SHM Joins Joint Letter Urging DHS To Exempt Health Care Sector From New H-1B Visa Petitions
SHM signs on to joint letter urging DHS to create a health care sector exemption for new H-1B visa petitions to prevent additional strain on the health care workforce.
SHM Replies to Request for Information on MACRA Reform
Hospitalists have a range of experience with participating in the two MACRA pathways (MIPS and Advanced Alternative Payment Models (APMs)), including having been major participants in the Bundled Payment for Care Improvement models. It is from these perspectives that we offer our comments on your questions.
SHM Joins Joint Letter Urging Congressional Oversight on New Childhood Vaccine Recommendations
The undersigned organizations, representing health care clinicians, public health
professionals, scientists, patients, and family advocates, urge you to conduct swift and
robust oversight regarding the abrupt changes to the U.S. childhood vaccine schedule
announced on Jan. 5, 2026. It is essential that action is promptly taken to protect vaccine
availability and coverage for all previously recommended immunizations for all families,
including through the Vaccines for Children program.
SHM Reaffirms Support of Prior Authorization Reform
SHM signs multi-stakeholder letter in strong support of (H.R. 3514/S. 1816), the “Improving Seniors’ Timely Access to Care Act of 2025” which would streamline and standardize prior authorization requirements within the Medicare Advantage (MA) program, addressing one of the most persistent barriers to timely, medically necessary care for America’s seniors.
SHM Leads Multispecialty Effort to Stop Facility Based Practice Expense Cuts
Hospitalists face an estimated 7% cut to their Medicare reimbursement due to the PE reduction. This will significantly decrease available resources for patient-focused quality improvement efforts, innovation, and clinician recruitment, which are all critical for purposes of delivering high quality care and maintaining patient access. Congress must act immediately to stop this arbitrary cut prior to its implementation on January 1, 2026.
SHM and ACPA Partner in Expressing Concern over Aetna Claims Process
Aetna’s proposed inpatient claims process presents as reducing administrative burden, it effectively redefines inpatient and observation, undermining statutory protections and Medicare’s own coverage rules.
SHM Supports Hospital Inpatient Services Modernization Act (H.R.4313/S.2237)
This legislation would provide much-needed stability and certainty to Hospital at Home Programs by extending waiver flexibilities through 2030 — thereby avoiding another cliff that Hospital at Home programs are currently experiencing after the current authorities expired on September 30, 2025.
SHM joins coalition opposing DHS proposed rule that replaces admission for duration of status with fixed periods of admission for J-1 physicians
This change would create unnecessary administrative burdens, disrupt physician training, and threaten patient care—especially in underserved communities that rely on international medical graduates.
SHM joins letter requesting physician exemption from new H-1B filing fees
SHM joins the AMA and 54 national medical groups requesting physicians be exempt from the new, higher H-1B filing fees per the National Interest Waiver language within the September 19th Presidential proclamation.
SHM Comments on the CY2026 Outpatient Prospective Payment System Proposed Rule
SHM Comments to CMS on the proposed elimination of the Inpatient Only list.