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Physicians Nationwide Voice Concern to Feds on Executive Order: Seniors Must Have Access to Physicians
Posted on: 1/21/2020
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ISMS joined 99 other state and national medical organizations to provide physician input on the Executive Order issued by President Trump on Oct. 3, 2019.

Last month the Centers for Medicare and Medicaid Services (CMS) announced it was seeking physician comments on this proposal.

The organizations are concerned with the far reaching implications of CMS’ recent request for comments specific to Advanced Practice Registered Nurses (APRNs) and Physician Assistants (PAs).

In reviewing recommendations to change Medicare regulations that would weaken or eliminate physician supervision of non-physician health professionals, physicians strongly urge the Administration to rely on fact-based resources, including a thorough review of the education and training of non-physician health professionals – including APRNs and PAs – and the impact on the overall cost and quality of care.

Medicare patients are some of the most medically vulnerable patients in our population. And there is a vast difference in the education and training of physicians and other health professionals.

The Administration is also cautioned against positioning scope of practice as an administrative burden. Doing so obfuscates the very real administrative burdens facing physicians and other healthcare professionals every day.

ISMS also strongly urged CMS to refrain from taking any additional actions that would further undermine scope of practice provisions that provide critical safeguards for the health and safety of Medicare patients.

Questions? Contact Lila Valinoti, ISMS' Assistant Vice President of Health Policy Research and Advocacy, at 312-853-1694 or by email

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