While $300/day is indeed ridiculously little, these fines would be published on a website, as per the factsheet [1]

"If the hospital fails to respond to CMS’ request to submit a corrective action plan or comply with the requirements of a corrective action plan, CMS may impose a civil monetary penalty on the hospital not in excess of $300 per day, and publicize these penalties on a CMS website."

I guess a "name and shame" strategy could lead to increased public awareness, and later to political pressure, which in time would translate into political action. At least that's how democracy is supposed to work.

Separately, the public is asked for feedback on the proposed rule until 27-Sept-2019. Not sure how this works, but I guess a grassroots movement could result in an increase in this diminutive fine.

[1]https://www.cms.gov/newsroom/fact-sheets/cy-2020-medicare-ho...