The Centers for Medicare and Medicaid Services (CMS) has issued the Home Health proposed rule for calendar year (CY) 2020. In the proposed rule, there are several proposals that could have an impact on physical, occupational and speech therapy services with one of the proposals having a potential positive impact on outpatient therapy services and another proposal recommending changes to who can provide maintenance therapy to Medicare beneficiaries who are under an active Home Health Agency (HHA) plan of care. Proposals that impact therapy services include, but are not limited to the following: