SUBJECT: H.R. 2373, Medical Residency Training Accreditation
Dear Representatives Kelly and Buchanan,
On behalf of the American Association of Neurological Surgeons (AANS) and Congress of Neurological
Surgeons (CNS), we are writing to express our concerns about H.R. 2373, which would make changes to
the process for approving medical residency training programs with respect to graduate medical
education (GME) payments under the Medicare program. Rather than maintaining the existing single
accreditation system, per the legislation, the Centers for Medicare & Medicaid Services (CMS) would be
required to certify at least two organizations for accrediting medical residency training programs in
allopathic and osteopathic medicine. In addition, the legislation fails to acknowledge by name in the
Medicare statute the role of the Accreditation Council for Graduate Medical Education (ACGME) as the
national accreditation body for residency training. We believe that both of these aspects of the bill would
be detrimental to patient care.
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