ASA Grassroots Network

ASA Grassroots Network The American Society of Anesthesiologists Grassroots Network engages in grassroots activity to keep its members informed about important legislative and regulatory issues affecting the medical specialty of anesthesiology.
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The American Society of Anesthesiologists® keeps its members informed about important legislative and regulatory issues affecting the medical specialty of anesthesiology. To learn more about the ASA Grassroots Network, please visit http://www.asahq.org/grassroots.

Today, the Department of Health and Human Services (HHS) announced the availability of $25.5 billion in new funding for ...
09/10/2021

Today, the Department of Health and Human Services (HHS) announced the availability of $25.5 billion in new funding for health care providers impacted by the COVID-19 pandemic with a focus on rural areas. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/09/additional-covid-relief-funds-available-for-physicians-including-focus-on-rural-areas

Today, the Department of Health and Human Services (HHS) announced the availability of $25.5 billion in new funding for health care providers impacted by the COVID-19 pandemic with a focus on rural areas. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/09/additional-covid-relief-funds-available-for-physicians-including-focus-on-rural-areas

Earlier this week, Chairman Richard Neal of the House Ways and Means Committee unveiled a proposal which would expand Me...
09/09/2021

Earlier this week, Chairman Richard Neal of the House Ways and Means Committee unveiled a proposal which would expand Medicare benefits. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/09/house-democrats-unveil-proposal-to-expand-medicare-benefits

Earlier this week, Chairman Richard Neal of the House Ways and Means Committee unveiled a proposal which would expand Medicare benefits. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/09/house-democrats-unveil-proposal-to-expand-medicare-benefits

ASA is thrilled to commence our 2021-2022 Anesthesiology Policy Research Rotation in Political Affairs!  Welcome Chirag ...
09/07/2021

ASA is thrilled to commence our 2021-2022 Anesthesiology Policy Research Rotation in Political Affairs! Welcome Chirag Y. Patel, DO, a CA-3 anesthesia resident from the University of Miami/Jackson Memorial Hospital as our September Resident Scholar!

ASA is thrilled to commence our 2021-2022 Anesthesiology Policy Research Rotation in Political Affairs! Welcome Chirag Y. Patel, DO, a CA-3 anesthesia resident from the University of Miami/Jackson Memorial Hospital as our September Resident Scholar!

The Centers for Medicare & Medicaid Services (CMS) announced a measure suppression policy in the Fiscal Year (FY) 2022 H...
09/02/2021

The Centers for Medicare & Medicaid Services (CMS) announced a measure suppression policy in the Fiscal Year (FY) 2022 Hospital Value-Based Purchasing (VBP) Program. This policy allows CMS to suppress the use of measure data if the agency determines that circumstances caused by the COVID-19 Public Health Emergency significantly affected those measures and the resulting quality scores. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/09/cms-cancels-mips-facility-based-scoring-option-for-performance-year-2021

The Centers for Medicare & Medicaid Services (CMS) announced a measure suppression policy in the Fiscal Year (FY) 2022 Hospital Value-Based Purchasing (VBP) Program. This policy allows CMS to suppress the use of measure data if the agency determines that circumstances caused by the COVID-19 Public Health Emergency significantly affected those measures and the resulting quality scores. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/09/cms-cancels-mips-facility-based-scoring-option-for-performance-year-2021

Hear from our June Resident Scholar, Muhammad A. Farooq Anwar, MBBS, MBA about his experience with ASA’s Anesthesiology ...
09/01/2021

Hear from our June Resident Scholar, Muhammad A. Farooq Anwar, MBBS, MBA about his experience with ASA’s Anesthesiology Policy Research Rotation in Political Affairs (members only): https://www.asahq.org/advocacy-and-asapac/advocacy-tools/policy-research-rotation/resident-scholar-articles/muhammad-anwar-mbbs-mba

Hear from our June Resident Scholar, Muhammad A. Farooq Anwar, MBBS, MBA about his experience with ASA’s Anesthesiology Policy Research Rotation in Political Affairs (members only): https://www.asahq.org/advocacy-and-asapac/advocacy-tools/policy-research-rotation/resident-scholar-articles/muhammad-anwar-mbbs-mba

