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Public Statements

Letter to Marilyn Tavenner, Centers for Medicare & Medicaid Services - Klobuchar, Franken, Peterson, McCollum, Nolan, Walz Urge Medicare to Reject Recommendation that Would Hurt Rural Hospitals

Letter

By:
Date:
Location: Washington, DC

In letter to the Administrator of the Centers for Medicare and Medicaid Services, the members highlighted the negative impact removing the "necessary provider" designation could have on rural health care and economies

Washington, D.C. -- U.S. Senators Amy Klobuchar and Al Franken, and Representatives Collin Peterson, Betty McCollum, Rick Nolan, and Tim Walz today urged the Medicare program to reject recommendations from the Office of Inspector General (OIG) that would hurt rural hospitals. In a letter to the Administrator of the Centers for Medicare and Medicaid Services (CMS), the members highlighted the negative impact removing the "necessary provider" designation for Critical Access Hospitals (CAH) that fail to meet the distance requirements could have on both rural health care and their economies. Approximately 71 of Minnesota's 79 CAHs are at risk of losing their status if the necessary provider designation was eliminated, which could threaten their financial viability and potentially cause them to close or scale back their operations.

"Minnesota has one of the nation's leading health care delivery systems," the members said in the letter. "Critical Access Hospitals are an essential component of this delivery system. We strongly oppose the OIG recommendation that the CMS seek legislative authority to remove the "necessary provider" designation for Critical Access Hospitals."

The full text of the letter is below:

Marilyn B. Tavenner, Administrator
Centers for Medicare & Medicaid Services
Hubert H. Humphrey Bldg., Room 310G
200 Independence Ave., SW
Washington, DC 20201

Dear Administrator Tavenner:

Minnesota has one of the nation's leading health care delivery systems. Our state has dual challenges of a large geographic area and difficult winter weather conditions which make life-saving access to care in rural areas all the more important. Critical Access Hospitals (CAHs) are an essential component of this delivery system.

We strongly oppose the Office of Inspector General (OIG) recommendation that the Centers for Medicare & Medicaid Services (CMS) seek legislative authority to remove the "necessary provider" designation for Critical Access Hospitals (CAHs).

As you know, states could designate hospitals that did not meet the federal 35-mile distance requirement as "necessary providers" before January 2006. Congress created the necessary provider status as a way to give states additional flexibility to ensure access to care in rural areas.

Approximately 71 of Minnesota's 79 CAHs are at risk of losing their status if necessary provider status were eliminated. This could certainly lead to hospital closures, which would devastate access to care for Medicare beneficiaries as well as other residents and the infrastructure of our rural communities.

Minnesota's CAHs are often the largest employer in their communities, attract a highly educated workforce and serve as a vital resource for other employers' recruitment efforts. CAHs provide these benefits while struggling under nation-wide workforce shortages, financial pressures as a result of the sequester, and the costs associated with the increasing sophistication of medicine, to name a few.

Proposed restrictions on CAH status will also indirectly and negatively impact hospitals with other federal designations, such as Sole Community Hospital status, that do not take into account nearby CAHs in their eligibility criteria. This is in recognition of the need for access to more sophisticated services that CAHs do not provide but which residents in rural communities depend upon.

Please reject the OIG recommendations regarding the CAH program and keep access to care close to home for Minnesota's rural residents.


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