In 1997 the Balanced Budget Act established annual per-beneficiary Medicare spending limits, or<unk> , for outpatient Physical<unk> , occupational<unk>  and speech language pathology services covered under Medicare Part B. Facilities affected by the<unk>  include: private practice, physician offices, skilled nursing facilities, rehabilitiations agencies, comprehensive outpatient rehabilitation facilities, critical access hospitals, and outpatient hospital departments. For 2014, the<unk>  amount is $1920 for physical<unk>  and speech pathology combined. A separate $1920 is allowed for occupational<unk>  services. Beneficiaries enrolled in Medicare Advantage plans are not subject to the<unk>  unless the plan chooses to apply the<unk> . Beginning in 1999, Congress placed repeated moratoria on the<unk>  through 2006. In 2006, an exception process was put into place through the Deficit Reduction Act of 2005. The exception process allowed for additional<unk>  services "when medically necessary" up to $3,700 after which, a manual medical review was required before further payment was provided. Once the<unk>  is reached, patients are required to pay out of pocket for further services. Without further legislation the<unk>  exception process was to expire on March 31, 2015. At this time hospital based outpatient clinics will no longer be subject to the<unk> . On February 9, 2018, as part of the Bipartisan Budget Act of 2018, President Donald Trump permanently removed<unk> s when he signed the bill into law.
Therapy cap
Pharmasave
House call
Dental key
Transfer board
Souvenaid
Lifeguard
MindMed