• Commission on Federal and State Policy (CFSP)

    Responsibilities and Scope of Work
    The Commission on Federal and State Policy (CFSP) informs and guides the Academy's federal advocacy program and the AAFP’s support for constituent chapters in their advocacy efforts before state governments. Commission members participate in the following regular activities within the commission’s scope of work:

    • Analysis of state and federal legislative and regulatory policy issues impacting family physicians, patients and the health care system.
    • Provide recommendations for potential revisions to state and federal legislative and regulatory policy issues that would have a positive impact on family physicians, patients and the health care system.
    • Production of white papers and policy position statements aimed at informing and influencing legislative and regulatory policies at the state and federal levels.
    • Collaboration with reference committees at the Congress of Delegates to provide expert analysis of proposed resolutions and their alignment with and impact on AAFP legislative and regulatory policies objectives.
    • Review of resolutions approved by the Congress of Delegates, National Conference of Constituency Leaders (NCCL) and the Student & Resident Congress.
    • Five-year review of relevant AAFP policies.

    The work priorities of the Commission would be established by one of two pathways:

    1. AAFP Board of Directors – the AAFP Board of Directors may direct the CFSP to engage in a project via its deliberative process.
    2. AAFP Board Chair – state chapters, other AAFP Commissions, AAFP members or AAFP staff may submit a request that the CFSP engage in a project to the AAFP Board Chair for consideration and decision. Recommendations would be submitted to the AAFP CEO for consideration by the Board Chair.

    Each project must adhere to the following criteria:

    • Direct impact on family physicians and/or the patient care provided by family physicians.
    • Direct association with an existing or proposed state and/or federal law or regulation.
    • Have broad impact on family physicians (i.e. – not a single state issue).
    • Provide a minimum of 6-months for delivery of final product

    Commission Membership and Terms
    Members serve a four-year term. The commission meets twice a year.

    Meetings and Time Required

    1. During the winter cluster of commission meetings
    2. Immediately after the annual Family Medicine Advocacy Summit in Washington, DC, ususally held in April or May

    The winter cluster meeting held in January or February each year is usually a day and a half with subcommittee and workforce meetings preceding the commission meeting. The one-day meeting associated with the Advocacy Summit generally follows the FMAS. Commission members are expected to attend both FMAS and SLC.

    One member of the CFSP is assigned to attend the American Medical Association’s State Legislative Strategy Meeting, lasting for three days in January. The Commission has a liaison to the FamMedPAC Board and to the Member Interest Group on Single Payer Health Care.  Finally, the commission chair designates a member to participate on the AAFP’s Working Group on Rural Health (WGRH) and another member for the AAFP’s Subcommittee on Health Equity (SHE).  Both WGRH and SHE generally meet before the winter cluster of commission meetings in Kansas City.


    The Commission on Finance and Insurance establishes reimbursement policies for commission and committee members. Members are currently reimbursed as follows:

    • A per diem payment when traveling or attending meetings or other events on behalf of the commission or committee.
    • Actual airfare up to a full coach ticket with the provision that multiple tickets may be purchased for family members so long as total costs do not exceed the cost for one unrestricted full coach class ticket.
    • Transportation between home and airport and airports and meeting sites is reimbursed, in addition to and separate from the per diem

    Additional detail on reimbursement policies is included in the commission member orientation manual.

    Are you interested in participating in this commission?

    • First, contact your chapter prior to starting/submitting an application.
    • Then, complete the online Commission Nomination Form (open 7/15/2022 through 10/15/2022).

    Are you interested in participating in the commission's leadership?

    • First, contact your chapter prior to starting/submitting an application.
    • Then, you should download and review the Commission Chair Nomination Form (will open 5/15/2022).
    • You may also want to read the 2021 Commission Chair Orientation Manual to get an understanding of the responsibilities you will have if you are selected to be the chairperson of a committee.