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Grassroots Call, July 12, 2011: Emergency GAC Call

Grassroots Call, July 12, 2011: Emergency GAC Call. Today’s Call. 1. Debt Ceiling 2. Rumors rural cuts 3. Cantor’s Proposal. Background. Debt ceiling/August 2 Deadline Must have agreement soon. Will take time to draft legislation This week is critical. Gang of 6 failed

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Grassroots Call, July 12, 2011: Emergency GAC Call

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  1. Grassroots Call, July 12, 2011:Emergency GAC Call

  2. Today’s Call • 1. Debt Ceiling • 2. Rumors rural cuts • 3. Cantor’s Proposal

  3. Background • Debt ceiling/August 2 Deadline • Must have agreement soon. Will take time to draft legislation • This week is critical.

  4. Gang of 6 failed • Joe Biden negotiations failed • President has taken over negotiations • “everything is on the table” including rural Medicare payments.

  5. Who’s in the room • President Obama Senate • Reid – D-NV • Durbin – D-IL • McConnell – R-KY • Kyl – R-AZ House • Boehner – R-OH • Cantor – R-VA • Pelosi – D-CA • Hoyer – D-MD

  6. Earlier Biden proposals may have included reworking cost-based reimbursement. • Now Cantor proposal: • $16 billion in specific rural cuts.

  7. Inside and Outside Strategy • NRHA has hit and will continue to hit key Congressional targets • Administration; WH call, HRSA • Outreach to all rural associations • Grassroots must be fully mobilized • Call and email Member • Go to District Office • Letters to editor

  8. Critical Access Hospitals and Rural Health Clinics By State

  9. Rural Referral Centers, Medicare Dependent and Sole Community Hospitals

  10. Big Plan vs. Little Plan • $2.4 trillion - $4 trillion • SGR fix? • Rural Extenders

  11. The costly Doc Fix • Congress consistently blocks scheduled cuts from taking effect, and has to come up with new offsets each time. • According to the AMA, a permanent SGR repeal would have cost $48 billion in 2005 — compared with a price tag of nearly $300 billion to block the cuts that are scheduled for January. • "An agreement on the debt ceiling legislation provides the best — and perhaps only — opportunity to ensure stability in Medicare payments, ensure continued beneficiary access to care, and address the SGR deficit in a fiscally responsible manner," the AMA and other organizations said Monday in a letter to President Obama.

  12. Rural Provisions set to expire at same time as SGR • Positive adjustments in the GPCI • Outpatient hospital hold harmless provisions • Extension of the Medicare Dependent Hospital Program • Section 508 Hospital Payments (reclassification) • Rural Ambulance Super bonus • Technical component cost for certain pathology services • Low volume/high quality adjustment

  13. The Message • Don’t support debt ceiling proposal that contains devastating cuts to rural health care. • $16 billion in Medicare cuts to rural providers will decimate the delivery of health care to the 62 million who live in rural American. • Rural hospitals are critical to the patients they serve and to the rural economy.

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