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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2026 · third_quarter · Q3
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Source: Senate LDA
Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
DETERRENT Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
DETERRENT Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
DETERRENT Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
340B Rebate Model Delay Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
Rural Physician Workforce Production Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Rural Physician Workforce Production Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Rural Physician Workforce Production Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Doctors in our Borders Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration.
Doctors in our Borders Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. Issue: Oppose the Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers. Support national interest exemption exception for all academic medicine and the health care sector. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
Doctors in our Borders Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Oppose renewal of Presidential Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers to hire a worker. Support a national interest exemption for all of academic medicine and the health care sector. Issue: Oppose the Department of Homeland Security (DHS) proposed rule for a new $103,265 fee on new cap-subject H-1B applications, The extra add-on fee did not previously exist for H-1B cap-subject petitions. Issue: Oppose the Department of Homeland Security (DHS) proposed rule which implements new fees for F-1 foreign students seeking to participate in Optional Practical Training (OPT), a temporary employment authorization connected to a students field of study. The proposed rule would establish a $70,000 fee for F-1 student visas for an initial 12-month OPT and an additional $30,000 fee for a 24-month extension. H.Res.215/S.J.Res.213 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by U.S. Immigration and Customs Enforcement of the Department of Homeland Security (DHS) relating to "Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media" Issue: Support the preservation of Duration of Status (D/S) and oppose the Department of Homeland Security (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current D/S visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Support bicameral Congressional Review Act (CRA) resolution of disapproval regarding the U.S. Immigration and Customs Enforcement (ICE) of the DHS D/S final rule. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
Conrad State 30 and Physician Access Reauthorization Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration.
Conrad State 30 and Physician Access Reauthorization Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Oppose renewal of Presidential Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers to hire a worker. Support a national interest exemption for all of academic medicine and the health care sector. Issue: Oppose the Department of Homeland Security (DHS) proposed rule for a new $103,265 fee on new cap-subject H-1B applications, The extra add-on fee did not previously exist for H-1B cap-subject petitions. Issue: Oppose the Department of Homeland Security (DHS) proposed rule which implements new fees for F-1 foreign students seeking to participate in Optional Practical Training (OPT), a temporary employment authorization connected to a students field of study. The proposed rule would establish a $70,000 fee for F-1 student visas for an initial 12-month OPT and an additional $30,000 fee for a 24-month extension. H.Res.215/S.J.Res.213 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by U.S. Immigration and Customs Enforcement of the Department of Homeland Security (DHS) relating to "Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media" Issue: Support the preservation of Duration of Status (D/S) and oppose the Department of Homeland Security (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current D/S visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Support bicameral Congressional Review Act (CRA) resolution of disapproval regarding the U.S. Immigration and Customs Enforcement (ICE) of the DHS D/S final rule. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
Conrad State 30 and Physician Access Reauthorization Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. Issue: Oppose the Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers. Support national interest exemption exception for all academic medicine and the health care sector. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
MERIT Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
MERIT Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
MERIT Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Expanding Medical Education Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Expanding Medical Education Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Expanding Medical Education Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
FAIR Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
FAIR Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
FAIR Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Save Healthcare Workers Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Save Healthcare Workers Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Save Healthcare Workers Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Improving Seniors’ Timely Access to Care Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Title VIII Nursing Workforce Reauthorization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
Title VIII Nursing Workforce Reauthorization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Title VIII Nursing Workforce Reauthorization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Oppose restructuring the 340B program from an upfront discount to a retrospective rebate. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state ACA marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. P.L.-119-75 Consolidated Appropriations Act, 2026H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.745 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Oppose restructuring the 340B program from an upfront discount to a retrospective rebate. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state ACA marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. P.L.-119-75 Consolidated Appropriations Act, 2026H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.745 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Community TEAMS Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Community TEAMS Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Community TEAMS Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Military Construction and Veterans Affairs, Agriculture, and Legislative Branch Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Department of Defense Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Department of Defense Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2027 Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years.
Department of Defense Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.
To reauthorize programs related to health professions education, and for other purposes.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Oppose restructuring the 340B program from an upfront discount to a retrospective rebate. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state ACA marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. P.L.-119-75 Consolidated Appropriations Act, 2026H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.745 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
To reauthorize programs related to health professions education, and for other purposes.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
To reauthorize programs related to health professions education, and for other purposes.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
Hospital Inpatient Services Modernization Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Hospital Inpatient Services Modernization Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Hospital Inpatient Services Modernization Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Kayla Hamilton Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Kayla Hamilton Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Kayla Hamilton Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
RESULTS Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
RESULTS Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
RESULTS Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2027 Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years.
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.
Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Medical Student Education Authorization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Oppose restructuring the 340B program from an upfront discount to a retrospective rebate. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state ACA marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. P.L.-119-75 Consolidated Appropriations Act, 2026H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.745 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Medical Student Education Authorization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Medical Student Education Authorization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
Patients Deserve Price Tags Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Patients Deserve Price Tags Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Strengthening Pathways to Health Professions Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Strengthening Pathways to Health Professions Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Strengthening Pathways to Health Professions Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Rural Residency Planning and Development Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Rural Residency Planning and Development Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Oppose restructuring the 340B program from an upfront discount to a retrospective rebate. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state ACA marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. P.L.-119-75 Consolidated Appropriations Act, 2026H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.745 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Rural Residency Planning and Development Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Defend Rural Health Act of 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Defend Rural Health Act of 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Defend Rural Health Act of 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
H–1Bs for Physicians and the Healthcare Workforce Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration.
H–1Bs for Physicians and the Healthcare Workforce Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. Issue: Oppose the Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers. Support national interest exemption exception for all academic medicine and the health care sector. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
H–1Bs for Physicians and the Healthcare Workforce Act
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Oppose renewal of Presidential Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers to hire a worker. Support a national interest exemption for all of academic medicine and the health care sector. Issue: Oppose the Department of Homeland Security (DHS) proposed rule for a new $103,265 fee on new cap-subject H-1B applications, The extra add-on fee did not previously exist for H-1B cap-subject petitions. Issue: Oppose the Department of Homeland Security (DHS) proposed rule which implements new fees for F-1 foreign students seeking to participate in Optional Practical Training (OPT), a temporary employment authorization connected to a students field of study. The proposed rule would establish a $70,000 fee for F-1 student visas for an initial 12-month OPT and an additional $30,000 fee for a 24-month extension. H.Res.215/S.J.Res.213 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by U.S. Immigration and Customs Enforcement of the Department of Homeland Security (DHS) relating to "Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media" Issue: Support the preservation of Duration of Status (D/S) and oppose the Department of Homeland Security (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current D/S visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Support bicameral Congressional Review Act (CRA) resolution of disapproval regarding the U.S. Immigration and Customs Enforcement (ICE) of the DHS D/S final rule. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
Provider Reimbursement Stability Act of 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Provider Reimbursement Stability Act of 2026
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2027, and for other purposes.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.
Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2027, and for other purposes.
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2027 Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years.
Financial Services and General Government Appropriations Act, 2027
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.
Financial Services and General Government Appropriations Act, 2027
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2027 Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years.
Medicare Patient Access and Practice Stabilization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res.14 Fiscal Year 2026 Budget Reconciliation Fiscal Year 2027 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Oppose restrictions on federal Medicaid funding for certain disfavored services Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the One Big Beautiful Bill Acts (OBBBA) work requirements and more frequent eligibility redeterminations for the Affordable Care Act (ACA) expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act (ACA) enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 H.R.9693 - Patients First Act of 2026 H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Medicare Patient Access and Practice Stabilization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Medicare Patient Access and Practice Stabilization Act of 2025
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
National Defense Authorization Act for Fiscal Year 2027
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
National Defense Authorization Act for Fiscal Year 2027
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Commerce, Justice, Science, and Related Agencies Appropriations Act, 2027
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.
Commerce, Justice, Science, and Related Agencies Appropriations Act, 2027
Client: ASSOCIATION OF AMERICAN MEDICAL COLLEGES · Firm: ASSOCIATION OF AMERICAN MEDICAL COLLEGES
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2027 Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years.
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.119-75 - Consolidated Appropriations Act, 2026, Division B H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. FY 2027 Presidents Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 - Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H). Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance and efforts to politicize NIH grant decision making. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years. Issue: Support prohibition on finalizing and implementing the Office of Management & Budgets (OMB) proposed revisions to the Uniform Guidance government-wide. P.L.119-103 - Continuing Appropriations and Extensions Act, 2027 H.R.9770 - Continuing Appropriations Act, 2027 Issue: Support temporary funding extension and language preventing action on the Office of Management & Budget (OMB) proposed revisions to the Uniform Guidance.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. 340B Drug Pricing Integrity and Affordability for Patients Act (340B for Patients Act) Issue: Oppose efforts to restrict the scope of the 340B program and transition 340B into a rebate model. Oppose additional reporting requirements for 340B hospitals. Oppose additional restrictions on 340B patient definition. Oppose numeric and geographic limits on covered entities use of contract pharmacy arrangements. Oppose restrictions on child site eligibility based on a site's proportion of charity care or Medicaid outpatient services. S.5244 - Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act (SUSTAIN 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support legislatively codifying Congress intent for the 340B program. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. H.R.9599 - Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act) Issue: Support codifying covered entities ability to use an unlimited network of contract pharmacies to deliver 340B-acquired drugs to patients. Support protecting 340B covered entities against discrimination by pharmacy benefit managers and payers. Support a moratorium on the Department of Health and Human Services 340B Rebate Model Pilot Program. Oppose additional restrictions on 340B patient definition. Oppose additional reporting requirements for 340B hospitals. Oppose restrictions on child site eligibility based on the social vulnerability score or payer mix. H.R.10770 - 340B Rebate Model Delay Act Issue: Delay implementation of the 340B Rebate Model Pilot Program. Educate lawmakers about the administrative burden such a model would impose on covered entities. Issue: Oppose shift in 340B program administration from Health Resources & Services Administration (HRSA) to Centers for Medicare and Medicaid Services (CMS). Oppose Outpatient Prospective Payment System (OPPS) Medicare Part B reimbursement reduction for 340B-acquired drugs from average sales price (ASP) plus 6 percent to ASP minus 33.4 percent. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements, provide adequate cost-sharing protections, or a sufficiently robust provider network. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state Affordable Care Act (ACA) marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, teaching hospitals, and affiliated faculty physicians, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.1589 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again (MAHA) strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations. Issue: Educate lawmakers about health workforce patterns including primary care.
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Oppose renewal of Presidential Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers to hire a worker. Support a national interest exemption for all of academic medicine and the health care sector. Issue: Oppose the Department of Homeland Security (DHS) proposed rule for a new $103,265 fee on new cap-subject H-1B applications, The extra add-on fee did not previously exist for H-1B cap-subject petitions. Issue: Oppose the Department of Homeland Security (DHS) proposed rule which implements new fees for F-1 foreign students seeking to participate in Optional Practical Training (OPT), a temporary employment authorization connected to a students field of study. The proposed rule would establish a $70,000 fee for F-1 student visas for an initial 12-month OPT and an additional $30,000 fee for a 24-month extension. H.Res.215/S.J.Res.213 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by U.S. Immigration and Customs Enforcement of the Department of Homeland Security (DHS) relating to "Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media" Issue: Support the preservation of Duration of Status (D/S) and oppose the Department of Homeland Security (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current D/S visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Support bicameral Congressional Review Act (CRA) resolution of disapproval regarding the U.S. Immigration and Customs Enforcement (ICE) of the DHS D/S final rule. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2026 · second_quarter · Q2
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration. Issue: Educate Congress on impact of U.S. Citizenship and Immigration Services (USCIS) memo that would alter adjustment of status applications. Issue: Oppose the Proclamation 10973, Restriction on Entry of Certain Nonimmigrant Workers, which implements a $100,000 fee for new H-1B specialty worker visa fees for employers. Support national interest exemption exception for all academic medicine and the health care sector. H.R.8943 - Our Doctors First Act of 2026 Issue: Oppose legislation that prohibits Medicare support for graduate medical education (GME) for non-citizens. H.R.8942 - GME Transparency Act of 2026 Issue: Oppose legislation that would condition medical residency program status on hospital and health system reporting of resident citizenship, visa, and immigration status.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Ensure earnings, outcomes, framework appropriately captures residents in training. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act H.R.8800 - National Defense Authorization Act for Fiscal Year 2027 Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8469 - FY 2027 Military Construction, Veteran Affairs, and Related Agencies Spending Bill P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2027 Budget Request H.R.8845 - FY 2027 Commerce, Justice, Science, and Related Agencies Spending Bill Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.8495 - FY 2027 Financial Services and General Government and National Security, Department of State, and Related Programs Spending Bill Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request H.R.9260 - FY 2027 Labor, HHS, Education, and Related Agencies Spending Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Advanced Molecular Detection, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, education, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the Patient Centered Outcomes Research Trust Fund. Issue: Urge elimination of disruptions, delays, and unnecessary administrative barriers preventing NIH and other agencies from expending their appropriations at a pace resembling past fiscal years.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with implement strategies to mitigate coverage losses due to the OBBBAs work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.5582/S.2355 - Patients Deserve Price Tags Act H.R.9393 - Lower Costs, More Transparency Act of 2026 H.R.9390 - Prices on the Wall Act of 2026 Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. H.R.9504 - Tax Exempt Hospital Transparency Act Issue: Oppose efforts that increase duplicative and burdensome reporting requirements on tax exempt hospitals through expanded IRS reporting measures. H.R.3514/ S.1816 - Improving Seniors' Timely Access to Care Act of 2025 Issue: Support efforts to decrease the burden of prior authorization in Medicare Advantage plans Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. H.R.8163 - Provider Reimbursement Stability Act of 2026 Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Support protections against manufacturer-imposed claims submission requirements. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Oppose restructuring the 340B program from an upfront discount to a retrospective rebate. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Support affordable and increased access to state ACA marketplace exchanges. Support policies that lower enrollees private insurance costs. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress and the administration on the medical education and training continuum, higher education accreditation, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. P.L.-119-75 Consolidated Appropriations Act, 2026H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. H.Res.745 - Expressing support for the designation of October 1 as National Latino and Latina Physician Day. Issue: Support the designation of October 1 as National Latino and Latina Physician Day. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2026 · first_quarter · Q1
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. H.R.7961 - H-1Bs for Physicians and the Healthcare Workforce Act Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Oppose shift in 340B program administration from HRSA to CMS. Issue: Support policies to ensure access to robust and comprehensive coverage. Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Support an extension of the enhanced premium tax credits (EPTCs) provided by the American Rescue Plan Act, or other policies to reduce premium payments, maintain enrollment, and reduce the uncompensated care burden on academic health systems. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; menopause and womens health; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262/S.4110 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Support oversight regarding changes to pediatric vaccine schedule. Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Fiscal Year 2026 Budget Reconciliation Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the need to delay, undo, or revise pending new restrictions on to provider taxes and state-directed payments, along with strategies to mitigate coverage losses in light of the implementation of work requirements and more frequent eligibility redeterminations for the ACA expansion population. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.7409 - Defend Rural Health Act Issue: Oppose efforts to repeal or curtail the ability of urban hospitals to become rural referral centers or reclassify for the purposes of their wage index. Issue: Educate Congress and policymakers on the role academic health systems, teaching hospitals, medical schools, and faculty practices play in caring for rural patients and communities, training providers to practice in rural communities, and ensuring access to critical health care services not otherwise available. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: CAA, 2021 Sec. 131 extension and RTP thresholds Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. S.2355 - Patients Deserve Price Tags Act Issue: Oppose efforts to increase administrative burden on hospitals through expanded reporting measures. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R.4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761/H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. S.3757 - Foreign Medical School Accountability Fairness Act Issue: Support the application of consistent federal Title IV student aid eligibility requirements for all graduate medical schools operating outside of the United States and Canada. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048/S.1296 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. P.L.-119-75 Consolidated Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Support language prohibiting changes to facilities and administrative costs across the federal government. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support reauthorization of programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. P.L.-119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Support language prohibiting changes to facilities and administrative costs across the federal government. P.L.-119-75 Consolidated Appropriations Act, 2026 H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research. FY 2027 Presidents Budget Request Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support timely disbursement of appropriated funds. Support full funding for the programs established under the Dr. Lorna Breen Health Care Provider Protection Act. Ensure appropriate proportion of forward funded awards. Support funding for the National Science Foundation.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2025 · fourth_quarter · Q4
Issue: Ensure robust non-defense discretionary spending levels, including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 Issue: Urge timely and transparent obligation of FY 2025 funding at health, education, and science agencies, including National Institutes of Health (NIH), Advanced Research Projects Agency for Health (ARPA-H), Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality (AHRQ), Substance Abuse & Mental Health Services Administration (SAMHSA), National Science Foundation (NSF), and the Department of Education. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies P.L.119-37 - Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 H.R.4016 - Department of Defense Appropriations Act, 2026, substitute amendment #3951 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approaches. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support investment in Advanced Research Projects Agency for Health (ARPA-H) and ensure it does not supplant NIH funding. Avoid arbitrary restrictions on research, public health, and health care. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support continued funding for the Childrens Hospitals Graduate Medical Education (CHGME). Support continued funding for the National Health Service Corps (NHSC), the Teaching Health Center Graduate Medicare Education Program and Community Health Centers. Support disbursement of appropriated funds, including at the Department of Education. Ensure appropriate proportion of forward funded awards. Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 H.R.6938 - Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). H.R.7006 - Financial Services and General Government and National Security, Department of State, and Related Programs Appropriations Act, 2026 Issue: Support language preventing changes to facilities and administrative support and encouraging adoption of the Financial Accountability in Research model. Issue: Support efforts to strengthen federal science agencies reimbursement of facilities and administrative costs and prevent changes that would undermine research.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income-driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. Issue: Support the elimination of taxes on non-tuition student scholarships and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Urge revisions to the Department of Education proposal to change admissions data collections practices. Issue: Oppose proposed compact that would impose conditions threatening innovation. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the 340B Drug Pricing Program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict the 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic health systems and academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food & Drug Administration (FDA) regulation of the development of LDTs at academic health systems and academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic health systems, academic medical centers, and teaching hospitals , including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education as it relates to nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.6468 - Rural Residency Planning and Development Act of 2025 Issue: Support codification of the Health Resources & Services Administration (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Encourage the Department of Health & Human Services (HHS) to take actions to prevent further measles outbreaks. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R.5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers for Disease Control & Prevention (CDC). Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination. P.L.119-60 - National Defense Authorization Act for Fiscal Year 2026 H.R.3838 - Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026 S.1071 - National Defense Authorization Act for Fiscal Year 2026 Issue: Support robust medical staffing for the military health system and provisions that strengthen the military medical workforce. Issue: Oppose CDC website changes related to autism and vaccinations.
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3348 - Dream Act of 2025 Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years. Issue: Oppose the Department of Homeland Securitys (DHS) interim final rule with comment period, Removal of the Automatic Extension of Employment Authorization Documents, which ends automatic extensions of work authorization of certain Employment Authorization Documents (EADs) when EAD renewal applications are timely filed for international medical graduates (IMGs). Issue: Support exemptions for nonimmigrant visas, including F, J, and M student visas, from countries included under the Presidential Proclamation Restricting the Entry of Foreign Nationals to Protect the United States from Foreign Terrorists and other National Security and Public Safety Threats and any future travel bans offered by the Administration.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H.Con.Res. 14 Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital and provider cuts, including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, and reductions in wage index. Oppose cuts to federal Medicaid funding, including reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing academic health systems and teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.1835 - Breaking the Gridlock Act S.3385 - Lower Health Care Costs Act S.3386 - Health Care Freedom for Patients Act of 2025 Issue: Support clean extension of Affordable Care Act enhanced premium tax credits (EPTCs) set to expire at the end of 2025 H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/S.2600 - Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their disproportionate share hospital (DSH) cap. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. H.R. 4313 - Hospital Inpatient Services Modernization Act Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove the requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S.2761 / H.R.5269 - Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare. Issue: Oppose Department Homeland Security (DHS) proposed rule to expand public charge definition and educate Congress on potential impacts to health care providers.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic health systems, academic medical centers, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 - Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education, academic health systems, and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2025 · third_quarter · Q3
Issue: Ensure robust non-defense discretionary spending levels including in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 Issue: Urge timely and transparent obligation of FY 2025 funding at health, education, and science agencies, including National Institutes of Health (NIH), Advanced Research Projects Agency for Health (ARPA-H), Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality (AHRQ), Substance Abuse & Mental Health Services Administration (SAMHSA), National Science Foundation (NSF), and the Department of Education. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 FY 2027 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. Presidents FY 2026 Budget Request H.R.5304 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 S.2587 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, biodefense, and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and engage stakeholders on alternative approach. Address the NIH salary cap. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support disbursement of appropriated funds, including at the Department of Education. Ensure appropriate proportion of forward funded awards. Presidents FY 2026 Budget Request H.R.5342 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 S.2354 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2026 Issues: Support funding for the National Science Foundation (NSF). Issue: Support effort to strengthen federal science agencies reimbursement of facilities and administrative costs.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. Issue: Ensure implementation of the One Big Beautiful Bill Act (P.L.119-21) supports medical students and residents. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Support clarifying definition of professional student programs. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for physicians. H.R.1048 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support codification of covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food & Drug Administration (FDA) regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress about the role of academic health systems, academic medical centers, teaching hospitals, medical schools, and their affiliated faculty physicians play in providing care to all communities, including rural and underserved populations. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; health care for people with disabilities; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. Issue: Support codification of Health Resources & Services Administrations (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Encourage the Department of Health & Human Services (HHS) to take actions to prevent further measles outbreaks. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. H.R. 5428 - Medical Student Education Authorization Act Issue: Support long-term authorization for the Title VII Medical Student Education program, which provides grants to public institutions of higher education to expand or support graduate education for physicians, focusing on institutions in states with the most severe primary care provider shortage. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances. Issue: Support the US Preventive Services Task Force. Issue: Support oversight of leadership changes at the Centers For Disease Control & Prevention (CDC). Issue: Provide comments on the Make America Healthy Again strategy. S.1941 - Cure Hepatitis C Act of 2025 Issue: Support funding to expand access to rapid screening, treatment, and services to support hepatitis C elimination.
