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The AOA is working on your behalf every day, but you are the\nbest advocate for the osteopathic profession and your elected officials must\nhear from you.

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Advocate on behalf of\nyour profession and patients by staying up to date on policy developments and\ngetting involved in your community. Join the OAN today!

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With help\nfrom the members of the OAN, the AOA Public Policy team has created online\ndigital sheets to help identify and track legislation of importance to our\nmembers at the state and federal level. The digital sheets are updated\nregularly with newly sponsored legislation, and will automatically update\nwhenever there is movement. The sheets also contains upcoming hearing dates and\nadditional information of importance. Click\nthe links below to view the status of current legislation and the information\nwe are tracking.

\n\n

State Legislation Tracking Sheet - healthcare legislation with upcoming hearing dates.
Federal Legislation Tracking Sheet - All federal healthcare related legislation.

AOA Federal and State Issue Priorities

Don't forget to download the latest edition of our federal and state priorities document. These documents help guide our legislative and advocacy efforts in fighting for commonsense health policy.

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Do you need assistance with advocacy and grassroots support on state legislation? The AOA Department of Public Policy is here to help. With your guidance and support, the AOA will craft grassroots campaigns for your members to engage in advocacy by sending lawmakers a pre-written email encouraging them to act. Below are the steps to take in order to have us assist you with your advocacy efforts:

Reach out to Sean Neal at sneal@osteopathic.org with information about the bill
We will then craft an email from your leadership along with a pre-written grassroots campaign for your members to send an email to their state lawmakers
After email and grassroots campaign have been crafted, we will then send your way for edits and approval
Once approved, the email and grassroots campaign will be sent to your members in your state
We will inform you of the progress and statistics of the campaign upon request

The AOA is working hard\non your behalf every day, but you are the best advocate and voice for the\nosteopathic profession. Your elected officials must hear directly from you.\nYour valuable experience and knowledge will help guide lawmakers when they\ncraft impactful legislation that affects you, your patients and the profession.\nBelow is the list of current active AOA grassroots campaigns. Please click on\nthe campaign links below to take action today.

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Click on any of the past DO Engage Newsletter links below to read.

Thank you for visiting our Advocacy Action Center! Please review the alerts below and to take action on grassroots initiatives that are important to the osteopathic profession.

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2021 State Letters

January

\n\n

01.21.21 - AOA Letter on VA HB 2039 PA Independent\nPractice to VA State Health, Welfare and Institutions

\n\n

01.26.21 - AOA\nLetter on MD HB 123 Telehealth to MD State House and Govt Operations Comm.

\n\n

01.26.21 - AOA Letter on MD SB 210\nCOVID Liability Protections to MD State Senate Judicial Proceedings Comm.
\n 01.28.21 - AOA Letter on MD HB 25\nLiability Protections to MD State House Judicial Comm.
\n 01.28.21 - AOA Letter on MD HB 508\nCOVID Liability Protections to MD State House Judiciary Comm.
\n 01.28.21 - AOA Letter on MD SB 311\nLiability Protections to MD State Senate Judicial Proceedings Comm.
\n 01.28.21 - AOA Letter on WA SB 5246\nMedicaid Payment to WA State Senate Comm on Health and Long Term Care.

\n\n

\nFebruary
\n02.04.21 - AOA Letter on MD HB 219\nNaturopaths to MD State House & Govt Operations Comm.
\n 02.24.21 - AOA Letter on IL HB 3360\nPrejudgment Interest to Office of the Governor.

\n\n

\nMarch
\n 03.23.21 - AOA Letter on TX HB 2029\nAPRN to TX State House Public Health Comm.