Recently, the American Association of Nurse Anesthetists changed its name to the American Association of Nurse Anesthesi...
08/23/2021

Recently, the American Association of Nurse Anesthetists changed its name to the American Association of Nurse Anesthesiology. ASA has condemned this move as part of “a clear pattern of medical title misappropriation that confuses patients and creates discord in the care setting, ultimately risking patient safety.” Read more:
https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/08/asa-opposes-aanas-misleading-organizational-name-change

Recently, the American Association of Nurse Anesthetists changed its name to the American Association of Nurse Anesthesiology. ASA has condemned this move as part of “a clear pattern of medical title misappropriation that confuses patients and creates discord in the care setting, ultimately risking patient safety.” Read more:
https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/08/asa-opposes-aanas-misleading-organizational-name-change

This week, the Senate passed a $1.2 trillion infrastructure package, which included an extension of Medicare payment cut...
08/12/2021

This week, the Senate passed a $1.2 trillion infrastructure package, which included an extension of Medicare payment cuts to 2031 and an ASA-supported measure to cut down on wasteful drug vials sizes. ASA has worked to advance legislation that would prevent those payment cuts. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/08/senate-passes-infrastructure-deal-with-medicare-savings-and-drug-shortage-provisions

This week, the Senate passed a $1.2 trillion infrastructure package, which included an extension of Medicare payment cuts to 2031 and an ASA-supported measure to cut down on wasteful drug vials sizes. ASA has worked to advance legislation that would prevent those payment cuts. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/08/senate-passes-infrastructure-deal-with-medicare-savings-and-drug-shortage-provisions

This week, ASA provided feedback to the FDA on applications of Morphine Milligram Equivalents (MME), communicating that ...
08/05/2021

This week, ASA provided feedback to the FDA on applications of Morphine Milligram Equivalents (MME), communicating that individualized pain care is more important than focusing on prescribing thresholds based solely on MMEs. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/08/asa-provides-feedback-to-fda-on-applications-of-morphine-milligram-equivalents

This week, ASA provided feedback to the FDA on applications of Morphine Milligram Equivalents (MME), communicating that individualized pain care is more important than focusing on prescribing thresholds based solely on MMEs. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/08/asa-provides-feedback-to-fda-on-applications-of-morphine-milligram-equivalents

Last week, ASA submitted recommendations urging significant changes to CDC’s draft updated Guideline for Prescribing Opi...
07/30/2021

Last week, ASA submitted recommendations urging significant changes to CDC’s draft updated Guideline for Prescribing Opioids. Recommendations include language to more carefully balance opioids’ risks and harms with their benefits and clearly defined categories of pain. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/asa-urges-changes-to-draft-updated-cdc-guideline-for-prescribing-opioids

Last week, ASA submitted recommendations urging significant changes to CDC’s draft updated Guideline for Prescribing Opioids. Recommendations include language to more carefully balance opioids’ risks and harms with their benefits and clearly defined categories of pain. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/asa-urges-changes-to-draft-updated-cdc-guideline-for-prescribing-opioids

Our nation’s Veterans deserve the highest standard of care when it comes to surgery. Contact your lawmakers to ensure te...
07/29/2021

Our nation’s Veterans deserve the highest standard of care when it comes to surgery. Contact your lawmakers to ensure team based care with physician anesthesiologists and nurse anesthetists working together, remains the patient safety standard. bit.ly/3ldGKAi

Our nation’s Veterans deserve the highest standard of care when it comes to surgery. Contact your lawmakers to ensure team based care with physician anesthesiologists and nurse anesthetists working together, remains the patient safety standard. bit.ly/3ldGKAi

Last week, Health and Human Services (HHS) Secretary Xavier Becerra extended the Public Health Emergency (PHE) declarati...
07/27/2021

Last week, Health and Human Services (HHS) Secretary Xavier Becerra extended the Public Health Emergency (PHE) declaration related to the COVID-19 pandemic, which was set to expire. It will now expire 90 days from July 19. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/secretary-becerra-extends-covid-19-public-health-emergency

