mr JAMES MATTHEW SHICK

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.

S.365 - Dream Act of 2023 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Draft House Bill/S.665 - Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration. Draft Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals. Issue: Support expansion of Medicaid coverage for Deferred Action Childhood Arrivals (DACA) recipients.

Issue: Support reducing administrative and regulatory burden on scientists and research institutions. H.R. 4521, America COMPETES Act of 2022 S.1260, United States Innovation and Competition Act of 2021 Issue: Support efforts to promote research integrity, address harassment in science, and address potential for foreign influence in science using a balanced approach, including stakeholder engagement from institutions of higher education. Oppose Committee on Foreign Investment in the United States (CFIUS) review of proposed gifts and contracts to U.S. research institutions. Oppose excessively burdensome regulations on foreign gifts reporting. Support exemption of STEM graduates and health professionals from immigration caps. Issue: Urge Congress to let science lead investigations of COVID-19 origins. Issue: Educate Congress on uses of gain of function research and prevent unreasonable restrictions. Issue: Support the use of a competitive peer review process for federal research grants and programs. Issue: Explore opportunities to improve research with cannabinoids. HR 869 / S 289, Research Investment to Spark the Economy Act Issue: Support research recovery at federal science agencies due to COVID-19 pandemic. Issue: Support the nomination of Robert Califf to be Commissioner of the Food and Drug Administration.

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 on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA. Issue: Provide feedback on VA Conflict of Interest in GME timekeeping and research compensation policies. H.R. 5721 VA Infrastructure Powers Exceptional Research Act of 2021 Issue: Support increased investments in IT and physical research infrastructure for the VA research program; support Paperwork Reduction Act exemption for VA researchers; support hiring flexibilities for VA research personnel; support dedicated time for research for physician scientists in the VA research program; support dual appointments with academic affiliates.

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.

H.R. 6, The American Dream and Promise Act of 2021 H.R. 1177, S. 348 US. Citizenship Act S. 264, Dream Act of 2021 H.R. 5376, Build Back Better Act Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Support Dreamer eligibility for federal student loans. Issue: Support retention of DACA Executive Action H.R. 3541/ S. 1810, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas. H.R. 2255/ S. 1024, Healthcare Workforce Resilience Act Issue: Support reduction of green card backlogs for health professionals

H.R. 6, The American Dream and Promise Act of 2021 H.R. 1177, S. 348 US. Citizenship Act S. 264, Dream Act of 2021 H.R. 5376, Build Back Better Act Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Support Dreamer eligibility for federal student loans. Issue: Support retention of DACA Executive Action H.R. 3541, S. 1810, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

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: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA. Issue: Support maintaining VA medical services in conjunction with VA community care. Issue: Provide feedback on VA Conflict of Interest and GME timekeeping policies. H.R. 5721 VA Infrastructure Powers Exceptional Research Act of 2021 Issue: Support increased investments in IT and physical research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers; support hiring flexibilities for VA research personnel; support dedicated time for research for physician scientists in the VA research program; support dual appointments with academic affiliates. Issue: Provide feedback on draft veteran's pro bono medical exams legislation.

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.

Issue: Support reducing administrative and regulatory burden on scientists and research institutions. S.1169 - Strategic Competition Act of 2021 S.1260 - United States Innovation and Competition Act of 2021 H.R.2731 -Endless Frontier Act H.R.2225 - National Science Foundation for the Future Act Issue: Support efforts to promote research integrity, address harassment in science, and address potential for foreign influence in science using a balanced approach, including stakeholder engagement from institutions of higher education. Oppose Committee on Foreign Investment in the United States (CFIUS) review of proposed gifts and contracts to U.S. research institutions. Issue: Urge Congress to let science lead investigations of COVID-19 origins. Issue: Educate Congress on uses of gain of function research. Issue: Support the use of a competitive peer review process for federal research grants and programs. Issue: Explore opportunities to improve research with cannabinoids. Issue: Urge extension of COVID-19 related administrative flexibilities. HR 869 / S 289, Research Investment to Spark the Economy Act Issue: Support research recovery at federal science agencies due to COVID-19 pandemic. P.L. 117-81, National Defense Authorization Act for Fiscal Year 2022 Issue: Provide input on efforts to address foreign influence in research. Issue: Support the nomination of Robert Califf to be Commissioner of the Food and Drug Administration.

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA. Issue: Support maintaining VA medical services in conjunction with VA community care. Issue: Provide feedback on VA Conflict of Interest and GME timekeeping policies. Draft VA Infrastructure Powers Exceptional Research Act of 2021 Issue: Support increased investments in IT and physical research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers; support hiring flexibilities for VA research personnel; support dedicated time for research for physician scientists in the VA research program; support dual appointments with academic affiliates. Issue: Provide feedback on draft veteran's pro bono medical exams legislation.

H.R. 6, The American Dream and Promise Act of 2021 H.R. 1177, S. 348 US. Citizenship Act S. 264, Dream Act of 2021 H.R. 5376, Build Back Better Act Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Support Dreamer eligibility for federal student loans. Issue: Support retention of DACA Executive Action H.R. 3541, S. 1810, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Support efforts to ensure international medical residents can enter the U.S. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

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 reducing administrative and regulatory burden on scientists and research institutions. S.1169 - Strategic Competition Act of 2021 S.1260 - United States Innovation and Competition Act of 2021 H.R.2731 -Endless Frontier Act H.R.2225 - National Science Foundation for the Future Act Issue: Support efforts to promote research integrity, address harassment in science, and address potential for foreign influence in science using a balanced approach, including stakeholder engagement from institutions of higher education. Oppose Committee on Foreign Investment in the United States (CFIUS) review of proposed gifts and contracts to U.S. research institutions. Issue: Urge Congress to let science lead investigations of COVID-19 origins. Issue: Educate Congress on uses of gain of function research. Issue: Support the use of a competitive peer review process for federal research grants and programs. Issue: Explore opportunities to improve research with cannabinoids. Issue: Urge extension of COVID-19 related administrative flexibilities. HR 869 / S 289, Research Investment to Spark the Economy Act Issue: Support research recovery at federal science agencies due to 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. 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.

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.

Issue: Support reducing administrative and regulatory burden on scientists and research institutions. S.1169 - Strategic Competition Act of 2021 S.1260 - United States Innovation and Competition Act of 2021 H.R.2731 -Endless Frontier Act H.R.2225 - National Science Foundation for the Future Act Issue: Support efforts to promote research integrity, address harassment in science, and address potential for foreign influence in science using a balanced approach, including stakeholder engagement from institutions of higher education. Oppose Committee on Foreign Investment in the United States (CFIUS) review of proposed gifts and contracts to U.S. research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Explore opportunities to improve research with cannabinoids. Issue: Urge extension of COVID-19 related administrative flexibilities HR 869 / S 289, Research Investment to Spark the Economy Act Issue: Support research relief at federal science agencies due to COVID pandemic. Issue: Support the nomination of Eric Lander to be director of the White House Office of Science and Technology Policy.

H.R. 6, The American Dream and Promise Act of 2021 H.R. 1177, S. 348 US. Citizenship Act S. 264, Dream Act of 2021 Issue: Support policies allowing undocumented students to attend U.S. medical school and graduate medical education. Support Dreamer eligibility for federal student loans. Issue: Support retention of DACA Executive Action H.R. 3541, S. 1810, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Support efforts to ensure international medical residents can enter the U.S. Issue: Oppose Duration of Status rule which provides a specific end date for certain nonimmigrant visa categories, including F-1 student and J-1 exchange visitor visas. Issue: Support the rescission of H-1B Prevailing Wage rules. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA. Issue: Support maintaining VA medical services in conjunction with VA community care. Draft VA Infrastructure Powers Exceptional Research Act of 2021 Issue: Support increased investments in IT and physical research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers; support hiring flexibilities for VA research personnel; support dedicated time for research for physician scientists in the VA research program; support dual appointments with academic affiliates.

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 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.

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 reducing administrative and regulatory burden on scientists and research institutions. Issue: Support efforts to promote research integrity, address harassment in science, and address potential for foreign influence in science using a balanced approach, including stakeholder engagement from institutions of higher education. Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Explore opportunities to improve research with cannabinoids. Issue: Urge extension of COVID-19 related administrative flexibilities HR 869 / S 289, Research Investment to Spark the Economy Act Issue: Support research relief at federal science agencies due to COVID pandemic. Issue: Support the nomination of Eric Lander to be director of the White House Office of Science and Technology Policy. Issue: Support the continuation of Francis Collins, MD, PhD, as director of the NIH.

H.R. 6, The American Dream and Promise Act of 2021 H.R. 1177, S. 348 US. Citizenship Act S. 264, Dream Act of 2021 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Support Dreamer eligibility for federal student loans. Issue: Support retention of DACA Executive Action Draft Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Issue: Oppose travel ban indefinitely bars individuals from certain countries from entering the United States based on their nationality. Issue: Oppose Duration of Status rule which provides a specific end date for certain nonimmigrant visa categories, including F-1 student and J-1 exchange visitor visas. Issue: Support the rescission of H-1B Prevailing Wage rules. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

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.

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA. Issue: Support maintaining VA medical services in conjunction with VA community care. Draft VA Infrastructure Powers Exceptional Research Act of 2021 Issue: Support increased investments in IT and physical research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers; support hiring flexibilities for VA research personnel; support dedicated time for research for physician scientists in the VA research program; support dual appointments with academic affiliates.

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.

H.R. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. Issue: Oppose repeal of DACA Executive Action S. 948 / H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Issue: Oppose travel ban indefinitely bars individuals from certain countries from entering the United States based on their nationality. Issue: Oppose Duration of Status rule which provides a specific end date for certain nonimmigrant visa categories, including F-1 student and J-1 exchange visitor visas. Issue: Support the rescission of H-1B Prevailing Wage rules. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

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.

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA Issue: Support maintaining VA medical services in conjunction with VA community care. Issue: Support increased investments in IT and research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers.

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 on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Educate Congress on the national physician workforce shortages impact on VA Issue: Support maintaining VA medical services in conjunction with VA community care. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures. Support flexibility in the contracting process. Issue: Support increased investments in IT and research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers.

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. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948, H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

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. 6, American Dream and Promise Act of 2019 S. 874, Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948, H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country. Issue: Oppose policies limiting entry of medical students, residents, researchers, and health professionals to the U.S. on the F-1, J-1, and H-1B visas.

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.

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

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: Support nomination of new NSF director. Issue: Urge extension of COVID-19 related administrative flexibilities

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

H.R. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948 / H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support reinstatement of USCIS medical deferred action. Issue: Support extending duration of stay for physicians on visas during the COVID pandemic, expediting change of status and visa renewals, and expedite visa approvals for medical residents entering the country.

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)

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. P.L. 115-182, VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act) Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, pilot programs, and immigration programs. Provide feedback on implementation regarding eligibility requirements and access standards, urgent care, and organ transplants. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures. Support flexibility in the contracting process. Issue: Support increased investments in IT and research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers.

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.

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. P.L. 115-182, VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act) Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, pilot programs, and immigration programs. Provide feedback on implementation regarding eligibility requirements and access standards, urgent care, and organ transplants. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures. Support flexibility in the contracting process. Issue: Support increased VA GME funding and Medicare GME funding for VA affiliates. Issue: Support increased investments in IT and research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers.

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)

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. P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Division O H.R. 1994, The Setting Every Community Up for Retirement Enhancement Act of 2019 Issue: Support the correction of the kiddie tax changes in the Tax Cuts and Jobs Act that taxes net unearned income on non-tuition scholarships and grants. Support extension of the tax deduction for qualified tuition expenses. P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Division Q H.R. 3300, The Economic Mobility Act Issue: Support the repeal of the parking tax, which would eliminate taxes for non-profits on fringe benefits.

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.

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 P.L. 116-92, National Defense Authorization Act for Fiscal Year 2020, Divisions A and E H.R. 3038, Securing American Science and Technology Act S. 2133, Secure American Research Act of 2019 Issue: Support efforts to address foreign influence on science, including stakeholder engagement from institutions of higher education. Issue: Oppose limiting scientific evidence in EPA rulemaking.

H.R. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948, H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support reinstatement of USCIS medical deferred action.

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. H.R. 1994, The Setting Every Community Up for Retirement Enhancement Act of 2019 Issue: Support the correction of the kiddie tax changes in the Tax Cuts and Jobs Act that taxes net unearned income on non-tuition scholarships and grants. H.R. 3300, The Economic Mobility Act Issue: Support the repeal of the parking tax, which would eliminate taxes for non-profits on fringe benefits.

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. 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. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948 / H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community Issue: Support reinstatement of USCIS medical deferred action.

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.

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Oppose eliminating authority for academic affiliates to administer NIH grants in support of VA investigators. P.L. 115-182, VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act) Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, pilot programs, and immigration programs. Provide feedback on implementation regarding eligibility requirements and access standards, urgent care, and organ transplants. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures. Support flexibility in the contracting process. Issue: Support increased VA GME funding and Medicare GME funding for VA affiliates. Issue: Support increased investments in IT and research infrastructure for the VA research program; Support Paperwork Reduction Act exemption for VA researchers.

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)

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

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

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. H.R. 1994, The Setting Every Community Up for Retirement Enhancement Act of 2019 Issue: Support the correction of the kiddie tax changes in the Tax Cuts and Jobs Act that taxes net unearned income on non-tuition scholarships and grants. H.R. 3300, The Economic Mobility Act Issue: Support the repeal of the parking tax, which would eliminate taxes for non-profits on fringe benefits.

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. 1608/S.1220, Federal Advisory Committee Act of 2019 Issue: Urge lawmakers to avoid unintended consequences for the peer review process. H.R. 3038, Securing American Science and Technology Act Issue: Support efforts to address foreign influence on science, including stakeholder engagement from institutions of higher education.

H.R. 6, The American Dream and Promise Act of 2019 S. 874, The Dream Act of 2019 Issue: Support policies allowing undocumented students to attend U.S. medical schools and graduate medical education. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 948 / H.R. 2895, Conrad State 30 and Physician Access Reauthorization Act Issue: Support reauthorization and expansion of the Conrad 30 program, and improvements to physician immigration Issue: Support policies to ensure timely and predictable processing for immigration of academic medicine community

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.

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 on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships. Issue: Oppose eliminating authority for academic affiliates to administer NIH grants in support of VA investigators. P.L. No: 115-182, VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act) Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, pilot programs, and immigration programs. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures. Issue: Support increased VA GME funding and Medicare GME funding for VA affiliates.

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators.

P.L. 115-232, the National Defense Authorization Act for FY 2019 Issue: Oppose restrictions to Department of Defense medical research Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Support nomination of Kelvin Droegemeier, PhD to be director of White House Office of Science and Technology Policy Issue: Support efforts to promote research integrity and address harassment in science

Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, tech transfer, and education partnerships. Issue: Oppose eliminating authority for academic affiliates to administer NIH grants in support of VA investigators. P.L. No: 115-182, VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act) Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, pilot programs, and immigration programs. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures Issue: Support increased VA GME funding and Medicare GME funding for VA affiliates.

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. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education H.R. 5818/S.2843, Opioid Workforce Act of 2018 Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 3014 Rural Physician Workforce Production Act of 2018 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 Issue: Support Medicare Graduate Medical Education (GME) per resident amount 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 S. 455, Restoring Rural Residencies Act of 2017 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: Development and implementation of new Medicaid Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support extension of Medicaid Disproportionate Share Hospital (DSH) cuts delay Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. H.R. 7217, Improving Medicaid Programs and Opportunities for Eligible Beneficiaries (IMPROVE) Act, Title I H.R. 3325/S. 428, ACE Kids Act Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid Issue: Oppose Physician Fee Schedule rule proposal to collapse Medicare E/M coding

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.

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 Issue: Educate Congress and 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. 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. Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 Issue: Provide grants to regional Centers of Excellence in substance use disorder education. 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. 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 H.R. 6, SUPPORT for Patients and Communities Act Issue: 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: 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.

P.L. 115-97, Tax Cuts and Jobs Creation Act Issue: Oppose the excise tax based on investment income of private colleges and universities. Track IRS implementation of the excise tax on compensation for certain employees at tax-exempt organizations and the provision that would include name and logo royalties under unrelated business income tax

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education H.R. 5818/S.2843, Opioid Workforce Act of 2018 Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 3014 Rural Physician Workforce Production Act of 2018 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 Issue: Support Medicare Graduate Medical Education (GME) per resident amount 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 as part of opioid legislative package Issue: Submit letter and educate Congress on role of academic medicine as it relates to price transparency initiatives S. 455, Restoring Rural Residencies Act of 2017 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: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. H.R. 3325/S. 428, ACE Kids Act Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid Issue: Oppose Physician Fee Schedule rule proposal to collapse Medicare E/M coding

Executive Orders 13769 and 13780 Issue: Oppose travel suspension from affected countries and suspension of visa interview waiver program. Support policies to ensure timely and predictable processing for immigration of academic medicine community. Filed Amicus Brief with the United States Supreme Court. S. 1615 / H.R. 3440, Dream Act of 2017 Issue: Support policies allowing undocumented students to attend U.S. medical schools and residency training. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. P.L. 115-141, Consolidated Appropriations Act, 2018, Division M S. 898, Conrad State 30 and Physician Access Act Issue: Support reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. Issue: Oppose separation of children from their parents at the U.S. border. Issue: Oppose Department of Homeland Security public charge proposed rule

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.

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule

H.R. 5515, the National Defense Authorization Act for FY 2019 Issue: Oppose restrictions to Department of Defense medical research Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Support nomination of Kelvin Droegemeier, PhD to be director of White House Office of Science and Technology Policy Issue: Support efforts to promote research integrity and address harassment in science

Executive Orders 13769 and 13780 Issue: Oppose travel suspension from affected countries and suspension of visa interview waiver program. Support policies to ensure timely and predictable processing for immigration of academic medicine community. Filed Amicus Brief with the United States Supreme Court. S. 1615 / H.R. 3440, Dream Act of 2017 Issue: Support policies allowing undocumented students to attend U.S. medical schools and residency training. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. P.L. 115-141, Consolidated Appropriations Act, 2018, Division M S. 898, Conrad State 30 and Physician Access Act Issue: Support reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. Issue: Oppose separation of children from their parents at the U.S. border.

No activity

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 H.R.5385, 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 Issue: Educate Congress and support training on substance abuse, pain management, and safe prescribing practices. Strategies to prevent, identify, and treat opioid dependence Issue: Support reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act 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. 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. 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. 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). S.2852, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 (PAHPAI) Pandemic and All-Hazards Preparedness Reauthorization Act of 2018 (Draft House legislation) 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: Oppose restrictions on fetal tissue and embryonic stem cell research. Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 Issue: Provide grants to regional Centers of Excellence in substance use disorder education. 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

Presidents Budget, FY 2019 P.L. 115-141, Consolidated Appropriations Act of 2018, Division H P.L. 115-123, Bipartisan Budget Act of 2018, Division B S.3158, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 House Draft FY 2019 Labor HHS-Education spending bill 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. Support funding for Health Resources and Services Administration (HRSA) and Title VII and Title VIII health professions and nursing education programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH) 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. Support single accreditation system for graduate medical education P.L. 115-141, Consolidated Appropriations Act, 2018, Division F P.L. 115-123, Bipartisan Budget Act of 2018, Division B H.R. 5895 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). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. H.R.3, Spending Cuts to Expired and Unnecessary Programs Act Issue: Oppose rescissions of federal health and student aid funding

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule

H.R. 5515, the National Defense Authorization Act for FY 2019 Issue: Oppose restrictions to Department of Defense medical research Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education H.R. 5818/S.2843, Opioid Workforce Act of 2018 Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 3014 Rural Physician Workforce Production Act of 2018 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 Issue: Support Medicare Graduate Medical Education (GME) per resident amount 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 as part of opioid legislative package Issue: Submit letter and educate Congress on role of academic medicine as it relates to price transparency initiatives S. 455, Restoring Rural Residencies Act of 2017 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. P.L. 115-123, Bipartisan Budget Act of 2018, Division E P.L. 115-120, Extension of Continuing Appropriations Act, 2018, Division C H.R. 3921, Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act of 2017 Issue: Support the reauthorization of and extension of funding for the Childrens Health Insurance Program (CHIP). Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. 6, SUPPORT for Patients and Communities Act Issue: 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: 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. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. Issue: Support nominees for the Medicare Payment Advisory Committee (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC)

H.R. 5674 VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act) Draft, VA Coordinated Access Rewarding Experiences (CARE) plan Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, pilot programs, and immigration programs. Issue: Support authority for VA joint ventures with academic affiliates Issue: Support increased VA GME funding and Medicare GME funding for VA affiliates Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, tech transfer, and education partnerships. Oppose eliminating authority for academic affiliates to administer NIH grants in support of VA investigators. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule

No activity

S. 1519 / H.R. 2810, the National Defense Authorization Act for FY 2018 Issue: Oppose restrictions to Department of Defense medical research Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs P.L. 114-329, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists Issue: Support nomination of highly qualified individuals to serve as Director and in other key roles in the Office of Science and Technology Policy (OSTP) Issue: Oppose Environmental Protection Agency (EPA) directive barring scientists who receive EPA grants from serving in advisory roles

S. 2193, Caring for Our Veterans Act of 2017 H.R. 4242, VA Care in the Community Act S.2184, Veterans Community Care and Access Act of 2017 Draft, VA Coordinated Access Rewarding Experiences (CARE) plan Issue: Preserve direct sole-source contracting with academic affiliates to improve Veterans access to specialty care at academic medical centers. Support VA physician recruitment through scholarship, loan repayment, and immigration programs. Issue: Support authority for VA joint ventures with academic affiliates Issue: Support increased VA GME funding and Medicare GME funding for VA affiliates Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, tech transfer, and education partnerships. Oppose eliminating authority for academic affiliates to administer NIH grants in support of VA investigators. Issue: Support continuation of local flexibility and consideration of VAs statutory education and research missions in VA medical center referral determinations and procedures

P.L. 115-97, Tax Cuts and Jobs Creation Act Issue: Track IRS implementation of the excise tax based on investment income of private colleges and universities, the excise tax on compensation for certain employees at tax-exempt organizations, and the provision that would include name and logo royalties under unrelated business income tax.

