Advocacy and Reimbursement
The Oregon Physical Therapy Association's Government Affairs Committee works with the American Physical Therapy Association and our lobbyist to advocate for the profession in Congress, in the Oregon Legislature and with the numerous regulatory bodies that influence our profession. The committee meets on the second Tuesday of most months. If you are interested in participating in the Government Affairs Committee, contact the committee chair at email@example.com.
The Oregon Physical Therapy Association's Reimbursement Committee works to educate payers about the value of physical therapy while keeping members apprised of changes in reimbursement policy. If you are interested in assisting the Reimbursement Committee, contact the committee chair at firstname.lastname@example.org.
April 2015 Medicare Payment Changes
On April 14, 2015, the Senate passed the Medicare Access and CHIP Reauthorization Act (H.R. 2), which repealed and replaced the Medicare Sustainable Growth Rate (SGR) formula. The president signed the bill into law on April 16.
Included in the bill was an extension of the Therapy Cap exceptions process through December 31, 2017 and provisions for more targeted manual medical review. During the Senate deliberation of the bill, an amendment was introduced which, if passed, would have repealed the Medicare Therapy Cap once and for all. The introduction of this amendment was the culmination of a historic grassroots campaign, spearheaded by APTA and in conjunction with over 20 patient advocacy groups, including AARP. While the amendment ultimately did not pass, it received a tremendous showing of support, coming only two votes shy of passage (60 vote threshold needed). This amendment was the furthest the issue has been raised since the creation of the Therapy Cap 18 years ago. APTA staff will build off of this momentum and pursue further strategy for a future repeal.
Other provisions within the legislation include:
• April 1- June 30, 2015: 0% update in payments
• July 1, 2015- December 31, 2019: .5% update in payments
• 2019 rates will be maintained through 2025 with increases available through the Merit-Based Incentive Payment System (MIPS)
• Beginning in 2019: MIPS will be implemented tying payment to quality
• Beginning in 2026 providers can receive payment increases for participation in alternative payment models (APM)
· MPPR Calculator (Members Only): http://www.apta.org/apta/advocacy/feecalculator.aspx?navID=10737423156
· Fee Schedule Calculator (Members Only): http://www.apta.org/apta/advocacy/feecalculator.aspx?navID=10737423156
· Infographic on payment changes provided below
What You Can Ask Members to Do:
· Continue to Take Action on these and other issues by visiting APTA’s Legislative Action Center: http://www.apta.org/TakeAction/
· Sign up for our PTeam email listserv for updates on these issues at: www.apta.org/PTeam
Alternative Payment System / Physical Therapy Classification and Payment System:
The Oregon Physical Therapy - PAC
Take Advantage of Oregon’s Political Tax Credit!
Your contribution to OPT-PAC is eligible for an Oregon tax credit of up to $50 per individuals with an adjusted gross income of less than $100k, and up to $100 for couples filing jointly with an adjustable gross income less than $200k.
To make a contribution, download the donation form
The Oregon Physical Therapy Political Action Committee (OPT-PAC) is the political action committee (PAC) of the Oregon Physical Therapy Association (OPTA). The purpose of the OPT-PAC is to elect legislators who will help further the interests of the physical therapy profession. OPT-PAC does this by providing financial support to political campaigns.
The Oregon Physical Therapy Association actively lobbies on behalf of physical therapists statewide. Your contribution helps to insure that your voice is heard in Salem.
Contributions are separate from Association dues; they are collected purely on a voluntary basis, and are not a condition of membership in OPTA or APTA.
Additional resource: Statutes
governing the practice of Physical Therapy in Oregon can be found by following the above links.