American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Bulletin Advocacy Brief: May 6

ACS Requests USAID Funding for Neglected Surgical Conditions

The ACS led a coalition of sixteen surgical organizations in sending a letter April 28 to leadership of the respective House and Senate Subcommittees on State, Foreign Operations, and Related Programs (SFOPS) urging inclusion of $100 million for Neglected Surgical Conditions. Each year, global deaths from conditions requiring surgical care far exceed those from HIV/AIDS, tuberculosis, and malaria—combined. However, the burden of conditions requiring surgical intervention continues to be neglected as a public health strategy. Language recognizing the importance of strengthening capacity to address neglected surgical conditions was included in the FY 2021 SFOPS Report.

The ACS hopes Congress will further strengthen its commitment by directing $100 million through USAID. Such investment in global surgical care would allow the U.S. to lead the effort to transform health systems in low- and middle-income countries.

For more information, contact Amelia Suermann, ACS Congressional Lobbyist, at

CMS Releases FY 2022 IPPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) issued the fiscal year 2022 Medicare Inpatient Prospective Payment System (IPPS) proposed rule April 27. The proposed rule includes updates and regulatory changes to Medicare payment policies and IPPS quality reporting programs relevant to inpatient hospitals. Under the provisions in this rule, CMS estimates the proposed update would increase IPPS payments to hospitals in FY 2022 by approximately $2.5 billion.

In addition to updates to Medicare payments, other provisions build on CMS priorities to close health equity gaps and support access to life-saving diagnostics and therapies during the COVID-19 public health emergency. Some notable proposals focus on sustaining hospital readiness to respond to future public health threats, enhancing health care workforce in rural and underserved communities and revising quality measure scoring, public quality data reporting methods and payment implications to reduce potential adverse impacts of the pandemic and future unplanned events.

The ACS is evaluating this proposed rule and will submit comments to CMS on policies relevant to surgeons and surgical patients. The proposed rule and related fact sheet are available online for public review. Contact with questions.