Advocacy

Senate Democrats Move to Repeal CMS's WISeR AI Prior Authorization Model
May 28, 2026
Senate Democrats have introduced a Congressional Review Act (CRA) resolution seeking to overturn CMS’s Wasteful and Inappropriate Service Reduction (WISeR) model — an AI-supported prior authorization program currently operating in traditional Medicare.
Medical Societies Urge Passage of Provider Reimbursement Stability Act
May 28, 2026
ASGE joined a coalition of national medical societies urging Congress to pass H.R. 8163, the Provider Reimbursement Stability Act, legislation designed to improve stability within the Medicare Physician Fee Schedule (MPFS).
Coalition Supports No Surprises Act Enforcement Act
May 28, 2026
ASGE joined a coalition of national medical specialty societies in a letter supporting H.R. 4710/S. 2420, the No Surprises Act Enforcement Act, legislation intended to strengthen enforcement of the federal Independent Dispute Resolution (IDR) process.
Louisiana State Legislature Passes CRNA Payment Bill
May 14, 2026
This week the Louisiana State Legislature approved a bill that ensures certified registered nurse anesthetists (CRNAs) are reimbursed by insurers for the anesthesia services they are licensed and authorized to provide.
New Bill Replaces Merit-based Incentive Payment System
May 14, 2026
Reps. Mariannette Miller-Meeks, MD (R-IA) and Herb Conaway, MD (D-NJ) have introduced the Medicare Physician Data-driven Performance Payment System Act of 2026.
CMS Encourages Providers to Prepare for e-Prior Authorization
May 14, 2026
Starting Jan.1, 2027, certain health plans regulated by the Centers for Medicare and Medicaid Services (CMS) must implement and maintain Application Programming Interfaces (APIs) to support electronic prior authorization.
USCIS Lifts Processing Holds for Physicians
May 14, 2026
U.S. Citizenship and Immigration Services (USCIS) has lifted processing holds on immigration benefit applications filed by or on behalf of medical physicians.
Medicare GLP-1 Program Begins July 1
May 14, 2026
Beginning July 1, 2026 through Dec. 31, 2027, Medicare beneficiaries with Part D coverage may be eligible to access certain GLP-1 medications for $50 per month.
Prepare to Apply for PRCRP Grants
May 14, 2026
The Fiscal Year 2026 (FY 2026) funding opportunities for the U.S. Department of War Peer Reviewed Cancer Research Program (PRCRP) have been released, including opportunities for supporting research on stomach, esophageal, liver and colorectal cancers.
WISeR Prior Authorizations Taking Longer
April 30, 2026
A new report from Sen. Maria Cantwell (D-WA) on Medicare’s Wasteful and Inappropriate Service Reduction ( WISeR) prior authorization pilot should raise red flags for practices.
CMS/FDA Proposed Rule on Breakthrough Devices
April 30, 2026
The Centers for Medicare and Medicaid Services (CMS) and the Food and Drug Administration (FDA) have announced a new coordinated pathway intended to speed Medicare coverage for FDA “breakthrough” devices—an important development for GI innovation.
Public Availability of Prior Auth Data from Insurers
April 30, 2026
A new federal transparency requirement is making health plan prior authorization data publicly available for the first time—including for many Medicare Advantage, Medicaid managed care, CHIP, and Affordable Care Act Marketplace plans.
GI Community Support Louisiana Bill to Preserve CRNA Payment
April 30, 2026
ASGE and GI groups support Louisiana SB 275 to ensure CRNAs are fairly reimbursed after UnitedHealthcare cuts. The bill aims to protect access to GI care and has passed the Senate, now moving to the House.
Medical Societies Ask for IDR Process Enforcement and Transparency
April 30, 2026
National and state medical societies, including ASGE, are asking the Trump Administration to increase enforcement efforts and require greater transparency in the independent dispute resolution (IDR) process as required under the No Surprises Act.
Contact Congress in Support of New Payment Reform Bill
April 16, 2026
ASGE previously reported that legislation recently introduced in the U.S. House of Representatives would make improvements to budget neutrality requirements within the Medicare physician fee schedule (PFS).