buy percocet ACOFP – IL


The Illinois chapter of the ACOFP is a membership association for Osteopathic Family Physicians which is dedicated to promoting osteopathic family care in Illinois. ACOFP Illinois actively represents the rights and interests of Osteopathic Family Physicians and helps preserve the freedom to provide the best care to their patients.

Congressional Committees Kick Off ACA Debates

Posted February 2017

Both the House and Senate kicked off their efforts to address the Affordable Care Act (ACA) with a flurry of activity from the committees with jurisdiction over the law. As Republican legislators work to come together on a consensus around their “repeal, repair, and replace” plan, the hearings offer some insight as to how the GOP views the issue.

A brief rundown of the activity over the course of the last week or so:

• Senate Health, Education, Labor, and Pensions (HELP) Committee: “Obamacare Emergency: Stabilizing the Individual Health Insurance Market

• House Energy & Commerce, Subcommittee on Oversight and Investigations: “Medicaid Oversight: Existing Problems and Ways to Strengthen the Program

• House Ways & Means Committee, Subcommittee on Oversight: “The Individual Mandate under the Affordable Care Act

• House Energy & Commerce, Subcommittee on Health: “Strengthening Medicaid and Prioritizing the Most Vulnerable

• House Energy & Commerce, Subcommittee on Health: “Patient Relief from Collapsing Health Markets

The hearings, while sometimes a bit testy, were less rancorous than the more fiery nomination hearings still occurring in the Senate. The Energy & Commerce hearings looked at several incremental reforms to address Medicaid oversight and eligibility, as well as individual insurance market reforms implemented under ACA.

In the Senate HELP Committee Hearing, witnesses stressed to the committee that Congress must act by March to provide market stability and certainty for insurers, who must submit rates for 2018 by early May. Ways & Means Committee Chairman Kevin Brady has publicly stated he intends to move a repeal bill through committee by March, and other members of the GOP leadership have directly and indirectly indicated this is the consensus timeline.

In ACOFP’s conversations with GOP Members and their staff, there are three “buckets” to the ACA reform efforts:

1) repeal through the budget reconciliation process
2) administrative efforts through executive actions and secretarial authority through HHS
3) legislative replacement through a series of smaller, targeted bills

Quick Hits

  • Price Confirmation Vote Heads to Senate Floor: Rep. Tom Price’s (R-GA) confirmation vote is finally headed to the full Senate for consideration, despite a bitter partisan battle in the Senate Finance Committee this week. Finance Committee Democrats staged a boycott earlier in the week, denying the committee the necessary quorum by refusing to appear for the vote to advance Price’s nomination to the full Senate (Finance Committee rules require at least one member of each party to be present). In response, Chairman Orrin Hatch (R-UT) and GOP members of the committee voted to suspend the rules of the committee, thus allowing for a vote to advance the nomination. Despite the political theater, Price’s confirmation is expected to pass without difficulty. The vote has not yet been scheduled, but is expected to take place after some more controversial nominations are cleared out early next week.
  • Payment Bump in MA Proposed Rule: The Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for 2018 Medicare Advantage payments. The rule proposes a payment increase of 0.25 percent, and delays cuts to MA that would have lowered payment rates. According to the Kaiser Family Foundation, MA accounts for nearly one-third of all Medicare enrollments, and given the considerable support for the program from Republicans in Congress, Medicare Advantage could play a larger role in future GOP efforts to address Medicare reform.
  • “Phrasing!” – Republican Messaging on ACA Beginning to Shift: It might seem like a benign change, but in a political world where every word is poll-tested, even subtle changes matter. Case in point, observers noticed Republican legislators beginning to use the term “repair” instead of the typical “repeal and replace” message that has been a staple since the inception of the Affordable Care Act. At the GOP retreat in Philadelphia last week, legislators were shown polling indicating that “repair” more accurately reflects the majority of what the American public wants from Congress, as opposed to wholesale repeal of the ACA. A growing number of Republicans seem to be uncomfortable with the full-blown “repeal and replace” approach, but the question remains if voters – and members of Congress who campaigned on that message – will settle for that approach.

IL-ACOFP Legislative Update Quarter 4 2016

Posted December 2016

IL-ACOFP Legislative Update

By Betsy D. Mitchell, MPA

IL-ACOFP Legislative Consultant

4th Quarter 2016


After a very long and very expensive campaign season nationwide, there were a few notable shifts in party affiliation regarding Illinois statehouse races. However, with the start of the next General Assembly set for January 11, 2017 questions still remain regarding how the election results may impact activity (or continued non-activity as has been the case for the past year) in Springfield, and more importantly, how will these results impact IL-ACOFP.

State Comptroller

In the statewide race for Comptroller, the Democratic challenger Susana Mendoza defeated the Republican incumbent Leslie Munger with slightly less than 50% of the vote. The two third party candidates received approximately 6% of the vote. The Comptroller’s office is the office that writes and sends the checks after each agency has given their approval.

It is important for IL-ACOFP to have a good working relationship with the Comptroller in Illinois.   First, because it is the Comptroller’s responsibility to send the checks, it is important for the Illinois Comptroller to understand that Family Physicians are on the frontline when it comes to caring for most patients in need of medical care. Second, in the past the Comptroller has the power to provide a one-time emergency check to providers who can show immediate need.

Read the full update