\n\n

\nApril
\n04.07.21 - AOA Letter on NC HB 277\nAPRN J to NC State House Comm on Rules, Calendar and Operations of the House.
\n 04.07.21 - AOA Letter on NC SB 249\nAPRN J to NC State Senate Comm on Rules, Calendar and Operations of the House.
\n 04.16.21 - AOA Letter on LA HB 495\nAPRN J to LA State House Health and Welfare Comm.
\n 04.22.21 - AOA Letter on MI Senate\nSub 247 Prior Auth J to MI State Senate Health Policy and Human Services Comm.
\n 04.28.21 - AOA Letter on CA Board of\nRegistered Nursing to CA Board of Registered Nursing.
\n 04.29.21 - AOA Letter on ME LD 1419\nCOVID Liability to MN State Comm on Judiciary.

\n\n

\nMay
\n05.12.21 - AOA Letter on CA Board of\nRegistered Nursing to CA Board of Registered Nursing.
\n 05.17.21 - AOA Letter on SB 3056A NP\nto NY State Senator.
\n 05.18.21 - AOA Summary on US\nOsteopathic licensure.

\n\n

\nJune
\n06.16.21 - AOA Letter on MI HB 4359\nto Office of the Governor.

2021 Federal Letters

February

02.01.21 - AOA Letter on 2021 MPFS IFC to CMS

02.21.21 - AOA Letter on National Strategy for COVID-19 to President Joseph R. Biden, Jr.

02.23.21 - AOA Letter on the American Rescue Plan to Congressional Leaders

March

03.01.21 - AOA Sign-on Letter on Presidential EOs to President Joseph R. Biden, Jr.

03.16.21 - AOA Sign-on Letter on Medicare Sequester COVID Moratorium Act to Congressional Leaders

May

05.02.21 - AOA Letter on AHRQ Clinical Algorithms RFI to Agency for Healthcare Research and Quality

05.04.21 - AOA Letter on AHRQ Clinical Algorithms RFI to Congressional Leaders

05.04.21 - AOA ACOI Comment Letter on AHRQ Clinical Algorithms RFI to Congressional Leaders

05.06.21 - AOA Letter on HIPAA NPRM to Robinsue Frohboese, HHS

05.10.21 - AOA Sign-on Letter on Workplace Violence Prevention for Health Care and Social Service Workers Act to Congressional Leaders

05.12.21 - AOA IOMA Letter on Eliminating the Provider Relief Fund Tax Penalties Act to House Rep. Cynthia Axne

05.12.21 - AOA POMA Letter on Eliminating the Provider Relief Fund Tax Penalties Act to House Rep. Brian Fitzpatrick

05.25.21 - AOA and Osteopathic Associations on Statement for the Record on S610

June

06.28.21 - AOA Letter on IPPS PR FY22 to Congressional Leaders

July

07.14.21 - AOA Letter of Support on Rural Physician Workforce Production Act

07.14.21 - AOA Letter of Support on Chronic Disease Management Act

07.29.21 - AOA & Affiliate Letter on Federal Supremacy Project to VA

07.30.21 - AOA Response to HELP and EC RFI - Public Option

August

08.11.21 - AOA Letter of Support - Ensuring Access to Primary Care for Women and Children Act

08.11.21 - AOA Letter of Support - Resident Physician Shortage Reduction Act

September

09.03.21 - AOA Comments and Recommendations on Budget Reconciliation - Senate Finance and House Ways & Means

09.03.21 - AOA Comments and Recommendations on Budget Reconciliation - Senate HELP and House Energy & Commerce

09.07.21 - AOA Comments on the No Surprises Act

09.13.21 - AOA Comments on Medicare Program, CY 2022 Payment Policies under the Physician Fee Schedule

09.20.21 - AOA Letter of Opposition to Rep. Higgins on Chiropractic Medicare Coverage Modernization Act

09.28.21 - AOA Letter of Opposition to Ways and Means on Chiropractic Medicare Coverage Modernization Act

October

10.06.21 - AOA and WOMA Letter of Opposition to the Chiropractic Medicare Coverage Modernization Act

10.26.21 - AOA and Osteopathic Affiliate Statement for the Record on H.R. 1667, the Dr. Lorna Breen Health Care Provider Protection Act

November

11.01.21 - AOA Response Letter to Senate Finance Committee RFI on Mental Health in the U.S.

