Priority Issues

The North Carolina Healthcare Association represents the collective voice of more than 130 hospitals and health systems across our state. In today’s rapidly evolving healthcare environment, hospitals are responding to numerous challenges that impact our ability to meet our mission to provide quality healthcare to everyone in the communities we serve. From the implementation of the Affordable Care Act and the resulting federal reimbursement cuts, to the development of a reform plan for North Carolina’s Medicaid program, our member hospitals and health systems have been called on to transform the way we deliver patient care while continuing to be responsive to an increasingly consumer-driven health system.

  • 2018 Summary of Federal & State Legislative Priorities (PDF Download)
  • NCHA Advocacy Daily Email Archive

2017 - 2018 Federal Legislative Priorities

The North Carolina Healthcare Association coordinates with the American Hospital Association to advocate for support from members of Congress on federal issues affecting hospitals and health care.

The following is a list of federal legislative priorities, and the associated position statements, that were approved by NCHA’s Board of Directors on Nov. 8, 2017:

ACA Repeal/Reform

North Carolina hospitals and health systems oppose any action that destabilizes the insurance market, and supports a replacement plan that sustains insurance coverage gains in North Carolina.

Medicaid DSH Reductions

North Carolina hospitals and health systems support the disproportionate share hospital (DSH) programs and oppose any attempts to reduce funding for our most vulnerable. Further, cuts to the DSH program should be restored, especially for those states that continue to have a large uninsured population.

Learn more about Medicaid reform in North Carolina.

340B Drug Pricing Program Support

North Carolina’s hospitals and health systems support the 340B drug pricing program as it ensures adequate resources to provide needed services to our most vulnerable communities. We look forward to working with our elected leaders to ensure the program remains intact and transparent.

Learn more about the 340B Drug Pricing Program.

EMTALA Reform

North Carolina hospitals and health systems urge Congress to modernize the Emergency Treatment and Active Labor Act to provide avenues for providers to get patients to the right care at the right place.

Area Wage Index Repeal

North Carolina hospitals and health systems urge Congress to repeal the Area Wage Index amendment to the Affordable Care Act, as it unfairly subsidizes a few districts at the expense of everyone else.

Graduate Medical Education Support

North Carolina hospitals and health support state and federal legislative measures to address our state’s physician shortage.

MDH/LVH Program Support

North Carolina hospitals and health systems support Medicare Extenders — such as the payments for Medicare-dependent hospitals (MDH) and those with lower volumes (LVH) — and urge Congress to approve a clean extension so those most vulnerable hospitals can meet their community needs.

Telehealth Expansion

North Carolina hospitals and health systems support broad application of telehealth services and urge lawmakers to remove any and all barriers to full implementation.

2017 - 2018 State Legislative Priorities

North Carolina hospitals and health systems are in the midst of transforming our delivery of care to respond to the changing needs of our state. Our goal is to provide the appropriate level of care in the appropriate setting with the best outcomes. North Carolina’s hospitals are open all day, every day. We support more than 395,000 jobs statewide and contribute billions to the economy every year.

The following is a list of state legislative priorities, and the associated position statements, that were approved by NCHA’s Board of Directors on Nov. 8, 2017:

Certificate of Need Preservation

North Carolina hospitals and health systems support the current Certificate of Need law and urge our legislators to protect the law, thereby protecting access to care for our communities.

Access Member Resources

Safety Net Payment Preservation

As our state’s healthcare safety net, North Carolina’s hospitals and health systems support the preservation of Medicaid reimbursement rates — including supplemental payments via the MRI/GAP program — during North Carolina’s Medicaid transformation efforts.

Learn more about Medicaid transformation in North Carolina

Access Member Resources

Increasing Access to Health Insurance Coverage

North Carolina’s hospitals and health systems support increased access to affordable health insurance coverage for all North Carolinians.

Learn more about Medicaid reform in North Carolina

Access Member Resources

Non-profit Tax Treatment Preservation

North Carolina hospitals and health systems support the current sales and property tax laws.

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Behavioral Health Reform

North Carolina hospitals and health systems support access to appropriate levels of care for our behavioral health patients to ensure that they receive the right care at the right time in the right place.

Learn more about behavioral health reform in North Carolina

Access Member Resources

Telehealth Expansion

North Carolina hospitals and health systems support broad application of telehealth services and urge lawmakers to remove any and all barriers to full implementation.

Access Member Resources

Graduate Medical Education Support

North Carolina’s hospitals and health systems support both state and federal legislative measures to address our state’s physician shortage.

Access Member Resources

Medicaid Transformation in NC

North Carolina hospitals and health systems support the on-going efforts to reform the Medicaid program and urge the General Assembly to pass legislation that ensures providers are able to practice within the Medicaid population without undue burden from regulators or insurance companies.

Access Member Resources

The North Carolina Healthcare Association provides legislative summaries for our member hospitals and health systems to keep them informed about the work we do on their behalf at the North Carolina General Assembly and in Congress.

To learn more about these priorities, please log in to NCHA Member Resources.

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North Carolina Healthcare Association

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Cary, NC 27513
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