On Tuesday, June 24, 2008 the US House of Representatives pass the bill (HR 6331), Medicare Improvements for Patients and Providers Act. This bill will prevent a 10.6% decrease in payment under Medicare's physician fee schedule and ensure our seniors the ability to continue their physical therapy treatment under the therapy cap exceptions process. The vote was 355 - 59. There are numerous other Medicare issues in this bill. The legislation is now in the Senate and as of Friday, June 27, 2008, the bills S-3101 and S-3118 did not receive approval. Senator Reid inform the members of the Senate, there will be another vote on Sunday, June 29, 2008. Hopefully the Senate will be able to negotiate a deal before Congress convenes on July 1,2008. If the bill is not pass before July 1, 2008, then there will be seniors who will not be able to continue their physical therapy treatment due to the financial cap. Yes, some seniors will be able to continue for number of reasons; they have a true secondary insurance policy or the ability to be a self pay. I'm sure there will be number of clinicians who will treat the patient for free. Of course the clinicians will receive a decrease in payment. Now if the Senate decides to pass the bills sometime in July or after their summer vacation, the clinicians will be paid retroactive from July 1, 2008, this will be accounting nightmare. Plus the most important issue, what about the patients who did not receive treatment? Again Congress at its finest. Can you image if we operated our businesses or companies similar to Congress....we would be out of business. This will be another topic in the future.