[tropo]

Whose design? My guess is that the agency can't go higher due to an outdated law from when the agency was founded. Lots of laws have fixed dollar amounts which eventually get absurd due to inflation.

From CNBC: "The public comment period will be open until the end of September. If finalized, the rule would take effect in January."

So, leave a comment. Ask for something large, tied to inflation or to hospital revenue.