Federal Issues

The NSMA Commission on Governmental Affairs is charged with the primary responsibility for developing, revising (as appropriate) and implementing the NSMA legislative strategy. In the past, this has incorporated both State and federal legislative policies. Generally, the actual lobbying (and often policy identification) has been done in cooperation with the American Medical Association (AMA) or appropriate national medical specialty societies. Nevada specific federal issues have often been taken to the AMA House of Delegates. The increasing role of the federal government in health care policy issues and the extensive debates over policy like the ACA have made it appropriate to consider developing NSMA positions on federal legislative matters separately from State issues and to approach this planning process to serve as a proactive agenda for dealing with the Congressional (or federal regulatory) issues of greatest importance to Nevada physicians.  It also prepares NSMA to respond to proposals which can be anticipated to come from other groups and interests, and which might affect Nevada physician practices.  While coordination with the American Medical Association and national medical specialty societies continues to be done, increasingly Congressional lobbying must be done at the State and local levels for maximum effectiveness in changing national policy.


Federal Representatives

Federal Legislation


Library of Congress


ACA Information


Comprehensive Guidance for 2015 on Key Health Law Policies under the Affordable Care Act

HHS released guidance on the major health law policies in 2015 for consumers, states and Health insurance marketplaces, health insurers and employers all at once.  This early synchronized and comprehensive effort is designed to provide stakeholders with the early information and certainty they need to plan for next year.



For more information on policies from the HHS and CMS, please see this fact sheet: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-03-05-2.html

Link to Payment Parameters Final Regulation PDF version: https://s3.amazonaws.com/public-inspection.federalregister.gov/2014-05052.pdf

The 2015 AV Calculator and Methodology can be accessed at:  http://www.cms.gov/cciio/resources/regulations-and-guidance/index.html

For more information on policies from the Treasury Department see this fact sheet: http://www.treasury.gov/press-center/press-releases/Pages/jl2310.aspx

Link to regulation 1: https://s3.amazonaws.com/public-inspection.federalregister.gov/2014-05050.pdf

Link to regulation 2 Minimal Essential Coverage: https://s3.amazonaws.com/public-inspection.federalregister.gov/2014-05051.pdf