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March 30, 2020

Barrasso, Bennet, Roe, Schrier Lead Bipartisan, Bicameral Letter Calling on HHS to Help Rural Health Providers

In letter to HHS Secretary Azar, 122 lawmakers urge administration to provide immediate financial assistance to rural health care providers amid COVID-19 pandemic.

Washington, D.C. – Today, U.S. Senators John Barrasso, M.D. (R-WY) and Michael Bennet (D-CO) and U.S. Representatives Phil Roe, M.D. (R-TN) and Kim Schrier, M.D. (D-WA) led a letter with 41 senators and 81 representatives to the Trump administration urging them to provide immediate assistance to rural hospitals and clinics.

The lawmakers specifically call on Health and Human Services (HHS) Secretary Azar to use the funding included in the recently passed CARES Act to sustain rural health providers.

The lawmakers point out that the vast majority of rural hospitals have ceased performing elective procedures and seeing non-urgent patients. They know the COVID-19 emergency confronting our country must take precedence. However, these actions threaten rural hospitals’ financial viability.

In their letter, the lawmakers urge Azar to take immediate steps to provide financial relief for rural providers during this global pandemic:

“We are hearing from rural hospitals from across the country that have only days left of cash on hand – money needed for payroll and supplies,” wrote the lawmakers. “Mr. Secretary, our rural providers need your immediate assistance. Congress has provided you with the funding and flexibility. Now it is up to the administration to respond with rapid action to sustain rural providers. Any unnecessary delay will only worsen this situation. Therefore, we request you make the financial relief of rural hospitals a priority. Rural hospitals need access to financial resources immediately and in the most streamlined manner.”

The lawmakers also request the administration host a teleconference with members of Congress by April 3, 2020 to provide an update on how they intend to assist rural providers and hospitals across the country.

In addition to Barrasso and Bennet, the following members of the U.S. Senate signed onto the letter: Senators John Kennedy (R-LA), Mike Enzi (R-WY), Jerry Moran (R-KS), Cindy Hyde-Smith (R-MS), James Lankford (R-OK), Kelly Loeffler (R-GA), Martha McSally (R-AZ),Roger Wicker (R-MS), Steve Daines (R-MT), Ben Sasse (R-NE), Roy Blunt (R-MO), Todd Young (R-IN), Pat Roberts (R-KS), Cory Gardner (R-CO), Deb Fischer (R-NE), Doug Jones (D-AL), Tina Smith (D-MN), Kirsten Gillibrand (D-NY), Bernard Sanders (I-VT), Martin Heinrich (D-NM), Tom Udall (D-NM), Jon Tester (D-MT), Susan Collins (R-ME), Thom Tillis (R-NC), James Risch (R-ID), Joni Ernst (R-IA), Marsha Blackburn (R-TN), John Boozman (R-AR), John Hoeven (R-ND), David Perdue (R-GA), Josh Hawley (R-MO), Dianne Feinstein (D-CA), Joe Manchin III (D-WV), Kyrsten Sinema (D-AZ), Shelley Moore Capito (R-WV), Angus S. King, Jr. (I-ME), Mike Crapo (R-ID), Jim Inhofe (R-OK) and Catherine Cortez Masto (D-NV).

