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The AAFP and the Biden White House

Capping a tumultuous election year, the Academy has begun corresponding with President-elect Joe Biden’s transition team and plans to communicate extensively with the next White House.

Advocacy : Advocacy Campaigns

https://www.aafp.org/advocacy/act/biden.html

Graduate Medical Education (GME)

Investment in the primary care workforce is vital, so the AAFP seeks to preserve funding for GME residency programs in family medicine.

Advocacy : Advocating for You: Advocacy Topics

https://www.aafp.org/advocacy/advocacy-topics/physician-workforce/gme.html

AAFP: Primary Care Caucus

The Primary Care Caucus focuses its efforts on an approach to advance primary care that is comprehensive, continuous, and connected.

Advocacy : Track Family Medicine Bills and Issues

https://www.aafp.org/advocacy/track/primary-care-caucus.html

Medical Liability

The AAFP supports medical liability reform of regulation that continue to have a negative impact on the cost of health care for patients and physicians.

Advocacy : Advocating for You: Advocacy Topics

https://www.aafp.org/advocacy/advocacy-topics/legal/medical-liability.html

Obesity Prevention and Treatment

The AAFP advocates for health care policies that address and aim to treat the significant health impact of obesity.

Advocacy : Advocating for You: Advocacy Topics

https://www.aafp.org/advocacy/advocacy-topics/prevention-public-health/obesity.html

Accountable Care Organizations (ACOs)

The AAFP supports the ACO model, and promotes benchmarks, information systems, and payment regulations that protect both patients and family physicians.

Advocacy : Advocating for You: Advocacy Topics

https://www.aafp.org/advocacy/advocacy-topics/health-care-delivery/acos.html

AAFP Advocacy: Health Care Coverage

Learn about the AAFP's advocacy work around changes in health care coverage systems and processes, including changes to the ACA, CHIP, and more.

Advocacy : Advocating for You: Advocacy Topics

https://www.aafp.org/advocacy/advocacy-topics/health-care-coverage.html

Medicare Physician Payment

With the repeal of the SGR, family physicians can focus more on caring for their Medicare patients without worrying about interruptions in payment.

Advocacy : Advocating for You: Advocacy Topics

https://www.aafp.org/advocacy/advocacy-topics/physician-payment/medicare.html

AAFP Letter to the 117th Congress Outlining AAFP Priorities - January 8, 2021

AAFP's President, Dr. Ada Stewart, welcomes the 117th Congress and introduces priorities important to the future of family medicine.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/LT-Congress-117CongressAAFPPriorities-010821.pdf

Joint Letter in Support of the Strengthening the Vaccines for Children Program Act - ...

AAFP, along with others, support the legislation since builds on the Vaccines for Children program by investing in the vaccine delivery system and supporting primary care physicians in order to further reduce barriers to care and help families catch up on routine vaccinations.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-House-StrengtheningVaccinesChildrenProgramAct-041621.pdf

AAFP Comments to CMS on the FY 2022 IPPS Proposed Rule - June 7, 2021

The AAFP commends CMS for prioritizing health equity in these proposals. To more comprehensively address physician shortages and maldistribution, we strongly recommend that CMS also prioritize applications for new GME slots from hospitals that train a high proportion of physicians who ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-CMS-FY2022IPPSProposedRule-060721.pdf

AAFP Testimony to the House Select Subcommittee on the Coronavirus Crisis - July 1, 2021

Family physicians play an integral role in improving the health of the public by diagnosing and treating their patients, as well as counseling patients and administering vaccines.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/TS-HouseSelectCOVIDCommittee-VaccineHesitancy-070121.pdf

AAFP Recommendations to President Biden on Building A Robust Primary Care Workforce - ...

The AAFP sent a letter to the Biden administration detailing recommendations to strengthen the primary care workforce by recruiting and retaining new family medicine physicians.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-WhiteHouse-AAFPRecommendationsPrimaryCareWorkforce-012921.pdf

AAFP Letter Opposing the 2015 Proposed Part C and D Rule

AAFP letter to CMS opposing provisions of 2015 proposed changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PartCD-022614.pdf

AAFP Letter to Congress on the American Rescue Plan - February 10, 2021

Letter to Senate Finance and HELP Committees and House Ways and Means and Energy and Commerce Committees reacting to the American Rescue Plan and outlining the AAFP’s priorities for COVID relief legislation.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/LT-Congress-AmericanRescuePlan-021021.pdf

Joint Letter to Congress Calling to Repeal the Medicare Appropriate Use Criteria ...

