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Greater Memphis Area Advanced Practice Nurses

AANP Government Affairs Update- Please Read!

Posted 22 days ago by Laura Reed

Opioid Package Update
As of this writing, the House and Senate are still meeting to negotiate a final opioid package. It is anticipated, however, that a conference agreement may come soon, at which point, both Chambers will have to pass the agreement before it can be sent to the President’s desk for his signature.

We strongly urge that your voices still be heard on this important issue. Please use the AANP Advocacy Center to send letters to your Members of Congress, urging them to support a permanent authorization for NPs to prescribe MATs. As the situation evolves, we will continue to keep you updated.

Medicare Shared Savings Program Proposed Rule
As you are aware, under the current structure of the Medicare Shared Savings Program (MSSP), NPs are authorized accountable care organization (ACO) professionals. However, in order for an NP’s patient to be attributed to an ACO in the MSSP, the patient must receive at least one primary care service from a participating primary care physician in the ACO. AANP has been diligently working to correct this disparity through passage of H.R. 1160, the ACO Assignment Improvement Act, and through regulatory discussions with CMS. In the Bipartisan Budget Act of 2018, Congress gave the Secretary of Health and Human Services (HHS) additional flexibility to assign beneficiaries within the Shared Savings Program (MSSP). In the latest MSSP Proposed Rule, HHS is proposing a pathway in which a patient can be assigned to an ACO without requiring one primary care visit from a primary care physician.

Under this proposal, a patient can select an NP as their primary ACO clinician in the MSSP and they will no longer need to see a primary care physician in order to be assigned to the ACO. CMS has directly requested feedback on this proposal. We encourage you to support this proposal to create a pathway for NP participation in the Shared Savings Program (MSSP) that does not require an NP’s patient to be treated by a primary care physician. AANP has created a an Advocacy Center campaign link to provide comment to HHS, complete with template language that can be personalized. Additional information on the proposed rule can be found on AANP’s Regulations page. Comments must be submitted to HHS by October 16, 2018. If you have any questions, please email AANP at

Legislation Impacting NP Practice
As the 115th Congress marches closer to the midterm elections on November 6, we ask that you continue to reach out to your Members of Congress and urge them to support these key legislative issues impacting NP practice. As NPs and constituents, your voices matter and need to be heard—especially during this election season.

As always, your Federal and State Government Affairs teams are available to answer any questions. Please feel free to contact us at or

Federal Government Affairs Team Members:
MaryAnne Sapio, VP Federal Government Affairs
Debra Swan, Associate VP Federal Government Affairs
Jessica Talbert, Director of Federal Advocacy
Nick Rumberger, Operations Manager
Jan Towers, Senior Health Policy Consultant

State Government Affairs Team Members:
Tay Kopanos, VP State Government Affairs
Jamie Kings, State Policy Analyst
Ashley Shew, State Policy Analyst