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As we [American Psychological Association Practice Organization] reported last week, the situation on Capitol Hill has once again shifted dramatically with the failure of the Joint Select Committee on Deficit Reduction to reach agreement on $1.2 trillion in debt savings. Legislative leaders have begun to discuss options to address critical, time-sensitive issues by the end of the year, including the expiration of unemployment benefits, the Alternative Minimum Tax patch, tax extenders and Medicare extenders.

As you know, the APA Practice Organization has been hard at work on Capitol Hill to avert steep cuts to Medicare reimbursement for psychologists. The Joint Select Committee on Deficit Reduction, which faces a November 23 deadline to identify at least $1.2 trillion in debt savings, has clearly indicated that the future of Medicare is on the table.

The American College of Physicians (ACP) today told the 112th Congress to “go big” by reforming Medicare payments, including enacting a permanent end to scheduled Medicare sustainable growth rate (SGR) physician payment cuts. The urgent need for Congress to act was demonstrated by today’s release of a Medicare final rule, announcing a 27.4 percent across-the-board cut in Medicare payments to doctors on January 1, 2012.

The United States Congress will soon be facing another budget showdown as their sixth continuing resolution expires on April 8, 2011. While the entire government has been without permanent appropriations for nearly six months, the House Republicans and Senate Democrats continue to remain far apart on resolving the fiscal year (FY) 2011 budget.

A new policy research brief released today by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at The George Washington University School of Public Health and Health Services evaluates the consequences of the proposed reductions in federal health center funding for access and cost savings. Check the end of this report for a link to download the full length brief.

I am pleased to inform you that key allies in the Senate and House have introduced legislation to include psychologists in the Medicare “physician” definition. We are extremely grateful for the leadership of Senators Olympia Snowe (R-ME) and Jeff Bingaman (D-NM), who sit on the Finance Committee and have sponsored S. 483, and Congresswoman Janice Schakowsky (D-IL), who serves on the Energy & Commerce Committee and has taken the lead on H.R. 831.

A new policy research brief released today by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at The George Washington University School of Public Health and Health Services examines the characteristics of patients whose access to health center services is at risk because of a potential $1.3 billion in direct spending cuts for community health centers. Check the end of this report for a link to download the original research brief.

The American College of Physicians (ACP) today told leaders of the House of Representatives that ACP understands the serious financial constraints on the federal budget at this time and supports bipartisan efforts to reduce funding for discretionary programs that do not achieve sufficient value, but firmly believes that Congress must continue on a path towards reversing an unprecedented shortage of primary care physicians in this country. Check the end of this report for a download link to review the original letter sent to Congress.