The AAFP and other physician organizations sent a letter calling on Congress to end the burdensome AUC program.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-Congress-AUCRepealStatement-072221.pdf

Joint Letter to House Reps Supporting the Kids Access to Primary Care Act - March 16, 2021

The AAFP supports the Kids Access to Primary Care Act, which would raise Medicaid payment for preventative pediatric care and increase access and availability of services without cost-sharing.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/LT-House-KidsAccessPrimaryCareAct-031621.pdf

AAFP Letter to CMS with Final Comments on the 2019 Proposed Medicare Physician Fee ...

...proposed four major changes to the Medicare Part B Fee-For-Service program that would have an immediate and measurable impact on family medicine. Those items are: 1. simplify payment by adopting a single payment rate for evaluation and management (E/M) codes for new patients...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019ProposedMPFS-090618.pdf

Health Care for All: Moving to a Primary Care-based Health System in the United States

...Background The U.S. health care system is facing a growing number of coverage, quality, and cost challenges. For the first time since the passage of the Patient Protection and Affordable Care Act (ACA) in 2010, the numbers of uninsured in the United States are growing. In the fourth...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/AAFP-Heath-Care-Reform-Primer.pdf

AAFP Response to the 2020 Proposed Medicare Physician Fee Schedule - September 18, 2019

...all beneficiaries-and in improving access to high-quality, comprehensive, and coordinated care, especially your efforts to support family medicine and primary care. We look forward to working with CMS on designing and implementing policies that support these shared goals through...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-2020ProposedMPFSComments-091819.pdf

AAFP Response to CMS on the 2018 Proposed Quality Payment Program Regulation

...Program proposed rule, published by the Centers for Medicare and Medicaid Services (CMS) in the June 30, 2017, Federal Register. Family medicine plays a critical role in delivering care to patients in communities across the country. Family physicians are the most visited...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018ProposedQPP-081817.pdf

Joint Letter to the FDA on a Flavored Tobacco Products Proposed Rule - July 19, 2018

...Journal of Preventive Medicine, published online January 9, 2017. http://www.curemeso.org/site/c.duIWJfNQKiL8G/b.8598593/k.D685/Homepage.htm https://www.mdanderson.org/ 2 products with kids. The presence of flavors in these other tobacco products is an important...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-FlavoredTobaccoProducts-071918.pdf

Amicus Brief - Department of Homeland Security v. Regents of the University fo ...

...Regional Projections of Supply and Demand for Internal Medicine Subspecialty Practitioners: 2013-2025 (Dec. 2016), https://bhw.hrsa.gov/sites/default/files/ bhw/health-workforce-analysis/ research/ projections/internal- medicine-subspecialty-report.pdf ..................... 18...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-AAMC-DACA.pdf

Joint Letter to the FDA on a Potential Illicit Trade - July 16, 2018

...after Implementation of an FDA Product Standard. The document addresses the potential for development of an illicit market as a result of a number of different potential product standards, including but not limited to, those that would (1) impose a maximum level of nicotine in...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-IllicitTrade-071618.pdf

Joint Letter to CMS Regarding GME Implementation Recommendations - March 4, 2021

The Consolidated Appropriations Act, 2021, included several policy changes related to graduate medical education. The AAFP joined the Council of Academic Family Medicine to provide recommendations to CMS for how these provisions should be implemented in forthcoming recommendations.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-CMS-GMEImplementationRecs-030421.pdf

AAFP Letter to CMS on the 2018 Quality Payment Program Final Rule with Comment Period -...