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients. Issue: Support physician and health industry exemptions from the $100,000 filing fee for new H-1B visa applications included in the Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers. Issue: Support the preservation of Duration of Status and oppose the Department of Homeland Securitys (DHS) proposed rule, Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media, which would end the current Duration of Status visa term for most F, J, and I visa holders in favor of a fixed term framework, not to exceed four years.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H. Con. Res. 14 Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, reductions in wage index. Oppose cuts to federal Medicaid funding, including through reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on impact of Statutory Pay-As-You-Go Act Medicare sequester H.R.4371/S.2439 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Issue: Support codification of Rural Residency Planning and Development grants. Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314/ S.2715 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. H.R.3178/ S.2600 Save Healthcare Workers Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the continued move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education (IME) financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their disproportionate share hospital (DSH) cap. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of the Acute Hospital Care at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
Issue: Support preservation of nonprofit tax status for Association of American Medical Colleges (AAMC) member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic medical centers, academic health systems, and teaching hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2025 · second_quarter · Q2
Issue: Ensure robust non-defense discretionary spending levels in the Labor-HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 Issue: Urge timely and transparent obligation of FY 2025 funding at health and science agencies. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.3944 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2026 Draft Senate FY 2026 Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. Presidents FY 2026 Budget Request Draft House and Senate FY 2026 Labor, Health and Human Services, and Education, and Appropriations Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Gun Violence Prevention Research, Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support continued and increased funding for Health Resources and Services Administration (HRSA) Title VII health workforce and Title VIII nursing workforce development programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support disbursement of appropriated funds. Presidents FY 2026 Budget Request House and Senate FY 2026 Commerce, Justice, Science, and Related Agencies Appropriations Bill Issues: Support funding for the National Science Foundation (NSF). Issue: Support effort to strengthen federal science agencies reimbursement of facilities and administrative costs.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2025 · first_quarter · Q1
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201- Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients.
Issue: Support preservation of nonprofit tax status for Association of American Medical Colleges (AAMC) member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2024 · fourth_quarter · Q4
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 H.R.7050 - Substance Use Disorder Workforce Act Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for GME. Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.834/S.230 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. GME Data Transparency Act of 2024 Issue: Educate Congress on teaching health system and hospital GME data collection practices and concerns related to duplicative reporting requirements. H.R.2584/S.2768 - Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. H.R.5378 - Lower Costs, More Transparency Act Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts paid for by cuts to hospital outpatient departments. H.R.5013 - Value in Health Care Act Issue: Support legislation that ensures the continued move to value-based care. H.R.8235 - Rural Physician Workforce Preservation Act Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported GME slots from the CAA, 2021 and 2023. Issue: Educate Congress on status of CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare DGME/IME payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Draft Senate Finance Medicare Physician Fee Schedule request for information Issue: Support efforts to reform the Medicare physician fee schedule. H.R.2474 - Strengthening Medicare for Patients and Providers Act Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI). S.4338 - Pay PCPs Act Issue: Respond to Senate request for information on hybrid payments for Medicare physicians. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R. 10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 P.L. 118-158 American Relief Act, 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support elimination of two years of scheduled reductions to the Medicaid DSH program. H.R.9351 - The Save Our Safety-Net Hospitals (SOS) Act Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on potential financial implications of entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. H.R.2829 - Chronic Care Management Improvement Act of 2023 Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2024 · third_quarter · Q3
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 H.R.7050 - Substance Use Disorder Workforce Act Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for GME. Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.834/S.230 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. H.R.2584/S.2768 - Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. H.R.5378 - Lower Costs, More Transparency Act Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts paid for by cuts to hospital outpatient departments. H.R.5013 - Value in Health Care Act Issue: Support legislation that ensures the continued move to value-based care. H.R.8235 - Rural Physician Workforce Preservation Act Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported GME slots from the CAA, 2021 and 2023. Issue: Educate Congress on status of CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare DGME/IME payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Draft Senate Finance Medicare Physician Fee Schedule request for information Issue: Support efforts to reform the Medicare physician fee schedule. H.R.2474 - Strengthening Medicare for Patients and Providers Act Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI). S.4338 - Pay PCPs Act Issue: Respond to Senate RFI on hybrid payments for Medicare physicians. P.L.118-42 - Consolidated Appropriations Act, 2024 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. H.R.9351 - The Save Our Safety-Net Hospitals (SOS) Act Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on potential financial implications of entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. H.R.2829 - Chronic Care Management Improvement Act of 2023 Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2024 · third_quarter · Q3
P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 FY 2025 Presidents Budget Request on Health and Human Services Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S. 4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. P.L.118-83 - Continuing Appropriations and Extensions Act, 2025 Issue: Support continuing resolution.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2024 · second_quarter · Q2
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 H.R.7050 - Substance Use Disorder Workforce Act Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.834/S.230 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. H.R.2584/S.2768 - Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. H.R.5378 - Lower Costs, More Transparency Act Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts paid for by cuts to hospital outpatient departments. H.R.5013 - Value in Health Care Act Issue: Support legislation that ensures the continued move to value-based care. H.R.8235 - Rural Physician Workforce Preservation Act Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported GME slots from the CAA, 2021 and 2023. Issue: Educate Congress on status of CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Draft Senate Finance Medicare Physician Fee Schedule request for information Issue: Support efforts to reform the Medicare physician fee schedule. H.R.2474 - Strengthening Medicare for Patients and Providers Act Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI). S.4338 - Pay PCPs Act Issue: Respond to Senate RFI on hybrid payments for Medicare physicians. P.L.118-42 - Consolidated Appropriations Act, 2024 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on potential financial implications of entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. H.R.2829 - Chronic Care Management Improvement Act of 2023 Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2024 · first_quarter · Q1
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities.
P.L.118-47 - Further Consolidated Appropriations Act, 2024. S.2624 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 H.R.5894 - House FY 2024 Labor, Health and Human Services, and Education, and related agencies spending bill Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support reproductive health training, and diversity, equity, and inclusion efforts. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support funding to combat the opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for Hepatitis-C proposal. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R.5893 - House FY 2024 Commerce and Justice, Science, and Related Agencies Spending Bill S.2321 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the National Science Foundation. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R.4366/S.2127 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R.4821/S.2605 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers. P.L.118-42 - Consolidated Appropriations Act, 2024 Issue: Support extension of funding for Teaching Health Centers and the National Health Service Corps. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L.118-15 - Continuing Appropriations Act, 2024 and Other Extensions Act P.L.118-22 - Further Continuing Appropriations and Other Extensions Issue: Support continuation of federal funding. FY 2025 Presidents Budget Request on Health and Human Services Draft House and Senate Labor, Health and Human Services, Education and Related Agencies Appropriations Bills Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Draft House and Senate Military Construction, Veterans Affairs, and Related Agencies Appropriations Bills Issue: Support increased funding for the VA Medical and Prosthetic Research Program. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2023 · third_quarter · 3A
S.665/H.R.4942 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Draft Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
Presidents FY 2024 Budget Request S.2624 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 Draft House FY24 Labor-HHS-Education Appropriations Bill Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation. Support funding for Hepatitis-C proposal. Draft House FY24 Commerce - Justice - Science Appropriations Bills Issue: Support funding for the National Science Foundation. HR.4366/S.2127 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. H.R.4821/S.2605 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers. Issue: Ensure robust non-defense discretionary spending levels. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support extension of funding for Teaching Health Centers. P.L. 118-15 - Continuing Appropriations Act, 2024 and Other Extensions Act Issue: Support continuation of federal funding.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2023 · fourth_quarter · Q4
Presidents FY 2024 Budget Request S.2624 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 H.R.5894 - House FY 2024 Labor, Health and Human Services, and Education, and related agencies spending bill Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support reproductive health training; and diversity, equity, and inclusion efforts. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and gun violence prevention research. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation. Support funding for Hepatitis-C proposal. H.R.5893 - House FY 2024 Commerce and Justice, Science, and Related Agencies Spending Bill S.2321 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the National Science Foundation. H.R.4366/S.2127 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 H.R.4366 - Consolidated Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. H.R.4821/S.2605 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers. Issue: Ensure robust non-defense discretionary spending levels. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support extension of funding for Teaching Health Centers and the National Health Service Corps. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L.118-15 - Continuing Appropriations Act, 2024 and Other Extensions Act P.L.118-22 - Further Continuing Appropriations and Other Extensions Issue: Support continuation of federal funding.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2023 · third_quarter · Q3
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of GradPLUS loans. H.R.4985 - Expanding Medical Education Act Draft Senate Bill Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including MSIs. Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and GME positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2023 · second_quarter · Q2
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 Issue: Support increased Medicare funding for graduate medical education (GME). H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. S.230/H.R.834 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. Issue: Provide feedback to CMS and Congress on CMS distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 (P.L. 116-260) as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Oppose Medicare hospital, physician, and provider cuts. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support requiring states to extend Medicaid and CHIP coverage during the postpartum period. Issue: Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities. Issue: Support efforts to expand patient access to telehealth. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support efforts to improve access to childrens mental health care. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support expanded Medicare reimbursement for integrated behavioral health Medicare payment codes. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Support extension of alternative payment model (APM) bonus. Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic. H.R.8188/S.4449 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2023 · first_quarter · Q1
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, community collaborations, as well as efforts related to GME, workforce, and physician shortages in rural and urban communities, sustainability within the health care sector, and health equity. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Support extension of public health emergency declaration. Educate Congress and the administration about the impact of transitioning out of the COVID-19 public health emergency. Issue: Educate Congress and the administration about medical education on nutrition, hunger and health; reproductive health; substance use disorders; and diversity, equity, and inclusion. P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Implementation of the Medication Access and Training Expansion Act (MATE) and the Mainstreaming Addiction Treatment Act (MAT). Draft Medical Student Education Authorization Act Issue: Support grants for primary care training in medically under-resourced communities Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Implementation of grants directed at improving clinician burnout and well-being. Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health and substance use disorder treatment, including funding for training on pain management, safe prescribing practices, and substance use disorders, stronger enforcement of mental health parity laws, financial incentives to promote the uptake of integrated behavioral health models, and the provision of additional Medicare-supported GME positions for psychiatry and psychiatry sub-specialties. Draft Strengthen Kids Mental Health Now Act/Investing in Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program, clinical preparedness, and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Draft Pandemic and All-Hazards Preparedness Reauthorization Act Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program. Oppose restrictions on covered entities use of contract pharmacy arrangements and the differential treatment of covered entities with respect to reimbursement, participation in standard or preferred networks, and inventory management. H.R. 2534, Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support legislation to advance maternal health equity by providing comprehensive coverage during the post-partum period. Support initiatives to ensure robust data collection on maternal health outcomes. Support policies to provide comprehensive and integrated mental health services during the perinatal period. H.R. 2369, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L. 116-260). Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2022 · fourth_quarter · Q4
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health care and substance use disorder treatment, including funding for training on substance use disorders, pain management, and safe prescribing practices, enhance enforcement of mental health parity laws, increased financial support for integrated behavioral health models. Support the provision of additional Medicare-supported graduate medical education slots for psychiatry and psychiatry sub-specialties. P.L. 117-328, Consolidated Appropriations Act, 2023 Support the provision of 200 additional Medicare-supported graduate medical education (GME) positions. Support the extension of COVID-related telehealth flexibilities. Support elimination or delay of Statutory Pay-As-You-Go (PAYGO) Medicare sequester and eliminating or reducing scheduled cuts to the Physician Fee Schedule. Support one-year of continuous Medicaid coverage for children. Support extension of postpartum Medicaid and CHIP coverage for 12 months. H.R. 1384/ S.445, Mainstreaming Addiction Treatment (MAT) Act of 2021 P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. H.R. 2067, Medication Access and Training Expansion (MATE) Act of 2021 P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Oppose legislative mandates dictating medical education curriculum on pain management and addiction. H.R. 7236, Strengthen Kids Mental Health Now Act/ S. 2727 Investing in Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services through a 100% federal match. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including restrictions on covered entities use of contract pharmacy to distribute covered drugs. H.R. 4390, Preserving Rules Ordered for the Entities Covered Through 340B Act of 2021 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payer mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 H.R. 7667, Food and Drug Amendments of 2022 (FDA22) P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support promotion of data sharing and clinical trials results reporting. Support increased clinical trials diversity. Issue: Development of Enhanced Primary Care Pilot Act proposal H.R. 2503 / S. 3039, Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health H.R. 7585 / S. 4486, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support incentives to encourage the inclusion of implicit bias training in medical education and residency training. Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage during the postpartum period and expand demonstration project grants. H.R. 959, Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387, Maternal Health Quality Improvement Act S. 1491/ H.R. 769, Rural MOMs Act H.R. 4387, Maternal Health Quality Improvement Act of 2021 H.R. 925 / S. 347, Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. P.L. 117-159, Bipartisan Safer Communities Act Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, reinstating assault weapons ban, data infrastructure, hospital based and community violence intervention programs, and programs to address mental and behavioral health impact of gun violence. Issue: Support funding for Community Violence Interventions / Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. Provide feedback on monkeypox response including testing. S. 3799, PREVENT Pandemics Act P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Support efforts of academic medical centers to respond to public health threats such as monkeypox and COVID-19. Urge establishment and implementation of robust national testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. H.R. 8131, Increasing Competition for Medical Residency Act Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035 / S. 2982, Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform Congress and Administration about medical education on caring for older adults, nutrition, climate change, stigma around addiction, reproductive health, and accelerated medical education training programs. Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. Issue: Support efforts of teaching hospitals to promote patient safety and high-quality care. H.R. 7152/ S.3534, The Tracking Pathogens Act P.L. 117-328, Consolidated Appropriations Act, 2023, Division FF Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. H.R. 7961, Safety from Violence for Healthcare Employees (SAVE) Act Issue: Support statutory protections against violence and intimidation for health care workers and provide grants for hospital programs aimed at preventing violence in health care settings. P.L. 117-263, James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 Issue: Support a one year pause in military medical billet reductions in the Military Health System.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2022 · third_quarter · Q3
Issue: Support unique mission of academic medicine. P.L. 117-180, Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 Issues: Support temporary extension of federal funding levels. Support supplemental funding for COVID-19 and Monkeypox response efforts, including testing. Oppose inclusion of policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. Presidents FY 2023 Budget Request H.R. 8295, S. 4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support investment in nondefense discretionary spending, including ample funding allocations for Labor-HHS-Education. Presidents FY 2023 Budget Request H.R. 8256, S. 4664, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2023 Issues: Support funding for the National Science Foundation (NSF) Presidents FY 2023 Budget Request H.R. 8238, S. 4759, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. Support removing VA health funding from discretionary caps. P.L. 117-2, American Rescue Plan Issue: Encourage agencies to implement funding relief for federal research agencies, new COVID-19 research, funding for data science, CDC-supported genomic sequencing, public health data modernization, investment in public health infrastructure, testing, contact tracing, vaccine development and distribution. Support funding for provider relief fund. Support supplemental funding for HRSA workforce programs and programs addressing the mental health and well-being of health care providers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. P.L. 117-169, Inflation Reduction Act of 2022 Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare and VA support for physician training and the physician workforce. Support maximum funding for public health and health care preparedness. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure. Support funding for capital projects at hospitals to enhance preparedness and expand ICU capacity. Support funding for grants between public health departments and academic medical centers. Support funding for Teaching Health Center Graduate Medical Education and Childrens Hospital Graduate Medical Education. Support funding for maternal health. Support policies allowing teaching hospitals, medical schools, and other non-profit or public entities to access sustainable infrastructure investments. Support policies to reduce prescription drug prices H.R.7007, Making emergency supplemental appropriations for coronavirus response and relief for the fiscal year ending September 30, 2022, and for other purposes. Draft Senate Supplemental Administration's emergency supplemental funding request to address COVID. Issue: Support emergency funding for HHS to address COVID.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2022 · second_quarter · Q2
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. Issue: Support programs and funds for safety-net providers. Educate Congress about the impact of Section 203 of the Consolidated Appropriations Act, 2021 and its changes to the Medicaid DSH cap calculation methodology on academic medical centers. Support legislative efforts to address concerns. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support increased Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support targeted Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893, Draft House bill Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R. 5376, Build Back Better Act Issue: Support additional Medicare funding for graduate medical education slots. Support efforts to increase physician workforce diversification through novel, targeted scholarship programs. Support protection of the 340B Drug Pricing Program in the budget reconciliation package. Support for 12-months continuous coverage for children on Medicaid and CHIP. Support extending the enhanced ACA marketplace subsidies and addressing the Medicaid coverage gap . Support extending life of Medicare Hospital Insurance Trust Fund. Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts . Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Oppose policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on Consolidated Appropriations Act, 2021 (CAA Sec. 203) changes to the Medicaid shortfall calculations and the potential impact on Medicaid DSH payments Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R.3173 / S.3018, Improving Seniors Timely Access to Care Act Issue: Protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs. Draft Medicare Part D benefit re-design legislation Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. S. 610 Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund. Issue: Support congressional extension of 3.75% temporary increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Oppose aspects of CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers. H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care Issue: Support funding for hospital-based violence intervention programs and community violence interventions S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Draft Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. H.R. 3746 Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. H.R. 4970 Rural Medical Residency Expansion Act of 2021 Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2022 · first_quarter · Q1
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act Issue: Support loan forgiveness for COVID-19 health workers. S. 847, Student Loan Tax Elimination Act Issue: Support the elimination of origination fees on federal student loans. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R. 801, the Expanding Medical Education Act H.R. 5376, Build Back Better Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses. H.R. 5376, Build Back Better Act Issue: Support pathway scholarships for disadvantaged students entering medical school. Draft community college pathway legislation Issue: Support recruiting students from community college to careers in medicine to help improve diversity. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys H.R. 4631, the Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of Federal Direct Subsidized Loans for graduate students. Issue: Educate Congress on accelerated medical education programs. Issue: Educate Congress and the administration on AAMC member curriculum on climate change and nutrition.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2021 · fourth_quarter · Q4
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support increased Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support targeted Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893, Draft House bill Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R. 5376, Build Back Better Act Issue: Support additional Medicare funding for graduate medical education slots. Issue: Support efforts to increase physician workforce diversification through novel, targeted scholarship programs. Issue: Support protection of the 340B Drug Pricing Program in the budget reconciliation package Issue: Support for 12-months continuous coverage for children on Medicaid and CHIP Issue: Support extending the enhanced ACA market place subsidies and addressing the Medicaid coverage gap Rural-Urban Physician Workforce Act Issue: Support improvements to Rural Training Track programs. Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on Consolidted Appropriations Act, 2021 (CAA Sec. 203) changes to the Medicaid shortfall calculations and the potential impact on Medicaid DSH payments Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives Draft, Improving Seniors Timely Access to Care Act Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. S. 610 Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund as a financing mechanism for bipartisan infrastructure package. Issue: Support congressional extension of 3.75% temporary increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the CMS policy allowing teaching physicians to provide supervision via real-time, interactive audio/video technology to meet resident supervision requirements. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Oppose CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care HR 5035, The Child Suicide Prevention and Lethal Means Safety Act Issue: Support expansion of training for health professionals to prevent self-harm or suicide Issue: Support funding to support hospital-based violence intervention programs and community violence interventions S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Draft Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. H.R. 3746 Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. H.R. 4970 Rural Medical Residency Expansion Act of 2021 Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2021 · third_quarter · Q3
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support additional Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893, Draft House bill Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R. 5376, Build Back Better Act Issue: Support additional Medicare funding for graduate medical education slots. Issue: Support efforts to increase physician workforce diversification through novel, targeted scholarship programs. Issue: Support protection of the 340B Drug Pricing Program in the budget reconciliation package Issue: Support for 12-months continuous coverage for children on Medicaid and CHIP Issue: Support strengthening the ACA and address the Medicaid coverage gap Rural-Urban Physician Workforce Act Issue: Support improvements to Rural Training Track programs. Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives Draft, Improving Seniors Timely Access to Care Act Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund as a financing mechanism for bipartisan infrastructure package. Issue: Support congressional extension of 3.75% temporary increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the CMS policy allowing teaching physicians to provide supervision via real-time, interactive audio/video technology to meet resident supervision requirements. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Support CMS introducing new regulations to make permanent the interim final rule that ensures teaching hospitals that increased their number of inpatient beds to accommodate the surge in patients during the public health emergency to not have their Indirect Medical Education (IME) payments reduced by CMS. Issue: Oppose CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Issue: Support extension of Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care HR 5035, The Child Suicide Prevention and Lethal Means Safety Act Issue: Support expansion of training for health professionals to prevent self-harm or suicide Issue: Support funding to support hospital-based violence intervention programs and community violence interventions S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Support extension of 24/7 nursing care waiver for Acute Hospital Care at Home program. Draft Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. H.R. 3746 Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2021 · second_quarter · Q2
Issue: Support the nomination of Andrea Palm as Deputy Secretary of Health and Human Services Issue: Support the nomination of James Kvaal to be Under Secretary of Education Issue: Support the nomination of Chiquita Brooks-LaSure as Administrator of the Centers for Medicare and Medicaid Services. Issue: Support the nomination of Melanie Egorin as Assistant Secretary for Legislation at the US Department of Health and Human Services. Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers and new guidelines to expand access to buprenorphine. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. H.R. 1384 / S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Oppose efforts to direct HHS to update the Medicare.gov Care Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 Issue: Educate Congress on development of Laboratory Developed Tests and impact of burdensome regulation on patients access to care at academic medical centers. Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Development of Enhanced Primary Care Pilot Act proposal Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs S. 610/H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Provide information on COVID-19 long haulers clinical care. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support promotion of data sharing and clinical trials results reporting. H.R. 791/ S. 236 Tracking COVID-19 Variants Act Issue: Support expansion of CDC-supported genomic sequencing, including at academic medical centers. Draft Legislation to update the 21st Century Cures Act Issue: Encourage strategies to support academic medicines efforts to increase patient access to novel therapies. Discuss initiatives to strengthen foundational and translational sciences. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671 - Doctors of Community Act Issue: Discuss strategies to permanently authorize the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2021 · first_quarter · Q1
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act Issue: Support loan forgiveness for COVID-19 health workers. P.L. 117-2, the American Rescue Plan Issue: Support a change in the Higher Education Emergency Relief Fund formula to better include independent medical students. Issue: Support single accreditation system for graduate medical education. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Oppose efforts to stop the use of race as a factor in medical school admissions. Issue: Support the repeal of Title IX campus sexual harassment regulations. Issue: Oppose the Department of Educations Sec. 117 foreign gift reporting information collection request. Issue: Oppose the Department of Educations investigation into Princeton Universitys anti-racism efforts. H.R. 801, the Expanding Medical Education Act Issue: Support grants to create, expand, and support regional medical campuses.
