Capitol Hill Report
Advocacy
Read the Academy's bi-weekly update on legislative and regulatory advocacy for neurology.
December 8, 2025
Member elevates the voice of neurology at AMA
We’ve got your back on Capitol Hill—and we’re in overdrive advocating for you and your patients. Capitol Hill Report is your source for all things neurology advocacy, so keep reading and sharing to stay up to date. Plus, we want to hear from you: Let us know if your practice, research, or patients are affected by recent policy changes.
Act now on telehealth extensions!
and ask them to support the CONNECT for Health Act (/), which would make telehealth permanent.
Issue in focus
Early in November, AAN member Daniel Lee, MD, attended the American Medical Association (AMA) Interim Meeting, where he represented neurology and helped elevate the voice of neurologists at the national level. In conjunction with the AAN delegation to the AMA, Lee collaborated with physicians across the AMA to reinforce the importance of robust neurological research funding, improvements to the Physician Fee Schedule, and updated guidance around brain death policy.
The AMA meeting is critical for developing advocacy initiatives across medicine, and the AAN played a significant role this year in offering necessary feedback. Notably, a resolution involving standardizing brain death policies was brought forward to the AMA House of Delegates, where the AAN defended the autonomy of physicians and scientists regarding the standardization of brain death procedures rather than a non-medical entity developing these policies. The delegation worked in concert with the Society for Critical Care Medicine to protect this duty from undue influence from non-medical players.
Additionally, the delegation voiced support for many critical issues that came to the AMA House of Delegates. Examples included support for protecting the visa process for international medical graduates, as well as protecting access to adequate loans for medical students. Furthermore, the AAN spoke in support of preserving the Public Service Loan Forgiveness program, which has faced significant scrutiny from the Department of 好色先生. “The importance of our voice cannot be understated,” Lee said. “Despite being a smaller delegation, our voice is loud and influential. Many members of our delegation have gone on to lead influential committees within the AMA. One of our members, Dr. Shannon Kilgore, will go on to be the Chair of the AMA Council on Medical 好色先生 this upcoming year, and I cannot be more excited to see what she accomplishes.”
Lee and the AAN delegation’s efforts demonstrate the significant impact that our members can have across the field of medicine. Being able to shape advocacy efforts across organizations to form a united front is critical to the success of improving the health care system for physicians and patients. Lee encourages AAN members to join the AMA, as the issues each organization fights for are often similar.
Latest advocacy news
CMS releases proposed updates impacting Medicare Advantage and Part D plans
The Centers for Medicare and Medicaid Services released proposed updates late last month impacting Medicare Advantage and Part D plans. The AAN is currently reviewing the proposed rule’s impacts on neurological practice and neurology patients and plans to submit comments in response to key provisions.
AAN signs onto multi-specialty letter addressing concerns on the Written Informed Consent Act
The AAN signed onto a multi-specialty letter last week addressing concerns on the Written Informed Consent Act () ahead of a VA Committee Hearing on Medication Management. At present, the VA’s informed consent policy requires written consent for treatments and procedures involving significant risks, including certain psychiatric and pain management medications. If passed, this bill would require a new, separate written consent process for nearly all psychotropic drugs, creating administrative burdens that would delay veterans’ access to timely treatments.
AAN promotes telehealth legislation to leaders in Congress
The AAN sent a letter to congressional leadership last week highlighting concerns about the lengthy lapse in telehealth flexibilities caused by the government shutdown. During the COVID-19 public health emergency, telehealth transformed the health care landscape and served as a vital lifeline for patients who face barriers to in-person care. To ensure that telehealth extensions are no longer tied to annual appropriations and to safeguard seniors' access to essential medical services, Congress must pass the CONNECT for Health Act (/) before the January 30 appropriations deadline. If passed, this legislation would permanently extend Medicare telehealth flexibilities and protect access to audio-only telehealth visits.
Bill would limit prior authorizations for Medicare Advantage, Part D plans
The AAN also sent a letter of support last week to Rep. Julie Johnson (D-TX) for introducing the Patient Access and Authorization Reform Act (). This legislation seeks to limit prescription drug prior authorizations in Medicare Advantage and stand-alone Part D plans to once per year for patients with autoimmune or blood disorders. Utilization management tools such as prior authorization can be increasingly time-consuming, and delays in approvals can lead to issues such as clinical deterioration and increasing costs on the overall health care system. The AAN is closely monitoring utilization management reform and continues to work with members of Congress to pass comprehensive legislative solutions.
What we're reading
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Cassidy introduces legislation that would change the way consumer apps and wearables handle health data |
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UK will increase its spending on medicine under a zero-tariff deal with the US |
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Novo Nordisk Alzheimer’s drug trials fail in blow to weight-loss giant |
Past Capitol Hill Reports
2025
- November 24: Government funding update
- November 10: 2026 Medicare Physician Fee Schedule final rule
- October 20: Joint forum on neuroscience research
- October 6: How the government shutdown affects you
- September 22: Looming government shutdown
- September 8: An important BrainPAC update
- August 25: State advocates unite on health policy challenges
- August 11: 140+ AAN members join Neurology off the Hill
- July 21: What’s in the Medicare fee schedule proposal?
