December 5, 2022

The Honorable Nancy Pelosi
Speaker
U.S. House of Representatives
Washington, DC 20515

The Honorable Charles Schumer
Majority Leader
U.S. Senate
Washington, DC 20510

The Honorable Kevin McCarthy
Minority Leader
U.S. House of Representatives
Washington, DC 20515

The Honorable Mitch McConnell
Minority Leader
U.S. Senate
Washington, DC 20510

Dear Speaker Pelosi, Majority Leader Schumer, Leader McConnell and Leader McCarthy,
The undersigned organizations, representing over one million physician and non-physician health careclinicians and the patients they serve, strongly urge Congressional action to prevent the entire 4.5%
reduction to Medicare payment rates from being implemented on January 1, 2023. This desperately
needed relief will help provide financial stability for practices until permanent payment reforms are
established.
On top of this nearly 4.5% Medicare Physician Fee Schedule (MPFS) payment cut, medical practices
throughout the country are experiencing significant inflationary pressures. Since the MPFS is the only
payment system within Medicare lacking an annual inflationary update, clinicians, many of whom aresmall business owners, contend with a wide range of shifting economic factors — such as staff salaries,
building rent, and purchase of essential technology — when determining their ability to provide care toMedicare beneficiaries.
We cannot overstate the importance of Congress stopping the entirety of the upcoming 4.5% reduction.
Anything less will result in an across-the-board cut that will further exacerbate the significant financial
hardship clinicians are already facing and undermine Medicare’s ability to deliver on its promises toseniors and future generations.
Thank you for your consideration.
Sincerely,

Academy of Nutrition and Dietetics
Advion (Formerly known as the National Association for the Support of Long Term Care (NASL))
Alliance for Physical Therapy Quality and Innovation
Alliance for Recovery Care
Alliance of Specialty Medicine
Alliance of Woundcare Stakeholders
Ambulatory Surgery Center Association

American Academy of Allergy, Asthma & Immunology
American Academy of Audiology
American Academy of Dermatology Association
American Academy of Facial Plastic and Reconstructive Surgery
American Academy of Family Physicians
American Academy of Hospice and Palliative Medicine
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Oral and Maxillofacial Radiology
American Academy of Orthopaedic Surgeons
American Academy of Otolaryngology-Head and Neck Surgery
American Academy of Physical Medicine and Rehabilitation
American Association of Hip & Knee Surgeons
American Association of Neurological Surgeons
American Association of Nurse Anesthesiology
American Association of Oral and Maxillofacial Surgeons
American Association of Post-Acute Care Nursing
American Chiropractic Association
American College of Cardiology
American College of Emergency Physicians
American College of Gastroenterology
American College of Mohs Surgery
American College of Obstetricians and Gynecologists
American College of Osteopathic Family Physicians
American College of Osteopathic Internists
American College of Physicians
American College of Radiation Oncology
American College of Radiology
American College of Rheumatology
American College of Surgeons

American Gastroenterological Association
American Health Care Association
American Medical Association
American Medical Group Association
American Occupational Therapy Association
American Optometric Association
American Orthopaedic Foot & Ankle Society
American Osteopathic Association
American Physical Therapy Association
American Podiatric Medical Association
American Psychiatric Association
American Psychological Association Services, Inc
American Society for Dermatologic Surgery
American Society for Gastrointestinal Endoscopy
American Society for Radiation Oncology
American Society for Surgery of the Hand
American Society of Anesthesiologists
American Society of Breast Surgeons
American Society of Cataract and Refractive Surgery
American Society of Colon & Rectal Surgeons
American Society of Diagnostic and Interventional Nephrology
American Society of Echocardiography
American Society of Hand Therapists
American Society of Nephrology
American Society of Neuroradiology
American Society of Nuclear Cardiology
American Society of Retina Specialists
American Society of Transplant Surgeons
American Speech-Language-Hearing Association
American Urogynecologic Society

Association for Clinical Oncology
Association for Freestanding Radiation Oncology Centers
Association for Quality Imaging
Association of American Medical Colleges
Association of Black Cardiologists
Association of Diabetes Care & Education Specialists
Association of Pathology Chairs
Association of Women in Rheumatology
Brain Injury Association of AmericaCardioVascular Coalition
Clinical Social Work Association
Coalition of State Rheumatology Organizations
College of American Pathologists
Congress of Neurological Surgeons
Dialysis Vascular Access Coalition
Digestive Health Physicians Association
Emergency Department Practice Management Association
Heart Failure Society of America
Infectious Diseases Society of America
Infusion Providers Alliance
Large Urology Group Practice Association
Medical Group Management Association
National Association of Rehabilitation Providers and Agencies
National Association of Spine Specialists
Outpatient Endovascular and Interventional Society
Private Practice Section of the American Physical Therapy Association
Radiology Business Management Association
Renal Physicians Association
Society for Cardiovascular Angiography and Interventions
Society for Vascular Surgery

Society of Interventional Radiology
Society of NeuroInterventional Surgery
The US Oncology Network
United Specialists for Patient Access