Coalition Led by APTA Pushes Congress to Repeal MPPR as Part of Medicare Payment Reform

The American Physical Therapy Association, APTA Private Practice and a coalition of national rehabilitation and health care organizations are urging Congress to repeal the Multiple Procedure Payment Reduction policy, an outdated Medicare Part B payment policy they warn is jeopardizing patient access to essential rehabilitation services and threatening the viability of therapy providers across the country.  

In letters sent on Tuesday, March 17, 2026 to leadership of the Senate Committee on Finance and the House Committee on Energy and Commerce, the coalition urges Congress to repeal the Multiple Procedure Payment Reduction policy, or MPPR, as part of broader reforms to the Medicare Physician Fee Schedule. The organizations detail how MPPR undermines coordinated, evidence-based rehabilitation care and creates harmful barriers to access for Medicare beneficiaries, especially those living in rural and medically underserved communities. 

APTA Private Practice emphasizes that repealing MPPR is critical to preserving access to care close to home.

"It is time for Congress to act and eliminate this outdated policy and arbitrary payment cut that limits older adults’ access to rehabilitative services," says APTA Private Practice President Mike Horsfield, PT, MBA. "Removing MPPR will help ensure community-based providers can continue delivering the care Medicare beneficiaries deserve close to home."

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