SCAI signs onto a letter along with the Alliance for Specialty Medicine directed to bipartisan leadership within the House and Senate to urge Congress to extend positive physician payment updates to the conversion factor, the Merit-based Incentive Payment System (MIPS) exceptional performance bonus, and the Advanced Alternative Payment Models (A-APM) incentive payments. Currently, these positive payments are scheduled to expire at the end of 2019, and the MIPS exceptional performance bonus and A-APM incentive payments will expire at the end of 2022. Positive payment updates will help to ensure that Medicare fee-for-service (FFS) and the programs under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) continue to be viable options to ensure access to quality specialty care for all our patients.