Last week, Health and Human Services (HHS) Secretary Xavier Becerra extended the Public Health Emergency (PHE) declaration related to the COVID-19 pandemic, which was set to expire. It will now expire 90 days from July 19. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/secretary-becerra-extends-covid-19-public-health-emergency

The Centers for Medicare and Medicaid Services (CMS) recently released the 2022 Physician Fee Schedule and Quality Payme...
07/15/2021

The Centers for Medicare and Medicaid Services (CMS) recently released the 2022 Physician Fee Schedule and Quality Payment Program Proposed Rule. Read more about fee schedule provisions, quality payment program provisions, overall impact and more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/cms-releases-2022-physician-fee-schedule-and-quality-payment-program-proposed-rule

The Centers for Medicare and Medicaid Services (CMS) recently released the 2022 Physician Fee Schedule and Quality Payment Program Proposed Rule. Read more about fee schedule provisions, quality payment program provisions, overall impact and more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/cms-releases-2022-physician-fee-schedule-and-quality-payment-program-proposed-rule

Last week, President Biden signed an executive order aimed at promoting competition in the US economy including healthca...
07/12/2021

Last week, President Biden signed an executive order aimed at promoting competition in the US economy including healthcare markets such as insurance and hospital consolidation. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/new-executive-order-on-promoting-competition-in-the-american-economy

Last week, President Biden signed an executive order aimed at promoting competition in the US economy including healthcare markets such as insurance and hospital consolidation. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/new-executive-order-on-promoting-competition-in-the-american-economy

On June 30, the American Society of Anesthesiologists (ASA) joined a coalition of health care organizations in commendin...
07/06/2021

On June 30, the American Society of Anesthesiologists (ASA) joined a coalition of health care organizations in commending Representative Brian Babin, DDS (R-TX-36) and Representative Chrissy Houlahan (D-PA-06) for reintroducing the Resident Education Deferred Interest Act (REDI Act). The bill would allow borrowers to qualify for interest-free deferment on their student loans while serving in a medical or dental internship or residency program. https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/asa-commends-reintroduction-of-the-redi-act

On June 30, the American Society of Anesthesiologists (ASA) joined a coalition of health care organizations in commending Representative Brian Babin, DDS (R-TX-36) and Representative Chrissy Houlahan (D-PA-06) for reintroducing the Resident Education Deferred Interest Act (REDI Act). The bill would allow borrowers to qualify for interest-free deferment on their student loans while serving in a medical or dental internship or residency program. https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/asa-commends-reintroduction-of-the-redi-act

On July 1, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasur...
07/02/2021

On July 1, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury, along with the Office of Personnel Management released an interim final rule with comment period (IFC), entitled “Requirements Related to Surprise Billing; Part I.” This first rule will establish the methodology and information payers must use to make payments, as well as procedure for making complaints about payers. The comment period will begin soon and will last 60 days. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/first-rules-for-federal-surprise-medical-bill-law-released

On July 1, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury, along with the Office of Personnel Management released an interim final rule with comment period (IFC), entitled “Requirements Related to Surprise Billing; Part I.” This first rule will establish the methodology and information payers must use to make payments, as well as procedure for making complaints about payers. The comment period will begin soon and will last 60 days. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/07/first-rules-for-federal-surprise-medical-bill-law-released

A bipartisan group in Congress is urging the Biden Administration to follow ASA-supported measures of accountability and...
06/30/2021

A bipartisan group in Congress is urging the Biden Administration to follow ASA-supported measures of accountability and fairness when implementing the No Surprises Act, a new law to prevent surprise medical bills. https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/06/asa-supported-bipartisan-letter-calls-for-balanced-and-accountable-implementation-of-the-no-surprises-act

A bipartisan group in Congress is urging the Biden Administration to follow ASA-supported measures of accountability and fairness when implementing the No Surprises Act, a new law to prevent surprise medical bills. https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/06/asa-supported-bipartisan-letter-calls-for-balanced-and-accountable-implementation-of-the-no-surprises-act

