Skip to Content


ACA Supreme Court Decision | Coverage and Delivery Reform

Medicaid is a joint federal and state safety net program that assists over 60 million low-income individuals in receiving access to clinician offices, acute and long term care services. Teaching hospitals treat a disproportionate share of Medicaid patients, with approximately 28% of all Medicaid discharges coming from COTH hospitals.

Medicaid also plays a critical role in funding graduate medical education. State and local governments, through their Medicaid programs, appropriate approximately $5 billion for medical school training annually. Most states choose to allocate a portion of their Medicaid budget to fund direct graduate medical education (DGME), indirect medical education (IME), and other special services related to teaching hospitals. Due to state budget shortfalls and the prevalence of Medicaid managed care organizations, there are serious concerns that fewer Medicaid funds will be available to train future physicians.

News and Updates

AAMC Submits Comment Letter on Proposed Public Charge Rule

December 14, 2018

The AAMC Dec. 11 submitted a comment letter to the Department of Homeland Security (DHS) on its proposed rule, “Inadmissibility on Public Charge Grounds.” The letter urges DHS not to finalize the proposal and to defer to the Department of State’s public charge determinations instead.

House Passes Medicaid Package

December 13, 2018

The House of Representatives Dec. 11 passed, 400-11, the Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act (IMPROVE Act, H.R. 7217). The package is comprised of several bills, including the Advancing Care for Exceptional Kids Act (ACE Kids, H.R. 3325).

Democratic Leaders Request More Information on Guidance for 1332 Waivers

December 7, 2018

House Energy and Commerce and Ways and Means Ranking Members Frank Pallone (D-N.J.) and Richard Neal (D-Mass.) sent a joint letter Nov. 29 to top Trump administration officials expressing concern and requesting more information about the proposed changes to Section 1332 waivers.

AAMC Submits Comments to CMS on Hospital Outcome Measurement for Patients with Social Risk Factors

November 30, 2018

The AAMC Nov. 29 submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the agency’s request for information regarding Hospital Outcome Measurement for Patients with Social Risk Factors. 

AAMC Submits Comment Letter on Medicare Conditions of Participation Proposed Rule

November 30, 2018

The AAMC Nov. 19 submitted a comment letter in response to the Centers for Medicare and Medicaid Services (CMS) proposed rule to change Conditions of Participation (CoP) requirements under Medicare and Medicaid. According to CMS, the proposals would reduce regulatory burden and improve quality of care. 

On Patient Care

Testimony and Correspondence