 On February 9, 2018, as part of the Bipartisan Budget Act of 2018, President Donald Trump permanently removed therapy caps when he signed the bill into law.Several medical associations and organizations including the American Physical Therapy Association and American Occupational Therapy Association have lobbied against therapy caps because the bill restricted disabled seniors, stroke patients, and other severe cases from receiving therapy treatments.Another controversy is the original bill combined physical therapy and speech therapy together allowing only a shared $1810 per calendar year for both therapy services.