Harmony Healthcare Blog

Therapy Cap: Congress Works on Repeal

Posted by The Harmony Team on Wed, Apr 27, 2011

Edited by Kris Mastrangelo



On April 14, 2011, Congressmen Jim Gerlach (R-PA) and Xavier Becerra (D-CA) in the House of Representatives and Senators Ben Cardin (D-MD) and Susan Collins (R-ME) introduced The Medicare Access to Rehabilitation Services Act (H.R. 1546/S. 829).


The therapy cap was originally passed with the Balanced Budget Act of 1997. Its purpose was to reduce Medicare spending by limiting outpatient therapy payments.


This legislation would fully repeal the Medicare Part B Outpatient Therapy Caps on occupational therapy, physical therapy, and speech-language pathology services. December 15, 2010, President Obama signed Senate Amendment to HR 4994, the Medicare and Medicaid Extenders Act of 2010. This legislation extended the therapy cap exceptions process until December 31, 2011.


The current exceptions process, which ensures continued access to medically necessary rehabilitation, is set to expire on December 31, 2011. Without Congressional action this year a cap of $1,870 would be applied to occupational therapy and a separate cap of $1,870 would be applied to physical therapy and speech-language pathology services combined.


The economic environment and the contentious political climate make action on the cap even more challenging than in recent years. Congress will not act unless they hear directly from their constituents that the therapy cap is a priority issue for all therapy practitioners as well as the SNF operators and the clients served.


This legislation will repeal the cap on therapy services for Medicare beneficiaries once and for all. If Congress does not take action by December 31, 2011, a hard therapy cap will again be imposed on Medicare-covered physical therapy, occupational therapy, and speech language pathology services.


Visit our Facebook page for a Link to the Stop the  Medicare Therapy Cap Facebook page and more information on this subject.






Spring Webinar Education Schedule       

May 19, 2011

Medicare Nursing/Therapy Documentation in a SNF


May 24, 2011

[1/2 Day Seminar]

Leader's Guide to MDS 3.0 and RUG-IV


May 26, 2011

MDS 3.0 Section M;  

Care, Fiscal and Quality Reporting Implications 




8:30AM - 3:30PM 


May 18, 2011 - West Islip, NY 

May 20, 2011 - Ilion, NY   


Therapy Cap, Medicare Part B

Tags: Medicare, Medicare Part B, Therapy Cap

Subscribe to The HHI Blog

Posts by Topic

see all
New Call-to-action

Stay connected!