The American College of Rheumatology led a coalition of 23 rheumatology groups in sending a letter to congressional leaders opposing a proposed 50% cut to same-day Medicare evaluation and management service payments. The letter was sent 21 September 2026.^[1] ACR President William F. Harvey stated that the proposed cuts would force patients to return for separate appointments and threaten the viability of independent rheumatology practices.^[2] The pending Medicare home health final rule includes a proposed aggregate 2.4% payment increase and a temporary 3% reduction to the 2027 national standardized payment rate.^[3]