In addition to Roe and Schrier, the following members of the U.S. House of Representatives signed onto the letter: Representatives Sam Graves (R-MO), Liz Cheney, (R-WY), Bradley Byrne (R-AL), Michael T. McCaul (R-TX), Troy Balderson (R-OH), John Joyce, M.D. (R-PA), Matt Gaetz (R-FL), Jim Hagedorn (R-MN), John Carter (R-TX), Alex X. Mooney (R-WV), Rodney Davis (R-IL), Jack Bergman (R-MI), Mike Kelly (R-PA), Tim Walberg (R-MI), David B. McKinley, P.E. (R-WV) , Greg Gianforte (R-MT), Roger Marshall, M.D. (R-KS), Mike Rogers (R-AL), Joe Neguse (D-CO), Brian Babin, D.D.S. (R-TX), Bruce Westerman (R-AR), Vicky Hartzler (R-MO), Ralph Abraham (R-LA), Mike Conaway (R-TX), Jodey Arrington (R-TX), Rick Crawford (R-AR), Mike Bost (R-IL), Peter Welch (D-VT), TJ Cox (D-CA), Anthony Brindisi (D-NY), Cheri Bustos (D-IL), Larry Bucshon, M.D. (R-IN), Terri A. Sewell (D-AL), Robert B. Aderholt (R-AL), David Kustoff (R-TN), Don Young (R-AK), Scott Tipton (R-CO), Hal Rogers (R-KY), Cathy McMorris Rodgers (R-WA), Carol D. Miller (R-WV), Xochitl Torres Small (D-NM), John Moolenaar (R-MI), Kelly Armstrong (R-ND), Louie Gohmert (R-TX), Darren Soto (D-FL), Russ Fulcher (R-ID), Ron Wright (R-TX), Gregory F. Murphy, M.D. (R-NC), Ann McLane Kuster (D-NH), Ted S. Yoho, D.V.M. (R-FL), Jason Smith (R-MO), James Comer (R-KY), Bob Gibbs (R-OH), Bill Johnson (R-OH), Collin C. Peterson (D-MN), Ben Cline (R-VA), Billy Long (R-MO), Cynthia Axne (D-IA), Ro Khanna (D-CA), James P. McGovern (D-MA), Neal Dunn, M.D. (R-FL), Elise M. Stefanik (R-NY), French Hill (R-AR), Fred Keller (R-PA), Ron Kind (D-WI), Ron Estes (R-KS), Darin LaHood (R-IL), Tom Cole (R-OK), Andy Harris, M.D. (R-MD), Mark Green, M.D. (R-TN), Angie Craig (D-MN), Michael Guest (R-MS), John Rose (R-TN), Dan Newhouse (R-WA), Doug Lamborn (R-CO), H. Morgan Griffith (R-VA), Kevin Hern (R-OK), Austin Scott (R-GA), and Brad Wenstrup, D.P.M. (R-OH).

Read the full letter here and below.

March 30, 2020

The Honorable Alex Azar
Secretary
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201

Dear Secretary Azar,

Rural hospitals are the backbone of communities across our nation. These providers are on the frontlines combating the Coronavirus Disease 2019 (COVID-19) pandemic. It is imperative these health care professionals receive the immediate support they need to continue caring for our communities.

Small and rural hospitals across the nation are facing an acute financial crisis. Even before this crisis, nearly one-half of rural hospitals were operating at a financial loss, and hundreds were on the brink of closure. Now, they are confronting impossible choices during this public health emergency. The administration must focus on ensuring the financial viability of these providers. Failure to take fast and aggressive action will put the health of our communities at further risk.

In response to this crisis, Congress has enacted a series of bipartisan laws to rescue our economy and health care system. Most recently, we passed the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). This legislation includes new funding to provide financial relief for hospitals. The CARES Act provides you with the flexibility to deliver assistance where it is needed most. Right now, some rural hospitals are reporting they are running out of operating funds. This jeopardizes their ability to maintain health care services during the COVID-19 outbreak. We cannot afford to ignore their pressing needs.

The vast majority of rural hospitals have also ceased performing elective procedures and seeing non-urgent patients. They know the COVID-19 emergency confronting our country must take precedence. However, these actions threaten their financial viability. We are hearing from rural hospitals from across the country that have only days left of cash-on-hand – money needed for payroll and supplies.

Mr. Secretary, our rural providers need your immediate assistance. Congress has provided you with the funding and flexibility. Now it is up to the administration to respond with rapid action to sustain rural providers. Any unnecessary delay will only worsen this situation.

Therefore, we request you make the financial relief of rural hospitals a priority. Rural hospitals need access to financial resources immediately and in the most streamlined manner. We also request you provide Members of Congress with a personal briefing by teleconference by April 3, 2020.

Thank you for your attention to ensuring the health and well-being of patients in rural America. We welcome the opportunity to discuss your efforts addressing our concerns.

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