America’s Frontline Physicians Urge Immediate Reversal of Decision to Discontinue CSR Payments

For immediate release: Oct. 13, 2017

Media contacts:
American Academy of Family Physicians: 
Leslie Champlin | (800) 274-2237, Ext. 5224 |
American Academy of Pediatrics: Jamie Poslosky | 202-724-3301 |
American College of Physicians: Jackie Blaser | 202-261-4572 |
American Congress of Obstetricians and Gynecologists: Megan Christin | 202-863-2423 |  
American Osteopathic Association: Jessica Bardoulas | 312-202-8038 |
American Psychiatric Association: Glenn O’Neal | 703-907-8640 |                                                                              
Washington — Our organizations, which represent more than 560,000 physicians and medical students nationwide, are alarmed by the President’s decision to abruptly take away financial support that aids low-income families in purchasing health care coverage.  The decision to discontinue cost-sharing reduction (CSR) payments stands to hurt the most vulnerable individuals and families, raising cost for them and the federal government. 

This decision is not consistent with the Administration’s pledge to provide individuals and families with more options to secure affordable health care coverage.  Elimination of CSR payments makes that goal harder, if not impossible, to achieve.

Our organizations call on the United State Senate and House of Representatives to take immediate action to restore these payments.  A failure to address this matter will result in dramatic, if not catastrophic, increases in premiums across the country – resulting in millions of people either losing their health care coverage due to either insurer departures from the market or their inability to afford coverage.

We remain committed to working with the Administration and the United States Congress to improve our nation’s health care system.  However, we cannot and will not support efforts to deliberately undermine and destabilize our health care system.  Such actions are inconsistent with the missions of our organizations and lack the basic elements of good governance and public policy.


Founded in 1947, the AAFP represents 129,000 physicians and medical students nationwide. It is the only medical society devoted solely to primary care.

Family physicians conduct approximately one in five office visits -- that’s 192 million visits annually or 48 percent more than the next most visited medical specialty. Today, family physicians provide more care for America’s underserved and rural populations than any other medical specialty. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focused on integrated care.

To learn more about the specialty of family medicine, the AAFP's positions on issues and clinical care, and for downloadable multi-media highlighting family medicine, visit For information about health care, health conditions and wellness, please visit the AAFP’s award-winning consumer website,