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Dear Colleague,


Your voice is urgently needed.

Congress is currently considering the Improving Access to Medicare Coverage Act (H.R. 3954)—critical bipartisan legislation that would allow the time Medicare beneficiaries spend in a hospital under observation to count toward the three-day stay requirement for skilled nursing facility (SNF) coverage.

This bill is designed to ensure that patients who spend three midnights in a hospital—regardless of their admission status—can access the post-acute care they need. While concerns about potential costs have delayed passage, recent data from Medicare Accountable Care Organizations (ACOs) show that SNF use following non-qualifying hospital stays is extremely limited. Only 3–5% of ACO SNF stays were related to the waiver, suggesting the financial impact on Medicare would likely be minimal.

To move this legislation forward, we need strong advocacy from trusted health care professionals like you. Please take two important actions today: urge your U.S. House Representative to co-sponsor H.R. 3954 and encourage your U.S. Senators to introduce and sponsor a companion bill in the Senate.

Your experience, leadership, and engagement carry significant influence with lawmakers, and your voice can help ensure patients have the coverage and care they need.

Click the links below to make your voice heard through Voter Voice Action Center. 

Ask your House Representative to co-sponsor H.R. 3954
Ask your U.S. Senator to introduce and sponsor a Senate companion bill
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American Case Management Association, 17200 Chenal Parkway, Suite 300 #345, Little Rock, AR 72223, United States, 501-907-2262