Call Congress Today!

Dial the U.S. Capitol Switchboard at (202) 224-3121 and ask to speak with your Representative. Then share this message:

Hello, this is [Your Name]. I live in [City], [State] [Zip]. I’m calling today to talk about H.R. 1827, the Pediatric Subspecialty and Mental Health Workforce Reauthorization Act. I would like to see the Representative cosponsor this legislation and want to know what I can do to help make that happen. Please call me at your convenience at [your phone] or via email at [your email]. Thank you!


States with a Shortage of Pediatric Rhematologists 2013Arthritis is a disabling and painful disease that affects more than 50 million Americans, including 300,000 children.  Nearly 1 in 250 children are living with a form of arthritis. Juvenile arthritis is one of the most common childhood diseases, affecting more children than cystic fibrosis and muscular dystrophy.  Currently, there are less than 250 board certified, practicing pediatric rheumatologists in the United States and about 90 percent of those are clustered in and around large cities.  Pediatric rheumatology has one of the smallest numbers of doctors of any pediatric subspecialty.  Of those children with juvenile arthritis, only one-fourth see a pediatric rheumatologist due to their scarcity.  The other 75% of juvenile arthritis patients see either pediatricians (who tend not to be trained in how to adequately care for juvenile arthritis) or adult rheumatologists, who aren't trained to deal with pediatric issues, whether it’s the stunted bone growth that can result from arthritis and its treatment, or the unwillingness of an adolescent to take his medicine.  Furthermore, the diseases that are common in children can be very rare in adults, so a rheumatologist may have rarely, if ever, had occasion to diagnose and/or treat those related diseases and co-morbidities.  There are currently eleven states that do not have a single practicing pediatric rheumatologist and seven states with only one pediatric rheumatologist.                                                 

Pediatric Subspecialty Loan Repayment Program:

The pediatric subspecialty loan repayment program was authorized by Section 5203 of the Affordable Care Act (ACA) in March 2010. The program, which would be administered by the Health Resources and Services Administration (HRSA), would incentivize training and practice in pediatric medical subspecialties, like pediatric rheumatology, in underserved areas across the United States. The program would offer up to $35,000 in loan forgiveness for each year of service for a maximum of three years.  The program was authorized for $30 million for FY 2010 through FY 2014, but has yet to be appropriated any funding. 

President Obama requested, in his FY 2013 and FY 2014 budget, $5 million dollars to fund the Pediatric Subspecialty Loan Repayment Program.  The Senate Appropriations Committee approved $5 million dollars for the program.

What Your Members of Congress Can Do to Act on this Issue:

To help alleviate the current shortage of pediatric rheumatologists in the United States, the Arthritis Foundation urges Congress to appropriate $5 million to fund the Pediatric Subspecialty Loan Repayment Program in FY 2014. 

Since the authorization for the program expires in FY 2014, the Arthritis Foundation is also urging Members of Congress to cosponsor H.R. 1827, the Pediatric Subspecialty and Mental Health Workforce Reauthoritzation of 2013.

What You Can Do to Act on This Issue:

1. Read and Share:

  • Ask your Pediatric Rheumatologist to contact Congress about this issue. Click here to download a handout and bring it to your next appointment.
  • Download a map demonstrating the critical need for more pediatric rheumatologists in the United States.
  • Issue brief on H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 with your member of Congress
  • Issue brief on H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 with your Senator
  • Download a joint letter submitted by the Arthritis Foundation and the American College of Rheumatology to the Senate Appropriations Subcommittee on Labor, Health and Human Services requesting their support for this program.
  • Download a joint letter submitted by the Arthritis Foundation and the American College of Rheumatology to the House Appropriations Subcommittee on Labor, Health and Human Services requesting their support for this program.

2. Watch and Learn:

  • Watch an Issue Expert Training on H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013.
  • Watch Kristen’s Story, a powerful video created by the Arthritis Foundation’s Southeast Region, to learn more about the shortage of pediatric rheumatologists in America and the impact it has on patient access to care, disease management, and a childhood.

3. Take Action: Make sure your Representative is a cosponsor of H.R. 1827. Call the Capitol Switchboard at (202) 224-3121, ask to speak with your Representative and share the message below. Current cosponsors include:

Ron Barber [D, AZ-2]
Sanford Bishop [D, GA-2]
Earl Blumenauer [D, OR-3]
Lois Capps [D, CA-24]
Michael Capuano [D, MA-7]
Kathy Castor [D, FL-14]
David Cicilline [D, RI-1]
Peter DeFazio [D, OR-4]
Michael Doyle [D, PA-14]
Anna Eshoo [D, CA-18]
Alcee Hastings [D, FL-20]
Denny Heck [D, WA-10]
Steve Israel [D, NY-3]
James Langevin [D, RI-2]
John Larson [D, CT-1]
Barbara Lee [D, CA-13]
John Lewis [D, GA-5]
Daniel Lipinski [D, IL-3]
David Loebsack [D, IA-2]
Zoe Lofgren [D, CA-19]
Doris Matsui [D, CA-6]
Jim McDermott [D, WA-7]
Jerry McNerney [D, CA-9]



William Pascrell [D, NJ-9]
Ed Pastor [D, AZ-7]
Donald Payne [D, NJ-10]
Ed Perlmutter [D, CO-7]
Mark Pocan [D, WI-2]
Jared Polis [D, CO-2]
Mike Quigley [D, IL-5]
Dutch Ruppersberger [D, MD-2]
Janice Schakowsky [D, IL-9]
Bradley Schneider [D, IL-10]
Allyson Schwartz [D, PA-13]
David Scott [D, GA-13]
Jackie Speier [D, CA-14]
Paul Tonko [D, NY-20]
Peter Welch [D, VT-AL]

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