Coalition to Congress: Protect Seniors By Protecting Therapy Services

Feb 15, 2012, 12:06 ET from American Occupational Therapy Association

- Coalition highlights importance of extending therapy caps -

WASHINGTON, Feb. 15, 2012 /PRNewswire-USNewswire/ -- Advocating on behalf of hundreds of thousands of Medicare beneficiaries who receive outpatient rehabilitation services every year, the Therapy Cap Coalition on Feb. 14 urged members of the Congressional Conference Committee to show their love to seniors this Valentine's Day by providing the longest possible exceptions extension for Medicare Part B therapy services in the Committee's final agreement. 

"An arbitrary therapy cap on services without regard to clinical appropriateness of care discriminates against the most vulnerable of Medicare beneficiaries," stated Justin Moore, Vice President, Public Policy, Practice and Professional Affairs at the American Physical Therapy Association, a leading group in the Coalition. "We urge the Conference Committee to extend the exceptions policy that allows patients to receive needed services under Medicare." 

In a letter sent last month to Congressional leadership, the Coalition, made up of patient, provider and professional groups, highlighted the importance of extending the exceptions process, which has been in place since Congress passed the Balanced Budget ACT (BBA) in 1997. The law created an annual financial cap on physical therapy and speech-language pathology services as well as a separate cap on occupational therapy for most outpatient settings.

The letter noted that without action on a longer-term extension, some 640,000, or 14.5 percent, of Medicare Part B beneficiaries who receive outpatient rehabilitation services per year would be denied therapy. The caps have the potential to impact some of Medicare's most chronically ill patients including those who experience stroke, hip fracture, Parkinson's disease, neuromuscular diseases, arthritis or osteoporosis. 

"Rehabilitation is time sensitive — it is critical for these beneficiaries to get the right care at the right time," stated Tim Nanof, Director of Federal Affairs at the American Occupational Therapy Association. "The therapy cap limits access to appropriate care and the consequences can be catastrophic for the most vulnerable beneficiaries. This is not a question of party politics. The cap hits Republican and Democrat seniors alike and requires a bi-partisan solution."

"Even though Congress provided temporary relief to Medicare patients affected by the caps, it is critical to extend the exceptions process for as long as possible or repeal the therapy caps altogether so that stroke survivors and other patients in need of vital rehabilitation services are not forced to forgo needed care," said Sue Nelson, Vice President of Federal Advocacy for the America Heart Association. 

Therapy Cap Coalition Members
American Academy of Physical Medicine and Rehabilitation
American Association of People with Disabilities
American Health Care Association
American Heart Association/American Stroke Association
American Medical Rehabilitation Providers Association
American Music Therapy Association
American Occupational Therapy Association
American Physical Therapy Association
American Speech-Language Hearing Association
Amputee Coalition of America
Arthritis Foundation
Association of Rehabilitation Nurses
Autism Society
Brain Injury Association of America
Council for Learning Disabilities
Disability Rights Education and Defense Fund
Easter Seals
Family Voices
The Jewish Federations of North America
National Association for the Support of Long-Term Care
National Association of County Behavioral Health and Developmental Disability Directors
National Association of Rehabilitation Providers and Agencies
National Association of Social Workers
National Association of State Head Injury Administrators
National Council on Independent Living
National Disability Rights Network
National Multiple Sclerosis Society
National Spinal Cord Injury Association
National Stroke Association
Parkinson's Action Network
Private Practice Section of the American Physical Therapy Association
PTPN (National network of independent rehab practices)
The ALS Association
The Arc of the United States
The Association of Assistive Technology Act Programs
The Society of NeuroInterventional Surgery
United Cerebral Palsy
United Spinal Association
World Institute on Disability

For more information about the American Occupational Therapy Association's work to protect therapy services, contact Media Relations Manager Katie Riley to speak with a Federal Affairs staff member, 301-652-6611 ext. 2963 or

Founded in 1917, the American Occupational Therapy Association (AOTA) represents the professional interests and concerns of more than 140,000 occupational therapists, assistants, and students nationwide. The Association educates the public and advances the profession of occupational therapy by providing resources, setting standards including accreditations, and serving as an advocate to improve health care. Based in Bethesda, Md., AOTA's major programs and activities are directed toward promoting the professional development of its members and assuring consumer access to quality services so patients can maximize their individual potential. For more information, go to

Contact: Katie Riley
(301) 652-6611 ext. 2963

SOURCE American Occupational Therapy Association