December

2022 FEDERAL PRIORITIES

SUPPORTING PHYSICIANS AND THEIR ABILITY TO CARE FOR PATIENTS: Support enactment of legislation that addresses physician burnout and wellness, and funds programs that support treatment and address suicide, substance use disorders, and mental health risk in the healthcare workforce.

Support policies that strengthen the financial stability of independent physician practices.

STRENGTHENING THE PHYSICIAN WORKFORCE WHERE IT IS NEEDED MOST: Support enactment of legislation that increases the physician workforce through expanded student loan repayment programs and increased graduate medical education funding. This includes programs that facilitate the expansion of the physician workforce in rural and underserved communities, as well as in medical specialties of need.

Educate Congress on the importance of supporting physician-led care in all communities, and how federal public health programs improve physician shortages in underserved rural and urban communities.

ACCESS AND AFFORDABILITY: Promote patient choice and network adequacy to ensure patients have timely access to covered services, including specialty and subspecialty services, as well as parity for coverage and payment for mental health services.

Support enactment of legislation that alleviates arbitrary burdens in step therapy and prior authorization to improve patients\u2019 access to prescription drugs and physician services.

Support enactment of legislation that expands access to services and prescription drugs that treat substance use disorder and manage chronic conditions.

Support enactment of legislation that promotes non-pharmacological pain management modalities, such as osteopathic manipulative treatment (OMT), funds research, and promotes greater access to substance use disorder treatment.

REGULATORY REFORM: Support policies that address systemic issues and improve payment adequacy for medical services, reduce administrative burden, eliminate barriers to coverage and care, and strengthen the patient-physician relationship.

Support value-based arrangements that provide adequate reimbursement and greater flexibility in service delivery, particularly for physicians in solo and small group practices.

Support health information technology (HIT) policies that promote interoperability, reduce physician burden through improved data sharing and exchange capabilities, and make care delivery more efficient and seamless across the healthcare spectrum.

PUBLIC HEALTH: Promote policies that reduce health disparities across ethnic, racial, geographic, socioeconomic, and other underserved populations, and address differences in disease burden and health outcomes.

Support policies that increase awareness and utilization of evidence-based vaccine guidelines for adults and pediatrics, address vaccine hesitancy, expand patient and physician education, and ensure adequate payment for the administration of vaccines.

Support policies and programs that reduce nicotine and tobacco use in any form, promote cessation in all populations, and support physician-led interventions.

Support the public health workforce and robust coordination among federal, state, and local health departments.

FY 2023 FEDERAL FUNDING PRIORITIES: Support funding to strengthen our public health infrastructure and workforce, improve pandemic preparedness and response, and facilitate greater support for osteopathic physician-researchers and osteopathic institutions.

Download a Copy

2022 STATE PRIORITIES

SCOPE OF PRACTICE & NEW LICENSURE TYPES: Support legislation that promotes the physician-led, team-based model of health care delivery, which values each member of the patient care team while protecting patient safety through appropriate physician involvement.

Support uniform, evidence-based licensure pathways for physicians, as well as non-physician clinicians, based upon scope of practice.

OSTEOPATHIC EQUIVALENCY AND RECOGNITION: Ensure that legislation appropriately recognizes osteopathic physicians (DOs), postdoctoral trainees and students, as well as osteopathic examinations and board certifications, as equivalent to their allopathic counterparts.

Educate legislators about currently accepted osteopathic terminology and the distinctive philosophy and practice of osteopathic medicine, including osteopathic manipulative treatment (OMT). Support DO licensure and regulation by osteopathic medical boards in dual board states.

TRUTH IN ADVERTISING: Support legislation that requires all health care providers to affirmatively communicate their degrees and licensure type to patients, in order to help reduce patient confusion and protect patient safety by preventing fraud and deceptive practices. Support patients\u2019 ability to make informed decisions about who provides their care by opposing advertisements of physician board certification unless the board possesses legitimate training and testing requirements.

