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AHA Site-neutral Advocacy Alliance - March 13, 2026
An AHA Action Alert issued yesterday details a House Energy and Commerce Subcommittee on Health hearing March 18 that is expected to include testimony from leaders of hospitals and provider organizations on rising health care costs and access challenges for patients, including AHA President and CEO Rick Pollack.
Contact Rep. Before March 18 E&C Subcommittee on Affordability
This is the next in a series of hearings examining health care costs and exploring options to make care more affordable.
Advocacy Issue: Site-Neutral Payment Proposals
Hospitals and their associated facilities provide access to critical services that are not otherwise always available in the community and they treat patients with very severe conditions. Payment proposals that attempt to treat hospital outpatient departments the same as independent physician offices and other ambulatory sites of care ignore the very different level of care provided by hospitals and the needs of the patients and communities cared for in that setting.
Site-Neutral Payment
Site-neutral payments mean paying the same for services provided in a hospital setting as for those in a physician office or ambulatory surgery center
Healthy Hospitals, Healthy Communities: Prevent Site-neutral Cuts
Medicare’s payment differences between hospital outpatient departments (HOPDs) and physician offices reflect the reality that HOPDs care for more complex patients, operate under stringent safety requirements, and maintain vital community services.
Fact Sheet: Medicare Site-neutral Legislative Proposals Would Jeopardize Access to Care
Congress is considering several bills that would impose additional site-neutral payment reductions to services provided in hospital outpatient departments (HOPDs).
Report: Examining the Real Factors Driving Physician Practice Acquisition
Policymakers and others have expressed growing concern about the trend of physician practices becoming affiliated with hospitals and health systems.
Fact Sheet: Sen. Sanders Bill Would Reduce Funding for Patient Care, Add Burden on Health Care Providers
The AHA strongly opposes policies to decrease hospital reimbursements by eliminating “facility fees,” which are the direct and indirect costs that allow a hospital to continue to provide services to patients and serve the needs of their community.
Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Fact Sheet: Legislative Proposals Under Consideration Would Jeopardize Access to Care for Patients and Communities
Congress is considering several proposals that would impose additional Medicare site-neutral payment reductions for services provided in hospital outpatient departments (HOPDs).