Federal Advocacy Information

August 2021 Federal Affairs Update


Are you planning to attend the Federal Advocacy Day on Capitol Hill – September 14, 2021?

You must register by August 12 for this event at: https://lobbydayregistration.wufoo.com/forms/knmmubt09ncxnl/


Stop the proposed 3.5% Payment Cut for Physical Therapists

Center for Medicare and Medicaid Services (CMS) released their Proposed Rule for the 2022 Medicare Physician Fee Schedule.

Changes to RVUs and the conversion factor will amount to a total estimate of approximately 3.5% average cut across all PT providers and settings in 2022.


The Final Rule will be released in November. We have between now and November to petition CMS AND Congress to prevent these cuts.


Go to https://www.apta.org/advocacy/take-action/patient-action-center to find sample letters that you and your patients can use to send to the message to CMS and Congress about the impact of these cuts on your practice and your patients’ health. Letters are due September 13, 2021.


15% Pay Differential for PTAs

CMS is moving ahead with a 15% pay reduction for codes furnished in part or wholly by a physical therapist assistant under Medicare Part B. APTA continues to fight for reasonable exceptions and a delay in implementation of this change.

Advocate to CMS AND Congress to help minimize the impact of these cuts. APTA is asking for:

  • An exemption to the 15% differential for rural and underserved areas
  • Reduce the burdensome requirements for direct supervision of physical therapist assistants in private practice
  • Delay the payment differential until January 1, 2023 to provide more time for discussion on this issue


Additional APTA legislation this session:

  • Telehealth bill-make PTs permanent providers of telehealth services under Medicare
  • National Health Service Corps – Addition of PTs to allow for federal loan forgiveness
  • Allow PTs as Primary Care Providers in Federally Qualified Health Centers
  • Prior Authorization Bill
  • Lymphedema Treatment Act
  • Full Funding for IDEA
  • Doctor Lorna Green Healthcare Provider Protection Act


See www.apta.org/advocacy/take-action for more information on how you can advocate for our profession!


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