News & Events

Stop the Therapy Cap

Congress Has Less Than 60 Days to Stop the Therapy Cap:
Take Action Today!

Last Week, the Senate Finance and House Ways and Means Committees released a legislative framework on the sustainable growth rate reform (SGR) formula. This framework did not include a repeal of the Medicare therapy cap, but it did say that the Committees are continuing to look at priorities such as the therapy cap to reach a bipartisan, bicameral agreement on these issues.

The Senate Finance and House Ways and Means Committees are currently accepting comments on the discussion draft, therefore NOW is the time to act and impress upon your legislators the importance of including a permanent fix to the therapy cap in the SGR reform package.

Contact your members of Congress TODAY, and tell them to include a long term solution for the Medicare therapy cap in the SGR reform legislation. APTA members can take action using the Legislative Action Center and non-members/patients can use the Patient Action Center. Ask your legislators to contact their colleagues on the Senate Finance Committee and the House Ways and Means Committee, and tell them it is essential to repeal the therapy cap in the SGR legislative package.

MESSAGE:

  • Repeal the Medicare therapy cap in the SGR reform legislation being drafted by the Senate Finance and House Ways and Means Committees.
  • The flawed SGR formula and the therapy cap were created together in the Balanced Budget Act of 1997. Since 1997, Congress has repeatedly addressed the SGR formula and the therapy cap together through annual extensions in the SGR/Medicare extenders package. If Congress passes legislation addressing the SGR formula, but does not include a repeal of the Medicare therapy cap, it is very likely that patients will face a hard cap on outpatient therapy services in 2014.
  • If Congress does not complete a permanent fix of the SGR and therapy cap this fall, ask your legislators to extend the therapy cap exceptions process for a minimum of one year.
  • Finally, ask your legislators to show their support for addressing the therapy cap and protecting patient access to rehabilitation by cosponsoring the Medicare Access to Rehabilitation Services Act (H.R. 713/S.367).

Without Congressional action, patients will be faced with a hard cap on outpatient therapy services in 2014. Do not wait until December to contact your legislators. Email your legislators TODAY to preserve access to outpatient therapy!


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