News and Updates from ACP National

On September 21, President Trump signed a proclamation entitled “Restriction on Entry of Certain Nonimmigrant Workers” which imposes a $100,000 fee on employers for each initial H-1B application filed after September 21. The Trump administration has also proposed a rule changing the J-1 visa process, requiring J-1 visa holders to apply through a new Department of Homeland Security process that could create recurring delays for the contracted GME workforce. ACP is concerned these policy changes could create significant barriers to hiring international medical graduates (IMGs) needing H-1B or J-1 visas, worsening workforce shortages and directly compromising patient care.

ACP has been advocating to the administration and with Congress that physicians, medical residents, and fellows affected by this proclamation should be exempted from these policy changes. The College has sent letters to DHS requesting these exemptions from H-1B and J-1 visa policy changes, with information about how essential IMG physicians are to the U.S. health workforce and healthcare access.

As part of this advocacy, ACP encourages chapters to engage in at least one of the following actions:

Participate in and share ACP’s Action Alert calling on Congress to address this issue.
Share your story of how these policy changes would impact you through ACP’s anonymous survey. You can also share this survey with your chapter’s IMG Committee and any program directors you know in your state.
Reach out to internal medicine and related subspecialty program directors in your state to learn how visa policy changes are impacting their programs. ACP has prepared a sample letter that can be used to contact local program directors.
For additional information, please contact Renee Butkus and Kory Stuer.

ACP Lawsuit Update: Motion to Continue

The judge in ACP's case against HHS and Secretary Kennedy has accepted our motion to continue the case during the government shutdown as he found the issues impactful to the safety of human life. The case will now pick back up, with the plaintiffs (including ACP) filing an amended complaint by November 5, the government likely filing another motion to dismiss on November 19 and the first major hearing on December 17. Once the filings are done, ACP Senior Staff Attorney Santo Caruso will share the hearing details for those who would consider attending either remotely or in person. Recall, Mr. Caruso has mentioned that hearing is an opportunity for ACP to “lose” as the judge could dismiss the case, but, especially with his finding that the case should continue during the shutdown, it is unlikely he will dismiss. Unfortunately, all of these delays have pushed ACP's first opportunity to “win” into mid-January/early February 2026. Please direct any questions to Santo Caruso, ACP Senior Staff Attorney, at scaruso@acponline.org.

New ACP Paper Addresses Ethical Considerations in Organ Transplantation

The new position paper, published in the Annals of Internal Medicine, Ethical Issues in Organ Transplantation: A Position Paper from the American College of Physicians, emphasizes that the needs of the donor patient and their family must be at the forefront and that the process should be trustworthy and transparent.

The paper clarifies the roles and responsibilities of care teams for prospective donor patients, recipient-patients, and organ procurement teams, reaffirming that end-of-life decision-making must center on the patient's best interests.

It also highlights that current organ transplantation practices can sometimes prioritize community benefit over patient-centered care. ACP underscores that physicians must always align care with the patient’s wishes and preferences.

The paper states that increasing the number of organs for transplant does not override physicians’ fundamental responsibilities to patients. As transplantation medicine and technology evolve, it must be guided by foundational and enduring ethical principles and medical professionalism.

A video featuring Noel Deep, MD, MACP, Chair of ACP’s Ethics, Professionalism and Human Rights Committee and a member of ACP’s Board of Regents, highlights the key points and takeaways from the paper. You can access the accompanying video here for leadership and chapter use.

ACP Launches New Chatbot to Help Members Find Information Faster

ACP has launched a new chatbot, named I.M. Osler, designed to help members quickly find information on ACP’s Membership page and in ACP’s Online Learning Center. The assistant serves as an easy-to-use, conversational tool that can guide users to key resources, answer general questions about ACP programs and services, and streamline navigation across the site.

ACP’s Customer Service team currently answers member questions submitted via a live chat mechanism on ACPOnline’s Membership section during regular business hours. With its launch, I.M. Osler will take over answering users’ questions after-hours, on weekends, and on holidays. The chatbot will be live on the Online Learning Center every day, around the clock.

While the chatbot provides convenient access to information, it is not a substitute for professional advice. It does not offer medical, legal, or financial guidance, and all information should be independently verified. Members are also reminded not to share protected health or confidential information in the chat, as conversations may be logged.