...final rule with comment period, and looks forward to being a resource and partner to CMS in achieving the goals of MACRA. About Family Medicine Family physicians are dedicated to treating the whole person. These residency-trained, primary care specialists provide a wide variety of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018FinalQPP-121917.pdf

AAFP Comments to CMS on the 2018 Inpatient Proposed Rule

...that meets their needs. It should be noted that this will occur at a point when upgrading to 2015 Edition CEHRT could minimize the number of significant disruptions to patient care. As some members have begun the process of switching EHR systems, reports of information blocking...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-IPPSProposedRule-060817.pdf

AAFP Statement to the Senate HELP Committee on its Healthy Communities Hearing - ...

...accessed in a variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician- patient relationship, and requires communication and coordination with other health...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/ST-SenateHELP-HealthyCommunitiesHearing-111517.pdf

AAFP Testimony to Senate HELP Committee on Vaccine Confidence - June 22, 2021

Family physicians play an integral role in improving the health of the public by diagnosing and treating their patients, as well as counseling patients and administering vaccines.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/TS-SenateHELPCmte-VaccineConfidence-062221.pdf

AAFP Backgrounder: Medicaid Expansion

The AAFP is strongly supportive of policies to expand health insurance coverage to all Americans. The AAFP supports expanding Medicaid eligibility as a path to make health care available to all by increasing access to care and enabling physicians to provide cost efficient, quality care.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/BKG-MedicaidExpansion.pdf

Joint Letter to the FDA on Premium Cigars - July 25, 2018

...Medicine 178(4):469-476, 2018 (finding exclusive cigar smokers had higher all-cause mortality risks than never tobacco users and had an elevated risk of dying from a tobacco-related cancer (including bladder, esophagus, Larynx, lung, oral cavity and pancreas). 5 (some of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-PremiumCigars-072518.pdf

AAFP Statement to the Senate HELP Committee on Health Care Access and Underserved ...

...variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician-patient relationship, and requires communication and coordination with other health professionals...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/ST-SFRHELP-AccessUnderservedHearing-012919.pdf

AAFP Letter to the FCC on Telehealth in Rural America - January 31, 2018

...based on differing definitions of "rural," studies based on the demand to hire physicians by hospitals/physician groups, or based on the number of individuals per physician in a rural area, continue to indicate a need for additional physicians in rural areas. A balanced and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-FCC-RuralTelehealth-013118.pdf

AAFP Letter to the Senate in Support of the Healthcare Workforce Resilience Act - April...

The bill would recapture 15,000 unused immigrant visas for doctors that Congress has previously authorized and allocate those visas to doctors to help in the fight against COVID-19.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-Senate-WorkforceResilienceAct-042121.pdf

AAFP Letter for the Senate Finance Committee RFI on Maternal Health - April 3, 2020

...Understanding family medicine’s potential role to improve pregnancy related health outcomes, the AAFP established a maternal health taskforce in 2018. The Academy’s programmatic and legislative priorities include retaining obstetric care professionals, supporting maternity care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-SenateFinance-MaternalHealth-040320.pdf

AAFP Backgrounder: AAFP Backgrounder: Graduate Medical Education Legislation in the ...

...mix of trained physicians. However, research has shown the need for a greater investment in primary care physicians. A 2019 JAMA Internal Medicine study found that every 10 additional primary care physicians per 100,000 population was associated with a 51.5-day increase in life...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-GME116thCongress.pdf

AAFP Response to CMS on the 2021 and 2022 Part C and Part D Proposed Rule - April 6, 2020

...medical home model as a way to deliver higher quality, lower costs, and a stronger patient-physician relationship. A study in JAMA Internal Medicine reported that the supply of primary care physicians is associated with lower mortality rates. This suggests that the supply of primary...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2021PartCD-040620.pdf

AAFP Statement to the EandC Committee’s Hearing on Investing in America’s Health Care -...

