Letter to the Hon. Xavier Becerra, Secretary US Department of Health and Human Services - Emmer Sends Letter in Support of Rural Hospitals

Letter

Dear Secretary Becerra,

We write to express our concerns about the updated Provider Relief Fund (PRF) reporting
requirements that the Department of Health and Human Services (HHS) released on June 11,
2021. Unfortunately, the Administration continues to implement the PRF in a manner that will
likely require hundreds of rural hospitals to return funds to the U.S. Department of the Treasury.

In March 2020, Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES)
Act, which appropriated funds to reimburse eligible health care providers for health care-related
expenses or lost revenues attributable to the COVID-19 pandemic. The resulting PRF has
assisted providers fighting the coronavirus, but many in rural America are not able to use their
allocations as Congress intended.

Unfortunately, the June 11 HHS guidance does not include exceptions for rural providers that
would ensure the funding provides required stability, most notably:
* Use of funds after June 30, 2021, for Phase 1 recipients;
* Allowance of capital expenditures if funds were in-contract prior to the June 30, 2021,
deadline; and
* Easing of reporting requirements for cost-based providers like Critical Access Hospitals
(CAHs), Rural Health Clinics (RHCs), and rural Federally Qualified Health Centers
(FQHCs).

Since 2010, 138 rural hospitals have closed their doors, with more than twenty occurring in
2020, at the peak of the pandemic. It is unfathomable that a significant portion of this lifeline
designed by Congress to support struggling providers will ultimately be returned to Treasury,
instead of helping rural communities.

We therefore urge you to correct this guidance before June 30, 2021, when hundreds of rural
providers will be forced to return PRF dollars to Washington, D.C. Thank you for your attention
to this important matter.

Source