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VGM Government Relations

VGM Government Relations helps VGM & Associates, and all its divisions' members, navigate the complexities of the legislative process and regulatory rules with two goals in mind: Members have freedom to do business and their voice is heard.

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HME Providers Must Be Heard

The HME Industry may be small as compared to the rest, but we play an integral role in the lives of millions of Americans. CMS (Centers for Medicare & Medicaid Services) audits and competitive bidding policies are challenging HME businesses large and small of all sizes, forcing patients to go without the products and services they need.

VGM Government Relations is here to help VGM Members navigate the complexities of the legislative process and regulatory rules with two goals in mind: you have the freedom to do business and your voice is heard.

Championing in Change for the DMEPOS Industry

Champions of Change

At VGM Government Relations, we put our members first and advocate for them every step of the way - from grassroots to Capitol Hill.

This year, we're taking a different approach and focusing on driving change for the industry as a whole. That's why we're your Champions of Change!

We're actively shaping policy decisions to benefit our members and their profession and we're committed to driving meaningful change in the industry!

Action Center

VGM Government Relations has made it easier than ever to message your representatives about important industry legislation!

Resources

VGM Government Relations offer a variety of resources to members, including policy and informational materials, presentations, talking points, papers, and studies, all to keep you informed on the latest government developments and their effects on both the consumers and the HME industry.

HME State Associations

Whether you need a question answered about competitive bidding, or you want your voice to be heard on the issue, contacting your state association is a great place to start. Simply click on your state to view the contact information.

News

Events

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We're here to help you make a difference and to make it easy for you to take part in the politics and policy that will improve the HME industry. Do you have a question or comment? Please get in touch!

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Meet The Team

Team Bios

Continuous value delivered by a team who understands what you face.

Members are at the center of everything we do. Navigating government and policy change can be time consuming and confusing. You have access to tools and resources that will save you time and money simply by belonging to VGM.

Resources on Legislative Efforts Visit our Resource Center for papers, studies, & talking points. Take Action Send a message to share your thoughts with Congress. Stay Up To Date Subscribe to our news to stay up to date on the latest legislative and regulatory news. Industry Podcasts Listen to podcasts impacting the HME industry.

Related News

CMS files the Proposed Rule that sheds light on the next round of the Competitive Bidding Program thumbnail CMS files the Proposed Rule that sheds light on the next round of the Competitive Bidding Program On June 30, 2025, CMS filed the anticipated Proposed Rule that includes updates to the Competitive Bidding Program (CBP). Public comments are due 60 days from June 30, 2025. Below is a high-level summary of the rule. It is critical to note that, according to the Proposed Rule Fact Sheet dated June 30, 2025, CMS has stated that they have not announced the specific product categories they are bidding or the specific timeframe for the next competition. Those specifics will be forthcoming in a fu Senate Narrowly Passes HR1, Sending It Back to House for Final Approval thumbnail Senate Narrowly Passes HR1, Sending It Back to House for Final Approval President Donald Trump's sweeping legislative package, formally titled the One Big, Beautiful Bill Act, now referred to as HR1., cleared the Senate today in a dramatic 51–50 vote, with Vice President JD Vance casting the tie-breaking vote. The bill now returns to the House, where lawmakers must decide whether to adopt the Senate's revised version or negotiate further changes before it can reach the president's desk. Several Prominent Medicaid Provisions in Senate's Budget Bill Deemed in Violation of Byrd Rule thumbnail Several Prominent Medicaid Provisions in Senate's Budget Bill Deemed in Violation of Byrd Rule Senate Parliamentarian Elizabeth MacDonough advised this week that multiple Medicaid provisions in the Senate's reconciliation bill would violate Senate procedure by violating the Byrd Rule. The Byrd Rule is a Senate-specific procedural process that allows Senators to prevent or block inclusion of extraneous provisions in reconciliation bills. Other provisions are still under review. Evaluating the Value of a Payer Contract thumbnail Evaluating the Value of a Payer Contract In our last article, Key Payers Denied Your Application Citing Their Network Is Closed – Now What?, we discussed strategies for addressing payer contracting denials due to a closed network. As indicated, this process can be an extremely time-consuming exercise with no guarantees and mixed results. Below are a few things to consider as you evaluate whether a contract is worth the extra effort. Webinar: Webinar: "Navigating The New CMS Landscape: RADs, HMVs, and Supplier Survival" on June 25 at 1 p.m. CT. The Centers for Medicare & Medicaid Services (CMS) has released its final National Coverage Determination (NCD) for RADs and HMVs used in treating chronic respiratory failure due to COPD. While the rule potentially expands access to bilevel ST therapy (RADs), it also introduces complex compliance requirements, tighter usage criteria, and increased documentation burdens—without additional reimbursement. The Return of Competitive Bidding thumbnail The Return of Competitive Bidding The Centers for Medicare & Medicaid Services (CMS) appear to be laying the groundwork for another round of the Competitive Bidding Program (CBP). While full implementation will take a couple of years, an official announcement is expected this summer—potentially as early as July. Out With The Old RAC, In With The New thumbnail Out With The Old RAC, In With The New On April 28, 2025, CMS awarded Cotiviti GOV Services LLC, the new RAC Recovery Audit Contractor (RAC) Region 3, 4, and 5 contracts. RAC Region 3 includes the following Medicare Administrative Contractor (MAC) jurisdictions: JJ, JM, and JN. RAC Region 4 includes jurisdictions: JE, JF, and JL. And RAC Region 5 includes jurisdictions: JA, JB, JC, JD, as well as the HH/H MACs: J6, J15, JK, and JM. Iowa Leads the Charge! All Four Representatives Back H.R. 2005—Will Your State Step Up? thumbnail Iowa Leads the Charge! All Four Representatives Back H.R. 2005—Will Your State Step Up? At VGM Group, Inc. we have the pleasure of serving our members and partners throughout the country.  One of the many ways we do this is through legislative advocacy, working with our partners to create a more equitable and effective healthcare system. All our VGM units are dedicated to advancing our partners' businesses, streamlining operations, and working every day to enhance reimbursement for the quality in-home healthcare our industry provides all people.

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