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2020 · fourth_quarter · Q4
P.L. 116-37, Bipartisan Budget Act of 2019 Issue: Support efforts to Increase discretionary spending caps and non-defense discretionary spending for fiscal year 2021. P.L. 116-260, Consolidated Appropriations Act, 2021, Division H, M, and N H.R. 7614, Draft Senate, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2021 H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support animal research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Urge completion by end of calendar year. Issue: Support increased 302(b) funding allocations for Labor- HHS-Education and Commerce-Justice-Science Subcommittees. P.L. 116-260, Consolidated Appropriations Act, 2021, Division B H.R. 7667, Draft Senate, FY 2021 Commerce, Justice, Science, and Related Agencies Appropriations Act H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 Issues: Support funding for the National Science Foundation (NSF). Urge completion by end of calendar year. P.L. 116-260, Consolidated Appropriations Act, 2021, Division J H.R. 7609, Draft Senate, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021 H.R.7608, State, Foreign Operations, Agriculture, Rural Development, Interior, Environment, Military Construction, and Veterans Affairs Appropriations Act, 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. Support exemption from discretionary spending caps. Urge completion by end of calendar year. P.L. 116-260, Consolidated Appropriations Act, 2021, Division G H.R. 7612, Draft Senate, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2021 H.R.7608, State, Foreign Operations, Agriculture, Rural Development, Interior, Environment, Military Construction, and Veterans Affairs Appropriations Act, 2021 Issue: Support funding for Indian Health Service health professions, housing and medical equipment programs. P.L. 116-260, Consolidated Appropriations Act, 2021, Division C H.R. 7617, Department of Defense Appropriations Act, 2021 H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 P.L. 116-283, William M. Thornberry National Defense Authorization Act for Fiscal Year 2021 Issue: Supporting funding for Department of Defense funding for medical personnel and infrastructure, as well as the Uniformed Services University of the Health Sciences (USUHS). P.L. 116-260, Consolidated Appropriations Act, 2021, Division MM P.L. 116-159 Continuing Appropriations Act, 2021 and Other Extensions Act Issue: Support continuation of discretionary funding programs. Support the extension of mandatory appropriation funds for the National Health Service Corps, Community Health Centers, and Teaching Health Centers. Support fixes for Medicare Accelerated and Advance Payment Programs. Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts. Presidents Budget, FY 2022 Issue: Support funding for core public health infrastructure, VA Research, and HRSA Workforce Programs. Support funding for NSF related science priorities. Support sustained robust growth for NIH, emergency funding for NIH, and other medical research priorities. P.L. 116-260, Consolidated Appropriations Act, 2021 PL 116-123, The Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 PL 116 - 127, The Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act P.L. 116-139, H.R. 266, The Paycheck Protection Program and Health Care Enhancement Act Interim Package H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 4322, Safely Back to School and Back to Work Act S. 4320, Coronavirus Response Additional Supplemental Appropriations Act, 2020 H.R. 8406, The Heroes Act S. 178 with Amendment No. 2652 HEALS Act Draft Emergency Coronavirus Relief Act of 2020 Draft Bipartisan State and Local Support and Small Business Protection Act of 2020 Issue: Support emergency funding to provide relief for federal research agencies, investments in new COVID-19 research, funding for research infrastructure workforce and data science. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for testing, contact tracing, vaccine development and distribution, and partnerships between academic medical centers and public health departments. Support funding for preparedness, PPE, and regional centers. Ensure access to research samples. Support funding for provider relief fund. Support funding for CDC, ASPR, NIH, HRSA, CMS, Department of Education, and other agencies Support emergency funding for medical schools. Support liability protections for providers and higher education institutions during COVID-19. Support fixes for Medicare Accelerated and Advance Payment Programs. Support nonprofit medical school, hospital, and physician practice eligibility for Main Street Lending Program. Issue: Support unique mission of academic medicine. H.R. 7308, Research Investment to Spark the Economy Act S. 1585 Research Investment to Spark the Economy (RISE) Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support continued funding support for World Health Organization activities
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2020 · third_quarter · Q3
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act of 2020 Issue: Support expansion of Medicaid coverage for postpartum women. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763, S. 348, Resident Physician Shortage Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414, H.R. 2439, Opioid Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price disclosure initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support nominees for MedPAC
ASSOCIATION OF AMERICAN MEDICAL COLLEGES via ASSOCIATION OF AMERICAN MEDICAL COLLEGES
2020 · second_quarter · Q2
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees H.R. 6102, S. 3404, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. H.R. 4004, S. 2986, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. S. 3750, H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, and testing. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support an increase in the Federal Medicaid Assistance Program. Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. Support for current telehealth waivers to be made permanent. Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care.
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2020 · first_quarter · Q1
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Educate Congress on the use of endowments at medical schools and academic medical centers. Issue: Requesting 6-month delay for hospitals in filing IRS tax forms due to COVID-19 Issue: Support suspension of taxability of student scholarship and grant aid
H.R. 985, The Fair Access for Safe and Timely (FAST) Generics Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 Issue: Support policies to reduce prescription drug prices H.R. 6080, Preventing Drug Shortages Act S. 2723, Mitigating Emergency Drug Shortages Act Issue: Support legislation to reduce drug shortages
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2019 · fourth_quarter · Q4
H.R. 965, S.340, The Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 H.R. 985, The Fair Access for Safe and Timely (FAST) Generics Act of 2019 H.R. 1520, The Purple Book Continuity Act of 2019 H.R. 1503, The Orange Book Transparency Act of 2019 S. 659, Biologic Patent Transparency Act S. 617, Second Look at Drug Patents Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 2543, Prescription Drug Pricing Reduction Act of 2019 Issue: Support policies to reduce prescription drug prices
H.R. 4674, College Affordability Act S. 2557, Student Aid Improvement Act Presidents Budget Request, FY 2020 Department of Education Higher Education Act reauthorization proposal P.L. 116-91, the Fostering Undergraduate Talent by Unlocking Resources for Education Act Issues: Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. Issue: Support a change to the Department of Education Financial Aid Handbook redefining academic year for medical student loan disbursements. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Oppose efforts for expeditated approval of information collection request regarding foreign gifts and contracts to institutions of higher education H.R.103, S. 3058, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students P.L. 116-92, National Defense Authorization Act for Fiscal Year 2020, Division A Issue: Oppose presidents budget proposal to realign or reduce military medical manning positions, or medical billets.
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2019 · third_quarter · Q3
P.L. 116-37, Bipartisan Budget Act of 2019 Issue: Support efforts to Increase discretionary spending caps and non-defense discretionary spending for fiscal years 2020 and 2021. H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020, Division A Draft Senate FY2020 Labor, Health and Human Services, Education, and Related Agencies Spending Bill Presidents Budget, FY 2020 Presidents Budget, FY 2021 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support increased funding allocations for Labor- HHS-Education Subcommittee. H.R. 3055, Commerce, Justice, Science, Agriculture, Rural Development, Food and Drug Administration, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2020, Divisions A, C, and D S.2584, Commerce, Justice, Science, and Related Agencies Appropriations Act 2020 S.2580, Interior, Environment, and Related Agencies Appropriations Act, 2020 Draft Senate FY2020 Military Construction Veterans Affairs and Related Agencies Spending Bill Presidents Budget, FY 2020 Presidents Budget, FY 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Support funding for Indian Health Service health professions, housing and medical equipment programs. Support funding for the National Science Foundation (NSF) Presidents Budget, FY 2020 Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program PL., 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Issue: Support temporary funding extension for discretionary spending programs. Urge completion of full-year spending bills without further delay.
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2019 · second_quarter · Q2
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3022, Patient Access Protection Act Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1226 / S. 317, Advancing Care for Exceptional (ACE) Kids Act of 2019 Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid H.R. 1763 / S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 / H.R. 2439, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices
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2019 · first_quarter · Q1
Issue: Support a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1226, S. 317, Advancing Care for Exceptional (ACE) Kids Act of 2019 Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid H.R. 1763/ S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional funding of graduate medical education Draft Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts H.R.1358 - Advancing Medical Resident Training in Community Hospitals Act of 2019 Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose overly burdensome discussion draft Medicaid GME transparency legislation. Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Oppose Health and Human Service Departments proposed rule on prescription drug rebates Issue: Requested CMS solicit stakeholder feedback on the MS-DRG reassignment of percutaneous Extracorporeal Membrane Oxygenation (ECMO) in the upcoming IPPS FY 2020.
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2018 · fourth_quarter · Q4
Presidents Budget, FY 2020 P.L. 115-141, Consolidated Appropriations Act of 2018, Division H P.L. 115-123, Bipartisan Budget Act of 2018, Division B S.3158/ H.R. 6470, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 P.L. 115-245, Department of Defense and Labor, Health and Human services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019, Division B Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), the National Center for Health Statistics (NCHS), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue and embryonic stem cell research. Encourage consideration of forthcoming NIH plan for chimp sanctuaries. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic. Support increased funding allocations for Labor-HHS-Education Subcommittee and oppose across-the-board cuts. Support single accreditation system for graduate medical education. Oppose cuts to graduate medical education. Issue: Discretionary spending caps and fiscal year 2020 funding for NIH and Department of Veterans Affairs. Presidents Budget, FY 2020 P.L. 115-141, Consolidated Appropriations Act, 2018, Division F P.L. 115-123, Bipartisan Budget Act of 2018, Division B P.L.115-244, Energy and Water, Legislative Branch, and Military Construction and Veterans Affairs Appropriations Act, 2019 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and community care. Oppose restrictions on use of canines in VA medical research. Support funding for DOD Congressionally Directed Medical Research Programs (CDMRP) P.L. 115-141, Consolidated Appropriations Act, 2018, Division B P.L. 115-123, Bipartisan Budget Act of 2018, Division B S. 3072 / H.R 5952 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2019 Issue: Support funding for the National Science Foundation (NSF), urge congress and president to avoid shutdown. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose misleading risk sharing requirements. Oppose limitations to institutions financial aid access based on tax status. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). H.R.3885 - Community Training, Education, and Access for Medical Students (TEAMS) Act Issue: Support grants to provide community-based training for medical students in rural and medically underserved communities. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for enrollees in income driven loan repayment programs, including SAVE. H.R.1048 - DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act. Issue: Ensure any changes to the Department of Education do not interfere with core department functions important to medical schools and medical students.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support amending the 340B statute to codify covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act (ACA) requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food & Drug Administration (FDA) regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Support maintaining membership in the World Health Organization (WHO). Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. Issue: Support codification of Health Resources & Services Administrations (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of Free Application for Federal Student Aid (FAFSA) updates. Issue: Encourage The Department of Health & Human Services (HHS) to take actions to prevent further measles outbreaks. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. H.R.4262 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. H.R.3593/S.1874 - Title VIII Nursing Workforce Reauthorization Act of 2025 Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances.
H.R.1585/S.709 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.1201 - Doctors in Our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients.
P.L.119-21 - One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Fiscal Year 2025 Budget Reconciliation H. Con. Res. 14 Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of non-profit tax status of AAMC member institutions. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, reductions in wage index. Oppose cuts to federal Medicaid funding, including through reductions to the federal medical assistance percentage (FMAP), changes to provider taxes and state-directed payments, and the implementation of per-capita caps or block grants. Oppose policies that restrict access to coverage and care for the Medicaid population, such as work/community engagement requirements, more frequent eligibility redeterminations, and additional cost-sharing. Oppose limits on Affordable Care Act (ACA) premium tax credit eligibility and restrictions on eligibility for and enrollment in ACA Marketplace plans. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate lawmakers on the importance of academic health systems, teaching hospitals, and physician practice eligibility for Rural Health Transformation Program (RHTP), support increased funding for RHTP. Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. H.R.3890 - Resident Physician Shortage Reduction Act of 2025 Issue: Support increased Medicare funding for graduate medical education (GME). Support inclusion of Rural Residency Planning and Development grant codification in the bill. Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the continued move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers for Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R.879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their disproportionate share hospital (DSH) cap. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
Issue: Support preservation of nonprofit tax status for Association of American Medical Colleges (AAMC) member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. Issue: Support tax exempt status for higher education institutions. H.R.593 Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration (HRSA) health workforce education scholarship and loan programs. Issue: Support incentives for clinicians volunteering to be preceptors for medical students. P.L.119-21 One Big Beautiful Bill Act H.R.1 and Senate-Passed Amendment to H.R.1 Issue: Oppose expansion of tax policies affecting intuitions of higher education and academic medical centers, including the endowment tax. Support permanent charitable giving deduction for non-itemizing taxpayers.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Council on Disability, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps (NHSC) funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L.118-158 - American Relief Act 2025 S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. Support funding for the National Health Service Corps (NHSC) and Teaching Health Centers Graduate Medical Education (THCGME). Support disbursement of appropriated funding. H.R.8771/S.4797 - Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025 Issue: Oppose efforts to limit certain types of medical research. P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S.4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation (NSF). P.L.119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies House and Senate FY 2026 Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. Presidents FY 2026 Budget Request House and Senate FY 2026 Labor, Health and Human Services, and Education, and Appropriations Bill Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support disbursement of appropriated funds. Presidents FY 2026 Budget Request House and Senate FY 2026 Commerce, Justice, Science, and Related Agencies Appropriations Bill Issues: Support funding for the National Science Foundation (NSF).
Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSFL), and elimination of Direct PLUS loans, and long-standing tax deductions. Oppose limitations to institutions financial aid access based on tax status. H.R.2106/S.975 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. Issue: Oppose elimination of Direct PLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. Issue: Support Public Service Loan Forgiveness (PSLF) eligibility for enrollees in income driven loan repayment programs, including SAVE. Issue: Support delay in implementation of reporting requirement in financial value transparency and gainful employment regulations. H.R.1048 DETERRENT Act Issue: Oppose expanding current college foreign gift reporting requirements under Section 117 of the Higher Education Act.
Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. Support amending the 340B statute to codify covered entities ability to use contract pharmacies. Issue: Oppose efforts to reduce the scope of the program and transition 340B into a rebate model. Oppose efforts to impose additional reporting requirements on 340B hospitals. Oppose efforts to restrict 340B patient definition. Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. Issue: Support reauthorization of the Childrens Hospitals Graduate Medical Education (CHGME) program. Issue: Support reauthorization of the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Issue: Support maintaining membership in the World Health Organization. Issue: Urge full staffing and funding for health, public health, and research agencies. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. Issue: Support codification of Health Resources & Services Administrations (HRSA) rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Encourage changes to Health Resources & Services Administration (HRSA) financial aid programs as a result of FAFSA updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. Draft Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act Issue: Support Health Resources & Services Administration (HRSA) grants to expand provider pipeline programs to create pathways to health care careers. H.R.929/S.266 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of Health Resources & Services Administration (HRSA) to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. Draft EMPOWER for Health Act Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VII health professions programs. Issue: Support reauthorization of the Health Resources & Services Administration (HRSA) Title VIII nursing workforce development programs. S.331 - HALT Fentanyl Act Issue: Educate Congress on research and schedule I substances.
Fiscal Year 2025 Budget Reconciliation H. Con. Res. 14 Issue: Educate Congress on potential financial implications of Medicare and Medicaid cuts and entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Support preservation of nonprofit tax status for Association of American Medical Colleges (AAMC) member teaching health systems and hospitals with federal non-profit status. Oppose reduction in Medicare hospital outpatient department reimbursement and site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts including Medicare graduate medical education (GME) reforms, reduction or elimination of bad debt reimbursement, reforming Medicare disproportionate share hospital payments and uncompensated care, prevention of rural reclassification, reductions in wage index. Oppose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage, restrictions on provider taxes, limits on state directed payments, reductions in the Federal Medical Assistance Percentage (FMAP), and the implementation of per-capita caps and/or block grants. Oppose reducing Medicare reimbursement for 340B-acquired drugs. Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for graduate medical education (GME). Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.2314 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.1153 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare graduate medical education (GME) payment formulas that reduce current Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments to teaching hospitals. Issue: Educate Congress on teaching health system and hospital graduate medical education (GME) data collection practices and concerns related to duplicative reporting requirements. Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. Issue: Oppose legislation that pays for workforce investments and mitigation of Medicaid Disproportionate Share Hospital (DSH) program cuts paid for by cuts to hospital outpatient departments. Issue: Support legislation that ensures the continued move to value-based care. Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported graduate medical education (GME) slots from the Consolidated Appropriations Act (CAA), 2021 and 2023. Issue: Educate Congress on status of Centers For Medicare and Medicaid Services (CMS) distribution of the 1,000 new graduate medical education (GME) slots authorized by the Consolidated Appropriations Act (CAA), 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare graduate medical education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient Indirect Medical Education (IME) payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support efforts to reform the Medicare physician fee schedule. H.R. 879 - Medicare Patient Access and Practice Stabilization Act of 2025 Issue: Support Medicare Physician Fee Schedule (PFS) reform. P.L. 119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025 P.L. 118-158 - American Relief Act 2025 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule (PFS) cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Support extensions of Acute Hospital at Home program waiver of 24/7 nursing requirement and Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support elimination of scheduled reductions to the Medicaid disproportionate share hospital (DSH) program. Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their disproportionate share hospital (DSH) cap. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support legislation to eliminate the 190-day Lifetime Limit policy in the Medicare program. Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
Issue: Educate Congress on the importance of the Veterans Affairs (VA) academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and Veterans Affairs (VA) medical centers. Issue: Oppose burdensome administrative requirements for Veterans Affairs (VA) researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research. Issue: Oppose disruptions to Veterans Affairs (VA) clinical care, education and training, and research workforce as a result of agency restructuring.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Council on Disability, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers. Issue: Oppose burdensome administrative requirements for VA researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. H.R.9161/S.4773 - Health Equity and Accountability Act of 2024 Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Oppose efforts to reduce the scope of the program and transition 340B into a rebate model. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.7635 - 340B Pharmaceutical Access to Invest in Essential, Needed Treatments and Support (340B PATIENTS) Act Issue: Support amending the 340B statute to codify covered entities ability to use contract pharmacies. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Oppose efforts to impose additional reporting requirements on 340B hospitals. Draft Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B (SUSTAIN 340B) Act Issue: Support efforts to prohibit pharmaceutical and pharmacy benefit manager (PBM) discrimination against covered entities. Oppose efforts to define patient in the context of the program. Oppose efforts to impose additional administrative and reporting requirements on 340B hospitals. H.R.8574 - 340B ACCESS Act Issue: Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. P.L. 118-159 - Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 S.4638 National Defense Authorization Act for Fiscal Year 2025 Issue: Oppose prohibition on coverage for gender affirming care. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs. Issue: Support clean reauthorization of the Childrens Hospital GME program. Issue: Support reauthorization of the National Health Service Corps and Teaching Health Center Graduate Medical Education. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress and the administration about resident physician practice decision making post US SCOTUS decision in Dobbs. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.7855 - Rural Residency Planning and Development Act of 2024 Issue: Support codification of HRSAs rural residency planning and development program. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. Issue: Educate Congress on vaccine safety. Issue: Encourage changes to HRSA financial aid programs as a result of FAFSA updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. S.4031 - Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act Issue: Support HRSA grants to expand provider pipeline programs to create pathways to health care careers. H.R.7258/S.3968 - Community Training, Education, and Access for Medical Education, and Access for Medical Students (TEAMS) Act Issue: Support enhanced community-based training opportunities for medical students, particularly in rural and medically underserved areas, and fostering long-term sustainable physician practices in high-need communities. H.R.7153/S.3673 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of HRSA to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. Issue: Provide input on Next Generation Cures initiative. Issue: Promote overdose prevention. H.R. 10047 The Closing the Substance Use Care Gap Act Issue: Support extension of SAMHSA harm reduction programs.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of Direct PLUS loans. H.R.4985/S.3175 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and graduate medical education (GME) positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. S.4744 - Foreign Medical School Accountability Fairness Act Issue: Support improving the accountability of foreign medical schools receiving federal student aid. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. H.R.6585 - Bipartisan Workforce Pell Act Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. H.R.6951 - College Cost Reduction Act Issue: Oppose elimination of DirectPLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. H.R.7725/S.4115 - Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act Issue: Oppose policies that interfere with medical education, curriculum autonomy, and prohibit graduate medical schools from receiving federal financial assistance if they or accrediting associations adopt certain policies and requirements relating to diversity, equity, and inclusion. H.Res.1180 - Recognizing the importance of diversity, equity, and inclusion efforts in medical education. Issue: Support efforts to increase awareness and recognize the importance of diversity, equity, and inclusion in medical education. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. H.R.8070 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 Issue: Oppose amendments to NDAA that would attach the Bipartisan Workforce Pell Act and DETERRENT Act. Issue: Support Public Service Loan Forgiveness eligibility for enrollees in income driven loan repayment programs, including SAVE. Issue: Support delay in implementation of reporting requirement in financial value transparency and gainful employment regulations. H.R. 8932 FAFSA Deadline Act Issue: Support bill codifying FAFSA release date.
