April 4, 2022

AACOM in Action

What You Need to Know

OME Priorities Included in President’s Fiscal Year 2023 Budget Request


Less than two weeks after signing the fiscal year (FY) 2022 , President Biden unveiled his $5.8 trillion budget blueprint for FY23. The budget calls for $1.5 trillion in discretionary spending—programs that aren’t linked with mandatory spending like Social Security—and contains many provisions important to the osteopathic medical education (OME) community, including:

  • $127.3 billion in discretionary funding for Health and Human Services, a 15 percent increase from FY22, including a focus on strengthening mental and behavioral health programs and bolstering public health infrastructure.
  • $48.6 billion for the National Institutes of Health, a $16 billion increase from FY22, including $5 billion for ARPA-H.
  • $9.9 billion in discretionary funding for the Centers for Disease Control and Prevention, a nearly 15 percent increase from FY22.
  • $8.5 billion in discretionary funding for the Health Resources and Services Administration (HRSA), a slight decrease from FY22.
  • $88.3 billion in discretionary funding for the U.S. Department of Education (ED), a nearly $12 billion increase from its current funding level along with a proposal to permanently exclude discharged student loan debt from counting toward an individual’s taxable income.

Colleges of Osteopathic Medicine Are Nationally Recognized for Top Service in Rural, Underserved Areas and Primary Care


AACOM for their impressive performance in the 2023 U.S. News & World Report’s rankings. Colleges of osteopathic medicine (COMs) are ranked first and second in two categories:

  • Medical Schools with Graduates Practicing Patient Care in Rural Areas:
    • #1 William Carey University College of Osteopathic Medicine (WCUCOM)
    • #2 Kentucky College of Osteopathic Medicine at University of Pikeville
  • Medical Schools with Most Graduates Practicing Primary Care:
    • #1 Des Moines University College of Osteopathic Medicine
    • #2 Kentucky College of Osteopathic Medicine at University of Pikeville

Additionally, the top 10 list included eight, six and three COMs in the categories of most graduates practicing primary care, most graduates practicing in rural areas and most graduates practicing in medically underserved areas, respectively. On March 29, AACOM President and CEO Robert A. Cain, DO, spoke at a press conference to help celebrate WCUCOM’s top ranking. .

AACOM Advocates


Join AACOM in Urging Congress to Support DO GME Parity

Join AACOM in urging Congress to ensure all residency programs are open to DO graduates. According to the 2021 National Resident Matching Program survey, no less than nine percent of residency programs said they never interview DOs and another 27 percent said they seldom do. In addition, 32 percent of residency programs require DO students to take the United States Medical Licensing Examination. The American College of Osteopathic Internists recently joined AACOM in support of this initiative. OME community, raise your voice to help us address this systemic problem.

Policy Update

COMs: Submit Your FY23 Congressional Earmark Requests


  • The House and Senate Appropriations Committees are allowing Members of Congress to request Community Project Funding/Congressionally Directed Spending (earmarks) for FY23 based on state and district needs.
  • Earmark requests must meet the needs of a community, adhere to strict funding parameters and demonstrate community engagement and support. Nonprofits and state and local governments are eligible for earmarks.
  • Members of the OME community are encouraged to consider submitting a funding request (i.e., for health facilities construction or infrastructure funding for research). Interested COMs should review House and Senate and contact their Members of Congress for individual office deadlines and requirements.
  • Please notify AACOM Government Relations at if you or your institution plan to submit an earmark request. A submitted request does not guarantee funding.

Changes Coming for 90/10 Rule

  • Last month, ED’s reached consensus on new requirements for the 90/10 rule, which will prohibit for-profit colleges from receiving more than 90 percent of their revenue from federal student aid beginning in 2023.
  • Negotiators agreed to limitations on income-share agreements, which allow college graduates to make payments for certain expenses through a portion of their income over a set period of time. They also compromised on changes, such as whether programs ineligible for Title IV federal student aid can count toward the 10 percent calculation.
  • ED is expected to publish a notice of proposed rulemaking this summer. The public will have at least 30 days to comment.
  • For additional information, view a of the Committee’s activity from the National Association of Student Financial Aid Administrators.

Engagement and Resources

Expanding GME and Ensuring DO Parity: A Legislative Victory in Utah: AACOM is committed to ensuring that all osteopathic medical school graduates have access to residency training positions. View our interview with John J. Dougherty, DO, founding dean and chief academic officer of the Noorda College of Osteopathic Medicine, and Utah State House Representative A. Cory Maloy, who championed a bill to provide state funding to create new and expand existing medical residency programs in Utah. .

Comment Period for VA GME Pilot Program Extended: The U.S Department of Veterans Affairs it is extending the deadline for comments on the proposed rule to implement a new graduate medical education pilot program to July 5, 2022. to learn more.

Visit AACOM's for federal grants of interest to osteopathic medical education.

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American Association of Colleges of Osteopathic Medicine

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