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Stop the Medicare Therapy Cap!

by Stop the Medicare Therapy Cap! category: Health

“Repeal the 20 year cap on outpatient rehabilitation therapy services. 20 years is enough! #StopTheCap http://thndr.me/GsqEpb

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Stop the Medicare Therapy Cap!
Supporters
184 of 500
36% of goal supported
Social Reach
158,760
People
Time Left
Complete

Complete

This campaign ended on November 15, 2017 at 12PM

Stop the Medicare Therapy Cap!

The Medicare cap on outpatient rehabilitation therapy services was originally instituted under the Balanced Budget Act of 1997 as a combined cap on speech-language pathology (SLP) and physical therapy (PT) services, as well as a separate cap on occupational therapy (OT) services to Medicare beneficiaries.

The original $1,500 cap on Part B Medicare therapy services was intended as a cost control mechanism, but has not proved effective in saving Medicare money. Instead, the sickest of Medicare patients were being denied needed care. Congress has recognized that a financial limitation on therapy is detrimental to Medicare patients and through the years placed numerous moratoriums on its implementation.

In 2015, President Obama signed the Medicare Access and CHIP Reauthorization Act into law. The law directs the Centers for Medicare and Medicaid Services (CMS) to continue to allow exceptions to therapy caps for medically necessary services provided through December 31, 2017. The therapy cap exceptions process requires reauthorization annually and historically been achieved within payment, tax, or fiscal related legislation.

Under the Cap, Medicare beneficiaries that suffer from speech language disorders due to life events such as stroke, head injury, Alzheimer's, Parkinson's, and more, risk being denied therapy and/or forced to pay out of pocket for services to help them regain their ability to communicate effectively.

While a cap exception process has been in place for several years, this offers only a short-term fix for a long-term problem.

Congress and CMS must continue to engage with stakeholders to develop a long‐term solution that ensures access to outpatient therapy services in a cost effective and clinically appropriate manner.

Organizer

Stop the Medicare Therapy Cap!
@StopTherapyCap

The Therapy Cap Coalition, a group of 32 associations, organizations, patient and consumer groups, are working together to support legislation to repeal the Medicare outpatient therapy cap, but we need your help! Join our Thunderclap and write your members of Congress to stop the therapy cap. You can find organizational action alerts on the Stop the Medicare Therapy Cap Facebook Page. Thanks for your participation! #StopTheTherapyCap

Recent Supporters
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RyLeigh Titus
4 days ago

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4 days ago

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