Physical therapists advocate for improved reimbursement and direct access in Vermont

The Senate Health and Welfare Committee meeting on May 8, 2025, focused on the importance of physical therapy in Vermont, coinciding with the state's Physical Therapy Advocacy Day. The session highlighted the challenges faced by physical therapists and the potential benefits of investing in rehabilitation services.

During the meeting, physical therapists shared their experiences and the critical role they play in the healthcare system. Heidi Milneholm, a doctor of physical therapy with over 20 years of experience, emphasized that physical therapy can significantly reduce healthcare costs by preventing surgeries, decreasing opioid use, and improving patient outcomes. She pointed out that early intervention in pediatric care can lead to better developmental results, ultimately easing the financial burden on schools.

Milneholm also raised concerns about the sustainability of physical therapy practices in Vermont, noting a decline in reimbursement rates over the past five years. She called for increased investment in physical therapy services to retain providers in the state and improve access for patients, particularly in rural areas.

The discussion also touched on the administrative challenges therapists face, such as the need for prior authorizations from insurance providers, which can delay patient care. While recent changes have eliminated prior authorizations for certain age groups under Medicaid, therapists are advocating for broader access to direct physical therapy services without the need for referrals from primary care physicians.

The meeting concluded with a commitment from the committee to consider the insights shared by the physical therapists and explore ways to support the profession in Vermont. The ongoing discussions aim to enhance the availability and effectiveness of physical therapy services, ultimately benefiting the state's healthcare system and its residents.