In September, HHS released reporting requirements for remaining Provider Relief Fund (PRF) dollars, in some cases requiring repayment. The terms and conditions have caused significant heartburn for many providers, and NRHA believes HHS’s determination runs askew of congressional intent. Notably, on October 1st, Senate Majority Leader Mitch McConnell responded to HHS’s new reporting requirements saying, in part, “HHS must not impose requirements that will disproportionately affect rural hospitals that already operate on thin margins.”