Comment on CMS-2026-1916-0001

Summary: Adventist Health, a faith-based nonprofit health system, opposes aspects of the proposed rule that it believes exceed congressional intent and limit state flexibility in using State Directed Payments (SDPs). They argue that the proposed restrictions could undermine access to care for Medicaid beneficiaries, particularly in rural and underserved communities, and urge CMS to preserve state flexibility and limit the application of Medicare-based caps.