Hydrofracking Moratorium

Graduate Medical Education and moratorium

From Inside OME July/August 2008 – Vol. 2, No. 7/8 Legislative Updates

(Aug. 4, 2008) Congress and the President responded to urging by AACOM and other members of the health community to implement a moratorium on regulations that would eliminate $1.78 billion in Medicaid funding for graduate medical education. AACOM member colleges contacted their representatives in the House regarding the moratorium. The colleges urged them to ask House Speaker Nancy Pelosi and House Appropriations Committee Chairman David Obey to include the moratorium on the proposed Medicaid regulations in the emergency supplemental spending bill. By signing the FY 2008 Supplemental Appropriations Act into law, the President delayed implementation of these detrimental regulations until April 2009, when a new administration will be in office.

The Centers for Medicare and Medicaid Services had proposed rules that would have limited how Medicaid funding could be used. By prohibiting this regulatory action, Medicaid funds will continue to support teaching hospitals charged with training new physicians. The legislation also places a moratorium on other regulatory actions that would have cut Medicaid funding for safety net providers. The only proposed rule that was not included in the moratorium would narrowly define hospital outpatient services.

Senate Passes Rural Health Care Legislation

The Senate passed the Health Care Safety Net Act of 2009 (S. 901) by unanimous consent, reauthorizing three programs that provide healthcare services for rural and underserved areas. Introduced by Senator Edward Kennedy, this legislation authorizes $12.9 billion through 2012 for Community Health Centers, the National Health Service Corps and rural health care outreach services.

This legislation will ensure that rural and underserved areas continue to receive much-needed healthcare services. The National Health Service Corps program united communities in need with health care professionals, some of whom may be placed in the a Community Health Center. The rural health outreach grants provide for the expanded delivery of health care services and the planning and implementation of integrated health care networks in rural areas.

Needed: More Doctors in America  — New York Times
The A.M.A. has fought diligently over the years to mitigate physician shortages on a number of fronts, including efforts to expand funding for graduate medical education and to advocate for more residency slots to train physicians in needed specialties ..

Opinion: Right On, IOM -- Reform Needed in GME  — MedPage Today
.. slamming U.S. medical educators for failing to meet minimal training standards for new physicians, which recommended a major overhaul of government funding for graduate medical education. In addition, NEJM published Perspectives pieces on the topic.

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