Joaquin Arriagada Martinez's questions to Select Medical Holdings Corp (SEM) leadership • Q2 2025
Question
Speaking on behalf of Joanna Gajuk, Joaquin Arriagada Martinez from Bank of America asked about the progress of any congressional efforts to reverse the 20% transmittal rule. He also questioned if the less severe increase in the final LTAC outlier threshold would lead to better margins in the critical illness segment in Q4 2025.
Answer
Robert Ortenzio, Co-Founder & Executive Chairman, stated there has not been significant traction in Congress to reverse the 20% transmittal rule, and engaging with CMS remains the primary path forward. He clarified that while the final outlier threshold is an improvement over the proposed rule, it is still a modest increase from the current level and was not baked into guidance, so it does not automatically imply easier margin management.