Regulatory Affairs

Federal regulations are created through a process known as "rulemaking," which is governed by the Administrative Procedure Act (APA) (5 U.S.C. Chapter 5). Once an agency decides that a regulatory action is necessary or appropriate, it develops and typically publishes a proposed rule in the Federal Register, soliciting comments from the public on the regulatory proposal. After the agency considers this public feedback and makes changes where appropriate, it then publishes a final rule in the Federal Register with a specific date upon which the rule becomes effective and enforceable. In issuing a final rule, the agency must describe and respond to the public comments it received. ARN routinely comments on proposed rules that effect rehabilitation nursing.

114th Congress, 1st Session (January 3, 2015–January 3, 2016)

Correspondence How does this affect rehabilitation nurses?

ARN Comments on Options to Reform Care for Individuals with Chronic Conditions

Rehab nurses are on the forefront of providing care for individuals with complex conditions.

ARN signs to comments addressing federally funded healthcare exchanges

Individuals should have an adequate network available in order to meet their needs.

ARN submits comments to CMS on Design of Patient Experience of Care Survey in LTCHs

ARN wants to ensure data collected is meaningful and useful for the patient and family/caregivers.

ARN submits comments to CMS on Design of Patient Experience of Care Survey in IRFs

ARN wants to ensure data collected is meaningful and useful for the patient and family/caregivers.

ARN submits comments to NQF on Measures Under Consideration

CMS is seeking NQF endorsement of measures to be included in quality reporting per the IMPACT Act.

ARN Comments on NQF Measures Under Consideration

The Measures under consideration may be utilized for quality reporting programs in post-acute care.

ARN comments on NIH-wide Rehabilitation Research Plan

The research is intended to benefit individuals with temporary or chronic limitations in physical, cognitive, or sensory function that require rehabilitation care.

ARN submits comments on Discharge Planning Proposed Rule

Discharge planning is a key component to ensuring a successful transition from an acute-care hospital to a PAC setting.

ARN comments on Discharge to Community Quality Measure

Rehab nurses will have to report on this quality measure as set forth by the IMPACT Act.

ARN comments on Alternative Payment Model Framework

Changes to the payment model need to be patient-centered and will impact how care is delivered.

ARN comments on Draft Measure for Potentially Preventable Readmissions

Rehab nurses will have to report on the measure as set forth by the IMPACT Act.

ARN signs on to Letter on Bundling Proposal for Joint Replacements

Proposals need to ensure that individuals are able to access the right care in the right setting.

ARN comments on new requirements for long-term care facilities

The proposed rule would implement new standards of care beneficial for individuals.

ARN joins Nursing Community in Support of Telehealth Parity

Many rehab patients benefit from telehealth services.

ARN joins Nursing Community in Support of Mary Wakefield Nomination

Mary Wakefield is an RN and HHS is responsible for strengthening the healthcare workforce and enabling access to healthcare.

ARN joins Nursing Community in Support of Title VIII Funding

Title VIII provides funding for nursing workforce education and training programs.

ARN submits comments on NIH Strategic Plan

Rehabilitation research needs to be integrated into NIH's strategic plan.

ARN submits comments to CMS on Medicaid Managed Care

More individuals with Medicaid are utilizing post-acute care.

ARN comments on CY 2016 Home Health Prospective Payment System

This rule addresses reimbursement rates and a new value based purchasing model.

ARN submits comments to CMS on Two-Midnight Rule

This rule makes clarifications and modifications to the Two-Midnight Rule.

ARN submits comments to Senate Working Group on chronic care reform

People with physical disability and chronic illness have access to comprehensive, quality care.

ARN joins others in opposing the elimination of AHRQ

AHRQ-funded research is being used to make our healthcare system less complex and costly.

ARN signs on to Coalition to Preserve Rehabilitation's comments on FY 2016 IRF PPS

The rule focuses heavily on implementation of quality reporting and payment.

ARN signs onto Coalition for Patients' Rights letter on team-based care

The American College of Cardiology stated that team-care leaders "should be flexible, reflecting the specific needs of the patient at a particular time and setting."

ARN comments on FY 2016 IRF PPS

The FY 2016 IRF quality reporting program includes items in the IMPACT Act.

ARN comments on FY 2016 SNF PPS

The SNF PPS includes a new quality reporting program.

ARN joins AAPM&R and other organizations in support of the Access to Inpatient Rehabilitation Therapy Act of 2015 (H.R. 1906)

The bill adds needed flexibility to the “intensity of therapy” requirement from CMS.

ARN joins Nursing Community in support of Telehealth Coverage Under Medicare

Ensures access to care for patients across the country.

ARN joins Nursing Community in thanking Congress for support of National Nurses Week

Nurses are the largest health profession in our country and are often the caregivers who spend the most time at a patient’s side.

ARN joins Nursing Community in Fiscal Year 2016 Title VIII funding requests

Title VIII funds nursing workforce development programs.

ARN joins Nursing Community in support of the Home Health Planning and Improvement Act

The bill supports APRNs practicing to the full scope of their education and practice.

ARN congratulates new director at NCMRR

Promoting rehabilitation research is a strategic priority of ARN.

ARN comments on NQF measures under consideration

There are seven measures for PAC settings under consideration.

ARN comments on Conditions of Participation for Home Health Agencies

The proposed rule makes improvements for care coordination.

ARN signs on to letters to MedPAC and Congress in opposition of site neutral payments

Site-neutrality should preserve access to quality rehabilitation services provided at the appropriate level of intensity, in the right setting, and at the right time to meet the individual needs.

ARN joins Nursing Community in congratulating Dr. Wilmoth on promotion to Major General

Dr. Wilmoth is responsible for all of the U.S. Army Reserve medical assets

ARN joins Nursing Community in welcoming members of the House of Representatives and Senate to the 114th Congress

Members of Congress need to learn about the Nursing Community policy priorities

ARN sends letter to MedPAC opposing site neutral payments

Determination of the need for intensive rehabilitation is dependent on the effects of a patient’s injury or illness as opposed to the diagnosis

ARN joins Nursing Community in Fiscal Year 2016 Title VIII funding requests

Title VIII funds nursing workforce development programs

ARN joins Nursing Community in support of the Home Health Planning and Improvement Act

The bill supports APRNs practicing to the full scope of their education and practice

To view past communications, visit the archives page.