Legislative and Regulatory News

Congress Approves One-Year SGR Patch to Avoid 24% Physician Payment Cut

In the late evening of March 31st, the U.S. Senate approved legislation the House of Representatives passed on March 27th that enacts the 17th SGR patch to avoid automatic across-the-board physician payment cuts due to the Medicare Sustainable Growth Rate...



Bipartisan, Bicameral Agreement on Policies to Permanently Replace the SGR Formula

A landmark agreement to repeal and replace the Medicare Physician Payment Sustainable Growth Rate (SGR) formula was announced early February by the House and Senate congressional committees with oversight over Medicare physician payment. The bicameral, b...



Congress Continues Work on SGR To Block Cuts and Reform Physician Payments

Congressional action continued throughout December to address the approximate 24% Sustainable Growth Rate (SGR) formula cut to Medicare physician payments that automatically takes effect on January 1 and to permanently repeal the SGR and enact Medicare ph...



US-Guidance For Needle Placement Is Drastically Cut In Physician Fee Schedule Final Rule

The Centers for Medicare and Medicaid Services (CMS) released the final rule for the 2014 Physician Fee Schedule late on Wednesday, November 27. The rule will implement an approximate 24% payment cut for services paid under the fee schedule due to the SGR...



Congress Misses Deadline to Avert Government Shutdown

The temporary government shutdown triggered by the congressional impasse has entered its second week. The House and Senate failed to reach agreement on legislation that would have continued funding for federal programs before the midnight deadline on Sept...



AACE Urges Agencies to Issue Regulations on Coverage for Patient Costs in Clinical Trials

AACE has co-signed a letter with The Endocrine Society and other medical organizations urging the federal government to issue regulations implementing a provision under the Affordable Care Act (ACA) that requires group health plans and health insurance is...



SGR Repeal Bill Advances in the House of Representatives

At the end of July, the House Energy & Commerce Committee unanimously approved H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013, legislation to repeal the SGR formula. H.R. 2810 repeals the SGR formula and provides positive updat...



CMS Releases Proposed Rule on 2014 Medicare Physician Fee Schedule

The proposed rule for the Medicare Physician Fee Schedule for Calendar Year 2014 was released on July 8th by the Centers for Medicare and Medicaid Services (CMS)....



AACE Provides Comments to House Committee on Draft SGR Repeal Legislation

AACE submitted comments to the House Energy & Commerce Committee in response to the Committee’s solicitation for input on draft legislation that repeals the Medicare Sustainable Growth Rate (SGR) formula and transitions into a value-based physician paymen...



AACE Endorses Legislation to Prohibit Implementation of ICD-10

AACE has endorsed the “Cutting Costly Codes Act of 2013” legislation introduced to prohibit the Secretary of Health and Human Services from replacing the current International Classification of Diseases, 9th Revision (ICD-9) with the ICD-10 diagnostic...



Medicare Patient Empowerment Act Re-Introduced

Rep. Tom Price, MD (R-6th-GA) has re-introduced the Medicare Patient Empowerment Act (H.R. 1310)...



National Diabetes Clinical Care Commission Act Introduced in 113th Congress

The National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) was introduced in both the U.S. House of Representatives and the U.S. Senate on Tuesday, March 12th...



HHS Releases Fiscal Year 2014 Budget Request

HHS released their Fiscal Year 2014 budget request, which includes a 10-year freeze in physician payment rates and language strengthening the IPAB...



CMS Issues Clarification on Budget Sequestration

On March 8th, CMS issued the following notice to healthcare professionals, providers and suppliers on the mandatory payment reductions in the Medicare fee-for-service program as a result of budget sequestration...



CMS Final Rule on Sunshine Act Exempts ACCME Accredited CME from Reporting Requirements

On February 1st, CMS released the final rule for the Physician Payment Sunshine Act and exempted indirect payments made to physicians by third parties for ACCME accredited CME activities...



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