Hospitals are to report data "through ONLY ONE of the methods" according to the document (
https://www.hhs.gov/sites/default/files/covid-19-faqs-hospit... ). Where the only viable option is a new federal system called TeleTracking™ & Palantir (funded by Peter Thiel by the way). For a hospital to continue to report to their state, both the hospital needs a written waiver from the state and the state needs a written waiver from the federal government. Considering this goes into effect tomorrow, that likely won't happen.