On March 20, 2026, Dr. David H. Aizuss, the Chair of the American Medical Association (AMA) Board, delivered a compelling testimony before the House Energy and Commerce Subcommittee on Health. His address focused on pressing issues regarding health care affordability and access for patients, which have become increasingly critical as independent physician practices face significant financial hurdles.
The Financial Struggles of Independent Practices
During his testimony, Dr. Aizuss emphasized that the financial distress experienced by independent physicians directly contributes to a range of negative outcomes in health care delivery. He stated that these challenges often lead to:
- Higher Costs: As practices struggle to stay afloat, they may resort to increasing their fees, which ultimately burdens patients.
- Longer Wait Times: Financial constraints can limit the number of patients a practice can see, leading to longer wait times for appointments.
- Reduced Access: In underserved areas, the closure of independent practices can exacerbate health disparities, making it difficult for patients to receive timely care.
Dr. Aizuss noted that these issues disproportionately affect vulnerable populations who already face barriers to accessing health care. He called on lawmakers to take action to support independent practices, which play a crucial role in providing care to these communities.
Call for Medicare Inflation Update
One of the key points of Dr. Aizuss's testimony was the urgent need for a full Medicare inflation update. He highlighted that such an update would help ensure that reimbursement rates keep pace with the rising costs of providing care. This proposal has garnered bipartisan support, with endorsements from several representatives, including:
- Rep. Raul Ruiz
- Rep. Mariannette Miller-Meeks, MD
- Rep. Erin Houchin
- Rep. Greg Landsman
The support from these lawmakers underlines the growing recognition of the need to address the financial challenges faced by health care providers, particularly in the current economic climate.
Upcoming Medicare Enrollment Discussions
In addition to discussing the Medicare inflation update, the AMA is also preparing for further discussions regarding Medicare enrollment. A report slated for release in June 2026 is expected to provide insights into enrollment trends and highlight areas where improvements can be made to enhance patient access to Medicare services.
By focusing on these discussions, the AMA aims to advocate for policies that facilitate easier access to Medicare for both new enrollees and current beneficiaries. This effort is particularly important as the U.S. population continues to age, with more individuals relying on Medicare for their health care needs.
CMS Lifestyle Intervention Grants
Another significant initiative mentioned during the testimony is the upcoming availability of lifestyle intervention grants from the Centers for Medicare & Medicaid Services (CMS). These grants, which are due for submission by April 10, 2026, will provide funding for programs designed to improve health outcomes through lifestyle changes.
Dr. Aizuss noted that these grants could be instrumental in addressing chronic conditions that disproportionately affect low-income populations, such as obesity and diabetes. By promoting healthier lifestyles, these interventions can lead to improved health outcomes and reduced health care costs over time.
Preeclampsia Foundation's Initiative
Also highlighted was the Preeclampsia Foundation's recent initiative, which launched a postpartum wristband project at the HHS National Conference on Women’s Health. This innovative program aims to raise awareness of preeclampsia and its potential complications during and after pregnancy.
The wristbands serve as a vital reminder for new mothers to monitor their health and seek medical attention if they experience symptoms related to preeclampsia. Such initiatives are essential in promoting maternal health and ensuring that women receive the care they need during this critical period.
Conclusion
Dr. Aizuss's testimony before Congress underscores the urgent need for policies that support independent physician practices and improve health care affordability and access. By addressing the financial struggles of these practices, lawmakers can help ensure that patients receive the quality care they deserve, regardless of their geographic or socioeconomic status.
The AMA remains committed to advocating for these vital changes and supporting initiatives that enhance health care delivery for all Americans. As the landscape of health care continues to evolve, it is crucial for stakeholders to work collaboratively to overcome the challenges faced by both providers and patients.
