Payment System proposed rule on the phase-in of Worksheet S-10 data for uncompensated care that hospitals provide beginning in FFY 2018.

Nov 17, 2017

S. 2157 Comment Letter

IHA supported the Drug-price Transparency in Communications Act to address recent dramatic increases in prices for generic and specialty prescription drugs.

Oct 06, 2017

340B Letter from U.S. Senators

Illinois Sens. Richard J. Durbin and Tammy Duckworth, along with a majority of U.S. senators, urged federal officials to protect the 340B Drug Pricing Program.

Sep 27, 2017

340B Letter from U.S. Representatives

Fifteen U.S. representatives from Illinois joined a majority of House members in asking federal officials to abandon proposed changes to the 340B Drug Pricing Program.

May 05, 2017

About Illinois Hospitals and Health Systems

Learn more about Illinois' 223 hospitals, which together have 1.5 million inpatient admissions and 38 million outpatients visits a year.

May 05, 2017

340B Drug Pricing Program Fact Sheet

Pharmaceutical manufacturers participating in Medicaid must discount outpatient drugs to qualifying hospitals and other providers who see a large number of low-income patients and rural populations.

Dec 21, 2016

ACA Impact by Congressional District

IHA looked at lost spending, econmic impacts and Medicare cuts by Congressional District in our preliminary estimates of repealing the Affordable Care Act without a replacement plan.