SGR Reform Legislation Introduced; Medicare Therapy Cap Not Included

February 10, 2014

On February 6, 2014, leaders from the House Ways and Means and Senate Finance Committees introduced reform legislation for the Medicare Sustainable Growth Rate (SGR) that does not include a repeal of the Medicare therapy cap. If Congress passes legislation addressing the SGR formula, but does not include a repeal of the Medicare therapy cap, it is likely that patients will face a hard cap on outpatient therapy services in 2014.

Negotiations on this legislation are ongoing. It is critical that your members of Congress hear from you on this issue. Write your members of Congress TODAY and let them know the Medicare therapy cap must be included in SGR reform legislation. Don't let them forget about the beneficiaries and the harm that the Medicare therapy cap will cause!


The Medicare SGR formula and therapy cap were created together in the Balanced Budget Act of 1997. Since 1997, Congress has repeatedly addressed the SGR formula and the therapy cap together through annual renewal of the SGR/Medicare extenders package. If Congress passes SGR reform legislation-without addressing the Medicare therapy cap-it is likely that patients will be denied therapy and/or forced to pay out-of-pocket for services to help them regain their ability to communicate effectively.

ASHA Resources 

For more information on this issue, please visit ASHA's Therapy Cap Advocacy Center or contact Ingrida Lusis, ASHA's director of federal and political advocacy, at

ASHA Corporate Partners