Posted On: May 21, 2025 by NARA in: Advocacy Legislation
When it comes to safeguarding the health of older adults, fall prevention and addressing opioid misuse are two of the most urgent challenges. That’s why the Stopping Addiction and Falls for the Elderly (SAFE) Act—a bipartisan bill reintroduced by Representatives Carol Miller and Melanie Stansbury—is a game-changing step toward safer, more effective senior care.
As a rehabilitation provider or agency, understanding this legislation is critical to advocating for expanded roles in patient care and ensuring older adults get the support they need.
What Is the SAFE Act?
The SAFE Act would authorize physical and occupational therapists to conduct fall risk assessments during Medicare Annual Wellness Visits. This proactive measure empowers therapists to play a larger role in early identification of fall risks—helping reduce injuries, hospitalizations, and healthcare costs.
In addition, the bill addresses opioid misuse by encouraging non-pharmacological pain management approaches, such as therapy-based care.
Key Objectives of the SAFE Act
1. Empower Therapists in Fall Prevention
By allowing PTs and OTs to perform fall risk assessments as part of Medicare wellness visits, the SAFE Act strengthens early intervention and enables timely treatment plans—leading to safer outcomes for seniors.
2. Improve National Data Collection
The bill directs the U.S. Department of Health and Human Services (HHS) to collect and report data on senior falls and related treatments annually. This data is crucial for shaping national strategies, supporting funding decisions, and identifying gaps in care.
3. Reduce Opioid Dependence in Older Adults
With therapists providing alternative, non-opioid pain management techniques, the SAFE Act promotes safer recovery options and aims to reduce the risk of addiction in older adults—a group highly susceptible to medication-related complications.
4. Lower Healthcare Costs Through Prevention
Preventing falls before they happen avoids costly ER visits, surgeries, and rehabilitation stays. The SAFE Act is a win for both seniors and the broader healthcare system.
5. Promote Accountability and Transparency
Regular reporting creates greater visibility into the frequency and outcomes of senior falls, allowing stakeholders to evaluate the effectiveness of interventions and improve care standards.
Why It Matters for Rehab Providers
The SAFE Act not only enhances senior safety—it also recognizes the essential role of rehabilitation professionals in preventive care. By expanding what therapists can do under Medicare, the bill validates your expertise and helps patients access the support they need before a crisis occurs.
As a member of the rehabilitation community, staying informed and advocating for legislation like the SAFE Act is vital to advancing patient care and ensuring your voice is heard in national policy conversations.
To learn more about how NARA supports advocacy for rehab providers, visit naranet.org.
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