March 20, 2025
By David Tully
Vice President, AAFP Government Relations
As Congress moves the goalposts again to accommodate more haggling over a final 2025 federal budget, AAFP leadership has been on Capitol Hill, pushing to center primary care in health spending and programs.
This week, Academy Board Chair Steven Furr, M.D., FAAFP; President Jen Brull, M.D., FAAFP; and President-elect Sarah Nosal, M.D., FAAFP, sat down with members of Congress and congressional staff. Their meetings came fast on the heels of the AAFP’s Board Advocacy Day, Feb. 26, when your Academy’s Board met with more than 40 congressional and Senate offices.
In all these sessions, your Academy asked lawmakers to
It is the AAFP's firm stance that the weakening of Medicaid now under discussion would yield swift consequences to low-income individuals, children, pregnant patients, elderly adults and people with disabilities. The negative impacts would then ripple through the health system at large, leading to reduced access to primary care, higher use of emergency departments, worsening health disparities, increased uncompensated care for clinicians and significant local economic impacts.
In strong Senate testimony Feb. 12, Nosal sounded a similar caution and talked about the ways in which her patients depend on Medicaid.
“Medicaid serves a critical need, providing coverage for patients and sustaining community health centers delivering care to these struggling communities,” she said.
AAFP Chapters have been similarly active in this push, writing as a bloc to the House and the Senate to express “deep concerns regarding proposals to reduce Medicaid funding or implement further eligibility restrictions.”
Just as important: I know that scores of you have used the AAFP’s Speak Out tool to ask that your members of Congress protect Medicaid, adding your own stories about what your community needs.
These messages are getting through. Amid considerable uncertainty on Capitol Hill right now, we’re hearing serious concern from lawmakers about the potential consequences of Medicaid cuts.
That means it’s time to get even louder. Please join the AAFP’s leadership in raising the pressure on Congress to protect Medicaid, correct Medicare physician payment, build the family medicine workforce and strengthen access to primary care. Here’s how:
If you have questions, don’t hesitate to reach out to grassroots@aafp.org.