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America’s Frontline Physicians Urge Immediate Reversal of Decision to Discontinue CSR Payments

Washington, DC (Oct. 13, 2017)— Our organizations, which represent more than 560,000 physicians and medical students nationwide, are alarmed by the President’s decision to abruptly take away financial support that aids low-income families in purchasing  health care coverage.  The decision to discontinue cost-sharing reduction (CSR) payments stands to hurt the most vulnerable individuals and families, raising cost for them and the federal government. 

This decision is not consistent with the Administration’s pledge to provide individuals and families with more options to secure affordable health care coverage.  Elimination of CSR payments makes that goal harder, if not impossible, to achieve.

Our organizations call on the United State Senate and House of Representatives to take immediate action to restore these payments.  A failure to address this matter will result in dramatic, if not catastrophic, increases in premiums across the country – resulting in millions of people either losing their health care coverage due to either insurer departures from the market or their inability to afford coverage.

We remain committed to working with the Administration and the United States Congress to improve our nation’s health care system.  However, we cannot and will not support efforts to deliberately undermine and destabilize our health care system.  Such actions are inconsistent with the missions of our organizations and lack the basic elements of good governance and public policy.

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About the American Academy of Family Physicians
Founded in 1947, the AAFP represents 129,000 physicians and medical students nationwide. It is the only medical society devoted solely to primary care.
Family physicians conduct approximately one in five office visits -- that’s 192 million visits annually or 48 percent more than the next most visited medical specialty. Today, family physicians provide more care for America’s underserved and rural populations than any other medical specialty. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focused on integrated care.
To learn more about the specialty of family medicine, the AAFP's positions on issues and clinical care, and for downloadable multi-media highlighting family medicine, visit
. For information about health care, health conditions and wellness, please visit the AAFP’s award-winning consumer website,

About the American Academy of Pediatrics
The American Academy of Pediatrics is an organization of 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit and follow us on Twitter @AmerAcadPeds.

About the American College of Physicians
The American College of Physicians is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. 91ºÚÁÏÍø membership includes 152,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Follow 91ºÚÁÏÍø on and .

About the American Congress of Obstetricians and Gynecologists
The American College of Obstetricians and Gynecologists (The College), a 501(c)(3) organization, is the nation's leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 58,000 members, The College strongly advocates for quality health care for women, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women's health care. The American Congress of Obstetricians and Gynecologists (ACOG), a 501(c)(6) organization, is its companion.

About the American Osteopathic Association
The American Osteopathic Association (AOA) represents more than 129,000 osteopathic physicians (DOs) and osteopathic medical students; promotes public health; encourages scientific research; serves as the primary certifying body for DOs; and is the accrediting agency for osteopathic medical schools. Visit to learn more about osteopathic medicine.

About the American Psychiatric Association
The American Psychiatric Association, founded in 1844, is the oldest medical association in the country. The APA is also the largest psychiatric association in the world with more than 37,000 physician members specializing in the diagnosis, treatment, prevention and research of mental illnesses. APA’s vision is to ensure access to quality psychiatric diagnosis and treatment. For more information, please visit .

Media contacts:

American Academy of Family Physicians: Leslie Champlin | (800) 274-2237, Ext. 5224 | lchampli@aafp.org

American Academy of Pediatrics: Jamie Poslosky | 202-724-3301 | jposlosky@aap.org

American College of Physicians: Jackie Blaser | 202-261-4572 | jblaser@acponline.org

American Congress of Obstetricians and Gynecologists: Megan Christin | 202-863-2423 | mchristin@acog.org  

American Osteopathic Association: Jessica Bardoulas | 312-202-8038 | jbardoulas@osteopathic.org

American Psychiatric Association: Glenn O’Neal | 703-907-8640 | goneal@psych.org