Iowa IPMLC
APMA congratulates the Iowa Podiatric Medical Society (IPMS) on the enactment of HF 2498, legislation adopting the Interstate Podiatric Medical Licensure Compact (IPMLC) in the state. Governor Kim Reynolds recently signed the bill into law, making Iowa the second state to join the compact.
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Colorado Independent Podiatry Board
APMA congratulates the Colorado Foot & Ankle Society (CFAS) on the successful enaction of HB 26-1344, which preserves the independent Colorado Podiatry Board following the state’s sunset review process. APMA supported these efforts by submitting a formal letter to lawmakers outlining concerns related to workforce impacts, patient safety, and the importance of specialty-specific oversight for podiatric physicians.
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2026 MIPS Performance Year Exception Application
CMS is now accepting exception applications for the 2026 Merit-based Incentive Payment System performance year. Clinicians affected by circumstances beyond their control, such as natural disasters, public health emergencies, or cyberattacks, may be eligible for a MIPS exception and reweighting of performance categories.
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Physician-Focused Immigration Relief Policies
APMA recently urged the Department of State and Department of Homeland Security to explicitly include Doctors of Podiatric Medicine (DPMs) and podiatric residents in physician-focused immigration prioritization and expedited processing policies.
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APMA Unveils New eAdvocacy Action Center
APMA has officially launched its new eAdvocacy Action Center for members, patients and students to engage in grassroots advocacy. The platform empowers APMA members to quickly engage their members of Congress and influence federal health policy. It also provides tools to take action on critical state legislation.
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CAC/PIAC Meeting Highlights Payer Trends and AI Use
Representatives and APMA staff participated in a robust discussion of payer utilization management practices, modifier advocacy, including the new 25 Modifier Progress Note Guidance, the evolving use of AI in payment review and denial, Medicare Administrative Contractor (MAC) engagement, skin substitute reimbursement concerns, and Durable Medical Equipment (DME) issues.
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Diabetes Foot Bill Update
Samuel Gorelik, DPM, recently attended a Massachusetts town hall hosted by Representative Seth Moulton (D-MA), where he discussed the importance of the Diabetes Foot Health Access and Modernization Act. Representative Moulton cosponsored the legislation the very next day.
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Medicare Reform Legislation
Representatives Mariannette Miller-Meeks, MD (R-IA), and Herb Conaway, MD (D-NJ), introduced the Medicare Physician Data-driven Performance Payment System Act, which would reform the Merit-based Incentive Payment System (MIPS) in Medicare. The legislation would replace MIPS with the Data-Driven Performance Payment System (DPPS), which would lower physician payment penalties and reinvest penalty funds to assist under-resourced practices.
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WISeR Guidance for Skin Substitute Reviews
CMS updated the WISeR Provider and Supplier Operational Guide to remove ICD-10 codes L97.111-L97.826 from Appendix B as indications that would automatically trigger prior authorization or pre-payment review for skin substitute applications. These diagnosis codes are commonly used to describe non-pressure chronic ulcers of the lower limb and are not exclusive to DFUs or VLUs.
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Alliance of Wound Care Stakeholders
APMA continues to engage in advocacy efforts through our coalition work with the Alliance for Wound Care Stakeholders, particularly on issues related to skin substitutes and physician payment. During the first quarter of 2026, the alliance supported APMA’s ongoing effort related to the revised NPU episode-based cost measure.
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Preventive Care for Diabetic Patients
APMA submitted a letter responding to the House Committee on Ways and Means Health Subcommittee for a field hearing on modernizing healthcare practices for chronic condition treatment.
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