The National Association for the Support of Long Term Care (NASL) is a trade association representing the legislative and regulatory interests of companies that provide physical, occupational and speech-language pathology therapies; portable x-ray/EKG and ultrasound; health information technology systems; and products such as complex medical equipment, parenteral and enteral supplies, equipment and nutrients; and additional specialized supplies for long term and post acute care settings nationally. The mission of NASL is to represent ancillary service providers and suppliers in the long term and post acute care community on healthcare policy and to advocate for high-quality, cost-effective care.







The Graham-Cassidy Bill’s Medicaid Cuts Put America’s Most Vulnerable at Risk

NASL’s Board of Directors voted Tuesday to oppose the Graham-Cassidy-Heller-Johnson amendment to the American Health Care Act, Senate Republicans’ last-ditch effort to replace provisions of the Affordable Care Act.

NASL Calls for Repeal of the Outpatient Therapy Cap -
For Providers

For Family Members
For Patients
Take action now - Ask your Member of Congress to repeal the therapy cap by supporting and signing onto the Medicare Access to Rehabilitation Services Act of 2017 (S. 253, H.R. 807) today!

Take Action to Change Policy that Threatens Beneficiary Access to SNF Care
Ask your Member of Congress to support The Improving Access to Medicare Coverage Act of 2017, which creates a full and permanent solution to solve the problem of SNF eligibility for beneficiaries receiving care under observation.  Without a comprehensive solution, beneficiaries will continue to face barriers in accessing needed post-acute services.



Important Legislation


Join us in thanking the sponsors of the
NASL 28th Annual Meeting.

Click the calendar for upcoming NASL Committee and Workgroup calls


​NASL Webinar Archive
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At its 28th Annual Meeting, NASL names Leigh Ann Frick, President, Care Navigation Consulting, its 2017 Member of the Year.  


Pay rates for lab tests threaten access for long-term care beneficiaries, group warns. NASL "expressed its 'significant concerns' with the Centers for Medicare & Medicaid Services' draft lab test payment rates for calendar year 2018, which were published last week," reports McKnight's. (McKnight's 9/27/17)

Skilled nursing facilities lag acute care settings in EHR, HIE use. In response to the ONC findings, NASL expressed its appreciation for the agency's survey results on the subject.  (Health Data Management 9/11/17)


In an effort to stay on top of current events, the NASL staff - pictured here in their ISO-compliant eclipse glasses - had an outing to view today's solar eclipse (82% of total in Washington, DC) from the K Street median.  (8/21/17)


CMS issued the FY2018 Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule entitled, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid (CMS-1677-F). (8/2/17) 


Nursing homes' 1% Medicare pay increase 'unlikely' to cover costs, expert warns​.  While expecting and appreciative of the moderate increase, NASL Executive Vice President Cynthia K. Morton tells McKnight's that many are now focused on the quality measures, payment models and the Resident Classification System, Version I. (8/2/17)


CMS issued a final rule [CMS-1679-F], which outlines the FY2018 payment rates and quality programs for skilled nursing facilities (SNFs).  It should be noted that policies in the Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, etc. Final Rule (FY2018 SNF PPS Final Rule) continue to reflect CMS’ commitment to shift Medicare payments from volume to value, with continued implementation of the SNF Value-based Purchasing (VBP) program.  Review NASL's detailed summary of the FY2018 SNF PPS final rule.  (7/31/17)


LTC providers: Senate vote to kill 'skinny' healthcare bill 'the right move' for residents. Speaking about the Senate’s so-called “skinny repeal” healthcare bill, which failed to pass last night, NASL Executive Vice President Cynthia Morton told McKnight’s that “conferencing with the House could have led to ‘a Pandora's box full of significant reforms to Medicaid financing’ and that “The action taken by the Senate late last night is the right move for our patients.” (7/28/17)

NASL testified before the House Energy & Commerce Health Subcommittee's hearing, “Examining Bipartisan Legislation to Improve the Medicare Program.” Read NASL Vice President & Diagnostic Testing Committee Chair Alan Morrison’s testimony on our proposal to modernize the antiquated, complex Medicare payment rules for clinical lab services for nursing home and other homebound beneficiaries. Read NASL’s Statement for the Record calling for repeal of the therapy cap or extension of the exceptions process.

CMS issued the CY2018 Medicare Physician Fee Schedule (PFS) Proposed Rule, which would take effect on or after January 1, 2018. The proposed rule updates Medicare Part B payment policies, payment rates and quality provisions for services under the Medicare PFS, and is available on the Public Inspection Desk of the Federal Register.  It is scheduled to appear in the July 21st edition of the Federal Register.  NASL has posted the pre-publication version of the 815-page proposed rule here. CMS’ Fact Sheet is available on  (7/13/17)


CMS wants more comments on revisions to skilled nursing case-mix methodology.  Provider groups praised CMS' decision to publish the notice outside of the pay rule, with NASL Executive Vice President Cynthia Morton telling McKnight's at the time that “it's a big change and people need time to understand it.”  (6/14/17)


CMS filed the Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology; Extension of Comment Period, extending the comment period for the Advance Notice of Proposed Rulemaking (ANPRM) entitled, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology from June 26 to August 25, 2017.  (6/13/17)


President Trump released his full budget proposal for Fiscal Year (FY) 2018. The proposal reduces Federal spending in order to balance the budget within ten years. While the President’s Budget is unlikely to see an up or down vote in Congress, lawmakers inevitably will consider these proposals among many others to reduce government spending and waste. The budget includes significant reductions to spending in the Medicaid program, converting it to a per capita cap program beginning in 2020. On Medicare, the budget does not propose any cuts
except that the Independent Payment Advisory Board (IPAB) would be repealed by 2023. 
 The budget, which is entitled, A New Foundation for American Greatness, is available here; fact sheets are posted here.  Read NASL's Summary here.  (5/23/17)


GAO gets it right with need for more IT.  “It's good to have a "big dog" recognize that the long-term and post-acute care sectors should be given more help with information technology and exchange,” says McKnight’s guest columnist and NASL Executive Vice President Cynthia Morton.  (5/11/17)