AACN's Washington Weekly

Published August 07, 2019

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Physician Fee Schedule Proposed Rule Released

The Centers for Medicare & Medicaid (CMS) have released the Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020. The proposed fee schedule aims to reduce administrative burden, remove unnecessary measures, and pave the path forward toward value-based care. 

Part of the proposed fee schedule includes a rule under Review and Verification of Medical Record Documentation (section II.J.) that would allow APRNs and PAs to review and verify – rather than redocument – notes made in the medical record by students. The rule specifically mentions the significant stakeholder involvement from AACN and other groups as a driving force behind their action. This is a huge win and highlights the significant impact that AACN and AACN members’ letters and comments can have on federal policy. 

AACN will be submitting written comments in response to CMS to ensure this and other vital rules remain included in the final package. Read the Physician Fee Schedule proposed rule and fact sheet.

Bipartisan Budget Act Signed into Law

On August 2, President Trump signed H.R. 3877, the Bipartisan Budget Act of 2019 into law. This agreement includes a two-year budget deal, suspends the debt ceiling until mid-2021, and waives the budget caps, which effectively puts an end to sequestration. With this deal officially signed into law, Congress can finalize top-line funding levels and work to pass appropriations bills before the September 30th deadline. AACN continues to monitor the Senate and the appropriation process to ensure that vital programs, such as Title VIII Nursing Workforce Development Programs and the National Institute of Nursing Research, are fully funded in Fiscal Year 2020.