Legislative & Advocacy Priorities 115th Congress

PPS is committed to pursuing the following legislative and regulatory priorities

  • Achieve legislation that allows physical therapists in private practice to opt-out of Medicare or privately contract with Medicare patients
  • Address and mitigate the negative effects associated with physician self-referral
  • Pursue favorable resolution including repeal or replacement of the arbitrary per beneficiary therapy cap on outpatient rehabilitation covered by Medicare
  • Continue to pursue the expansion of the locum tenens provision of Medicare to include physical therapists practicing in all communities
  • Achieve legislation that allows reimbursement through Medicare and Federal Health plans for physical therapy care through telehealth
  • Promote policy that embraces the use of physical therapists in private practice as timely evaluators and managers of quality of life for patients with chronic conditions
  • Oppose an increase to Medicare’s eligibility age
  • Monitor and respond to Medicare payment reform proposals, and continue to fight for fair and equitable Medicare reimbursement for physical therapists in private practice
  • Remove the barriers to patient access to physical therapists in private practice under Medicare and the Federal Employee Health Benefit Plans
  • Oppose increased privatization of the Medicare program that would result in an increased administrative burden for providers or that negatively impacts our patients
  • Encourage and achieve a streamlined, responsive, and transparent process for manual medical review of Medicare records by Medicare administrative contractors
  • Monitor the implementation of the new evaluation codes and pursue appropriate values for each code
  • Pursue repeal of the Independent Payment Advisory Board (IPAB)
  • Achieve consistent Medicare standards for supervision of support personnel across physical therapy practice settings
  • Promote the adoption by Accountable Care Organizations (ACO) of quality measures that include functional health status


  • Promote physical therapy as an essential health benefit (EHB) in all insurance plans
  • Advocate to retain guaranteed access to insurance for those with pre-existing conditions as well as the ban on rescission for those who do have coverage
  • Support consumer choice and shopping at the point of care through improved price transparency by health care providers
  • Advocate to maintain requirements that children up to age 26 are able to remain on their parents’ health insurance


  • Promote administrative simplification, specifically advocate for the standardization of process for eligibility for coverage and authorization of services
  • Address and mitigate the negative effects of market control by insurance plans and related entities on physical therapists in private practice and their patients
  • Support policy that requires provider networks to be of the size, scope, geography, and expertise necessary to increase patient choice; oppose policies that unreasonably limit patient access and choice of physical therapist
  • Support opportunities for consumers to purchase health insurance across state lines
  • Pursue elimination of arbitrary limits and denials for services provided by physical therapists in private practice in accordance with evidence of value


  • Support legislation that allows small businesses to form groups for the purpose of purchasing health insurance for themselves and their employees
  • Pursue federal student loan repayment programs in underserved areas that enhance recruitment efforts of physical therapy private practices in these areas
  • Monitor, respond to, and participate in tax reform efforts to benefit physical therapists in private practice


  • Promote policy that increases opportunities for Veterans to receive outpatient services provided by physical therapists in private practice
  • Mandate that physical therapists in private practice are included in the medical team providing concussion management