Capitol Hill Report
Advocacy
Read the Academy's bi-weekly update on legislative and regulatory advocacy for neurology.
February 23, 2026
Standing up for neurology in Washington
The AAN's neurology advocates are making their voice heard in Washington, DC, this week, speaking up for you and your patients. by writing your members of Congress about the top issues facing neurology.
Issue in focus
On Tuesday, February 24, 200 AAN members will be on Capitol Hill to talk about the issues that impact our profession and our patients for the 24th Neurology on the Hill. This year, our members will be highlighting three important issues: physician reimbursement under Medicare, access to telehealth, and neuroscience research funding.
Not attending? You can still help support your colleagues by writing to your members of Congress about these three issues using the
Physician reimbursement under Medicare
Almost every year, the AAN needs to ask Congress to fix a proposed cut to physician reimbursement under Medicare. These cuts are due to structural issues with the Medicare Physician Fee Schedule that need to be addressed by Congress–specifically outdated triggers for budget neutrality requirements and a lack of an inflationary update to physician reimbursement. AAN members will be asking their legislators to create a permanent inflationary update to physician reimbursement based on the Medicare Economic Index and to raise the budget neutrality triggers in the Medicare Physician Fee Schedule.
Access to telehealth
During the COVID-19 public health emergency, Congress put into place several flexibilities that allowed patients to have broader access to their neurologists via telehealth. These changes significantly increased access to care for the patients we serve. However, Congress has yet to make them permanent. This led to a lapse in access to telehealth for Medicare recipients during the 2025 government shutdown–causing unnecessary confusion and stress for patients. AAN members will be asking their legislators to co-sponsor the CONNECT for Health Act (S.1261/H.R.4206), which will make these flexibilities permanent–including continued access to audio-only telehealth visits.
Neuroscience research funding
Funding from the National Institutes of Health (NIH) is essential to the continued development of new treatments and cures for neurological conditions and diseases. The BRAIN Initiative is a program at NIH that has funded basic research into the brain–helping us better understand how the brain works so we can find new ways to treat our patients. This program is losing an important funding stream through the 21st Century CURES Act in 2027, and Congress needs to act to ensure researchers across the country can continue their important work. AAN members will be asking their legislators to support $468 million in funding for the BRAIN Initiative in 2027.
If you have any questions about Neurology on the Hill or the policies we’re discussing, email us at advocacy@aan.com.
Latest advocacy news
AAN submits comments in response to proposed GLOBE and GUARD models
The AAN submitted comments to CMS in response to the proposed GLOBE and GUARD models from the CMS Innovation Center, which implement the president’s most favored nation drug pricing policy.
AAN submits comments in response to use of AI to improve clinical practice
The AAN submitted comments to HHS in response to a Request for Information on the use of artificial intelligence to improve clinical practice. Our comments provide recommendations for governance, interoperability, transparency, and payment policy.
AAN sends letters supporting neurology priorities across several states
The AAN recently sent advocacy letters in several states: supporting later school start times in Pennsylvania, restricting insurers’ use of AI to deny prior authorizations in Florida and Hawaii, mandating coverage for telehealth services in Massachusetts, reducing prior authorization burdens in Arizona and Kansas, and opposing expanded diagnostic authority for chiropractors in New York.
What we're reading
- Trump required hospitals to post their prices for patients. Mostly it’s the industry using the data ()
- AMA CEO: Deepfake doctors are a threat to public health (Op-Ed, )
- Top Republican eyeing FDA overhaul ()
Past Capitol Hill Reports
2026
- February 9: State advocacy update
- January 26: Proposed funding package includes major wins
- January 12: NINDS director’s sudden departure
2025
- December 22: A year of advocacy
- December 8: Member elevates the voice of neurology at AMA
- 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