New executive order re: Accreditation

[AJS59]

https://thehill.com/homenews/education/5263841-trump-executive-order-college-accreditation-mcmahon/

Just saw news of this. Wonder how ACGME and LCME will react and more importantly how it might shake up the most important things relevant to med students: access to student loans, quality of education, admissions and (eventually) residency accreditation.

Not sure if I'm able to post this link here so lmk if I'm not.

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[WildWing]

https://thehill.com/homenews/education/5263841-trump-executive-order-college-accreditation-mcmahon/

Just saw news of this. Wonder how ACGME and LCME will react and more importantly how it might shake up the most important things relevant to med students: access to student loans, quality of education, admissions and (eventually) residency accreditation.

Not sure if I'm able to post this link here so lmk if I'm not.

Links are fine. Cutting and pasting article text is where we can run afoul of copyright law.

 

[Goro]

https://thehill.com/homenews/education/5263841-trump-executive-order-college-accreditation-mcmahon/

Just saw news of this. Wonder how ACGME and LCME will react and more importantly how it might shake up the most important things relevant to med students: access to student loans, quality of education, admissions and (eventually) residency accreditation.

Not sure if I'm able to post this link here so lmk if I'm not.

Trump is trying to play the bully and demanding complete obsequence from everyone.

Consider him no different from a mafia Don.

He also does not have the legal authority to do this.

 

[NotAProgDirector]

He also does not have the legal authority to do this.

I worry you are very incorrect here.

I expect he can have HHS declare that ACGME accreditation does not qualify for CMS payments. That would put the ACGME out of business instantly

 

[Goro]

I worry you are very incorrect here.

I expect he can have HHS declare that ACGME accreditation does not qualify for CMS payments. That would put the ACGME out of business instantly

If the money for residency training is appropriated by Congress through Medicaid, the Executive branch does not have the legal authority to impound monies to things Donald Dump doesn't like, right?

 

[Mr.Smile12]

If the money for residency training is appropriated by Congress through Medicaid, the Executive branch does not have the legal authority to impound monies to things Donald Dump doesn't like, right?

As we see, Congress is incompetent or unable to assert its constitutional powers regarding tariffs. All bets are off until someone asserts constitutional powers.

 

[LucidSplash]

Very likely DJT could try to assert power here, when/why is a bigger mystery. Also 100% certainty it would end up in the courts and at this point I think it’s anyone’s guess how that would ultimately settle out or where it would fall in priority in the list of things that the Supreme Court is going to have to weigh in on.

 

[NotAProgDirector]

It's complicated, as usual. First, most GME funding is from Medicare, not Medicaid (although Medicaid does have some GME funding, so complicated).

What the current Admin can and can't do is very fluid. And even if they "can't" do something, they can do it and wait for it to play out in court. Which can take long enough such that it no longer matters.

How much of the rules of all of this are actually in a congressional law vs how much were created by the rule-making process I don't know. But most of it appears in the Federal Register, so I expect its mostly rules. Which means that they could change at any time without input from Congress, I believe.

Actually, the law is in the SSA section 1886 paragraph H. And there, it says:

(h)(A) Rules.—The Secretary shall establish rules consistent with this paragraph for the computation of the number of full-time-equivalent residents in an approved medical residency training program.

So you see, the HHS secretary can change this any time they wish. POOF!