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.

113th Congress, 1st Session (January 3, 2013-January 3, 2014)

Correspondence How does this affect rehabilitation nurses?
ARN Comments on All-Cause Admission and Readmission Measure Rehab nurses possess the optimal skills to provide care coordination for patients requiring rehabilitation services due to injury or illness causing disability.
ARN Submits Comments on FY 2015 IRF PPS The IRF PPS makes updates to things such as payment rates, data collection, and quality reporting in IRFs
ARN Signs on in Support of Modernization of VHA Handbook APRNs should be recognized as full practice providers.
ARN Signs on Thanking Secretary Sebelius for Service as HHS Secretary Sec. Sebelius was responsible for the implementation of innovative, patient-centered models of care.
ARN Signs on Thanking Rep. Capps and Sen. Merkley Sen. Merkley and Rep. Capps circulated the Dear Colleague letter expressing support for the Nursing Workforce Development programs.
ARN submits comments to NQF on care coordination measures Establishing effective communication within and across the continuum of care is essential in improving quality of care.
ARN submits letter to CDC on CAUTI Definition for Individuals with Spinal Cord Injuries Patients whose risk of developing a CAUTI is significantly different from both the general rehabilitation population and ICU population should not be grouped under the same definition.
ARN submits letter to MedPAC in opposition of site neutral payments Rehabilitation Nurses need to ensure patients are treated in a setting that is most appropriate for them
ARN Signs on to DRRC Written Testimony Supporting Rehabilitation Research Communicate the value of investing in rehabilitation and disability research and the elevating rehabilitation science at NIH.
ARN signs on to testimony on future of biomedical research  Research focuses on maintaining and preventing deterioration of functional skills and abilities in order to enhance quality of life and independent living.
ARN submits letter to Congress on FY 2015 Funding for Nurses ARN advocates for levels of funding that support funding for federal nursing workforce programs, research, and traumatic brain injury.
ARN submits comments to CMS on Functional Status Quality Measures There is a need for standardized terminology and assessment items so that patients receive the best quality care in the most appropriate setting.
ARN signs on to "302(b)" letter The letter urges restoration of the Fiscal Year (FY) 2015 302(b) (which includes health, education, and job training) allocation to the LHHS Subcommittee to the FY 2010 level of $163.6 billion.
ARN signs on to Coalition for Patient Rights letter urging Congress not to make cuts to rehabilitation services Millions of individuals with injuries, illnesses, disabilities, and chronic conditions rely on the Medicare program to access the rehabilitation services they need to improve their health and functional ability, and to live as independently as possible in their homes and communities.
ARN signs on in support of Dr. Vivek Hallegere Murthy’s nomination as Surgeon General of the United States As the nation’s doctor, the Surgeon General provides Americans with the best scientific information available on how to improve their health and reduce their risk of illness and injury.
NDD United urges replacement of sequestration with a bipartisan, balance approach to deficit reduction  ARN signed on to the NDD United letter because nondefense discretionary programs (which includes the health professions and nursing workforce development programs) are continually losing funding and by continuing on without passing a budget, sequestration would take effect and lock in the budget cuts for another eight years.
Physician Fee Schedule ARN submitted comments to CMS on the 2014 Physician Fee Schedule including opposition to outpatient therapy caps and inclusion of rehabilitation nurses in complex chronic care management services.
Post-Acute Care Reform ARN commented to Chairs and Ranking Members of the Senate Finance and House Ways and Means Committees in opposition of site-neutral payments, return to the “75 percent rule”, and the need to eliminate outpatient therapy caps.
President's Proposed FY14 Budget ARN submitted a letter to Secretary Sebelius outlining how the “75 percent rule” proposed in the President’s budget would be detrimental to individuals being able to receive the right treatment in the right setting.
ARN Testimony to House LHHS Appropriations Subcommittee ARN submitted testimony to representatives on the preservation of funding for nursing and rehabilitation related programs in FY 14.

To view past communications, visit the archives page.