On June 26, your Academy submitted comments to the RAND Corporation who is under contract by the Centers for Medicare and Medicaid Services (CMS) to develop standardized patient/resident assessment data elements in alignment with the Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act). CMS sought comments from stakeholders on data elements that meet the IMPACT Act domains of cognitive function and mental status; medical conditions and co-morbidities; impairments; medication reconciliation; and care preferences. Your Academy has twice responded to CMS and its contractors on similar requests for information and comment on post-acute care assessment data elements and measures.