![]() Met with multiple House Delegates and a State Senator. Also extends audio only Telehealth reimbursement. Expands originating sites, eligible practitioners, and duration of service without in-office recertification. Telehealth Extension: Extends support through 12/2024. At least 10% of positions to be distributed to rural hospitals, hospitals operating above their cap, hospitals in states with new medical schools, and hospitals that serve health professional shortage areas.Ĭonrad 30 Program: Extends program that allows states to request J-1 visa waivers for foreign born physicians who have completed US residency training programs to work in federally designated shortage and underserved areas. At least half dedicated to psychiatry and psychiatry subspecialty training. Graduate medical education: Beginning 2026, additional 200 Medicare-funded GME residency positions. (PAYGO - Congress must pay for legislative package by either reduction in entitlement spending or increasing revenue). This prevents $38 billion in Medicare cuts 1/2023. PAYGO Sequester: Delayed for two years (end of 2024). House and Senate - no action.īudget Winners: Veterans Administration Behavioral Health Substance Abuse Maternal Fetal Medicine NIH Health Equity, and Biosecurity ![]() Requesting Medicare access/reimbursement for Genetic Counselors (despite possessing Masters or Doctorate degrees and national society certifications, genetic counselors are not reimbursed by Medicare (they are covered by Virginia Medicaid and private insurers). Note, not specifically cardiac legislation. Of note, bill sponsor was House Representative who lost spouse to valvular heart disease at age 39.Ĭongressional advocacy on behalf VCACC constituent - Increasing patient access to careĪccess to Genetic Counselor Services ACT of 2021. Note, currently no screening recommendations included as part of Medicare annual wellness visit or general preventative task force recommendation. Supports valvular heart disease, research and awareness. Funds heart disease research and addresses health equity.Ĭardiovascular Advances in Research and Opportunities Legacy Act. South Asian Heart Health Awareness & Research Act of 2022. Creates federal penalties for knowingly committing violence or intimidation toward healthcare workers, hospitals and offices. Safety from Violence for Healthcare Employees (SAVE ACT) HR 7961/ Senate no bill. Also requested support Gold Card ACT HR 7995 Streamline prior authorization practices. Improving Seniors’ Timely Access to Care Act of 2021. Improving clinician well-being/Increasing patient access to care PAs/NPs and CNS to supervise day-day CR/PR in 2023 rather than 2024 and newly authorize APPs to order/refer pts for cardiac and pulmonary rehab. Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021. Remaining concerns: 1) long term planning for Medicare budget not addressed 2) lack of an annual inflationary factor not addressed and 3) flawed reimbursement formulas such as assigning atrial fibrillation ablation same work value as peripheral vascular intervention remain problematic. Instead of 4.5% reduction physician reimbursement, expected 2% cut 2023, circa 3% 2024. Bill reduced but did not eliminate overall cuts scheduled for 1/2023. ![]() ![]() ![]() Status : Bill held in House Committee then included in 2023 omnibus spending bill (passed 12/2022). Supporting Medicare Providers Act of 2022 HR8800/Senate supporting letterĪddress Medicare cuts. Six bills - 4 died (new Congress), One was altered then incorporated in another bill - now law, one now lawĬongressional advocacy on behalf VCACC constituents (pursued separate from ACC effort). Thank you to participating VCACC members - Annette K Ansong, MD, FACC Ian Burrows, MD Linda Hart, DNP, FACC Christopher M Kramer, MD, FACC Victor Soukoulis, MD, PhD, FACC and Robert C Bernstein, MD, FACC VCACC members met with staff from 8 of 11 Virginia US Representatives and both Senate offices. ![]()
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