...system. It is not limited to a single disease or condition and can be accessed in a variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician- patient...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/ST-EC-InvestingAmericanHealthCare-060419.pdf

AAFP Letter to the Senate HELP Committee for its Pandemic Planning RFI - July 8, 2020

...a primary care-centered strategy would benefit preparedness efforts. Statistics from the Robert Graham Center for Policy Studies in Family Medicine and Primary Care show that, in 2018, a little less than 22 million people - about 7% of the population - received care in a hospital,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/LT-SenateHELP-PandemicPreparedness-070820.pdf

APC-APM for Delivering Patient-Centered, Longitudinal, and Coordinated Care

Proposal to the Physician-Focused Payment Model Technical Advisory Committee regarding the Advanced Primary Care: A Foundational Alternative Payment Model (APC-APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/PR-PTAC-APC-APM-41417.pdf

AAFP Response to the Direct Contracting Geographic PBP Request for Information - May ...

...as part of final settlement with the DCE. DCEs would be given access to a notional account to track these expenditures. The AAFP offers a number of recommendations in response to CMS’ questions on how the agency can refine and implement a DC Geographic PBP model. Only questions for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMMI-DirectContracting-052019.pdf

AAFP Response to HHS on the Draft Benefit and Payment Perimeters for 2020 - February ...

...provided and the fact that the number and complexity of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to affordable medications is an integral part of a family physician’s role as an...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-HHS-NoticeBenefitPaymentParameters2020-021919.pdf

AAFP Response to the CLIA Proficiency Testing Proposed Rule - April 2, 2019

...on waived platforms increases. These waived tests require very little oversight and quality assurance, while impacting the care of large numbers of patients. From a PT provider perspective, it is not the accredited laboratory impacting high quality patient care, but CLIA- waived...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-CDC-Labs-040219.pdf

Joint Principles from the Group of 6 on Addressing the Opioid Epidemic - June 11, 2018

...memberships of the above organizations, we have adopted the following principles to address the opioid crisis impacting a significant number of individuals, families, and communities across the country. The crisis has left few untouched, with an average of 115 Americans dying every...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/ST-Group6-AddressingOpioidEpidemic-061118.pdf

2014 Proposed Medicare Physician Fee Schedule

AAFP Response to the CMS 2014 Proposed Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2104ProposedMPFS-082913.pdf

AAFP Backgrounder: Teaching Health Centers

Background information from the AAFP on Teaching Health Centers..

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-TeachingHealthCenters.pdf

Joint Letter to Sen. Murray and Rep. Pallone Supporting the DOC Act - June 2, 2021

AAFP supports the bill because it would permanently extend and expand the Teaching Health Center Graduate Medical Education (THCGME) program, which has played a vital role in training the next generation of primary care physicians and addressing the physician shortage.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-SenMurrayRepPallone-DOCAct-060221.pdf

Joint Principles from the Group of 6 Protecting the Patient-Physician Relationship - ...

...Medicine. Our organizations, which represent more than 400,000 physicians and medical students, call on policymakers to join us in preserving the patient-physician relationship by ensuring that the practice of medicine is not unduly impeded by government interference. A growing...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/ST-Group6-LegislativeInterference-052318.pdf

Joint Principles: Addressing the Opioid Epidemic - June 11, 2018

...memberships of the above organizations, we have adopted the following principles to address the opioid crisis impacting a significant number of individuals, families, and communities across the country. The crisis has left few untouched, with an average of 115 Americans dying every...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/ST-AddressingOpioidEpidemic-061118.pdf

AAFP Letter with Comments to HHS on the Draft 2018-2022 Strategic Plan

...2018-2022 as published by the U.S. Department of Health and Human Services (HHS) in the September 27, 2017, Federal Register. About Family Medicine Family physicians are dedicated to treating the whole person. These residency-trained, primary care specialists provide a wide variety...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-HHS-Draft2018-2022Framework-101917.pdf

AAFP Letter to the 116th Congress: House Representatives Introducing the AAFP - January...

...legacy fee-for-service system. Furthermore, family physicians believe that the regulatory and administrative oversight of the practice of medicine has devolved from a well-intentioned focus on quality and performance improvement to a practice-level paperwork morass that drives...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/LT-House-116Congress-AAFPIntro-012319.pdf

AAFP Letter to the FDA on the Nicotine Product Standard - May 21, 2018

...States, New England Journal of Medicine, published online March 15, 2018. See also, Tobacco Product Standard for Nicotine Level of Combusted Cigarettes, Advance Notice of Proposed Rulemaking, 83 Fed. Reg. 11818, 11820 (March 16, 2018) (ANPRM). 8 ANPRM, at 11820. 3...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-NicotineProductStandard-052118.pdf

AAFP Comments to DEA on MAT Interim Final Rule - December 23, 2020

AAFP comments on the DEA Medication-Assisted treatment interim final rule.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-DEA-MATFinalRule-122320.pdf

AAFP Executive Summary: 2020 Year End Funding Bill and COVID-19 Emergency Funding Key ...