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education 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 Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. P.L. 115-123, Bipartisan Budget Act of 2018, Division E P.L. 115-120, Extension of Continuing Appropriations Act, 2018, Division C H.R. 3921, Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act of 2017 Issue: Support the reauthorization of and extension of funding for the Childrens Health Insurance Program (CHIP). Issue: Support delay in Medicaid Disproportionate Share Hospital (DSH) cuts Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. 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 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. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. Issue: Support nominees for the Medicare Payment Advisory Committee (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC)

Presidents Budget, FY 2019 P.L. 115-141, Consolidated Appropriations Act of 2018, Division H P.L. 115-123, Bipartisan Budget Act of 2018, Division B P.L. 115-120, Extension of Continuing Appropriations Act, 2018, 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. 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. Support funding for Health Resources and Services Administration (HRSA) and Title VII and Title VIII health professions and nursing education programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH) and for research on gun violence. Support funding for Department of Education and federal student aid. Support funding to combat opioid epidemic. P.L. 115-141, Consolidated Appropriations Act, 2018, Division F P.L. 115-123, Bipartisan Budget Act of 2018, Division B P.L. 115-120, Extension of Continuing Appropriations Act, 2018, Division B 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 P.L. 115-120, Extension of Continuing Appropriations Act, 2018, Division B Issue: Support funding for the National Science Foundation (NSF); support repeal of the Tiahrt amendment to allow Bureau of Alcohol, Tobacco, Firearms, and Explosives to release info about firearms database to CDC and NSF. P.L. 115-123, Bipartisan Budget Act of 2018, Division C and E Issue: Support budget agreement that raises defense and non-defense spending caps and overrides sequestration. Support funding for the National Health Service Corps (NHSC) and Teaching Health Center Graduate Medical Education (THCGME). Support delay of Medicaid Disproportionate Share Hospital (DSH) cuts, repeal of the Medicare Independent Payment Advisory Board, and passage of S. 870, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017. Oppose inclusion of report language undermining the transition to a unified graduate medical education accreditation. Issue: Support the reauthorization of and extension of funding for the Childrens Health Insurance Program (CHIP). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Support emergency supplemental funding for the CDC Public Health Emergency Preparedness Program and the Assistant Secretary for Preparedness and Responses Hospital Preparedness Program.

S. 455, Restoring Rural Residencies Act of 2017 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 congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation 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 H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs Issue: Educate Congress and support training on substance abuse, pain management, and safe prescribing practices. Strategies to prevent, identify, and treat opioid dependence Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Potential nominations for presidential appointments 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. 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. 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. Issue: Support the Hospitals Preparedness Program and the reauthorization of the Pandemic and All Hazards Preparedness Act. H.R.4776 Hospital Preparedness Reauthorization Act of 2018. Issue: Support reauthorization of the Hospital Preparedness Program Issue: Oppose restrictions on fetal tissue and embryonic stem cell research. Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 Issue: Provide grants to regional Centers of Excellence in substance use disorder education. Issue: Support legislative solutions to fire arm related injuries and fatalities including research, public health surveillance, and firearm background checks.

S. 1519 / H.R. 2810, the National Defense Authorization Act for FY 2018 Issue: Oppose restrictions to Department of Defense medical research Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs P.L. 114-329, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists Issue: Support nomination of highly qualified individuals to serve as Director and in other key roles in the Office of Science and Technology Policy (OSTP) Issue: Oppose Environmental Protection Agency (EPA) directive barring scientists who receive EPA grants from serving in advisory roles

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 Issue: support graduate/professional student loan benefits, including PSLF

H.R. 1628, American Health Care Act of 2017/Better Care Reconciliation Act of 2017/Obamacare Repeal Reconciliation Act/Graham-Cassidy-Heller- Johnson Amendment Issue: ACA repeal and replace legislation and Medicaid changes. S. 455, Restoring Rural Residencies Act of 2017 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 congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation 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 H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs Issue: Educate Congress and support training on substance abuse, pain management, and safe prescribing praactices. Strategies to prevent, identify, and treat opioid dependence Issue: Oppose reductions to hospital reimbursements under 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Potential nominations for presidential appointments Issue: Support policies to address IV fluid shortage exacerbated by Hurricane Maria

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule Issue: Support NIH medical research of pain and addiction

H.R. 1, the Tax Cuts and Jobs Creation Act Issue: Maintain the tax exemption for Private Activity Bonds and Advance Refunding bonds, tax-free tuition waivers for graduate students, the Student Loan Interest Deduction and the Lifetime Learning Tax Credit, and the shared responsibility payment for individuals failing to maintain minimum essential coverage. Oppose an excise tax based on investment income of private colleges and universities, an excise tax on compensation for certain employees at tax-exempt organizations, and a provision that would include name and logo royalties under unrelated business income tax. Oppose repeal of the ACA individual mandate.

Executive Orders 13769 and 13780 Issue: Oppose travel suspension from affected countries and suspension of visa interview waiver program. Support policies to ensure timely and predictable processing for immigration of academic medicine community. Filed Amicus Brief with the United States Supreme Court. S. 1615 / H.R. 3440, Dream Act of 2017 Issue: Support policies allowing undocumented students to attend U.S. medical schools and residency training. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 898, Conrad State 30 and Physician Access Act Issue: Support reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians.

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 H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 1827, Keep Kids Insurance Dependable and Secure (KIDS) Act of 2017 H.R. 3921, Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act of 2017 Issues: Support extension of the Childrens Health Insurance Program (CHIP) Issue: Support delay in Medicaid Disproportionate Share Hospital (DSH) cuts Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. 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

No activity

H.R. 1628, American Health Care Act of 2017/Better Care Reconciliation Act of 2017/Obamacare Repeal Reconciliation Act/Graham-Cassidy-Heller-Johnson Amendment Issue: ACA repeal and replace legislation and Medicaid changes. S. 455, Restoring Rural Residencies Act of 2017 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 congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation 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 H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs Executive Order 13784 Issue: Training in substance abuse, pain management. Strategies to prevent, identify, and treat opioid dependence Issue: Oppose reductions to hospital reimbursements under 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Potential nominations for presidential appointments Submitted comments to: -FDA on the training of health care providers on pain management and safe use of opioid analgesics

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 H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 1827, Keep Kids Insurance Dependable and Secure (KIDS) Act of 2017 H.R. 3921, Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act of 2017 Issues: Support extension of the Childrens Health Insurance Program (CHIP) Issue: Support delay in Medicaid Disproportionate Share Hospital (DSH) cuts Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. Submitted comments to: -CMS regarding overall Hospital Quality Star Rating program -CMS on the Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Program for CY 2018 -CMS on CY 2018 Physician Fee Schedule proposed rule -CMS on CY 2018 updates to the Quality Payment Program proposed rule -CMS on reducing regulatory burdens imposed by the ACA

S. 1519 / H.R. 2810, the National Defense Authorization Act for FY 2018 Issue: Oppose restrictions to Department of Defense medical research Issue: Support reducing administrative and regulatory burden on scientists and research institutions. Issue: Support the use of a competitive peer review process for federal research grants and programs P.L. 114-329, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists Issue: Support nomination of highly qualified individuals to serve as Director and in other key roles in the Office of Science and Technology Policy (OSTP)

Executive Orders 13769 and 13780 Issue: Oppose travel suspension from affected countries and suspension of visa interview waiver program. Support policies to ensure timely and predictable processing for immigration of academic medicine community. Filed Amicus Brief with the United States Supreme Court. S. 1615 / H.R. 3440, Dream Act of 2017 Issue: Support policies allowing undocumented students to attend U.S. medical schools and residency training. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement. Support Dreamer eligibility for federal student loans. S. 898, Conrad State 30 and Physician Access Act Issue: Support reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. Issue: Oppose suspension of H-1B visa premium processing. Support exception of cap-exempt higher education and related institutions from suspension

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule Issue: Support NIH medical research of pain and addiction Submitted comments to: -NIH on the definition of clinical trial -FDA on the use of electronic records and electronic signatures in clinical investigations of medical products.

P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division F H.R. 3358 / S.1771, Labor, HHS, Education and Related Agencies Act, 2018, Titles II and III Presidents Budget, FY 2018 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. 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. Support funding for Health Resources and Services Administration (HRSA) and Title VII and Title VIII health professions and nursing education programs. Support funding for Department of Education and federal student aid. Issue: Support increased 302(b) subcommittee allocations for Labor, HHS, Education and Related Agencies P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division K H.R. 3219, Make America Secure Appropriations Act, 2018, Title II H.R. 2998 / S. 1557, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, Title II, Title VI Presidents Budget, FY 2018 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. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division C H.R. 3267, Commerce, Justice, Science, and Related Agencies Appropriations Bill, 2018, Title III Issue: Support funding for the National Science Foundation (NSF) FY 2017 Budget Resolution Issue: Repeal and replace of the ACA. Oppose reconciliation instructions to cut health, education, and research programs. Support non-defense discretionary spending H.R. 3922, the Community Health and Medical Professional Improve our National (CHAMPION) Act of 2017 H.R. 3862, the National Health Service Corps Strengthening Act of 2017 Support mandatory funding for the National Health Service Corps (NHSC) and the Teaching Health Center Graduate Medical Education (THCGME) program. Oppose cuts to the Prevention and Public Health Fund Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending.

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 Submitted comments to: -Department of Education (ED) on Public Service Loan Forgiveness (PSLF) -ED on suspension of the Internal Revenue Service Data Retrieval Tool

No activity

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 H.R. 2267/ S. 1301, Resident Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Support legislation providing three full years of federal Medicaid matching funding to states that expand Medicaid Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issues: Support extension of the Childrens Health Insurance Program (CHIP) Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.)to access medical records with information on substance use disorders 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: ACA Section 1115 and 1332 Medicaid Waivers 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. Delay Medcaid DSH cuts. Issue: Nominations for Medicaid and CHIP Payment and Access Commission (MACPAC) new commissioners Submitted comments to: -CMS on Episode Payment Models -CMS on Medicaid Managed Care regulations -CMS on the FY 2018 Inpatient Prospective Payment System Proposed Rule -CMS on reducing regulatory burdens imposed by the Affordable Care Act

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including the Innovation Fund, increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests Issue: Provide comments on revision to the Common Rule Issue: Support NIH medical research of pain and addiction Submitted comments to: -HHS requesting an extension to the compliance date for the Common Rule

H.R. 1628, American Health Care Act/Better Care Reconciliation Act Issue: ACA repeal and replace legislation and Medicaid per capita cap and block grant provisions. S. 455, Restoring Rural Residencies Act of 2017 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 congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. Issue: Reauthorization of Title VII health professions programs Issue: Training in substance abuse, pain management. Strategies to prevent, identify, and treat opioid dependence Issue: 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Regulation of Laboratory Developed Tests Issue: Potential nominations for presidential appointments Submitted comments to: -The Food and Drug Administration (FDA) on enhancing patient engagement efforts across FDA -FDA regarding the training of health care providers on pain management and safe use of opioid analgesics

Draft, Labor, HHS, Education and Related Agencies Act, 2018, Titles II and III Presidents Budget, FY 2018 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 cuts to NIH, including limitations on facilities and administrative reimbursement. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Support funding for Health Resources and Services Administration (HRSA) and Title VII and Title VIII health professions and nursing education programs. Support funding for Department of Education and federal student aid. Issue: Support increased 302(b) subcommittee allocations for Labor, HHS, Education and Related Agencies H.R. 2998 / S. 1557, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, Title II, Title VI Presidents Budget, FY 2018 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and community care. Support funding for DOD Congressionally Directed Medical Research Programs (CDMRP) H.R. 3267, Commerce, Justice, Science, and Related Agencies Appropriations Bill, 2018, Title III Issue: Support funding for the National Science Foundation (NSF) P.L. 115-31/ H.R. 244, Consolidated Appropriations Act 2017, Division H S. 3040/ H.R. 5916, Labor, HHS, Education and Related Agencies Act, 2017, Titles II and III Presidents Budget, FY 2017 (amended supplemental request) Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Oppose rescissions from the Center for Medicare and Medicaid Innovation and Patient Centered Outcomes Research Trust Fund. Oppose additional continuing resolutions. Oppose cuts to NIH and health professions programs to fund Administrations supplemental request. Support funding for Department of Education and federal student aid. FY 2017 Budget Reconciliation Issue: Repeal and replace of the ACA. Oppose elimination of Prevention and Public Health Fund Issue: Support non-defense discretionary spending Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending.

Issue: Support the use of a competitive peer review process for federal research grants and programs P.L. 114-329, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists Issue: Support nomination of highly qualified individuals to serve as Director and in other key roles in the Office of Science and Technology Policy (OSTP)

Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). S. 850 / H.R.1922, Foreign Medical School Accountability Fairness Act of 2017 Issue: Support transparency for all international medical schools.

P.L. 114-255, 21st Century Cures Act, Division A Issue: Support implementation of 21st Century Cures Act, including increased funding for medical research, reducing administrative and regulatory burden on scientists and research institutions, and supporting young investigators. Issue: Regulation of Laboratory Developed Tests FY 2018 Presidents Budget Issue: Oppose limitations on facilities and administrative reimbursement. Issue: Provide comments on revision to the Common Rule Issue: Support NIH medical research of pain and addiction Submitted comments to: AHRQ in response to a request for information regarding Learning Healthcare Systems (LHS) NIH in response to a request for information on strategies for NIH data management, sharing, and citation

H.R. 1628 American Health Care Act Issue: ACA repeal and replace legislation and Medcaid per capita cap and block grant provisions. S. 455 Restoring Rural Residencies Act of 2017 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 congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. Issue: Reauthorization of Title VII health professions programs Issue: Training in substance abuse, pain management. Strategies to prevent, identify, and treat opioid dependence Issue: 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Regulation of Laboratory Developed Tests Issue: Potential nominations for presidential appointments

no activity

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 inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Support legislation providing three full years of federal Medicaid matching funding to states that expand Medicaid Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issues: Support extension of the Childrens Health Insurance Program (CHIP) Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders 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: Medicaid Section 1115 and 1332 Waivers 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. Delay Medcaid DSH cuts. Issue: Nominations for Medicaid and CHIP Payment and Access Commission (MACPAC) new commissioners Submitted comments to: CMS on AAMC regulatory priorities regarding, quality, GME and IME payments, MACRA, alternative payment models, fraud and abuse, and other issues of concern CMS on the Market Stabilization Proposed Rule CMS on comment on the Medicare Appeals Process

Executive Orders 13769 and 13780 Issue: Oppose travel suspension from affected countries and suspension of visa interview waiver program. Support policies to ensure timely and predictable processing for immigration of academic medicine community. Issue: Support policies allowing undocumented students to attend U.S. medical schools and residency training. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement, such as the Development, Relief, and Education for Alien Minors (DREAM) Act. Support DREAMer eligibility for federal student loans. S.128/H.R.496, Bar Removal of Individuals who Dream and Grow our Economy (BRIDGE) Act Issue: Support provisional protected presence for DACA eligible individuals. S. 898, Conrad State 30 and Physician Access Act Issue: Support reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. Issue: Oppose suspension of H-1B visa premium processing. Support exception of cap-exempt higher education and related institutions from suspension.

Issue: Support the use of a competitive peer review process for federal research grants and programs P.L. 114-329, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists

P.L. 114-255, 21st Century Cures Act Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Oppose reduction in Medicare hospital outpatient department reimbursement. Support incorporating sociodemographic status in Hospital Readmissions Reduction Program and addressing mid-build, off-campus outpatient departments under development at the time of enactment of the Bipartisan Budget Act of 2015. Create a crosswalk between Medicare Part A and Part B payments. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support NIH medical research of pain and addiction S. 2953, FY 2017 National Defense Authorization Act Issue: Oppose restrictions on medical research supported by the Department of Defense Submitted comments to: --NIH on the use of preprints and interim research products in NIH applications and reports. --NIH on the use of a single Institutional Review Board (sIRB) for multi-site research.

P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. S. 1676/H.R. 4011, Delivering Opportunities for Care and Services (DOCs) for Veterans Act H.R. 3755, To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes. Issue: Support increased VA GME and Medicare GME funding for certain VA affiliates H.R. 3879, Enhanced Veterans Health Care Act Issue: Support VA authority for VA-academic joint ventures S. 2633, Improving Veterans Access to Care in the Community Act Issue: Support VA Plan to Consolidate Community Care Programs, including the proposed Core Network and sole source contracting with academic affiliates. Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships.

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 H.R. 4774, The Training Tomorrows Doctors Today 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. Increases transparency and accountability measures. Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. H.R. 4732/S.2671, Advancing Medical Resident Training in Community Hospitals Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016 Issue: Support incorporating sociodemographic status Hospital Readmissions Reduction Program and addressing mid-build, off-campus outpatient departments under development at the time of enactment of the Bipartisan Budget Act of 2015. H.R. 1343/S. 688, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states S. 2787, the States Achieve Medicaid Expansion (SAME) Act Issue: Support legislation providing three full years of federal Medicaid matching funding to states that expand Medicaid H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders H.R. 6088, Hospital Quality Rating Transparency Act of 2016 Issue: delay release of CMS Hospital Compare Star Ratings to give stakeholders time to work together to address concerns with methodology. Submitted comments to: --CMS on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule, including the Merit-Based Incentive Payment Systems (MIPS) and Alternative Payment Model (APM) Incentive --CMS on key proposals issued in the Episode Payment Models (EPMs) proposed rule

S.2707/H.R. 4773, Protecting Workplace Advancement and Opportunity Act Issue: Support NIH stipend as threshold for Fair Labor Standards Act employee overtime and exemption of postdoctoral scientists as learned professionals

Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Oppose Increase in set-aside for Small Business Innovation Research (SBIR) and Small Business Technology Transfer Research (SITR) at NIH and NSF. S. 3084, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists Submitted comments to: --the Commission on Evidence-Based Policymaking on the impact, feasibility, and necessity of using available and newly collected data to propose, implement, and evaluate government programs and policies. -- OMB on the Statistical Policy Directive on Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity

Presidents Budget, FY 2017 Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). Oppose taxation of federal loan repayment programs. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. Draft Higher Education Act Reauthorization S. 108, Financial Aid Simplification and Transparency Act of 2014 (FAST Act) S. 85, Repay Act of 2015 Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). Support transparency for U.S. and international medical schools. H.R. 4223, POST GRAD Act Issue: Support restoring the interest subsidy on graduate and professional student loans Issue: Support global health learning opportunities

S. 1189, Conrad State 30 and Physician Access Act Issue: Support permanently reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. Issue: Support policies allowing undocumented students to attend U.S. medical schools and residency training. Oppose rescission of Deferred Action for Childhood Arrivals (DACA) executive action without permanent replacement, such as the Development, Relief, and Education for Alien Minors (DREAM) Act. Support DREAMer eligibility for federal student loans. S.3542, Bar Removal of Individuals who Dream and Grow our Economy (BRIDGE) Act Issue: Support provisional protected presence for DACA eligible individuals.

Presidents Budget, FY 2017 S. 3040/H.R. 5916 Labor, HHS, Education and Related Agencies Act, 2017, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose rescissions from the Center for Medicare and Medicaid Innovation and Patient Centered Outcomes Research Trust Fund. Oppose additional continuing resolutions. President's Budget, FY 2017 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Oppose Independent Payment Advisory Panel (IPAB) and site-neutral payment policy. President's Budget, FY 2017 P.L. 114-223 Continuing Appropriations and Military Construction, Veterans Affairs, and Related Appropriations Act, 2017, and Zika Preparedness Act Issues: Support funding for Veterans Affairs medical research, research infrastructure, and community care. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. S. 2624, National Biomedical Research Act. Issue: Support establishment of a Biomedical Innovation Fund to support the National Institutes of Health (NIH) and the Food and Drug Administration (FDA). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) P.L. 114-223 Continuing Appropriations and Military Construction, Veterans Affairs, and Related Appropriations Act, 2017, and Zika Preparedness Act Issue: Support supplemental funding to prevent and combat Zika virus; Oppose use of other health funding to offset Zika investments

H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support NIH medical research of pain and addiction S. 2953, FY 2017 National Defense Authorization Act Issue: Oppose restrictions on medical research supported by the Department of Defense Submitted comments to: --NIH on human-animal chimera research. --NIH National Institute of General Medical Sciences (NIGMS) on strategies for modernizing graduate education.

P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. S. 1676/H.R. 4011, Delivering Opportunities for Care and Services (DOCs) for Veterans Act H.R. 3755, To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes. Issue: Support increased VA GME and Medicare GME funding for certain VA affiliates H.R. 3879, Enhanced Veterans Health Care Act Issue: Support VA authority for VA-academic joint ventures S. 2633, Improving Veterans Access to Care in the Community Act Issue: Support VA Plan to Consolidate Community Care Programs, including the proposed Core Network and sole source contracting with academic affiliates. Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships.

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 inclusion of socioeconomic status in Hospital Compare star ratings; delay public release of ratings until data is released and reviewed by hospital community. H.R. 1006/S. 2107, 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 Issue: Reauthorization of Title VII health professions programs Issue: Diversity of the health care workforce Issue: Training in substance abuse, pain management, womens health, and mental health in medical education Issue: Strategies to prevent, identify, and treat opioid dependence Issue: Concurrent and overlapping surgery practices S. 1455, TREAT Act Issue: Support legislation to expand cap on buprenorphine Issue: Provide comments on draft legislation to increase the safety of prescription drug use H.R. 4499, Promoting Responsible Opioid Prescribing Act of 2016 Issue: Support delinking the Hospital Consumer Assessment of Healthcare Providers and Systems surveys pain management questions from the Centers for Medicare and Medicaid Services calculations of hospital incentive payments under the Value-Based Purchasing Program. Issue: Implementation of 340B Drug Pricing Program and eligibility of offsite facilities under OPPS Issue: Educate Congress on the impact of the self-referral (Stark law) on health care payment and delivery system reform, and how to promote development of alternative payment models S. 2837/H.R. 2578, FY 2017 Commerce-Justice-Science Appropriations Issue: Support amendments to expand background checks on gun purchases and make it more difficult for known/suspected terrorists to purchase firearms. H.R. 3299, Strengthening Public Health Emergency Response Act of 2015 Issue: Support provisions to strengthen the Hospitals Preparedness Program Issue: Educate Congress on the role of Academic Medical Centers in emergency preparedness

Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Oppose Increase in set-aside for Small Business Innovation Research (SBIR) and Small Business Technology Transfer Research (SITR) at NIH and NSF. S. 3084, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists Submitted comments to: --FDA on evaluation and reporting of age, race, and ethnicity data in medical device Clinical studies. --FDA on the use of electronic health record data in clinical investigations.

