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    June 28, 2021 

    Ms. Chiquita Brooks-LaSure
    Centers for Medicare & Medicaid Services
    U.S. Department of Health and Human Services
    ATTN: CMS-1752-P
    P.O. Box 8013
    Baltimore, MD 21244-1850

    Re: FY 2022 Inpatient Prospective Payment Systems Proposed Rule Graduate Medical Education Proposals (CMS-1752-P)

    Dear Administrator Brooks-LaSure:

    On behalf of the Graduate Medical Education (GME) Advocacy Coalition, which consists of hospital groups, physician specialty groups, and other health care stakeholders, the undersigned organizations write regarding CMS’ proposed distribution of the 1,000 newly created Medicare-supported residency positions provided for in the Consolidated Appropriations Act, 2021 (CAA). We urge CMS to finalize the Alternative 2 methodology in the FY 2022 Inpatient Prospective Payment System (IPPS) proposed rule, with modifications, and increase the number of full time equivalent (FTE) slots awarded per hospital for FY 2023 and all succeeding years. It is critical that CMS distribute the positions in a way that ensures teaching hospitals are able to make meaningful increases in residency programs to produce more physicians.

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