- July 7: What’s in the big reconciliation bill?
- June 23: AAN member highlight
- June 9: Why member advocacy is ‘mission-critical’
- May 27: House passes reconciliation bill
- May 12: President's proposed budget
- April 21: The state of Medicare and Medicaid
- April 7: AAN president highlights advocacy
- March 24: There’s a new chance to support neuroscience
- March 10: March 14 government funding deadline
- February 24: AAN members meet in Washington, DC
- February 11: Executive branch update
- January 20: New Congress, new plan
- January 6: Congress fails to address physician priorities
2024
- December 9: Key year-end issues
- November 25: Extending telehealth flexibilities
- November 11: What could fix physician reimbursement?
- October 21: Congressional lame-duck session
- October 7: Your advocacy impact
- September 23: Brain health for all!
- September 9: AAN comments on Medicare Fee Schedule
- August 26: Physicians are essential In local advocacy
- August 12: Ask Congress to take action for telehealth
- July 22: Urge Congress to prevent proposed cut
- July 8: Advocate for neurology from your home state!
- June 24: Crucial prior authorization bill introduced in Congress
- June 10: Senate group to discuss Medicare payment reform
- May 20: 30 years of Conrad 30
- May 6: Lobbyist for a Day
- April 22: Congress considers access to care
- April 8: AAN recommends more transparency in Medicare Advantage
- March 25: AAN identifies top advocacy priorities
- March 11: Congress acts on Medicare cuts
- February 26: Could your advocacy go even further at the state level?
- February 12: Neurology on the Hill preview
- January 22: Medicare reimbursement update
- January 8: 2023 Advocacy year in review
2023
- December 11: Take Action to Prevent Damaging Reimbursement Cuts!
- November 20: AAN Members Provide Perspective at AMA Meeting
- November 6: How Will the CMS Fee Schedule Affect You?
- October 23: Reps Hear Proposal to Cut 'Red Tape'
- October 9: Participant Goes from Training to Testimony
- September 25: AAN Leaders Take the Hill
- September 11: AAN Submits Comments on 2024 Medicare Physician Fee Schedule
- August 21: Proposed Code Will Help CMS Value Cognitive Care Services
- August 7: Reinforcements Are on the Way!
- July 24: AAN President Elect Testifies on New Alzheimer's Treatments
- July 10: FDA Approves Lecanemab for Alzheimer's Disease
- June 26: MACRA, Prior Authorization, and AMA Resolutions
- June 12: Debt Limit Deal Affects Dollars for Research
- May 22: Want Step Therapy Reform? Please Step Forward!
- May 8: Act Now to Protect Veteran Care, Medicare Reimbursement
- April 24: Do You Know the AAN's 2023 Advocacy Priority Issues?
- April 10: AAN Responds to Health Workforce Crisis Inquiry
- March 20: Working with CMS on Monoclonal Antibodies Coverage
- March 6: Support Your 180 Colleagues Now Advocating in DC
- February 20: Capitol Hill Report: AAN Addresses National, State Health Care Issues
- February 6: Confronting Prior Authorization Burden, End of PHE
- January 23: Advisory Committee Supports Medicare Reimbursement Increases
- January 9: Top AAN Advocacy Successes in 2022
2022
- December 23: Congress Enacts Bill with Key Advocacy Wins
- December 12: AAN Monitoring Lecanemab for Alzheimer's Disease
- November 21: How the Midterms Will Impact Neurology
- November 7: Advocacy Strengthens Neurology—Join Us!
- October 24: Urge Senate to Act on Medicare Payment Stability
- October 10: Get Involved in Neurology Advocacy
- September 26: Physician Lawmakers Seek to Stem Medicare Reductions
- September 12: AAN Comments on Proposed 2023 Medicare Physician Fee Schedule
- August 22: Administration Outlines Federal Response to Long COVID
- August 8: Congress Makes Progress on Neurology Issues
- July 25: AAN Urges Congress to Focus on Long COVID; Joined by 75 Organizations
- July 11: CMS Proposes Changes to Telehealth, E/M, QPP, More
- June 20: AAN Input Helps Shape AMA Policies
- June 6: Congressional Support Grows for Key AAN Legislation.
- May 23: It's Time for Neurology on the Hill!
- May 9: Focus Is on Three Issues for Neurology on the Hill
- April 25: Pushing Congress for More
- April 11: Congress Addressing AAN Priorities
- March 21: AAN Active on Legislation, Research Funding
- March 7: Members Make Their Advocacy Priorities Clear
- February 21: Legislation on Prior Authorization Gains Support
- February 7: Loosened Telehealth Policies in Peril
- January 24: COVID-19 Vaccinations, Aducanumab, and More
- January 10: Improving Care for Veterans With Neurological Conditions