S.2707/H.R. 4773, Protecting Workplace Advancement and Opportunity Act Issue: Support NIH stipend as threshold for Fair Labor Standards Act employee overtime and exemption of postdoctoral scientists as learned professionals.

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 H.R. 4774, The Training Tomorrows Doctors Today 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. Increases transparency and accountability measures. Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. H.R. 4732/S.2671, Advancing Medical Resident Training in Community Hospitals Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016 Issue: Support incorporating sociodemographic status Hospital Readmissions Reduction Program and addressing mid-build, off-campus outpatient departments under development at the time of enactment of the Bipartisan Budget Act of 2015. H.R. 1343/S. 688, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states S. 2787, the States Achieve Medicaid Expansion (SAME) Act Issue: Support legislation providing three full years of federal Medicaid matching funding to states that expand Medicaid H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders H.R. 6088, Hospital Quality Rating Transparency Act of 2016 Issue: delay release of CMS Hospital Compare Star Ratings to give stakeholders time to work together to address concerns with methodology. Submitted comments to: --CMS on the Medicaid DSH Payment Proposed Rule. --CMS on the CY 2017 Outpatient Prospective Payment System (OPPS) Proposed Rule. --CMS on revisions to payment policies under the Physician Fee Schedule and other revisions to Part B for CY 2017. --CMS regarding concerns with Hospital Compare Star Ratings.

S. 1189, Conrad State 30 and Physician Access Act Issue: Support permanently reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians.

H.R. 9, Innovation Act S. 1137, Protecting American Talent and Entrepreneurship (PATENT) Act S. 2733, Venue Equity and Non-Uniformity Elimination Act of 2016 Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments.

Presidents Budget, FY 2017 S.3040/draft House Labor, HHS, Education and Related Agencies Act, 2017, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose rescissions from the Center for Medicare and Medicaid Innovation and Patient Centered Outcomes Research Trust Fund. President's Budget, FY 2017 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Oppose Independent Payment Advisory Panel (IPAB) and site-neutral payment policy. President's Budget, FY 2017 H.R. 2577/H.R. 4974/S. 2806 Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2017 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and community care. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. S. 2624, National Biomedical Research Act. Issue: Support establishment of a Biomedical Innovation Fund to support the National Institutes of Health (NIH) and the Food and Drug Administration (FDA). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support supplemental funding to prevent and combat Zika virus; Oppose use of other health funding to offset Zika investments

H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support NIH medical research of pain and addiction S. 2953, FY 2017 National Defense Authorization Act Issue: Oppose restrictions on medical research supported by the Department of Defense Submitted comments to: --NIH National Institute of General Medical Sciences on Approaches for Supporting Team Science in the Biomedical Research Community

H.R. 9, Innovation Act S. 1137, Protecting American Talent and Entrepreneurship (PATENT) Act S. 2733, Venue Equity and Non-Uniformity Elimination Act of 2016 Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments.

Issue: Support the use of a competitive peer review process for federal research grants and programs Issue: Oppose Increase in set-aside for Small Business Innovation Research (SBIR) and Small Business Technology Transfer Research (SITR) at NIH and NSF. S. 3084, American Innovation and Competitiveness Act Issue: Support reauthorization of NSF, including NSFs merit-bases peer review process and reducing regulatory burden on scientists

Issue: Oppose False Claims Act use as a general enforcement mechanism for federal regulatory compliance.

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 H.R. 4774, The Training Tomorrows Doctors Today 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. Increases transparency and accountability measures. Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. H.R. 4732/S.2671, Advancing Medical Resident Training in Community Hospitals Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016 Issue: Support incorporating sociodemographic status Hospital Readmissions Reduction Program and addressing mid-build, off-campus outpatient departments under development at the time of enactment of the Bipartisan Budget Act of 2015. H.R. 1343/S. 688, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states S. 2787, the States Achieve Medicaid Expansion (SAME) Act Issue: Support legislation providing three full years of federal Medicaid matching funding to states that expand Medicaid H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders Submitted comments to: --CMS on the Medicare Program; Merit-Based Incentive Payment Systems (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models proposed rule --CMS on the Medicare Access CHIP Reauthorization Act (MACRA) implementation --CMS on the FY 2017 Inpatient Prospective Payment System (IPPS) proposed rule Office of the National Coordinator for Health Information Technology (ONC) on Assessing Interoperability for MACRA --CMS on Medicare Part B Drug Payment Model proposed rule ONC on principles for interoperability among health information systems

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 inclusion of socioeconomic status in Hospital Compare star ratings; delay public release of ratings until data is released and reviewed by hospital community. H.R. 1006/S. 2107, 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 Issue: Reauthorization of Title VII health professions programs Issue: Diversity of the health care workforce Issue: Training in substance abuse, pain management, womens health, and mental health in medical education Issue: Strategies to prevent, identify, and treat opioid dependence Issue: Concurrent and overlapping surgery practices S. 1455, TREAT Act Issue: Support legislation to expand cap on buprenorphine H.R. 4499, Promoting Responsible Opioid Prescribing Act of 2016 Issue: Support delinking the Hospital Consumer Assessment of Healthcare Providers and Systems surveys pain management questions from the Centers for Medicare and Medicaid Services calculations of hospital incentive payments under the Value-Based Purchasing Program. Issue: Implementation of 340B Drug Pricing Program Issue: Educate Congress on the impact of the self-referral (Stark law) on health care payment and delivery system reform, and how to promote development of alternative payment models S. 2837/H.R. 2578, FY 2017 Commerce-Justice-Science Appropriations Issue: Support amendments to expand background checks on gun purchases and make it more difficult for known/suspected terrorists to purchase firearms. H.R. 3299, Strengthening Public Health Emergency Response Act of 2015 Issue: Support provisions to strengthen the Hospitals Preparedness Program Issue: Educate Congress on the role of Academic Medical Centers in emergency preparedness

P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. S. 1676/H.R. 4011, Delivering Opportunities for Care and Services (DOCs) for Veterans Act H.R. 3755, To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes. Issue: Support increased VA GME and Medicare GME funding for certain VA affiliates H.R. 3879, Enhanced Veterans Health Care Act Issue: Support VA authority for VA-academic joint ventures S. 2633, Improving Veterans Access to Care in the Community Act Issue: Support VA Plan to Consolidate Community Care Programs, including the proposed Core Network and sole source contracting with academic affiliates. Issue: Educate Congress on the importance of the VAs academic affiliates to improve veteran care through clinical, research, and education partnerships.

S.2707/H.R. 4773, Protecting Workplace Advancement and Opportunity Act Issue: Support NIH stipend as threshold for Fair Labor Standards Act employee overtime and exemption of postdoctoral scientists as learned professionals.

Issue: Support the use of a competitive peer review process for federal research grants and programs

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 H.R. 4774, The Training Tomorrows Doctors Today 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. Increases transparency and accountability measures. Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. H.R. 4732/S.2671, Advancing Medical Resident Training in Community Hospitals Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 S. 688, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Submitted comments to: CMS on the Medicare Accountable Care Organization (ACO) Shared Savings Program CMS regarding implementation of episode groups as required under MACRA CMS on the Quality Measure Development Plan for supporting the transition to the new Medicare Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) CMS regarding certification of HIT, including EHR products used for reporting to certain CMS quality programs CMS on the Medicare Inpatient Prospective Payment Systems 0.2 Percent Reduction Rule CMS on the Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals and Home Health Agencies Proposed Rule CMS on methods for assuring access to covered Medicaid service

P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. S. 1676/H.R. 4011, Delivering Opportunities for Care and Services (DOCs) for Veterans Act H.R. 3755, To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes. Issue: Support increased VA GME and Medicare GME funding for certain VA affiliates H.R. 3879, Enhanced Veterans Health Care Act Issue: Support VA authority for VA-academic joint ventures S. 2633, Improving Veterans Access to Care in the Community Act Issue: Support VA Plan to Consolidate Community Care Programs, including the proposed Core Network and sole source contracting with academic affiliates.

H.R. 9, Innovation Act S. 1137, Protecting American Talent and Entrepreneurship (PATENT) Act S. 2733, Venue Equity and Non-Uniformity Elimination Act of 2016 Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments.

S. 1189, Conrad State 30 and Physician Access Act Issue: Support permanently reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians.

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 inclusion of socioeconomic status in Hospital Stars Ratings; delay public release of ratings until data is released and reviewed by hospital community. H.R. 1006/S. 2107, 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 Issue: Reauthorization of Title VII health professions programs Issue: Diversity of the health care workforce Issue: Training in substance abuse, pain management, and mental health in medical education Issue: Strategies to prevent, identify, and treat opioid dependence Issue: Concurrent and overlapping surgery practices S. 1455, TREAT Act Issue: Support legislation to expand cap on buprenorphine Issue: Implementation of 340B Drug Pricing Program Issue: Educate Congress on the impact of the self-referral (Stark law) on health care payment and delivery system reform, and how to promote development of alternative payment models Submitted comments to: CMS requesting a delay and modification to the Hospital Compare star ratings National Quality Forum (NQF) on Measure Applications Partnership (MAP)s 2016 Considerations for Implementing Measures in Federal Programs draft report.

H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Submitted comments to: NIH National Center for Advancing Translational Sciences (NCATS) on the institutions strategic planning process HHS Office for Human Research Protections regarding the 1991 Common Rule, which governs federally supported research involving human subjects

Presidents Budget, FY 2017 P.L. 114-113, Consolidated Appropriations Act, 2016, Division H, Title II Draft House and Senate Labor, HHS, Education and Related Agencies Act, 2017, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. President's Budget, FY 2017 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Oppose Independent Payment Advisory Panel (IPAB) and site-neutral payment policy. President's Budget, FY 2017 Draft House and Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2017 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. S. 2624, National Biomedical Research Act. Issue: Support establishment of a Biomedical Innovation Fund to support the National Institutes of Health (NIH) and the Food and Drug Administration (FDA). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support supplemental funding to prevent and combat Zika virus.

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), NIH Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) Issue: Support federal funding for research using human fetal tissue. Submitted comments to: -FDA on International Scheduling of Ketamine -NIH on strategies to enhance diversity in the physician�scientist workforce -NIH on its strategic plan to advance research on the health and well-being of sexual and gender minorities

Presidents Budget, FY 2016 Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). Oppose taxation of federal loan repayment programs. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. Draft Higher Education Act Reauthorization S. 108, Financial Aid Simplification and Transparency Act of 2014 (FAST Act) S. 85, Repay Act of 2015 Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). Support transparency for U.S. and international medical schools. S. 2107/H.R. 1006, 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. Issue: Educating health professionals regarding prescription drug abuse, appropriate use of antibiotics, female genital mutilation, sepsis, and pain management. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula H.R. 4223, POST GRAD Act Issue: Support restoring the interest subsidy on graduate and professional student loans Issue: Support funding for interprofessional education

President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title IIIssues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 1676, H.R. 3755, H.R. 4011, Delivering Opportunities for Care and Services (DOCs) for Veterans Act of 2015 Issue: Support extension of VA GME increase. Support exemption of certain VA residents from Medicare GME caps. H.R. 3879, Enhanced Veterans Healthcare Act of 2015 Issue: Support joint venture authority for VA and academic affiliates P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages

H.R. 9, Innovation Act S. 1137, Protecting American Talent and Entrepreneurship (PATENT) Act Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments. Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 112-29).

No activity.

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester President's Budget, FY 2016 Issue: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 S. 688, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. Draft Audit and Appeals Fairness, Integrity and Reforms in Medicare (AFIRM) Act of 2015 Issue: Support Medicare audit and appeal reform. S. 1676, H.R. 3755, H.R. 4011, Delivering Opportunities for Care and Services (DOCs) for Veterans Act of 2015 Issue: Support extension of VA GME increase. Support exemption of certain VA residents from Medicare GME caps. H.R. 3879, Enhanced Veterans Healthcare Act of 2015 Issue: Support joint venture authority for VA and academic affiliates Submitted comments to: -CMS on implementation of the Medicare Access and CHIP Reauthorization Act of 2015

S. 1189, Conrad State 30 and Physician Access Act Issue: Support permanently reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages

No activity.

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), Hospital Preparedness Program, NIH, Title VII & VIII Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs,. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Funding and reporting requirements for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). Issue: Support the use of animals in medical research. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester S. 2107/H.R. 1006, 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. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015. S. 688, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. Issue: Legislation on educating health professionals regarding appropriate use of antibiotics, prescription drug abuse, pain management, female genital mutilation, and sepsis. Issue: Implementation of the 340B drug pricing program. Oppose efforts to restrict the program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose extension of Medicare sequester Issue: Oppose Medicare hospital cuts as offsets for physician payment reform. Issue: Preserve funding for the Primary Care Residency Expansion program. P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Draft Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Issue: Funding for Ebola Treatment Centers and hospital preparedness Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. H.R. 3285, Reducing Disparities Using Care Models and Education Act of 2015 Issue: Studying and developing guidelines to reduce health disparities Draft Health Equity and Accountability Act Issue: Addressing health equity through health care workforce programs Issue: Support federal funding for research using human fetal tissue. H.R. 3119, draft Senate legislation, Palliative Care and Hospice Education and Training Act Issue: Health professions education on palliative care Submitted comments to: -HRSA on Proposed Omnibus Guidance on 340B Drug Pricing Program -FDA on International Scheduling of Ketamine -CMS on implementation of the Medicare Access and CHIP Reauthorization Act of 2015 -NIH on its strategic plan to advance research on the health and well-being of sexual and gender minorities -HHS on nondiscrimination in heath programs and activities

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), Hospital Preparedness Program, National Institutes of Health (NIH), Title VII & VIII health professions and nursing education programs Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from Center for Medicare & Medicaid Innovation (CMMI) and Patient-Centered Outcomes Research Institute (PCORI). President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Funding for the National Health Care Workforce Commission. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose cuts to Children's Hospitals GME program and Title VII health professions education and training programs. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. H.R. 1006/S. 2107, 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. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Draft, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments Issue: Support funding for Ebola Treatment Centers and hospital preparedness Issue: Support funding for interprofessional education H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue.

No activity.

H.R. 9, Innovation Act S. 1137, Protecting American Talent and Entrepreneurship (PATENT) Act Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments. Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 112-29).

S. 1189, Conrad State 30 and Physician Access Act Issue: Support permanently reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), Hospital Preparedness Program, NIH, Title VII & VIII Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs,. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support Obama Administrations position on King v Burwell Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Funding and reporting requirements for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). Issue: Support the use of animals in medical research. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. S. 2107/H.R. 1006, 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. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015. S. 688, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. Issue: Legislation on educating health professionals regarding appropriate use of antibiotics, prescription drug abuse, pain management, female genital mutilation, and sepsis. Issue: Implementation of the 340B drug pricing program. Oppose efforts to restrict the program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform. Issue: Preserve funding for the Primary Care Residency Expansion program. P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Draft Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Issue: Funding for Ebola Treatment Centers and hospital preparedness Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. H.R. 3285, Reducing Disparities Using Care Models and Education Act of 2015 Issue: Studying and developing guidelines to reduce health disparities Draft Health Equity and Accountability Act Issue: Addressing health equity through health care workforce programs Issue: Support federal funding for research using human fetal tissue. Submitted comments to: Department of Veterans Affairs on VA health care contracting and potential risks to VA-academic affiliations Centers for Medicare & Medicaid Services (CMS) on CY 2016 Physician Fee Schedule proposed rule CMS on the on the Comprehensive Care for Joint Replacement (CCJR) proposed rule CMS on CY 2016 Outpatient Prospective Payment System (OPPS) proposed rule CMS on the methodology of overall Hospital Quality Star Ratings technical expert panel report CMS on the Medicaid and CHIP Managed Care proposed rule

Submitted comments to Department of Labor on the application of FLSA overtime rule to post-doctoral trainees

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), NIH Presidents Budget, FY 2016 H.R. 3020/S. 1695, House Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support the use of animals in medical research. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support federal funding for research using human fetal tissue. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. Submitted comments to: National Institute on Minority Health and Health Disparities (NIMHD) on interdisciplinary training in health disparities science The White House on the Precision Medicine Initiatives proposed privacy and trust principles National Institutes of Health (NIH) on the framework for the NIH-wide Strategic Plan NIMHD on the NIH Science Vision for health disparities research

President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 1676, Delivering Opportunities for Care and Services (DOCs) for Veterans Act of 2015 Issue: Support extension of VA GME increase. Support exemption of certain VA residents from Medicare GME caps. P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages Submitted comments to: Department of Veterans Affairs on VA health care contracting and potential risks to VA-academic affiliations

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), NIH Presidents Budget, FY 2016 H.R. 3020/S. 1695, House Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) Issue: Support federal funding for research using human fetal tissue. Submitted comments to: National Institute on Minority Health and Health Disparities (NIMHD) on interdisciplinary training in health disparities science The White House on the Precision Medicine Initiatives proposed privacy and trust principles National Institutes of Health (NIH) on the framework for the NIH-wide Strategic Plan NIMHD on the NIH Science Vision for health disparities research

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. President's Budget, FY 2016 Issue: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 S. 688, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. Draft Audit and Appeals Fairness, Integrity and Reforms in Medicare (AFIRM) Act of 2015 Issue: Support Medicare audit and appeal reform. S. 1676, Delivering Opportunities for Care and Services (DOCs) for Veterans Act of 2015 Issue: Support extension of VA GME increase. Support exemption of certain VA residents from Medicare GME caps. Submitted comments to: Centers for Medicare & Medicaid Services (CMS) on CY 2016 Physician Fee Schedule proposed rule CMS on the on the Comprehensive Care for Joint Replacement (CCJR) proposed rule CMS on CY 2016 Outpatient Prospective Payment System (OPPS) proposed rule CMS on the methodology of overall Hospital Quality Star Ratings technical expert panel report CMS on the Medicaid and CHIP Managed Care proposed rule

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), Hospital Preparedness Program, National Institutes of Health (NIH), Title VII & VIII health professions and nursing education programs Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from Center for Medicare & Medicaid Innovation (CMMI) and Patient-Centered Outcomes Research Institute (PCORI). President's Budget, FY 2016 H.R. 4486 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Funding for the National Health Care Workforce Commission. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose cuts to Children's Hospitals GME program and Title VII health professions education and training programs. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. H.R. 1006/S. 2107, 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. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Draft, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments Issue: Support funding for Ebola Treatment Centers and hospital preparedness Issue: Support funding for interprofessional education H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue.

H.R. 9, Innovation Act S. 1137, Protecting American Talent and Entrepreneurship (PATENT) Act Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments. Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 112-29).

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ) Presidents Budget, FY 2016 S. 1695 and draft House Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support the use of animals in medical research. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Draft Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. Submitted comments to: NIH on precision medicine and community engagement NIH on policies and strategies to improve the sustainability of biomedical research HHS Office for Human Research Protections (OHRP) on draft guidance for electronic informed consent in clinical investigations FDA on draft guidance for electronic informed consent in clinical investigations

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ) Presidents Budget, FY 2016 S. 1695 and draft House Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Funding for the National Health Care Workforce Commission. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose cuts to Children's Hospitals GME program and Title VII health professions education and training programs. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. H.R. 1006, 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. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Draft, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments Issue: Funding for Ebola Treatment Centers and hospital preparedness Issue: Support funding for interprofessional education H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF)

No activity.