For complex or specific issues, ACP members can still connect with a human representative through ACP’s contact page during standard business hours.

This new tool reflects ACP’s ongoing commitment to improving the member experience by using technology to make accessing information faster and easier.

New Long COVID Resources Hub Features Evidence-Based Tools and Education

ACP, in collaboration with the Council of Medical Specialty Societies (CMSS), has launched a new Long COVID Resource Hub to help clinicians navigate evolving evidence and care for patients experiencing post-COVID conditions. The hub, free to ACP members, offers easy access to curated tools, educational materials, resources from DynaMedex®, and clinical guidance in one place.

Access up-to-date research, symptom management strategies, and practical resources to enhance patient care.A

Adult Immunization Hub Communications Toolkit

ACP works to improve adult immunization and patient outcomes by developing clinical guidance based on the best available evidence, publishing weekly scientific content, advocacy and making public statements, and offering resources for physicians and patients.Visit toolkit Here

Medicare Telehealth Flexibility Changes- What Every Physician Needs To Know

Due to the U.S. government shutdown, a vital policy shift began on October 1, 2025 — one that will significantly impact how telehealth services can be offered under Medicare. The ACP has released a concise guide that walks through these changes and provides practical steps to medical practices to adapt. You can read it here.

ACP Calls for Streamlined, Evidence-Based Performance Measures to Improve Patient Care

The paper outlines a structured approach to identifying clinical conditions most relevant to internal medicine and the performance measures most likely to benefit patients. The framework was applied to high-quality guidelines for osteoporosis and depression to demonstrate how meaningful measures can drive better outcomes.

It also emphasizes that performance measures should focus on high-priority populations and conditions, align with patient needs, and improve the physician experience. ACP warns that excessive measures not tied to evidence or outcomes increase administrative work, fuel physician burnout, and risk worsening workforce shortages.

ACP Paper Warns of Looming Public Health Crisis

In a new Ideas & Opinions paper, published in the Annals of Internal Medicine, ACP President Jason M. Goldman, MD, MACP, Darilyn V. Moyer, MD, MACP, FRCP, FIDSA, FAMWA, FEFIM, Rebecca A. Andrews, MD, MACP, and Shari M. Erickson, MPH discuss The Risk for Overwhelm Of The U.S. Health Care System By Vaccine-preventable And Modifiable Diseases. They warn that the politicization of science is driving the U.S. healthcare system toward disaster. They also point to a weakened public health infrastructure and widespread vaccine misinformation as key threats.

The authors highlight troubling developments, including reduced CDC workforce and capacity, withdrawal from the World Health Organization, and declining public confidence in vaccines, fueled by inconsistent messaging and policy volatility.

ACP urges physicians to collaborate with government leaders to strengthen public health capacity, rebuild trust, and ensure that systems are prepared to respond effectively to emerging health threats.

ACP Calls for Streamlined, Evidence-Based Performance Measures to Improve Patient Care

October 2025

New Page on Physician Suicide Awareness and Prevention Resources

September was Suicide Awareness Month and September 17 was National Physician Suicide Awareness Day (#NPSADay). NPSA Day was created to help break down the culture of silence around physician mental health and suicide. As an official NPSA Day-supporting organization, ACP encourages physicians, colleagues, friends, and family to foster a culture that addresses burnout, supports fulfillment, and normalizes mental health help-seeking for physicians.

Based on feedback from members, ACP has added a new page on its I. M. Emotional Support Hub dedicated to physician suicide awareness and prevention resources to share in your chapter communications. ACP recognizes physician suicide as a complex problem requiring system change and has compiled a list of resources on various types of programs and research in this area.

For more information contact Jessica Drass, Program Administrator, Department of Professional Development and Fulfillment at jdrass@acponline.org

September 2025

New ACP Paper Calls Prescription Drug Shortages a Public Health Crisis

The paper notes that prescription drugs are essential to the practice of medicine and the health and well-being of millions of patients. Yet drug shortages have reached record levels, straining hospitals and physicians, and negatively impacting patient care. The paper stresses the need for coordinated action by policymakers, manufacturers, and health systems to address the causes of this complex issue. The paper also outlines strategies such as strengthening supply chain monitoring, creating equitable allocation systems for essential medications during shortages, and reducing administrative burdens on physicians and patients.