Last week, ASA submitted comments to Centers for Medicare & Medicaid Services (CMS) on digitizing hospital-based quality...
06/28/2021

Last week, ASA submitted comments to Centers for Medicare & Medicaid Services (CMS) on digitizing hospital-based quality measures by using Fast Healthcare Interoperability Resources (FHIR) based application program interfaces (APIs). Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/06/asa-cautions-cms-on-moving-to-digital-quality-measurement-by-2025

Last week, ASA submitted comments to Centers for Medicare & Medicaid Services (CMS) on digitizing hospital-based quality measures by using Fast Healthcare Interoperability Resources (FHIR) based application program interfaces (APIs). Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/06/asa-cautions-cms-on-moving-to-digital-quality-measurement-by-2025

Today, the United States Supreme Court ruled in a 7-2 majority that plaintiffs did not have standing to challenge the in...
06/17/2021

Today, the United States Supreme Court ruled in a 7-2 majority that plaintiffs did not have standing to challenge the individual mandate in California v. Texas, a challenge to the Affordable Care Act (ACA) that has been in litigation since 2017. The ruling leaves the ACA intact. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/06/us-supreme-court-ruling-leaves-aca-intact

Today, the United States Supreme Court ruled in a 7-2 majority that plaintiffs did not have standing to challenge the individual mandate in California v. Texas, a challenge to the Affordable Care Act (ACA) that has been in litigation since 2017. The ruling leaves the ACA intact. Read more: https://www.asahq.org/advocacy-and-asapac/fda-and-washington-alerts/washington-alerts/2021/06/us-supreme-court-ruling-leaves-aca-intact

Follow ASA’s Instagram today as our June Resident Scholar, Dr. Muhammad Anwar, takes over the account to showcase his wo...
06/17/2021

Follow ASA’s Instagram today as our June Resident Scholar, Dr. Muhammad Anwar, takes over the account to showcase his work protecting patient safety and advocating for the specialty! http://ow.ly/m1vL50FbU7A

Follow ASA’s Instagram today as our June Resident Scholar, Dr. Muhammad Anwar, takes over the account to showcase his work protecting patient safety and advocating for the specialty! http://ow.ly/m1vL50FbU7A

Follow ASA on Instagram tomorrow, June 17, as our June Resident Scholar Dr. Muhammad Anwar takes over the account to sho...
06/16/2021

Follow ASA on Instagram tomorrow, June 17, as our June Resident Scholar Dr. Muhammad Anwar takes over the account to showcase his work protecting patient safety and advocating for the specialty! http://ow.ly/m1vL50FbU7A

Follow ASA on Instagram tomorrow, June 17, as our June Resident Scholar Dr. Muhammad Anwar takes over the account to showcase his work protecting patient safety and advocating for the specialty! http://ow.ly/m1vL50FbU7A

Read about the experiences of our April Resident Scholar, Anthony Sawyer, MD, MPH during ASA's Anesthesiology Policy Res...
06/07/2021

Read about the experiences of our April Resident Scholar, Anthony Sawyer, MD, MPH during ASA's Anesthesiology Policy Research Rotation in Political Affairs, as he talks about health disparities and a need for diversity in medicine. (Members Only) https://www.asahq.org/advocacy-and-asapac/advocacy-tools/policy-research-rotation/resident-scholar-articles/anthony-sawyer-md-mph

Read about the experiences of our April Resident Scholar, Anthony Sawyer, MD, MPH during ASA's Anesthesiology Policy Research Rotation in Political Affairs, as he talks about health disparities and a need for diversity in medicine. (Members Only) https://www.asahq.org/advocacy-and-asapac/advocacy-tools/policy-research-rotation/resident-scholar-articles/anthony-sawyer-md-mph

"If there is anything I’ve learned during my rotation, it’s how impactful our voices can be in advocating for our patien...
06/04/2021

