Filed under: Industry Updates — Editor @ 10:34 am

U.S. Capitol BuildingIt is time to let Congress know what you think regarding the Therapy Cap and Fee Schedule. Congress has been very clear: it will not take action without input from constituents. If you only send 1 advocacy e-mail or make 1 advocacy phone call this year, please do it this week. This is the greatest opportunity for us to influence congress and remind them of the stakes of allowing the therapy cap and the SGR adjustment to return on January 1st.

When you contact your members of Congress tell them to include a long term solution for the Medicare therapy cap in the SGR reform legislation. If your Representatives and Senators are not on one of these committees, ask them to contact their colleagues on the Senate Finance Committee, the House Ways and Means Committee, and the Energy and Commerce Committee and tell them it is essential to repeal the therapy cap in the SGR legislative package.

Key message points:

* Repeal the Medicare therapy cap in the SGR reform legislation being drafted by the Senate Finance and House Ways and Means Committees.

* 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 therapy cap this fall, ask your legislators to extend the therapy cap exceptions process for a minimum of one year.

* Remind your legislators that a hard cap disproportionally impacts Medicare beneficiaries who need therapy services the most, for example [give patient examples from your experience].

* 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).

Without Congressional action, patients will be faced with a hard cap on outpatient therapy services in 2014. Do not wait any longer to contact your legislators. Contact your legislators TODAY to preserve access to outpatient therapy! To find out the contact information for your Congressional Representatives click here.

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