Ask Your Senators to Join Just-Released Sign-On Letter on ESRD/DMEPOS Proposed Rule

Action Needed ASAP; Letter Expected to Close Oct. 4

Sens. John Thune (R-S.D.) and Heidi Heitkamp (D-N.D.) have released a Congressional sign-on letter to leaders at CMS and HHS, asking them to extend relief for all non-CBA suppliers through 2020 in the proposed ESRD/DEMPOS Rule currently under consideration by the Agencies.

The letter, which can be seen here, expresses support for extending relief for all non-CBAs through 2020 and notes that:

Ensuring all Medicare beneficiaries in non-CBAs have access to the medical equipment they need has always been Congress’ intent.  As you know, Congress legislatively extended the transitional blended rate established by CMS through Section 16007 of P.L. 114-255, without creating any distinction regarding the location of the non-CBA.  Similarly, in 2017, nearly half of the United States Senate urged CMS to take regulatory action to provide relief to DME providers in non-CBAs, again, without indicating a preference that there should be different treatment for rural or non-contiguous non-CBAs versus all other non-CBAs.  

Senators Thune and Heitkamp have asked for a concerted grassroots effort to get signatures on the letter by Thursday, Oct. 4.  Please send a message to your Senators asking that they add their name to the sign-on letter, and encourage your colleagues, peers, and friends to do the same. Feel free to add your own perspectives to the sample email to your Senators that follows.

This may be our last opportunity to help improve this Proposed Rule and help improve reimbursement rates for our industry over the next few years, so please take action today.  If possible, follow up your email with a call to your Senators – you can ask to speak to an individual who handles healthcare to ask that they join the Thune/Heitkamp sign-on letter on the ESRD/DMEPOS Proposed Rule that is under considerations by CMS.

Contact Gordon Barnes at if you would like contact information for the staffer handling healthcare for your Senators or with any other questions/requests.