On October 3, 2019, President Trump issued an Executive Order entitled, “Protecting and Improving Medicare for our Nation’s Seniors.”
CSMS signed onto a letter with the AMA and many other medical and specialty societies to share our concerns with the broad, yet vague language in the Executive Order. Particularly the language related to the supervision and reimbursement of non-physician professionals. We are highly concerned this language requires the Secretary of Health and Human Services to propose a regulation to eliminate or weaken current Medicare supervision requirements of nonphysician professionals, a critical safeguard to ensure the health and safety of Medicare patients and the cornerstone of the widely adopted team-based approach to health care. Scope of practice of health care professionals should be based on standardized, adequate training and demonstrated competence in patient care, not politics. While all health care professionals share an important role in providing care to patients, their skillset is not interchangeable with that of a fully trained physician.