On March 26, 2015, the United States House of Representatives passed H.R. 2, the Medicare Access and CHIP Reauthorization Act, by a vote of 392-37. This legislation permanently repeals the flawed sustainable growth rate (SGR) formula, thereby avoiding the scheduled 21.2% reduction that is to go into effect on April 1, 2015 and provides a 0.5% increase in payments under the Medicare Physician Fee Schedule beginning this year and continuing through 2019. This legislation also extends the therapy cap exception process for outpatient therapy services through December 31, 2017. This legislation was then sent to the Senate; however, the Senate