Comment on CMS-2026-1916-0001

Summary: Fort Sanders Regional Medical Center opposes the proposed rule, arguing that it goes beyond the requirements of P.L. 119-21 and will cause deeper, faster cuts to Medicaid payments than necessary. The hospital urges CMS to allow aggregate Medicare limit calculations, use a wage index floor of 1.0, and maintain certain payment flexibilities to ensure continued access to care for TennCare beneficiaries.