On October 22, 2021, two US representatives, Ami Bera (D-CA) and Larry Buschon (R-IN), sent a letter to Speaker of the House Nancy Pelosi and Minority Leader Kevin McCarthy. In the letter, the two representatives, both doctors, asked the congressional leaders to address imminent Medicare payment cuts that would have reduced reimbursement to a group of Medicare service providers, including physicians and ASCs, by “at least 9 percent.” The cuts, the letter said, would “strain our healthcare system and jeopardize patient access to medically necessary services.”