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Use templated letters to take action on payment and regulatory issues impacting your practice.

APTA comments are made on behalf of our membership and profession on federal regulations and draft guidance based on the Public Policy Priorities of the American Physical Therapy Association.

We encourage members and nonmembers to provide feedback: your perspectives are critical to policy development.

Hot Topics in Regulatory Advocacy

Issues in which APTA is currently reviewing and submitting are posted here with templated letters and guidance to make taking action easy.

Open Comment Opportunities

HHS Releases HIPAA Proposed Rule: In what would be some of the most significant changes to the Health Insurance Portability and Accountability Act since it was adopted in 1996, the U.S. Department of Health and Human Services has proposed a range of modifications that, among other changes, would make it easier for patients to view their own health records or share them with other providers. On the provider side, the proposed rule would make it easier to share patient data — and more of it — among providers and health plans. APTA's review of the proposed rule provides more details.

APTA will submit comments, and we encourage individuals to also comment using standard template letter.

Review the Modifications to the HIPAA Privacy Rule (proposed rule)

Review: Press Release and Fact Sheet

Deadline for comments: 60 days after publication of the proposed rule.

CMS Proposes to Streamline Prior Authorization Processes and Promote Patients’ Electronic Access to Health Information: A proposal from the  Centers for Medicare & Medicaid Services would improve the electronic exchange of health care data and streamline processes related to prior authorization with new requirements on Medicaid and CHIP managed care plans, Medicaid and CHIP fee-for-service programs, and Qualified Health Plans issuers on federally facilitated exchanges to improve the electronic exchange of health care data, and streamline processes related to prior authorization. CMS’ proposals include requiring these payers to: 1. develop an application programming interface that could be integrated with a provider’s electronic health record to allow providers to electronically locate prior authorization requirements for each specific payer; 2. include a specific reason when denying a prior authorization request; and 3. (excluding QHP issuers) send prior authorization decisions within 72 hours for urgent requests and seven days for standard requests. APTA will submit comments, and we encourage individuals to also comment using our standard template letter, found below.

Review the proposed rule

Review the fact sheet

Deadline for comments: Jan. 4, 2021

General Template Letter

If a specific template letter above does not apply, use our standard template letter to submit comments.

Simply insert your individual information where indicated.

Your comments represent only you and your situation; they should not imply representation of the association.

Other Ways to Engage

Federal agencies frequently seek input from stakeholders and national experts on proposed payment and coverage policies, research agendas, quality measures, and more. The selection process for federal committees, task forces, panels, and commissions is competitive.

Participation in these groups demonstrates both expertise in your field and a commitment to your profession, which will be reflected on your CV for years to come. Serving on such a committee allows you to make invaluable contributions to your area of expertise and raise recognition of the physical therapy profession. While serving requires a small time commitment, the time is well spent and is a great way to develop networks and make contacts with fellow experts from across the nation.

If you are interested in serving on a federal committee, task force, or advisory panel, please contact the advocacy team at and provide your name, contact information, and a brief biographical sketch.