The Renal Healthcare Association Annual Day on the Hill is an essential advocacy event that brings kidney care professionals and patients together to engage with lawmakers and regulators. This program plays a crucial role in shaping healthcare policy for dialysis and end-stage renal disease (ESRD) patients while ensuring that independent, regional, and community-based dialysis providers have a voice in legislative discussions.

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Event Details

  • Welcome Reception: May 18, 2027

  • Hill Meetings: May 19, 2027

  • Location: Capitol Hill, Washington, D.C.

  • Meetings: The RHA Government Affairs Team schedules meetings with representatives, senators, and key legislative staff while providing essential talking points and informational handouts to support effective advocacy.

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Participants will meet with members of Congress and their staff to advocate for policies supporting independent dialysis providers and high-quality kidney care. You’ll help deliver a unified message that aligns with RHA’s Advocacy Key Principles while addressing your facility's specific priorities and concerns.

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2027 Quick Links

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2027 Key Program Dates
  • April 2 - Scholarship deadline
  • April 2 - Registration deadline
  • April 16 - Hotel reservation deadline 
  • Early May - Participant Webinar 
  • May 18 - Welcome Reception in D.C.  
  • May 19 - Day on the Hill meetings 

Why Participate?

  • Educate members of Congress and their staff on the importance of independent dialysis providers.

  • Advocate for policies that preserve high-quality kidney care and ensure regulatory stability.

  • Network with fellow advocates, industry professionals, and policymakers.

  • Gain hands-on experience in federal healthcare advocacy - no prior experience required!

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Patients are Welcome!

RHA encourages members to bring patients to participate in the Day on the Hill. Patients must be accompanied by a member attendee and cannot attend on their own. If you have a patient interested in joining, please email Michele Giovine, Program Manager, at mgiovine@renalhealthcare.org. 

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Anthony J. Messana Day on the Hill Scholarship 

RHA offers the Anthony J. Messana Day on the Hill Scholarship to provide financial support for an eligible member to attend this event. Scholarship recipients will have the opportunity to advocate for kidney care and engage with policymakers directly. Scholarship application deadline: April 2, 2027.

Click here to apply for the Day on the Hill Scholarship

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Hotel and Travel Information

The 2027 Day on the Hill will be held in Washington, D.C.

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Hilton Washington DC Capitol Hill

525 New Jersey Ave, NW
Washington, DC 20001

  • Hotel Rate: Standard - $369++
  • Parking:  Daily $45 7 AM-7 PM, Valet $70
  • Reserve your room here by April 16th. 

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Airport Options 

  • [DCA] Reagan Washington National Airport -  (Distance to hotel - 5 miles, 15 minutes) 
  • [IAD] Washington Dulles International Airport - (Distance to hotel - 28 miles, 46 minutes driving)

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For any questions regarding the Day on the Hill program or the Anthony J. Messana Scholarship, please contact admin@renalhealthcare.org.

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Day on the Hill 2026 Summary

On May 20, 2026, RHA held a successful 2026 Day on the Hill in Washington, D.C., bringing together kidney care professionals and advocates from across the country to meet directly with lawmakers and congressional staff on issues impacting dialysis providers and the patients they serve.

During the program, 21 RHA members met with 35 House and Senate offices representing 17 states, including key congressional leadership offices and members serving on committees with jurisdiction over dialysis and renal healthcare issues.

Throughout the meetings, RHA members advocated for the passage of two priority pieces of legislation: the Kidney Care Access Protection Act (H.R. 6214 / S. 2730) and the Restore Protections for Dialysis Patients Act (H.R. 2199 / S. 1173).

RHA members also discussed the growing operational and financial pressures facing dialysis providers, including rising labor and supply costs, workforce shortages, barriers to home dialysis and innovative therapies, and challenges related to Medicare Advantage enrollment among ESRD patients. Conversations emphasized the importance of preserving access to life-sustaining dialysis care, particularly in rural and underserved communities.

The Kidney Care Access Protection Act is a bipartisan bill that would support patient access to innovative therapies by allowing CMS to make direct payments to providers for Medicare Advantage enrollees receiving Transitional Drug Add-on Payment Adjustment (TDAPA) and Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) therapies. The bill would also establish a forecast error adjustment, requiring CMS to update annual payment rates when projected and actual cost growth differ significantly.

The bipartisan and bicameral Restore Protections for Dialysis Patients Act would help ensure patients with ESRD maintain fair access to private healthcare coverage.

The 2026 Day on the Hill once again demonstrated the importance of advocacy and the collective voice of the renal community in advancing policies that support independent dialysis providers and protect patient access to high-quality kidney care.

Review RHA's 2026 Policy Priorities on the Hill

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For any questions, please contact us at admin@renalhealthcare.org. 
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