On Dec. 22, President Trump signed legislation into law which funds the federal government for the remainder of fiscal year 2021 and provides about $900 billion in COVID-19 emergency funding. The bipartisan agreement is the fourth legislative package passed in response to the COVID-19 ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/ES-2020YearEndBillHighlights-122220.pdf

AAFP Letter on the Senates HELP Committee’s Lower Health Care Costs Draft Bill - June ...

...the patients’ deductible. The AAFP supports this policy. We urge the inclusion of policies to reduce hospital admissions by increasing the number of primary care visits for patients with high deductible health plan (HDHPs), defined as any plan with a deductible of at least $1,350...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-Senate-HELPLowerHCCostsAct060519.pdf

AAFP Letter to HHS on Proposed Medicaid and CHIP Managed Care Rule - July 15, 2015

AAFP response to CMS on the Medicaid Managed Care and Children’s Health Insurance Program Programs proposed rule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/chip/LT-CMS-MedicaidCHIP-071515.pdf

AAFP Letter to CMS on the GME Cap - January 16, 2019

...(institution) has five years to establish its Medicare GME funding cap on the number of residency positions, thereby establishing a permanent ceiling for Medicare GME funding. The cap is set at the number of residents at the institution five years after the first resident begins to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-CMS-GMECap-011619.pdf

Joint Statement from the Group of 6 Supporting the Vaccines Act - May 22, 2019

...are safe, effective, and save lives. Yet, measles outbreaks continue to spread across the country, with 880 cases in 24 states, the greatest number of cases reported in the U.S. since 1994 and since the measles was declared eliminated in 2000. Parents want to do what is best for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/ST-G6-VaccinesAct-052219.pdf

Joint Principles from the Group of 6 on rX Pricing - February 6, 2019

...according to a published report on the new study a surprisingly large number of people with diabetes are using less insulin than prescribed because of the rising cost of the drug, putting themselves in danger of serious complications. Those are the findings of a small new...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/ST-Group6-RXPricing-020619.pdf

Joint Letter to CMS on the 2018 MIPS Reporting Period - April 16, 2018

...volume threshold and believe it will assist small practices and physicians who treat a small number of Medicare patients, it may create changes in physicians’ eligibility status. In addition, the recently enacted Bipartisan Budget Act of 2018 modified MACRA to exclude...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018MIPSReportingPeriod-041618.pdf

AAFP Testimony to Senate HELP Committee on Health Care Workforce - May 20, 2021

AAFP’s testimony to the HELP Committee provides policy recommendations to ensure that our nation has a robust primary care workforce that is equipped to address our population health needs and facilitate access to health care, improve patient outcomes, and reduce health care costs.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/debt/TS-SenateHELPCmte-HealthCareWorkforce052021.pdf

AAFP Letter to OMB on Equity RFI - June 23, 2021

The AAFP submitted comments in response to OMB’s request for information on improving equity across the federal government. Comments span topics such as payment models and demonstrations, tobacco regulation, data collection, AI and machine learning, cost barriers, broadband access, ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/LT-OMB-EquityRFI-062321.pdf

AAFP Initial Summary of the 2020 Proposed Medicare Physician Fee Schedule - July 30, 2019

...• Retain 5 levels of coding for established patients; • Reduce the number of levels to 4 for office/outpatient E/M visits for new patients; • Revise the times and medical decision-making process for all office-based E/M codes and require performance of history and exam only as...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/ES-2020MPFS-073019.pdf

AAFP response to the VA proposed rule on the Veterans Community Care Program - March ...

