This document outlines the AAFP's federal priorities for 2013, including implementation of the Affordable Care Act marketplaces, Medicare physician payment reform, and graduate medical education and primary care workforce assistance. It provides details on two bills in Congress that would repeal the Sustainable Growth Rate formula for Medicare payments and transition to alternative payment models emphasizing value and care coordination. It also summarizes the AAFP's efforts to develop resources for members and patients to understand changes from health care reform.