AACU News & Notes
Meet with Your Legislator This August
posted: August 2, 2019
For the next five weeks, members of Congress will be in their home districts for their annual “district work period”, which is our opportunity to schedule meetings with them to discuss our legislative priorities (see below).
You can take advantage of this district work period by scheduling a district meeting or hosting a facility tour for your elected officials. For more information on how to set up a district meeting or host a facility tour, visit our Advocacy Resources page.
Elected officials have a limited understanding of how healthcare policies impact physicians like you. They are even less familiar with the regulatory and administrative challenges you face while trying to provide high-quality care to your patients. A meeting or facility tour is a great way to educate policymakers about the practice of urology and the impact of federal legislation on health outcomes.
Contact Yehuda Sugarman if you would like assistance scheduling a district meeting or hosting a facility tour for your elected official.
AACU Advocacy Priorities
Require Physician Input in USPSTF Decisions
The USPSTF Transparency and Accountability Act (H.R. 3534) would require the U.S. Preventive Services Task Force to create processes that allow for more specialist input before they release recommendations dictating what preventive services many health plans must provide without cost sharing.
Support IDR Backstop & PBM Transparency in Surprise Billing Legislation
The No Surprises Act (H.R. 3630) passed a key House committee with a provision that creates an independent dispute resolution (IDR) mechanism to resolve disputes over payments between insurers and providers when out-of-network claims exceed $1,250. This provision must be included in the final House bill as well as the companion bill in the Senate.
The Lower Health Care Costs Act (S. 1895) contains provisions on surprise billing as well as pharmaceutical pricing. The bill calls for more transparency to PBM revenues and requires PBMs to pass on 100% of any rebates or discounts to the plan sponsor.
Mitigate the Burden of Prior Authorization
The Improving Seniors’ Timely Access to Care Act (H.R. 3107) would require CMS to regulate the use of prior authorization (PA) in Medicare Advantage plans. The bill would create an electronic PA process that allows for real-time decisions on services that are routinely approved. It would also require plans to report to CMS on how extensively they use prior authorization, as well as how often they approve or deny medications and services.