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 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.
The Nursing Community Urges Budget Conferees to Invest in Nursing ARN signed on to a letter from the Nursing Community urging budget conferees to invest in nursing education and research programs and prevent cuts in FY 2014 and in the future. These cuts limit the amount of nurses and nursing students supported by Title VIII programs.
HPNEC thank you for reopening the federal government ARN signed on to a HPNEC letter thanking members who voted in favor of H.R. 2775, which reopened the federal government allowing the continued funding of integral health professions workforce programs.
HPNEC urges preservation of funding for health professions workforce programs ARN signed on to a HPNEC letter to both House and Senate budget conferees urging them to preserve funding for health professions workforce programs which includes money to support the supply and distribution of qualified nurses to meet our nation’s health care needs and provide care to individuals in all health care settings.
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.
Coalition to Preserve Rehabilitation Written Testimony ARN signed on in opposition of spending reductions for inpatient rehabilitation hospitals and unites and outpatient therapy.
FY14 IRF Prospective Payment System ARN submitted comments to CMS specifically on quality reporting measures outlined in the FY 14 IRF PPS.

HPNEC Thank You to House & Senate

ARN signs on to HPNEC’s thank you letter to Senators and Representatives who signed on to letters in support of Titles VII and VIII funding.
ARN Testimony to Senate LHHS Appropriations Subcommittee ARN submitted testimony to senators on the preservation of funding for nursing and rehabilitation related programs in FY 14.
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.
Welcome Congressman Joyce ARN signs on to The Nursing Community welcomes Congressman Joyce as co-chair of the House Nursing Caucus.
Preserve Title VIII Funding ARN signs on to Letter from the Nursing Community to the chairman and ranking members of the Labor-HHS-Education Subcommittee on Appropriations urging support for Title VIII Funding.
Nursing Program Support ARN signs on to HPNEC’s thank you letter to President Obama for not cutting discretionary funding for Titles VII and VIII further.
Preserve Funding for Nursing Research ARN signs on to HPNEC Letter to Labor-HHS-Education Subcommittee on Appropriations urging them to fully Titles VII and VIII.
Please Support Funding for Nursing Research ARN signs on to HPNEC letter to President Obama urging support for funding for nursing research.
Support of Marilyn Tavenner for CMS Administrator ARN signs on to the Nursing Community’s letter to the chairman and ranking member of the Senate Finance Committee in support of Marilyn Tavenner for CMS Administrator.

To view past communications, visit the archives page.