AAPM&R Participates in 2022's Week of Action

Members & Publications


March 1, 2022

AAPM&R is participating in the Week of Action, March 7-11, to 1) spread awareness of the barriers to timely care associated with prior authorization and 2) encourage Congressional action (committee action/additional co-sponsors) on The Improving Seniors’ Timely Access to Care Act of 2021 (HR 3173/ S 3018). We encourage you to participate next week by posting tweets and participating in the grassroots campaign in AAPM&R’s member action center.

Introduced by Reps. Suzan DelBene (D-WA), Mike Kelly (R-PA), Ami Bera, MD, (D-CA) and Larry Buchson, (R-IN) in the House and Sens. Krysten Sinema (D-AZ), John Thune (R-SD) and Sherrod Brown (D-OH), this bipartisan legislation would help protect patients from unnecessary delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program, providing much-needed oversight and transparency of health insurance for America’s seniors. The Improving Seniors’ Timely Access to Care Act of 2021 would:

  • Establish an electronic prior authorization (ePA) program and require MA plans to adopt ePA capabilities;
  • Require the Secretary of Health and Human Services to establish a list of items and services eligible for real-time decisions under an MA ePA program;
  • Standardize and streamline the prior authorization process for routinely approved items and services;
  • Ensure prior authorization requests are reviewed by qualified medical personnel;
  • Increase transparency around MA prior authorization requirements and their use; and
  • Protect beneficiaries from any disruptions in care due to prior authorization requirements as they transition between MA plans.

AAPM&R has been a strong advocate of this bill for the past several years, prioritizing the bill in our 2020 and 2021 Hill Days. AAPM&R helped the bill’s introduction to both the 116th and the current Congresses and helped it gain majority support in the House with more than 250 co-sponsors. Let’s get this bill passed into law! 


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.