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ) Presidents Budget, FY 2016 S. 1695 and draft House Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Draft Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) Submitted comments to: NIH on precision medicine and community engagement NIH on policies and strategies to improve the sustainability of biomedical research HHS Office for Human Research Protections (OHRP) on draft guidance for electronic informed consent in clinical investigations FDA on draft guidance for electronic informed consent in clinical investigations

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. President's Budget, FY 2016 Issue: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 S. 688, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Oppose reduction of Medicare GME/IME payments. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. The Audit and Appeals Fairness, Integrity and Reforms in Medicare (AFIRM) Act of 2015 Issue: Support Medicare audit and appeal reform. Draft legislation to increase Medicare GME at hospitals with VA GME affiliations Issue: Support Medicare GME cap relief for hospitals with residents rotating through the VA Submitted comments to: CMS on the FY 2016 Inpatient Prospective Payment System (IPPS) proposed rule CMS on the modifications on meaningful use 2015-2017 proposed rule HHS on the CMS short-stay inpatient admission policy, the Two Midnights rule The Office of the National Coordinator for Health Information Technology (ONC) on the 2015 Edition Health Information Technology Certification Criteria proposed rule CMS on the Meaningful Use Stage 3 proposed rule

S. 1189, Conrad State 30 and Physician Access Act Issue: Support permanently reauthorization and expansion of the Conrad 30 J-1 visa waiver program for physicians. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ) Presidents Budget, FY 2016 S. 1695 and draft House Labor, HHS, Education and Related Agencies Act, 2016, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2016 H.R. 4486 and draft Senate House Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support Obama Administrations position on King v Burwell Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 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 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Funding and reporting requirements for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). Issue: Support the use of animals in medical research. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. H.R. 1006, 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. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015. S. 688, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. Issue: Legislation on educating health professionals regarding appropriate use of antibiotics. Issue: Implementation of the 340B drug pricing program. Oppose efforts to restrict the program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform. Issue: Preserve funding for the Primary Care Residency Expansion program. P.L. 113-564, Veterans Access, Choice, and Accountability Act of 2014 Issues: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Draft Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Issue: Funding for Ebola Treatment Centers and hospital preparedness Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. Submitted comments to: CMS on the FY 2016 Inpatient Prospective Payment System (IPPS) proposed rule CMS on the modifications on meaningful use 2015-2017 proposed rule HHS on the CMS short-stay inpatient admission policy, the Two Midnights rule The Office of the National Coordinator for Health Information Technology (ONC) on the 2015 Edition Health Information Technology Certification Criteria proposed rule CMS on the Meaningful Use Stage 3 proposed rule FDA on public health concerns of demographic subgroups The White House on AAMCs commitment to the effective use and management of antibiotic treatment

Presidents Budget, FY 2016 Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. President's Budget, FY 2016 Draft House Military Construction and Veterans Affairs and Related Agencies Appropriations bill Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 289, American Cures Act Issue: Increases budget authority for National Institutes of Health, Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health, adjusted annually for inflation. 21st Century Cures Initiative discussion draft Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Submitted comments to: HHS Office for Human Research Protections (OHRP) on draft guidance regarding standard of care research NIH on the use of a single Institutional Review Board (IRB) for multi-site research NIH Advisory Committee to the Director (ACD) on the strategic vision for the National Library of Medicine NIH and HHS on clinical trials registrations and results submission to ClinicalTrials.gov FDA on Laboratory Developed Tests (LDTs)

Presidents Budget, FY 2016 Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program, funding for Ebola Treatment Centers and hospital preparedness, and trauma and emergency care programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. President's Budget, FY 2016 Draft House Military Construction and Veterans Affairs and Related Agencies Appropriations bill Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Support funding and reporting requirements for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). Issue: Support the use of animals in medical research. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. S. 1006, 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. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015. S. 688, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. Issue: Legislation on educating health professionals regarding appropriate use of antibiotics. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Support use of holistic review in admissions. Issue: Implementation of the 340B drug pricing program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform. Issue: Preserve funding for the Primary Care Residency Expansion program. P.L. 113-564, Veterans Access, Choice, and Accountability Act of 2014 Issues: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages S. 289, American Cures Act Issue: Increases budget authority for National Institutes of Health, Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health, adjusted annually for inflation. 21st Century Cures Initiative discussion draft Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Provide comments to House Energy and Commerce Committee on GME financing Draft Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments Draft Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids Draft Hospital Improvements for Payment (HIP) Act of 2015 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages Submitted comments to: FDA on Laboratory Developed Tests (LDTs) White House Ebola Response Coordinator offering to work with federal and state officials to prepare and respond to Ebola cases. CMS on measure selection for Hospital Compare Star Ratings Technical Expert Panel Report CMS on Notice of Proposed Rulemaking for Medicare Share Savings Program/Accountable Care Organizations CMS on the Medicare Advantage and Medicare Part D 2016 Advance Notice and Draft Call Letter CMS on policy priorities for FY 2016 Hospital Inpatient Prospective Payment System (IPPS) NIH and HHS on clinical trials registrations and results submission to ClinicalTrials.gov National Quality Forum (NQF) on the Measure Applications Partnership (MAP) pre-rulemaking draft report HHS Office for Human Research Protections (OHRP) on draft guidance regarding standard of care research NIH on the use of a single Institutional Review Board (IRB) for multi-site research NIH Advisory Committee to the Director (ACD) on the strategic vision for the National Library of Medicine

Presidents Budget, FY 2016 Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). Oppose taxation of federal loan repayment programs. Support higher education and student aid tax benefits. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. Draft Higher Education Act Reauthorization S. 108, Financial Aid Simplification and Transparency Act of 2014 (FAST Act) S. 85, Repay Act of 2015 Issues: Oppose cuts to graduate/professional student loan benefits, including Public Service Loan Forgiveness (PSLF). Support transparency for U.S. and international medical schools. S. 1006, 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. Issue: Educating health professionals regarding prescription drug abuse and appropriate use of antibiotics. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula

No activity.

Issues: Permanently reauthorize and expand the J-1 visa waiver program for physicians. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages Submitted comments to: U.S. Citizenship and Immigration Services (USCIS) on the impact of Medicare GME cap on physician immigration and U.S. workforce shortages

H.R. 9, Innovation Act S. 632, STRONG Patents Act of 2015 Draft Senate patent troll legislation Issue: Support patent-litigation reform to curtail abusive patent practices. Oppose presumptive fee-shifting and involuntary joinder in light of recent judicial and administrative developments. Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 112-29).

Presidents Budget, FY 2016 Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program, funding for Ebola Treatment Centers and hospital preparedness, and trauna and emergency care programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. President's Budget, FY 2016 Draft House Military Construction and Veterans Affairs and Related Agencies Appropriations bill Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Funding for the National Health Care Workforce Commission. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose cuts to Children's Hospitals GME program and Title VII health professions education and training programs. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 289, American Cures Act Issue: Increases budget authority for National Institutes of Health, Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health, adjusted annually for inflation. Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. S. 1006, 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. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Draft, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments

Presidents Budget, FY 2016 Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program and funding for pandemic preparedness and biodefense programs . Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. President's Budget, FY 2016 Draft House Military Construction and Veterans Affairs and Related Agencies Appropriations bill Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support the use of animals in medical research. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Draft legislation on protections for human subjects in research S. 289, American Cures Act Issue: Increases budget authority for National Institutes of Health, Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health, adjusted annually for inflation. 21st Century Cures Initiative discussion draft Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: FDA regulation of Laboratory Developed Tests (LDTs)

President's Budget, FY 2016 Draft House Military Construction and Veterans Affairs and Related Agencies Appropriations bill Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 113-564, Veterans Access, Choice, and Accountability Act of 2014 Issue: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages Issue: Explaining the relationship between VA GME and Medicare GME

Draft patent-litigation reform legislation Issue: recent judicial and administrative developments impact on abusive patent practices H.R. 2981, Technology and Research Accelerating National Security and Future Economic Resiliency (TRANSFER) Act of 2013 Issue: Expanding authority of federal programs to create grant opportunities for proof-of-concept research and other innovative technology transfer activities at universities. Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 112-29). Submitted comments to: U.S. Patent & Trademark Office (PTO) on harmonization of an effective grace period with international patent law U.S. Patent & Trademark Office (PTO) on guidance for determining subject matter eligibility for claims related to natural product The White House Office of Science and Technology Policy (OSTP) on the Strategy for American Innovation.

H.R. 4486 and draft Senate legislation, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II President's Budget FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support the use of animals in medical research. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research H.R.5464 and draft Senate legislation, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division G, Title II Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Support emergency supplemental funding to prepare and respond to Ebola and to reimburse for Ebola Virus Disease treatment. S. 1552/H.R.5451, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. Issue: FDA regulation of Laboratory Developed Tests (LDTs) S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. S. 2658/H.R. 5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in Basic Biomedical Research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: Food and Drug Administration (FDA) on strategies for increasing patient involvement in regulatory processes. National Institutes of Health (NIH) in response to an RFI related to the development of grant program to help facilitate the transition from training to independence. National Institutes of Health (NIH) on the consideration of sex as a biological variable in biomedical research The Patient-Centered Outcomes Research Institute (PCORI) on the proposed process for peer review and public release of its primary research finding.

H.R.5464 and draft Senate legislation, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division G, Title II Issues: Support funding for NIH, Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program (CHGME), HRSA, biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Support emergency supplemental funding to prepare and respond to Ebola and to reimburse for Ebola Virus Disease treatment. H.R. 4486 and draft Senate legislation, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II President's Budget, FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the NHSC. Debt in Health Education Loan programs (DebtHELP) bill (draft) Issues: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. H.R. 1201, Training Tomorrow's Doctors Today 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 and increase Graduate Medical Education (GME) accountability and transparency. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions. Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014 Issue: Standardization of post-acute care assessment data for quality, payment, and discharge planning. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Support primary care workforce development S. 1759, Teaching Health Center Reauthorization Act Issue: Legislation to reauthorize the Teaching Health Center Program and payments. Issue: Draft legislation on pain education in undergraduate and graduate medical education. H.R.548/S. 1152, The 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. H.R. 5294, Health Equity and Accountability Act of 2014 Issue: Support bill to improve health equity. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. H.R. 3698, Two Midnight Rule Delay Act of 2013 S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act. S. 2501, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. Issue: Educating health professionals regarding prescription drug abuse and appropriate use of antibiotics. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Support use of holistic review in admissions. Issue: Support ACA consumer outreach and enrollment efforts. Issue: Implementation of the 340B drug discount program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Support preservation of funding for the Primary Care Residency Expansion program. S. 2229, Expanding Primary Care Access and Workforce Act Issue: Offer comments on primary care workforce legislation. H.R. 5411, Trafficking Awareness Training for Health Care Act of 2014 Issue: Medical education curricula content pertaining to human trafficking. S. 2658/H.R.5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). S. 2450, Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4810, Veteran Access to Care Act Issue: Addressing VA backlogs by increasing care for veterans provided by non-VA facilities. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide an expanded and sustained investment in biomedical research. H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of NIH guidelines to increase participation of women in clinical trials. Issue: FDA regulation of Laboratory Developed Tests (LDTs) S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 2645, The Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids S. 2942, The Infectious Disease Hospitals Hubs Act Issue: Support legislation to establish a network of hospitals in preparing for and responding to infectious diseases. Issue: Support nomination of Dr. Vivek Murthy as U.S. Surgeon General Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Submitted comments to: U.S. Census Bureau on the American Community Survey CMS on the Hospital Acquired Conditions Reduction Program (HAC)s technical expert panel (TEP)s report regarding the scoring of hospitals in the HAC program CMS on final rule regarding definition of uninsured for purposes of Medicaid DSH limits HHS on revisions to the safe harbors under the anti-kickback statute and civil monetary penalty rules (gainsharing, etc.) FDA on strategies for increasing patient involvement in regulatory processes. White House Ebola Response Coordinator offering to work with federal and state officials to prepare and respond to Ebola cases. NIH in response to an RFI related to the development of grant program to help facilitate the transition from training to independence. NIH on the consideration of sex as a biological variable in biomedical research The Patient-Centered Outcomes Research Institute (PCORI) on the proposed process for peer review and public release of its primary research finding. DEA on delaying the Disposal of Controlled Substances Final Rule.

Submitted Comments to: Drug Enforcement Agency (DEA) on delaying the Disposal of Controlled Substances Final Rule.

H.R. 4486 and draft Senate legislation, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II President's Budget FY 2016 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care. H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Increasing funding for VA GME and Medicare GME. S. 2450, Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4810, Veteran Access to Care Act P.L. 113-564, Veterans Access, Choice, and Accountability Act of 2014 Issues: Addressing VA backlogs by increasing care for veterans provided by non-VA facilities. Support improved contracting with academic affiliates and increased VA and Medicare GME funding. S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013 H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support adding a priority for teaching hospitals that have residency affiliations with VA medical centers Issue: Explaining the relationship between VA GME and Medicare GME

Issues: Permanently reauthorize and expand the J-1 visa waiver program for physicians. Improve the H-1b and National Interest waiver. Exempt Graduate Medical Education (GME) from additional H-1b regulations and fees.

H.R. 4486 and draft Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II President's Budget FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. H.R.5464 and draft Senate legislation, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division G, Title II Issues: Support funding for National Institutes of Health (NIH), Agency for Health Care Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Support emergency supplemental funding to prepare and respond to Ebola and to reimburse for Ebola Virus Disease treatment. S. 1552/H.R.5451, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. S. 2115, American Cures Act H.R. 4384, America HEALS Act Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. Issue: FDA regulation of Laboratory Developed Tests (LDTs) S. 2658/H.R. 5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: U.S. Census Bureau on the American Community Survey National Institutes of Health (NIH) in response to an RFI related to the development of grant program to help facilitate the transition from training to independence. National Institutes of Health (NIH) on the consideration of sex as a biological variable in biomedical research Patient-Centered Outcomes Research Institute (PCORI) on the proposed process for peer review and public release of its primary research finding. The White House Office of Science and Technology Policy (OSTP) on the Strategy for American Innovation.

H.R.5464 and draft Senate legislation, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division G, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program (CHGME), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Support emergency supplemental funding to prepare and respond to Ebola and to reimburse for Ebola Virus Disease treatment. H.R. 4486 and draft Senate legislation, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget, FY 2016 H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. H.R.5464 and draft Senate legislation, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II and III H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division G, Title III President's Budget, FY 2015 Issues: Support graduate/professional student aid programs. Protect Uncapped Public Service Loan Forgiveness. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Support funding for Community Health Centers and the National Health Service Corps (NHSC). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. President's Budget, FY 2015 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide for an expanded and sustained federal investment in biomedical research. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Support use of holistic review in admissions. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 2229, Expanding Primary Care Access and Workforce Act. Issue: Offer comments on primary care. Issue: Support expanded VA graduate medical education (GME) funding (in conjunction with expanded Medicare GME support). S. 2658/H.R. 5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. H.R. 5854/S.1152, The Building a Health Care Workforce for the Future Act Issue: Public Health Service funding for workforce expansion programs S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments

S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013. Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. H.R. 1201, Training Tomorrow's Doctors Today Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Support Medicare physician payment reform. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. H.R. 487, Primary Care Workforce Access Improvement Act. Issue: Residency training in community-based settings. Issue: Primary Care Workforce Development. President's Budget, FY 2015 Issue: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act S. 2501, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Issues: Support repeal of Medicares Sustainable Growth Rate (SGR) formula; Medicare physician payment reform. Issue: Draft legislation on educating health professionals regarding appropriate use of antibiotics. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Issue: Implementation of the 340B drug discount program. H.R. 4302, Protecting Access to Medicare Act of 2013. Issues: Support Medicare physician payment relief and extended delay of Medicare's "two-midnights" policy for hospital admissions; support the addition of GME language related to establishing Medicare caps and PRA; support delayed implementation of Medicaid DSH cuts. H.R. 4282, Creating Access to Residency Education Act of 2014 Issue: Create CMS grant program for new residency programs. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Support Medicaid expansion advocacy efforts. Issue: Draft legislation on pain education in undergraduate and graduate medical education. S. 2229, Expanding Primary Care Access and Workforce Act Issue: Offer comments on primary care workforce legislation. H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Increasing funding for VA GME and Medicare GME. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014. Issue: Standardization of post-acute care assessment data for quality, payment, and discharge planning. S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Submitted comments to: Centers for Medicare & Medicaid Services (CMS) on the Hospital Acquired Conditions Reduction Program (HAC)s technical expert panel (TEP)s report regarding the scoring of hospitals in the HAC program. Centers for Medicare & Medicaid Services (CMS) on final rule regarding definition of uninsured for purposes of Medicaid DSH limits The Department of Health and Human Services (HHS) on revisions to the safe harbors under the anti-kickback statute and civil monetary penalty rules (gainsharing, etc.)

No activity

Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II and III. H.R.5464, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II and IIIPresident's Budget, FY 2015 Issues: Support graduate/professional student aid programs; Protect uncapped Public Service Loan Forgiveness. Draft Debt in Health Education Loan Programs (Debt HELP) bill proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. Draft Tax Reform Act of 2014 Issue: Taxability of federal loan repayment programs. Higher education and student aid tax benefits. H.R. 3393, Student and Family Tax Simplification Act Issue: Oppose taxation of National Health Service Corps (NHSC) and Public Service Loan Forgiveness (PSLF) awards. Higher Education Act Reauthorization Draft Higher Education Affordability Act (HEAA) Draft Financial Aid Simplification and Transparency Act of 2014 (FAST Act) H.R. 4984, Empowering Students through Enhanced Financial Counseling Act H.R. 4983, Strengthening Transparency in Higher Education Act H.R. 4982, Simplifying the Application for Student Aid Act H.R. 3136, Advancing Competency-Based Education Demonstration Project Act of 2014 S.2612, Dynamic Repayment Act of 2014 Issues: Decrease Stafford loan interest rates for medical students; retain graduate/professional student loan benefits. Support transparency for U.S. and international medical schools. S. 1822, Foreign Medical School Accountability Fairness Act of 2013 Issue: Transparency for U.S. and foreign medical schools. H.R. 5854/S.1152, The Building a Health Care Workforce for the Future Act Issue: Public Health Service funding for workforce expansion programs

H.R. 4486 and draft Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care.Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. Draft House and Senate Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015, Title II H.R.5464, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II Issues: Support funding for National Institutes of Health (NIH), Agency for Health Care Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552/H.R.5451, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. S. 2115, American Cures Act H.R. 4384, America HEALS Act Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. Issue: FDA regulation of laboratory-derived tests S. 2658/H.R. 5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: the Food and Drug Administration responding to draft guidance entitled Informed Consent Information Sheet: Guidance for IRBs, Clinical Investigators, and Sponsors.

H.R. 4486, and draft Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care.Issue: Support the use of animals in medical research. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research Draft House and Senate Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015, Title II H.R.5464, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552/H.R.5451, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. Issue: FDA regulation of laboratory-derived tests S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. S. 2658/H.R. 5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in Basic Biomedical Research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: the Food and Drug Administration responding to draft guidance entitled Informed Consent Information Sheet: Guidance for IRBs, Clinical Investigators, and Sponsors.

Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II H.R.5464, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title IIIssues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program (CHGME), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. H.R. 4486 and draft Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget, FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issues: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. H.R. 1201, Training Tomorrow's Doctors Today 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 and increase Graduate Medical Education (GME) accountability and transparency. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps Fund. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions. Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014 Issue: Standardization of post-acute care assessment data for quality, payment, and discharge planning. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission.Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Support primary care workforce development S. 1759, Teaching Health Center Reauthorization Act Issue: Legislation to reauthorize the Teaching Health Center Program and payments. Issue: Draft legislation on pain education in undergraduate and graduate medical education. H.R.548/S. 1152, The 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. H.R. 5294, Health Equity and Accountability Act of 2014 Issue: Support bill to improve health equity. Issue: Oppose implementation of Hospital-Acquired Condition (HAC) program and inclusion of Medicare add-on payments in HAC reduction program and penalties. H.R. 3698, Two Midnight Rule Delay Act of 2013 S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 Issue: Support delay of enforcement of new Centers for Medicare and Medicaid Services (CMS) inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare Graduate Medical Education (GME) per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act. S. 2501, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. President's Budget, FY 2015 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; Oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. Issue: Legislation on educating health professionals regarding appropriate use of antibiotics. H.R. 4427, Enrich Act Draft Senate legislation Issue: Educating health professionals on nutrition.Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Support use of holistic review in admissions. Issue: Support ACA consumer outreach and enrollment efforts. Issue: Implementation of the 340B drug discount program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Support preservation of funding for the Primary Care Residency Expansion program. S. 2229, Expanding Primary Care Access and Workforce Act Issue: Offer comments on primary care workforce legislation. H.R. 5411, Trafficking Awareness Training for Health Care Act of 2014 Issue: Medical education curricula content pertaining to human trafficking. S. 2658/H.R.5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Support increasing funding for VA GME and Medicare GME. S. 2450, Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4810, Veteran Access to Care Act Issue: Addressing VA backlogs by increasing care for veterans provided by non-VA facilities. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide an expanded and sustained investment in biomedical research. H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Issue: FDA regulation of laboratory-derived tests S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 2645, The Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids Submitted comments to: the Food and Drug Administration responding to draft guidance entitled Informed Consent Information Sheet: Guidance for IRBs, Clinical Investigators, and Sponsors. Centers for Medicare and Medicaid Services (CMS) on the CY 2015 Physician Fee Schedule Proposed Rule. Centers for Medicare and Medicaid Services (CMS) on the CY 2015 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs. Centers for Medicare and Medicaid Services (CMS) in support of additional transparency and comment opportunity in the valuation of physician and other healthcare professional services. the Centers for Medicare and Medicaid Services (CMS) to express concern of the delays and complications in the Open Payments Review and Dispute Process.the Departments of Health and Human Services, Labor, and Treasury regarding standards for the use of reference-based pricing structures. Centers for Medicare and Medicaid Services (CMS) on Modifications to the Medicare and Medicaid Electronic Health Record Incentive Programs for 2014 and Revisions to the Certified EHR Technology Definition Proposed Rule. National Quality Forum on its Draft Report: Priority Setting for Performance Measurement: Addressing Performance Measure Gaps for the Health Workforce.

Draft House and Senate Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015, Title II H.R.5464, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title IIIssues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program (CHGME), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. H.R. 4486 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget, FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II and III H.R.5464, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II and III President's Budget, FY 2015 Issues: Support graduate/professional student aid programs. Protect Uncapped Public Service Loan Forgiveness. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Support funding for Community Health Centers and the National Health Service Corps (NHSC). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. President's Budget, FY 2015 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Support use of holistic review in admissions. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 2229, Expanding Primary Care Access and Workforce Act. Issue: Offer comments on primary care. Issue: Support expanded VA graduate medical education (GME) funding (in conjunction with expanded Medicare GME support). S. 2658/H.R. 5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH).Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. H.R. 5854/S.1152, The Building a Health Care Workforce for the Future Act Issue: Public Health Service funding for workforce expansion programs S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments

Issues: Permanently reauthorize and expand the J-1 visa waiver program for physicians. Improve the H-1b and National Interest waiver. Exempt Graduate Medical Education (GME) from additional H-1b regulations and fees.

S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013. Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments.H.R. 1201, Training Tomorrow's Doctors Today Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Support Medicare physician payment reform. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. H.R. 487, Primary Care Workforce Access Improvement Act. Issue: Residency training in community-based settings. Issue: Primary Care Workforce Development. President's Budget, FY 2015 Issue: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose implementation of Hospital-Acquired Condition (HAC) program and inclusion of Medicare add-on payments in HAC reduction program and penalties. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support expanding AAMC member participation in CMMI's state innovation group activities. Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act S. 2501, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Issues: Support repeal of Medicares Sustainable Growth Rate (SGR) formula; Medicare physician payment reform. Issue: Draft legislation on educating health professionals regarding appropriate use of antibiotics. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Issue: Implementation of the 340B drug discount program.H.R. 4302, Protecting Access to Medicare Act of 2013. Issues: Support Medicare physician payment relief and extended delay of Medicare's "two-midnights" policy for hospital admissions; support the addition of GME language related to establishing Medicare caps and PRA; support delayed implementation of Medicaid DSH cuts. H.R. 4282, Creating Access to Residency Education Act of 2014 Issue: Create CMS grant program for new residency programs. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Support Medicaid expansion advocacy efforts. Issue: Draft legislation on pain education in undergraduate and graduate medical education. S. 2229, Expanding Primary Case Access and Workforce Act Issue: Offer comments on primary care workforce legislation. H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Increasing funding for VA GME and Medicare GME. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014. Issue: Standardization of post-acute care assessment data for quality, payment, and discharge planning. S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Submitted comments to: Centers for Medicare and Medicaid Services (CMS) on the CY 2015 Physician Fee Schedule Proposed Rule. Centers for Medicare and Medicaid Services (CMS) on the CY 2015 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs. Centers for Medicare and Medicaid Services (CMS) in support of additional transparency and comment opportunity in the valuation of physician and other healthcare professional services. the Centers for Medicare and Medicaid Services (CMS) to express concern of the delays and complications in the Open Payments Review and Dispute Process.

Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Titles II and III. President's Budget, FY 2015 Issues: Support graduate/professional student aid programs; Protect uncapped Public Service Loan Forgiveness.Debt in Health Education Loan Programs (Debt HELP) bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. Draft Tax Reform Act of 2014 Issue: Taxability of Federal loan repayment programs. Higher education and student aid tax benefits. Higher Education Act Reauthorization Draft Higher Education Affordability Act (HEAA) Draft Empowering Students through Enhanced Financial Counseling Act Draft Strengthening Transparency in Higher Education Act Draft Simplifying the Application for Student Aid Act Draft Financial Aid Simplification and Transparency Act of 2014 (FAST Act) H.R. 1716, Earnings Contingent Education Loans Act of 2013 Issues: Decrease Stafford loan interest rates for medical students; retain graduate/professional student loan benefits. Support transparency for U.S. and international medical schools. S. 1822, Foreign Medical School Accountability Fairness Act of 2013 Issue: Transparency for U.S. and foreign medical schools.

Issues: Permantly reauthorize and expand the J-1 visa waiver program for physicians. Improve the H-1b and National Interest waiver. Exempt Graduate Medical Education (GME) from additional H-1b regulations and fees.H.R. 4951, Doctors Helping Heroes Act Issue: Recruiting foreign physicians with U.S. training to the VA.

Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget FY 2015 Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act. Issue: Complete reauthorization of preparednesss legislation. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. Draft House and Senate Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015, Title II. President's Budget, FY 2015 Issues: Support funding for National Institutes of Health (NIH), Agency for Health Care Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. S. 2115, American Cures Act H.R. 4384, America HEALS Act Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. Draft Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: Food and Drug Administration (FDA) on engagement and inclusion.

No activity

S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013. Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments.Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Support Medicare physician payment reform. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. H.R. 487, Primary Care Workforce Access Improvement Act. Issue: Residency training in community-based settings. H.R. 1201, Training Tomorrow's Doctors Today Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. Issue: Primary Care Workforce Development S. 1555/H.R. 1920, DSH Reduction Relief Act of 2013. Issue: Repeal/delay Medicare/Medicaid DSH Cuts. Issues: President's Budget, FY 2015 Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose inclusion of Medicare add-on payments in Hospitals-Acquired Condition (HAC) reduction program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support expanding AAMC member participation in CMMI's state innovation group activities. Issue: Support Medicare Graduate Medical Education (GME) technical corrections and administrative relief. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act S. 2501, Hospital Readmission Accuracy and Accountability Act Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Issues: Support repeal of Medicares Sustainable Growth Rate (SGR) formula; Medicare physician payment reform. Issue: Draft legislation on educating health profesionals regarding appropriate use of antibiotics. Issue: Support report languague and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Issue: Implementation of the 340B drug discount program.H.R. 4302, Protecting Access to Medicare Act of 2013. Issues: Support Medicare physician payment relief and extended delay of Medicare's "two-midnights" policy for hospital admissions; support the addition of GME langugue related to establishing Medicare caps and PRA; support delayed implemetation of Medicaid DSH cuts. H.R. 4282, Creating Access to Residency Education Act of 2014 Issue: Create CMS grant program for new residency programs. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. H.R. 3306, Telehealth Enhancement Act of 2013 Issue: Provide incentive for hospitals to lower excess readmissions, recognize telehealth services to address inadequate access to health care. Issue: Support Medicaid expansion advocacy efforts. Issue: Draft legislation on pain education in undergraduate and graduate medical education. S. 2229, Expanding Primary Case Access and Workforce Act Issue: Offer comments on primary care workforce legislation H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Increasing funding for VA GME and Medicare GME. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014. Issue: Standardization of post-acute care assessment data for quality, payment, and discharge planning. Submitted comments to: Centers for Medicare and Medicaid Service (CMS) on Sunshine Act proposed dispute resolution process.

H.R. 3309, Innovation Act S. 1720, Patent Transparency of Improvements Act of 2013 S. 1013, Patent Abuse Reduction Act of 2013 S. 1612, Patent Litigation Integrity Act of 2013S. 866, Patent Quality Improvement Act of 2013 Issues: Support increased protections for institutions of higher education against patent trolls. Oppose joinder and fee shifting provisions. H.R. 3349, Innovation Protection Act Issue: Provide reliable funding for the U.S. Patent and Trademark Office H.R. 2981, Technology and Research Accelerating National Security and Future Economic Resiliency (TRANSFER) Act of 2013 Issue: Build upon the current Small Business Technology Transfer (STTR) program by creating grant opportunities for proof-of-concept research and other innovative technology transfer activities at universities. Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 11229). Submitted comments to: The United States Patent on Trademark Office (USPTO) on requiring identification of attributable owner.

Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II President's Budget, FY 2015Issues: Support funding for National Institues of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program (CHGME), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget, FY 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issues: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps Fund. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions. Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 297/S. 1557, Children's Hospital GME Support Reauthorization Act Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (GME). P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. Issue: Complete reauthorization of preparedness legislation. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. S. 1555/H.R. 1920, DSH Reduction Act of 2013 Issue: Repeal/delay cuts for Medicare and Medicaid DSH. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014 Issue: Standardization of post-acute care assesment data for quality, payment, and discharge planning.H.R. 1201, Training Tomorrow's Doctors Today 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 and increase Graduate Medical Education (GME) accountability and transparency. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Support primary care workforce development S. 1759, Teaching Health Center Reauthorization Act Issue: Legislation to reauthorize the Teaching Health Center Program and payments. Issue: Draft legislation on pain education in undergraduate and graduate medical education. S. 1152, The 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. Issue: Draft legislation to support health equity. Issue: Oppose inclusion of Medicare add-on payments on Hospital-Acquired Condition (HAC) reduction program. H.R. 3698, Two Midnight Rule Delay Act of 2013 S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 Issue: Support delay of enforcement of new Centers for Medicare and Medicaid Services (CMS) inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support expanding AAMC member participation in CMMI's state innovation group activities. Issue: Support Medicare Graduate Medical Education (GME) technical corrections and administrative relief. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act. S. 2501, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of appropriate SES Risk adjustments in Hospital Readmissions program. Issue: Support graduate medical education (GME) per resident amount and cap trigger technical corrections. President's Budget, FY 2015 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; Oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination ofChildren's Hospitals GME program. Issue: Legislation on educating health profesionals regarding appropriate use of antibiotics. H.R. 4427, Enrich Act Draft Senate legislation Issue: Educating health professionals on nutrition. Issue: Support report languague and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Issue: Support ACA consumer outreach and enrollment efforts. Issue: Implementation of the 340B drug discount program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Support preservation of funding for the Primary Care Residency Expansion program. S. 2229, Expanding Primary Care Access and Workforce Act Issue: Offer comments on primary care workforce legislation. Issue: Medical education curricula content pertaining to human trafficking. Draft Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Instutes of Health (NIH). H.R. 4951, Doctors Helping Heroes Act Issue: Recruiting foreign physicians with U.S. training to the VA H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Support increasing funding for VA GME and Medicare GME. S. 2450, Veterans' Access to Care through Choice, Accountability, and Transparancy Act H.R. 4810, Veteran Access to Care Act Issue: Addressing VA backlogs by increasing care for veterans provided by non-VA facilities. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide an expanded and sustained investment in biomedical research. H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: National Quality Forum (NQF) on sociodemographic/risk adjustment recommendations. The Federal Trade Commission (FTC) on examining competition in health care. Centers for Medicare and Medicaid Service (CMS) on Sunshine Act proposed dispute resolution process. Office of the National Coordinator for Health Information Technology on the inclusion of military service criteria in certified Electronic Health Records (EHRs).

Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II President's Budget FY 2015 Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Support the use of animals in medical research. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparedness legislation. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research Draft House and Senate Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015, Title II President's Budget, FY 2015 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. Draft Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in Basic Biomedical Research. Support update of National Institutes of Health (NIH) guidelines to increase participation of women in clinical trials. Submitted comments to: Food and Drug Administration (FDA) on engagement and inclusion.

S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II Consolidated Appropriations Act, 2014 (P.L. 113-76), Division G, Title II, Department of Health and Human Services President's Budget, FY 2015Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program(CHGME), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II Consolidated Appropriations Act, 2014 (P.L. 113-76), Division J, Title II, Department of Veterans Affairs President's Budget, FY 2015 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Consolidated Appropriations Act, 2014 (P.L. 113-76), Division G, Title II, Department of Health and Human Services, and Division G, Title III, Department of Education President's Budget, FY 2015 Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 297/S. 1557, Children's Hospital GME Support Reauthorization Act of 2013 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (CHGME). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. President's Budget, FY 2015 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. S. 2115, American Cures Act Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Support report languague and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. H.R. 4302, Protecting Access to Medicare Act of 2013 Issue: Support recommendations of GAO Children's Hospital GME (CHGME) report. Issue: Implementation of the 340B drug discount program.

S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Consolidated Appropriations Act, 2014 (P.L. 113-76), Division G, Title II, Department of Health and Human Services, and Division G, Title III, Department of EducationPresident's Budget, FY 2015 Issues: Support graduate/professional student aid programs. Debt in Health Education Loan Programs (Debt HELP) bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. Draft Tax Reform Act of 2014 Issue: Taxability of Federal loan repayment programs. Higher education and student aid tax benefits. Higher Education Act Reauthorization Issue: Decrease Stafford loan interest rates for medical students; retain graduate/professional student loan benefits. Support transparency for U.S. and international medical schools. S. 1822, Foreign Medical School Accountability Fairness Act of 2013 Issue: Transparency for U.S. and foreign medical schools. Submitted comments to: Internal Revenue Service on NPRM on candidate -related activities of 501(c)(4) tax-exempt social welfare organizations; and Department of Education on proposed Postsecondary Institution Ratings System.

S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013. Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments.Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. Issue: Primary Care Workforce Development S. 1555/H.R. 1920, DSH Reduction Relief Act of 2013 Issue: Repeal/delay Medicare/Medicaid DSH Cuts. Issues: President's Budget, FY 2015 Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Issue: Oppose inclusion of Medicare add-on payments in Hospitals-Acquired Condition (HAC) reduction program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support expanding AAMC member participation in CMMI's state innovation group activities. Issue: Support Medicare Graduate Medical Education (GME) technical corrections and administrative relief. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Issue: Support repeal of Medicares sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Draft Legislation on educating health profesionals regarding appropriate use of antibiotics. Issue: Support report languague and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Issue: Implementation of the 340B drug discount program. H.R. 4302, Protecting Access to Medicare Act of 2013 Issues: Support Medicare physician payment relief and extended delay of Medicare's "two-midnights" policy for hospital admissions; support the addition of GME langugue related to establishing Medicare caps and PRA; support delayedimplemetation of Medicaid DSH cuts. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. H.R. 3306, Telehealth Enhancement Act of 2013 Issue: Provide incentive for hospitals to lower excess readmissions, recognize telehealth services to address inadequate access to health care. Submitted comments to: On the Centers for Medicare & Medicaid Services (CMS) proposed rule entitled Medicare and Medicaid Program; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; To the Centers for Medicare and Medicaid Services (CMS) on AAMC priorities and positions in advance of the release the FY 2015 Hospital Inpatient Prospective Payment System (IPPS) Notice of Proposed Rulemaking; To the Centers for Medicare & Medicaid Services (CMS) Physician Compare Town Hall meeting; To the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) request for information on Affordable Care Organizations; and To Secretary of Health and Human Services on members ability to comply with the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program and meet a higher threshold of Meaningful Use criteria.

Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II Consolidated Appropriations Act, 2014 (P.L. 113-76), Division J, Title II, Department of Veterans Affairs President's Budget FY 2015 Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Support the use of animals in medical research. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparedness legislation. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II Consolidated Appropriations Act, 2014 (P.L. 113-76), Division G, Title II, Department of Health and Human Services President's Budget, FY 2015 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists S. 2115, American Cares Act Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research.

H.R. 3309, Innovation Act S. 1720, Patent Transparency of Improvements Act of 2013 S. 1013, Patent Abuse Reduction Act of 2013 S. 1612, Patent Litigation Integrity Act of 2013S. 866, Patent Quality Improvement Act of 2013 Issue: Support increased protections for institutions of higher education against patent trolls. Oppose joinder and fee shifting provisions. H.R. 3349, Innovation Protection Act Issue: Provide reliable funding for the U.S. Patent and Trademark Office H.R. 2981, Technology and Research Accelerating National Security and Future Economic Resiliency (TRANSFER) Act of 2013 Issue: Build upon the current Small Business Technology Transfer (STTR) program by creating grant opportunities for proof-of-concept research and other innovative technology transfer activities at universities Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 11229).

No activity.

Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II Consolidated Appropriations Act, 2014 (P.L. 113-76), Division J, Title II, Department of Veterans Affairs President's Budget FY 2015 Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs Issue: Supporting the use of animals in medical research P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparednesss legistaion. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II. Consolidated Appropriations Act, 2014 (P.L. 113-76), Division G, Title II, Department of Health and Human Services President's Budget, FY 2015 Issues: Support funding for National Institutes of Health (NIH), Agency for Health Care Research and Quality (AHRQ), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. S. 2115, American Cures Act Issue: Support establishment of a fund to provide for an expanded and sustained investment in biomedical research.

Issues: Permantly reauthorize and expand the J-1 visa waiver program for physicians. Improve the H-1b and National Interest waiver. Exempt graduate medical education (GME) from additional H-1b regulations and fees.

Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II Consolidated Appropriations Act, 2014 (P.L. 113-76), Division J, Title II, Department of Veterans Affairs President's Budget FY 2015 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

H.R. 2216, Military Construction-Veterans Affairs Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programsIssue: Supporting the use of animals in medical research P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparednesss legistaion. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II. H.J.Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Bypartisan Budget Act of 2013). Issues: Support funding for National Institutes of Health (NIH), Agency for Health Care Research and Quality (AHRQ), and Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 2775/P.L. 113-46, Continuing Appropriations Act, 2014 Issue: Support ending the government shutdown. H.J. Res. 73, Research for Lifesaving Cures Issue: Support ending shutdown for entire federal government rather than specific agencies. Submitted Commetns: to FDA on demographic subgroup data. to NIH on genome data sharing policy.

H.R. 2216, Military Constructions and Veterans Affairs Appropriations Act, 2014, Title II Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Draft Veterans Independent Living Enhancement ActIssue: Repeal limitation on the number of veterans authorized to be enrolled in programs of independent living services and assistance.

S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013. Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments.Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. Issue: Primary Care Workforce Development Issue: Draft legislation to reauthorize the Teaching Health Center Program and payments S. 1555/H.R. 1920 (DSH Reduction Relief Act of 2013) Issue: Repeal/delay Medicare/Medicaid DSH Cuts. Issues: Oppose proposed reductions in Medicare Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose inclusion of Medicare add-on payments in Hospitals-Acquired Condition (HAC) reduction program. H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Expanding AAMC member participation in CMMI's state innovation group activities. H.J. Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Pathway for SGR Reform Act of 2013) Issues: Oppose two-year extension of Medicare sequestration through 2013. Support the addition of Medicare Graduate Medical Education (GME) expansion provisions. Support Medicare physician payment patch. Support two midnight rule delay. Support Medicaid Disproportionate Share (DSH) delay until 2016. Oppose Medicaid DSH rebasing. Issue: Support Medicare Graduate Medical Education (GME) technical corrections and administrative relief. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Issue: Support repeal of Medicares sustainable growth rate (SGR) formula; Medicare physician payment reform. Submitted comments: to MedPAC on Graduate Medical Education (GME) and Accountable Care Organization (ACOs).

H.R. 2131, Supplying Knowledge Based Immigrants and Lifting Levels of STEM Visas Act. H.R. 2484/S. 616, Conrad State 30 and Physician Access Act S. 744, Border Security, Economic Opportunity, and Immigration Modernization Act, Title II, Title IV Issues: Permantly reathorize and expand the J-1 visa waiver program for physicians. Improve the H-1b and National Interest waiver.Exempt graduate medical education (GME) from additional H-1b regulations and fees.

S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II H.J.Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Bipartisan Budget Act of 2013).Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 297/S. 1557, Children's Hospital GME Support Reauthorization Act of 2013 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (CHGME). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. H.R. 2775/P.L. 113-46, Continuing Appropriations Act, 2014 Issue: Support ending the government shutdown. H.J. Res. 73, Research for Lifesaving Cures Issue: Support ending shutdown for entire federal government rather than specific agencies. H.J. Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Pathway for SGR Reform Act of 2013) Issues: Oppose two-year extension of Medicare sequestration through 2023. Support Medicare physician payment patch. Support two midnight rule delay. Support Medicare Disproportionate Share (DSH) delay until 2016. Support the addition of Medicare Graduate Medical Education (GME) expansion provisions. Oppose Medicaid DSH rebasing.

H.R. 3309, Innovation Act S. 1720, Patent Transparency of Improvements Act of 2013 Issue: Support increased protections for institutions of higher education against patent trolls.H.R. 3349, Innovation Protection Act Issue: Provide reliable funding for the U.S. Patent and Trademark Office H.R. 2981, Technology and Research Accelerating National Security and Future Economic Resiliency (TRANSFER) Act of 2013 Issue: Build upon the current Small Business Technology Transfer (STTR) program by creating grant opportunities for proof-of-concept research and other innovative technology transfer activities at universities Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 11229).

No activity.

S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Title II H.J.Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Bipartisan Budget Act of 2013).Issues: Support funding for National Institues of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reducation Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 297/S. 1557, Children's Hospital GME Support Reauthorization Act Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (GME). P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. Issue: Complete reauthorization of preparedness legislation act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013. Issue: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: 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 and increase Graduate Medical Education(GME) accountability and transparency. S. 1555/H.R. 1920, DSH Reduction Act of 2013, repeal/delay cuts with Medicare/Medicaid DSHIssue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Support primary Care Workforce Development Issue: Draft legislation on protections for human subjects in research Issue: Draft legislation to reauthorize the Teaching Health Center Program and payments. Issue: Draft legislation on educating health professionals on prescribing pain medication. S. 1152, The 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. Issue: Draft legislation to support health equity. Issue: Advocate Health/Insurance Exchanges mandated by the Affordable Care Act recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose inclusion of Medicare add-on payments on Hospital-Acquired Condition (HAC) reduction program. H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of enforcement of new Centers for Medicare and Medicaid Services (CMS) inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Nutrition in education. Issue: Expanding AAMC member participation in CMMI's state innovation group activities. H.R. 2775/P.L. 113-46, Continuing Appropriations Act, 2014 Issue: Support ending the government shutdown. H.J. Res. 73, Research for Lifesaving Cures Issue: Support ending shutdown for entire federal government rather than specific agencies. H.J. Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Pathway for SGR Reform Act of 2013) Issues: Oppose two-year extension of Medicare sequestration through 2013. Support the addition of Medicare Graduate Medical Education (GME) expansion provisions. Support Medicare physician payment patch. Support two midnight rule delay. Support Medicaid Disproportionate Share (DSH) delay until 2016. Oppose Medicaid DSH rebasing. Issue: Support Medicare Graduate Medical Education (GME) technical corrections and administrative relief.Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. Submitted comments: to MedPAC on Graduate Medical Education (GME) and Accountable Care Organizations (ACOs). to FDA on demographic subgroup data. to NIH on genome data sharing policy.

Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction-Veterans Affairs Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Support the use of animals in medical research. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparedness legislation. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research President's Budget, 2014, Department of Health and Human Services S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), and Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS-Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists Submitted comments on: To the National Institutes of Health (NIH) National Center for Advancing Translational Science (NCATS) requesting Input of Administration on the NIH-Industry Pilot Program Regarding the NIH-Industry Program to Discover New Therapeutic Uses for Existing Molecules To the Department of Health and Human Services Office for Human Research Protections (OHRP) on matters related research studying standard of care interventions To the Food and Drug Administration regarding the availability of Masked and De-identified Non-summary Safety and Efficacy Data

S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs.Debt in Health Education Loan Programs (Debt HELP) bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. S. 1152, Building a Health Care Workforce for the Future Act. Issue: Support additional scholarship opportunities for medical students. Higher Education Act Reauthorization Issue: Decrease Stafford loan interest rates for medical students; retain graduate/professional student loan benefits. Support transparency for U.S. and international medical schools. H.R. 1911, Smarter Solution for Student Act S. 953, Student Loan Affordability Act S. 1241, Bipartisan Student Loan Certainty Act S. 1238, Keep Student Loans Affordable Act of 2013 S. 909, Reponsible Student Loan Solutions Act S. 897, Bank on Students Loan Fairness Act S. 1003, Comprehensive Student Loan Protection Act Issue: Support sustainable, decreased interest rates for graduate/professional student loans.

