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Your Federal Affairs Liaison Update (October 2017)

Tuesday, October 10, 2017   (1 Comments)
Posted by: Matthew Nicholas
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By: Julie Schwertfeger, PT, DPT, MBA, CIBIST, IPTA Federal Affairs Liaison

Medicare Therapy Cap Repeal Flash Action Strategy results and ongoing push to contact legislators on the urgency of Therapy Cap repeal. 

The Flash Action on September 12 and 13 was a success, resulting in 2 new congressman co-sponsoring the legislation, 3,342 emails, faxes, and letters sent, a thousand new registrants to the PTeam legislation action center, and almost 11,000 hits on PTeam webpages.  Well done! 
Remember, the hard cap will hit Medicare beneficiaries on January 1, 2018 unless a repeal in enacted by Congress this session.  Keep making contacts and asking friends and colleagues to ask their legislators to support repeal of the Therapy Cap.  Here is a link to more information on this time sensitive issue:

Federal Advocacy Forum 2018 is April 29 – May 1 at the Hyatt Regency Washington DC.  The specific focus and key contacts needed is still in development- expect the details in January 2018.  All are invited and encouraged to participate in this important civic activity.

Federal Affairs Liaison Appointments 2018 will be renewed.  If you have interest in becoming a Federal Affairs Liaison, wish to suggest a colleague, or want to learn more about this important role, please contact Julie Schwertfeger.



TRICARE discussions this summer included DoD report language requesting a feasibility of including PTA and OTA providers.  APTA supported this through language amendments to the legislation that passed the House in September.  Currently the House and Senate are working on creating commonly accepted language in order to move this amended and PTA inclusive legislation forward!

Therapy Cap Repeal

Therapy Cap Repeal Vehicle Watch is ongoing by APTA staff.   Health legislation that may go to the floor, such as CHIP Reauthorization is being monitored by APTA and the Therapy Cap coalition in order to link the legislation if this moves forward.  APTA is monitoring this for movement diligently, since the cap exceptions processes run out on December 31, 2017- no more time to kick this can down the road with a CR!

ACA Repeal

ACA repeal and replace attempts this Congressional Session have failed to date.  The APTA is monitoring what the next attempt may be, and if this will include language that eliminates essential benefits.  It is likely the focus may shift towards tax reform given recent dialogue in Congress.


CMS withdraws the special payment model for custom prosthetics and custom-fabricated orthotics.  To view the rule, Click here.

Home Health Groupings Model comments were due on September 25th.  Most comments urged CMS not to implement the current model.  Thank you to the large number of PTs who contributed many of the 1,337 comments!  47 Senators sent a letter to CMS urging them not to move forward.

MACPAC and MedPAC Telehealth Benefits and Cardiac EPMs/CJR, and Alternative Payment Models comment period is open now.  APTA is submitting comments.


Lisa M. Zemaitis PTAMBA says...
Posted Friday, October 13, 2017
Thanks for the great updates Julie!

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