Fact Sheets

The American Hospital Association (AHA) fact sheets on important issues facing hospitals and health systems. Fact Sheets define the terms of issues facing hospitals and health systems and provide in-depth explanations of the AHA's position on these issues.

Budget reconciliation is an optional process under the Congressional Budget Act of 1974 that allows for expedited consideration of certain fiscal legislation that makes changes to mandatory spending, revenues and/or the debt limit.
The table below summarizes the 10-year impact on federal Medicaid hospital spending if the Federal Medical Assistance Percentage (FMAP) were reduced to the traditional level for Medicaid expansion enrollees due to program churn.
The One Big Beautiful Bill Act (H.R. 1) would result in 1.8 million individuals in rural communities losing their Medicaid coverage by 2034. In addition, select Medicaid provisions in H.R. 1 would result in a $50.4 billion reduction in federal Medicaid spending on rural hospitals over 10 years.
The House-passed One Big Beautiful Bill Act (OBBBA, H.R. 1) makes significant changes to the Affordable Care Act (ACA) marketplaces that would lead to millions of people losing their coverage and becoming uninsured.
The AHA’s analysis reflects the incremental economic impacts of Medicaid cuts across the entire program in each state, including spending on hospitals, physician offices, specialists and pharmacies.
One in seven Americans live in rural areas and rely on rural hospitals and health systems for the health and well-being of their communities. Many in Congress are currently considering cuts to the Medicaid program, which could have a devastating impact on rural hospitals and patients.
A growing trend in hospital and health system financial assistance programs is the incorporation of presumptive eligibility screenings for charity care. Presumptive eligibility refers to an automated process of analyzing readily available financial and other data to approximate a patient’s…
For the past decade, the health care field has experienced a sharp increase in workplace violence.
Congress is considering several proposals that would impose additional Medicare site-neutral payment reductions for services provided in hospital outpatient departments (HOPDs).
Legislative efforts to enact a Medicare Payment Advisory Commission (MedPAC) proposal that would impose site-neutral payment cuts on hospitals for certain outpatient services — including those occurring in both on-campus and off-campus hospital outpatient departments (HOPDs) — would lead to…