New RSS Feed Helps You Stay Current on ACP News

ACP is making it even easier for our members to stay informed about College news with the launch of a new RSS feed. Designed to make it easier for you to stay on top of our latest updates, the RSS feed delivers real-time updates directly to your preferred RSS reader, offering instant access to the latest ACP news.

ACP Signs onto Statement Opposing Cuts to mRNA Vaccine Research Funding

ACP has joined leading physician organizations in issuing a joint statement expressing alarm over the U.S. Department of Health and Human Services’ decision to withdraw most federal support for mRNA vaccine research. The statement underscores that such cuts undermine public health preparedness and innovation, putting millions at risk. Read the full release here.

Internal Medicine Physicians Urge Adults to Get Vaccinated During National Immunization Month

August is National Immunization Awareness Month, and ACP is urging adults to get all recommended immunizations for protection against preventable diseases such as influenza, RSV, pneumonia, and COVID-19. Patients should consult with their physician to determine which vaccines are recommended to them based on their age and risk conditions.

New Ideas and Opinions Article Addresses Changes to the ACIP Committee

In an Ideas and Opinions article published July 21 in Annals of Internal Medicine, ACP President Jason M. Goldman, MD, MACP, and Robert Hopkins, MD, address sweeping changes to the CDC’s Advisory Committee on Immunization Practices (ACIP), raising concerns about the erosion of evidence-based public health policy in the United States.

July 2025

Physician Leaders Urge Congress: Protect Medicaid, Protect Lives

Physician leaders from the American College of Physicians, American Academy of Pediatrics, American Academy of Family Physicians, and American College of Obstetricians and Gynecologists are urging Congress to protect Medicaid and oppose harmful cuts that threaten care for children, pregnant women, seniors, and people with disabilities. Medicaid cuts impact entire communities which result in fewer vaccines, reduced mental health care, missed prenatal visits, and growing medical debt.

Watch the video here to hear from the physician leaders about why protecting Medicaid matters.

ACP’s Strong Advocacy Efforts Addressing ACIP and Vaccine-Related Issues

ACP issued strong statements on the dismissal of the CDC's Advisory Committee on Immunization Practices (ACIP) committee members and the subsequent committee selection process

ACP led an emergency resolution of the AMA, calling on the HHS Secretary to reverse his decision to dismiss the ACIP Committee members, and called for a Senate investigation into his actions.

In a new Annals of Internal Medicine commentary, ACP President Jason Goldman and Sandra Adamson Fryhofer, President Emeritus, warn about the dangers of the replacement of the ACIP committee members and liaisons in advance of the meeting, explaining how this upheaval threatens ACIP’s independent, evidence-based processes and compromises the public’s trust.

ACP has been very active in the news media on these issues. Recent examples include a Washington Post article, "How medical groups may preserve vaccine access — and bypass RFK Jr," and an ABC News story (link online to the story), “Experts warn RFK Jr. is unraveling the system that kept vaccines safe,” and an ABC News story, “Why is thimerosal back on the CDC's agenda when it's barely in flu shots anymore?”

Follow and share posts from ACP and Annals of Internal Medicine on social media (Facebook, X, Instagram, LinkedIn). Help amplify ACP communications by reposting, liking, replying and commenting.

June 2025

ACP Signs onto Joint Statement on Senate Reconciliation Package

ACP has signed onto a joint statement with the American Academy of Family Physicians, the American Academy of Pediatrics, American College of Obstetricians and Gynecologists, the American Osteopathic Association and the American Psychiatric Association to urge lawmakers to protect affordable health insurance in the areas of Medicaid, Student Debt Relief, and Medicare Physician Payment. Read the full release here.

Help Needed! Please Post and Share With Your Chapters to Protect Medicaid Funding

ACP is advocating relentlessly about issues directly impacting our members, internal medicine physicians, and patients. Currently, Congress is discussing several different budget proposals that could include major changes for the Medicaid program. If the proposed changes go into effect, they will cause millions of people across the U.S. to lose their health care coverage. We need your help letting members of Congress know about the devastating impact that changes to Medicaid would have on your patients and communities.

