We ask you to join AOTA to advocate for Congress to pass two crucial pieces of legislation before the end of the year. They must extend the ability of occupational therapy practitioners (OTPs) to provide services via telehealth in Medicare , and they must stop the 2025 cuts to Medicare outpatient payments. 

Telehealth: 

The use of telehealth to provide a wide array of services, including occupational therapy, has grown exponentially since 2020 when Congress enacted waivers to expand the list of practitioners that can provide these services to Medicare beneficiaries to include occupational therapists and occupational therapy assistants (OTPs). These waivers have been extended through 2024; however, they are set to expire on December 31 unless Congress acts. The House Energy and Commerce and Ways and Means Committees have already voted to extend these waivers through December 31, 2026, but the full Congress must act to extend the telehealth practitioner waivers before the year ends, or OTPs will no longer be able to provide services via telehealth under Medicare on January 1, 2025. 

Medicare Payments for Outpatient Therapy:

The 2025 Medicare Physician Fee Schedule (MPFS), which sets payment rates for outpatient occupational therapy services, included a 2.8% reduction to the “conversion factor.” The conversion factor is a number used by CMS to determine how much every provider is paid, and  this reduction decreases the payment rate for all healthcare clinicians providing Medicare outpatient services. 

This cut represents the fifth straight year of cuts to Medicare payments which have hit occupational therapy especially hard. Although in each of these 5 years, Congress has reduced the proposed cuts, they have never eliminated them. This year, AOTA advocacy helped to secure a small increase to payment rates specific to occupational therapy, but the overall cut to Medicare payments means that OT services are facing a 2% reduction in payment for 2025.

Join our efforts:

AOTA has lobbied Congress on these issues on your behalf for the last two years. We have worked with other therapy and physician groups to push for an extension to the current telehealth waiver and to stop another round of cuts to Medicare payments. Occupational therapy advocates spoke directly with their elected officials on these topics during AOTA Hill Day in September. 

But Congress needs to hear more in order for them to prioritize these issues. We need you to join us in telling Congress to act before the end of the year. They must hear from their constituents that these issues are of critical importance!