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[Month, Day, Year]The Honorable Dave Loebsack1211 Longworth House Office BuildingWashington, DC 20515Dear Representative Loebsack,As a constituent and doctor of chiropractic (DC) I urge you to co-sponsor H.R. 8702, the “Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020”, to ensure that Medicare providers and their patients are not further harmed during the COVID-19 Pandemic.Passage of this bipartisan, comprehensive bill would ensure that payments to providers like chiropractors remain at 2020 levels for the next two years.As you may know, in August, the Centers for Medicare and Medicaid Services released a Proposed Rule regarding the Medicare Physician Fee Schedule for 2021.This Proposed Rule, if implemented as proposed, would impose significant payment reductions for chiropractic and other services, largely due to budget neutrality, which requires financial offsets for the increase in payments for office and outpatient visits for other provider groups, scheduled for implementation on January 1, 2021.If implemented as proposed, providing chiropractic care for Medicare beneficiaries will no longer be financially sustainable for many practices, and some will have no choice but to limit seeing Medicare patients, a population that desperately needs cost-effective, conservative chiropractic care for chronic pain. With more than 634,000 Iowans enrolled in Medicare as of September 2020, these reductions must be stopped.By restricting Medicare beneficiaries' access to drug-free and surgery-free chiropractic care, the Medicare system risks adding costs associated with more costly treatments for spinal care, including addictive prescription opioids and unnecessary invasive spinal surgeries.Passage of H.R. 8702 would stop the implementation of payment reductions that will add to the financial instability of health care practices during the pandemic, eliminating a potential financial barrier to care for Iowa seniors.For these reasons, I ask you to co-sponsor H.R. 8702, the Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020. Half of Iowa’s U.S. Representatives have cosponsored and support this bill. We hope that we can count on your support. Thank you for your consideration of this critically important matter and thank you for your support of American seniors!Sincerely, ................
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