AAPM&R Opposes Scope of Practice Reforms in President’s Executive Order

Members & Publications


January 21, 2020

On January 17, 2020, your Academy – along with more than 75 other medical associations – submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) in response to the scope of practice considerations raised in the President’s Executive Order (EO) #13890 on Protecting and Improving Medicare for Our Nation’s Seniors.

The EO mandates Health and Human Services (HHS) to propose several reforms to the Medicare program. These reforms include eliminating supervision and licensure requirements for Medicare professionals, such as Physician Assistants (PAs) and Advanced Practice Registered Nurses (APRNs), that may be more stringent than other applicable federal or state laws and limit such professionals from practicing at the top of their profession.

AAPM&R opposes the directive of the EO and discourages CMS from further weakening the current Medicare supervision requirements of non-physician professionals, which are critical safeguards for patient health and safety.

While AAPM&R considers PAs and APRNs to be a vital part of the caregiving team, we strongly oppose the independent practice of advanced practice providers (APPs) in the provision of rehabilitation care or the broader practice of medicine.

Read the full AAPM&R comment letter.

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.