Posted On: August 1, 2025 by NARA in: Advocacy Healthcare Legislation Payment Reform Regulatory Issues

Rehabilitation providers face mounting challenges every year, from shifting reimbursement models to increasing regulatory demands and workforce shortages. That’s why the National Association of Rehabilitation Providers & Agencies (NARA) plays a crucial role in making sure the voices of therapists, rehab agencies, and their patients are heard where it matters most: Capitol Hill.
Through direct advocacy and strategic partnerships, NARA works to influence legislation, protect provider interests, and ensure patient access to high-quality rehabilitation services.
A Strategic Partnership: NARA and DLA Piper
To amplify its advocacy efforts, NARA partners with DLA Piper, a global law firm with deep expertise in government affairs and healthcare policy. This collaboration ensures NARA members are represented by professionals who understand the complexities of healthcare legislation and have direct access to key decision-makers in Washington, D.C.
DLA Piper’s team includes former senators, congressional staffers, and policy advisors who help shape legislative strategies that protect and promote the interests of rehab providers. This partnership allows NARA to:
- Stay ahead of policy changes
- Influence legislation that directly impacts reimbursement and compliance
- Safeguard patient access to essential services
Recent Legislative Wins and Ongoing Advocacy
NARA’s advocacy efforts have led to progress on several critical issues:
- Reimbursement Equity — Fighting for fair compensation for physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) under Medicare Part B, opposing payment differentials that undervalue their work.
- Telehealth Expansion — Supporting legislation that ensures telehealth parity for rehab services, advocating for permanent coverage and reimbursement models that reflect the value of virtual care.
- Reducing Administrative Burden — Pushing for reforms to simplify billing codes, eliminate unnecessary prior authorizations, and allow providers to spend more time with patients and less on paperwork.
- Access to MIPS — Working to include rehab agencies in the Merit-Based Incentive Payment System (MIPS) so they can participate in value-based care initiatives.
- Rural and Underserved Access — Advocating for expanded therapy services in rural and underserved areas to ensure equitable care for all patients.
You can explore these initiatives, track active legislation, and sign up for alerts in NARA’s Advocacy Center.
Why Advocacy Matters for Reimbursement, Compliance, and Patient Access
Legislation shapes more than just policy; it shapes everyday practice. Without strong advocacy:
- Reimbursement rates may be cut, threatening the financial stability of rehab providers.
- Compliance requirements can become overly burdensome, increasing audit and penalty risks.
- Patient access may be reduced, especially in vulnerable populations that rely on consistent therapy services.
NARA ensures rehab providers are not just reacting to policy changes but actively influencing them. Your voice matters. Find advocacy resources by clicking the button below.
Stay Informed and Get Involved
As a NARA member, you’ll have access to real-time legislative updates, advocacy webinars, and strategic insights through the Member Portal. Whether you are a therapist, administrator, or business owner, staying engaged in advocacy helps protect both your practice and your patients.
Advocacy isn’t optional — it’s essential. With NARA and DLA Piper in your corner, you’re not just responding to change, you’re helping lead it.
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