AMERICAN PHYSICAL THERAPY ASSOCIATION for AMERICAN PHYSICAL THERAPY ASSOCIATION

Small Business SMB

H.R. 807/S. 253 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) Medicare private contracting H.R. 4133 Medicare Patient Empowerment Act of 2017

Contacted: Defense, Dept of (DOD); Health Resources & Services Administration (HRSA); Natl Institutes of Health (NIH); Government Accountability Office (GAO); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; White House Office; Office of Management & Budget (OMB); Small Business Administration (SBA); Agency for Healthcare Research & Quality (AHRQ); Medicare Payment Advisory Commission (MedPAC); Centers For Disease Control & Prevention (CDC); Education, Dept of; Veterans Affairs, Dept of (VA); Centers For Medicare and Medicaid Services (CMS); SENATE

Bills named: H.R. 807 (115th), S. 253 (115th), H.R. 4133 (115th)

Medical/Disease Research/Clinical Labs MED

NIH Rehab issues APTA role with NIH Traumatic brain injury research Support of work done at CDC Injury Center on elder adult falls, TBI, youth sports concussions NIH Research and Development funding AHRQ Quality measure development panel for hip fracture patients and fall risk in PAC Comments on Behavioral Counseling to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Known Risk Factors PT role in childhood obesity Relocate TBI State Grant Program to ACL SAFE PLAY Act NIDILRR - rehab research

Contacted: Natl Institutes of Health (NIH); Defense, Dept of (DOD); Office of Management & Budget (OMB); Centers For Medicare and Medicaid Services (CMS); Education, Dept of; Government Accountability Office (GAO); Health Resources & Services Administration (HRSA); Veterans Affairs, Dept of (VA); Agency for Healthcare Research & Quality (AHRQ); SENATE; Medicare Payment Advisory Commission (MedPAC); White House Office; Centers For Disease Control & Prevention (CDC); HOUSE OF REPRESENTATIVES; Small Business Administration (SBA); Health & Human Services, Dept of (HHS)

Defense DEF

Expansion of coverage under TriCare Use of Physical Therapy Assistants under Tricare Military children with special health care needs PT Day in DoD NDAA Conference Report Increase in rank and grade of Chief of Army Medical Specialist Corps

Contacted: Medicare Payment Advisory Commission (MedPAC); Education, Dept of; Centers For Disease Control & Prevention (CDC); Health Resources & Services Administration (HRSA); Government Accountability Office (GAO); Centers For Medicare and Medicaid Services (CMS); Small Business Administration (SBA); Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; Office of Management & Budget (OMB); Natl Institutes of Health (NIH); Defense, Dept of (DOD); Veterans Affairs, Dept of (VA); Agency for Healthcare Research & Quality (AHRQ); White House Office; SENATE

Health Issues HCR

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT Physician self-referra/Stark Law American Cures Act H.R. 930/S.497 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees Medicaid Expansion HR. 1639/S.619 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 302/S.808 Sports Medicine Licensure Clarity Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 1361/S.486 Ensuring Access to Quality CRT Medicare Telehealth Parity Act HR2550 American Healthcare Act of 2017/CONNECT - H.R. 2556/S1016 H.R. 1628 - American Health Care Action of 2017 Opioid Epidemic/Pain Management Better Care Reconciliation Act of 2017 H.R.2066 Promoting Integrity in Medicare H.R. 2063 Opioid Pace Act of 2017 H.R. 5261 Teach Act H.R. 5197 Alto Act H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance-Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act S. 3120, the HEAL Act S. 2680, Opioid Crisis Response Act Association Retirement Plans State Relief and Empowerment Waivers D.O.L Information Collection Request Extensions Health Reimbursement Accounts HR 7217: Improve Act

Contacted: Natl Institutes of Health (NIH); HOUSE OF REPRESENTATIVES; Office of Management & Budget (OMB); Education, Dept of; Small Business Administration (SBA); Veterans Affairs, Dept of (VA); SENATE; Defense, Dept of (DOD); White House Office; Medicare Payment Advisory Commission (MedPAC); Health Resources & Services Administration (HRSA); Government Accountability Office (GAO); Health & Human Services, Dept of (HHS); Centers For Disease Control & Prevention (CDC); Agency for Healthcare Research & Quality (AHRQ); Centers For Medicare and Medicaid Services (CMS)

Bills named: H.R. 1639 (115th), H.R. 5261 (115th), H.R. 2063 (115th), H.R. 5722 (115th), H.R. 5773 (115th), S. 808 (115th), H.R. 302 (115th), H.R. 5774 (115th), H.R. 5719 (115th), H.R. 5718 (115th), H.R. 6 (115th), S. 2680 (115th), H.R. 5197 (115th), H.R. 2550 (115th), H.R. 2556 (115th), S. 497 (115th), H.R. 5686 (115th), S. 619 (115th), S. 3120 (115th), H.R. 930 (115th), S. 486 (115th), H.R. 1361 (115th), H.R. 1628 (115th), H.R. 7217 (115th), H.R. 2066 (115th)