Issue: Support preservation of nonprofit tax status for AAMC members teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefits related to such activities. Issue: Support tax-exempt status for higher education institutions. H.R.7418 Harley Jacobsen Clinical Trial Participant Income Exemption Act Issue: Support exempting from taxable income compensation for clinical trial participation. H.R. 10280 Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration health workforce education scholarship and loan programs. H.R. 3435/ S. 566 Charitable Act Issue: Support tax incentives for charitable contributions. Issue: Support incentives for clinicians volunteering to be preceptors for medical students.
P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. P.L. 118-158 American Relief Act 2025 S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 FY 2025 Presidents Budget Request on Health and Human Services Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. Support funding for the National Health Service Corps (NHSC) and Teaching Health Centers Graduate Medical Education (THCGME). S.4942/ H.R. 9029 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.8771/ S. 4797 Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025 Issue: Oppose efforts to limit certain types of medical research. H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S.4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. P.L.118-83 - Continuing Appropriations and Extensions Act, 2025 Issue: Support continuing resolution. H.R. 10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 P.L. 118-158 American Relief Act, 2025 Issue: Urge congress to finalize FY2025 funding and maintain government operations and programs.
H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to amending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals. Issue: Support permanent protections for Deferred Action for Childhood Arrivals (DACA) recipients.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Council on Disability, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of Direct PLUS loans. H.R.4985/S.3175 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and graduate medical education (GME) positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. S.4744 - Foreign Medical School Accountability Fairness Act Issue: Support improving the accountability of foreign medical schools receiving federal student aid. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. H.R.6585 - Bipartisan Workforce Pell Act Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. H.R.6951 - College Cost Reduction Act Issue: Oppose elimination of DirectPLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. H.R.7725/S.4115 - Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act Issue: Oppose policies that interfere with medical education, curriculum autonomy, and prohibit graduate medical schools from receiving federal financial assistance if they or accrediting associations adopt certain policies and requirements relating to diversity, equity, and inclusion. H.Res.1180 - Recognizing the importance of diversity, equity, and inclusion efforts in medical education. Issue: Support efforts to increase awareness and recognize the importance of diversity, equity, and inclusion in medical education. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. H.R.8070 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 Issue: Oppose amendments to NDAA that would attach the Bipartisan Workforce Pell Act and DETERRENT Act. Issue: Support Public Service Loan Forgiveness eligibility for enrollees in income driven loan repayment programs, including SAVE.
H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. H.R.9161/S.4773 - Health Equity and Accountability Act of 2024 Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Oppose efforts to reduce the scope of the program, restrict the use of contract pharmacies, define patient in the context of the program, and impose additional reporting requirements on 340B hospitals. Oppose pharmaceutical industry efforts to transition 340B into a rebate model. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.7635 - 340B Pharmaceutical Access to Invest in Essential, Needed Treatments and Support (340B PATIENTS) Act Issue: Support amending the 340B statute to codify covered entities ability to use contract pharmacies. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Oppose efforts to impose additional reporting requirements on 340B hospitals. Draft Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B (SUSTAIN 340B) Act Issue: Support efforts to prohibit pharmaceutical and pharmacy benefit manager (PBM) discrimination against covered entities. Oppose efforts to define patient in the context of the program. Oppose efforts to impose additional administrative and reporting requirements on 340B hospitals. H.R.8574 - 340B ACCESS Act Issue: Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Support clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress and the administration about resident physician practice decision making post Dobbs. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.7855 - Rural Residency Planning and Development Act of 2024 Issue: Support codification of HRSAs rural residency planning and development program. Issue: Educate Congress on vaccine safety. Issue: Encourage changes to HRSA financial aid programs as a result of FAFSA updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. S.4031 - Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act Issue: Support HRSA grants to expand provider pipeline programs to create pathways to health care careers. H.R.7258/S.3968 - Community Training, Education, and Access for Medical Education, and Access for Medical Students (TEAMS) Act Issue: Support enhanced community-based training opportunities for medical students, particularly in rural and medically underserved areas, and fostering long-term sustainable physician practices in high-need communities. H.R.7153/S.3673 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of HRSA to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. Issue: Provide input on Next Generation Cures initiative. Issue: Promote overdose prevention.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. H.R.7418 Harley Jacobsen Clinical Trial Participant Income Exemption Act Issue: Support exempting from taxable income compensation for clinical trial participation. Draft Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration health workforce education scholarship and loan programs.
P.L.118-42 - Consolidated Appropriations Act, 2024, Division A Title II, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Support allocation of resources to VA to address funding shortfall. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. S.4942 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 H.R.9029 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2025 FY 2025 Presidents Budget Request on Health and Human Services Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for telehealth resource centers. H.R.9026 - House FY 2025 Commerce and Justice, Science, and Related Agencies Spending Bill S. 4795 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2025 Issue: Support funding for the National Science Foundation. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act S.4677 Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2025 Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. Support allocation of resources to VA to address funding shortfall. FY 2026 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding. Issue: Support restoration and continuation of funding for the 21st Century Cures Act. P.L.118-83 - Continuing Appropriations and Extensions Act, 2025 Issue: Support continuing resolution.
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers. Issue: Oppose burdensome administrative requirements for VA researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Council on Disability, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers. Issue: Oppose burdensome administrative requirements for VA researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. H.R.9161/S.4773 - Health Equity and Accountability Act of 2024 Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program. Oppose efforts to reduce the scope of the program, restrict the use of contract pharmacies, define patient in the context of the program, and impose additional reporting requirements on 340B hospitals. Oppose pharmaceutical industry efforts to transition 340B into a rebate model. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.7635 - 340B Pharmaceutical Access to Invest in Essential, Needed Treatments and Support (340B PATIENTS) Act Issue: Support amending the 340B statute to codify covered entities ability to use contract pharmacies. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Oppose efforts to impose additional reporting requirements on 340B hospitals. Draft Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B (SUSTAIN 340B) Act Issue: Support efforts to prohibit pharmaceutical and pharmacy benefit manager (PBM) discrimination against covered entities. Oppose efforts to define patient in the context of the program. Oppose efforts to impose additional administrative and reporting requirements on 340B hospitals. H.R.8574 - 340B ACCESS Act Issue: Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Support clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress and the administration about resident physician practice decision making post Dobbs. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.7855 - Rural Residency Planning and Development Act of 2024 Issue: Support codification of HRSAs rural residency planning and development program. Issue: Educate Congress on vaccine safety. Issue: Encourage changes to HRSA financial aid programs as a result of FAFSA updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. S.4031 - Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act Issue: Support HRSA grants to expand provider pipeline programs to create pathways to health care careers. H.R.7258/S.3968 - Community Training, Education, and Access for Medical Education, and Access for Medical Students (TEAMS) Act Issue: Support enhanced community-based training opportunities for medical students, particularly in rural and medically underserved areas, and fostering long-term sustainable physician practices in high-need communities. H.R.7153/S.3673 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of HRSA to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders. Issue: Provide input on Next Generation Cures initiative. Issue: Promote overdose prevention.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal non-profit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities. H.R.7418 Harley Jacobsen Clinical Trial Participant Income Exemption Act Issue: Support exempting from taxable income compensation for clinical trial participation. Draft Strengthening Pathways to Health Professions Act Issue: Support extending tax-exempt status to certain Health Resources and Services Administration health workforce education scholarship and loan programs.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of Direct PLUS loans. H.R.4985/S.3175 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and graduate medical education (GME) positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. S.4744 - Foreign Medical School Accountability Fairness Act Issue: Support improving the accountability of foreign medical schools receiving federal student aid. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. H.R.6585 - Bipartisan Workforce Pell Act Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. H.R.6951 - College Cost Reduction Act Issue: Oppose elimination of DirectPLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. H.R.7725/S.4115 - Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act Issue: Oppose policies that interfere with medical education, curriculum autonomy, and prohibit graduate medical schools from receiving federal financial assistance if they or accrediting associations adopt certain policies and requirements relating to diversity, equity, and inclusion. H.Res.1180 - Recognizing the importance of diversity, equity, and inclusion efforts in medical education. Issue: Support efforts to increase awareness and recognize the importance of diversity, equity, and inclusion in medical education. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. H.R.8070 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 Issue: Oppose amendments to NDAA that would attach the Bipartisan Workforce Pell Act and DETERRENT Act. Issue: Support Public Service Loan Forgiveness eligibility for enrollees in income driven loan repayment programs, including SAVE.
H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. H.R.6205/S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 H.R.7050 - Substance Use Disorder Workforce Act Issue: Support increased Medicare funding for graduate medical education (GME). Draft Bipartisan Senate Medicare GME Expansion proposal Issue: Support increased Medicare funding for GME. Oppose duplicative teaching health system and hospital reporting and policies that increase regulatory burden. H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.834/S.230 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. H.R.2584/S.2768 - Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. H.R.5378 - Lower Costs, More Transparency Act Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts paid for by cuts to hospital outpatient departments. H.R.5013 - Value in Health Care Act Issue: Support legislation that ensures the continued move to value-based care. H.R.8235 - Rural Physician Workforce Preservation Act Issue: Educate Congress about the likely impact of legislation that would alter the distribution of Medicare-supported GME slots from the CAA, 2021 and 2023. Issue: Educate Congress on status of CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare DGME/IME payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Draft Senate Finance Medicare Physician Fee Schedule request for information Issue: Support efforts to reform the Medicare physician fee schedule. H.R.2474 - Strengthening Medicare for Patients and Providers Act Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI). S.4338 - Pay PCPs Act Issue: Respond to Senate RFI on hybrid payments for Medicare physicians. P.L.118-42 - Consolidated Appropriations Act, 2024 Issues: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments. Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule cuts. Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Support extension of alternative payment model (APM) bonus. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. H.R.9351 - The Save Our Safety-Net Hospitals (SOS) Act Issue: Support allowing hospitals to count costs and reimbursements for Medicaid patients with third-party coverage towards their DSH cap. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on potential financial implications of entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. H.R.2829 - Chronic Care Management Improvement Act of 2023 Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Council on Disability, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, restrict the use of contract pharmacies, define patient in the context of the program, and impose additional reporting requirements on 340B hospitals. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Oppose efforts to impose additional reporting requirements on 340B hospitals. Draft Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B (SUSTAIN 340B) Act Issue: Support efforts to prohibit pharmaceutical and pharmacy benefit manager (PBM) discrimination against covered entities. Oppose efforts to define patient in the context of the program. Oppose efforts to impose additional administrative and reporting requirements on 340B hospitals. H.R.8574 - 340B ACCESS Act Issue: Oppose efforts to restrict hospital eligibility for the 340B program. Issue: Educate Congress about the impacts of drug shortages on academic medical centers and the patients they serve. Support measures to address drug shortages and strengthen the pharmaceutical supply chain. Draft End Drug Shortages Act Issue: Support policies to increase visibility into the pharmaceutical supply chain. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Support clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress and the administration about resident physician practice decision making post Dobbs. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.7855 - Rural Residency Planning and Development Act of 2024 Issue: Support codification of HRSAs rural residency planning and development program. Issue: Educate Congress on vaccine safety. Issue: Encourage changes to HRSA financial aid programs as a result of FAFSA updates. Issue: Educate Congress on the use of artificial intelligence (AI) in academic medicine. S.4031 - Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act Issue: Support HRSA grants to expand provider pipeline programs to create pathways to health care careers. H.R.7258/S.3968 - Community Training, Education, and Access for Medical Education, and Access for Medical Students (TEAMS) Act Issue: Support enhanced community-based training opportunities for medical students, particularly in rural and medically underserved areas, and fostering long-term sustainable physician practices in high-need communities. H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of HRSA to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders.
H.R. 6980/S.2719 - Directing Our Countrys Transfer of Residency Slots (DOCTORS) Act, Issue: Educate Congress on policies related to mending the Immigration and Nationality Act to provide for the reallocation of unused waivers of the foreign residency requirement for certain J visa holders. H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers and the ability for student borrowers to borrow up to the cost of attendance. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of Direct PLUS loans. H.R.4985/S.3175 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and graduate medical education (GME) positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. H.R.6585 - Bipartisan Workforce Pell Act Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. H.R.6951 - College Cost Reduction Act Issue: Oppose elimination of DirectPLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. H.R.7725/S.4115 - Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act Issue: Oppose policies that prohibit graduate medical schools from receiving federal financial assistance if they or accrediting associations adopt certain policies and requirements relating to diversity, equity, and inclusion. H. Res. 1180 Issue: Support efforts to increase awareness and recognize the importance of diversity, equity, and inclusion in medical education. Issue: Support loan repayment incentives for rural health care providers. Issue: Support tax incentives for clinical preceptors. H.R.8070 Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 Issue: Oppose amendments to NDAA that would attach the Bipartisan Workforce Pell Act and DETERRENT Act.
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers. Issue: Oppose burdensome administrative requirements for VA researchers related to Section 208, 205, and 203 waivers. Issue: Oppose limitations on animal research.
Issue: Support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status. Issue: Educate Congress and policymakers on academic medical centers, teaching health systems and hospitals, medical schools, and faculty physicians unique role in patient care, education, research, and community collaboration. Explain the societal and community benefit related to such activities.
P.L.118-47 - Further Consolidated Appropriations Act, 2024 S.2624 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 H.R.5894 - House FY 2024 Labor, Health and Human Services, and Education, and related agencies spending bill Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support reproductive health training, and diversity, equity, and inclusion efforts. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. Support funding to combat the opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation and funding for non-defense discretionary programs. Support funding for Hepatitis-C proposal. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R.5893 - House FY 2024 Commerce and Justice, Science, and Related Agencies Spending Bill S.2321 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the National Science Foundation. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R.4366/S.2127 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. P.L.118-42 - Consolidated Appropriations Act, 2024 H.R.4821/S.2605 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers. P.L.118-42 - Consolidated Appropriations Act, 2024 Issue: Support extension of funding for Teaching Health Centers and the National Health Service Corps. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. Issue: Ensure robust non-defense discretionary spending levels and for the Labor HHS spending bill. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support providing discretionary funds for rural teaching hospitals to expand their residency programs. FY 2025 Presidents Budget Request on Health and Human Services Draft FY 2025 House and Senate Labor, Health and Human Services, Education and Related Agencies Appropriations Bills Issue: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Support funding for Health Resources and Services Administration (HRSA) Title VII and VIII workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, advanced molecular detection, outbreak forecasting, and climate and health, and gun violence prevention research. FY 2025 Presidents Request on Military Construction, Veterans Affairs, and Related Agencies H.R.8580 FY 2025 Military Construction, Veterans Affairs (VA), and Related Agencies Appropriations Act Draft FY 2025 Senate Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill Issue: Support increased funding for the VA Medical and Prosthetic Research Program and funding to preserve animal research. H.R.485 - Protecting Health Care for All Patients Act of 2023 Issue: Preserve funding for the Prevention and Public Health Fund S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. Oppose policies restricting insurance contracting terms and limiting the collection of facility fees. Issue: Prevent rescissions of COVID relief funding.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Council on Disability, Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 H.R.7050 - Substance Use Disorder Workforce Act Issue: Support increased Medicare funding for graduate medical education (GME). H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. H.R.834/ S.230 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. H.R.2584/S.2768 - Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. H.R.5378 - Lower Costs, More Transparency Act Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts if it is paid for by cuts to hospital outpatient departments. H.R.5013 - Value in Health Care Act Issue: Support legislation that ensures the continued move to value-based care. H.R.2474 - Strengthening Medicare for Patients and Providers Act Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI). Issue: Educate Congress on status of CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. P.L.118-42 - Consolidated Appropriations Act, 2024 Issue: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Oppose creation of National Provider Number/unique identifier for off-campus hospital outpatient departments Issue: Oppose Medicare hospital, and provider cuts. Support mitigation of Medicare Physician Fee Schedule cuts. Issue: Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. Issue: Support extension of alternative payment model (APM) bonus. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Educate Congress on potential financial implications of entitlement reform on teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support extension of Medicare telehealth waivers and efforts to expand patient access to telehealth. Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments. Issue: Support authorization of Medicare advance and accelerated payments in the wake of cyberattacks on providers. H.R.2829 - Chronic Care Management Improvement Act of 2023 Issue: Support removing cost-sharing obligations from the chronic care management (CCM) code in Medicare.
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers. Issue: Oppose burdensome administrative requirements for VA researchers related to Section 208 waivers.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, restrict the use of contract pharmacies, define patient in the context of the program, and impose additional reporting requirements on 340B hospitals. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Oppose efforts to impose additional reporting requirements on 340B hospitals. Draft Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B (SUSTAIN 340B) Act Issue: Support efforts to prohibit pharmaceutical and pharmacy benefit manager (PBM) discrimination against covered entities. Oppose efforts to define patient in the context of the program. Oppose efforts to impose additional administrative and reporting requirements on 340B hospitals. Issue: Educate Congress about the impacts of drug shortages on academic medical centers and the patients they serve. Support measures to address drug shortages and strengthen the pharmaceutical supply chain. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.3838/S.2415 - Preventing Maternal Deaths Reauthorization Act Issue: Support continued federal funding for state-based maternal mortality review committees. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of laboratory developed tests (LDTs) at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of LDTs at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Support clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; health care for people with disabilities; and maternal health. Issue: Educate Congress on resident expectations related to clinical practice and oppose so-called physician service mandates. H.R.7855 - Rural Residency Planning and Development Act of 2024 Issue: Support codification of HRSAs rural residency planning and development program. Issue: Educate Congress on vaccine safety.
H.R.4942/S.665 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Support expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of GradPLUS loans. H.R.4985/S.3175 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including minority serving institutions (MSIs). Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and graduate medical education (GME) positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. H.R.6585 - Bipartisan Workforce Pell Act Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans. H.R.6951 - College Cost Reduction Act Issue: Oppose elimination of GradPLUS loans and other limitations on graduate/professional borrowing. Support eliminating student loan origination fees and interest capitalization. H.R.7725/S.4115 - Embracing anti-Discrimination, Unbiased Curricula, and Advancing Truth in Education (EDUCATE) Act Issue: Oppose policies that prohibit graduate medical schools from receiving federal financial assistance if they or accrediting associations adopt certain policies and requirements relating to diversity, equity, and inclusion. S.4031 - Providing Resources and Opportunities for Health Education and Learning (PRO-HEAL) Act Issue: Support HRSA grants to expand provider pipeline programs to create pathways to health care careers. H.R.7258/S.3968 - Community Training, Education, and Access for Medical Education, and Access for Medical Students (TEAMS) Act Issue: Support enhanced community-based training opportunities for medical students, particularly in rural and medically underserved areas, and fostering long-term sustainable physician practices in high-need communities. H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act Issue: Support ability of HRSA to implement evidenced-based practices for preventing suicide and improving mental health and resiliency among health care professionals, and for training health care professionals in appropriate strategies to address substance use disorders.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institute of Standards & Technology (NIST), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of GradPLUS loans. H.R.4985 - Expanding Medical Education Act Draft Senate Bill Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including MSIs. Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and GME positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 Issue: Support increased Medicare funding for graduate medical education (GME). H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. S.230/H.R.834 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. Issue: Provide feedback to CMS and Congress on CMS distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 (P.L. 116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Oppose Medicare hospital, physician, and provider cuts. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support permanent extension of Medicare telehealth waivers. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities. Issue: Support efforts to expand patient access to telehealth. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support extension of alternative payment model (APM) bonus. Issue: Support providing funds for rural teaching hospitals to expand their residency programs. H.R.8188/S.4449 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments.
Issue: support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status.
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, restrict use of contract pharmacies, and impose additional reporting requirements for 340B hospitals. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.3561 - Promoting Access to Treatments and Extremely Needed Transparency Act of 2023 (PATIENT Act) Issue: Oppose requiring 340B covered entities to report their 340B savings for patients enrolled in Medicaid managed care plans. Oppose implementation of so-called site-neutral payment policies in the Medicare program. Oppose burdensome and duplicative reporting and transparency requirements. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Impose efforts to impose additional, onerous reporting requirements on 340B hospitals. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.3838/S. 2415 Preventing Maternal Deaths Reauthorization Act Issue: Support continued federal funding for state-based maternal mortality review committees. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L. 116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Urge clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; and health care for people with disabilities. H.R.2670/S.2226 - National Defense Authorization Act for Fiscal Year 2024 Issue: Support military health workforce.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Issue: support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status.
S.665/H.R.4942 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. S.3211 - Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness, and elimination of GradPLUS loans. H.R.4985/S.3175 - Expanding Medical Education Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses, including MSIs. Draft Pathway to Practice Act Issue: Support Pathway to Practice medical school scholarships and GME positions for underrepresented students. Draft National Medical Corps Act Issue: Support improving the pathway from community college to careers in medicine. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid. H.R.6585 - Bipartisan Workforce Pell Act Issue: Oppose limiting financial aid access for students at institutions subject to the endowment tax. H.R.6077 - Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act Issue: Support reinstating graduate student eligibility for Federal Direct Subsidized Loans.
