
The Ohio Council for Home Care & Hospice, and 46 fellow state associations representing the home care and hospice industry, has joined the National Alliance for Care at Home to submit a statement to the federal administration in response to the OMB Deregulation RFI. 47. A copy of the letter is below, with the full document available to download via this link (pdf).
May 12, 2025
The Honorable Russell Vought, Director, Office of Management and Budget
725 17th St NW, Washington, DC 20503,
RE: Request for Information: Deregulation
Dear Director Vought:
The National Alliance for Care at Home (Alliance) appreciates the opportunity to submit comments on the Trump Administration’s Request for Information on identifying unduly burdensome, duplicative, or outdated regulations. The Alliance is the unified voice for providers delivering high-quality, person-centered healthcare to individuals, wherever they call home. Our members are providers of different sizes and types—from small rural agencies to large national companies—including government-based providers, nonprofit organizations, systems-based entities, and public corporations.
Our members, including over 1,500 providers representing 10,000 offices and locations, serve over 4 million patients nationwide through a dedicated workforce of over 1 million employees, staff, and volunteers. Formed through the joint affiliation of the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO), the Alliance is dedicated to advancing policies that support care in the home for millions of Americans at all stages of life, individuals with disabilities, persons with both chronic and serious illnesses as well as dying Americans who depend on those supports.
We appreciate the Administration’s efforts to reduce burdensome requirements and better streamline regulations to promote a more effective and efficient healthcare system. Indeed, we are aligned in this goal, and while we support fair and appropriate regulation, it should not interfere with providers’ efforts to support their communities and deliver care in the home.
Accordingly, the Alliance’s recommendations reflect extensive input solicited from our diverse membership from providers throughout the country—large and small, non-profit and for profit, urban and rural, as well as state associations representing providers delivering care in the home. Feedback from our members underscores the necessity of eliminating or revising regulations as “unnecessary, unlawful, unduly burdensome, or unsound.” (citation: See Request for Information: Deregulation, 90 Fed. Reg. 15481, 15482)
Specifically, our members have highlighted rules that are inconsistent with the law, where regulatory costs and burdens significantly outweigh any benefits, and where provisions have become outdated or otherwise unnecessary in today’s healthcare landscape. Our comments also address regulations that inadvertently burden American businesses, specifically providers delivering care in the home, impeding their ability to effectively and efficiently deliver high-quality care. By reducing barriers, we can better foster an environment where providers can support their communities and deliver care in the place where Americans overwhelmingly prefer to receive it—the home.
Our detailed comments are provided in the full document, available via this link (pdf).