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APTA comments are made on behalf of our membership and profession on federal regulations and draft guidance based on the Public Policy Priorities of the American Physical Therapy Association.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

CMS Proposed 2022 Home Health Prospective Payment System, Home Health Value-Based Purchasing Model Requirements, Quality Reporting Requirements, and Home Infusion Therapy Services Requirements

The Centers for Medicare & Medicaid Services seeks comments on its proposed rule for the home health prospective payment system payment update for 2022. The rule also proposes to expand the Home Health Value-Based Purchasing Model from nine states to being nationwide. In addition, CMS seeks feedback on data collected from 2020, the first year of the Patient-Driven Groupings Model.

APTA will provide comments, and we encourage individuals to submit comments independently using APTA's specific template letter.
Review Proposed Rule | Review Fact Sheet.

Deadline for Comments: Aug. 24
Take Action: Submit comments | Submit comments using APTA's template letter

CMS Proposed Rule for Calendar Year 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs, Price Transparency of Hospital Standard Charges, and Request for Information on Rural Emergency Hospitals

The Centers for Medicare & Medicaid Services seeks comments on its proposed rule for its hospital outpatient and ambulatory surgical center payment and quality reporting for calendar year 2022. This rule also increases civil monetary penalties for certain hospitals that are in noncompliance with the Hospital Transparency final rule that became effective Jan. 1. The proposed rule also calls for greater health equity quality reporting, and more input on the newly created facility category known as emergency rural hospitals.

APTA will provide comments, and we encourage individuals to submit comments independently.

Review Proposed Rule | Review Fact Sheet | Review Press Release

Deadline for Comments: Sept. 17
Take Action: Submit comments

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.