1. © 2014 AAMC. May not be reproduced without permission. Public Policy Update

2. © 2014 AAMC. May not be reproduced without permission. Capitol Hill Environment: Who Will Be in Charge in the House? We thought they were…. Majority Leader Former McCarthy Speaker Boehner Will he prove to be? New Speaker Ryan

3. © 2014 AAMC. May not be reproduced without permission. Capitol Hill: End to Budget Brinkmanship? Bipartisan budget deal may be harbinger of reduced brinksmanship: Lifts debt ceiling until March 2017. Lifts sequester caps for 2 years. Makes room for greater approps. for For domestic and defense spending. Paves way for but does not guarantee NIH $ boost. Price to be paid: Medicare payment to hospitals targeted for squeeze. Lower payment for new hospital OPDs.

4. © 2014 AAMC. May not be reproduced without permission. Capitol Hill: Key Forces to Consider What role will the 40-member House Freedom Caucus play? Will they call the shots? Congress’ work to pass 12 appropriations bills by Dec. 11 will be telling… Overshadowing everything is the 2016 election!

5. © 2014 AAMC. May not be reproduced without permission. 1. Advance health care, finance delivery reforms; 2.Fund programs to address physician maldistribution, targeted workforce needs; 3. Advance GME accountability standards; AND 4.Enact modest increase in Medicare GME slots by passing S. 1148, HR 2124: 3,000 slots/year/5yrs. GME Update: AAMC Champions 4-Fold Advocacy Strategy Against Opposing Tide The Opposing Tide: Calls for reallocating IME...

6. © 2014 AAMC. May not be reproduced without permission. NIH Update: After Years of $ Stagnation, Signs of Breakthrough Bipartisan support for boosting NIH funding. Discretionary funding hike of $1- $2 billion in House, Senate approps. bills. Budget deal lifts caps, makes room for NIH increases. House-passed 21 st Century Cures Act with mandatory $. Senate working on its own research bill.

7. © 2014 AAMC. May not be reproduced without permission. Other Hot Issues AAMC Is Addressing Fetal Tissue Research: Bringing the Collective Voice of Academic Medicine Together to Be Heard VA Partnerships: Positive Direction but Many Issues – contracting, GME, research, VA leadership MACRA: Focusing Academic Medicine on the New Payment Regime of MIPS and APMs 340 B: Addressing Challenges HRSA & Courts Pose Opioids: At the White House Table © 2015 AAMC. May not be reproduced without permission.

8. Educating Congress about Full Scope of Academic Medicine’s Roles in Health Care AAMC Hill Briefing Topics in 2015 : AAMC’s New Physician Workforce Projections Academic Medicine’s Role in Interprofessional Education Striving to Meet the Needs of Rural and Urban Underserved Areas Addressing Misunderstandings in GME Policy at the Request of the Hill Lessons Learned from 2014 Ebola Crisis 1 Year Later Most Recent: Ebola Experts

9. © 2014 AAMC. May not be reproduced without permission. Supreme Court to Rehear Fisher v. University of Texas at Austin October 2012 Supreme Court hears case June 2013 Case sent back to Fifth Circuit Court of Appeals Fifth Circuit Court again ruled in favor of the University of Texas Miss Fisher re-petitioned the Supreme Court, which accepted the case for the fall term. AAMC Amicus Brief 2014 2015 2012 AAMC Amicus Brief

10. © 2013 AAMC. May not be reproduced without permission. AAMC Measures Pulse of Public Opinion about Academic Medicine AAMC has worked with noted pollster Bill McInturff since 1996. We’ve developed an extraordinary body of data on public opinion about us. Hear McInturff’s latest findings on Monday, Nov. 9 th : 1:15 – 2:30 pm What Are Americans Saying About Medical Hilton Key 7, 9-10 Schools and Teaching Hospitals 3:00 – 4:15 pm Exploring the Value of Academic Medicine Hilton Key 5, 9-10

11. © 2015 AAMC. May not be reproduced without permission. What You Can Do: Join AAMC Action! Nearly 184,000 people are part of AAMC Action – more than 40,000 new members in 2015. Over 30,000 responded to calls to action. Join the community and encourage friends, family, colleagues to do the same! www.aamcaction.org