The Centers for Medicare and Medicaid Services (CMS) has released an ill-timed and shocking FY 2021 IRF proposed rule that includes a proposal to amend the IRF coverage requirements to allow non-physician practitioners (NPPs) to perform certain duties that are currently required to be performed by a rehabilitation physician.

CMS is requesting public comments on the proposal by June 15, including specifically whether commenters believe that quality of care in IRFs will be impacted by this proposal and any specific evidence that may help inform the issue.

AAPM&R has strongly opposed similar CMS proposals to expand the role of NPPs in IRFs in the past. The Academy will be leading an effort to unite the house of medicine to oppose this dangerous proposal. We will share recommendations with members as soon as possible on how to submit individual comments to support our efforts in advance of the June deadline.