Electronic Health Record (EHR) Learning Module for Recently Matched IMGs

Are you an IMG who matched to a 2025 U.S. residency position? FAIMER®, a division of IntealthTM, now offers an online learning module that familiarizes matched IMGs with the common tasks of an Electronic Health Record (EHR) system, prepping them for their institution’s specific EHR orientation. More than 80% of user survey respondents recommend the module to incoming residents. The module is available for free to all matched IMGs who are beginning U.S. residency in 2025. Visit https://www.faimer.org/ehr-module/ for more information.

ACP Announces Quality Agenda for Internal Medicine

A central component ACP’s mission is to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine. To focus ACP’s efforts, an initiative is near completion to identify clinical topics of core importance to internal medicine practice. ACP believes that such national efforts to improve health care quality must address issues that represent most clinical encounters: https://www.acpjournals.org/doi/10.7326/ANNALS-25-01040

Our efforts encompass the many areas that ACP develops for our internal medicine community such as evidence-based clinical guidelines and performance measures; educational resources and Quality Improvement support programs; advocacy efforts to promote the issues impacting internal medicine physicians and health care; and original research and articles essential to internal medicine practice published in ACP's flagship peer-reviewed journal Annals of Internal Medicine.

Join National Texting Campaign to Protect Medicaid

ACP is calling on you to join a nationwide peer-to-peer texting campaign during this critical time when Congress is considering deep cuts to Medicaid. These cuts would threaten care for underrepresented groups and impact a variety of healthcare settings that serve vulnerable populations.

ACP is working with the Protect Our Healthcare Coalition to support a nationwide peer-to-peer text campaign. Pre-written and personalized messages are provided for you to send to members of the public on behalf of local doctors and clinicians.

Using a secure platform called RumbleUp, you’ll be able to send pre-written, personalized messages directly to residents of key congressional districts in your state. These messages will go out on behalf of local doctors and healthcare professionals — encouraging recipients to call their Member of Congress and ask them to oppose Medicaid cuts.

New ACP Paper Addresses Ethical Implications of Long-Term Care

The paper urges a fundamental shift toward patient-centered, equitable, and accountable long-term care.

A new paper from the College sheds light on the ethical challenges and systemic flaws in long-term care in the United States, urging a fundamental shift toward patient-centered, equitable, and accountable care. “Optimizing Ethical Care, Quality, and Safety in Long-Term Services and Supports: A Position Paper from the American College of Physicians,” was published May 6 by Annals of Internal Medicine. https://www.acpjournals.org/doi/10.7326/ANNALS-24-03641

The paper notes that long-term care, including nursing homes, assisted living facilities, home-based services, and hospice, are essential for individuals who are unable to care for themselves due to chronic conditions, cognitive decline, or functional limitations. Despite its importance, the system suffers from inadequate staffing, inconsistent oversight, and unsustainable business models that often prioritize profits over patient well-being, ACP said.

The paper emphasizes that systemic problems have been exacerbated by the COVID-19 pandemic, which revealed significant weaknesses in infection control, transparency, and oversight across care facilities.

To address this, the paper calls for ethical, evidence-based use of resources, respect for patient dignity and autonomy, advancement of health equity, and greater transparency and accountability in long-term care.

New ACP Paper Recommends Ways on How to Be Effective Advocates Through Collective Action

In a new paper, “Empowering Physicians Through Collective Action: A Position Paper from the American College of Physicians,” ACP recommends ways for physicians to be efficient advocates for their patients and their profession through collective action. The paper discusses the growing frustration among patients and physicians regarding the U.S. healthcare system and explores collective action as a means of rectifying the environment. ACP emphasizes that the primary goal of collective empowerment actions by physicians should be to guarantee that patients have access to safe, affordable, and quality care. This paper is published in the Annals of Internal Medicine. https://www.acpjournals.org/doi/10.7326/ANNALS-24-03973

ACP also states that physicians must be included in executive positions and on the boards of hospitals and health systems, and have real collaborations with health system leaders. Additionally, ACP supports the rights of physicians to engage in joint activities to raise issues about health and safety, working conditions, and other matters without backlash from their employer. ACP also supports the right of physicians to engage in responsible collective bargaining, including joining a union or bargaining unit. Finally, ACP supports the right of independent practicing physicians to negotiate with health insurance plans regarding the quality of patient care.

Protect what matters most with ACP’s Member Insurance Program!