"If there is anything I’ve learned during my rotation, it’s how impactful our voices can be in advocating for our patients and profession." Check out what our March Resident Scholar, Mariam Sarwary, MD had to say about her experience during ASA's Anesthesiology Policy Research Rotation in Political Affairs! https://www.asahq.org/advocacy-and-asapac/advocacy-tools/policy-research-rotation/resident-scholar-articles/mariam-sarwary-md

"If there is anything I’ve learned during my rotation, it’s how impactful our voices can be in advocating for our patients and profession." Check out what our March Resident Scholar, Mariam Sarwary, MD had to say about her experience during ASA's Anesthesiology Policy Research Rotation in Political Affairs! https://www.asahq.org/advocacy-and-asapac/advocacy-tools/policy-research-rotation/resident-scholar-articles/mariam-sarwary-md

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General information

The American Society of Anesthesiologists (ASA) Grassroots Network page shares and encourages engagement on grassroots activity on behalf of the medical specialty of anesthesiology and keeps its members informed on important legislative and regulatory issues. The ASA Grassroots Network hopes to encourage an insightful community and positive dialogue on advocacy issues impacting the practice of anesthesiology. ASA reserves the right to remove objectionable messages from the page and wall at its discretion, including but not limited to, posts that contain unlawful content, profanity, libel, or obscene, defamatory, threatening and hateful language or third party advertising or spam. Comments must comply with Facebook’s terms of use. After multiple offenses, users may be removed from the page. The views and opinions expressed on the ASA Grassroots Network page do not necessarily represent those of ASA. ASA shall not be responsible for the accuracy or reliability of information posted by external parties. Please message [email protected] with any questions or concerns, and join the ASA Grassroots Network at http://www.asahq.org/grassroots.

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It is clear that CMS and its office bearers seem to have little idea what surgical care is all about. One mistake or lack of timely intervention and the patient could be dead. There is a reason a why specialist anesthesiologist physician whose training spans over close to 12 to 15 years and costs close to a million dollars is delegated with the primary responsibility of surgical care of patients. The nurse is trained to work under the supervision of an anesthesiologist who evaluates a patient, understands the associated anesthetic and surgical risk and above all proposes a plan that either he/she or one of his or her designee executes . Remember 100% of the rescues in the operating rooms are performed by physician anesthesiologist in united states. And 100% of the sickest patients undergoing high risk procedures are performed by Physician anesthesiologists. They catch the problems before, during and after surgery. Todays patients coming to ASE are sicker, older, have multiple co-morbid conditions that only a seasoned physician anesthesiologist can evaluate and treat. Almost 100% of the medicare patients that CMS is responsible for will be placed in great peril, and by the time data becomes available a number of patients would have suffered serious damage or death due to this policy change. And frankly, I can't understand one setting where, why sickest of the sick should not get the benefit of a Physician Anesthesiologist. It clearly appears to be about money or a clear attempt to discriminate against the under privileged patients who are frail, sicker and poor and live in rural or underserved areas. This does little to improve access, however, it surely creates a double standard, a double whammy, because with this ruling and similar rulings in the past sicker, poorer, rural and above all medicare beneficiaries ( over 67 years, the sickest population) now will be offered cheap and substandard care. As a physician anesthesiologist, I am deeply concerned that in the Medicare Physician Fee Schedule proposed rule, CMS is proposing to allow nurse anesthetists to perform the preoperative assessment of anesthetic risk and presurgical evaluation in an ASC setting. This is a deeply troubling proposal that will have a negative impact on patient safety. I oppose this proposed change because it would jeopardize the safety of patients. Physicians have the medical background necessary to assess the patient’s underlying condition in an objective, evidence-based and patient-centric way. As a physician anesthesiologist, I have the necessary knowledge and skills to assess the patient with respect to anesthetic risk, and also to assess whether each patient’s preoperative management has been optimized prior to undergoing surgery. Nurse anesthetists do not have the same clinical background or depth of training in clinical issues. Nurse anesthetist training is limited to anesthesia care delivery, not risk assessment, diagnosis or medical decision making outside the scope of an anesthetic. Thank you, Dr. Govind Rajan M.B.,B.S., FAACD, FASA