Archives for September 2023

ASE Advocacy Update 9/29/23

The fall season brings with it the potential for government shutdown on October 1. We are seeing this play out this week as Congress has yet to pass any of the 12 FY2024 appropriations bills or a short-term spending bill (i.e., Continuing Resolution (CR)) to keep the government funded while Congress continues to work on a broader spending package. The Senate is expected to vote by Saturday on a CR that would fund the government until November 17. There are two CR proposals in the House—one to fund the government for 30 days and the other until January 11—but a vote has not been scheduled and may not be by the October 1 deadline. Below are some highlights of the impact on key health policy areas in the event Congress does not pass a CR by midnight Saturday, September 30, and there is a government shutdown.


  • Congressional offices will remain open.

Medicare and Medicaid

  • The Centers for Medicare & Medicaid Services (CMS) will continue to process claims.
  • Physicians would not have to hold claims until the CR passes, but there could be a delay in payment if the shutdown is prolonged and funding to Medicare Administrative Contractors is delayed.
  • If the shutdown is prolonged, it is possible that the release of the Medicare physician fee schedule final rule, outpatient prospective payment system final rule, and other major regulations could be delayed.
  • Medicare benefits will not be affected.
  • Medicaid has full funding for the next three months.
  • Approximately half of CMS employees would be deemed essential and continue to work, although many would be unpaid until the shutdown ends.
  • CMS staffing levels may not be sufficient to respond to physicians’ questions about Medicare policies or scores under the Merit-based Incentive Payment System (MIPS).
  • Center for Medicare and Medicaid Innovation (CMMI) staff may continue to develop new alternative payment models, but any new model that CMMI plans to formally announce would likely be delayed.

Department of Health and Human Services (HHS)

  • HHS will use its authority under the Antideficiency Act (ADA) to maintain existing HHS activities, including research and vaccine and therapeutic development.
  • CMS will maintain the staff necessary to make payments to eligible states for the Children’s Health Insurance Program (CHIP).
  • CMS will continue Federal Exchange activities, such as eligibility verification, using Federal Exchange user fee carryover.
  • The Substance Abuse and Mental Health Services Administration (SAMHSA) will continue substance abuse and mental health programs, including those that provide critical behavioral health resources in the event of a natural   or human-caused disaster such as Disaster Behavioral Health response teams, the 24/7 365 day-a-year Disaster Distress Helpline that provides crisis counseling to people experiencing emotional distress after a disaster, and the 988/Suicide Lifeline to connect people in crisis with life-saving resources.
  • The Administration for Strategic Preparedness and Response (ASPR) will maintain the minimal readiness for all hazards, including COVID-19, pandemic flu, and hurricane responses.
  • The National Institutes of Health (NIH) will continue research and clinical activities.
  • The Food and Drug Administration (FDA) will continue to support drug and medical device reviews, as well as emergency use authorizations and countermeasures to fight the COVID-19 pandemic. FDA will also continue core functions to handle and respond to emergencies, such as monitoring for and quickly responding to outbreaks related to foodborne illness and the flu, supporting food and medical product recalls when products endanger consumers and patients, pursuing criminal and certain civil investigations when the public health is at risk, and screening the food and medical products that are imported to the U.S.
  • HHS will continue to protect human life and property, such as monitoring for disease outbreaks conducted by the Centers for Disease Control and Prevention (CDC).
  • CMS regulations and guidance related to the No Surprises Act, including the Independent Dispute Resolution process, could be delayed.
  • The Health Resources and Services Administration (HRSA) will continue to oversee many direct health services and other activities funded through carryover balances, such as the Ryan White HIV/AIDS program – Parts A and B and Ending the HIV Epidemic.
  • The Agency for Healthcare Research and Quality (AHRQ) will continue activities funded through the Patient-Centered Outcomes Research Trust Fund (PCORTF).
  • Advanced Research Projects Agency for Health (ARPA-H) is under a three-year appropriation; all of ARPA-H activities would continue during a lapse of appropriation.
  • The Indian Health Service (IHS) is under advance appropriations for FY 2024; the majority of IHS-funded programs will remain funded and operational in the event of a lapse of appropriation.


