American College of Obstetricians and Gynecologists 2016 Legislative Priorities

Medicaid and Medicare Payment Structure – Advocate for Ob-Gyns and Our Patients

  • Ensure MACRA implementation is sufficiently responsive to needs of women’s health and OBGYNs
  • Oppose cuts to Medicaid and proposals that shift costs to states, patients, or health care providers.
  • Protect ob-gyn ultrasound from any reimbursement or coverage cuts.


Support Our Physician Workforce 

  • Support graduate medical education by exploring additional funding mechanisms and innovative approaches to medical education.
  • Oppose cuts in Federal and State GME funding.
  • Oppose funding GME through the appropriations process.
  • Make medical student loan repayment more affordable.
  • Work to gain designation of maternity care shortage areas for use by the National Health Service Corps.


Enact Meaningful Medical Liability Reform

  • ACOG supports caps on non-economic damages.
  • We support meaningful alternative reforms, including safe harbors and expanded application of the Federal Tort Claims Act to on-call ob-gyns.

Protect the Physician-Patient Relationship

  • Oppose state and federal interference in the patient-physician relationship.


Support Appropriate Efforts to Reduce Maternal Opioid Dependence

  • Promote public health efforts to reduce maternal opioid dependence and neonatal abstinence syndrome (NAS).
  • Oppose punitive legislation against women with opioid dependence and babies born with NAS.


Ensure Continued Affordable Care Act (ACA) Implementation Meets the Needs of Ob-Gyns and Our Patients


We support proper and continued implementation of: 

  • Maternity coverage for all women in all plans.
  • Coverage and cost-sharing protections for women’s preventive health services under all plans.
  • Health insurance market reforms and network adequacy, including direct access to ob-gyn care.
  • Medicaid expansion to cover individuals up to 138% of the federal poverty line
  • Continued testing of a woman’s medical home, including for pregnancy care.
  • The Medicaid state option to expand coverage of family planning services for low-income women 


We support modifications to:

  • Make the EHR Incentive Program easier for small group providers to participate.
  • Reduce the reporting burden for physician practices to comply with e-prescribing, PQRS and EHR incentive programs.


We support repeal of:

  • The Independent Payment Advisory Board (IPAB).
  • The budget neutral value-based payment modifier which reallocates Medicare payment among physicians.


Ensure Best Care for Patients - Scope of Practice/Midwifery

  • Oppose federal recognition of and reimbursement to midwives who lack accredited education and training and do not meet the International Confederation of Midwives (ICM) standards.
  • Ensure that the educational and professional standards of the American Midwifery Certification Board (AMCB) and the International Confederation of Midwives are used to evaluate and certify all midwives.


Protect Access to Care for Low-Income Women and Adolescents

  • Oppose cuts to discretionary programs, such as the Special Supplemental Nutrition Program for Women and Children (WIC); CDC Breast and Cervical Cancer Screening Program; programs to combat sudden infant death syndrome, STDs; and programs to improve preconception care, family planning and breastfeeding.


Improve Access to Care for Pregnant and Postpartum Women Experiencing Depression

  • Support development of community-based resources to improve diagnosis and treatment options for maternal depression, including postpartum depression
  • Increase public awareness of the debilitating and pervasive effects of maternal depression


Advance Research in Pregnant and Breastfeeding Women

  • Promote pregnant and breastfeeding women’s inclusion in clinical trials.


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Government Affairs Staff 
Mailing Address:
PO Box 96920
Washington, DC 20090-6920
Phone (202) 863-2509
Fax (202) 488-3985

American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188