PUBLIC HEALTH: Work to increase public awareness and implement evidence-based recommendations and best practices related to public health issues, including firearm safety, tobacco products and electronic nicotine delivery systems, and vaccine-preventable diseases.

Support funding to strengthen our public health care infrastructure and workforce, reduce health care disparities and establish a robust, well-coordinated, national strategy to combat future public health emergencies that integrates national, state and local public health departments.

PHYSICIAN WORKFORCE: Support enactment of legislation that increases the physician workforce by increasing funding for graduate medical education and expanding financial incentives to facilitate physicians\u2019 ability to care for patients in rural and underserved communities.

TELEMEDICINE: Support the delivery of appropriate health care services, including the prescription of controlled substances, through telemedicine and other communications-based technologies. Advocate for payment parity between these services and similar services delivered in-person.

PRESCRIPTION DRUG MISUSE, ABUSE AND DIVERSION: Support evidence-based approach that balances the need to curb prescription drug misuse while ensuring access to timely, appropriate health care for patients with legitimate pain care needs. Support legislation that promotes non-pharmacological pain management modalities, such as osteopathic manipulative treatment (OMT), and provides funding for research and treatment.

ACCESS AND AFFORDABILITY: Support legislation that enhances access to timely, affordable, high-quality care for all patients.

This includes:

Supporting network adequacy and transparency standards for insurers, as well as physicians\u2019 rights to voluntarily contract with insurers and establish their own out-of-network rates, which enable them to maintain viable practices.
Supporting legislation to stabilize state health insurance exchanges and expand Medicaid as authorized under the Affordable Care Act, while opposing policies that erode benefits, eligibility, or coverage.
Supporting access to affordable prescription drugs, including by regulating Pharmacy Benefit Managers.
Supporting enactment of legislation that alleviates arbitrary burdens in step therapy and prior authorization to improve patients\u2019 access to needed prescription drugs and physician services.
Opposing any legislation that would interfere with the physician-patient relationship and physicians\u2019 ability to provide evidence-based information and care to their patients.

INTERSTATE MEDICAL LICENSURE COMPACT (COMPACT): Support enactment of the Compact, which enhances physician license portability and increases patient access to care.

Download a Copy

Support legislation that enhances access to timely, affordable, high-quality care for all patients.

This includes:

Supporting network adequacy and transparency standards for insurers, as well as physicians\u2019 rights to voluntarily contract with insurers and establish their own out-of-network rates, which enable them to maintain viable practices.
Supporting legislation to stabilize state health insurance exchanges and expand Medicaid as authorized under the Affordable Care Act, while opposing policies that erode benefits, eligibility, or coverage.
Supporting access to affordable prescription drugs, including by regulating Pharmacy Benefit Managers.
Supporting enactment of legislation that alleviates arbitrary burdens in step therapy and prior authorization to improve patients\u2019 access to needed prescription drugs and physician services.
Oppose any legislation that would interfere with the physician-patient relationship and physicians\u2019 ability to provide evidence-based information and care to their patients.

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Support enactment of legislation that addresses physician burnout and wellness, and funds programs that support treatment and address suicide, substance use disorders, and mental health risk in the health care workforce.

Support policies that strengthen the financial stability of independent physician practices and assist in providing telehealth services to preserve patient access to high-quality physician-led care in all communities.

