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Please Note: Legislation on this issue has not yet been introduced in the 114th Congress. Please check back soon for updates. Until then, please see the following resources from the 113th Congress.

APTA supports excluding physical therapy services from the in-office ancillary services exception (IOAS) under the physician self-referral prohibition (commonly referred to as the Stark law). The expansive use of the IOAS exception by physicians in a manner not originally contemplated by the law undercuts the purpose of the law and substantially increases costs to the Medicare program and its beneficiaries.

APTA believes that this issue should be addressed as part of any fundamental delivery system reform and that it could provide cost savings to help support reform. APTA is a also a founding member of the Alliance for Integrity in Medicine (AIM) Coalition, a consortium of organizations which advocates for Congress to address the IOAS loophole.


How to Take Action

Email Your Legislators.  APTA has provided prewritten letters for APTA members on the Legislative Action Center and for nonmembers/patients on the Patient Action Center.

Meet with your legislators.  Schedule a district meeting, attend a town hall event, or invite your legislators to visit your practice over recess. This is a great opportunity to meet with your members of Congress locally and discuss the importance of repealing the therapy cap.

Join PTeam. Join the PTeam to receive e-mail updates on the latest SGR and therapy cap news and receive alerts when it is time to take action and contact your members of Congress on these reform policies.

Policy Resources

Current Cosponsors

General Information


Related Resources