AAOS February 20, 2018
Advocacy Now
Bipartisan Budget Deal Addresses Numerous
AAOS Priorities

Mark Your Calendar!
Advocacy at Annual Meeting!

House Subcommittee Discusses Consolidation

President Trump’s Budget Request

Good Samaritan Legislation Passes House Committee

Going to the 2018 Annual Meeting? Attend an ICL on Risk Evaluation and Management Strategies for Prescribing Opioids!

Congress Focuses on Rheumatoid Arthritis Therapies

AMA National Advocacy Conference 2018

ICYMI: AAOS Responds to RFI on Choice and Competition

State Corner: Trump Administration Expanding State Waiver Authorities

Take Action on Physician-Owned Hospital Issue TODAY

What We’re Reading

Political Graphic of the Week

Quality Payment Program Updates

New Resident PAC
One Pager

PAC Participation Leader Board by State

Thank You to Our Current Orthopaedic PAC Advisor’s Circle Members!

AAOS Orthopaedic PAC Online and Mobile Donations

Follow Our New Twitter
Account @AAOSAdvocacy

AAOS Website

AAOS Calendar

House of Representatives Legislative Activities

Senate Legislative Activities

President Trump’s Budget Request

Last week, President Donald Trump unveiled his Fiscal Year (FY) 2019 Budget, which includes proposals affecting defense and non-defense funding for government agencies, tax changes, and funding for social insurance and assistance programs like Social Security, Medicare, and Medicaid. In particular, the proposed 2019 budget requests $68.4 billion for the Department of Health and Human Services (HHS), which is a 21 percent decrease from the 2017 enacted level. According to the White House, the HHS budget makes “thoughtful and strategic investments to protect the health and well-being of the American people, while addressing the opioid crisis, promoting patient-centered healthcare, strengthening services for American Indians and Alaska Natives, encouraging innovation in America’s healthcare future, addressing high drug prices, reforming the Department’s regulations, and generally focusing resources toward proven and effective initiatives.”

DHHS Infographic

While decreases in funding, especially for the National Institutes of Health, are concerning, the proposed budget included a number of AAOS priorities, including:

  • Expansion of Medicare’s site-neutral payment policy
  • Consolidation of graduate medical education (GME) spending in Medicare, Medicaid, and the Children's Hospital GME Payment Program
  • Flexibility re: electronic health records
  • $5 billion in new resources for opioids over the next five years
  • Elimination of arbitrary thresholds and other burdens to encourage participation in Advanced Alternative Payment Models (APMs)
  • Simplification and elimination of reporting burdens for clinicians participating in MIPS
  • Reform of medical liability and Stark law

“The President’s budget makes investments and reforms that are vital to making our health and human services programs work for Americans and to sustaining them for future generations,” stated HHS Secretary Alex Azar. “In particular, it supports our four priorities here at HHS: addressing the opioid crisis, bringing down the high price of prescription drugs, increasing the affordability and accessibility of health insurance, and improving Medicare in ways that push our health system toward paying for value rather than volume.”

The HHS Budget in Brief can be found here - PDF.