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    Advocacy Letter
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    The Honorable John Thune
    Majority Leader 
    U.S. Senate
    Washington, D.C. 20510 
    The Honorable Chuck Schumer
    Minority Leader
    U.S. Senate
    Washington, D.C. 20510

     

     

     

    Dear Leaders Thune and Schumer:

    As you consider next steps on the House-passed reconciliation bill, the undersigned physician
    organizations respectfully urge you to make key improvements that are necessary to avoid further
    strain on physician practices, safeguard access to medical education, and prevent potential
    coverage losses for vulnerable populations. These changes are essential to ensuring that patients
    continue to receive high-quality care from well-trained physicians. Specifically, we urge the Senate
    to:

    1. Build on the House passed language related to Medicare physician payment by addressing
    the 2025 payment cuts and accelerating alignment with a full annual Medicare Economic
    Index (MEI) inflation update.

    2. Protect access to federal student loans by opposing proposed borrowing caps and
    preserving full access to Grad PLUS and Unsubsidized Direct Loans.

    3. Prevent coverage losses by addressing provisions in the reconciliation bill that could
    increase the number of uninsured and protect Medicaid access for individuals without
    other coverage options.

    The following sections provide context for each of our recommendations and outline their real-world implications for patients.

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