[4] On February 9, 2018, as part of the Bipartisan Budget Act of 2018, President Donald Trump permanently removed therapy caps when he signed the bill into law.
"[citation needed] The American Heart Association concluded that the Medicare caps are costing the government more money in the long run, especially to stroke patients.
The failure to properly treat and rehabilitate stroke patients costs $21.8 billion annually in lost productivity and disability expenses.
[8] A 2011 study produced a comprehensive cost analysis of for outpatient therapy services provided to individuals following a stroke.
[9] An independently prepared utilization report for CMS indicated patients with diagnoses including stroke, cognitive deficits, diabetes, degeneration of multiple joints, prior joint replacement, Parkinson's disease will require therapy services beyond what is covered by the therapy cap.