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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 CAFM Comments on the FY 2022 IPPS Proposed Rule - June 8, 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-CAFM-CMS-FY2022IPPSProposedRule-060821.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 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 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

Joint Letter to the FDA on Policy for Certain Deemed Products - April 30, 2019

...The Draft Guidance correctly acknowledges the breadth of the current epidemic of e-cigarette use among American teens and attempts to take a number of positive steps to address the crisis. However, the Draft Guidance continues the suspension of statutorily-required premarket public...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-PublicHealthGroupsFDADraftGuidance-043019.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 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 Testimony to Senate Finance on Mental Health - June 25, 2021

The AAFP commented on the importance of mental health care and the role of the Collaborative Care Model, telemedicine, trauma-informed care, adequate payment, tobacco cessation, and addressing inequities.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/medhome/TS-SenateFinance-MentalHealth-062521.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

Amicus Brief: Texas v United States - April 1, 2019

In defense of significant coverage gains and key patient protection provisions of the Affordable Care Act (ACA), the American Medical Association (AMA) and other leading physician organizations today filed an amicus brief in the case of Texas v. United States.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-TexasVUS-040119.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 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

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