For physical therapists and physical therapist assistants, Multiple Procedure Payment Reduction, or MPPR, policies are not a new challenge. Since commercial payers followed Medicare's lead and began implementing MPPR policies in 2011, our profession has worked diligently to push back against harmful payment policies that can undermine patient access to medically necessary physical therapist services and fail to recognize the value of comprehensive care. What is new is the pace at which these policies are resurfacing among commercial payers, requiring providers and advocates to recommit efforts to stop the implementation of MPPR policies.