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. Issue: Responded to request for information on CDC modernization. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, restrict use of contract pharmacies, and impose additional reporting requirements for 340B hospitals. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.3561 - Promoting Access to Treatments and Extremely Needed Transparency Act of 2023 (PATIENT Act) Issue: Oppose requiring 340B covered entities to report their 340B savings for patients enrolled in Medicaid managed care plans. Oppose implementation of so-called site-neutral payment policies in the Medicare program. Oppose burdensome and duplicative reporting and transparency requirements. Issue: Educate Congress about the impacts of drug shortages on academic medical centers and the patients they serve. Support measures to address drug shortages and strengthen the pharmaceutical supply chain. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Oppose efforts to impose additional, onerous reporting requirements on 340B hospitals. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.3838/S.2415 - Preventing Maternal Deaths Reauthorization Act Issue: Support continued federal funding for state-based maternal mortality review committees. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing FDA regulation of the development of Laboratory Developed Tests at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L.116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, advance mental health research, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Urge clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; medication assisted treatment for opioid use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; and health care for people with disabilities. P.L.118-31 - National Defense Authorization Act for Fiscal Year 2024 Issue: Support military health workforce.
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 Issue: Support increased Medicare funding for graduate medical education (GME). H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. S.230/H.R.834 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. S.2768/H.R.2584 - Safety From Violence for Healthcare Employees (SAVE) Act Issue: Support legislation providing protection for health care workers by creating a criminal offense for knowingly assaulting or intimidating hospital workers and providing grants to reduce violence in hospitals. H.R.5378 - Lower Costs, More Transparency Act Issue: Oppose legislation that pays for workforce investments and mitigation of DSH cuts if it is paid for by cuts to hospital outpatient departments. H.R.5013 - Value in Health Care Act Issue: Support legislation that ensures the continued move to value-based care. H.R.2474 - Strengthening Medicare for Patients and Providers Act Issue: Support legislation that reforms the Medicare Physician Fee Schedule by providing an annual inflation-based payment update based on the Medicare Economic Index (MEI). Issue: Provide feedback to CMS and Congress on CMS distribution of the 1,000 new GME slots authorized by the Consolidated Appropriations Act, 2021 (P.L.116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Oppose the redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Oppose Medicare hospital, physician, and provider cuts. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support permanent extension of Medicare telehealth waivers. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities. Issue: Support efforts to expand patient access to telehealth. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support extension of alternative payment model (APM) bonus. H.R.2377/S.1000 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Issue: support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status.
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. S.2333 - Pandemic and All-Hazards Preparedness and Response Act H.R.4420 - Preparedness and Response Reauthorization Act H.R.4421 - Preparing for All Hazards and Pathogens Reauthorization Act H.R.4697 - Protecting PAHPA Act of 2023 Issues: Support the reauthorization of the Pandemic and All-Hazards Preparedness Act with increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, restrict use of contract pharmacies, and impose additional reporting requirements for 340B hospitals. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from imposing discriminatory reimbursement policies on 340B covered entities. H.R.3561 - Promoting Access to Treatments and Extremely Needed Transparency Act of 2023 (PATIENT Act) Issue: Oppose requiring 340B covered entities to report their 340B savings for patients enrolled in Medicaid managed care plans. Oppose implementation of so-called site-neutral payment policies in the Medicare program. Oppose burdensome and duplicative reporting and transparency requirements. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Impose efforts to impose additional, onerous reporting requirements on 340B hospitals. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support policies to improve maternal health outcomes through expanded Medicaid coverage, enhanced data collection, and improved access to behavioral health care during the perinatal period. H.R.3838/S. 2415 Preventing Maternal Deaths Reauthorization Act Issue: Support continued federal funding for state-based maternal mortality review committees. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L. 116-260). Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support policies to strengthen the behavioral health workforce, promote the uptake of integrated behavioral health models, and ensure access to coverage and care. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. S.2840 - Bipartisan Primary Care and Health Workforce Act Issue: Oppose cuts to the Prevention and Public Health Fund. Support workforce investments and extension of National Health Service Corps funding. H.R.3887 - Childrens Hospital GME Support Reauthorization Act of 2023 H.R.3841 - To amend title III of the Public Health Service Act to reauthorize the program of payments to children's hospitals that operate graduate medical education programs Issue: Urge clean reauthorization of the Childrens Hospital GME program. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; trans health; preventing fraud and abuse; diversity, equity, and inclusion; menopause management; and health care for people with disabilities. H.R.2670/S.2226 - National Defense Authorization Act for Fiscal Year 2024 Issue: Support military health workforce.
S.665/H.R.4942 - Conrad State 30 and Physician Access Reauthorization Act H.R.4875 - Doctors in our Borders Act Issue: Expansion of the Conrad 30 program and improvements to physician immigration. Issue: Educate Congress on policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Draft Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals.
H.R.2389/S.1302 - Resident Physician Shortage Reduction Act of 2023 Issue: Support increased Medicare funding for graduate medical education (GME). H.R.751 - Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. S.230/H.R.834 - Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals. Issue: Provide feedback to CMS and Congress on CMS distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 (P.L. 116-260). Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement for drug administration and other services. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Oppose Medicare hospital, physician, and provider cuts. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives. Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals and health systems, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support delaying or eliminating scheduled cuts to the Medicaid disproportionate share hospital (DSH) program. H.R.2665 - The Supporting Safety Net Hospitals Act Issue: Support eliminating two years worth of scheduled reductions to the Medicaid DSH program. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support permanent extension of Medicare telehealth waivers. Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities. Issue: Support efforts to expand patient access to telehealth. H.R.1397 - The Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP. Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create budget neutral IME payments for outpatient services. Issue: Support extension of alternative payment model (APM) bonus. Issue: Support providing funds for rural teaching hospitals to expand their residency programs. H.R.8188/S.4449 - The Saving Access to Laboratory Services (SALSA) Act Issue: Support legislation to modify Medicare payment rates for clinical diagnostic laboratory services to avoid statutory cuts to these payments.
Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Discuss opportunities to support local affiliations between academic medical centers and VA medical centers.
Presidents FY 2024 Budget Request S.2624 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 Draft House FY24 Labor-HHS-Education Appropriations Bill Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation. Support funding for Hepatitis-C proposal. Draft House FY24 Commerce - Justice - Science Appropriations Bills Issue: Support funding for the National Science Foundation. HR.4366/S.2127 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. H.R.4821/S.2605 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2024 Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers. Issue: Ensure robust non-defense discretionary spending levels. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support extension of National Health Service Corps funding. Issue: Support extension of funding for Teaching Health Centers. P.L. 118-15 - Continuing Appropriations Act, 2024 and Other Extensions Act Issue: Support continuation of federal funding.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
H.R.3046/S.1403 - Medical Student Education Authorization Act of 2023 Issue: Support grants for primary care training in medically under-resourced communities. Draft Social Determinants Accelerator Act Issue: Support grants to address social determinants of health. Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. P.L.117-105 - Dr. Lorna Breen Health Care Provider Protection Act Issue: Implementation of grants directed at improving clinician burnout and well-being. Draft Pandemic and All-Hazards Preparedness Reauthorization Act and related draft bills Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support authorities to strengthen CDCs and ASPRs ability to prevent and respond to existing and emerging threats. S.1995 - Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program. Oppose restrictions on covered entities use of contract pharmacy arrangements and the differential treatment of covered entities with respect to reimbursement, participation in standard or preferred networks, and inventory management. Oppose the imposition of additional reporting requirements on 340B hospitals. H.R.2534 - Preserving Rules Ordered for the Entities Covered Through 340B Act of 2023 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R.3561 - Promoting Access to Treatments and Extremely Needed Transparency Act of 2023 (PATIENT Act) Issue: Oppose requiring 340B covered entities to report their 340B savings for patients enrolled in Medicaid managed care plans. Oppose implementation of so-called site-neutral payment policies in the Medicare program. Oppose burdensome and duplicative reporting and transparency requirements. H.R.3290 - To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. Issue: Impose efforts to impose additional, onerous reporting requirements on 340B hospitals. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support legislation to advance maternal health equity by providing comprehensive coverage during the post-partum period. Support initiatives to ensure robust data collection on maternal health outcomes. Support policies to provide comprehensive and integrated mental health services during the perinatal period. H.R.2369 - Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2023 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Provide guidance on the implementation of the No Surprises Act (P.L. 116-260). Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. Issue: Support the nomination of Mandy Cohen to be the CDC Director. Issue: Express concern regarding actions to inappropriately undermine FDA regulatory authority. Issue: Seek clarification regarding implementation of the MATE Act within P.L. 117-328. Issue: Educate Congress and the administration on the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health and substance use disorder treatment, including increased funding for training on pain management, safe prescribing practices, and substance use disorders, financial incentives to promote the uptake of integrated behavioral health models; and the provision of additional Medicare-supported GME positions for psychiatry and psychiatry sub-specialties. Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, community collaborations, as well as efforts related to GME, workforce, and physician shortages in rural and urban communities, sustainability within the health care sector, and health equity. Issue: Educate Congress about the financial challenges facing academic medical centers, including reimbursement challenges, workforce challenges, inflation, and others. Issue: Educate Congress and the administration about the impact of the unwinding of the COVID-19 public health emergency on the academic medicine community and the patients they serve. Issue: Educate Congress and the administration about medical education on nutrition, hunger, and health; reproductive health; substance use disorders; trans health; preventing fraud and abuse; and diversity, equity, and inclusion.
Presidents FY 2024 Budget Request Draft House and Senate FY24 Labor-HHS-Education Appropriations Bills Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health (ARPA-H) does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation. Support funding for Hepatitis-C proposal. Presidents FY 2024 Budget Request Draft House and Senate FY24 Commerce - Justice - Science Appropriations Bills Issue: Support funding for the National Science Foundation. Presidents FY 2024 Budget Request HR.4366 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 S.2127 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2024 Issue: Support funding for the VA medical and prosthetic research program. Presidents FY 2024 Budget Request Draft House and Senate FY24 Interior Appropriations Bills Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers. Ensure robust non-defense discretionary spending levels. Educate Congress on institutional challenges related to increasing HRSAs oversight of the 340B program and oppose policies requiring covered entities report how they use 340B savings. S.862 - Restoring Americas Health Care Workforce and Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issue: Support increased funding for the National Health Service Corps (NHSC) and Teaching Health Centers. P.L.118-5 - Fiscal Responsibility Act of 2023 Issue: Oppose cuts to discretionary spending.
Issue: support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Capital Planning Commission (NCPC), Natl Institutes of Health (NIH), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
H.R. 2389/Senate draft legislation, Resident Physician Shortage Reduction Act of 2023 Issue: Support increased Medicare funding for graduate medical education (GME) H.R. 751, Fair Access in Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications S.230 / H.R. 834, Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals Issue: Provide feedback to CMS and Congress on CMS distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 (P.L. 116-260) as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS changing its distribution methodology to end the practice of super prioritization. Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs) Issue: Oppose Medicare hospital, physician, and provider cuts. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives Issue: Protect patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support expansion of Medicaid and CHIP coverage during the postpartum period. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support expanded Medicare reimbursement for integrated behavioral health Medicare payment codes. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Issue: Support policy to permanently remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Support extension of alternative payment model (APM) bonus. Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.
Presidents FY 2024 Budget Request Draft House and Senate FY24 Labor-HHS-Education Appropriations Bills Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Social Determinants of Health program (SDOH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health. Support expansion of CDC-supported genomic sequencing. Support robust 302(b) allocation. Presidents FY 2024 Budget Request Draft House and Senate FY24 Commerce - Justice - Science Appropriations Bills Issue: Support funding for the National Science Foundation. Presidents FY 2024 Budget Request Draft House and Senate FY24 Military Construction-VA Appropriations Bills Issue: Support funding for the VA medical and prosthetic research program. Presidents FY 2024 Budget Request Draft House and Senate FY24 Interior Appropriations Bills Issue: Support funding for Indian Health Service workforce programs, including graduate medical education partnerships with academic medical centers Issue: Ensure robust non-defense discretionary spending levels. Issue: Support policies to close the Medicaid coverage gap and ensure access to coverage in non-expansion states, as well as financial incentives to help states maintain existing expansions. Support mandatory 12-month Medicaid coverage for post-partum individuals. Issue: Educate Congress on institutional challenges related to increasing HRSAs oversight of the 340B program and oppose policies requiring covered entities report how they use 340B savings. P.L. 117-328, Consolidated Appropriations Act, 2023, Division H Draft Presidents FY 2024 Budget Request Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support increased funding for the National Health Service Corps (NHSC) and Teaching Health Centers.
Issue: support preservation of nonprofit tax status for AAMC member teaching health systems and hospitals with federal nonprofit status.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Capital Planning Commission (NCPC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. Issue: Support programs and funds for safety-net providers. Educate Congress about the impact of Section 203 of the Consolidated Appropriations Act, 2021 and its changes to the Medicaid DSH cap calculation methodology on academic medical centers. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF Issue: Support increased Medicare funding for graduate medical education, including 200 new Medicare-supported GME slots included in the Consolidated Appropriations Act, 2023. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 H.R. 5376, Build Back Better Act Issue: Support increased Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support targeted Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893 / H.R. 8508, Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Support policy to ensure each qualifying hospital that applies for CAA, 2021 GME positions would receive at least 1 (or a fraction of 1) of the positions before any qualifying hospital receives more than 1 of such positions Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital, physician, and provider cuts. H.R. 8850, Fair Access In Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R.3173 / S.3018, Improving Seniors Timely Access to Care Act Issue: Protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs. Draft Medicare Part D benefit re-design legislation Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Educate Congress and policymakers on the financial challenges facing teaching hospitals, medical schools, and faculty practices and the impact on patients access to care and the nations health. Issue: Support expansion of Medicaid and CHIP coverage during the postpartum period. S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 315, Medicare Sequester COVID Moratorium Act S. 748, Medicare Sequester Relief Act H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF H.R.8800, Supporting Medicare Providers Act of 2022 Issue: Support a 4.42% increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Oppose aspects of CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers. P.L. 117-328, Consolidated Appropriations Act, 2023 Division FF H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021 Issue: Support extension of COVID-19 telehealth waivers for two years beyond the end of the COVID-19 public health emergency. H.R. 7961 - Safety from Violence for Healthcare Employees Act (SAVE Act)Issue: Support funding for hospital-based violence intervention programs and community violence interventions Issue: Support increased access to behavioral health and substance use disorder treatment services under Medicare and Medicaid. Support expanded Medicare reimbursement for integrated behavioral health Medicare payment codes. Support the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. H.R. 4547, Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support extension of alternative payment model (APM) bonus. H.R. 3746, Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. H.R. 4970, Rural Medical Residency Expansion Act of 2021 Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status.
Issue: Support unique mission of academic medicine. P.L. 117-180, Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 Issues: Support temporary extension of federal funding levels. Support supplemental funding for COVID-19 and Monkeypox response efforts, including testing. Oppose inclusion of policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. Presidents FY 2023 Budget Request H.R. 8295, S. 4659, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 P.L. 117-328, Consolidated Appropriations Act, 2023, Division H Draft Presidents FY 2024 Budget Request Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support investment in nondefense discretionary spending, including ample funding allocations for Labor-HHS-Education. Presidents FY 2023 Budget Request H.R. 8256, S. 4664, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2023 P.L. 117-328, Consolidated Appropriations Act, 2023, Division B Draft FY 2024 Presidents Budget Issues: Support funding for the National Science Foundation (NSF) Presidents FY 2023 Budget Request H.R. 8238, S. 4759, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023 P.L. 117-328, Consolidated Appropriations Act, 2023, Division J Draft Presidents FY 2024 Budget Request Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. Support removing VA health funding from discretionary caps. P.L. 117-2, American Rescue Plan Issue: Encourage agencies to implement funding relief for federal research agencies, new COVID-19 research, funding for data science, CDC-supported genomic sequencing, public health data modernization, investment in public health infrastructure, testing, contact tracing, vaccine development and distribution. Support funding for provider relief fund. Support supplemental funding for HRSA workforce programs and programs addressing the mental health and well-being of health care providers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. P.L. 117-169, Inflation Reduction Act of 2022 Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare and VA support for physician training and the physician workforce. Support maximum funding for public health and health care preparedness. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure. Support funding for capital projects at hospitals to enhance preparedness and expand ICU capacity. Support funding for grants between public health departments and academic medical centers. Support funding for maternal health. Support policies allowing teaching hospitals, medical schools, and other non-profit or public entities to access sustainable infrastructure investments. Support policies to reduce prescription drug prices. Support policies to increase non-profit entities access to funding for sustainable infrastructure. H.R. 7007, Making emergency supplemental appropriations for coronavirus response and relief for the fiscal year ending September 30, 2022, and for other purposes. Draft Senate Supplemental Administration's emergency supplemental funding request to address COVID. P.L. 117-328, Consolidated Appropriations Act, 2023 Issue: Support emergency funding for HHS to address COVID.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Natl Security Council (NSC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health care and substance use disorder treatment, including funding for training on substance use disorders, pain management, and safe prescribing practices, enhance enforcement of mental health parity laws, increased financial support for integrated behavioral health models, and the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). Support Senate Finance Committee proposal to provide 400 additional Medicare-supported graduate medical education slots for psychiatry and psychiatry sub-specialties. H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. H.R. 2067 Medication Access and Training Expansion Act of 2021 Issue: Oppose legislative mandates dictating medical education curriculum on pain management and addiction. H.R. 7236 Strengthen Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services through a 100% federal match. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Educate Congress on how the 340B Drug Pricing Program helps safety-net providers to fulfill their missions and care for patients and communities. Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 4390 Preserving Rules Ordered for the Entities Covered Through 340B Act of 2021 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care by allowing Food and Drug Administration regulation of the development of Laboratory Developed Tests at academic medical centers. S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 H.R. 7667, Food and Drug Amendments of 2022 (FDA22) Issue: Support promotion of data sharing and clinical trials results reporting. Support increased clinical trials diversity. Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health H.R. 7585 / S. 4486, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support incentives to encourage the inclusion of implicit bias training in medical education and residency training. Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act H.R. 925 / S. 347 Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. P.L. 117-159, Bipartisan Safer Communities Act Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, reinstating assault weapons ban, data infrastructure, hospital based and community violence intervention programs, and programs to address mental and behavioral health impact of gun violence. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. Provide feedback on monkeypox response including testing. S. 3799, PREVENT Pandemics Act Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. H.R. 8131 Increasing Competition for Medical Residency Act Issue: Educate Congress on the medical education and training continuum, the annual residency Match, and the role of the National Resident Matching Program (NRMP) in medical education and residency. Issue: Support efforts of academic medical centers to respond to public health threats such as monkeypox and COVID-19. Urge establishment and implementation of robust national testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform Congress and Administration about medical education on caring for older adults, nutrition, climate change, stigma around addiction, reproductive health, and accelerated medical education training programs. Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. H.R. 7152/ S.3534, The Tracking Pathogens Act Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. H.R. 7961 - Safety from Violence for Healthcare Employees (SAVE) Act Issue: Support statutory protections against violence and intimidation for healthcare workers and provide grants for hospital programs aimed at preventing violence in healthcare settings. Issue: Support a one-year pause in military medical billet reductions in the Military Health System.
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. Issue: Support programs and funds for safety-net providers. Educate Congress about the impact of Section 203 of the Consolidated Appropriations Act, 2021 and its changes to the Medicaid DSH cap calculation methodology on academic medical centers. Support legislative efforts to address concerns. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support increased Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support targeted Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893 / H.R. 8508, Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose establishing nationality-based restrictions on medical residencies supported by Medicare Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts. H.R. 8850 Fair Access In Residency Act Issue: Oppose legislative interference in residency training program requirements and policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R.3173 / S.3018, Improving Seniors Timely Access to Care Act Issue: Protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs. Draft Medicare Part D benefit re-design legislation Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. S. 610 Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund. H.R.8800 - Supporting Medicare Providers Act of 2022 Issue: Support a 4.42% increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Oppose aspects of CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers. H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021 Issue: Support extension of COVID-19 telehealth waivers for two years beyond the end of the COVID-19 public health emergency. Issue: Support funding for hospital-based violence intervention programs and community violence interventions S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services H.R. 3173/Sr. 3018 Improving Seniors Timely Access to Care Act of 2022 Issue: Support policy that would implement an electronic prior authorization program in Medicare Advantage that would simplify processes and save time for both providers and patients. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Draft Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. H.R. 3746 Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. H.R. 4970 Rural Medical Residency Expansion Act of 2021 Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF), and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act Issue: Support loan forgiveness for COVID-19 health workers. S. 847, Student Loan Tax Elimination Act Issue: Support the elimination of origination fees on federal student loans. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R. 801, Expanding Medical Education Act H.R. 5376, Build Back Better Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses. H.R. 5376, Build Back Better Act Issue: Support pathway scholarships for disadvantaged students entering medical school. Draft National Medical Corp Act Issue: Support recruiting students from community college to careers in medicine to help improve physician workforce diversity. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys H.R. 4631, the Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of Federal Direct Subsidized Loans for graduate students.
