The House of Representatives has announced that it has reached a deal on a permanent fix for the Sustainable Growth Rate (SGR)—the flawed Medicare payment formula. Although ASHA staff have not seen the final compromise, it appears that extenders (e.g., therapy caps) were not permanently repealed. Therefore, the therapy cap exceptions process has been given only a 2-year extension without a repeal.
Please call and write your Senators and Representative today through the Capitol Switchboard at 202-224-3121 and take action online to tell them that the Medicare therapy cap must be addressed in the permanent SGR package.
We also encourage you to call Speaker of the House, John Boehner at 202-225-0600, and Democratic Leader, Nancy Pelosi at 202-225-0100, to express your support for a repeal of the Medicare therapy cap in any SGR reform package.
The Medicare cap on outpatient rehabilitation therapy services was originally instituted under the Balanced Budget Act of 1997, as a combined cap on speech-language pathology (SLP) and physical therapy (PT) services, as well as a separate cap on occupational therapy (OT) services to Medicare beneficiaries. ASHA, along with other stakeholder groups, have worked tirelessly with both the House and Senate to develop a replacement strategy, which was included in last year’s bicameral, bipartisan agreement.
For more information, please visit our Issue Brief on the Medicare Outpatient Therapy Cap .