...challenges. Many veterans receive care from family physicians and other primary care physicians outside the VA system because of the limited number of VA health care professionals in their areas. Like the VA system, the private-sector primary care system that these veterans turn to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-VA-ProposedRuleVCCP-032219.pdf

AAFP Letter to President-elect Biden - November 20, 2020

AAFP letter to President-elect Biden outlining priorities important to the future of family medicine.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-PresidentElectBiden-AAFPPriorities-112020.pdf

AAFP Response to CMS on the Part C and D Proposed Rule - January 25, 2019

...in the drug pricing debate, in part because of the complexity of care provided and the fact that the number and complexity of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to affordable...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-CMS-CDOutPocketCost-012519.pdf

AAFP Comments to HHS on Proposed Rule to Automate Prior Authorizations - December 23, 2020

The AAFP is in favor of requirements for payers to automate and respond to prior authorization requests in a timely manner, so we are concerned that this proposal will not have a meaningful impact on reducing administrative burden, since it does not include Medicare Advantage plans or ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-HHS-PriorAuthProposedRule-122320.pdf

Joint Letter Opposing Efforts to Repeal the Individual Mandate - November 14, 2017

...that would stabilize the insurance market, has the potential, to raise health insurance premiums by a projected 20 percent and increase the number of uninsured Americans. ### About the American Academy of Family Physicians Founded in 1947, the AAFP represents 129,000...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ST-IndividualMandateRepeal-SenateTaxReform-111417.pdf

AAFP Testimony to Congress on COVID-19 Long-haul Symptoms - April 27, 2021

AAFP submitted testimony to the Energy and Commerce committee on COVID-19 long-haul symptoms. The AAFP calls on Congress to address workforce shortages, primary care payment, high deductible health plans, coverage, ADA and FMLA compliance, and research.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/TS-Congress-COVID19LongHaulSymptoms-042721.pdf

AAFP Initial Summary of the 2020 Final Medicare Physician Fee Schedule - November 1, 2019

...be $36.0896. Based on CMS’ final rule, there would be no change in total Medicare allowed charges for family medicine in 2020, but total allowed charges for family medicine would increase 12% in 2021. Evaluation and Management In 2019 rulemaking, CMS finalized changes to simplify...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/ES-2020FinalMPFS-110219.pdf

AAFP Comments to DHS on Proposal to Eliminate the H-1B Visa Lottery - December 1, 2020

...Department proposes to grant petitions based on wage level, awarding them first to those with the highest wages. Due to existing caps on the number of H-1B physicians that are accepted, this means that petitioners with lower wage levels will never be selected and it is unlikely that...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-DHS-H1BLotteryProposedRule-120120.pdf

AAFP Response to the HHS Draft Report on Pain Management - April 1, 2019

...While our currently fragmented health care system is not well-prepared to address these interrelated issues, the specialty of family medicine is suited for this task. The AAFP is actively engaged in the national discussion on pain management and opioid misuse. Committed to ensuring...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-HHS-PainManagement-040119.pdf

AAFP Testimony from Dr. Davis to Senate Finance Committee - May 21, 2021

Dr. Kisha Davis’ written testimony to the Senate Finance Committee for a hearing on telehealth and other CMS flexibilities for health care providers made available during the COVID-19 PHE.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/TS-SenateFinanceCmte-DavisTelehealth-051921.pdf

AAFP Letter to House Ways and Means Committee on Racial Equity in Infrastructure ...

The AAFP submitted a letter to members of the Ways and Means committee and co-chairs of the racial equity initiative. The letter details AAFP priorities for expanding broadband access, health insurance coverage, lowering cost of care (like HDHP), bolstering the physician workforce, and ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/LT-WaysMeansCmte-RacialEquityInfrastructureLegislation-072821.pdf

Joint Letter Supporting Preserving Funding for the Military Medical Workforce in the ...