ACP's New AI Resource Hub is Here

ACP has launched a new Artificial Intelligence (AI)Resource Hub featuring curated resources around the timely topic of AI. Included on the hub are tools in medical practice, medical education, an ACP policy position paper, and other related resources.

ACP's new course, "Generative AI for Internal Medicine Physicians", explores the capabilities and applications of generative AI in health care, offering hands-on practice and insights into how large language models impact clinical practice.

Obesity Management Conversation Tool: In ten–minute consultations, ACP members can use speech or text to practice patient communication strategies with a simulated online patient.

ACP, Leading Organizations Unite to Affirm Vaccine Safety Amid Rising Misinformation and Declining Trust

ACP and the American Association of Immunologists (AAI) issued a statement, signed by 34 scientific and medical organizations, emphasizing the critical role of vaccines in public health. Read statement here

New ACP Paper Recommends Combination Therapy for Migraines

The new position paper published in the Annals of Internal Medicine, “Pharmacologic Treatments for Acute Episodic Migraine Headache in Outpatient Settings: A Clinical Guideline from the American College of Physicians,” discusses new recommendations for the treatment of acute episodic migraines in nonpregnant adults in outpatient settings. ACP evaluated pharmacologic treatments known to be effective for migraine treatment using the best available comparative effectiveness evidence of benefits and harms, patients’ values and preferences, and economic evidence to prioritize the most effective treatments.

In the paper, the ACP makes two key recommendations. The first is that clinicians add triptan to a nonsteroidal anti-inflammatory drug to treat moderate to severe acute episodic migraines in nonpregnant adults who do not respond to a nonsteroidal anti-inflammatory drug. The second is that clinicians add triptan to acetaminophen to treat moderate to severe acute episodic migraine headaches in nonpregnant adults who do not respond well to acetaminophen. ACP also suggests that clinicians think about counseling nonpregnant adults to start treatment for acute migraine headaches as soon as possible by using a triptan with an NSAID or triptan with acetaminophen.

Visit ACP's New One-Stop Collection of Recent Advocacy Efforts

ACP advocates for you on policy changes that will make a difference in your daily work, your professional development, and your patients' health. For the latest advocacy efforts from ACP, visit our new one-stop collection featuring articles, statements, and ways you can take action on various campaigns.

ACP is implementing several grassroots advocacy campaigns via the ACP’s Advocates for Internal Medicine network that address protecting access to care for Medicaid enrollees, supporting the Medicare Patient Access and Practice Stabilization Act; and supporting funding for the NHSC and THCGME Programs.

ACP has reminded members that they have access to the following clinical resources:

Lastly, there are two additional external items that may be of interest to you. There is a Stand Up for Science 2025 rally scheduled for March 7, 2025, in Washington, D.C., and in cities across the country. Second, physicians who are concerned about patients who are immigrants could consider sharing the "Know Your Rights" resource from the National Immigration Law Center.

Questions
ACP’s public policy team is available to support your chapter’s advocacy, including consistency with ACP policy and providing feedback on draft materials. We ask that chapter leaders submit any inquiries using this brief questionnaire to ensure we are efficient in responding to your needs and can track trends in chapter advocacy.

ACP and Other Leading Physician Groups Issue Statement on Removal of Data and Guidance From Federal Websites

ACP and other leading physician groups issue statement on removal of data and guidance from federal websites.

Statement from Leading Physician Groups on Announcement to Withdraw U.S. from the World Health Organization

The statement below is issued by the American Academy of Pediatrics, American Academy of Family Physicians, American College of Obstetricians and Gynecologists, American College of Physicians, American Osteopathic Association and American Psychiatric Association:

“The recent announcement to withdraw the United States from the World Health Organization (WHO) will limit our ability to collaborate and coordinate on public health issues that impact individuals and their families here and around the globe. As leading medical organizations representing more than 600,000 physicians in the United States, we share the goal of safe, healthy, and disease-free patients and communities. Remaining part of the WHO is one way we can ensure our nation’s success in achieving this goal for all the patients we care for.

“For more than 70 years, the WHO has played a leading a role in protecting, supporting, and promoting public health in the United States and around the world. Withdrawing from the WHO will hamper our country’s ability to predict and respond to major public health emergencies and limit access, communication and information sharing to a global network of health professionals.

“We urge Congress to reject the administration’s proposal to withdraw from the WHO and ensure the United States can continue to have a seat at the table where critical public health decisions are being made.”

