Updates on the latest state and federal issues and information about how you can be involved in our grassroots efforts

The MPTA Legislative Committee works with the MPTA Lobbyist Firm, Muchmore, Harrington, and Smalley (login required) and the MPTA Board of Directors. This committee is a resource for MPTA members to get answers to specific questions regarding legislation in Michigan. Advocacy and Legislation at a National level is handled by APTA. Contact the MPTA office with your question at [email protected]

If you have questions about any of the legislative issues please contact the MPTA office with your question at [email protected]

If you would like to become more involved in legislative issues please see Action Steps for PT.

The support and participation of all MPTA members is much appreciated as we continue this investment in our future. If you have any suggestions, questions, answers or want to get more involved in any other way, please contact the MPTA office.

Legislative News:
 

Senate Bill 612 Introduced - Prior Authorization Reform

posted: November 13, 2019

We are very excited to announce the introduction of Senate Bill (SB) 612 which seeks to reform prior authorization practices in Michigan.  This bill is the result of our collaboration with a large provider and consumer advocacy group coalition called Health Can’t Wait.  The legislation is but 1 component of the this campaign that also includes consumer education and collection of patient stories.

The bill is sponsored by Senator Curt Vanderwall (Benzie, Crawford, Kalkaska, Lake, Leelanau, Manistee, Mason, Missaukee, Ogemaw, Osceola, Roscommon and Wexford).  The most important parts of the bill that impact physical therapy include:

  • Requiring payers to post prior authorization requirements on their public website and be readily available to providers at the point of care
  • Criteria that are based on peer-reviewed clinical review criteria which:
    • Must be based on national association guidelines
    • Account for atypical patient populations/diagnoses
    • Ensure quality of care
    • Be flexible for case-by-case deviation
    • Evaluated and updated annually
    • Be developed with input from health professionals licensed in the same profession
  • Requiring payers to “conspicuously” post statistics about denials and appeals, including the top 10 reasons for denial, on their public website

Please contact your State Senator and State Representative NOW and tell them about the adverse impact that prior authorization is having on our ability to deliver medically, necessary care to our patients.  For more information on the Health Can’t Wait coalition and to submit your patients’ stories, visit https://www.healthcantwait.org/

 

 

MPTA Members Participate in the APTA State Policy and Payment Forum

posted: September 23, 2019

MPTA Members participatedin the APTA State Policy and Payment Forum (SPPF) on September 14.  

 

John Zubek provided these notes about the experience~

A first timer’s perspective attending the State Policy and Payment Forum

OVERWHELMING support! For our patients, for our profession. That’s the message I hear while sitting in a room of a few hundred Physical Therapy representatives from every state in the U.S. As I looked around, I saw clinic owners, administrators, lobbyists, chapter presidents, payment specialists and staff physical therapists. Here are few of my takeaways from the Forum:  

  • The APTA is expending an enormous amount of expertise, effort and time influencing legislation and reimbursement rules for the benefit of our patients.  
  • It is important that we meet with other state chapter representatives and learn from their successes and failures.  
  • Our dues and donations really do help MPTA representatives extend and expand our voices. 
  • I experienced genuine optimism for the future of our profession and the value we provide to the patients we serve.  
  • The State Policy and Payment Forum was truly an eye-opening experience and an important wake up call to stay involved.  

 

Those that attended are pictures below left to right:  John Zubek (Leg Ctte), Barb Herzog (Payment Specialist), Jena Colon (Leg Director) and Karen Frederick (Shorelines Editor and member of the APTA Public Policy and Advocacy Committee - PPAC).  


Important Legislative Resources

Federal Advocacy

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