2020 AASM Legislative Agenda

In preparation for the 2020 federal and state legislative sessions, the AASM presents this synopsis of priorities to guide our efforts as we advocate to improve sleep health and promote high quality, patient-centered care. Rather than being an exhaustive list of legislative areas of interest, this agenda provides a prioritized framework for legislative advocacy.

Federal Initiatives for the 116th Congress

Initiatives Led by AASM

  1. Congressional Sleep Health Caucus
    • The AASM will grow the Sleep Health Caucus and utilize it to raise awareness for the field and further our legislative priorities.
  1. Sleep Health Awareness Resolution
    • The AASM will seek sponsors for a resolution declaring federal recognition of a National Sleep Health Awareness Month or Student/Children’s Sleep Health Week.
  1. School Start Times
    • The AASM will support HR 1861, which directs the Department of Education to conduct a study of school start times.
  1. Drowsy Driving
    • The AASM will support legislation to mandate screening, testing, and treatment for sleep disorders among commercial operators.
  1. Elimination of Daylight Saving Time
    • The AASM will support legislation that eliminates seasonal time changes in favor of a fixed, national, year-round standard time.
  1. DME Data Access Act
    • PAP data should be easily accessible by both patients and their health care providers. Legislation to be drafted by the AASM would create a consistent standard by which companies must provide access. Alternatively, AASM would support legislation promoting wearable data privacy (e.g., S. 2885).

Coalition Initiatives Supported by AASM

  1. Stark Law Reform
    • The AASM will support broad efforts to implement Stark Law reform while continuing to advocate for an exception to allow board-certified sleep medicine physicians to provide PAP therapy to Medicare patients who have obstructive sleep apnea.
  1. Prior Authorization
    • The AASM will support AMA efforts to reform the prior authorization process, including HR 3107.
  1. Sleep Research & Surveillance
    • The AASM will join the SRS in advocating for a sleep line-item to be added to the CDC budget. This is a top SRS advocacy priority for 2020.
    • The AASM will join the SRS in advocating for a line item for sleep apnea research and treatment to be added to the Department of Defense (DOD) budget.

State Initiatives for the 2020 Session

Initiatives Led by AASM

  1. School Start Times
    • The AASM will support state school start times legislation using California SB-328 as a model.
  1. Sleep Medicine/Dental Scope of Practice
    • The AASM will develop model language addressing scope of practice issues related to sleep apnea testing and treatment and will encourage adoption of this language by state medical and dental boards.
  1. Sleep Health Awareness Resolution
    • The AASM will work with state sleep societies to promote state recognition of National Sleep Health Awareness Month or Student/Children’s Sleep Health Week.

Coalition Initiatives Supported by AASM

  1. Maintenance of Certification
    • The AASM will support state legislation that reduces the burdensome aspects of MOC for physicians.