Comment on CMS-2026-1256-0002

Summary: The New Hampshire Hospital Association (NHHA) provides a mixed response to the proposed rule, supporting updates to residency programs and quality reporting while opposing the proposed net payment update, the mandatory expansion of the CJR-X model, and the reduction in DSH and uncompensated care payments. They also express concern regarding the proposed restrictions on off-campus provider-based location rules, arguing that the changes do not reflect how integrated hospital systems actually deliver care.