April 29, 2026

Re: Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Assistance Interim Final Rule (RIN 0945-AA30)

Dear Director Stannard:

The Medical Group Management Association (MGMA) thanks you for your ongoing leadership in enforcing federal civil rights laws in healthcare. With a membership of more than 60,000 medical practice administrators, executives, and leaders, MGMA represents more than 15,000 medical group practices ranging from small private medical practices to large national health systems, representing more than 350,000 physicians. MGMA is strongly supportive of ensuring persons with disabilities are not discriminated against and have equal access to care. We write to you today to express concerns about upcoming requirements related to the Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance final rule that updated regulations under Section 504 of the Rehabilitation Act of 1973 (Section 504 final rule). Specifically, MGMA urges a one-year delay in the near-term compliance dates of the Section 504 final rule.

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