• Advocate for Family Medicine

    Have a minute? Use our Speak Out tool to amplify your voice and help shape the future of family medicine.

    Featured Speak Out Campaigns

    The Academy’s Speak Out tool enables you to directly contact your state officials, members of Congress, or the Office of the President on the issues that matter most to primary care. Make your voice heard by using our timely, messaging templates, customizable for letters, emails and phone calls.

    The recently released 2025 Medicare physician fee schedule proposed rule confirms that family physicians need an annual update to Medicare payment rates to account for inflation.

    Ask your lawmakers to support the Strengthening Medicare for Patients and Providers Act (H.R. 2474), which would provide physicians with an annual inflation-based payment update tied to the Medicare Economic Index.

    CMS recently finalized two rules intended to streamline prior authorization processes, implement electronic prior authorization, and improve transparency across payers, as well as address inappropriate coverage denials in Medicare Advantage.

    Tell your lawmakers to make these rules permanent by passing the Improving Seniors’ Timely Access to Care Act (H.R. 8702/S. 4532).

    Congress’ recent reauthorization of the Teaching Health Center Graduate Medical Education Program increases funding but expires Dec. 31 — creating instability and a reduction in the number of residents participating in this important program. The THCGME Program plays a vital role in training the next generation of primary care physicians and addressing the shortage and maldistribution of physicians.

    Urge Congress to pass legislation that makes a long-term investment in the primary care workforce.  


    Frequently Asked Questions

    The AAFP’s powerful advocacy gains force when you add your voice to the fight for family medicine. Each of the Academy’s 130,000 family physicians — including you — is a constituent, a respected community member and a health care authority. When you use the AAFP’s resources to engage with your lawmakers, you exert real influence and amplify the Academy’s work to shape federal and state policies favorable to your practices and your patients. Here’s how easy it is.

    Yes! Federal and state lawmakers use these letters to gauge which issues are most urgent within their districts and, in cases of controversy, where their constituents stand. Congressional offices often have multiple full-time staff members who tally emails and letters. 

    All of the AAFP’s pre-written letters available through our Speak Out tool can be edited, and we encourage your additions. Including your personal story in a letter will deepen your lawmaker’s understanding of the issue. 

    The AAFP’s Speak Out tool provides talking points and contact information so that you can call your member(s) of Congress. 

    Typically, you’ll reach a staff member, who will make a note of your request. These phone calls will be very short so it is important to clearly state 

    1. that you are a constituent, 
    2. the purpose of your call, and 
    3. what you would like the lawmaker to do. 

    If you would like to speak further about the issue, you can ask to speak with the legislative aide handling that issue.  

    Members of Congress typically have a “contact” section on their websites that includes a form to send an email. It is likely that your state lawmakers have a similar form or otherwise provide an email address.   

    Additional tips:  

    • Your letter should be short – no more than 250 words – and direct. 
    • The opening paragraph should be two sentences. The first should establish your role in the community and make it clear that you’re a constituent. You should then clearly state your stance on a bill or an issue and urge your lawmaker to adopt the same stance. In the second paragraph, briefly use your personal narrative and/or a statistic to support your stance. Finally, re-state your position on the issue and again urge the lawmaker to adopt that position.   
    • Avoid medical jargon and instead use the professional voice you would use with a patient who has a general understanding of medicine. 
    • When possible, identify a bill that you either support or oppose and be as specific and direct as possible. 

    Get Involved

    Track Federal Legislation

    Monitor congressional bills with the potential to affect family physicians and know where your legislators stand on these issues.


    Become a Key Contact

    This network pairs AAFP members with congressional leaders and elected officials supportive of priorities of family physicians to champion legislation and public policy.

    Join Your State Chapter

    Learn where your state stands on important, emerging issues related to primary care. Access toolkits, browse resources related to state advocacy, and connect with your state chapter.

    Support FamMedPAC

    Help achieve a long-term solution in Medicare physician payment, address the administrative burdens you face daily, and back the next generation of family physicians.