Issue: Support unique mission of academic medicine. Presidents FY 2023 Budget Request H.R. 8295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 Draft Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Support mandatory funding for public health preparedness. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health does not supplant NIH funding. Oppose arbitrary restrictions on specific types and sites of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, data modernization, outbreak forecasting, and climate and health, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support investment in nondefense discretionary spending, including ample funding allocations for Labor-HHS-Education. Presidents FY 2023 Budget Request H.R. 8256, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2023 Issues: Support funding for the National Science Foundation (NSF) Presidents FY 2023 Budget Request H.R. 8238, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. Support removing VA health funding from discretionary caps. P.L. 117-2, American Rescue Plan Issue: Encourage agencies to implement funding relief for federal research agencies, new COVID-19 research, funding for data science, CDC-supported genomic sequencing, public health data modernization, investment in public health infrastructure, testing, contact tracing, vaccine development and distribution. Support funding for provider relief fund. Support supplemental funding for HRSA workforce programs and programs addressing the mental health and well-being of health care providers. Support funding for increased FMAP for new states to expand Medicaid. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. H.R. 5376, Build Back Better Act Draft Senate Reconciliation Legislation Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare and VA support for physician training and the physician workforce. Support maximum funding for public health and health care preparedness. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure. Support funding for capital projects at hospitals to enhance preparedness and expand ICU capacity. Support funding for grants between public health departments and academic medical centers. Support funding for Teaching Health Center Graduate Medical Education and Childrens Hospital Graduate Medical Education. Support funding for maternal health. H.R.7007, Making emergency supplemental appropriations for coronavirus response and relief for the fiscal year ending September 30, 2022, and for other purposes. Draft Senate Supplemental Administration's emergency supplemental funding request to address COVID. Issue: Support emergency funding for HHS to address COVID.
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about the role of academic medicine in the provision of mental and behavioral health care, including initiatives to respond to the opioid epidemic. Support measures to expand access to mental health care and substance use disorder treatment, including funding for training on substance use disorders, pain management, and safe prescribing practices, enhance enforcement of mental health parity laws, increased financial support for integrated behavioral health models, and the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. H.R. 2067 Medication Access and Training Expansion Act of 2021 Issue: Oppose legislative mandates dictating medical education curriculum on pain management and addiction. H.R. 7236 Strengthen Kids Mental Health Now Act Issue: Support increasing Medicaid reimbursement rates for pediatric mental health services through a 100% federal match. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 4390 Preserving Rules Ordered for the Entities Covered Through 340B Act of 2021 (PROTECT 340B Act) Issue: Support measures to prevent pharmacy benefit managers and commercial insurers from discriminating against 340B covered entities. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 Issue: Educate Congress on development of Laboratory Developed Tests at academic medical centers and oppose policies that would increase burdensome regulations and negatively impact patients access to care. Issue: Development of Enhanced Primary Care Pilot Act proposal H.R.7585, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act H.R. 925 / S. 347 Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. P.L. 117-159, Bipartisan Safer Communities Act Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, reinstating assault weapons ban, data infrastructure, hospital based and community violence intervention programs, and programs to address mental and behavioral health impact of gun violence. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. S. 3799, PREVENT Pandemics Act Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Support efforts of academic medical centers to respond to public health threats such as monkeypox and COVID-19. Urge establishment and implementation of robust national testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. S. 4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022 H.R. 7667, Food and Drug Amendments of 2022 (FDA22) Issue: Support promotion of data sharing and clinical trials results reporting. Support increased clinical trials diversity. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform Congress about medical education on caring for older adults, nutrition, climate change, and opportunities to accelerate training. Issue: Provide feedback on efforts of the academic medicine community to address climate change and decarbonization. H.R. 7152/ S.3534, The Tracking Pathogens Act Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. Issue: Educate Congress on accelerated medical education programs. Issue: Educate Congress and the administration on AAMC member curriculum on climate change and nutrition.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support increased Medicare funding for graduate medical education S. 1438 Opioid Workforce Act H.R. 3441 Substance Use Disorder Workforce Act Issue: Support targeted Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893, Draft House bill Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R. 5376, Build Back Better Act Issue: Support additional Medicare funding for graduate medical education slots. Support efforts to increase physician workforce diversification through novel, targeted scholarship programs. Support protection of the 340B Drug Pricing Program in the budget reconciliation package. Support for 12-months continuous coverage for children on Medicaid and CHIP. Support extending the enhanced ACA market place subsidies and addressing the Medicaid coverage gap. Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts. Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Oppose policies requiring the Medicare program to consider specific physician licensing exams for residency program applications. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on Consolidated Appropriations Act, 2021 (CAA Sec. 203) changes to the Medicaid shortfall calculations and the potential impact on Medicaid DSH payments Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R.3173 / S.3018, Improving Seniors Timely Access to Care Act Issue: Protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs. Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. S. 610 Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester moratorium. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund. Issue: Support congressional extension of 3.75% temporary increase in the Medicare physician fee schedule that Congress provided in the Consolidated Appropriations Act, 2021 to avoid payment cuts due to budget neutrality requirements. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Oppose aspects of CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Support 2 year or permanent extension of the waivers. H.R. 7053 / S. 3792, Hospital Inpatient Services Modernization Act Issue: Support extension of Acute Hospital at Home program waiver of 24/7 nursing requirement. Issue: Support permanent extension of current Covid telehealth flexibilities HR 1332, the Telehealth Modernization Act Issue: Support efforts to expand patient access to telehealth HR 1397, the Telehealth Improvement for Kids Essential Services Act Issue: Support providing states with guidance to increase telehealth access in Medicaid and CHIP Issue: Support efforts to improve access to childrens mental health care Issue: Support funding for hospital-based violence intervention programs and community violence interventions S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Draft Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. H.R. 3746 Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. H.R. 4970 Rural Medical Residency Expansion Act of 2021 Issue: Support providing funds for rural teaching hospitals to expand their residency programs. Issue: Support efforts to investigate nurse-staffing agencies conduct during the COVID-19 pandemic.
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers and new guidelines to expand access to buprenorphine. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. Issue: Educate Congress on the role of academic medicine in the provision of mental and behavioral health care. Support measures to expand access to mental health care, including enhanced enforcement of mental health parity laws, expanded funding for integrated behavioral health models, and the removal of regulatory barriers to telehealth-enabled mental health care, including electronic interprofessional consults (eConsults). H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 Issue: Educate Congress on development of Laboratory Developed Tests and impact of burdensome regulation on patients access to care at academic medical centers. Issue: Development of Enhanced Primary Care Pilot Act proposal Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act H.R. 925 / S. 347 Data to Save Moms Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Support legislative initiatives to improve data collection to improve maternal health equity. Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risk protection orders, child access safety laws, and reinstating assault weapons ban. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs P.L. 117-105, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response. S. 3799, PREVENT Pandemics Act Issue: Provide feedback on pandemic preparedness legislation, urge inclusion of provisions to support academic medical centers preparedness activities. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy; functional, redundant, and transparent supply chain; improved federal coordination; investments in public health and health care human and other resources; data modernization initiatives; and other actions to improve current and future pandemic response. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first, that conscience protections align with medical professionalism standards, and oppose interference in the patient-physician relationship. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support robust research agenda for the Patient-Centered Outcomes Research Institute. Issue: Support promotion of data sharing and clinical trials results reporting. H.R. 6000, Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671, Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Inform about medical education on caring for older adults, nutrition, climate change, and opportunities to accelerate training. H.R. 7152/ S.3534, The Tracking Pathogens Act Issue: Support expansion of CDC activities related to genomic sequencing of pathogens. Issue: Support reignition of Cancer Moonshot. HR 5035, The Child Suicide Prevention and Lethal Means Safety Act Issue: Support expansion of training for health professionals to prevent self-harm or suicide
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.
Issue: Support unique mission of academic medicine. P.L. 117-103, Consolidated Appropriations Act, 2022, Division H, Title II and III H.R. 4502, Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 S. 3062, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2022 Presidents FY 2022 Budget Request Presidents FY 2023 Budget Request Draft Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Ensure investment in Advanced Research Projects Agency for Health does not supplant NIH funding. Oppose arbitrary restrictions on specific types of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support investment in nondefense discretionary spending, including ample funding allocations for Labor-HHS-Education. Presidents FY 2023 Budget Request P.L. 117-103, Consolidated Appropriations Act, 2022, Division BH.R. 4505/S. 3042, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2022 Issues: Support funding for the National Science Foundation (NSF) P.L. 117-103, Consolidated Appropriations Act, 2022, Division J H.R. 4502, Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 S.2604, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2022 Presidents FY 2023 Budget Request Draft Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. P.L. 117-86, Further Additional Extending Government Funding Act Issue: Urge timely completion of the FY 2022 appropriations process. Support continued funding of the federal government. P.L. 117-2, American Rescue Plan Issue: Encourage agencies to implement funding relief for federal research agencies, new COVID-19 research, funding for data science, CDC-supported genomic sequencing, public health data modernization, investment in public health infrastructure, testing, contact tracing, vaccine development and distribution. Support funding for provider relief fund. Support supplemental funding for HRSA workforce programs, the National Health Service Corps, and programs addressing the mental health and well-being of health care providers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. H.R. 869/S. 289, Research Investment to Spark the Economy Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. H.R. 5376, Build Back Better Act Draft Senate Reconciliation Legislation Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare and VA support for physician training and the physician workforce. Support maximum funding for public health and health care preparedness. Support valid, inclusive data collection. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure. Support funding for capital projects at hospitals to enhance preparedness and expand ICU capacity. Support funding for grants between public health departments and academic medical centers. Support funding for Teaching Health Center Graduate Medical Education and Childrens Hospital Graduate Medical Education. Support funding for maternal health. H.R.7007, Making emergency supplemental appropriations for coronavirus response and relief for the fiscal year ending September 30, 2022, and for other purposes. Draft Senate Supplemental Administration's emergency supplemental funding request to address COVID. Issue: Support emergency funding for HHS to address COVID.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act Issue: Support loan forgiveness for COVID-19 health workers. S. 847-Student Loan Tax Elimination Act Issue: Support the elimination of origination fees on federal student loans. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R. 801, the Expanding Medical Education Act H.R. 5376, Build Back Better Act Issue: Support grants to create, expand, and support medical schools and regional medical campuses. H.R. 5376, Build Back Better Act Issue: Support pathway scholarships for disadvantaged students entering medical school. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys H.R. 4631, the Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of Federal Direct Subsidized Loans for graduate students. Issue: Educate Congress on medical licensing exams (USMLE/COMLEX) and how they are utilized in residency applications. Issue: Educate Congress on accelerated medical education programs.
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.
Issue: Support unique mission of academic medicine. H.R. 4502/Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 S. 3062 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2022 Presidents FY 2022 Budget Request Draft Presidents FY 2023 Budget Request Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support discussions on Advanced Research Projects Agency for Health and ensure investment does not supplant NIH funding. Oppose arbitrary restrictions on specific types of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year NIH grants. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support investment in nondefense discretionary spending, including ample funding allocations for Labor-HHS-Education. H.R. 4505/ S. 3042, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2022 Issue: Support funding for the National Science Foundation (NSF) H.R. 4502 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 S.2604 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2022 Draft Presidents FY 2023 Budget Request Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. P.L. 117-43 Extending Government Funding and Delivering Emergency Assistance Act P.L. 117-70 Further Extending Government Funding Act Issue: Urge timely completion of the FY 2022 appropriations process. Support continued funding of the federal government and support extensions of the period of disbursement for multi-year NIH grants. Issue: Support robust funding growth for medical research in FY 2023. P.L. 117-2, the American Rescue Plan Issue: Encourage agencies to implement funding relief for federal research agencies, new COVID-19 research, funding for data science, CDC-supported genomic sequencing, public health data modernization, investment in public health infrastructure, testing, contact tracing, vaccine development and distribution. Support funding for provider relief fund. Support supplemental funding for HRSA workforce programs, the National Health Service Corps, and programs addressing the mental health and well-being of health care providers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. Issue: Support increased support for Medicare funding for graduate medical education and oppose any reductions Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs H.R. 869, Research Investment to Spark the Economy Act S. 289 Research Investment to Spark the Economy (RISE) Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support emergency funding for NIH and NSF to mitigate pandemic related disruptions. American Jobs Plan American Families Plan H.R. 5376, Build Back Better Act Draft Senate Reconciliation Legislation Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare and VA support for physician training and the physician workforce. Support maximum funding for public health and health care preparedness. Support valid, inclusive data collection. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure. Support funding for capital projects at hospitals to enhance preparedness and expand ICU capacity. Support funding for grants between public health departments and academic medical centers. Support funding for Teaching Health Center Graduate Medical Education and Childrens Hospital Graduate Medical Education. Support funding for maternal health.
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers and new guidelines to expand access to buprenorphine. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Oppose efforts to direct HHS to update the Medicare.gov Care Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 Issue: Educate Congress on development of Laboratory Developed Tests and impact of burdensome regulation on patients access to care at academic medical centers. Issue: Development of Enhanced Primary Care Pilot Act proposal Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs S. 610/H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Provide information on COVID-19 long haulers clinical care. Issue: Provide feedback on draft pandemic preparedness legislation Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Issue: Support mask requirements on public transportation. Issue: Provide input on COVID-19 vaccination requirements for health care workers. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support robust research agenda for the Patient-Centered Outcomes Research Institute. Issue: Support promotion of data sharing and clinical trials results reporting. H.R. 6000 Cures 2.0 Act Issue: Provide feedback on provisions related to public health, patients and caregivers, FDA, CMS, and research, and ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671 - Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Encourage actions to improve COVID-19 response and future pandemic preparedness including improved federal coordination, greater supply chain redundancy, and investments in public health and health care human resources. Issue: Inform about academic medicines efforts in UME, GME, and CME on caring for older adults. P.L. 117-81, National Defense Authorization Act for Fiscal Year 2022 Issue: Support maintaining current military medical billet levels.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support the elimination of taxes on non-tuition student scholarship and grant aid.
Issue: Support unique mission of academic medicine. H.R. 4502 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 Draft Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2022 Presidents FY 2022 Budget Request Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research and oppose efforts to increase burden on researchers unnecessarily. Support discussions on Advanced Research Projects Agency for Health and ensure investment does not supplant NIH funding. Oppose arbitrary restrictions on specific types of research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year NIH grants. Support ongoing investment in public health infrastructure. Support funding for maternal health and mortality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support increased funding for Telehealth Resource Centers. Issue: Support investment in nondefense discretionary spending, including ample funding allocations for Labor-HHS-Education. H.R. 4505, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2022 Draft Senate FY 2022 Commerce, Justice, Science, and Related Agencies Appropriations Act Presidents FY 2022 Budget Request Issues: Support funding for the National Science Foundation (NSF) H.R. 4502 Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 S.2604 - Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2022 Presidents FY 2022 Budget Request Draft FY2023 Presidents Budget Request Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. P.L. 117-43 Extending Government Funding and Delivering Emergency Assistance Act Issue: Support continued funding of the federal government and timely completion of the FY 2022 appropriations process. Support extensions of the period of disbursement for multi-year NIH grants. P.L. 117-2, the American Rescue Plan Issue: Encourage agencies to implement funding relief for federal research agencies, new COVID-19 research, funding for data science, CDC-supported genomic sequencing, public health data modernization, investment in public health infrastructure, testing, contact tracing, vaccine development and distribution. Support funding for provider relief fund. Support supplemental funding for HRSA workforce programs, the National Health Service Corps, and programs addressing the mental health and well-being of health care providers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. Issue: Support additional Medicare funding for graduate medical education and oppose any reductions Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs H.R. 869, Research Investment to Spark the Economy Act S. 289 Research Investment to Spark the Economy (RISE) Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support emergency funding for NIH and NSF to mitigate pandemic related disruptions. American Jobs Plan American Families Plan H.R. 5376, Build Back Better Act Draft Senate Reconciliation Legislation Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare support for physician training and the physician workforce. Support maximum funding for public health and health care preparedness. Support valid, inclusive data collection. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure. Support funding for capital projects at hospitals to enhance preparedness and expand ICU capacity. Support funding for grants between public health departments and academic medical centers. Support funding for Teaching Health Center Graduate Medical Education and Childrens Hospital Graduate Medical Education.
Issue: Support delay in implementation of emergency temporary standard (ETS) for COVID-19, and to delay the deadline for comment. Support modifications to the ETS that reflect the current state of science and practicalities of delivering patient care.
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Graduate Medical Education Reform Act Issue: Support increased funding for the National Health Service Corps, Teaching Health Center GME, and National Disaster Medical Service (NDMS) demonstration pilot. Support increased Medicare support for Graduate Medical Education/physician training. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers and new guidelines to expand access to buprenorphine. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. H.R. 1384/ S.445 Mainstreaming Addiction Treatment (MAT) Act of 2021 Issue: Support suspension of waiver requirement for certain providers to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. H.R. 3203/S. 773 Issue: Support policy to allow 340B DSH hospitals to remain eligible to participate in the program throughout the current public health emergency even if their DSH adjustment falls below the current threshold due to changes in payor mix as a result of the COVID-19 pandemic. Issue: Oppose insurance plans that do not meet Affordable Care Act requirements. Issue: Oppose efforts to direct HHS to update the Medicare.gov Care Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Support the ongoing refinement of the two new mandatory alternative payment models, the Radiation Oncology Model and End-stage Renal Disease Treatment Choices Model, to better incentivize high-quality care for all patients. H.R. 4128/ S. 2209 Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021 Issue: Educate Congress on development of Laboratory Developed Tests and impact of burdensome regulation on patients access to care at academic medical centers. Issue: Development of Enhanced Primary Care Pilot Act proposal Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 S. 1695 / H.R. 4387 Maternal Health Quality Improvement Act S. 1491/ H.R. 769 Rural MOMs Act H.R. 4387 Maternal Health Quality Improvement Act of 2021 H.R. 5376, Build Back Better Act Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Issue: Support policies to promote firearm safety, universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. Issue: Support funding for Community Violence Interventions/ Hospital Based Violence Intervention Programs S. 610/H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving clinician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Support extension for use of PRF funds. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Provide information on COVID-19 long haulers clinical care. Issue: Provide feedback on draft pandemic preparedness legislation Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students and academic medical centers in administering COVID vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Issue: Support mask requirements on public transportation. Issue: Provide input on COVID-19 vaccination requirements for health care workers. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support promotion of data sharing and clinical trials results reporting. H.R. 791/ S. 236 - Tracking COVID-19 Variants Act Issue: Support expansion of CDC-supported genomic sequencing, including at academic medical centers. Issue: Provide feedback on draft Cures 2.0 legislation, including on Public health, patients and caregivers, FDA, CMS, and research, and respond to request for information on ARPA-H. Issue: Promote strategies to strengthen the health, public health, and research workforces. H.R. 3671 - Doctors of Community Act Issue: Discuss authorization of the Teaching Health Center Graduate Medical Education program. Issue: Provide guidance on the implementation of the No Surprises Act. Issue: Provide feedback on proposed modifications to the HIPAA privacy rule. H.R. 5035, S. 2982 Child Suicide Prevention and Lethal Means Safety Act Issue: Support legislation to provide grants to improve suicide prevention and lethal means safety. Issue: Encourage actions to improve COVID-19 response and future pandemic preparedness including improved federal coordination, greater supply chain redundancy, and investments in public health and health care human resources. Issue: Inform about academic medicines efforts in UME, GME, and CME on caring for older adults.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act Issue: Support loan forgiveness for COVID-19 health workers. Issue: Support a change in the Higher Education Emergency Relief Fund formula to better include independent medical students. S. 847-Student Loan Tax Elimination Act Issue: Support the elimination of origination fees on federal student loans. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R. 801, the Expanding Medical Education Act H.R. 5376, Build Back Better Act Issue: Support grants to create, expand, and support regional medical campuses. H.R. 5376, Build Back Better Act Issue: Support scholarships for disadvantaged students entering medical school. Issue: Educate Congress on the role academic medicine can serve with the Commission on the Social Status of Black Men and Boys H.R. 4631, the Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of Federal Direct Subsidized Loans for graduate students. Issue: Educate Congress on medical licensing exams (USMLE/COMLEX) and how they are utilized in residency applications.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support the elimination of taxes on of non-tuition student scholarship and grant aid
Presidents FY 2022 Budget Request Draft Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2022 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and emerging special pathogens and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research. Support discussions on Advanced Research Projects Agency for Health. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, hospital-based and community violence interventions, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for maternal health and morality improvement initiatives. Support expansion of CDC-supported genomic sequencing. Support additional funding for long COVID. Issue: Support investment in nondefense discretionary spending including ample funding allocations for Labor- HHS-Education. Presidents FY 2022 Budget Request Draft FY 2022 Commerce, Justice, Science, and Related Agencies Appropriations Act Issues: Support funding for the National Science Foundation (NSF). Presidents FY 2022 Budget Request Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. P.L. 117-2, the American Rescue Plan Issue: Urge emergency funding to provide relief for federal research agencies, investments in new COVID-19 research, funding for data science. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for testing, contact tracing, vaccine development and distribution, and partnerships between academic medical centers and public health departments. Support funding for preparedness, PPE, and regional centers. Support funding for provider relief fund. Support funding for CDC, ASPR, NIH, HRSA, CMS, Department of Education, NSF and other agencies Support emergency funding for medical schools. Support supplemental funding for HRSA workforce programs, the National Health Service Corps, and programs addressing the mental health and well-being of health care providers. Support funding to increase CDC-supported genomic sequencing including at academic medical centers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Support extension of Medicare sequester. Issue: Support unique mission of academic medicine. Issue: Support additional Medicare funding for graduate medical education and oppose any reductions Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs H.R. 869, Research Investment to Spark the Economy Act S. 289 Research Investment to Spark the Economy (RISE) Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support emergency funding for NIH and NSF to mitigate pandemic related disruptions. American Jobs Plan Issue: Support funding for pandemic resilience, funding for research and development, and VA hospital infrastructure. Support increased Medicare support for physician training and the physician workforce. Support funding for public health and health care preparedness. Support valid, inclusive data collection. Support funding for research infrastructure and research recovery. Support funding for broadband access and other physical infrastructure.
