Ask Congress to Repeal the Therapy Cap – Support H.R. 775
With the expiration of the therapy cap exceptions process fast approaching on March 31, Representatives Charles Boustany (R-LA), Xavier Becerra (D-CA), Marsha Blackburn (R-TX) and Lois Capps (D-CA) have introduced a bill, which would protect patients and consumers from arbitrary limits on the Medicare outpatient therapy services.H.R. 775, the Medicare Access to Rehabilitation Services Act would permanently repeal the $1,940 cap imposed on physical therapy and speech-language pathology combined and the separate $1,940 cap on occupational therapy services. In the last Congress, a bipartisan majority of the House supported the bill, which had 225 cosponsors.
Since 1997, Congress has acted a dozen times to prevent implementation of an arbitrary cap on outpatient therapy services for Medicare beneficiaries. Historically, this issue has moved through Congress along with legislation seeking to address the flawed policy around the sustainable growth rate (SGR) formula. In 2014, the President signed the Protecting Access to Medicare Act (PAMA) into law, which prevented an estimated 20 percent reduction in physician payments and Medicare Part B provider payments due to the SGR formula. Since PAMA extended the therapy caps exception process only through March 31, 2015, Congress will need to act once again to extend the SGR patch and therapy cap exceptions process.
We urge you to ask your Members of Congress to join in cosponsoring H.R. 775 — legislation that would repeal the therapy cap and helps to ensure the availability of medically necessary therapy services. Please thank your representative if he or she is already a cosponsor of the bill! You can access the list cosponsors on H.R. 775 here.
Ask your Member of Congress to extend the therapy cap exceptions process along with legislation on the SGR package. Without action, Medicare beneficiaries will face a hard cap on therapy services – a cap that disproportionately impacts beneficiaries who need therapy the most.
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