Veterans VET

Qualification standard in the Veterans Admin Physical Therapy workforce numbers in the Veterans Admin/recruitment/retention VA Rehab services GS Schedule PT payment/PTA payment Physical therapy in telehealth or virtual medicine PT Day in VA/Collaboration with VA Residency opportunities in VA system HAIG Survey of state of PT in VA VA Staffing Comments PT Dry-Needling Requirements PT State Licensure Requirements Standardization of Practice VA-PT Continuing Education Requirements Physical Therapy Registry Options VA Choice Program Access Standards Quality Standards PTA Qualification Standards Telehealth

Contacted: HOUSE OF REPRESENTATIVES; Agency for Healthcare Research & Quality (AHRQ); White House Office; Centers For Medicare and Medicaid Services (CMS); Defense, Dept of (DOD); Education, Dept of; Office of Management & Budget (OMB); Centers For Disease Control & Prevention (CDC); Veterans Affairs, Dept of (VA); SENATE; Health Resources & Services Administration (HRSA); Natl Institutes of Health (NIH); Small Business Administration (SBA); Medicare Payment Advisory Commission (MedPAC); Government Accountability Office (GAO); Health & Human Services, Dept of (HHS)

Medicare/Medicaid MMM

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Medicare Appeals Procedures) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits MIPS/PPP Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. S. 3120, HEAL Act S. 2680, Opioid Crisis Response Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Certified EHR technology HR 7217 Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act (IMPROVE ACT) S. 3458: Improvements to Home Health HR 3635: Local Coverage Determination Clarification Act of 2018

Contacted: Medicare Payment Advisory Commission (MedPAC); Health Resources & Services Administration (HRSA); Veterans Affairs, Dept of (VA); Agency for Healthcare Research & Quality (AHRQ); White House Office; Centers For Medicare and Medicaid Services (CMS); Health & Human Services, Dept of (HHS); Government Accountability Office (GAO); Defense, Dept of (DOD); Education, Dept of; HOUSE OF REPRESENTATIVES; Small Business Administration (SBA); Natl Institutes of Health (NIH); Office of Management & Budget (OMB); SENATE; Centers For Disease Control & Prevention (CDC)

Bills named: H.R. 5722 (115th), H.R. 2042 (115th), H.R. 3635 (115th), H.R. 7217 (115th), H.R. 5686 (115th), H.R. 5718 (115th), H.R. 5773 (115th), S. 2680 (115th), H.R. 6 (115th), H.R. 5261 (115th), H.R. 807 (115th), H.R. 3446 (115th), H.R. 5197 (115th), S. 253 (115th), S. 870 (115th), H.R. 5774 (115th), S. 3458 (115th), S. 3120 (115th), H.R. 5719 (115th)

Budget/Appropriations BUD

Increased Funding for FY 2018 Appropriations for NIH and report language Increased funding for Falls Prevention Programs in CDC FY 2018 Appropriations for CDC Programs FY 2018 Appropriations for HRSA Programs FY 2018 Appropriations for IDEA

Contacted: Agency for Healthcare Research & Quality (AHRQ); Centers For Medicare and Medicaid Services (CMS); White House Office; Government Accountability Office (GAO); SENATE; Centers For Disease Control & Prevention (CDC); Veterans Affairs, Dept of (VA); Health & Human Services, Dept of (HHS); Natl Institutes of Health (NIH); Office of Management & Budget (OMB); Health Resources & Services Administration (HRSA); Education, Dept of; Medicare Payment Advisory Commission (MedPAC); HOUSE OF REPRESENTATIVES; Defense, Dept of (DOD); Small Business Administration (SBA)

Education EDU

Inclusion of allied health in HRSA education and workforce programs HRSA Workforce Model Support of allied health professions in federal progams Workload approach for SISPS Improving Inter-professional Education IDEA - SISPS ESEA - Military Children HR 1639/S.619 Physical Therapist Workforce & Patient Access Act IDEA Full Funding Act (HR 2902) Protecting Student Athletes from Concussions Act of 2017 (HR 3580) Prosper Act H.R. 4508 Graduate Medical Education

Contacted: Centers For Disease Control & Prevention (CDC); Natl Institutes of Health (NIH); Education, Dept of; Agency for Healthcare Research & Quality (AHRQ); Health & Human Services, Dept of (HHS); Health Resources & Services Administration (HRSA); SENATE; Small Business Administration (SBA); Defense, Dept of (DOD); Centers For Medicare and Medicaid Services (CMS); White House Office; HOUSE OF REPRESENTATIVES; Government Accountability Office (GAO); Office of Management & Budget (OMB); Medicare Payment Advisory Commission (MedPAC); Veterans Affairs, Dept of (VA)

Bills named: H.R. 1639 (115th), H.R. 3580 (115th), S. 619 (115th), H.R. 2902 (115th), H.R. 4508 (115th)