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Support legislation that promotes non-pharmacological pain management modalities, such as osteopathic manipulative treatment (OMT), and provides funding for research and treatment.", "cardLinkType": 1}, "1": {"title": "Access & Affordability", "imageUrl": "https://quorum-media.s3.amazonaws.com/media/uploaded_files/2021-05-26/acdfdc0b2e94b15a36caa0b1e03857dd/5dqm9UaV2WHum2u7AVkL_GettyImages-1226354571.jpg", "buttonUrl": "https://osteopathic.quorum.us/access&affordability/?", "buttonText": "Read More", "description": "Support legislation that enhances access to timely, affordable, high-quality care for all patients. This includes: ", "cardLinkType": 3}, "2": {"title": "Interstate Medical Licensure Compact", "imageUrl": "https://quorum-media.s3.amazonaws.com/media/uploaded_files/2021-05-26/acdfdc0b2e94b15a36caa0b1e03857dd/V4uHethMw17B2kFT8Dpm_GettyImages-693837528.jpg", "description": "Support enactment of the Compact, which enhances physician license portability and increases patient access to care.", "cardLinkType": 1}}, "layout": 3, "cardColor": "#336195", "useCardColor": true, "useBackgroundColor": false}, "widgetType": 21}], "requires_login": false, "widget_layout_type": 8, "custom_javascript": "", "custom_css": "", "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}, {"id": 3538, "archived": false, "name": "Active Campaigns", "action_center": 933, "path": "/Campaigns/", "title": "", "page_restriction_type": 1, "widgets": [{"props": {"title": "Active Campaigns"}, "widgetType": 101}], "requires_login": false, "widget_layout_type": 1, "custom_javascript": "", "custom_css": "", "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}, {"id": 3433, "archived": false, "name": "Osteopathic Advocacy Network (OAN) Signup", "action_center": 933, "path": "/OAN/", "title": "", "page_restriction_type": 1, "widgets": [{"props": {"id": 231}, "widgetType": 9}], "requires_login": false, "widget_layout_type": 1, "custom_javascript": "", "custom_css": "", "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}, {"id": 1393, "archived": false, "name": "Grassroots Stats", "action_center": 933, "path": "/stats/", "title": "", "page_restriction_type": 1, "widgets": [{"props": {"title": "See how you compare! Grassroots stats for AOA members are below:", "content": ""}, "widgetType": 4}], "requires_login": false, "widget_layout_type": 1, "custom_javascript": null, "custom_css": null, "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}, {"id": 1550, "archived": false, "name": "Stop Surprise Billing", "action_center": 933, "path": "/SurpriseBilling/", "title": "", "page_restriction_type": 1, "widgets": [{"props": {"title": "TAKE ACTION", "content": "

As an osteopathic physician, you know the burden that surprise billing can place on both your patients and physicians. Patients should have access to high-quality physician-led care where they live and should not have to suffer additional financial burdens when dealing with out-of-network charges for emergency services. We need to find a solution to this issue that protects patients from this process but also does not penalize physicians.

Michigan's lawmakers recently introduced H.B. 4459 and 4460 and S.B. 570 and 572 which attempts to shield patients from these billing disputes, but leaves you, the physician, without an appeals process. As currently proposed it would still not be fair to all parties. Write your state Representative today and ask them to oppose H.B. 4459 and 4460 and S.B. 570 and 572 and pass surprise billing legislation that in addition to protecting patients, includes the following recommendations:

1) Incorporate actual billed charges, as determined through an independent claims database, when calculating out-of-network payments to physicians.

2) Establish an appeals process when disputes arise between physicians and insurers.

3) Strengthen health insurance network adequacy standards.

Michigan's lawmakers are working on this issue right now, but without hearing from you they may pass legislation that is not fair to all parties. Write the local media outlet today and ask them to hold the state lawmakers accountable. "}, "widgetType": 4}, {"props": {"title": "Important Message from the President", "content": "https://www.youtube.com/watch?v=50KSflPufTY&feature=emb_title"}, "widgetType": 11}, {"props": {"title": "We need you to take action!", "content": "Take action here!"}, "widgetType": 101}], "requires_login": false, "widget_layout_type": 6, "custom_javascript": null, "custom_css": null, "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}, {"id": 116, "archived": false, "name": "Grassroots", "action_center": 933, "path": "/Grassroots/", "title": "", "page_restriction_type": 1, "widgets": [{"props": {"title": "", "content": "https://www.youtube.com/watch?v=zwqgOILMwy8"}, "widgetType": 11}, {"props": {"id": 231, "content": ""}, "widgetType": 9}], "requires_login": false, "widget_layout_type": 2, "custom_javascript": "", "custom_css": "", "disclaimer_text": "", "use_page_region": false, "can_access": true, "cannot_access_message": null}]