  • Supplemental Nutrition Assistance Program (SNAP) will continue at least through October.
  • The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) could begin an immediate reduction in benefits a few days after the shutdown starts, although some states may be able to use extra funding to maintain funding for a week or two.
  • Student loan payments: The beginning of a government shutdown could coincide with the restart of federal student loan payments in the U.S. on Oct. 1, but borrowers will still have to make payments to their loan service providers.

Echo VOL | 12 Issue 9

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New Language Translations for Two ASE Guidelines 

Goal 4 of ASE’s 2020-2025 Strategic Goals states, “ASE is a growing organization and recognized as the world’s leading voice in cardiovascular ultrasound.” One way we are fulfilling that goal is by making ASE Guidelines available to a larger audience by offering additional language translations.

The Recommended Standards for the Performance of Transesophageal Echocardiographic Screening for Structural Heart Intervention is now also available in Spanish, and the Recommendations for Multimodality Cardiovascular Imaging of Patients with Hypertrophic Cardiomyopathy has been translated to Chinese.

ASE’s Guidelines webpage offers many different filtering capabilities, including by language. There are currently eight language filter options available. Additionally, the language filter can be used individually or in combination with other filters, such as topic, publication year, or author. Contact with questions.

Automatically Renew Your ASE Membership

The 2024 ASE member renewal season is here! Did you know that ASE has an auto-renewal feature that is a convenient way to avoid a lapse in your membership and have uninterrupted access to all your ASE benefits? When you renew your membership this year, follow the steps below to sign up. Next year on November 1, 2024, ASE will charge your saved payment method with your membership renewal.*

First, add or update your payment method:

  • Log in to your Member Portal, and click My Saved Payment Methods along the left-hand side.
  • Select the + New Credit Card button, and enter your card information.
  • Click Save.

Then, proceed to renewing your 2024 membership and sign up for auto-renewal:

  • Select Renew Your Membership on the left navigation.
  • Click the Renew button to renew your membership.
  • Check the Sign-up for Auto Renewal box, and then click the Renew button.

All payment information is securely protected. Please contact ASE with questions regarding this process. You can also sign up for auto renewal by phone at 919-861-5574 or by email at

*To sign up for automatic renewal, you must complete the renewal process and renew your ASE membership for 2024. You can cancel auto-renewal at any time.

Call for Nominations for ASE Leadership Positions are Now Open

Now is your opportunity to become a leader in ASE! We are seeking the best and brightest members to move forward the mission and goals of the Society and the ASE Foundation. We are accepting nominations for available positions on the ASE Executive CommitteeASE Board of DirectorsASE Foundation Board of Directors, and ASE Council Steering Committees. If you are an active member and meet the criteria outlined for the position, ask a friend or colleague who is also an ASE member to submit a nomination on your behalf. The deadline for candidates to submit all required materials is November 30, 2023 (no exceptions).

All positions are open to any member regardless of their specialty, and ASE is looking for a diverse pool of nominees. Contact with questions.

The Pressure Is On: September CASE

The latest issue of CASE is now available with seven fascinating reports, including “Cysts Around the Heart: Differential Diagnosis and Multimodality Imaging Strategies for Paracardiac Cysts” by Maidman et al. CASE Editor-in-Chief, Vincent L. Sorrell, MD, FASE, remarked, “CASE specializes in providing readers with real-life CV imaging examples that can be used to help you better diagnose and manage your patients. Our goal, as we work with authors during the editorial review process to create educationally meaningful images, is to provide you with common presentations of uncommon diseases and uncommon presentations of common diseases. The CASE series by Maidman et al. fulfills this goal and offers readers a reference guide to be kept in their echo lab for future use. Paracardiac cysts are very common, but their differential is diverse, making them difficult to accurately diagnose. These authors did a fabulous job of including the echocardiographic findings of the most common paracardiac cysts. The accompanying correlative images demonstrate the value of ultrasound enhancing agents, 3D echo, and tomographic imaging. Additionally, the authors created a table of the most common discriminatory echo characteristics to guide your interpretation. This is yet another CASE report that should be added to your Echo Lab CASE Files!”

