The House passed Medicare provider payment reform this morning along party lines, 238 - 181. Despite strong bipartisan support for the base policy, House leadership's decision to offset the bill's cost by delaying the Affordable Care Act's individual mandate caused House Democrats to oppose the legislation. The Senate will take up its own version when they return from recess at the end of the month. While the House version, passed on the floor today, did not include therapy cap repeal, the Senate is expected to consider a version that would fully repeal Medicare's outpatient therapy cap. Like the House, discussions over how to offset the cost of the reforms will likely determine the final tally on the Senate floor.

Both chambers must find agreement by March 31st or risk allowing dramatic cuts to providers and a hard cap on therapy services to take effect.