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Therapy Cap Update

Brian Deir - Tuesday, March 23, 2010

Today, members of Congress reintroduced identical bills in the House and Senate that would permanently repeal the cap on outpatient physical therapy services. Sens Ben Cardin (D-MD) and Susan Collins (R-ME) introduced the Senate's measure. The House legislation is sponsored by Reps Jim Gerlach (R-PA) and Xavier Becerra (D-CA). 

With discussion on permanent reform of the sustainable growth rate (SGR) ramping up, Congress also must address long-term repeal of the therapy cap, an arbitrary limit on services that often are medically necessary for patients. Both flawed policies were created in 1997 as part of the Balanced Budget Act and should be repealed this year. Given the opportunity to act on both SGR and the therapy cap, this should be the last time cap repeal legislation should need to be introduced, says APTA.  

Access to physical therapist services has long enjoyed broad bipartisan support, with approximately 200 members of Congress supporting therapy cap repeal legislation every congressional session.

If Congress does not act on legislation by December 31, the 2-tier exceptions process that was extended through 2013 by the American Taxpayer Relief Act of 2012 (HR 8), will expire.

Read comments from the bills' sponsors in APTA's press release