This issue contains a second case in Multimodality Imaging, featuring a variety of images and tissue characteristic patterns for the diagnosis of an underlying idiopathic etiology in a patient with an LV apical aneurysm. A stunning case of a spontaneous coronary sinus thrombosis in Cardiac Tumors and Pseudotumors accompanies two astute reports in each of the Atypical Presentations of Heart Disease and Just Another Day in the Echo Lab categories, including one on a patient with a classic clinical presentation of vasculitis who later obtains the unexpected diagnosis of infective endocarditis. Dr. Sorrell’s editorial serves as a reminder of the continued importance in considering hemodynamic setting at the time of echo acquisition.

Looking for a journal to submit your case report to? We want to hear from you! Email us with questions or submit your report today. Be sure to check out the latest Sonographer Sound-Off and Unlock the CASE features on the CASE Homepage to view more extraordinary work from your colleagues.

Earn Free CMEs through JASE as a Benefit of ASE Membership

Did you know that each issue of the Journal of the American Society of Echocardiography (JASE) includes a free CME article? The articles are added to the ASE Learning Hub each month. Browse the catalog, choose JASE CME Articles under category and click review, learn, and earn at least 12 FREE CME credits each year. CME certificates are available for immediate access once you have successfully completed the activity.

Read the latest JASE free CME article available now in the Learning Hub titled, A Practical Approach to Echocardiographic Imaging in Patients with Hypertrophic Cardiomyopathy, and earn up to 1.25 AMA PRA Category 1 Credits™.

Registration is Open for 2024 Echo Hawaii and SOTA

33rd Annual Echo Hawaii™ and the 36th Annual State-of-the-Art Echocardiography™ registration and accommodations are now open! For more than three decades, both courses have featured outstanding faculty who share the latest in echocardiography education with attendees. Echo Hawaii will take place January 15-19, 2024, at the Fairmont Orchid, Kohala Coast, Big Island, Hawaii, and SOTA will be February 16-19, 2024 at The Westin Kierland Resort & Spa, Scottsdale, Arizona.

Attendees who register early can save up to $225! ASE Members: Receive your member discount by logging in to your Member Portal and clicking Events at the top of the page.

ASEF and National Coffee Day are the Perfect Blend

At the end of this month, the ASE Foundation will host its popular Coffee Day fundraiser from September 25 – October 1. Share a cup of joe with ASEF in honor of National Coffee Day on September 29 by making a donation in the amount you normally spend on a cup of coffee! After you donate, let us know on social media by tagging @ASE360 with a picture of your coffee or coffee selfie. Remember to use the hashtags #ASEFoundation and #GaveACup.

We set a goal to raise $5,000. Contact Sophie Pumphrey at to make an early pledge and help us wake up other donations. Remember, each donation helps to fuel ASEF scholarships, research grants, global outreach patient efforts, and more! 

Who Makes ASE Strong? YOU!

YOU make ASE the largest voice in cardiovascular imaging in the world.

YOU know the value of membership and can share it with your colleagues.

YOU can encourage them to join ASE to maintain the influence of the echo community.

ASE Ambassadors who refer new members help create a stronger community of collaboration and advance the field of cardiovascular ultrasound to improve lives. Our Member Recruiting Toolkit makes recruiting new members easy! The toolkit offers tips and ideas on how to invite colleagues, friends, peers, and others to join ASE and—include an invitation email example. Additionally, if you refer 5 new members, you can earn a free 2025 ASE membership as a thank you for your referrals.

Thank you to the more than 150 ASE Ambassadors who participated in 2023 resulting in nearly 325 new members. We invite you to participate in ASE’s 2024 Member Ambassador Program and help spread the word about why ASE Membership Matters!