WASHINGTON DC, USA - APRIL 29 2019 - Interior of Russel Senate Building in front of Capitol congress detail of Senator Room open to public

advocacy efforts

SGIM channels its resources into advocating for pivotal changes across our focus areas of Clinical Practice, Education, and Research. Explore the various ways SGIM engages with policymakers through direct appeals and strategic coalitions. These efforts aim to advance general internal medicine, influence healthcare policies, and improve outcomes for physicians and patients nationwide.

Clinical Practice

SGIM's advocacy efforts support the delivery of high-quality primary and cognitive care services that improve patient outcomes and health equity by working in conjunction with Congress, federal agencies and other organizations.


SGIM advocates for the education of medical students, residents, and fellows as well as faculty at academic centers, teaching hospitals and in the community. We advocate for innovations in medical education to prepare clinicians to deliver the highest quality evidence-based, culturally appropriate,  and cost-effective clinical care.


SGIM advocates for a wide range of research, including subfields  within the broad category of health services research and primary care research. The need for robust and sustained funding for research remains the Society’s priority interest, with the inequities that have been exposed and exacerbated by the Covid-19 pandemic.

Clinical PRactice

SGIM Comments on Hospital Inpatient Prospective Payment Services (IPPS) for Acute Care Hospitals – June 2023

SGIM provided comments to the Centers for Medicare & Medicaid Services (CMS) and expressed strong support for CMS’ proposal to allow medical students to train in rural areas (with sustainable support provided for such training); revise the hospital value-based purchasing program to add a health equity adjustment; and make changes to the severity of level designations for the definition of homelessness.  Additionally, the Society provided comments on questions in the RFI regarding Safety Net Hospitals.

SGIM Support Letter for the US Preventative Services Task Force (USPSTF) – July 2023

SGIM endorsed a letter to the Senate Appropriations Committee and the Labor HHS subcommittee as part of a coalition calling for support for an increase in funding for the USPSTF as part of the Labor HHS FY24 appropriations bill. This letter also calls for the USPSTF to keep pace with medical innovation and emerging/innovative medical technologies that can further public health for all Americans.

Support of CMS Proposal to Implement G2211 in the CY24 Medicare Physician Fee ScheduleSeptember 2023

SGIM provided comments on the Centers for Medicare and Medicaid Services (CMS) CY24 Medicare Physician Fee Schedule (MPFS). Comments from the Society centered around the Conversion Factor for 2024; E/M Visits; Soliciting Public Comment on Strategies for Updates to Practice Expense Data Collection and Methodology; Payment for Medicare Telehealth Services; and Services Addressing Health-Related Social Needs. SGIM also endorsed a coalition letter on this issue, brought forward by the 66 organizational members of the Primary Care Collaborative.

SGIM Letter to Congress to Avert Physician Pay Cuts – December 2023

SGIM’s letter to House and Senate leadership urged Congress to take action to prevent physician payment cuts of 3.37% beginning on January 1, 2024 and to develop more comprehensive reforms to support primary care and stabilize the Medicare physician payment system.

SGIM Comments on Addressing Chronic Disparities in Access to Health Care in Rural and Underserved Communities – October 2023

SGIM comments expressed concern about primary care workforce shortages and the need for broad policy change to ensure there is an adequate supply of primary care physicians to address the needs facing our population. The Society recommended development of a payment structure for GME that supports primary care; support of HRSA workforce and training programs like Teaching Health Center GME (THCGME) and Title VII; inflationary adjustments to the Medicare Physician Fee Structure (MPFS); and to adequately define and value non-procedural E/M services.

SGIM Comments on Centers for Medicare Services Data Access Policy – April 2024

SGIM urges CMS to revise its data access policy to ensure that researchers across the country continue to have access to claims data for important primary care research efforts.

Statement for the Record from SGIM on How Primary Care Improves Health Care Efficiency – March 2024

SGIM provided Congressional testimony for a hearing to consider how primary care improves health care. SGIM believes that establishing a technical advisory commitee (TAP) to define and value E/M and other non-procedural work is critical to appropriately reimbursing for primary care services and supporting the delivery of high-quality primary care.

Statement for the Record, Senate Finance Committee Hearing on Physician Payment – April 2024

SGIM highlights critical role of primary care physicians and the need for structural reforms to the Medicare Physician Fee Schedule to support more equitable physician reimbursement and appropriate valuation of primary care services.


Friends of the Health Resources and Services Administration (HRSA) Letter of Support – March 2024

SGIM and 85 other members of the Friends of HRSA coalition urge Congress to include at least $10.5 billion for discretionary Health Resources and Services Administration programs in the FY 2025 Labor, Health and Human Services, Education, and Related Agencies appropriations bill.

SGIM Endorses ACP Letter about the Educate Act – April 2024

SGIM joined the American College of Physicians and 22 other medical societies in expressing strong opposition to the legislation recently proposed in the U.S. House of Representatives that would prohibit medical schools from receiving federal funding if they engage in activities such as having a Diversity, Equity, and Inclusion office or providing education on structural or institutional racism.

Coalition Letter in Support of PRA Increase for THCGME Programs – April 2024

As a member of the THCGME Coalition, SGIM asks the Health Resources and Services Administration (HRSA) Administrator Dr. Luis Padilla to increase the THCGME program “Per Resident Allocation,” or PRA, for the upcoming 2024-2025 Academic Year to better support programs.


SGIM Request for AHRQ Appropriations Funding – August 2023

The Society strongly urges Congress to appropriate $370.5 million for the Agency for Healthcare Research and Quality (AHRQ) in the appropriations for FY24.

SGIM Expresses Concern about National Academies’ Standing Committee on Primary Care – August 2023

SGIM addressed concerns over the limited representation of internal medicine physicians in the provisional appointments to the National Academies Standing Committee on Primary Care and asked for two additional internal medicine slots to be added to the committee.

SGIM Comments on Modernizing the National Institutes of Health (NIH) - October 2023

SGIM provided comments to an RFI on the modernization of the NIH. Specifically, SGIM made suggestions in the categories of intramural and extramural research and asked the NIH to optimize APRA-H to address major health threats.

Friends of AHRQ FY25 Request – February 2024

SGIM joins hundreds of other organizations and the Friends of AHRQ to request no less than $500 million in funding for FY25 appropriations. This request reflects an inflation adjustment from FY10 and the demonstrated need to expand and accelerate health services research investments to inform decision-making on the healthcare system as it recovers from the pandemic.