Comment on CMS-2026-1256-0002

Summary: The Safety-Net Association of Pennsylvania (SNAP) opposes several components of the proposed FY 2027 Medicare IPPS regulations, arguing that the proposed payment updates and DSH reductions are insufficient to cover rising costs for safety-net hospitals. They specifically advocate for a voluntary rather than mandatory CJR-X model, oppose the expansion of the post-acute transfer policy, and request that CMS eliminate proposed administrative burdens regarding cost reporting.