S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Phyisician Shortage Reduction of 2013. Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments.Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions Issue: Primary Care Workforce Development Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. Issue: Draft legislation to reathorize the Teaching Health Center Program and payments S. 1555/H.R. 1920 (DSH Reduction Relief Act of 2013) Issue: Repeal/delay Medicare/Medicaid DSH Cuts. President's Budget, 2014, Department of Health and Human Services Issues: Oppose proposed reductions in Medicare Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Oppose inclusion of Medicare add-on payments in Hospitals-Acquired Condition (HAC) reduction program. Issue: Delay Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Expanding AAMC member participation in CMMI's state innovation group activities. Submitted comments on: To Centers for Medicare and Medicaid Services (CMS) regarding Disproportionate Share Hospital Uncompensated Care Payments and Cost Report Settlement for Providers with fiscal year ending other than September 30 To Centers for Medicare and Medicaid Services (CMS) requesting delay in enforcement of Two Midnight rule To Centers for Medicare and Medicaid Services (CMS) regarding CY 2014 Medicare Physician Fee Schedule proposed rule To Centers for Medicare and Medicaid Services (CMS) regarding CY 2014 Outpatient Prospective Payment System proposed rule To Centers for Medicare and Medicaid Services (CMS) regarding End-Stage Renal Disease Prospective Payment System and Quality Incentive Program proposed rule To Centers for Medicare and Medicaid Services (CMS) requesting delay in enforcement of Inpatient Admission rule To Centers for Medicare and Medicaid Services (CMS) requesting CMS Reverse Policy on Grace Periods before Termination of Non-Payment of PremiumsTo Centers for Medicare and Medicaid Services (CMS) regarding Medicaid State Disproportionate Share Hospital Allotment Reductions proposed rule

President's Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Constructions and Veterans Affairs Appropriations Act, 2014, Title II Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.Draft Veterans Independent Living Enhancement Act Issue: Repeal limitation on the number of veterans authorized to be enrolled in programs of independent living services and assistance.

H.R. 845, Saving High-Tech Innovators from Egregious Legal Disputes Act of 2013. Draft bill to amend Title 35, United States Code, and the Leahy-Smith America Invents Act (P.L. 112-29) to make improvements and technical corrections, and for other purposes. Issue: Increase protections against "patent trolls" and exempt institutions of higher education.H.R. 2981, Technology and Research Accelerating National Security and Future Economic Resiliency (TRANSFER) Act of 2013 Issue: Build upon the current Small Business Technology Transfer (STTR) program by creating grant opportunities for proof-of-concept research and other innovative technology transfer activities at universities Draft legislation to clarify publishing grace-period under the Leahy-Smith America Invents Act (P.L. 11229) Submitted comments on: U.S. Patent and Trademark Offices interpretation of grace-period under Leahy-Smith America Invents Act (P.L. 11229)

President's Budget, 2014, Department of Health and Human Services S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institues of Health (NIH), Title VII and Title VIII health professions and nursing educationprograms, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS-Subcommittee. Issue: Support additional scholarship opportunities for medical students. Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reducation Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 297, Children's Hospital GME Support Reauthorization Act Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. Issue: Complete reauthorization of preparedness legislation act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. Issue: Repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. S. 1555/H.R. 1920, DSH Reduction Act of 2013, repeal/delay cuts with Medicare/Medicaid DSHPresident's Budget, 2014, Department of Health and Human Services Issues: Oppose proposed reductions in Medicare Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Promote interprofessional education and training of the health care workforce. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Primary Care Workforce Development Issue: Draft legislation on protections for human subjects in research Issue: Disscuss with Administration availability and distribution of Navigator grants (ACA) to AAMC members. S. 616, Conrad State 30 and Physician Access Act Issue: Reuthorization J-1 visa waiver programs for physicians and improve the H-1b visa and National Interest waivers. Draft legislation to reauthorize the Teaching Health Center Program and payments. Draft legislation on educating health professionals on prescribing pain medication. S. 1152, The 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. Issue: Support for the vital role of academic medicine in trauma care. Issue: Draft legislation to support health equity. Issue: Advocate Health/Insurance Exchanges mandated by the Affordable Care Act recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose inclusion of Medicare add-on payments on Hospital-Acquired Condition (HAC) reduction program. Issue: Delay Enforcement of new Centers for Medicare and Medicaid Services (CMS) inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Nutrition in education.Issue: Expanding AAMC member participation in CMMI's state innovation group activities. Submitted comments on: To Centers for Medicare and Medicaid Services (CMS) regarding Disproportionate Share Hospital Uncompensated Care Payments and Cost Report Settlement for Providers with fiscal year ending other than September 30 To Centers for Medicare and Medicaid Services (CMS) requesting delay in enforcement of Two Midnight rule To Centers for Medicare and Medicaid Services (CMS) regarding CY 2014 Medicare Physician Fee Schedule proposed rule To Centers for Medicare and Medicaid Services (CMS) regarding CY 2014 Outpatient Prospective Payment System proposed rule To Centers for Medicare and Medicaid Services (CMS) regarding End-Stage Renal Disease Prospective Payment System and Quality Incentive Program proposed rule To Centers for Medicare and Medicaid Services (CMS) requesting delay in enforcement of Inpatient Admission rule To Centers for Medicare and Medicaid Services (CMS) requesting CMS Reverse Policy on Grace Periods before Termination of Non-Payment of Premiums To Centers for Medicare and Medicaid Services (CMS) regarding Medicaid State Disproportionate Share Hospital Allotment Reductions proposed rule To the Food and Drug Administration regarding Report on Ensuring Access to Adequate Information on Medical Products for All

President's Budget, 2014, Department of Health and Human Services S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing educationprograms, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 297, Children's Hospital GME Support Reauthorization Act of 2013 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (CHGME). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. President's Budget, 2014, Department of Health and Human Services. Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments.

H.R. 2131, Supplying Knowledge Based Immigrants and Lifting Levels of STEM Visas Act. H.R. 2484/S. 616, Conrad State 30 and Physician Access Act S. 744, Border Security, Economic Opportunity, and Immigration Modernization Act, Title II, Title IV Issues: Permantly reathorize and expand the J-1 visa waiver program for physicians. Improve the H-1b and National Interest waiver.Exempt graduate medical education (GME) from additional H-1b regulations and fees.

No activity.

Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction-Veterans Affairs Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs Issue: Supporting the use of animals in medical research P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparednesss legistaion. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutites of Health (NIH), Agency for HealthCare Research Quality (AHRQ), and Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS-Subcommittee. H.Con Res. 25, FY 2014 House Budget Resolution Issue: Oppose reducing discretionary spending caps S.Con Res. 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH. Submitted comments on: National Institutes of Health (NIH) Request for Information (RFI) on Biomedical Research Workforce OMB Proposed Guidance on Reform of Cost Principles and Administrative Requirements Regarding Federal Grants and Cooperative Agreements

President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutites of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for HealthCare Research Quality (AHRQ), National Health Service Corps (NHSC), Health Resources andServices Administration (HRSA), biodefense and public health preparedness programs, and CDC's Natioanl Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS-Subcommittee. Issue: Support additional scholarship opportunities for medical students. Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reducation Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 297, Children's Hospital GME Support Reauthorization Act Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. Issue: Complete reauthorization of preparedness legislation act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. Issue: Repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 1920, DSH Reduction Act of 2013, repeal/delay cuts with Medicare/Medicaid DSHPresident's Budget, 2014, Department of Health and Human Services Issues: Oppose proposed reductions in Medicare Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Issue: Promote interprofessional education and training of the health care workforce. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Primary Care Workforce Development Issue: Draft legislation on protections for human subjects in research H. Con Res 25, FY 2014 House Budget Resolution Issue: Oppose proposal to repeal ACA and reduce discretionary spending caps S. Con Res 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH Issue: Disscuss with Administration availability and distribution of Navigator grants (ACA) to AAMC members. S. 616, Conrad State 30 and Physician Access Act Issue: Reuthorization J-1 visa waiver programs for physicians and improve the H-1b visa and National Interest waivers. Draft legislation to reauthorize the Teaching Health Center Program and payments. Draft legislation on psychiatric residencies. Draft legislation on educating health professionals on prescribing pain medication. S. 1152, The 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. Issue: Support for the vital role of academic medicine in trauma care. Issue: Draft legislation to support health equity. Issue: Advocate Health/Insurance Exchange mandated by the Affordable Care Act recognize and not penalize the uniquemissions of medical schools and teaching hospitals. Submitted comments on: Aligning Physician Group Quality Reporting CMS Proposed Changes to Conditions of Participation Advancing Health Information Exchange Part B Inpatient Billing in Hospitals Proposed Rule Health Insurance Providers Fee, Notice of Proposed Rulemaking Extension of Safe Harbor for EHR Donations Exception to Physician Self-Referral Law for EHR Donations IPPS FY 2014 Proposed Rule

H.R. 845, Saving High-Tech Innovators from Egregious Legal Disputes Act of 2013. Issue: Increase protections against "patent trolls" and exempt institutions of higher education.

Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction-Veterans Affairs Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure.Issue: Support the use of animals in medical research. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparedness legislation. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutites of Health (NIH), Agency for HealthCare Research Quality (AHRQ), and Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's Natioanl Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS-Subcommittee. H.Con Res 25, FY 2014 House Budget Resolution Issue: Oppose reducing discretionary spending caps S. Con Res. 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH. Submitted comments on: National Institutes of Health (NIH) Request for Information (RFI) on Biomedical Research Workforce OMB Proposed Guidance on Reform of Cost Principles and Administrative Requirements Regarding Federal Grants and Cooperative Agreements

President's Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Constructions and Veterans Affairs Appropriations Act, 2014, Title II Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for National Institutites of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for HealthCare Research Quality (AHRQ), National Health Service Corps (NHSC), Health Resources andServices Administration (HRSA), biodefense and public health preparedness programs, and CDC's Natioanl Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Presidents Budget, 2014, Department of Veterans Affairs H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 297, Children's Hospital GME Support Reauthorization Act of 2013 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (CHGME). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. H. Con Res 25, FY 2014 House Budget Resolution Issue: Oppose proposals to repeal Affordable Care Act (ACA) and reduce discretionary spending caps S. Con Res 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH. President's Budget, 2014, Department of Health and Human Services. Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments.

Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs.Debt in Health Education Loan Programs (Debt HELP) bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. S. 1152, Building a HealthCare Workforce for the Future Act. Issue: Support additional scholarship opportunities for medical students. Higher Education Act Reauthorization Issue: Decrease Stafford loan interest rates for medical students; retain graduate/professional student loan benefits. S. 953, Student Loan Affordability Act H.R. 1911, Smarter Solution for Student Act S. 1241, Bipartisan Student Loan Centainty Act S. 1238, Keep Student Loans Affordable Act of 2013 S. 909, Reponsible Student Loan Solutions Act S. 897, Bank on Students Loan Fairness Act S. 1003, Comprehensive Student Loan Protection Act Issue: Support sustainable, decreased interest rates for graduate/professional student loans. Submitted comments on: Department of Education gainful emplyment proposals

H.R. 933, Consolidated and Further Continuing Appropriations Act 2013, Division F, Title V, and Senate Amendments 26 and 53. Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers forDisease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Retain NIH salary cap at Executive Level II. Oppose elimination of AHRQ, and research policy provisions in House subcommittee bill Issue: Support additional scholarship opportunities for medical students. Presidents Budget, 2014, Department of Veterans Affairs Draft House and Senate, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reducation Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 297, Children's Hospital GME Support Reauthorization Act Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. Issue: Complete reauthorization of preparedness legislation Act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. Issue: Repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment form. Issue: Support the use of animals in medical research. H.R. 120, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 1180, Resident Physician Reduction Shortage Act of 2013 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments.Issue: Promote interprofessional education and training of the health care workforce. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Primary Care Workforce Development President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutites of Health (NIH), title VII and Title VIII health professions and nursing education programs Agency for Health Care Research Quality (AHRQ), National Health Service Corps (NHSC), and Health Resources and Services Administration (HRSA). Maintain NIH salary cap at Executive Level II. Issue: Funding for pandemic preparedness and biodefense programs Issue: Repeal Medicare Sustainable Growth Rate (SGR) formula. Issue: Protections for human subjects in research H. Con Res 25, FY 2014 House Budget Resolution Issue: Oppose proposal to repeal ACA and reduce discretionary spending caps S. Con Res 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH S. 616, Conrad State 30 and Physician Access Act Issue: Reuthorization J-1 visa waiver programs for physicians and improve the H-1b visa and National Interest waivers. Submitted comments on: Section 3133 of the Affordable CAre Act (ACA) MU Stage 3 request for comment Center for Medicare and Medicaid Services (CMS) proposed occupational mix survey for 2013 Proposed rule on Medicaid, CHIP, Exchanges, and Other Health Insurance Marketplace Reform Provisions in the Affordable Care Act (ACA) Centers for MEdicare and Medicaid Services (CMS) Regarding Issuers on Federally Facilitated and State Partnership Exchange Center for MEdicare and Medicaid Services (CMS) Request for Information on Hospital Outpatient Surgery Department (HOSD) Experience of care. MedPAC on including Beneficiary Access in Site Neutral Payment Discussion

President's Budget, 2014, Department of Veterans Affairs Draft House and Senate, Military Constructions Veterans Affairs Appropriations Act, 2014 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

No activity

H.R. 933, Consolidated and Further Continuing Appropriations Act 2013, Division F, Title V, and Senate Amendments 26 and 53. Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Maintain NIH salary cap at Executive Level II.Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction-Veterans Affairs Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. H.R. 5326/S. 2323, Commerce, Justice, Science and Related Agencies Appropriations Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs Issue: Supporting the use of animals in medical research P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparednesss legistaion. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Protections for human subjects in research. President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services and Education and Related Agencies Apprpriations Act, 2014 Issue: Support funding for NIH and AHRQ. Maintain NIH salary cap at Executive Level II. H.Con Res. 25, FY 2014 House Budget Resolution Issue: Oppose reducing discretionary spending caps S.Con Res. 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH. Submitted comments on: Training for NIHs Big Data to Knowledge Initiative

H.R. 845, Saving High-Tech Innovators from Egregious Legal Disputes Act of 2013. Issue: Increase protections against "patent trolls" and exempt institutions of higher education.

H.R. 933, Consolidated and Further Continuing Appropriations Act 2013, Division F, Title V, and Senate Amendments 26 and 53. Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Maintain NIH salary cap at Executive Level II.Presidents Budget, 2014, Department of Veterans Affairs Draft House and Senate, Military Construction-Veterans Affairs Appropriations Act, 2014 Issues: Support funding for Veterans Affairs medical research and research infrastructure. Issue: Support the use of animals in medical research. P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparedness legislation. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Protections for human subjects in research President's Budget, 2014, Department of Health and Human Services Draft Department of Labor, Health and Human Services and Education and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutes of Health (NIH) and Agency for Healthcare Research and Quality (AHRQ). Maintain NIH salary cap at Executive Level II. H.Con Res 25, FY 2014 House Budget Resolution Issue: Oppose reducing discretionary spending caps S. Con Res. 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH. Submitted comments on: Training for National Institutes of Health Big Data to Knowledge Initiative

S. 616, Conrad State 30 and Physician Access Act Issue: Reauthorization J-1 visa waiver programs for physicians and improve the H-1b visa and National Interest Waivers.

Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs.Debt in Health Education Loan Programs (Debt HELP) bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. Draft legislation to promote primary care. Issue: Support additional scholarship opportunities for medical students. Higher Education Act Reauthorization Issue: Decrease Stafford loan intest rates for medical students; retain graduate/professional student loan benefits.

H.R. 933, Consolidated and Further Continuing Appropriations Act, 2013, Division F, Title V, and Senate Amendments 26 and 53. Issue: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps,Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Maintain NIH salary cap at Executive Level II. Presidents Budget, 2014, Department of Veterans Affairs Draft House and Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. H.R. 5326/S. 2323, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. Draft House and Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 297, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (CHGME). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. President's Budget, 2014, Department of Health and Human Services Draft Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014 Issues: Support funding for National Institutites of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Health Care Research Quality (AHRQ), National Health Service Corps (NHSC), and Health Resources and Services Administration (HRSA). Maintain NIH salary cap at Executive Level II. Issue: Funding for pandemic preparedness and biodefense programs Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. H. Con Res 25, FY 2014 House Buget Resolution Issue: Oppose proposal to repeal Affordable Care Act (ACA) and reduce discretionary spending caps S. Con Res 8, FY 2014 Senate Budget Resolution Issue: Support amendment to establish deficit-neutral reserve fund to increase funding for NIH

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, and research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Dbt HELP) bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Reducation Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase Medicare Graduate Medical Education (GME) accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 S. 1440, The Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Act. Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 1855/H.R. 2405, Pandemic and All-Hazards Preparedness Reauthorization Act. Issue: Complete reauthorization of preparedness legislation Act. H.R. 5707, Medicare Physician Payment Innovation Act Issue: Repeal of Medicare's sustainable growth rate (SGR) formula. H.R. 1513/S. 810, Great Ape Protection and Cost Saving Act of 2011 H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Issue: Preventing, Identifying, and Treating Prescription Drug Abuse Issue: Primary Care Workforce Development Issue: Funding for Title VII and VIII in President's FY 2014 Budget Issue: Implementation of ACA Exchanges and Medicaid Expansions. Submitted comments on: AHRQ's Consumer Reporting System for Patient Safety Events Enhancing Community-Engaged Research Through the Clinical and Translational Science Awards Program

President's Budget, 2013, Department of Health and Human Services Issue: Oppose proposed reductions in Medicare GME support and proposed reductions and reforms in Medicaid. S. 1627, Resident Physician Shortage Reduction Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Support legislation to increase Medicare GME accountability and support H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 (Redistribution of Residency Positions) Issue: Redistribution of residency positions Issue: Support draft legislation to create womens hospital Graduate Medical Education program H.R. 5707, Medicare Physician Payment Innovation Act Issue: Repeal of Medicare's sustainable growth rate (SGR) formula. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments Issue: Discuss with Administration Impact of Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act on AAMC member institutions Issue: Preventing, identifying, and treating prescription drug abuse Issue: Primary Care Workforce Development Issue: Implementation of ACA Exchanges and Medicaid expansions

H.R. 6621, To correct and improve certain provisions of the Leahy-Smith America Invests Act and Title 35 USC. Submitted comments on: Examination Guidelines on First Inventor to File Provisions

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Restore NIH salary cap to Executive Level I. Oppose AHRQ elimination and research policy provisions in House subcommittee bill Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction-Veterans Affairs Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. H.R. 3433, Grant Reform and New Transparency (GRANT) Act of 2011 Issue: Support changes to the bill to protect intellectual property and the peer-review system. H.R. 733/S. 3560/S. 3566, Recalcitrant Cancer Research Act of 2012 Issue: Support National Institutes of Health peer review and strategic planning processes. H.R. 1513/S. 810: Great Ape Protection and Cost Savings Act of 2011 H.R. 6672/H.R. 2405/S. 1855, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparedness legislation. Submitted comments on: AHRQ's Consumer Reporting System for Patient Safety Events Enhancing Community-Engaged Research Through the Clinical and Translational Science Awards Program

S. 3245, To extend by 3 years the authorization of the EB-5 Regional Center Program, the E-Verify Program, the Special Immigrant Nonminister Religous Worker Program, and the Conrad State 30 J-1 Visa Waiver Program. Issue: Reauthorize J-1 visa waiver program for physicians Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II. Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose AHRQ elimination, and research policy provisions in House subcommittee bill. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support. Oppose proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Presidents Budget, 2013, National Science Foundation H.R. 5326/S. 2323, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. President's Budget, 2013, Department of Education Unnumbered House subcommittee bill S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 S. 1440, The Prematurity Research Expansion and Education for Mothers who Deliver Infants Early Act. Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Titles VII and VIII health professions and nursing education programs. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. Issue: Funding for Title VII and VIII in President's FY2014 Budget

President's Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Constructions Veterans Affairs Appropriations Act, 2013, Title II Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

No activity

President's Budget, 2013, Department of Education, Department of Health and Human Services Unnumbered House subcommittee draft/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Titles II and III Issues: Support graduate/professional student aid programs. Debt in Health Education Loan Programs (Debt HELP) bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. Higher Education Act Reauthorization Issue: Decrease Stafford loan intest rates for Medical students; retain graduate/professional student loan benefits. H.R. 4628, Interest Rate Reduction Act S. 2343, Stop the Student Loan Interest Rate Hike Act of 2012 Issues: Maintain subsidized Stafford loan interest rates for undergraduate students, prevent rescissions from the Public Health Prevention Fund. Issue: Primary Care Workforce Development

President's Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Constructions Veterans Affairs Appropriations Act, 2013, Title II Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II. Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose AHRQ elimination, research policy provisions in House subcommittee bill. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support. Oppose proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Presidents Budget, 2013, National Science Foundation H.R. 5326/S. 2323, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. President's Budget, 2013, Department of Education Unnumbered House subcommittee bill, S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Titles VII and VIII health professions and nursing education programs. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration.

Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Restore NIH salary cap to Executive Level I. Oppose AHRQ elimintion and research policy provisions in House subcommittee bill Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction-Veterans Affairs Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. H.R. 3433, Grant Reform and New Transparency (GRANT) Act of 2011 Issue: Support changes to the bill to protect intellectual property and the peer-review system. H.R. 733/S. 362, Pancreatic Cancer Research and Education Act Issue: Support National Institutes of Health peer review and stategic planning processes. Submitted comments on: Patient-Centered Outcomes Research Institute's first draft Methodology Report

President's Budget, 2013, Department of Health and Human Services Issue: Oppose proposed reductions in Medicare GME support and proposed reductions and reforms in Medicaid. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies. Issue: Support Medicare physician payment reform Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Support legislation to increase Medicare GME accountability and support H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 (Redistribution of Residency Positions) Issue: Redistribution of residency positions Issue: Support draft legislation to create womens hospital Graduate Medical Education program H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparancy. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments Issue: Discuss with Administration scenarios for Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act and impact on AAMC member institutions Submitted comments on: CY 2013 End Stage Renal Disease Quality Incentive Program CDC Request for Information Regarding Inclusion of Work Information in EHR CY 2013 Physician Fee Schedule Proposed Rule CY 2013 Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs

Submitted comments on: US PTO Micro Entity Rule

S. 3245, To extend by 3 years the authorization of the EB-5 Regional Center Program, the E-Verify Program, the Special Immigrant Nonminister Religous Worker Program, and the Conrad State 30 J-1 Visa Waiver Program. Issue: Reauthorize J-1 visa waiver program for physicians Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools

No activity

Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services Unnumbered House subcommittee bill/S.3295 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. Oppose elimination of AHRQ, research policy provisions in House subcommittee bill H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2014, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Health professions loans reform bill proposal (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Increase GME accountability H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act Section 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of Teaching Health Center Graduate Medical Education programs under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. H.R. 6352, Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments and increase GME accountability and transparency. H.R. 6562, Resident Physician Reduction Shortage Act of 2012 Issue: Support lifting cap on the number of residents Medicare will count when determining teaching hospitals' Medicare DGME and IME payments. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Discuss with Administration scenarios for Medicaid expansions and Medicaid DSH cuts under the Affordable Care Act and impact on AAMC member institutions. Issue: Funding for the National Healthcare Workforce Commission. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Support Medicare physician payment reform Issue: Support draft legislation to create womens hospital Graduate Medical Education program Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. Issue: Oppose Medicare Graduate Medical Education (GME) spending cuts through sequestration. Issue: 340b Drug Discount program eligibility Issue: Oppose nondefense discretionary spending cuts through sequestration, including NIH and Title VII and VIII health professions and nursing education programs. Submitted comments on: CY 2013 End Stage Renal Disease Quality Incentive Program CDC Request for Information Regarding Inclusion of Work Information in EHR CY 2013 Physician Fee Schedule Proposed Rule CY 2013 Hospital Outpatient and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs IRS Proposed Rule for Additional Requirements for Charitable Hospitals

President's Budget, 2013, Department of Education, Department of Health and Human Services Unnumbered House subcommittee draft/S. 3295, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Titles II and III Issues: Support graduate/professional student aid programs. Health Professions loans reform bill proposal (draft) Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. H.R. 6400, RDOCS Act of 2012 Issue: Support additional scholarship opportunities for medical students. H.R. 6273/S. 2280, Know Before You Owe Act Issue: Exempt federal health professions student loans from Truth in Lending regulations. Higher Education Act Reauthorization Issue: Decrease Stafford loan intest rates for Medical students; retain graduate/professional student loan benefits. H.R. 4628, Interest Rate Reduction Act S. 2343, Stop the Student Loan Interest Rate Hike Act of 2012 Issues: Maintain subsidized Stafford loan interest rates for undergraduate students, prevent rescissions from the Public Health Prevention Fund. Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. Submitted comments on: Exempt health professions education programs from Department of Education Satisfactory Academic Progress (SAP) regulations on repeated course work

H.Con. Res. 112, FY 2013 Budget Resolution Issue: Oppose discretionary spending cuts and Medicare and Medicaid cuts and reforms. Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services S. 3295, S. Rept. 112-76, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support. Oppose proposed Medicaid reductions and reforms. Presidents Budget, 2013, Department of Veterans Affairs, Title II H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Presidents Budget, 2013, National Science Foundation H.R. 5326/S. 2323, Commerce, Justice, Science, and Related Agencies Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. President's Budget, 2013, Department of Education S. 3295, S. Rept. 112-76, Departments of Labor, Health and Human Services, and Education, and Related Agencies, 2013, Title III Issues: Support graduate/professional student and programs. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration.

Presidents Budget, 2013, Department of Health and Human Services S. 3295/S. Rept. 112-176, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Restore NIH salary cap to Executive Level I. Presidents Budget, 2013, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction-Veterans Affairs Appropriations Act, 2013 Issues: Support funding for Veterans Affairs medical research and research infrastructure. H.R. 3433, Grant Reform and New Transparency (GRANT) Act of 2011 Issue: Support changes to the bill to protect intellectual property and the peer-review system. H.R. 5651, Food and Drug Administration Reform Act of 2012 S. 3187, Food and Drug Administration Safety and Innovation Act Issue: Support FDA establishing unique device identifier (UDI) system. Submitted comments on: OMB Advanced Notice on Cost Principles and Administrative Requirements National Institutes of Health (NIH) National Center for Advancing Translational Sciences (NCATS) RFI on Enhancing the Centers for Translational Science Awards (CTSA) Program CMS 60-day Overpayment NPRM National Institutes of Health (NIH) National Center for Advancing Translational Sciences (NCATS) RFI Regarding NIH-Industry Program To Discover New Therapeutic Uses for Existing Molecules

No activity

H.Con. Res. 112, FY 2013 Budget Resolution Issue: Oppose discretionary spending cuts and Medicare and Medicaid cuts and reforms. Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services S. 3295/S. Rept. 112-76, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2013, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Issue: Modify Accountable Care Organization (ACO) proposed rules and implementation Health professions loans reform bill proposal (draft) Issue: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issues: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. Issue: Address workforce shortages & primary care workforce development. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Promote interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Funding for the National Healthcare Workforce Commission. Issue: Applications for participation in CMS Bundled Payment Initiative. H.R. 2954/S. 2474, Health Equity and Accountability Act of 2011 Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Draft legislation to prohibit pelvic exams performed on anesthetized women by medical students and residents. P.L. 111-148, Affordable Care Act, Secs. 5503 and 5506 Issue: Redistribution of unused residency slots and residency slots from closed hospitals. Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies S. 3201 Graduate Medical Education Reform Act of 2012 Issue: Support legislation to increase Medicare GME accountability and support Issue: Support Medicare physician payment reform Issue: Support draft Legislation to create womens hospital Graduate Medical Education program Issue: Communicated concerns regarding Medicare value modifier and the physician quality reporting system (PQRS) Issue: Oppose reduction in Medicare hospital outpatient department reimbursement Issue: Documentation and coding adjustments to inpatient payments rates. Issue: Clarify policy changes on how to count Labor and Delivery beds when calculating Medicare GME payments. H.R. 5651, Food and Drug Administration Reform Act of 2012 S. 3187, Food and Drug Administration Safety and Innovation Act Issue: Support FDA establishing unique device identifier system (UDI). Issue: Oppose restrictions on states' use of Medicaid provider assessments to pay for reduced student loan interest rates. Submitted comments on: CMS 60-day Overpayment NPRM Meaningful Use State 2 Proposed Rule Health Care Consolidation and Competition after PPACA SGR Replacement Medicare Primary Care Proposed Rule Inpatient Prospective Payment System (IPPS) Rule

Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools, and reauthorization of State 30 visa waiver program.

Issue: Expansion of prior user rights, university exception.

Presidents Budget, 2013, Department of Health and Human Services S. 3295, S. Rept. 112-176, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2013, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Restore NIH salary cap to Executive Level I. Presidents Budget, 2013, Department of Veterans Affairs H.R. 5854/S. 3215, Military Construction-Veterans Affairs Appropriations Act, 2013, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. Presidents Budget, 2013, National Science Foundation. H.R. 5326/S. 2323, Commerce, Justice, Science and Related Agencies Appropriations Act, 2013, Title III Issues: Support funding for the National Science Foundation and NSF's peer review process. H.R. 3433, Grant Reform and New Transparency (GRANT) Act of 2011 Issue: Support changes to the bill to protect intellectual property and the peer-review system. Submitted comments on: OMB Advanced Notice on Cost Principles and Administrative Requirements National Institutes of Health (NIH) National Center for Advancing Translational Sciences (NCATS) RFI on Enhancing the Centers for Translational Science Awards (CTSA) Program National Institutes of Health (NIH) National Center for Advancing Translational Sciences (NCATS) RFI Regarding NIH-Industry Program To Discover New Therapeutic Uses for Existing Molecules

H.Con. Res. 112, FY 2013 Budget Resolution Issue: Oppose discretionary spending cuts and Medicare and Medicaid cuts and reforms. Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services Draft Labor-HHS-Education and Related Agencies Appropriations Act, 2013 Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support and proposed Medicaid reductions and reforms. Presidents Budget, 2013, Department of Veterans Affairs Draft Military Construction - Veterans Affairs Appropriations Act, 2013 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Issue: Modify Accountable Care Organization (ACO) proposed rules and implementation Medical student loans reform bill proposal (draft) Issue: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issues: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. H.R. 3667, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. Issue: Address workforce shortages & primary care workforce development. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Promoting interprofessional education and training of the health care workforce. S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. Issue: Funding for the National Healthcare Workforce Commission. Issue: Applications for participation in CMS Bundled Payment Initiative. Issue: Draft legislation to increase Medicare GME accountability and support H.R. 2954, Health Equity and Accountability Act of 2011, Senate draft Issue: Developing health care workforce that promotes health equity. Issue: Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Draft legislation to prohibit pelvic exams performed on anesthetized women by medical students and residents. P.L. 111-148, Affordable Care Act, Sec. 5506 Issue: Redistribution of residency slots from closed hospitals. Issue: Alternate Medicare/Medicaid DSH methodologies (CMS request) Issue: Institute of Medicine (IOM) study on Graduate Medical Education (GME) financing and policies Issue: Submitted comments on: National Institute's of Health's Biomedical Workforce Working Group on development of research workforce for biomedical science and on diversity of the biomedical research workforce. HHS/HRSA/SAMSHA efforts to promote culturally competent care for the LGBT communities. Patient-Centered Outcomes Research Institute (PCORI) draft agenda of research priorities. Proposed rule implementing the transparency provisions of the Affordable Care Act [P.L. 111-148, P.L. 111-152] dealing with payments from manufacturers of drugs and devices to physicians and teaching hospitals. Essential Health Benefits Bulletin Definition of "uninsured" for Medicaid disproportionate share payments.

S. 1979, Conrad State 30 Improvement Act Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools, and reauthorization of State 30 visa waiver program.

No activity

President's Budget, 2013, Department of Education Draft Labor-HHS-Education and Related Agencies Appropriations Act, 2013 Issues: Support graduate/professional student aid programs. Issue: Submitted comments to the Consumer Financial Protection Bureau on excluding federal loans from the definition of "private education loan" under the Truth in Lending Act (TILA). H.R. 2117, Protecting Academic Freedom in Higher Education Act. Issues: Definition of academic credit hour and state authorization. Medical student loans reform bill proposal (draft) Issues: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. H.R. 4170, Student Loan Forgiveness Act of 2012 Issue: Decrease graduate/professional Stafford loan interest rates, improve Income-Based Repayment (IBR), Public Service Loan Forgiveness (PSLF) for physicians. Issue: Draft legislation to prohibit pelvic exams performed on anesthetized patients by medical students and residents.

H.Con. Res. 112, FY 2013 Budget Resolution Issue: Oppose discretionary spending cuts and Medicare and Medicaid cuts and reforms. Issue: Support highest possible 302(b) allocation for Labor-HHS-Education Appropriations Subcommittee. Presidents Budget, 2013, Department of Health and Human Services Draft Labor-HHS-Education and Related Agencies Appropriations Act, 2013 Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Restore NIH salary cap to Executive Level I. President's Budget, 2013, Department of Health and Human Services Issues: Oppose proposed reduction in Medicare Graduate Medical Education (GME) support. Oppose proposed Medicaid reductions and reforms. Presidents Budget, 2013, Department of Veterans Affairs Draft Military Construction-Veterans Affairs Appropriations Act, 2013. Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Presidents Budget, 2013, National Science Foundation Issues: Support funding for the National Science Foundation. President's Budget, 2013, Department of Education Draft Labor-HHS-Education and Related Agencies Appropriations Act, 2013 Issues: Support graduate/professional student and programs. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education. Issue: Funding for the National Health Care Workforce Commission.

Issue: Expansion of prior user rights, university exception.

President's Budget, 2013, Department of Veterans Affairs Draft Military Constructions Veterans Affairs Appropriations Act, 2013 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

President's Budget, 2012, Department of Education H.R. 3070/S. 1599, Labor-HHS-Education and Related Agencies Appropriations Act, 2012, Title III P.L. 112-74 (H.R. 2055; H. Rept. 112-331), Consolidated Appropriations Act, 2012, Division F, Title III P.L. 112-25, Budget Control Act of 2011, Title V Issues: Oppose elimination of graduate/professional student loan subsidies. Issue: Submitted comments to National Institutes of Healths Biomedical Workforce Working Group on development of research workforce for biomedical science. H.R. 2117, Protecting Academic Freedom in Higher Education Act Issues: Oppose elimination of graduate/professional student loan subsidies, decrease graduate/professional Stafford loan interest rates, and maintain Perkins Loan benefits. Definition of academic credit hour and state authorization. Medical student loans reform bill proposal (draft) Issues: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, and align Department of Education and Health Resources and Services Administration student loan programs. Issue: Federal support for for-profit foreign medical schools.

No activity.

S. 1979, Conrad State 30 Improvement Act Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools, and reauthorization of State 30 visa waiver program.

Presidents Budget, 2012, Department of Health and Human Services H.R. 3070/S. 1599 (S. Rept. 112-84), Labor-HHS-Education and Related Agencies Appropriations Act, 2012, Title II P.L. 112-74 (H.R. 2055; H. Rept. 112-331), Consolidated Appropriations Act, 2012, Division F, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Oppose statutory mandates regarding number and average size of NIH grants. Oppose reducing NIH salary cap. Oppose elimination of Childrens Hospitals GME. President's Budget, 2012, Department of Health and Human Services Issues: Support maintaining Medicare, Medicaid, Disproportionate Share Hospital (DSH), and Childrens Health Insurance Program (CHIP) payments. Oppose reductions in Medicare Graduate Medical Education (GME) payments. Presidents Budget, 2012, Department of Veterans Affairs P.L. 112-74 (H.R. 2055; H. Rept. 112-331), Consolidated Appropriations Act, 2012, Division H, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Presidents Budget, 2012, National Science Foundation H.R. 2596/S. 1572, Commerce Justice Science and Related Appropriations Act, 2012, Title III P.L. 112-55 (H.R. 2112; H. Rept. 112-84), Consolidated and Further Continuing Appropriations Act, 2012, Division B Issues: Support funding for the National Science Foundation. Support NSF's peer review system. President's Budget, 2012, Department of Education H.R. 3070/S. 1599, Labor-HHS-Education and Related Agencies Appropriations Act, 2012, Title III P.L. 112-74 (H.R. 2055; H. Rept. 112-331), Consolidated Appropriations Act, 2012, Division F, Title III P.L. 112-25, Budget Control Act of 2011, Title V Issues: Oppose elimination of graduate/professional student loan subsidies. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V H.R. 1217, To Repeal the Prevention and Public Health Fund Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospital Graduate Medical Education. Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose efforts to reduce discretionary spending limits further for deficit reduction and support NIH as a priority during deficit reduction negotiations. Presidents Plan for Economic Growth and Deficit Reduction. Joint Select Committee on Deficit Reduction. Issue: Oppose reductions in Medicare Graduate Medical Education (GME) payments as part of deficit reduction negotiations. President's Budget, 2013 Issues: Support funding for the National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), and Title VII health professions and Title VIII nursing education programs. P.L. 112-35, Budget Control Act of 2011, Title III Issue: Oppose or limit reductions in Medicare graduate medical education support under sequestration.

No activity

Presidents Budget, 2012, Department of Health and Human Services H.R. 3070/S. 1599 (S. Rept. 112-84), Labor-HHS-Education and Related Agencies Appropriations Act, 2012, Title II P.L. 112-74 (H.R. 2055; H. Rept. 112-331), Consolidated Appropriations Act, 2012, Division F, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Oppose statutory mandates regarding number and average size of NIH grants. Oppose reducing NIH salary cap. Presidents Budget, 2012, Department of Veterans Affairs P.L. 112-74 (H.R. 2055; H. Rept. 112-331), Consolidated Appropriations Act, 2012, Division H, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. Presidents Budget, 2012, National Science Foundation. H.R. 2596/S. 1572, Commerce, Justice, Science and Related Agencies Appropriations Act, 2012, Title III P.L. 112-55 (H.R. 2112; H. Rept. 112-84), Consolidated and Further Continuing Appropriations Act, 2012, Division B Issues: Support funding for the National Science Foundation. Support NSF's peer review process. Presidents Budget, 2013 Issues: Support funding for the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality (AHRQ). Issue: Submitted comments to National Institutes of Healths Biomedical Workforce Working Group on development of research workforce for biomedical science.

President's Budget, 2012, Department of Education H.R. 3070/S. 1599, Labor-HHS-Education and Related Appropriations Act, 2012, Title III H.R. 2117, Protecting Academic Freedom in Higher Education Act Issues: Oppose elimination of graduate/professional student loan subsidies, decrease graduate/professional Stafford loan interest rates, and maintain Perkins Loan benefits. Definition of academic credit hour and state authorization. Medical student loans reform bill proposal (draft) Issues: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. Issue: Federal support for for-profit foreign medical schools.

P.L. 112-29, America Invest Act. Issue: Preserve intellectual property rights for medical schools and teaching hospitals, support first-inventor-to-file patent reform, and oppose expansion of the prior user rights defense.

Conrad State 30 Improvement Act (draft) Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools, and reauthorization of State 30 visa waiver program.

P.L. 112-29, America Invest Act. Issue: Preserve intellectual property rights for medical schools and teaching hospitals, support first-inventor-to-file patent reform, and oppose expansion of the prior user rights defense.

P.L. 111-5, American Recovery and Reinvestment Act of 2009, Division A, Title VIII Issues: Role of medical schools and teaching hospitals in the economic stimulus and recovery, Title VII and VIII health professions training, National Health Service Corps, health information technology (Office of the National Coordinator for Health Information Technology). Presidents Budget, 2012, Department of Health and Human Services H.R. 3070/S.1599 (S. Rpt. 112-84), Labor-HHS-Education and Related Agencies Appropriations Act, 2012, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Oppose statutory mandates regarding number and average size of NIH grants. Oppose elimination of Childrens Hospitals GME. President's Budget, 2012, Department of Health and Human Services President's Plan for Economic Growth and Deficit Reduction. Issues: Support maintaining Medicare, Medicaid, Disproportionate Share Hospital (DSH), and Childrens Health Insurance Program (CHIP) payments. Oppose reductions in Medicare Graduate Medical Education (GME) payments. Presidents Budget, 2012, Department of Veterans Affairs H.R. 2055, Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2012, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V H.R. 1217, To Repeal the Prevention and Public Health Fund Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. Issue: Oppose reductions in Medicare Graduate Medical Education (GME) payments. Issue: Support National Strategy for Quality Improvement in health care. Issue: Modify Medicare Value-Based purchasing Program for Hospitals. Issue: Modify Accountable Care Organization (ACO) proposed rules and implementation Issue: Federal support for for-profit foreign medical schools Issue: Modify Medicaid Maintenance of Effort Requirements Medical student loans reform bill proposal (draft) Issue: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 1627, Resident Physician Shortage Act Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issues: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing National Health Service Corps. H.R. 2954, Health Equity and Accountability Act, Title III Issues: Addressing disparities in health care. Support language allowing teaching hospitals to count all time residents spend in accredited Graduate Medical Education (GME) programs for the purposes of calculating Medicare Direct and Indirect GME payments. P.L. 111-148, Affordable Care Act, Sec. 5602 Issue: Negotiated Rulemaking on Designation of Medically Underserved Populations and Health Professional Shortage Areas. H.R. 2500, Equal Access and Parity for Multi-Campus Hospital Act Issues: Support clarification that multi-hospital systems are eligible for American Recovery and Reinvestment Act (ARRA) Medicare and Medicaid incentive HIT payments on a hospital-by-hospital basis. Issue: Support language directing Centers for Medicare and Medicaid Services (CMS) to consider Graduate Medical Education (GME) affiliation agreements when identifying unused residency slots under the redistribution program. Issue: Support Medicare Physician Payment Reform Issue: Address workforce shortages & primary care workforce development. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Educate about geographic variations in Medicare spending on hospital and physician services. H.R. 1852/S. 958, Children's Hospital GME Support Reauthorization Act of 2011 Issue: Support reauthorization of Children's Hospitals Graduate Medical education. Issue: Promoting Interprofessional education and training of the health care workforce. H.R. 5, Help, Efficient, Accessible, Low-cost, Timely Healthcare(HEALTH) Act of 2011 Issue: Support Medical Malpractice Reform S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information. President's Budget, 2013 Issues: Support funding for the Agency for Healthcare Research and Quality (AHRQ) and Title VII health professions programs. Issue: Funding for the National Healthcare Workforce Commission. Issue: Oppose efforts to reduce discretionary spending limits further for deficit reduction and support NIH as a priority during deficit reduction negotiations. Issue: Request extension for comments on HRSA proposed data collection efforts. Issue: Submitted comments on HHS health disparities data collection standards. Issue: Repeal Independent Payment Advisory Board (IPAB). Issue: Submitted Comments on Medicare Inpatient Prospective Payment System (IPPS) rule. Issue: Submitted comments on Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Establishment of consumer operated and oriented plans (CO-OPs). Issue: Submitted comments on proposed rule on accounting for disclosures under the Health Insurance Portability and Accountability Act (HIPAA). Issue: Implementation of CMS Center for Medicare and Medical Innovation (CMMI) request for applications. Issue: Applications for participation in CMS Bundled Payment Initiative.

Presidents Budget, 2012, Department of Health and Human Services H.R. 3070/S. 1599 (S. Rept. 112-84), Labor-HHS-Education and Related Agencies Appropriations Act, 2012, Title II Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, and Agency for Healthcare Research and Quality (AHRQ). Oppose statutory mandates regarding number and average size of NIH grants. Presidents Budget, 2012, Department of Veterans Affairs H.R. 2055, Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2012, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. Presidents Budget, 2012, National Science Foundation. H.R. 2596/S. 1572, Commerce, Justice, Science and Related Agencies Appropriations Act, 2012, Title III Issues: Support funding for the National Science Foundation, support NSF's peer review process. P.L. 112-29, America Invents Act. Issues: Preserve intellectual property rights for medical schools and teaching hospitals, support first-inventor-to-file patent reform, and oppose expansion of the prior user rights defense.

President's Budget, 2012, Department of Education H.R. 2117, Protecting Academic Freedom in Higher Education Act Issues: Oppose elimination of graduate/professional student loan subsidies, increase graduate/professional subsidized Stafford loan limits, decrease graduate/professional Stafford loan interest rates, and maintain Perkins Loan benefits. Definition of academic credit hour and state authorization. Medical student loans reform bill proposal (draft) Issues: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs.

P.L. 112-10, Department of Defense and Full-Year Continuing Appropriations Act, 2011, Division B, Title X Presidents Budget, 2012, Department of Veterans Affairs H.R. 2055, Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2012 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care.

