Congressional lawmakers have introduced several bipartisan bills that hold significant implications for cardiovascular care in the first six weeks of the 119th Congress. These proposals aim to reverse Medicare payment cuts, improve the early detection of peripheral artery disease (PAD) and expand access to telehealth services for cardiopulmonary rehabilitation.

These legislative efforts reflect a comprehensive approach to enhancing patient outcomes, supporting clinicians and ensuring access to essential health services. As the ACC Advocacy team and member leaders navigate the rapidly evolving landscape in Washington, DC, it is imperative to continue working with Congress to advance key legislation ahead of the federal funding deadline on March 14.

The Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879) was introduced on Jan. 31 by twelve bipartisan lawmakers. This legislation would reverse the 2.8% Medicare payment cut imposed by the 2025 Medicare Physician Fee Schedule and institute a 2% inflationary update for 2025, providing financial relief to cardiovascular clinicians across the country and preserving access to vital health care services.

In a letter of support addressed to the bill's sponsors, the College highlights the steady decline in physician payment over the past two decades and substantial increases in the cost of providing health care as key reasons why this legislation is crucial.

Earlier in January, the Amputation Reduction and Compassion (ARC) Act (H.R. 307) was reintroduced by Reps. LaMonica McIver (D-NJ), Jonathan Jackson (D-IL) and Robin Kelly (D-IL). This legislation would expand coverage for PAD screening for at-risk patients insured by Medicare or Medicaid. An estimated 21 million Americans suffer from PAD, and this bill would help prevent avoidable PAD-related amputations.

In addition, the ACC continues to advocate for the expansion of telehealth services. The Sustainable Cardiopulmonary Rehabilitation Services in the Home Act (H.R. 783) was reintroduced on Jan. 8 by Reps. John Joyce, MD, (R-PA), Scott Peters (D-CA), Brian Fitzpatrick (R-PA) and Jimmy Panetta (D-CA). The bill would permanently extend Medicare coverage for in-home cardiopulmonary rehabilitation services.

These flexibilities will help improve patient access, providing Medicare patients with greater flexibility in their recovery, particularly for those who face mobility challenges or live in rural areas. The bill will also reduce hospital readmission rates and improve long-term outcomes, decreasing overall health costs and alleviating strain on an already overburdened health care system.

ACC members can add their voice to help advance these bills by taking part in the following action alerts:

• Reverse Medicare Payment Cut
• Reduce Avoidable Amputations
• Support In-Home Cardiopulmonary Rehabilitation