Advocating for Essential Hospitals


For more than 40 years, we have advanced the mission of hospitals that provide safety net care by centering their needs in federal policymaking. We work to improve Medicaid and Medicare payments and other federal support for hospitals, protect the 340B Drug Pricing Program, and ensure policies on health care quality and value do not disadvantage under-resourced hospitals.
Position Papers
where we stand on key issues

Advancing High Quality Care For All
America’s Essential Hospitals is committed to countering social and economic drivers of poor health and stives to transform care for all.



Health Policy Essentials Podcast
A podcast that explores hot topics for essential hospitals in health care policy, with a focus on safety net care. Each episode features commentary and analysis by legislative and regulatory experts inside and outside America’s Essential Hospitals.
Regulatory Comments


From America’s Essential Hospitals
Statement on House Committee on Energy and Commerce’s Draft Reconciliation Bill
Staff | May. 12, 2025
Association Members Urge Congress to Reject Medicaid Cuts
Staff | Apr. 30, 2025
Becker’s Commentary: Medicaid Cuts Will Hurt Small-Town America
Andrea Lugo | Apr. 15, 2025
Association Comments on ACA Marketplace Integrity and Affordability Rule
Julie Kozminski | Apr. 10, 2025
Statement on House Vote to Pass the Budget Resolution
Staff | Feb. 25, 2025
State Directed Payments: Closing Medicaid Payment Gaps for Essential Hospitals
This brief examines how State Directed Payments relate to other types of Medicaid payments and illustrates how states are using this authority to begin closing the payment gaps for essential hospitals.

Take Action
Join the fight to improve federal support for essential hospitals and patients, and stay current on state-level policy shifts. America’s Essential Hospitals provides actionable alerts and updates on policy and advocacy issues for our members.

Eye on State Policy
Staying informed on state health care policies can help stakeholders assess trends and areas of innovation across the United States. America’s Essential Hospitals tracks state health policy topics and trends relevant to essential hospitals and the people and communities they serve.
Our Advocacy Achievements
America’s Essential Hospitals has a rich history and long record of accomplishments. Since its inception, America’s Essential Hospitals has been recognized for its advocacy and expertise on policies and programs that promote health and access to health care.


The most important thing that America’s Essential Hospitals brings to our health system and, indeed, the nation, is its advocacy and its focus on the mission that we all have in serving our communities. Without that advocacy and the understanding of our elected officials, we wouldn’t receive the resources that we need to add value to the health of our communities.
Steve Purves | President and CEO, Valleywise Health