Internal Medicine Physicians Stress the Importance of Vaccines and Evidence-Based Public Health Policies

Statement attributable to:
Isaac O. Opole, MBChB, PhD, MACP
President, American College of Physicians

PHILADELPHIA November 15, 2024 – Incidences of vaccine preventable diseases are increasing in the United States. Preliminary data from the Centers for Disease Control and Prevention (CDC) shows that as of the beginning of November, five times as many cases of pertussis (whooping cough) have been reported as there were at the same time last year. We have also already seen 16 outbreaks of measles across the country in 2024, as compared to only four in all of 2023. As internal medicine physicians on the front lines of patient care, we understand what needs to be done to mitigate the spread of preventable diseases. Vaccines are vital to our ability to prevent diseases that threaten public health. They help prevent the spread of disease, protect against hospitalization, and can protect against long-term health issues, especially for those who are most vulnerable to serious complications. The American College of Physicians (ACP) remains concerned about the spread of disinformation and misinformation regarding vaccination and treatment, and strongly supports using the best-possible evidence to guide medical care and public health policies.

It is critical that policymakers and government officials understand the importance of vaccines, evidence-based medicine, and other ways that our public health infrastructure protects all of us. A sufficient public health system is essential to preventing illness and promoting health in society, assuring that our patients can live healthy lives, and helping to safeguard the health of everyone in our country. As the ACP discussed in our recent policy paper on strengthening the public health infrastructure, the federal government should protect and strengthen the public health infrastructure for the well-being of all Americans.

Lost Access to Your Member Benefits? Renew Today!

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November 2025

Changing IMG Visa Policy

ACP Lawsuit Update: Motion to Continue

New ACP Paper Addresses Ethical Considerations in Organ Transplantation

ACP Launches New Chatbot to Help Members Find Information Faster

New Long COVID Resources Hub Features Evidence-Based Tools and Education

Adult Immunization Hub Communications Toolkit

Medicare Telehealth Flexibility Changes- What Every Physician Needs To Know

ACP Calls for Streamlined, Evidence-Based Performance Measures to Improve Patient Care

ACP Paper Warns of Looming Public Health Crisis

ACP Calls for Streamlined, Evidence-Based Performance Measures to Improve Patient Care

October 2025

New Page on Physician Suicide Awareness and Prevention Resources

September 2025

New ACP Paper Calls Prescription Drug Shortages a Public Health Crisis

New RSS Feed Helps You Stay Current on ACP News

ACP Signs onto Statement Opposing Cuts to mRNA Vaccine Research Funding

Internal Medicine Physicians Urge Adults to Get Vaccinated During National Immunization Month

New Ideas and Opinions Article Addresses Changes to the ACIP Committee

July 2025

Physician Leaders Urge Congress: Protect Medicaid, Protect Lives

ACP’s Strong Advocacy Efforts Addressing ACIP and Vaccine-Related Issues

ACP EVP/CEO Search Update

New U.S. Travel Restrictions and Pause in Visa Interviews: Implications for Foreign National Physicians

June 2025

ACP Signs onto Joint Statement on Senate Reconciliation Package

Help Needed! Please Post and Share With Your Chapters to Protect Medicaid Funding

Electronic Health Record (EHR) Learning Module for Recently Matched IMGs

ACP Announces Quality Agenda for Internal Medicine

Join National Texting Campaign to Protect Medicaid

New ACP Paper Addresses Ethical Implications of Long-Term Care

New ACP Paper Recommends Ways on How to Be Effective Advocates Through Collective Action

Protect what matters most with ACP’s Member Insurance Program!

ACP's New AI Resource Hub is Here

ACP, Leading Organizations Unite to Affirm Vaccine Safety Amid Rising Misinformation and Declining Trust

New ACP Paper Recommends Combination Therapy for Migraines

Visit ACP's New One-Stop Collection of Recent Advocacy Efforts

ACP and Other Leading Physician Groups Issue Statement on Removal of Data and Guidance From Federal Websites

Statement from Leading Physician Groups on Announcement to Withdraw U.S. from the World Health Organization

Internal Medicine Physicians Stress the Importance of Vaccines and Evidence-Based Public Health Policies

Lost Access to Your Member Benefits? Renew Today!

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