The American College of Surgeons (ACS) along with more than 30 other health organizations sent a letter in opposition to recently introduced legislation that would limit access to in-office services provided by physicians. The letter, sent to all members of Congress, urges opposition to H.R. 2914, the Promoting Integrity in Medicare Act, which would eliminate the in-office ancillary services exception (IOASE) to the Stark self-referral law. The IOASE allows physicians to provide certain services including advanced diagnostic imaging (MRI, PET, and CT scans), radiation therapy, anatomic pathology, and physical therapy, with certain requirements and restrictions. The ACS maintains that the U.S. health care system must ease the coordination of care to patients, especially those with complex conditions. Eliminating the IOASE would make this process more difficult. View the letter online at http://www.facs.org/ahp/medicare/index.html.