{"database": "press", "table": "releases", "rows": [["https://lynnjenkins.house.gov/press-releases/congresswoman-jenkins-testifies-on-medicare-direct-supervision-requirement-before-house-energy-commerce-subcommittee/", "Congresswoman Jenkins Testifies On Medicare Direct Supervision Requirement Before House Energy & Commerce Subcommittee", "2015-11-03", "2015", "2015-11", "Republican", "House", "KS", "Lynn Jenkins", "J000290", "lynnjenkins.house.gov", null, null, "legacy", "WASHINGTON, D.C.\u00a0\u2013 Today, Congresswoman Lynn Jenkins (KS-02) testified before the House Energy and Commerce Health Subcommittee about her legislation to delay Medicare\u2019s physician \u201cdirect supervision\u201d requirement until 2016. This legislation would protect rural healthcare providers, and help rural communities maintain the access to healthcare that they need.  Click Here To Watch Congresswoman Jenkins\u2019 Testimony.   Congresswoman Jenkins\u2019 Remarks As Prepared For Delivery  \u201cChairman Pitts, Ranking Member Green,  \u201cThank you for holding this hearing and inviting me to speak on H.R. 2878, a critical piece of legislation that I have sponsored.\u00a0 The bill would delay Medicare\u2019s physician \u201cdirect supervision\u201d requirement, for outpatient therapeutic services in critical access and small rural hospitals, until 2016.  \u201cIn January of 2014, the Centers for Medicaid and Medicare Services began enforcing a requirement that physicians must supervise outpatient therapy at Critical Access Hospitals and other small, rural hospitals.\u00a0 CMS\u2019s decision meant that routine outpatient procedures, such as drawing blood or undergoing active therapy, would have to be directly supervised by a physician.\u00a0 This decision by CMS would have put a severe strain on providers, particularly those in rural areas, while providing no quality improvements for the patients they serve.  \u201cMost of these outpatient procedures are relatively simple, are very safe, and would not benefit from a federal mandate that a physician always be in the room.\u00a0 And, as a practical matter, in rural hospitals across America, such a requirement is simply not feasible.  \u201cI was proud to introduce legislation last Congress that delayed this Medicare \u201cdirect supervision\u201d requirement through 2014, and it was signed into law with bipartisan support.\u00a0 It has been widely recognized as an effective tool to improve care in rural hospitals, and keep the regulatory burden in check.  \u201cUnfortunately, rural hospitals are once again staring down the threat of this federal mandate from CMS.\u00a0 The existing law delaying enforcement action from CMS has expired.\u00a0\u00a0 Accordingly, I have now re-introduced similar legislation this Congress, further delaying enforcement until 2016.\u00a0 It is about this legislation, H.R. 2878, which this committee has graciously invited me to speak about today.  \u201cWhen I think about the healthcare needs facing my district, there is nothing more challenging than ensuring access to quality and accessible rural healthcare.\u00a0 Rural America is struggling and the 84 Critical Access Hospitals in Kansas are the lifeblood of our rural communities.\u00a0 The presence of a facility such as a Critical Access Hospital in a community could be the deciding factor in whether or not the next generations of children decide to raise their family in their hometown, or perhaps whether or not a business decides to locate there.\u00a0 Easy access to emergency care can be a life and death situation and we cannot threaten the existence of these facilities by piling on the regulatory burden from Washington.  \u201cEarlier this year, I invited Carrie Saia, CEO of Holton Community Hospital, to testify about this issue before the Ways and Means Committee\u2019s Subcommittee on Health.\u00a0 Holton Community Hospital happens to be responsible for serving my hometown, Holton, a community of just over 3,000 Kansans.\u00a0 She explained in great detail that direct supervision would be extremely burdensome, costly, and is simply unrealistic at a hospital serving rural America.\u00a0 The result of enforcing this mandate would be to severely limit the type of services rural hospitals could offer, and it would threaten their financial stability at a complicated and uncertain time in our nation\u2019s healthcare system.  \u201cH.R. 2878 will correct this problem.\u00a0 It will do so by reinstating the moratorium on enforcement of this unnecessary regulation.\u00a0 It has broad bipartisan support in Congress, and the support of key stakeholders, including the American Hospital Association, the National Rural Health Association, and the Kansas Hospital Association.  \u201cAs a small town girl, I feel strongly that folks in rural communities deserve access to quality health care.\u00a0 I cannot emphasize enough that rural communities in Kansas, and across the country, depend on Critical Access Hospitals, which are directly threatened by CMS\u2019s actions.\u00a0 I hope that Members from both parties can once again come together to ensure that high-quality, timely care is available no matter where you live in America.  \u201cCompanion legislation introduced by Senators John Thune, Jerry Moran, and Jon Tester was passed by the Senate this September.\u00a0 I also want to thank the democratic lead cosponsor on this legislation, Congressman Dave Loebsack, for all of his hard work and advocacy on this issue as well.\u00a0 I urge my colleagues to support this legislation, and move it forward in a timely fashion.\u00a0 Thank you very much for the invitation to speak.  ###", 1, "2026-03-30T12:14:52Z", "2026-03-30T12:14:52Z"]], "columns": ["url", "title", "date", "year", "month", "party", "chamber", "state", "member_name", "bioguide_id", "domain", "scraper", "source", "date_source", "text", "has_text", "collected_at", "updated_at"], "primary_keys": ["url"], "primary_key_values": ["https://lynnjenkins.house.gov/press-releases/congresswoman-jenkins-testifies-on-medicare-direct-supervision-requirement-before-house-energy-commerce-subcommittee/"], "units": {}, "query_ms": 0.8019430097192526, "source": "dwillis/congress-press", "source_url": "https://github.com/dwillis/congress-press", "license": "MIT", "license_url": "https://github.com/dwillis/congress-press/blob/main/LICENSE"}