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    October 2, 2025

    The Honorable Mike Johnson
    Speaker
    U.S. House of Representatives

    The Honorable Hakeem Jeffries
    Minority Leader
    U.S. House of Representatives

    The Honorable John Thune
    Majority Leader
    U.S. Senate
     
    The Honorable Chuck Schumer
    Minority Leader
    U.S. Senate
     

          

    Re: Urgent Action Needed to Restore Expired Healthcare Policies  

    Dear Speaker Johnson, Majority Leader Thune, Minority Leader Jeffries, and Minority Leader Schumer:  

    On behalf of our member medical group practices, the Medical Group Management Association (MGMA) appreciates your enduring leadership in supporting medical group practices’ ability to provide high-quality, cost-effective care. We write to you today to highlight the urgent need for legislative action to address the expiration of telehealth flexibilities and the 1.0 work Geographic Practice Cost Index (GPCI) floor that occurred on September 30, 2025.  

    With a membership of more than 60,000 medical practice administrators, executives, and leaders, MGMA represents more than 15,000 medical group practices ranging from small private medical practices to large national health systems, representing more than 350,000 physicians. MGMA’s diverse membership uniquely situates us to offer the following legislative recommendations. 

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