Policy & Advocacy

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Policy and Advocacy News

2021 In Review_GR_V7 (1)

CMS Releases Regulations for 1,000 New GME Slots; OME Priorities Included

On December 17, 2021, the Centers for Medicare and Medicaid Services (CMS) issued the second part to its fiscal year (FY) 2022 Inpatient Prospective Payment System rule. The final rule establishes policies to distribute 1,000 new Medicare-funded graduate medical education (GME) positions beginning in FY23, the largest increase in residency slots in more than 25 years. The rule also addresses the resident rotator issue and eases rural training track requirements.

Multiple osteopathic priorities are included in the final rule because of direct outreach to CMS by AACOM and more than a dozen colleges of osteopathic medicine, as well as osteopathic GME professionals, residents and students. These priorities include:

  • Reserving at least 10 percent of the new GME slots for rural areas;
  • Maintaining the hospital eligibility criteria to apply for the new GME slots;
  • Increasing maximum award sizes to 5.0 full-time equivalents per hospital per year; and
  • Adjusting application deadlines for qualifying hospitals to apply for the new GME slots.

CMS is also seeking comments by February 25 on specific provisions in the final rule. AACOM intends to recommend further changes to benefit the osteopathic medical education (OME) community. For more information, view the AACOM analysis.

Build Back Better Act Stalls in Senate

  • Following months of negotiations on President Biden’s key domestic priority, the Build Back Better (BBB) Act, Senator Joe Manchin (D-WV) indicated he cannot support the package in its current form. All 50 Democratic senators must vote for the bill to move it forward, given unanimous Republican opposition.
  • The House-passed version contained many AACOM priorities, including 4,000 new Medicare-funded residency slots focused on primary care and rural training and $3.37 billion for the Teaching Health Center Graduate Medical Education Program, along with other sections relevant to OME.
  • Reports indicate negotiation on BBB will pick back up in the coming weeks. Urge your senators to include AACOM priorities in the final version of BBB.

Find federal funding opportunities, learn which Members of Congress represent the nation’s colleges of osteopathic medicine, and more.
Health Policy Leadership Programs
AACOM's Leadership Institute offers two health policy programs:  an internship for current DO students, and a Fellowship for practicing or teaching osteopathic physicians. 

AACOM Talent Bank

   Are you interested in —

  • Serving on federal and state commissions, national boards, task forces or committees?
  • Becoming an OME spokesperson with the media or a mentor to students?

Then Register With AACOM's Talent Bank! 

It only takes a few minutes to complete your leadership profile in AACOM's Talent Bank and join a network of individuals dedicated to furthering the reach of excellence of OME. Your registration does not obligate you to serve in a particular role. AACOM will seek your approval of any specific positions prior to nomination or media outreach. Download our flyer to learn more.


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Join AACOM’s national advocacy campaign, ED to MED, and raise the profile of issues vital to osteopathic medical education in the halls of Congress! 

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AACOM Government Relations
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