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News & Press: Payment & Policy

Your Federal Affairs Liaison Update (November 2017)

Tuesday, November 14, 2017   (0 Comments)
Posted by: Matthew Nicholas
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By: Julie Schwertfeger, PT, DPT, MBA, CIBIST, IPTA Federal Affairs Liaison

Medicare Therapy Cap Repeal update and Action Item: Please make sure ALL your Senators and Representatives are co-sponsors of the therapy cap repeal – we are currently at 212 in the House and 35 in the Senate.  It is bipartisan – the just need to hear from their constituents the importance of signing on as a co-sponsor.  Remember, the hard cap will hit Medicare beneficiaries on January 1, 2018 WITH NO EXCEPTIONS PROCESS unless a repeal in enacted by Congress this session.  Please connect with your legislators in district during the Thanksgiving break from November 17 through 27 or during the last two weeks of December.  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.


TRICARE: The amendment language that includes PTA and OTA providers in TRICARE, which was created in July by Senate Armed Services Personnel subcommittee chairman Tillis (NC) was included in the final Senate National Defense Authorization Act (NDAA) legislation, which passed. The current push is for the House to support the Senate language when the two sides come together to work out the differences.  APTA has is working to get the Senate language approved.


Pain and the Opioid Epidemic: APTA participated in the inaugural Integrative Pain Policy Congress that was held October 21-22 in San Diego, CA. The meeting brought together representatives from more than 50 organizations, patient advocates, payers, and provider associations.  APTA staff member, Kara Gainer attended the meeting along with APTA member Derrick Suecki.  The two day meeting addressed coverage, constraint, and the evidence-base for optimal models of comprehensive/integrative pain management.  Next steps for action at the federal and state level were discussed, and a number of ideas that we as a Congress could pursue were developed. More information to come!

The orthotics and prosthetics rule was formally withdrawn by CMS on October 4th.

Home Health Groupings Model: We expect that CMS intends to advance the HHGM as proposed, for implementation in 2019; to withdraw the rule completely; or delay implementation of the rule to allow for modifications to the HHGM based on feedback from stakeholders.

  •  Home health legislation that we’re watching: HR 3992.

Telehealth: The VA has issued a proposed rule that would pre-empt state law and permit VA health care providers to deliver telehealth services across states/across state lines, regardless of the beneficiary location. We expect the VA will finalize the proposed rule.

more Calendar

4/28/2018 » 4/29/2018
Vestibular Rehabilitation: Examination and Intervention of Balance and Dizziness Disorders

Oncologic Physical Therapist Certification Examination Regional Item Writing Workshop

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