Indiana Surgeons Contact Your Legislator: Length of Stay Should be Determined Between a Patient and Physician, Not the Legislature


The Indiana Orthopaedic Society is urging its members to express serious concerns with Senate Bill 243 to their state lawmakers. The bill puts certain hospitals at risk for being shut down by requiring that any hospital with less than 2.0 average length of stay over a 12-month period be denied a license.

These requirements have nothing to do with delivering high-quality care, but instead could curtail hospital competition and create patient access issues. By establishing new minimum bed requirements for new hospital applicants and onerous licensure requirements, S.B. 243 creates barriers to entry for new hospitals.

Certain Indiana hospitals, like many around the country, work to drive down the average length of stay while at the same time increasing quality of care. This both lowers costs for patients and increases access overall to high-quality care. This proposal demands that existing hospitals increase their length of stay for the average patient and will immediately add to the cost of care.

Length of stay in a hospital should be determined between a patient and physician. We strongly advocate for patient-centered care and provider-led innovation, and we are strongly concerned that S.B. 243 runs counter to both of these goals. The new licensure requirements, minimum bed requirements, and creation of an unelected task force could create a more consolidated hospital market, which may result in higher spending and adverse health outcomes for patients. We urge you to ask your state lawmaker to oppose this legislation and allow Indiana hospitals to continue to provide high-quality, low-cost care to patients across the state.


We need your help today! Please write or call Lieutenant Governor Cagle immediately.


The Georgia Orthopaedic Society is asking our members to contact the state legislature regarding an issue on an out of network issue. On Monday, March 12, opponents to our comprehensive and fair solution to surprise medical bills in Georgia sprung a legislative maneuver that would halt our progress and instead provide a shortcut to passing a significantly watered-down version, now disguised as SB 8. SB 8 passed the State Senate last year but was not considered in the House Insurance Committee. Now SB 8 is being used as the legislative vehicle to push HB 678, which does not solve the problem of surprise billing. Right now, Georgia’s Lieutenant Governor, Casey Cagle, can stop this in its tracks by preventing it from coming to a vote on the floor of the Georgia Senate.

Please use the below form to send a letter to Lieutenant Governor Cagle and State Senators. Or you can directly reach out to them at:

Use these talking points if you directly reach out to them: GA Action – Stop SB 8:

Lt. Gov. Cagle at 404.656.5030 or
Sen. Butch Miller at 404.656.6578 or
Sen. Bill Cowsert at 404.463.1366 or
Sen. Steve Gooch at 404.656.9221 or
Sen. John Kennedy at 404.656.0045 or

We need your help today! Please write or call Lieutenant Governor Cagle immediately. The Georgia Coalition to End the Surprise Insurance Gap represents 16 doctor and patient groups, and hundreds of thousands of Georgians who all support the comprehensive solution we’ve been advocating for and know it’s desperately needed. Georgians deserve a comprehensive solution that takes patients out of the middle and ends surprise medical bills – not a watered down, toothless transparency bill that doesn’t solve the problem.



Maryland Surgeons Contact Your Legislator: Help Us Oppose Bill Allowing Podiatrists to Use the Title Physician


The Maryland Orthopaedic Association (MOA), representing 236 surgeons, is asking our members to write in opposition to HB 1430 in Maryland. Please scroll down to take action and contact your legislator. This bill allows podiatrists to use the title “physician.” The AAOS and MOA oppose the use of the title “physician” by non-physician clinicians as it is likely to confuse the public by implying that the clinician is engaged in the unlimited practice of medicine.

Podiatrists and orthopaedic surgeons are trained differently. The lower extremity is one of the more complex areas of the human musculoskeletal system, and an orthopaedic surgeon will attend four years of medical school, serve a five year orthopaedic surgery residency, and typically take an additional year of subspecialty fellowship training. MDs or DOs participate in active clinical care in multi system trauma and disease management, which is not the case for all podiatrists, and is a prerequisite for peer-review oversight.

While recent changes have improved podiatric education, it is not the same as the multi-system medical education required to become a MD or DO, nor is it the same accreditation process. They do not participate in the United States Medical Licensing Examination, which is the standard for all advanced medical care and essential to the degree of MD and DO. We believe that the title of physician should be attained through the accreditation process, and not the legislative process.