Draft Higher Education Act Reauthorization Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act Issue: Support loan forgiveness for COVID-19 health workers. Issue: Support a change in the Higher Education Emergency Relief Fund formula to better include independent medical students. S. 847-Student Loan Tax Elimination Act Issue: Support the elimination of origination fees on federal student loans. Issue: Support single accreditation system for graduate medical education. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. Issue: Support the repeal of May 6, 2020, Title IX campus sexual harassment final rule. H.R. 801, the Expanding Medical Education Act Issue: Support grants to create, expand, and support regional medical campuses.
Issue: Support delay in implementation of emergency temporary standard (ETS) for COVID-19, and to delay the deadline for comment. Support modifications to the ETS that reflect the current state of science and practicalities of delivering patient care.
Issue: Support policies to close the Medicaid coverage gap, including through ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support additional Medicare funding for graduate medical education S. 1438 Opioid Workforce Act/H.R. 3441 Substance Use Disorder Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S.1893, Draft House bill Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals Issue: Support efforts to increase physician workforce diversity through novel, targeted scholarship programs. Rural-Urban Physician Workforce Act Issue: Support improvements to Rural Training Track programs. Issue: Provide feedback to CMS on its proposed distribution of the 1,000 new GME slots authorized be the Consolidated Appropriations Act, 2021 as described in the 2022 Inpatient Prospective Payment System (IPPS) proposed rule. Support CMS adopting alternative 2 with modifications to allow for more than 1.0 FTE per hospital. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Draft, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives Draft, Improving Seniors Timely Access to Care Act Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose use of extended Medicare sequester and repurposing of unused Provider Relief Fund as a financing mechanism for bipartisan infrastructure package. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the CMS policy allowing teaching physicians to provide supervision via real-time, interactive audio/video technology to meet resident supervision requirements. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Support CMS introducing new regulations to make permanent the interim final rule that ensures teaching hospitals that increased their number of inpatient beds to accommodate the surge in patients during the public health emergency to not have their Indirect Medical Education (IME) payments reduced by CMS. Issue: Oppose CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. S. 2061 Telemental Health Care Access Act Issue: Support policy to remove requirement for Medicare beneficiaries to be seen in-person every six months for telehealth visits for mental health services Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose policies to create IME payments for outpatient services while remaining budget neutral. Issue: Support efforts to reverse cuts in Medicare OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Support extension of 24/7 nursing care waiver for Acute Hospital Care at Home program. Draft Value in Health Care Act Issue: Support changes to alternative payment models (APMs) to increase participation in value-based health programs and promote quality care and improved health outcomes. H.R. 3746 Accountable Care in Rural America Act Issue: Support improving the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location. Issue: Support CMS change to the displaced residents rule, which makes the determination of when a resident is displaced consistent with the Inpatient Prospective Payment System rule.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Support the nomination of Xavier Becerra as Secretary of Health and Human Services. Issue: Support the nomination of Rachel Levine as Assistant Secretary of Health. Issue: Support the nomination of Vivek Murthy as Surgeon General. Issue: Support the nomination of Andrea Palm as Deputy Secretary of Health and Human Services Issue: Support the nomination of Chiquita Brooks-LaSure as CMS Administrator. Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. S. 45, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including not providing 340B discounts on covered drugs purchased at community pharmacies. Issue: Oppose efforts to reduce OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Oppose efforts to allow certain grandfathered health care plans to increase consumer cost sharing without losing their grandfathered status. Issue: Oppose State relief and empowerment waivers that allow states to offer insurance plans that do not meet the requirements set forth under the Affordable Care Act. Issue: Oppose efforts to expand the availability of Association Health Plans. Issue: Oppose efforts to direct HHS to update the Medicare.gov Hospital Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Oppose efforts to finalize two new mandatory alternative payment models, the Radiation Oncology Model and the End-stage Renal Disease Treatment Choices Model Issue: Oppose burdensome regulation of Laboratory Developed Tests Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Development of Enhanced Primary Care Pilot Act proposal Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 2503 Social Determinants Accelerator Act of 2021 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. H.R. 959 Black Maternal Health Momnibus Act of 2021 Issue: Support legislative efforts to improve maternal health and reduce rates of maternal mortality, including the Momnibus. Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs, including delaying recoupment of MAAP loans. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. Issue: Support universal background checks S. 610/H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving physician burnout and well-being. Issue: Provide feedback on implementation of the Provider Relief Fund. Issue: Support a delay in the recoupment of Medicare Advance and Accelerated Payments. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students in administering COVID vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. H.R. 708, S. 168, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout the COVID-19 public health emergency Issue: Support the rescission of the Department of Homeland Securitys Public Charge rule. Issue: Participate in Resilient American Communities initiative S. 674 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Rescind the Executive Order on Creating Schedule F in the Excepted Service. Issue: Rescind Executive Orders 13771 and 13777, and support re-implementation of directives under Executive Order 13563, Improving Regulation and Regulatory Review. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support identification of specific federal regulations for review for disproportionate administrative impacts. Issue: Support promotion of data sharing and clinical trials results reporting. H.R. 791/ S. 236 - Tracking COVID-19 Variants Act Issue: Support expansion of CDC-supported genomic sequencing, including at academic medical centers. Draft Legislation to update the 21st Century Cures Act Issue: Encourage strategies to support academic medicines efforts to increase patient access to novel therapies. Discuss initiatives to strengthen foundational and translational sciences. Issue: Promote strategies to strengthen the health, public health, and research workforces.
Presidents FY 2022 Budget Request Draft Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2022 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Support animal research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for the Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for maternal health and morality improvement initiatives. Issue: Support investment in nondefense discretionary spending including ample funding allocations for Labor- HHS-Education. Presidents FY 2022 Budget Request Draft FY 2022 Commerce, Justice, Science, and Related Agencies Appropriations Act Issues: Support funding for the National Science Foundation (NSF). Presidents FY 2022 Budget Request Draft Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. P.L. 117-2, the American Rescue Plan Issue: Urge emergency funding to provide relief for federal research agencies, investments in new COVID-19 research, funding for data science. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for testing, contact tracing, vaccine development and distribution, and partnerships between academic medical centers and public health departments. Support funding for preparedness, PPE, and regional centers. Support funding for provider relief fund. Support funding for CDC, ASPR, NIH, HRSA, CMS, Department of Education, NSF and other agencies Support emergency funding for medical schools. Support supplemental funding for HRSA workforce programs, the National Health Service Corps, and programs addressing the mental health and well-being of health care providers. Support funding to increase CDC-supported genomic sequencing including at academic medical centers. Support funding for increased FMAP for new states to expand Medicaid. Support funding for COBRA premium assistance. Support expanded subsidies in the ACA marketplaces. Support extension of postpartum Medicaid and CHIP coverage for 12 months. Issue: Support unique mission of academic medicine. Issue: Support additional Medicare funding for graduate medical education and oppose any reductions Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs H.R. 869, Research Investment to Spark the Economy Act S. 289 Research Investment to Spark the Economy (RISE) Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support emergency funding for NIH and NSF to mitigate pandemic related disruptions.
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support suspension of taxability of non-tuition student scholarship and grant aid
Issue: Support the nomination of Chiquita Brooks-LaSure as Administrator of the Centers for Medicare and Medicaid Services. Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. H.R. 2256 / S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: Support additional Medicare funding for graduate medical education Draft, Opioid Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Draft, Rural Physician Workforce Production Act Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals Draft, Rural-Urban Physician Workforce Act Issue: Support improvements to Rural Training Track programs. Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Draft, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives Draft, Improving Seniors Timely Access to Care Act Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support expansion of Medicaid and CHIP coverage for postpartum women. H.R. 315 Medicare Sequester COVID Moratorium Act S. 748 Medicare Sequester Relief Act H.R. 1868 To prevent across-the-board direct spending cuts, and for other purposes. Issue: Support extension of Medicare sequester. Issue: Support clearing the PAYGO scorecard to avoid another Medicare sequester due to the use of reconciliation to pass the American Rescue Plan Act. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the CMS policy allowing teaching physicians to provide supervision via real-time, interactive audio/video technology to meet resident supervision requirements. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Support CMS introducing new regulations to make permanent the interim final rule that ensures teaching hospitals that increased their number of inpatient beds to accommodate the surge in patients during the public health emergency to not have their Indirect Medical Education (IME) payments reduced by CMS. Issue: Oppose CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose Hospital co-location draft guidance. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose finalizing prior authorization policy in CY 2020 for certain HOPD services and in CY 2021 to include new service categories. Issue: Oppose efforts to remove five exclusion criteria that would allow over 270 new procedures to be performed in ASC settings in CY 2021. Issue: Oppose the elimination of the Inpatient Only List over a three-year period Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program. Issue: Support permanent extension of Medicare telehealth waivers, including removing patient location restrictions and rural site requirements, allowing payment for audio-only services, and reimbursing providers for telehealth services as services delivered in-person. Issue: Support creation of new Medicare outpatient IME payment in addition to existing Medicare IME payment inpatient methodology. Oppose MedPAC recommendation to create IME payments for outpatient services while remaining budget neutral.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Economic Council (NEC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
H.R. 4674, College Affordability Act S. 2557, Student Aid Improvement Act S. 4257, Student Loan Repayment and FAFSA Simplification Act S. 4322, Safely Back to School and Back to Work Act Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. P.L. 116-260, Consolidated Appropriations Act, 2021, Division FF Draft Bipartisan Emergency COVID Relief Act of 2020 H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3763, Pandemic Responder Service Award Act H.R. 6395, William M. (Mac) Thornberry National Defense Authorization Act of 2021 Issue: Support loan forgiveness for health care professionals. P.L. 116-260, Consolidated Appropriations Act, 2021, Division FF Draft Bipartisan Emergency COVID Relief Act of 2020 Issue: Support the extension of the suspension of student loan payments and interest accrual. Issue: Support a change to the Department of Education Financial Aid Handbook redefining academic year for medical student loan disbursements. Issue: Support single accreditation system for graduate medical education. Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students. Issue: Oppose efforts to stop the use of race as a factor in medical school admissions. Issue: Support the repeal of Title IX campus sexual harassment regulations. Issue: Oppose the Department of Educations Sec. 117 foreign gift reporting information collection request. Issue: Oppose the Department of Educations investigation into Princeton Universitys anti-racism efforts. Issue: Urge Department of Education to delay Sec. 117 and Title IX regulatory changes due to COVID-19.
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Draft Bipartisan Emergency COVID Relief Act of 2020 H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, imposing user fees, changing the program from an up-front discount to a post-sale rebate, and not providing 340B discounts on covered drugs purchased at community pharmacies. Issue: Oppose efforts to create new requirements for FQHC grantees that participate in the 340B program. Issue: Oppose efforts to reduce OPPS reimbursements to hospitals for drugs acquired under the 340B program. Issue: Oppose efforts to allow certain grandfathered health care plans to increase consumer cost sharing without losing their grandfathered status. Issue: Oppose State relief and empowerment waivers that allow states to offer insurance plans that do not meet the requirements set forth under the Affordable Care Act. Issue: Oppose efforts to expand the availability of Association Health Plans. Issue: Oppose efforts to direct HHS to update the Medicare.gov Hospital Compare website. Issue: Support increased interoperability and exchange of electronic health information and delayed enforcement of information blocking rule until comprehensive guidance is issued. Issue: Oppose efforts to finalize two new mandatory alternative payment models, the Radiation Oncology Model and the End-stage Renal Disease Treatment Choices Model Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency or disclosure. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issue: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. P.L. 116-260, Consolidated Appropriations Act, 2021 H.R. 4004, S. 2986 Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. H.R. 4995 Maternal Health Quality Improvement Act of 2020 H.R. 4996 Helping MOMS Act of 2020 Issue: Support maternal health initiatives to expand coverage for postpartum women and expand demonstration project grants. S. 3750/H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. S. 4349/H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving physician burnout and well-being. P.L. 116-260, Consolidated Appropriations Act, 2021 P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 178 with Amendment No. 2652 HEALS Act S. 4322, Safely Back to School and Back to Work Act S. 178, Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act H.R. 8406, The Heroes Act Draft Emergency Coronavirus Relief Act of 2020 Draft Bipartisan State and Local Support and Small Business Protection Act of 2020 Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, vaccine development and distribution, and testing and contact tracing. Ensure access to research samples. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support fixes to Medicare GME Rural Training Track programs. Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Support an increase in the Federal Medicaid Assistance Program. Support for current telehealth waivers to be made permanent. Support for extension of Medicare sequester moratorium. Support changes to CY 2021 Physician Fee Schedule evaluation and management payments. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. Support public health infrastructure. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Support establishment of regional pandemic response centers, stronger linkages between public health and academic medicine, and the role of medical students in administering covid vaccines. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Urge CDC to update testing guidelines. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care. Issue: Support science and data driven approach to HHS and EPA decision making. Issue: Support CDC mission S 4248 / HR 7618 COVID-19 Bias and Anti-Racism Training Act Issue: Support grant for anti-racism training in health professions programs. H.R. 8017, Mobile Options for Testing In Our Neighborhoods (MOTION) Act Issue: Support grants for mobile COVID-testing units. S. 4160, To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program, and for other purposes. Issue: Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. H.R. 8283 S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency. Issue: Support the rescission of the Department of Homeland Securitys Public Charge rule. Issue: Participate in Resilient American Communities initiative S. 4740 Public Health Infrastructure Saves Lives Act Issue: Support investments in core public health infrastructure. Issue: Rescind the Executive Order on Creating Schedule F in the Excepted Service. Issue: Rescind Executive Orders 13771 and 13777, and support re-implementation of directives under Executive Order 13563, Improving Regulation and Regulatory Review. Issue: Support establishment of a Presidential Bioethics Commission. Issue: Support ensuring patients are put first and that conscience protections align with medical professionalism standards. Issue: Support prompt establishment of the Research Policy Board and implementation of the additional reform efforts required by Section 2034 of the 21st Century Cures Act (P.L. 114-255). Issue: Support increased interoperability and exchange of electronic health information. Support delay of enforcement beyond April 2021. Issue: Support identification of specific federal regulations for review for disproportionate administrative impacts. Issue: Support independence of the US Food and Drug Administration. Issue: Support FDA rulemaking to harmonize protection of human research subjects. Issue: Support promotion of data sharing and clinical trials results reporting.
Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support efforts to promote research integrity, address potential for foreign influence in science, and address harassment in science. Issue: Support the use of a competitive peer review process for federal research grants and programs H.R. 3038, Securing American Science and Technology Act S. 2133, Secure American Research Act of 2019 H.R. 2500, National Defense Authorization Act for Fiscal Year 2020 Issue: Support efforts to address foreign influence on science, including stakeholder engagement from institutions of higher education. S. 3997, Safeguarding American Innovation Act Issue: Support JCORE efforts to address foreign influence on science and ensure a balanced approach. Issue: Explore opportunities to improve research with cannabinoids. Issue: Urge extension of COVID-19 related administrative flexibilities HR 7308 / S 4286, Research Investment to Spark the Economy Act Issue: Support research relief at federal science agencies due to COVID pandemic. Issue: Support house science committee chair request for NASEM study on impact of racism in academia. H.R. 4373, Bioeconomy Research and Development Act of 2020 Issue: Describe implications for medical research enterprise.
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763 / S. 348, Resident Physician Shortage Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 / H.R. 2439, Opioid Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R. 8892, Rural-Urban Physician Workforce Act of 2020 Issue: Support improvements to Rural Training Track programs. H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancements of Services (MOMMIES) Act H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act of 2020 Issue: Support expansion of Medicaid coverage for postpartum women. H.R. 8702 Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020 Issue: Support relief for providers from pending evaluation and management cuts included in the CY 2021 Physician Fee Schedule (PSF) rule. H.R. 8840 Medicare Sequester COVID Moratorium Act Issue: Support extension of Medicare sequester. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the CMS policy allowing teaching physicians to provide supervision via real-time, interactive audio/video technology to meet resident supervision requirements. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Support CMS introducing new regulations to make permanent the interim final rule that ensures teaching hospitals that increased their number of inpatient beds to accommodate the surge in patients during the public health emergency to not have their Indirect Medical Education (IME) payments reduced by CMS. Issue: Oppose CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose Hospital co-location draft guidance. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose finalizing prior authorization policy in CY 2020 for certain HOPD services and in CY 2021 to include new service categories. Issue: Oppose efforts to remove five exclusion criteria that would allow over 270 new procedures to be performed in ASC settings in CY 2021. Issue: Oppose the elimination of the Inpatient Only List over a three-year period Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Support the suspension of the tax on endowments at higher education institutions. Issue: Requesting 6-month delay for hospitals in filing IRS tax forms due to COVID-19 Issue: Support suspension of taxability of student scholarship and grant aid
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 6650, S. 3634, Health Heroes 2020 Act S. 4055, Strengthening Americas Health Care Readiness Act Issue: Support increased funding for the National Health Service Corps, and National Disaster Medical Service (NDMS) demonstration pilot. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Support suspension of DATA waivers. Support continuation of telehealth flexibilities allowing authorized practitioners to prescribe buprenorphine. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Oppose burdensome regulation of Laboratory Developed Tests Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price disclosure. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. Issue: Oppose restrictions on diversity training for federal grantees and employees. Issue: Educate Congress on the structural racism and inherent biases that have created health inequities that impact minority communities and other marginalized groups, including the disproportionate impact of COVID-19 on communities of color. Issue: Support public health guidance for law enforcement regarding tactics to reduce the risk of coronavirus transmission, and to protect all personal and health data collected as part of the COVID-19 response. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. H.R. 6637, Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health. H.R. 4004, S. 2986 Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. S. 3750/H.R. 6837, Medicare Accelerated and Advance Payment Improvement Act of 2020 Issue: Support improvements to the Medicare Accelerated and Advance Payment Programs. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. S. 4349/H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act Issue: Support grants directed at improving physician burnout and well-being. P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act (CARES) Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 178 with Amendment No. 2652 HEALS Act S. 4322, Safely Back to School and Back to Work Act S. 178, Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act H.R. 8406, The Heroes Act Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, and testing. Ensure access to research samples. Support funding for and provide recommendations for disbursement of provider relief fund. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support improvements to the Medicare Accelerated and Advance Payment Programs. Support inclusion of Medicare-supported graduate medical education positions. Support an increase in the Federal Medicaid Assistance Program. Support for current telehealth waivers to be made permanent. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government. Avoid imposing standards that would encourage depletion of scarce PPE and other resources. Support enhanced national COVID-19 data collection to better address health disparities. See other additions under BUD. Issue: Support extension of public health emergency declaration. Issue: Provide feedback on COVID-19 and pandemic response centers of excellence legislation. Issue: Urge establishment and implementation of robust national COVID-19 testing strategy and functional and transparent supply chain. Urge CDC to update testing guidelines. Issue: Describe medical education approach on womens health and support efforts to promote trauma-informed care. Issue: Support science and data driven approach to HHS decision making. Issue: Support CDC mission S 4248, HR 7618, COVID-19 Bias and Anti-Racism Training Act Issue: Support grant for anti-racism training in health professions programs. H.R. 8017, Mobile Options for Testing In Our Neighborhoods (MOTION) Act Issue: Support grants for mobile COVID-testing units. S. 4160, To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program, and for other purposes. Issue: Support protections for hospitals that participate in the 340B Drug Pricing Program to temporarily allow them to remain eligible for the program. H.R. 8283 S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act Issue: Support for a temporary uniform licensing standard for all practitioners in all states throughout a national emergency.
H.R. 4674, College Affordability Act S. 2557, Student Aid Improvement Act S. 4257, Student Loan Repayment and FAFSA Simplification Act S. 4322, Safely Back to School and Back to Work Act Issues: Support affordable income driven repayment plans for borrowers. Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3763, Pandemic Responder Service Award Act H.R. 6395, William M. (Mac) Thornberry National Defense Authorization Act of 2021 Issue: Support loan forgiveness for health care professionals. Issue: Support a change to the Department of Education Financial Aid Handbook redefining academic year for medical student loan disbursements. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students Issue: Urge Department of Education to delay Sec. 117 and Title IX regulatory changes due to COVID-19 Issue: Support the consideration of race in holistic admissions. Oppose policies that prevent recognition of systemic racism on campus and curtail reforms to advance diversity.
