Comment on CMS-2026-1256-0002

Summary: Texas Health Resources, a large faith-based nonprofit healthcare system, supports the proposed FY 2027 IPPS updates and the CJR-X model but advocates for specific modifications. They argue for higher market basket updates to reflect labor and inflation costs, and they request additional guardrails, such as a 5 percent stop-loss policy and a more inclusive safety net definition, to protect under-resourced and rural hospitals from financial instability.