ASA's Advocacy Office monitors and engages in advocacy with respect to federal and state legislative, quality and regulatory activities affecting the practice of medicine by the Society's members.
ASA's Advocacy Division based in Washington, D.C. advances the federal and state legislative, and regulatory interests of ASA members. Browse the latest federal legislative and regulatory issues below. Your voice is important to our efforts to shape the federal policy. Please join the ASA Grassroots Network.
Congressional Overview: This page serves as a one-stop resource on the composition, leadership, and key committees in the 115th (2017-2018) Congress.
Health Care Reform and Affordable Care Act Debate: Find a comprehensive timeline of the Patient Protection and Affordable Care Act (PPACA).
U.S. Department of Veterans Affairs' Initiative for Independent Practice for Nurse Anesthetists: Read about the U.S. Department of Veterans Affairs' proposal to remove physician-led anesthesia care for Veterans.
Medicare Access and CHIP Reauthorization Act (MACRA)
Medicare Payments and Sustainable Growth Rate (SGR) Formula: Find out ASA's legislative priorities in regards to Medicare Payments and information on the SGR formula.
IPAB Repeal (PDF): The non-elected Independent Payment Advisory Board (IPAB) created by PPACA has sweeping powers to mandate added across-the-board or other targeted reductions in Part B payments on top of SGR and sequestration-related cuts.
Rural Pass-Through Legislation: ASA supports legislation that would permit certain eligible rural hospitals to utilize their pass-through status with Part A funding to employ anesthesiologists in addition to already-permitted nurse anesthetists and anesthesiologist assistants.
Strategies to Address the Opioid Epidemic (PDF)
Truth and Transparency Legislation: The "Truth in Healthcare Marketing Act" is legislation that would decrease ambiguity caused by some health care provider-related advertising, marketing, and degree titles.
ASA Regulatory Comment Letters: As new regulations are proposed, ASA and its members submit letters commenting on the proposed rules.
Pain Medicine: ASA advocates for its members on issues related to pain medicine. The resources on this page are designed to inform you about federal legislative and regulatory activities that may impact the practice of pain medicine.
Drug Shortages: Anesthesiologists face an unprecedented number of drug shortages. ASA works to keep members informed of the current drug shortages and informs appropriate parties on the impact drug shortages are having on patients.
Electronic Health Record Incentive Program: Physician anesthesiologists with a PECOS designation of "05" maintain a hardship exemption for calendar year 2016. Physician anesthesiologists should not see an adjustment based upon the EHR Incentive Program in payment year 2018.
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): MACRA replaced the Physician Quality Reporting System (PQRS), the EHR Incentive Program and the Value-Based Payment Modifier (VM) with three distinct components of the Merit-based Incentive Payment System (Quality, Advancing Care Information and Cost, respectively).
Physician Quality Reporting System (PQRS): Members will receive either a negative or neutral adjustment in payment year 2018 on their Part B covered professional services under the Medicare Physician Fee Schedule (MPFS) based upon their calendar year 2016 PQRS participation.
Managing Your Practice: ASA offers its members a wide variety of practice management services out of the Advocacy Division in Washington, D.C., designed to help you manage a successful anesthesiology practice.
State legislative and regulatory activities can have a significant impact on the anesthesiology profession and the patients it serves. Find out what is happening with these activities and learn what you can do to ensure the safest and best environment for patients and physician anesthesiologists in your state.
Physician Supervision of Nurse Anesthetists
Certified Anesthesiologist Assistants
Truth in Advertising
Washington D.C. Increases Certified Anesthesiologist Assistant Supervision Ratio
ASA Comments to FTC on Health Care Competition (PDF)
Health Policy Research Briefs
Evidence-Based Review Did Not Find Nurse Anesthetists' Care Equal to that of Physician Anesthesiologists (PDF)
Lack of Clinical Direction from Physician Anesthesiologists Associated with Higher Patient Mortality (PDF)
Validity Issues Harm Study Funded by Nurse Anesthetists (PDF)
Find more information and documents from the ASA Analytics and Research Services.
ASA State Governmental Affairs Handbook (Members Only)
AA Practice Advocacy Guide (Members Only)