...DoD’s civilian health care assessments did not consistently account for provider quality or account for access to an accurate and adequate number of providers near MTFs. The GAO found that cost-effectiveness assessments were based on a single set of assumptions, where DoD concluded...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-Congress-FY21NDAAProvisions-081420.pdf

AAFP Letter to the FDA on Establishing a Nicotine Standard - June 20, 2018

...Every day, family physicians see the devastating impact that smoking has on our patients. We welcome the FDA’s commitment to reducing the number of Americans who smoke, thereby improving their health. Although most tobacco-related diseases are not caused by nicotine, the addictive...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-NicotineStandards-062018.pdf

AAPF Letter to Ways and Means on Stark Law and MACRA

AAFP response to a request for information from the Senate Finance and House Ways and Means Committees, on the topic of what modifications to the Stark Law are needed for MACRA implementation.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-WaysandMeans-StarkLaw-020516.pdf

Prepared Comments from AAFP President for the CMS Administrator Roundtable on ...

...• Finally, the most alarming statistic may be from a 2016 study published in the Annals of Internal Medicine which found that during a typical day, primary care physicians spend 27 percent of their time on clinical activities and 49 percent on administrative activities. The authors...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/TP-CMSAdminRoundTable-AdminReform-102317.pdf

Joint Principles from the Group of Six on Maternal Mortality - September 16, 2019

...Mental health conditions, including suicide and overdose, are the leading cause of maternal mortality in the postpartum period in a growing number of states.vi,vii Maternal depression, affecting 15-20 percent of new mothers, can also affect infant health.viii As organizations...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/ST-G6-MaternalMortality-091619.pdf

Letter to Congress Regarding Medicaid Payment Increase

The AAFP signed a joint letter expressing strong support for extending the Medicaid primary care payment increase.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/parity/LT-Congress-Medicaid-Payment-Increase-Extenders-120513.pdf

AAFP Comments on 2021 Medicare Physician Fee Schedule - September 28, 2020

...family medicine and primary care. We look forward to working with CMS on designing and implementing policies that support these shared goals through both the Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). Our members are on the frontlines of medicine,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-Response2021MPFSProposedRule-092820.pdf

AAFP Letter Responsing to CMS RFI on Direct Provider Contracting - May 25, 2018

...The AAFP offers a number of recommendations in response to CMS’ questions on how the agency can test and implement a Direct Provider Contracting model for primary care that improves quality and outcomes for beneficiaries, that reduces costs for Federal health programs - and reduces...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-DirectProviderContracting-052518.pdf

AAFP Comments to CMS on MSSP/ACO Proposed Rule - October 15, 2018

...is related to at least two factors-being physician-led and having a strong primary care foundation. A September 2018 New England Journal of Medicine article found that physician-led ACOs generated savings that increased over a three-year study period compared to hospital-led ACOs.2...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-ACO-MSSP-101518.pdf

AAFP Letter to HHS Requesting Information on Drug Prices - July 16, 2018

...in the drug pricing debate, in part because of the complexity of care provided and the fact that the number and complexity of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to medications...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-HHS-DrugPrices-071618.pdf

AAFP Letter to ONC on Information Blocking - June 3, 2019

...Michael L. Munger, MD, FAAFP Board Chair About Family Medicine Family physicians conduct approximately one in five of the total medical office visits in the United States per year-more than any other specialty. Family physicians provide comprehensive, evidence-based, and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-ONC-InfoBlocking060319.pdf

AAFP Letter to DHS on Review of H-1B Visa Lottery Rule - March 3, 2021

As finalized, the final rule eliminating the H-1B lottery would exacerbate physician shortages and negatively impact to care, particularly for under resourced populations. We urge DHS to reverse the final rule.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-DHS-H1BLotteryFinalRuleDelayNotice-030321.pdf

AAFP Letter to House in Response to Cures 2.0 Discussion Draft - July 14, 2021

More than four years after the 21st Century Cures Act was signed into law, Reps. DeGette and Upton released a discussion draft of their proposed Cures 2.0 legislation, setting the stage for negotiations on the legislative package. A number of AAFP priorities are mentioned in the draft ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-House-Cures2.0DiscussionDraft-071421.pdf

Joint Letter to the White House Requesting Final FDA Deeming Regulations - April 28, 2015

Joint letter to President Obama requesting the final FDA deeming regulation

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-Obama-FDADeeming-042815.pdf

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...actuarially based upon the framework of FFS payment. Thus, if current FFS payments are not improved, the current undervaluation of family medicine and primary care payment will result in a similar undervaluation of primary care in evolving primary care APMs. In the long run,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

