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.

Note: Legislative briefs, talking points, infographics and one-page leave-behinds are currently being finalized for the 2019 legislative session, so all draft materials have been removed from the website. If you need materials before the Jan. 1 publication date, please contact Marni Schribman.

  • 2019 Summary of Federal & State Legislative Priorities (PDF Download)
  • NCHA Advocacy Daily Email Archive

2018 - 2019 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 the Board of Directors for use during the 2019 Legislative Session:

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

North Carolina’s hospitals and health systems support measures to address our state’s current provider shortage through maintaining current medical educations program and expanding access to additional GME funds in more areas of the state.

MDH/LVH Program Support

North Carolina hospitals and health systems support Medicare Extenders — such as the payments for Medicare-dependent hospitals (MDH) and those hospitals 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 a legislative and regulatory solution, as well as  reimbursement policies, that promote access to telehealth services for every North Carolinian in every part of the state.

2018 - 2019 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 the Board of Directors for use during the 2019 Legislative Session:

Preserving the Safety Net

North Carolina’s hospitals and health systems support a legislative approach that ensures federal funds received through payment programs and hospital taxes support hospital-based care for the uninsured. Hospitals and health systems oppose distributing those fund to entities that do not contribute to the tax or treat patients.

Learn more about Medicaid transformation in North Carolina

View exclusive member resources on this topic

Certificate of Need Preservation

North Carolina’s 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.

View exclusive member resources on this topic

Increased Access to Health Insurance Coverage

North Carolina hospitals and health systems support increased access to affordable health insurance coverage for all North Carolinians and urge the General Assembly to close the coverage gap.

Learn more about Medicaid reform in North Carolina

View exclusive member resources on this topic

Tax Treatment Preservation

North Carolina’s hospitals and health systems support the current non-profit sales and property tax laws.

View exclusive member resources on this topic

Behavioral Health Reform

North Carolina hospitals and health systems support increased access to resources 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

View exclusive member resources on this topic

Telehealth Expansion

North Carolina hospitals and health systems support a legislative and regulatory solution, as well as  reimbursement policies, that promote access to telehealth services for every North Carolinian in every part of the state.

View exclusive member resources on this topic

Graduate Medical Education

North Carolina’s hospitals and health systems support measures to address our state’s current provider shortage through maintaining current medical education programs and expanding access to additional GME funds in more areas of the state.

View exclusive member resources on this topic

State Health Plan

The North Carolina State Health Plan should adopt proven methods to provide and coordinate quality-driven care to improve the lives of state employees and retirees, while achieving efficiencies in cost for both the plan and taxpayers.

View exclusive member resources on this topic

Honoring Assignment of Benefits

North Carolina’s hospitals and health systems support measures to ensure that providers are reimbursed for care provided to patients who have insurance coverage.

View exclusive member resources on this topic

Workforce Development

Position statement to come.

View exclusive member resources on this topic

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.

Visit Us


North Carolina Healthcare Association

2400 Weston Parkway
Cary, NC 27513
Directions

Main: 919-677-2400
Fax: 919-677-4200

Contact Us