American Physical Therapy Association

Support Medicare Payment Reform: Take Action for Physical Therapy (H.R. 2474)
The Medicare Fee Schedule does not currently have a built-in annual inflationary update. Medicare reimbursement for providers billing under the fee schedule has failed to keep pace with the true cost of running a practice. Combined with record inflation, year-over-year cuts, and coming on the heels of a highly disruptive pandemic, this statutory flaw will make it harder for Medicare patients to access the care they need. 

Recently, the Strengthening Medicare for Patients and Providers Act (H.R. 2474) was introduced in the U.S. House of Representatives by Reps. Raul Ruiz, D-Calif., Larry Bucshon, R-Ind., Ami Bera, D-Calif., and Mariannette Miller-Meeks, R-Iowa. This bipartisan legislation would add a permanent, Medicare Economic Index-based inflationary update to the Medicare Fee Schedule.

APTA is advocating for major reforms to the Medicare Fee Schedule. This legislation is a great first step and a major element that will need to be included in any reform effort.

Without an inflation-based update the resulting consequences to the physical therapy profession would worsen including:

  • The gap between frozen fee schedule payment rates and rising practice costs due to inflation continues to widen considerably. 
  • The increasing discrepancy between what it costs to run a practice and actual payment.
  • The administrative and financial burden of participating in Medicare is contributing to provider burnout, decreasing patient access to care, and is unsustainable.


APTA advocates must take action. Please take a few minutes to contact your representative and urge them to help fix the flawed Medicare physician payment system by co-sponsoring H.R. 2474.

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