About the Campaign
The Campaign for Patient Access was launched by the American College of Cardiology in December 2009 as a national effort to reverse Medicare physician fee schedule cuts that threatened cardiovascular care. The site provided background on the issue, the ACC's legislative and legal response, resources for patients and practices, a newsroom tracking coverage across the country, and ways for supporters to share their stories and support the campaign.
From the Newsroom
Medicare Meltdown: Access to Health Care in "Critical Condition"
A press release warning that cardiology access was in critical condition due to Medicare payment cuts.
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Cardiology Takes Legal Action Against Medicare
The ACC filed suit against HHS Secretary Kathleen Sebelius over the 2010 Physician Fee Schedule.
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ACC Statement on Health Care Reform
The ACC used the State of the Union address to highlight the need to reverse the Medicare cuts.
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Medicare Patients and Physicians Join Petition Drive
Patients and physicians in Washington, DC joined a petition drive calling on Congress for Medicare reform.
Read moreYour voice matters when cardiology cuts threaten access
Medicare payment policy can feel remote from the exam room, yet physician fee schedule decisions affect whether cardiology practices can recruit clinicians, maintain diagnostic services, and offer timely appointments. When reimbursement fails to reflect the cost and complexity of cardiovascular care, patients may face longer waits, fewer local specialists, or reduced access to preventive treatment.
Members of Congress need to hear how these policies affect real people in their states and districts. A clear message from a patient, caregiver, physician, or practice employee can make the impact of Medicare cardiology cuts more tangible than statistics alone.
Contacting Congress does not require specialized advocacy experience. It requires a concise explanation of the problem, a personal connection to cardiovascular care, and a specific request for action. Your voice matters because elected officials use constituent feedback to understand how federal decisions affect communities.
Understand the policy issue
Medicare physician payment is shaped through the annual physician fee schedule. The schedule determines how doctors and other qualified clinicians are reimbursed for covered services, including consultations, testing, treatment planning, and follow-up care. When broad reductions or inadequate updates affect cardiology, practices may struggle to sustain services that require trained staff, specialized equipment, and significant administrative support.
Cardiovascular care also depends on continuity. Patients with heart failure, coronary artery disease, arrhythmias, or other chronic conditions often need regular monitoring and rapid access when symptoms change. Payment pressure can make it harder for practices to preserve appointment availability, invest in technology, and serve patients in rural or medically underserved areas.
The issue is therefore larger than a single line in a federal budget. Medicare reimbursement decisions can influence the stability of local practices and the availability of essential heart care. Communicating this connection helps lawmakers see why protecting access deserves attention during legislative and budget discussions.
Find the right congressional audience
Every constituent has three primary federal contacts: two U.S. senators and one representative in the House. Your representative serves the congressional district where you live, while senators represent the entire state. Their official websites typically provide contact forms, phone numbers, and office addresses.
Start with the lawmaker who represents your home address. Staff members generally sort messages by topic and location, so including your street address, city, and ZIP code helps verify that you are a constituent. Physicians and practice leaders may also identify the communities they serve, while making clear where they personally live or work.
A local connection gives your message greater relevance. Mention the hospital, clinic, county, or community affected by access concerns. If a cardiology practice is the only nearby provider or serves a large Medicare population, explain that context. A congressional office is more likely to understand the stakes when the message describes a specific district or state impact.
Build a message lawmakers can use
An effective advocacy message is brief, respectful, and focused on one request. Begin by identifying yourself and your connection to cardiovascular care. Then describe the effect of Medicare payment reductions or inadequate updates on patients and practices. Finish by asking the lawmaker to support policies that preserve fair reimbursement and access to cardiology services.
Personal details make a message memorable, but privacy still matters. Do not include a patient’s full name, medical record number, date of birth, or other protected health information without appropriate authorization. A patient can describe delayed care, travel burdens, or difficulty obtaining an appointment without revealing sensitive clinical information.
