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The voices of individual physicians and physician assistants are crucial in informing the decisions made at the state and federal levels.

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The expertise, experience, and perspective of physicians and physician assistants practicing in Washington is crucial to helping to inform our advocacy on your behalf. And, it's often crucial in helping to inform legislators' decision-making on policy being debated at the state and federal levels.

On this page, we'll highlight some of WSMA's top advocacy priorities where lawmakers need to hear from physicians and PAs directly.


Take Action to Prevent Looming Medicare Cuts

Congressional Reps. Ami Bera, MD (D-CA) and Larry Bucshon, MD (R-IN) recently circulated a “Dear Colleague” letter highlighting the financial uncertainty within the Medicare payment system and the dangers facing the physician community if Congress fails to enact legislation to address these problems.

We need you to ask your representative to sign-on today.

In what amounts to a “perfect storm” of payment cuts going into effect on Jan. 1, physician practices face the following stack of Medicare financial hits:

  • Expiration of the current reprieve from the repeatedly extended 2% sequester stemming from the Budget Control Act of 2011. Congress originally scheduled this policy to sunset in 2021 but it will now continue into 2030.
  • Imposition of a 4% Statutory PAYGO sequester resulting from passage of the American Rescue Plan Act. Should lawmakers fail to act, it will mark the first time that Congress has failed to waive Statutory PAYGO.
  • Expiration of the Congressionally enacted 3.75% temporary increase in the Medicare physician fee schedule (PFS) conversion factor to avoid payment cuts associated with budget neutrality adjustments tied to PFS policy changes.
  • A statutory freeze in annual Medicare PFS updates under the Medicare Access and CHIP Reauthorization Act (MACRA) that is scheduled to last until 2026, when updates resume at a rate of 0.25% a year indefinitely, a figure well below the rate of medical or consumer price index inflation.

This would result in a combined 9.75% payment cut on Jan. 1. And all of this comes at a time when physician practices are still recovering from the emotional and financial impact of the COVID-19 public health emergency. It’s time to give our nation’s physicians the peace of mind they deserve as they continue to fight on the front lines of the COVID-19 pandemic without having to worry if their practices will survive these potentially catastrophic cuts.

A strong collection of bipartisan cosigners will help demonstrate to House and Senate leadership that this confluence of payment cuts needs to be addressed via legislation before the end of 2021. Please contact your Representative today and urge them to show their support by signing on to Reps. Bera and Bucshon’s Dear Colleague letter.


Take WSMA Advocacy Survey to Inform Legislative Priorities

The WSMA is preparing our legislative agenda for the 2022 legislative session and beyond. As a member-driven association, it's important that we receive input from our physician and physician assistant members on the issue areas that are important to their ability to practice medicine and run their practices. Your feedback in our 2021 WSMA Advocacy Survey will help to guide your WSMA in identifying top legislative priorities and emerging issues. We appreciate you taking a few minutes of your time to share your thoughts.

Take the survey
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