Ask Congress to Fix the Therapy Cap in the Committee SGR Reform Bills
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Ask Congress to Fix the Therapy Cap in the Committee SGR Reform Bills

The Medicare therapy cap exceptions process expires on December 31st. Without Congressional action, a hard cap will be placed on outpatient therapy series in 2014. APTA is working with the Therapy Cap Coalition to urge Congress to stop kicking the can down the road, and permanently fix the Medicare therapy cap in the SGR reform package this year. Help spread this message by emailing or calling your legislators TODAY! When calling your Congressional offices, ask for the health legislative assistant.

Message to Your SENATORS:

Call or email your Senators and tell them to include a full repeal of the Medicare therapy cap in the SGR reform legislation being considered by the Senate Finance Committee on December 12.


Ask your Representative to ensure that the House Ways and Means Committee includes a full repeal of the therapy cap in its version of the SGR reform legislation.

APTA members can email their legislators using the Legislative Action Center, non-members and patients can use the Patient Action Center. Individuals can use the U.S. House of Representatives and U.S. Senate directories to look-up the phone numbers for their members of Congress.


  • The flawed SGR formula and the therapy cap were created together in the Balanced Budget Act of 1997. Since 1997, Congress has repeatedly addressed the SGR formula and the therapy cap together through annual extensions in the SGR/Medicare extenders package. If Congress passes legislation addressing the SGR formula, but does not include a repeal of the Medicare therapy cap, it is very likely that patients will face a hard cap on outpatient therapy services in 2014. 
  • If Congress does not complete a permanent fix of the SGR and repeal the therapy cap by December 31, ask your legislators to extend the therapy cap exceptions until a deal can be reached on SGR reform.
  • Remind your legislators that a hard cap disproportionally impacts Medicare beneficiaries who need therapy services the most.
  • Finally, ask your legislators to show their support for addressing the therapy cap and protecting patient access to rehabilitation by cosponsoring the Medicare Access to Rehabilitation Services Act (H.R. 713/S.367).

You can also get involved on Facebook and Twitter. Change your profile picture to the Stop the Therapy Cap logo today, and ask your legislators to #StopTheTherapyCap on Facebook and Twitter. To download the Stop the Therapy Cap logo and for sample tweets and Facebook posts visit APTA’s grassroots webpage.

Urge your members of Congress to fix the cap once and for all. Take action TODAY to help preserve access to outpatient therapy in 2014!



Year-End Scenario 1: Committees reach a permanent solution on SGR reform by December 31, and they include a full repeal of the Medicare therapy cap repeal in the legislation.

Year-End Scenario 2: Absent a permanent solution, Congress extends the therapy cap exceptions process by December 31 or they act retroactively in January.

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