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, 2nd Session (January 4, 2016–January 3, 2017)

Over 16 million individuals in the U.S. are enrolled in MA plans

Correspondence How does this affect rehabilitation nurses?

ARN Comments on Continued Use of Seasonal Influenza Vaccine Quality Measure

While integral for patients, the vaccination rate is not a clear indicator of quality.

ARN Joins in letter to Senate Finance Committee, House Energy & Commerce Committee, and House Ways & Means Committee with concerns about Competitive Bidding Program.

Ostomy and urologic prosthetics are not one-size-fits-all generics, and are not interchangeable.

ARN Comments on Joint Commission Certification Program

The rehabilitation nurse should facilitate care transitions.

ARN Signs on to Concerns with Prior Authorization Requirement for Home Health Care

A prior authorization requirement would delay beneficiary access to needed services

ARN Supports Statement of Principles on Patient Access to Rehabilitation Services in Medicare Advantage (MA) Plans

Access to rehabilitative services and devices is of primary importance to the functional status and quality of life of beneficiaries with injuries, illnesses, disabilities and chronic conditions regardless of age.

ARN signs on to comments on proposed updates to the Medicare Advantage (MA) and Part D programs

NINR provides funding for nursing research

ARN Supports Title VIII Appropriations Request

Title VIII provides support for nursing workforce development programs

ARN Supports NINR Appropriations Request

NINR provides funding for nursing research

ARN Submits Comments to CMS on Measure Development Plan

Measures should be meaningful and useful for the patient and caregiver.

ARN signs on to CPR with concerns over site neutral payments

Any changes to payment structure need to ensure that individuals are able to access the right care in the right setting.

ARN Submits Comments to NQF on Measure Ratification and Appeals Process

Streamlining the process will reduce burdensome reporting.

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.

To view past communications, visit the archives page.