TMA Advocacy Comment Letters

  • TMA Advocates for Texas Physicians

    Advocacy Letters  

    TMA advocates on behalf of physicians and medical students at the state and federal level year round. Our goal is improve physicians' practice viability, reduce the hassles of patient care, and protect the patient-physician relationship. Here are the many letters TMA has sent to state and federal leadership.

  • Letters by Year

    2026

    2025

    2024

  • 2026 Comment Letters

    FEDERAL

    Health Information Technology

    TMA Comment Letter to ONC/HHS on the United States Core Data for Interoperability Draft Version 7 (April 13, 2026)

    TMA Comment Letter to ASTP/ONC on Health Data, Technology, and Interoperability (HTI-5, Feb. 26, 2026)

    TMA Comment Letter to ASTP/ONC in Response to RFI Accelerating Adoption and Use of AI in Clinical Care (Feb. 23, 2026)

    Medicare

    AMA Federation Sign-on Letter: Support on H.R. 8163, the Provider Reimbursement Stability Act (May 19, 2026)

    Surprise Billing

    Comment Letter from 50 State Medical Associations and Other National Organizations to the U.S. Senate and House Leadership Supporting H.R. 4710/S. 2420, the No Surprises Act Enforcement Act (May 11, 2026)

  • 2025 Comment Letters and Testimony

    FEDERAL

    Cybersecurity

    TMA Comment Letter to Office for Civil Rights on HIPAA Security Rule to Strengthen Cybersecurity of Electronic Protected Health Information (Mar. 5, 2025)

    Health Information Technology

    TMA Comment Letter to CMS Regarding Request for Information on the Health Technology Ecosystem (June 12, 2025)

    TMA Comment Letter to the Assistant Secretary for Technology Policy on United States Core Data for Interoperability Draft Version 6 (Apr. 14, 2025)

    TMA Comment Letter to the DEA on Telemedicine and Prescribing Controlled Substances (Mar. 18, 2025)

    Insurance

    Letter by TMA, Other Medical Associations Backing Bill to Reduce Bureaucratic Barriers for Medicare Advantage Patients (Dec. 9, 2025)

    TMA, THA, TAHP Call for Insurance Tax Credits Continuation (Opinion Letter, Dec. 4, 2025)

    TMA, Stakeholders’ Letter Urging Anthem to Rescind New Policy Circumventing No Surprises Act Protections (Nov. 13, 2025)

    TMA Letter Urging Cigna to Rescind Its Downcoding Policy (July 30, 2025)

    TMA's, Stakeholders’Comment Letter to Sen. John Cornyn Seeking Extension of Marketplace Insurance Premium Tax Credits (April 15, 2025)

    Medicaid

    Comment Letter to Congress Regarding Joint State Medical Association Comment Letter on Medicaid Cuts in Senate Budget Reconciliation Proposal (June 24, 2025)

    TMA Comment Letter to Representative De La Cruz with Concerns Over Potential Legislative Changes to Medicaid (March 6, 2025)

    TMA Comment Letter to Representative Gonzales with Concerns Over Potential Legislative Changes to Medicaid (March 6, 2025)

    Comment Letter from 50 State Medical Associations and the District of Columbia to U.S. House Leadership Urging Congress to Protect Medicaid from the Devastating $880 Billion in Spending Cut Targets in the House Budget Resolution (Feb. 27, 2025)

    Comment Letter from 50 State Medical Associations and the District of Columbia to the U.S. Senate Leadership Urging Congress to Protect Medicaid from the Devastating $880 Billion in Spending Cut Targets in the House Budget Resolution (Feb. 27, 2025)

    Medicare

    TMA's, Other State Medical Associations' Comment Letter Protesting Medicare “WISeR” Prior Authorization Pilot (Nov. 4, 2025)

    Payment

    AMA Federation Sign-on Letter: Support Extension of Enhanced Premium Tax Credits (APTC) (Sept. 15, 2025)

    TMA Comments on the 2026 Proposed Medicare Physician Fee Schedule (Sept. 12, 2025)

    TMA Comment: TMA President Responds to Lack of Medicare Payment Fix in Senate Budget Reconciliation Proposal (June 24, 2025)

    Comment Letter to Congress from Physician and Non-Physician Organizations Supporting Passage of H.R. 879, the bipartisan Medicare Patient Access and Practice Stabilization Act (Feb. 28, 2025)

    Comment Letter to Congress from the AMA Federation Urging Congress to Reverse the Latest Medicare Cuts (Feb. 10, 2025)

    Physician-Owned Hospitals

    Letter by TMA, Medical Associations Nationwide to U.S. Representatives Van Duyne and Cuellar Urging Congressional Support for Physician-Owned Hospitals (Nov. 3, 2025)

    Scope of Practice

    Comment Letter from 50 State Medical Associations and Other National Organizations to the U.S. Senate Leadership, Opposing Senate Bill 2426, the “Equitable Community Access to Pharmacist Services Act ECAPS) Act.” (Aug. 20, 2025)

    Comment Letter by TMA, National, State Medical Associations Opposing Pharmacist Services Bill Over Scope-of-Practice Expansion Concerns (July 24, 2025)

    STATE

    TMA, Stakeholders Seek CHIP Improvements for Children’s Access to Care (TMA, Health Stakeholders’ Letter to Texas Health and Human Services Commission, October 2025)

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