NRAA Legislative Program

The resource and voice for the independent and community-based dialysis providers.

NRAA provides a voice in Washington, DC for its membership through the implementation of a strong and multi-faceted federal legislative and regulatory advocacy program. NRAA also serves as an educational resource for legislators on national and local issues pertaining to End-Stage Renal Disease (ESRD).

NRAA Members play a significant role in our advocacy efforts.  Whether it is sending a message to Members of Congress, attending the NRAA Day on the Hill or writing comment letters to CMS, NRAA Members rise to the occasion.

Advocacy in Action!


Facility Tours Day on the Hill Activities


Facility tours open up a direct conversation with lawmakers about the ongoing Medicare funding and unfunded mandate issues that challenge NRAA member facilities and the potential effects on the continued provision of quality care and positive outcomes for our patients.
In addition, facility tours allow legislators to hear directly from our patients about how kidney failure affects them, and what dialysis means to them and their families. By showing legislators how our patients benefit from quality life-saving dialysis therapies, how many patients we care for, how many committed staff contribute to that care, and how that care is funded, we are better able to explain to them why adequate Medicare funding is so critical and the current challenges we face within the Medicare program. 
Schedule a facility tour with your local representatives when they're in their home offices. Facility tours provide you with the opportunity to show your elected officials first hand your commitment to the vulnerable patient population that we serve, and demonstrates the variety of complex care services we provide to their constituents in the community. 
The NRAA Facility Tour Toolkit is a resource for NRAA members and offers step-by-step instructions on how to arrange for a Member of Congress to visit a facility and meet patients, staff, and community partners.  Facility tours are an excellent opportunity to educate elected officials and candidates for office about how dialysis providers care for a vulnerable patient population, and the importance of the Medicare ESRD program.

Congressional Schedules - check when your Congressman and Senators will be in their home office and available for a facility tour:


Click here for the 2016 Congressional Calendar

Click here to download a list of Schedulers to contact when making your appointments


NOTE: Representatives and Senators spend the entire month of August in their states spending time with their families and constituents.  


For more information on prepare for a facility tour please refer to the Facility Tour Toolkit on the Members only section.  This is a benefit of NRAA Membership, members can access the NRAA Facility Tour Toolkit with links to all of the documents needed for a successful visit with Members of Congress. 


NRAA Day on the Hill

Be a voice for legislation that helps improve ESRD patient care and kidney research.  Every Spring NRAA Members and their patients take to Capitol Hill on the Annual NRAA Day on the Hill.  Members make appointments with elected officials on the hill, who take the time to meet with them to discuss issues surrounding ESRD patient care and treatment.  NRAA participants are briefed on key issues for discussion with their legislators, and NRAA provides talking points and leave behinds.

Patient and caregiver participation in the meetings is especially compelling as it gave legislators the opportunity to hear directly about the patient experience and needs.  NRAA provides patient funding, visit the Spring Meeting and Day on the Hill event page to learn more.

Day on the Hill - Congressional Visits

NRAA Directors Julie Williams of Branson Dialysis, Branson, Missouri and Rob Bomstad of Dialysis Centers of Northwest Arkansas, LLC, Arkansas meets with Senator John Boozman (R-AR)


NRAA Director Bill Porier and NRAA Member Kathy Bernadelli of Greenfield Health Systems, Michigan visit Senator Gary Peter's office (D-MI)

NRAA Members Naveena Reddy and Tim Weaver of Renal Ventures Management, meet with Senator Bob Casey's Legislative correspondents (D-PA)

NRAA Member Hermina Ramos of Kidney Treatment Center, San Antonio, Texas, meets with Senator John Cornyn's Legislative correspondent (R-TX)


2014 Day on the Hill - Congressional Visits


(From left to right) (1) NRAA Director Joyce Jackson and advocates from Northwest Kidney Center arrive for a meeting with Congressman Adam Smith (D-WA) (2) NRAA Director Julie Williams of Branson Dialysis, Branson, Missouri, meets with Senator Claire McCaskill (D-MO)  (3)  NRAA Director Karen Kelley, Portage Health Dialysis Dialysis Center, Hancock, Michigan, with Congressman Dan Benishek (R-MI)

NRAA Legislative Activities in Washington Include:

  • Coordinating with U.S. Senate and House leadership, Members of Congress, Senators and their staff who serve on committees with jurisdiction or have a demonstrated interest in ESRD policy to promote better understanding of our issues and encourage favorable consideration for the renal industry in legislation and federal oversight activities.
  • Communicating with the White House, Office of Management and Budget, Department of Health and Human Services and other federal agencies and commissions that develop ESRD-related regulatory policy to encourage equitable treatment for the industry in regulations and coverage determinations.
  • Informing NRAA members of legislative and regulatory policy developments through our weekly e-mail, Renal Watch, and when appropriate, encouraging the membership to weigh in on federal policy issues as they develop.

The NRAA federal advocacy activities are coordinated and carried out in consultation with the Board of Directors by the NRAA Legislative Counsel - Mehlman Castagnetti Rosen & Thomas.

Mehlman Castagnetti Rosen & Thomas
1341 G Street, NW Suite 1100
Washington, DC 20005
Phone: 202-585-0258

To locate your senators or representative – visit or

Additional information