APTA's advocacy engine is firing on all cylinders. In Washington, D.C., and across state capitols — and in ongoing negotiations with commercial and government payers — APTA and its members translated persistence into measurable progress. From structural Medicare reforms to private payer policy shifts and state legislative breakthroughs, 2025 marked a turning point toward a more stable, fair, and accessible payment landscape for physical therapist services. And 2026 is poised to build on that momentum.

Let's take a look at the advocacy updates from the past year across the three areas: federal, payer, and state. Then, we'll get a glimpse of what's in store for the year ahead.