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  • Therapy Cap Repeal Could be 'In Jeopardy': Action Needed

    Repeal of the flawed sustainable growth rate (SGR) may be closer than ever to becoming reality, but will a permanent fix to the therapy cap be left behind? APTA and a coalition of providers and consumers have ramped up calls for grassroots action to make sure that doesn't happen.

    Late last week, House Speaker John Boehner and Democratic Leader Nancy Pelosi announced that they were working together on legislation that would permanently end the SGR formula instead of working out yet another temporary "doc fix" and punting the issue for another year. If Congress doesn't act on the SGR by March 31, Medicare providers would face a 21% cut to Medicare payments.

    The final bill has not been introduced in the House, and APTA and other organizations have received conflicting reports about whether the proposed legislation would include full repeal of the therapy cap provisions or just an extension of the therapy cap exceptions process. Repeal of the therapy cap is a central focus of the association's advocacy efforts.

    In an action alert issued this week, APTA's advocacy staff described therapy cap repeal as "in jeopardy" and urged members to take immediate action by contacting their legislators and telling them to insist that repeal of the therapy cap be included in any legislation that would end the SGR.

    "For anyone who understands how the therapy cap impacts patient access to necessary rehabilitation services, now is the time for action," said Mike Matlack, APTA director of grassroots and political affairs. "If a full repeal of the therapy cap isn't included with a full repeal of the SGR, over 1 million beneficiaries will face a very real obstacle to receiving adequate care."

    Although the proposal under discussion will likely emerge in the House first, APTA and the Therapy Cap Coalition are calling for supporters of therapy cap repeal to contact legislators in both the House and the Senate—and to stress the importance of talking with House and Senate leaders.

    "Right now, House and Senate leaders are the primary drivers of the negotiations around this issue," said Matlack. "It's important that supporters request that their legislators weigh in with those leaders and voice their support for a full, permanent repeal of the therapy cap."

    The need for grassroots efforts on the therapy cap is urgent. Find out how you can take action.


    • Stop Medicare cap completely for PT services .

      Posted by Vikas Suri on 3/19/2015 8:56 PM

    • stop Medicare cap for PT

      Posted by Danielle Hensley on 3/20/2015 3:56 PM

    • The Medicare therapy cap hurts patients. Please let medical professionals determine whether a patient will benefit from further therapy.

      Posted by Donna Mosby on 3/20/2015 9:31 PM

    • thank you.

      Posted by Sarah Jessee on 3/24/2015 8:03 AM

    • Do the RIGHT Thing!!!

      Posted by M Jacobi on 3/27/2015 10:22 PM

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