Other recipients of the letter include Sens. Max Baucus (D-Mont.), Bob Corker (R-Tenn.), Charles E. Grassley (R-Iowa), Orrin G. Hatch (R-Utah), Herb Kohl (D-Wisc.) and Patrick J. Leahy (D-Vt.).

Grassley, a budget hawk, has long been unsatisfied with existing evidence for, or against, GPOs. In October, he called the lack of data a "shortcoming in the current system."

The hospitals opposing the trade group's report are all part of Irving, Texas-based VHA Inc., a cooperative owned by non-profit hospitals, and work with its GPO, Novation.

Hospital signatories to the letter include Allina Hospitals & Clinics of Minneapolis; Baptist Memorial Health Care Corporation of Memphis, Tenn.; BJC HealthCare of St. Louis; Clarian Health Partners Inc. of Indianapolis; Mayo Clinic of Rochester, Minn.; Memorial Hermann Healthcare System of Houston; New York-Presbyterian Hospital of New York; Novant Health of Winston-Salem, N.C.; OhioHealth of Columbus, Ohio; Premier Health Partners of Dayton; Providence Health Services of Renton, Wash.; Spectrum Health of Grand Rapids, Mich.; Sutter Health of Sacramento, Calif.; and Yale New Haven Health System of New Haven, Conn.

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