Monday, December 19, 2011 Senate Bill Extends Cap Exceptions Process, SGR for 2 Months On Saturday, the Senate passed the Middle Class Tax Relief and Job Creation Act of 2011 (HR 3630) with amendment that would extend several Medicare provisions for 2 months, requiring Congress to take up the issues again in February 2012. Specifically, the Senate's amendment would extend the therapy cap exceptions process by continuation of the current KX modifier at $1,880 and keep the Medicare Physician Fee Schedule Sustainable Growth Rate (SGR) at the current payment rate until February 29, 2012. The Geographic Practice Cost Index (GPCI) also would be extended at the current level until March 1, 2012. The House version of the bill, which passed December 13, addressed the Medicare provisions for 2 years with modifications to the cap exceptions process that included a manual review. The House is expected to vote on the Senate's bill late today. If you're not currently part of APTA's Grassroots Network, PTeam, sign up today. PTeam will be the main source of information for legislative updates and breaking news on the effort to pass legislation to extend the therapy cap exceptions process and avoid the 27.4% cut.