Previously, people that sustained traumatic brain injury or concussive brain injury were limited to 20 visits per year for speech, physical and occupational therapies under Medicaid reimbursement. Recognizing that such limitations were often inadequate to deal with the consequences of brain injury, the New York legislature passed a bill eliminating these restrictions. Legislation passed as part of 2011-2012 State Budget would limit speech therapy, physical therapy and occupational therapy to recipients of medical assistance to twenty times or less per year. While the law provided for exceptions for persons with developmental disabilities it did not provide such exceptions to person with traumatic brain injuries. Traumatic brain injury, often referred to as TBI, is most often an acute event similar to other injuries. That is where the similarity between traumatic brain injury and other injuries ends. One moment the person is normal and the next moment life has abruptly changed. In most other aspects, a traumatic brain injury is very different. The consequences of a brain injury can affect all aspects of an individual life including their personality. A brain injury is different from a broken limb or punctured lung. Brain injuries do not heal like other injuries. Recovery is a functional recovery, based on mechanisms that remain uncertain. No two brain injuries are alike and the consequence of two similar injuries may be very different. In this regard, therapeutic interventions such as speech, physical and occupational therapy are critical to an individual’s ability to recover and/or maintain as many life skills as possible. In addition, the provisions of these therapies can be critical to maintaining an individual at home versus a more costly and restricting setting such as a nursing home or other institutional setting. Therefore similar to other community based therapies, the elimination of this Cap for TBI is critical to achieving savings in Medicaid