The following framework can help organize a message before submitting it:
| Message element | What to include | Example |
|---|---|---|
| Who you are | Your name, location, and connection to care | “I am a Medicare patient in Ohio.” |
| Local impact | A specific effect on your community | “Our nearest cardiology office is already scheduling months out.” |
| Human consequence | What delayed or reduced access means | “Traveling farther makes follow-up difficult after hospitalization.” |
| Policy concern | The federal decision affecting care | “Payment cuts could make these services harder to maintain.” |
| Requested action | A clear, reasonable ask | “Please support policies that protect access to cardiovascular care.” |
Choose a channel and make it count
An online form is often the fastest way to contact a congressional office. It allows you to select a policy topic, verify your address, and send a message directly to the appropriate staff team. Phone calls can also be effective, especially when you want to register a position or request a response from the health policy staff member.
A letter sent to a district office can add a personal touch, while a meeting with a staff member provides an opportunity to explain local conditions in greater detail. Congressional offices may schedule in-person or virtual appointments with constituents. Bring a short written summary and avoid overwhelming the conversation with unrelated policy concerns.
Use a subject line that identifies the issue clearly, such as “Protect access to Medicare cardiology care.” Keep the body to a few focused paragraphs. Staff members review large volumes of correspondence, so a direct message is more useful than a long general statement.
Share the patient and practice experience
Stories help translate reimbursement policy into consequences that lawmakers can recognize. A patient might explain how far they travel for a cardiology appointment, how quickly they were able to receive care, or why a local specialist has been essential. A caregiver could describe transportation challenges, missed work, or the difficulty of coordinating appointments after a cardiac event.
Physicians and practice teams can provide a different but equally important perspective. They may describe staffing shortages, rising operating costs, delayed investments in diagnostic equipment, or the pressure to limit services that are essential to Medicare beneficiaries. Specific examples are stronger than broad claims: describe what changed, who was affected, and why the situation matters.
If you want your experience to support broader advocacy, you can share your story with the Campaign for Patient Access. A story submitted through the campaign can help show how Medicare payment policy reaches patients, clinicians, and communities beyond Washington.
Stay accurate and constructive when describing your experience. Avoid attributing a specific appointment delay or service closure to a payment policy unless you have reliable information. A credible story earns more attention and gives congressional staff a clear basis for follow-up.
Use a practical outreach checklist
Before sending your message, review it for accuracy, relevance, and a specific request. The goal is to make it easy for staff to identify your position and record it correctly.
- Confirm that you are contacting your own representative or senators.
- Include your home address and a reliable email or phone number.
- Explain your personal or professional connection to cardiology care.
- Describe one local consequence of reduced access or financial pressure.
- Ask the lawmaker to support fair Medicare payment and protect cardiovascular services.
After submitting the message, save a copy for your records. If a staff member responds, provide additional information promptly and keep the conversation focused. A brief follow-up can reinforce that access to heart care remains important to constituents.
Advocacy is more effective when several people communicate distinct experiences. A patient, caregiver, cardiologist, nurse, and practice administrator may each see a different part of the same access problem. Coordinated outreach should remain individual and truthful rather than relying on identical copy-and-paste messages.
Keep speaking up for access
Congressional offices track constituent concerns, particularly when messages include clear local effects and a reasonable policy request. One message may not change a decision by itself, but sustained communication helps establish that cardiology payment policy affects real communities and deserves careful attention.
The most valuable contribution is often a short account that explains what access means in everyday life: a timely follow-up after hospitalization, a nearby specialist, reliable monitoring, or the ability to receive treatment without leaving the community. Those details give policymakers a practical understanding of why stable cardiovascular care matters.
Contact your representative and senators, share a concise account of the impact, and ask them to protect access to Medicare-supported cardiology services. Your experience can help move the discussion from payment formulas to the patients and communities those decisions affect.
Campaign for Patient Access