Amicus Brief: State of California v. Azar - July 8, 2019

...SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE, AND SOCIETY FOR MATERNAL-FETAL MEDICINE IN SUPPORT OF PLAINTIFFS-APPELLEES AND AFFIRMANCE Thomas N. Bulleit Douglas Hallward-Driemeier ROPES and GRAY LLP 2099 Pennsylvania Avenue, NW Washington, DC 20006 (202) 508-4600...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-CaliforniaVAzar-070819.pdf

AAFP Backgrounder: Graduate Medical Education

...AAFP Position To increase the number of family medicine graduates in the United States, the American Academy of Family Physicians (AAFP) is committed to removing significant barriers stifling the growth in family medicine specialty choice among U.S. medical graduates. AAFP policy...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-GME.pdf

AAFP Letter to ACIP Outlining Concerns and Principles for a Future COVID-19 Vaccine - ...

...National Center for Immunization and Respiratory Diseases 1600 Clifton Road NE MS-H24-8 Atlanta, GA 30329 Re: October Meeting, Docket Number CDC-2020-0100 Dear Members of the Advisory Committee, On behalf of the American Academy of Family Physicians (AAFP), which represents more...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-ACIP-COVID19Vaccine-103020.pdf

Joint Letter to the FDA on Compounded Drug Products - August 13, 2019

...on physician practices, threatening patient access to necessary and timely treatments. As you may know, a significant number of physicians across a number of different specialties prepare sterile products in office settings for administration to their patients. In many cases,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-FDA-CompoundedDrugProducts-081319.pdf

AB-OregonVAzar-062519.pdf

...SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE, AND SOCIETY FOR MATERNAL-FETAL MEDICINE IN SUPPORT OF PLAINTIFFS-APPELLEES’ EMERGENCY MOTION FOR RECONSIDERATION EN BANC 1. Pursuant to Rule 29 of the Federal Rules of Appellate Procedure, the American College of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-OregonVAzar-062519.pdf

AAFP Letter Responding to House Ways and Means Committee Rural and Underserved ...

...Higher premiums threaten the viability of some rural hospitals and make it difficult for rural areas to recruit or retain an adequate number and mix of physicians. Through the Federal Tort Claims Act (FTCA), the federal government offers a way for certain rural health centers to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-HouseWM-TaskforceRFIResponse-112619.pdf

AAFP Fact Sheet on the Teaching Health Centers Graduate Medical Education Program

...Increases the number of physicians who serve underserved populations 2 3 Reauthorize the Teaching Health Center Graduate Medical Education (THCGME) Program THCGME residents train in the primary care specialties of family medicine, internal medicine, pediatrics,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/FS-THCGME.pdf

Joint Letter to Congressional Appropriators Requesting Funding for Hospital ...

This letter urges Congressional appropriators to direct $20 million to the CDC Hospitals Promoting Breastfeeding Program.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-Congress-FY22HospitaPromotingBreastfeeding-041921.pdf

AAFP Testimony to Senate Appropriations on FY 2021 - May 20, 2020

...practices. The AAFP recommends that HHS prioritize financial support to primary care physicians - defined as family medicine, pediatrics, general internal medicine and geriatrics - by distributing provider relief funds using the foundation of the previously used model as follows:...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/TS-SenateAppropriations-FY2021-052020.pdf

AAFP Letter Proposing Establishing a Standard Primary Care Benefit - April 26, 2017

...practicing under one or more of the following Physician Specialty Codes: 01 General Practice; 08 Family Medicine; 11 Internal Medicine; 37 Pediatric Medicine; and 38 Geriatric Medicine. o Patients would designate their primary care physician and that physician would be the site...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ES-StandardPrimaryCareBenefit-042617.pdf

AAFP’s Response to COVID-19 Policy Changes - May 31, 2020

...billed under the physician’s provider number as incident to services. For instance, could a physician delegate a virtual check-in to a nurse care manager within the practice and report the service as G2012 under the physician’s provider number if all the necessary incident to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/LT-CMS-IFC1andIFC2-053120.pdf

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