P.L. 116-37, Bipartisan Budget Act of 2019 Issue: Support efforts to Increase discretionary spending caps and non-defense discretionary spending for fiscal year 2021. H.R. 7614, Draft Senate, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2021 H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support animal research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Issue: Support increased 302(b) funding allocations for Labor- HHS-Education and Commerce-Justice-Science Subcommittees. H.R. 7667, Draft Senate, FY 2021 Commerce, Justice, Science, and Related Agencies Appropriations Act H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 Issues: Support funding for the National Science Foundation (NSF) H.R. 7609, Draft Senate, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021 H.R.7608, State, Foreign Operations, Agriculture, Rural Development, Interior, Environment, Military Construction, and Veterans Affairs Appropriations Act, 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. Support exemption from discretionary spending caps. H.R. 7612, Draft Senate, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2021 H.R.7608, State, Foreign Operations, Agriculture, Rural Development, Interior, Environment, Military Construction, and Veterans Affairs Appropriations Act, 2021 Issue: Support funding for Indian Health Service health professions, housing and medical equipment programs. H.R. 7617, Department of Defense Appropriations Act, 2021 H.R. 7617, Defense, Commerce, Justice, Science, Energy and Water Development, Financial Services and General Government, Labor, Health and Human Services, Education, Transportation, Housing, and Urban Development Appropriations Act, 2021 H.R. 6395, S. 4049, William M. Thornberry National Defense Authorization Act for Fiscal Year 2021 Issue: Supporting funding for Department of Defense funding for medical personnel and infrastructure, as well as the Uniformed Services University of the Health Sciences (USUHS). P.L. 116-159 Continuing Appropriations Act, 2021 and Other Extensions Act Issue: Support continuation of discretionary funding programs. Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Support fixes for Medicare Accelerated and Advance Payment Programs. Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts. Presidents Budget, FY 2022 Issue: Support funding for core public health infrastructure, VA Research, and HRSA Workforce Programs. Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program. PL 116-123, The Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 PL 116 - 127, The Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act P.L. 116-139, H.R. 266, The Paycheck Protection Program and Health Care Enhancement Act Interim Package H.R. 6800, the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Draft Health, Economic Assistance, Liability Protection and Schools (HEALS) Act S. 4322, Safely Back to School and Back to Work Act S. 4320, Coronavirus Response Additional Supplemental Appropriations Act, 2020 H.R. 8406, The Heroes Act S. 178 with Amendment No. 2652 HEALS Act Issue: Support emergency funding to provide relief for federal research agencies, investments in new COVID-19 research, funding for research infrastructure workforce and data science. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for testing, contact tracing, and partnerships between academic medical centers and public health departments. Support funding for preparedness, PPE, and regional centers. Ensure access to research samples. Support funding for provider relief fund. Support funding for CDC, ASPR, NIH, HRSA, CMS, Department of Education, and other agencies Support emergency funding for medical schools. Support liability protections for providers and higher education institutions during COVID-19. Support fixes for Medicare Accelerated and Advance Payment Programs. Support nonprofit medical school, hospital, and physician practice eligibility for Main Street Lending Program. Issue: Support unique mission of academic medicine. H.R. 7308, Research Investment to Spark the Economy Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support continued funding support for World Health Organization activities.
H.R. 3, Lower Drug Costs Now Act of 2019 Issue: Support policies to reduce prescription drug prices H.R. 6080, Preventing Drug Shortages Act S. 2723, Mitigating Emergency Drug Shortages Act Issue: Support legislation to reduce drug shortages
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
P.L. 116-37, Bipartisan Budget Act of 2019 Issue: Support efforts to Increase discretionary spending caps and non-defense discretionary spending for fiscal year 2021. H.R. 7614, Draft Senate, Departments of Labor, health and Human Services, and Education, and Related Agencies, 2021 Presidents Budget, FY 2021 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support emergency funding and exemptions from discretionary spending caps. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Issue: Support increased 302(b) funding allocations for Labor- HHS-Education and Commerce-Justice-Science Subcommittees. H.R. 7667, Draft Senate, FY 2021 Commerce, Justice, Science, and Related Agencies Appropriations Act Presidents Budget, FY 2021 Issues: Support funding for the National Science Foundation (NSF) H.R. 7609, Draft Senate, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2021 Presidents Budget, FY 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Oppose VA research funding rescissions. Support exemption from discretionary spending caps. H.R. 7612, Draft Senate, Department of the Interior, Environment, and Related Agencies Appropriations Act, 2021 Presidents Budget, FY 2021 Issue: Support funding for Indian Health Service health professions, housing and medical equipment programs. H.R. 7617, Department of Defense Appropriations Act, 2021 H.R. 6395, S. 4049, William M. Thornberry National Defense Authorization Act for Fiscal Year 2021 Issue: Supporting funding for Department of Defense funding for medical personnel and infrastructure, as well as the Uniformed Services University of the Health Sciences (USUHS). Presidents Budget, FY 2021 Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act P.L. 116-139, Paycheck Protection Program and Health Care Enhancement Act Interim Package H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act Issue: Support emergency funding to provide relief for federal research agencies, investments in new COVID-19 research, funding for research infrastructure workforce and data science. Support extensions of the period of disbursement for multi-year grants. Support ongoing investment in public health infrastructure. Support funding for testing, contact tracing, and partnerships between academic medical centers and public health departments. Support funding for preparedness, PPE, and regional centers. Support funding for provider relief fund. Support funding for CDC, ASPR, NIH, HRSA, CMS, Department of Education, and other agencies. Support emergency funding for medical schools. Support liability protections for providers and higher education institutions during COVID-19. Support nonprofit medical school, hospital, and physician practice eligibility for Main Street Lending Program. H.R. 7308, Research Investment to Spark the Economy Act Issue: Support emergency funding to provide relief for federal research agencies and to extend administrative flexibilities. Issue: Support continued funding for World Health Organization activities.
H.R. 985, The Fair Access for Safe and Timely (FAST) Generics Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 Issue: Support policies to reduce prescription drug prices H.R. 6080, Preventing Drug Shortages Act S. 2723, Mitigating Emergency Drug Shortages Act Issue: Support legislation to reduce drug shortages
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax-exempt status. Issue: Educate Congress on the use of endowments at medical schools and academic medical centers. Support the suspension of the tax on endowments at higher education institutions. Issue: Support a 6-month delay for hospitals in filing IRS tax forms due to COVID-19 Issue: Support suspension of taxability of student scholarship and grant aid
H.R. 4674, College Affordability Act S. 2557, Student Aid Improvement Act Presidents Budget Request, FY 2021 Draft Senate Higher Education Act reauthorization Department of Education Higher Education Act reauthorization proposal Issues: Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. H.R. 6720, Student Loan Forgiveness for Frontline Health Workers Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.3763, Pandemic Responder Service Award Act Issue: Support loan forgiveness for health care professionals. Issue: Support a change to the Department of Education Financial Aid Handbook redefining academic year for medical student loan disbursements. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students Issue: Urge Department of Education to delay Sec. 117 and Title IX regulatory changes due to COVID-19
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763, S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414, H.R. 2439, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support nominees for MedPAC
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
P.L. 116-37, Bipartisan Budget Act of 2019 Issue: Support efforts to Increase discretionary spending caps and non-defense discretionary spending for fiscal year 2021. Draft FY 2021 Labor, Health and Human Services, Education, and Related Agencies Spending Bill Presidents Budget, FY 2021 Issues: Support increased funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Issue: Support increased 302(b) funding allocations for Labor- HHS-Education and Commerce-Justice-Science Subcommittees. Draft FY 2021 Commerce, Justice, Science, and Related Agencies Appropriations Act Presidents Budget, FY 2021 Issues: Support funding for the National Science Foundation (NSF) Draft FY2021 Military Construction Veterans Affairs and Related Agencies Spending Bill Presidents Budget, FY 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Draft FY 2021 Department of the Interior, Environment, and Related Agencies Appropriations Act Presidents Budget, FY 2021 Issue: Support funding for Indian Health Service health professions, housing and medical equipment programs. Presidents Budget, FY 2021 Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763 / S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 / H.R. 2439, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
H.R. 4674, College Affordability Act S. 2557, Student Aid Improvement Act Presidents Budget Request, FY 2021 Draft Senate Higher Education Act reauthorization Department of Education Higher Education Act reauthorization proposal Issues: Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. Issue: Support a change to the Department of Education Financial Aid Handbook redefining academic year for medical student loan disbursements. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students P.L. 116-128, A bill to authorize the Secretary of Veterans Affairs to treat certain programs of education converted to distance learning by reason of emergencies Issue: Support changing GI Bill to make sure that veterans can continue to receive their benefits in situations where campuses are forced to move courses online due to COVID-19. Issue: Urge Department of Education to delay Sec. 117 and Title IX regulatory changes due to COVID-19
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees H.R. 6102, S. 3404, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, maternal mortality, and health information technology. Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. H.R. 4004, S. 2986 Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support congressional investment in the Centers for Medicare and Medicaid Innovation (CMMI) models to reduce maternal mortality and improve maternal health. Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 P.L. 116-127, Families First Coronavirus Response Act P.L. 116-136, Coronavirus Aid, Relief, and Economic Security Act or the CARES Act H.R.6379, Take Responsibility for Workers and Families Act Issues: Support emergency supplemental funding and policies for federal agencies to support coronavirus preparedness, response, relief, and testing. Support funding for and provide recommendations for disbursement of provider relief fund. Support funding and policies to mitigate COVID related disruptions in federally funded research. Support funding for CDC, ASPR, NIH, HRSA, CMS, Department of Education, and other agencies. Support revised Medicare and Medicaid reimbursement policies and increased provider flexibility. Support administrative flexibility from federal agencies. Support student aid, tax relief, and loan forgiveness for medical students and residents. Provide recommendations on personal protective equipment, testing, social distancing, clinical care, and other COVID related preparedness and response efforts of the federal government.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 S. 2997, Title VII Health Care Workforce Reauthorization Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. P.L 116-94, Further Consolidated Appropriations Act, 2020, Division N P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 S.1895, Lower Health Care Costs Act S. 106, H.R. 1983, H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692, H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Division N P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act Draft Senate Finance Committee Health Extenders Legislation Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. P.L. 116-94, the Further Consolidated Appropriations Act, 2020, Division N H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. Issue: Support efforts to address maternal health S. 1416, Affordable Prescriptions for Patients Act S. 1224, H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act US-Mexico-Canada Agreement Issue: Support measures to lower prescription drug cost H.R. 4004, S.2986, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support nomination of Stephen Hahn, MD, as FDA commissioner. H.R. 1888, Expanding Nutritions Role in Curricula and Healthcare (ENRICH Act) Issue: Support legislation to create or expand nutrition and physical activity curricula. Draft Cures 2.0 Legislation Issue: Support efforts to modernize health care coverage and ensure access to scientific break-throughs through electronic health records, addressing health disparities, harnessing data, and supporting the physician workforce. Issue: Addressing preparedness for influenza. S. 2723, Mitigating Emergency Drug Shortages Act Issue: Support efforts to mitigate drug shortages and develop market-based incentives to help ensure a stable supply of medications critical for patient care Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 1763 / S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 // S. 2892, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs P.L. 116-94, the Further Consolidated Appropriations Act, 2020, Division N P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3022, Patient Access Protection Act Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress and the Administration on role of academic medicine as it relates to price disclosure initiatives H.R. 5432, Medical Education for a Diverse America Act Issue: Support efforts to reduce unconscious bias in the medical field. H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Draft Cures 2.0 Legislation Issue: Support reforming medicare coding, coverage, and payment policies to promote innovation Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Division A P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020, Division A Draft Senate FY2020 Labor, Health and Human Services, Education, and Related Agencies Spending Bill Presidents Budget, FY 2020 and FY 2021 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support increased funding allocations for Labor- HHS-Education Subcommittee. P.L. 116-93, Consolidated Appropriations Act, 2020, Division B P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Divisions F and D P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3055, Commerce, Justice, Science, Agriculture, Rural Development, Food and Drug Administration, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2020, Divisions A, C, and D S.2584, Commerce, Justice, Science, and Related Agencies Appropriations Act 2020 S.2580, Interior, Environment, and Related Agencies Appropriations Act, 2020 Draft Senate FY2020 Military Construction Veterans Affairs and Related Agencies Spending Bill Presidents Budget, FY 2020 and 2021 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Support funding for Indian Health Service health professions housing and medical equipment programs. Support funding for the National Science Foundation (NSF) Presidents Budget, FY 2020 Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program P.L 116-94, Further Consolidated Appropriations Act, 2020, Division N P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 Issues: Support temporary funding extensions for health care programs. Urge completion of full-year spending bills and extenders without further delay.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Director of National Intelligence (ODNI), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. S. 106 / H.R. 1983 / H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692 / H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act Draft Senate PCORI Reauthorization Bill Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. S. 1416, Affordable Prescriptions for Patients Act S. 1224 / H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act Issue: Support measures to lower prescription drug cost PL., 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Issue: Support temporary extension of DSH cut delay, funding for CHCs, THCs and NHSC and PCORI trust fund. H.R. 4004, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks
H.R. 965/S.340, The Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 H.R. 985, The Fair Access for Safe and Timely (FAST) Generics Act of 2019 H.R. 1520, The Purple Book Continuity Act of 2019 H.R. 1503, The Orange Book Transparency Act of 2019 S. 659: Biologic Patent Transparency Act S. 617: Second Look at Drug Patents Act of 2019 H.R. 3, Lower Drug Costs Now Act of 2019 S. 2543, Prescription Drug Pricing Reduction Act of 2019 US-Mexico-Canada Agreement Issue: Support policies to reduce prescription drug prices
H.R. 4674, College Affordability Act S. 2557, Student Aid Improvement Act Presidents Budget Request, FY 2020 Department of Education Higher Education Act reauthorization proposal Issues: Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. Issue: Support a change to the Department of Education Financial Aid Handbook redefining academic year for medical student loan disbursements. Issue: Support initiatives to address and eliminate sexual harassment in higher education. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students
H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3022, Patient Access Protection Act Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1226 / S. 317, Advancing Care for Exceptional (ACE) Kids Act of 2019 Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid H.R. 1763 / S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 / H.R. 2439, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Draft, Higher Education Act reauthorization bills Presidents Budget Request, FY 2020 Department of Education Higher Education Act reauthorization proposal Issues: Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. Issue: Support a change to the Department of Education Financial Aid Handbook redefining the standard term for medical student loan disbursements. Issue: Support initiatives to address and eliminate sexual harassment in higher education. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools. H.R. 3418, Protecting Our Students by Terminating Graduate Rates that Add to Debt Act Issue: Support the reinstatement of federal direct Stafford loans to graduate and professional students
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. S. 106 / H.R. 1983 / H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692 / H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, implicit bias, and maternal health. S. 1416, Affordable Prescriptions for Patients Act S. 1224 / H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act Issue: Support measures to lower prescription drug costs
H.R. 965/S.340, The Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 H.R. 985, The Fair Access for Safe and Timely (FAST) Generics Act of 2019 H.R. 1520, The Purple Book Continuity Act of 2019 H.R. 1503, The Orange Book Transparency Act of 2019 S. 659: Biologic Patent Transparency Act S. 617: Second Look at Drug Patents Act of 2019 Issue: Support policies to reduce prescription drug prices
Issue: Support efforts to Increase discretionary spending caps and non-defense discretionary spending for fiscal years 2020 and 2021. H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020, Division A Presidents Budget, FY 2020 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support increased funding allocations for Labor- HHS-Education Subcommittee. H.R. 3055, Commerce, Justice, Science, Agriculture, Rural Development, Food and Drug Administration, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2020, Divisions A, C, and D Presidents Budget, FY 2020 Issues: Support funding for Veterans Affairs medical research, research infrastructure, information technology, and community care. Oppose restrictions on use of canines in VA medical research. Support funding for Indian Health Service health professions, housing and medical equipment programs. Support funding for the National Science Foundation (NSF) Presidents Budget, FY 2020 Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
Draft, Higher Education Act reauthorization bills Presidents Budget Request, FY 2020 Department of Education Higher Education Act reauthorization proposal Issues: Oppose cuts to graduate/professional student loan and repayment plans, including Public Service Loan Forgiveness (PSLF) and elimination of GradPLUS loans. Issue: Support a change to the Department of Education Financial Aid Handbook redefining the standard term for medical student loan disbursements. Issue: Support initiatives to address and eliminate sexual harassment higher education. Issue: Support single accreditation system for graduate medical education Issue: Educate Congress and the administration on the impact of medical education debt on career decisions like specialty choice. H.R.103, Foreign Medical School Accountability Fairness Act of 2019 Issue: Support transparency for all international medical schools.
Issue: Educate Congress on the community benefit of not-for-profit hospitals and the importance of preserving their tax exempt status.
Presidents Budget, FY 2020 Draft FY 2020 Labor-HHS-Education Appropriations Bills Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), Hospital Preparedness Program, and biodefense, Ebola and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement and on salary support. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue research. Support funding for Health Resources and Services Administration (HRSA) workforce programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH), Prevention Research Centers, and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic and for new curricular materials. Support increased funding allocations for Labor-HHS-Education Subcommittee. Draft legislation to increase discretionary spending caps Issue: Increase discretionary spending caps and non-defense discretionary spending for fiscal year 2020 and 2021. Presidents Budget, FY 2020 Draft FY 2020 Military Construction, Veterans Affairs, and Related Agencies Appropriations bills Issue: Support funding for Veterans Affairs medical research, research infrastructure, and community care. Oppose restrictions on use of canines in VA medical research. Research IT. P.L. 116-6, Consolidated Appropriations Act 2019, Divisions B, C, and E H.R.21, Consolidated Appropriations Act H.R.648, 2nd Consolidated Appropriations Act, 2019 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2019 (S. 3072 / H.R 5952 in the 115th Congress) Issue: Support funding for the National Science Foundation (NSF), urge congress and president to resolve shutdown and re-open federal science and health agencies and programs. (e.g. NSF, FDA, IHS) Issues: Oppose presidents budget proposal to eliminate and consolidate graduate medical education (GME) funding, and proposal to reduce payments to hospital outpatient departments (HOPDs). Issue: Oppose presidents budget proposal to eliminate ACA Medicaid expansion and implement caps and/or block grants model, and to expand the Medicaid DSH cuts. Issue: Oppose presidents budget proposal to reduce scope of the 340B Drug Pricing Program
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. S. 192, Community and Public Health Programs Extension Act S. 106, Community Health Investment, Modernization, and Excellence Act of 2019 S. 692, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation fund. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issue: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. Issue: Support reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (H.R. 7328/ H.R. 6378/S.2852/H.R. 4776 of the 115th congress) Issue: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issue: Support continuation of high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests Issue: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation.
H.R. 965/S.340, The Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019 H.R. 985, The Fair Access for Safe and Timely (FAST) Generics Act of 2019 H.R. 1520, The Purple Book Continuity Act of 2019 H.R. 1503, The Orange Book Transparency Act of 2019 Issue: Support policies to reduce prescription drug prices
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office
Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). H.R. 4223, Protecting Our Students by Terminating Graduate Rates that Add to Debt (POST GRAD) Act. Issue: Support restoring graduate/professional subsidized student loans S. 850 / H.R.1922, Foreign Medical School Accountability Fairness Act of 2017 Issue: Support transparency for all international medical schools. H.R. 2373, To amend title XVIII of the Social Security Act Issue: Support single accreditation system for graduate medical education H.R. 4508, the Promoting Real Opportunity, Success, and Prosperity through Education Reform (PROSPER) Act H.R.6543, Aim Higher Act Issue: support graduate/professional student loan benefits, including PSLF. Oppose elimination of GradPLUS. Oppose requirement to separately incorporate specialized accrediting agencies. Issue: Educate policymakers on the influence of medical education debt on specialty choice and existing federal loan repayment programs.
Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Support continuation of high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. H.R. 3728, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 Issue: Support reauthorization of Title VII health professions programs P.L. 115-241, Childrens Hospital GME Support Reauthorization Act Issue: Support reauthorization of the Childrens Hospital GME program H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs S.3095 / H.R. 2574, Building a Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development S. 3660 / H.R. 5942, Health Equity and Accountability Act Issue: Support workforce grants to medical schools to improve health equity Issue: Oppose regulatory proposals to narrow the definition of sex Issue: Educate Congress and the administration, support training on substance use disorders, pain management, and safe prescribing practices. Strategies to prevent, identify, and treat opioid addiction Issue: Support reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Promote resilience of health professionals Issue: Support policies to address IV fluid shortages exacerbated by hurricanes, and educate Congress on the shortage of IV saline fluid and injectable drug shortage. Issue: Oppose restrictions on fetal tissue and embryonic stem cell research. P.L. 115-176/H.R. 5247, Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act. Issue: Oppose Right to Try legislation that removes safety measures under FDAs current expanded access program. P.L. 115-271 SUPPORT for Patients and Communities Act H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 S.2680, Opioid Crisis Response Act of 2018 S.2711, Enhancing Access to Addiction Treatment Act of 2018 Issue: Support policies to address the opioid epidemic including improving coverage and payment for non-opioid therapies, enhancing usability of PDMPs, addressing physician shortages, promoting medication assisted treatment, eliminating Medicare limits on in-patient psychiatric hospital treatment, eliminating Medicaid IMD exclusion, aligning privacy regulations, and investing in research and education, and reauthorizing the Patient Centered Outcomes Research Institute. Provide grants to regional Centers of Excellence in substance use disorder education. Support policy eliminating Medicaid IMD exclusion and revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 6082, the Overdose Prevention and Patient Safety Act Issue: Support legislation revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). H.R. 7328/ H.R. 6378/S.2852, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 Issue: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. H.R.4776 Hospital Preparedness Reauthorization Act of 2018. Issue: Support reauthorization of the Hospital Preparedness Program Issue: Support legislative solutions to fire arm related injuries and fatalities including research, public health surveillance, and firearm background checks. H.R. 4392, To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. Issue: Support rescission of Medicare cuts to hospitals that participate in 340B Drug Pricing Program H.R. 4710, 340B PAUSE Act Issue: Oppose bill that would impose a moratorium on 340B hospitals and other issues S. 2312, 340B HELP Act Issue: Oppose bill that would impose a moratorium and add additional reporting requirements for 340B hospitals S.2453, Ensuring the Value of the 340B Program Act of 2018 Issue: Oppose bill that would require hospitals to report total 340B acquisition costs H.R. 6071, Stretching Entity Resources for Vulnerable Communities Act Issue: Support bill to rescind Medicare cuts to 340B hospitals and improve program integrity H.R. 5598: 340B Optimization Act Issue: Oppose bill that would change eligibility metrics in the 340B program H.R. 6240, Drug Discount Accountability Act Issue: Oppose bill that would impose a user fee on hospitals that participate in the 340B program S. 3366, Maternal CARE Act Issue: Support efforts to reduce preventable maternal mortality Issue: Support national preparedness infrastructure.
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office