No activity

P.L. 111-5, American Recovery and Reinvestment Act of 2009, Division A, Title VIII Issues: Role of medical schools and teaching hospitals in the economic stimulus and recovery, Title VII and VIII health professions training, National Health Service Corps, health information technology (Office of the National Coordinator for Health Information Technology). P.L. 112-10, Department of Defense and Full-Year Continuing Appropriations Act, 2011, Division B, Title VIII Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Oppose statutory mandates regarding number and average size of NIH grants. Oppose cuts to Childrens Hospitals GME and HRSAs Bureau of Health Professions. Clarify eligibility for Area Health Education Centers under Title VII of the Public Health Service Act. Presidents Budget, 2012, Department of Health and Human Services Labor-HHS-Education and Related Agencies Appropriations Act, 2012 (draft) Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Oppose statutory mandates regarding number and average size of NIH grants. Oppose elimination of Childrens Hospitals GME. Support maintaining Medicare, Medicaid, DSH, and CHIP payments. P.L. 112-10, Department of Defense and Full-Year Continuing Appropriations Act, 2011, Division B, Title X Presidents Budget, 2012, Department of Veterans Affairs H.R. 2055, Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2012 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V H.R. 1217, To Repeal the Prevention and Public Health Fund Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. H.R. 1216, To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations. Issue: Oppose conversion of funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations. Issue: Support National Strategy for Quality Improvement in health care. Issue: Modify Medicare Value-Based purchasing Program for Hospitals. Issue: Modify Accountable Care Organization (ACO) proposed rules and Implementation Issue: Federal Support for For-Profit Medical Schools Issue: Modify Medicaid Maintenance of Effort Requirements Medical student loans reform bill proposal (draft) Issue: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. Issue: Medicare Resident Limits-Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issues: Implementing provisions reauthorizing health professions education programs under Title VII of the Public Health Service Act, and reauthorizing of National Health Service Corp. Health Equity and Accountability Act (draft) Issue: Addressing disparities in health care. P.L. 111-148, Affordable Care Act, Sec. 5602 Issue: Negotiated Rulemaking on Designation of Medically Underserved Populations and Health Professional Shortage Areas. Issues: Clarify that multi-hospital systems are eligible for American Recovery and Reinvestment Act (ARRA) Medicare and Medicaid incentive payments on a hospital-by-hospital basis. Issue: Support language directing Centers for Medicare and Medicaid Services (CMS) to consider Graduate Medical Education (GME) affiliation agreements when identifying unused residency slots under the redistribution program. Issue: Support Medicare Physician Payment Reform Issue: Address workforce shortages & Primary Care workforce development. Issue: Implementation of Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Educate about geographic variations in Medicare spending on hospital and physician services. H.R. 1852/S. 958 Issue: Support reauthorization of Children's Hospitals Graduate Medical education. Issue: Promoting Interprofessional education and training of the health care workforce. H.R. 5, Help, Efficient, Accessible, Low-cost, Timely Healthcare(HEALTH) Act of 2011 Issue: Support Medical Malpractice Reform S. 799, Commercial Privacy Bill of Rights Act of 2011 Issue: Collection, retention, and dissemination of personal health information.

P.L. 111-5, American Recovery and Reinvestment Act of 2009, Division A, Title VIII Issues: Role of medical schools and teaching hospitals in the economic stimulus and recovery, Title VII and VIII health professions training, National Health Service Corps, health information technology (Office of the National Coordinator for Health Information Technology). P.L. 112-10, Department of Defense and Full-Year Continuing Appropriations Act, 2011, Division B, Title VIII Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Oppose statutory mandates regarding number and average size of NIH grants. Oppose cuts to Childrens Hospitals GME and HRSAs Bureau of Health Professions. Clarify eligibility for Area Health Education Centers under Title VII of the Public Health Service Act. Presidents Budget, 2012, Department of Health and Human Services Labor-HHS-Education and Related Agencies Appropriations Act, 2012 (draft) Issues: Support funding for National Institutes of Health (NIH), human embryonic stem cell research, Health Resources and Services Administration (HRSA), Title VII and Title VIII health professions and nursing education programs, National Health Service Corps, Childrens Hospitals graduate medical education (GME), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and CDCs National Center for Health Statistics. Oppose statutory mandates regarding number and average size of NIH grants. Oppose elimination of Childrens Hospitals GME. Support maintaining Medicare, Medicaid, DSH, and CHIP payments. P.L. 112-10, Department of Defense and Full-Year Continuing Appropriations Act, 2011, Division B, Title X Presidents Budget, 2012, Department of Veterans Affairs H.R. 2055, Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2012 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. P.L. 112-10, Department of Defense and Full-Year Continuing Appropriations Act, 2011, Division B, Title III Presidents Budget, 2012, National Science Foundation Issue: Support funding for the National Science Foundation. P.L. 111-148, Patient Protection and Affordable Care Act, Section 4002 and Title V H.R. 1217, To Repeal the Prevention and Public Health Fund Issue: Support the Prevention and Public Health Fund and preserve PPHF funds for workforce training. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps. H.R. 1216, To amend the Public Health Service Act to convert funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations. Issue: Oppose conversion of funding for graduate medical education in qualified teaching health centers from direct appropriations to an authorization of appropriations. S. 493, SBIR/STTR Reauthorization Act of 2011 Issue: Oppose increasing the Small Business Innovation Research (SBIR) set-aside for federal research agencies. H.R. 1852/S. 958 Issue: Support reauthorization of Children's Hospital Graduate Medical Education

S. 23/H.R. 1249, The America Invest Act. Issue: Preserve intellectual property rights for medical schools and teaching hospitals, support first-inventor-to-file patent reform, oppose expansion of the prior user rights defense.

Conrad State 30 Improvement Act (draft) Issue: H-1B visa numerical cap exemption for non-profit teaching hospitals affiliated with medical schools, and reauthorization of State 30 visa waiver program

Issue: H-1B visa numerical cap exemptions for non-profit teaching hospitals affiliated with medical schools.

Medical student loans reform bill proposal. Issue: Reduce student loan interest rates, expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs.

P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Funding for Community Health Centers and the National Health Service Corps.

H.R. 1260/S. 515, Patent Reform Act of 2009. Issue: Preserve intellectual property rights for medical schools and teaching hospitals.

No activity

Issue: Prevailing wage determination for H-1B physicians and medical residents

H.R. 4808/S. 3766, Stem Cell Research Advancement Act. Issue: Support authorization of federal funding for human embryonic stem cell research.

Issue: Prevailing wage determination for H-1B physicians and medical residents

No activity.

H.R. 1260/S. 515, Patent Reform Act of 2009. Issue: Preserve intellectual property rights for medical schools and teaching hospitals.

FY 2011 Labor-HHS-Education Appropriations Issues: Funding for the National Institutes of Health, the Agency for Healthcare Research and Quality, and stem cell research.

No activity.

H.R. 1260/S. 515, Patent Reform Act of 2009. Issue: Preserve intellectual property rights for medical schools and teaching hospitals.

FY 2011 Labor-HHS-Education Appropriations Issues: Funding for the National Institutes of Health, the Agency for Healthcare Research and Quality, and stem cell research.

H.R. 1 [P.L. 111-5], American Recovery and Reinvestment Act of 2009, Division A, Title VIII Issues: Role of medical schools and teaching hospitals in the economic stimulus and recovery. Funding for NIH, Department of VA research and infrastructure, Title VII and VIII health professions training, National Health Service Corps, health information technology (Office of the National Coordinator for Health Information Technology).

FY 2011 Department of Veterans Affairs Appropriations Issues: Funding for Veterans Affairs Medical research and research infrastructure

H.R. 3293, (H. Rept. 111-220, S. Rept. 111-66), FY 2010 Labor-HHS-Education Appropriations bill, Title II H.R. 3288, (P.L. 111-117), Consolidated Appropriations Act, 2010, Division D, Title II Issues: Funding for the National Institutes of Health, the Agency for Healthcare Research and Quality, extramural research facilities and shared instrumentation grants at NIH, stem cell research, Centers for Disease Control and Prevention extramural prevention research programs. Support House report languge regarding NIH implementation of NAS Class B animal dealers recommendations. Support NIH peer review process.

H.R. 3221, "Student Aid and Fiscal Responsibility Act of 2009" Title II Issues: Oppose elimination of graduate/professional student loan subsidies, increase graduate/professional subsidized Stafford loan limits, decrease graduate/professional Stafford loan interest rates, and maintain Perkins Loan benefits.

H.R. 1260/S. 515, "Patent Reform Act of 2009." Issue: Preserve intellectual property rights for medical schools and teaching hospitals.

S. 1233, SBIR/SITR Reauthorization Act of 2009 H.R. 2965, Enhancing Small Business Research and Innovation Act of 2009 Issue: Oppose increasing the Small Business Innovation Research (SBIR) set-aside for federal research agencies.

S. 1233, SBIR/SITR Reauthorization Act of 2009 H.R. 2965, Enhancing Small Business Research and Innovation Act of 2009 Issue: Oppose increasing the Small Business Innovation Research (SBIR) set-aside for federal research agencies.

H.R. 1260/S. 515, "Patent Reform Act of 2009." Issue: Preserve intellectual property rights for medical schools and teaching hospitals.

H.R. 1260/S. 515, "Patent Reform Act of 2009." Issue: Preserve intellectual property rights for medical schools and teaching hospitals.

S. 1233, SBIR/SITR Reauthorization Act of 2009 H.R. 2965, Enhancing Small Business Research and Innovation Act of 2009 Issue: Oppose increasing the Small Business Innovation Research (SBIR) set-aside for federal research agencies.

H.R. 3082/S. 1407, FY 2010 Military Construction and Veterans Affairs Appropriations bill, Title II. Issues: Funding for Veterans Affairs medical research and research infrastructure.

H.R. 3082, FY 2010 Military Construction and Veterans Affairs appropriations bill, Title II. Issues: Funding for Veterans Affairs medical research and research infrastructure.

None

Issue: All-payer support for graduate medical education

FY 2010 Military Construction and Veterans Affairs Appropriations bill. Issues: Funding for Veterans Affairs medical research and research infrastructure.

H.R. 7140, "Protection for Participants in Research Act of 2008." Issue: The Protection of Human Subjects in Research.

* S. 1576, "Minority Health Improvement and Health Disparity Elimination Act" Issue: Collection of student data; Title VII reauthorization, minority health and health disparities research at NIH. Issue: Reauthorization of health professions education programs under Title VII of the Public Health Service Act. H.R. 493/S. 358, Genetic Information Nondescrimination Act of 2007. Issue: Support passage of bill to protect genetic information. H.R. 3162, "The Childrens Health and Medicare Protection Act," Title I. Issue: Reauthorization of State Children's Health Insurance Program (SCHIP). Issue: Current and future physician workforce shortages. S. 558, Mental Health Parity Act of 2007. H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007. Issue: Mental Health Parity S. 1693/S. 1814, "Wired for Health Care Quality Act" S. 1814, "Health Information Privacy and Security Act" Issues:Implementation of electronic health records, privacy of health information. H.R. 1644, "Re-Empowerment of Skilled and Professional Employees and Construction and Trade Workers Act." Issue: Definition of "Supervisor' in the National Labor Relations Act. Issue: Reauthorization of health professions education programs under Title VII of the Public Health Service Act. H.R. 493/S. 358, Genetic Information Nondescrimination Act of 2007. Issue: Support passage of bill to protect genetic information. H.R. 3162, "The Childrens Health and Medicare Protection Act," Title I. Issue: Reauthorization of State Children's Health Insurance Program (SCHIP). Issue: Current and future physician workforce shortages. S. 558, Mental Health Parity Act of 2007. H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007. Issue: Mental Health Parity S. 1693/S. 1814, "Wired for Health Care Quality Act" S. 1814, "Health Information Privacy and Security Act" Issues:Implementation of electronic health records, privacy of health information. H.R. 1644, "Re-Empowerment of Skilled and Professional Employees and Construction and Trade Workers Act." Issue: Definition of "Supervisor' in the National Labor Relations Act.

S. 5/H.R. 3/S. 997, "Stem Cell Research Enhancement Act of 2007" Issue: Support the expansion of federal funding for human embryonic stem cell research.

* H.R. 3043/S. 1710, FY 2008 Labor-HHS-Education Appropriation Bill, Title II. H.R. 2764, FY 2008 State-Foreign Operations Appropriations Bill-Division G. Issues: Funding for the National Institutes of Health, Title VII and VIII health professions and nursing education programs, the H.R. 2642/S. 1645, FY 2008 Military Construction/Veterans Affairs Appropriations Bill, Title II. H.J.Res. 52, 1st Continuing Resolution H.R. 3222, Division B, 2nd Continuing Resoulution H.J.Res. 69, 3rd Continuing Resolution H.R. 2642/S. 1645, FY 2008 Military Construction/Veterans Affairs Appropriations Bill, Title II. H.J.Res. 52, 1st Continuing Resolution H.R. 3222, Division B, 2nd Continuing Resoulution H.J.Res. 69, 3rd Continuing Resolution

* H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. S. 901, "Health Centers Renewal Act of 2007," Murkowski Amendment (withdrawn). Issue: Grants to community health centers for the establishment or expansion of medical residency training programs at the centers. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. S. 901, "Health Centers Renewal Act of 2007," Murkowski Amendment (withdrawn). Issue: Grants to community health centers for the establishment or expansion of medical residency training programs at the centers. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight.

H.R. 2419, Farm, Nutrition, and Bioenergy Act of 2007. Issue: Oppose inclusion of amendment banning Class B animal dealers and preventing the use of medical devices on animals.

H.R. 2199, Traumatic Brain Injury Health Enhancement and Long-Term. Issue: Creation of VA Centers for traumatic brain injury research, education, and clinical activities.

H.R. 2419, Farm, Nutrition, and Bioenergy Act of 2007. Issue: Oppose inclusion of amendment banning Class B animal dealers and preventing the use of medical devices on animals.

* H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. H.R. 4137, "College Opportunity and affordability Act of 2007," Title I, Title IV, Title VIII, and Title X. Issues: Reauthorization of the Higher Education Act, expansion of the Economic Hardship Deferment, changes in accreditation criteria and reporting, loan forgiveness, increasing Stafford loan limits, financial aid administration oversight. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. S. 901, "Health Centers Renewal Act of 2007," Murkowski Amendment (withdrawn). Issue: Grants to community health centers for the establishment or expansion of medical residency training programs at the centers. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. 4 5 6

S. 5/H.R. 3/S. 997, "Stem Cell Research Enhancement Act of 2007" Issue: Support the expansion of federal funding for human embryonic stem cell research.

* Issue: To preserve Medicare Direct Graduate Medical Education payments to teaching hospitals. Issue: To preserve Medicare Indirect Graduate Medical Education payments to teaching hospitals. H.R. 3162, "The Children's Health and Medicare Protection Act, Title III. Issue: To restore Medicare payments to physicians. H.R. 3533, "Public and Teaching Hospital Preservation Act." S. 2460 "To extend by one year the moratorium on Implementation of a rule." Issue: Retain Medicaid Graduate Medical Education payments to providers. Medicare Hospital Payments and Proposals Related to Medical-Severity Diagnosis Related Groups. Issue: Retain Medicare Indirect Graduate Medical Education Payments and Direct Graduate Medical Education Payments to teaching hospitals for residents in non-hospitals sites. H.R. 1093/S. 588, "Resident Physician Shortage Reduction Act" Issue: Medicare Resident Limits-Removing the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Indirect Medical Education and Direct Graduate Medical Education payments. 18 19 20 21 22 23

S. 1348, Comprehensive Immigration Reform Act of 2007, Sec. 425. Issues: Medical Services in Underserved Areas, reauthorization of Conrad 30 program.

No activity.

* H.R. 3043/S. 1710, FY 2008 Labor-HHS-Education Appropriation Bill, Title II. H.R. 2764, FY 2008 State-Foreign Operations Appropriations Bill-Division G. Issues: Funding for the National Institutes of Health, Title VII and VIII health professions and nursing education programs, the Agency for Healthcare Research and Quality, extramural research facilities and shared instrumentation grants at NIH, stem cell research, Center for Disease Control and Prevention extramural prevention research programs, National Health Service Corps, Children's hospitals GME, Council on Graduate Medical Education (COGME), trauma care, and National Center for Health Statistics. Oppose Title VII student loan rescissions. Support report language instructing HHS to discontinue consideration of parental income for awarding student loans. Support language reinstating authority for National Research Service Awards at HRSA and AHRQ. H.R. 2642/S. 1645, FY 2008 Military Construction/Veterans Affairs Appropriations Bill, Title II. H.J.Res. 52, 1st Continuing Resolution H.R. 3222, Division B, 2nd Continuing Resoulution H.J.Res. 69, 3rd Continuing Resolution Issue: Funding for VA Medical Care and Research. 2

* H.R. 493/S. 358, Genetic Information Nondescrimination Act of 2007. Issue: Support passage of bill to protect genetic information. S. 1576, "Minority Health Improvement and Health Disparity Elimination Act" Issue: Collection of student data; Title VII reauthorization, minority health and health disparities research at NIH. S. 558, Mental Health Parity Act of 2007. H.R. 1424, Paul Wellstone Mental Health and Addiction Equity Act of 2007. Issue: Mental Health Parity Requiring a National unique device identification system for medical devices. Issue: Current and future physician workforce shortages. H. Con. Res. 21, FY 2008 Congressional Budget Resolution, Sec. 30. Issue: Reauthorization of State Children's Health Insurance Program (SCHIP). H.R. 506/S. 325, "Health Partnership Act" Issue: Funding Initiatives to Cover the Uninsured. Issue: Reauthorization of health professions education programs under Title VII of the Public Health Service Act. 11 12 13 25 26 27 28

H.R. 3043, FY 2008 Labor-HHS-Education Appropriations Bill, Title II Issue: Oppose inclusion of amendment banning Class B animal dealers.

* changes in accreditation criteria and reporting, loan forgiveness, increasing Stafford loan limits, financial aid administration oversight. S. 1066, "Medical Education Affordability Act" Issue: Expansion of the Economic Hardship Deferment. H.R. 410/S. 896, "The United States Physician Shortage Elimination Act" H.R. 2584, "High-Need Physician Workforce Incentives Act of 2007" Issue: Increase funding for the National Health Service Corps and for Medical Schools to increase enrollment. H.R. 890/S. 486, Student Loan Sunshine Act. Issue: Financial Aid administration oversight. H.R. 2669, "College Cost Reduction Act of 2007," Title I. S. 1642, "Higher Education Amendments of 2007," Title I and Title IV. S. 1762, "Higher Education Access Act of 2007," Title I, III and VIII. Issue: Reauthorization of the Higher Education Act, expansion of the Economic Hardship Deferment, 7 8 9

* Medicare Hospital Payments and Proposals Related to Medical-Severity Diagnosis Related Groups. Issue: Retain Medicare Indirect Graduate Medical Education Payments and Direct Graduate Medical Education Payments to teaching hospitals for residents in non-hospitals sites. President's FY 2008 Budget Proposal. H.Con. Res. 21, FY 2008 Budget Resolution, Section 320. U.S. Troop Readiness, Veterans Care, Katrina Recovery and Iraq Accountability Act, 2007 [P.L. 110-28], Section 7002. Issue: Retain Medicaid Graduate Medical Education payments to providers. Issue: To restore Medicare payments to physicians. Issue: To preserve Medicare Indirect Graduate Medical Education payments to teaching hospitals. Issue: To preserve Medicare Direct Graduate Medical Education payments to teaching hospitals. H.R. 1093/S. 588, "Resident Physician Shortage Reduction Act" Issue: Medicare Resident Limits-Removing the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Indirect Medical Education and Direct Graduate Medical Education payments. 17 18 19 20 21 22

No activity.

* S. 5/H.R. 3/S. 997, "Stem Cell Research Enhancement Act of 2007" Issue: Support the expansion of federal funding for human embryonic stem cell research. H.R. 1591/S. 965, U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act of 2007. Issue: Maintaining key funtions of the Armed Forces Institute of Pathology within the Department of Defense, Uniformed Services University of the Health Sciences. 24

S. 1348, Comprehensive Immigration Reform Act of 2007, Sec. 425. Issue: Medical Services in Underserved Areas.

* H.R. 609, "College Access and Opportunity Act of 2005" Title IV. S. 1614, "Higher Education Amendments of 2005" Title IV. Issues: Reauthorization of The Higher Education Act, Expansion of Economic Hardship Deferment, Changes in Accreditation Criteria and Reporting, Medical education studies, loan forgiveness for certain medical specialties. S. 1246, "Medical Education Affordability Act" H.R. 2519, "Healthcare Student Financial Assistance Act" Issue: Expansion of the Economic Hardship Deferment. H.R. 5770, "The United States Physician Shortage Elimination Act" Issue: Increase funding for National Health Service Corps and for Medical Schools to increase enrollment. 4 5

* H.R. 5647/S. 3708, Labor-HHS-Education Appropriations Bill, Title II. Issues: Funding for the National Institutes of Health, Title VII and VIII health professions and nursing education programs, the Agency for Healthcare Research and Quality, extramural research facilities and shared instrumentation grants at NIH, stem cell research, Centers for Disease Control and Prevention extramural prevention research programs, National Health Service Corps, Children's hospitals GME, Council on Graduate Medical Education (COGME), and trauma care. Oppose Title VII student loan rescissions. Support report langugue instructing HHS to discontinue consideration of parental income for awarding student loans. H.R. 5385, FY 2007 Military Quality of Life/Veterans Affairs Appropriations Bill, Title II. H.J. Res. 102, Continuing Appropriations resolution FY 2007. Issue: Funding for VA Medical Care and Research. 2

No activity.

S. 3880, "Animal Enterprise Terrorism Act" Issue: Extend existing protections for animal enterprises to individuals, businesses, and agencies to prevent threats, intimidations, and violence against biomedical researchers.

* Issue: Maintaining key functions of the Armed Forces Institute of Pathology within the Department of Defense, Uniformed Services University of the Health Sciences. H.R. 810/S. 471, "Stem Cell Research Enhancement Act of 2005" Issue: Support the expansion of federal funding for human embryonic stem cell research. 21