Champions of Change Pushing for 55 in 55 Make Moves in Illinois

Published in Government Relations on October 25, 2023

Champions of Change are making a strong start in the push for 55 in 55 (The goal of 55 in 55 is to schedule 55 visits with legislators and/or their staff in 55 days). Yesterday, a room of nearly 20 people gathered at VGM member, Prism Health Care Services in Schaumburg, IL to discuss S. 1294, current DME rates impacted by supply chain, delivery costs, employee costs, inflation, and so much more.  

Illinois Meeting

Included in the meeting were: 

  • Jessica Sewell, Chicago Outreach Director (Senator Tammy Duckworth’s office) 
  • Neidi Mack, VP Ancillary Services; Tom Halpin, Supply Chair Director; Mary Mundo, Quality Control Director; Elizabeth Slover, Human Resources Generalist (Prism Health Care) 
  • Maura Flanary, VP Network Services (The Alden Skilled Nursing Facility Network) 
  • Julie Levin, Respiratory Therapist, Clinical Manager, Sleep Services; Michelle Bos, Registered Polysomnographic Technologist, RPSGT (Suburban Lung Associations) 
  • Jack Avila, Manager, Wheelchair Seating Center (Shirley Ryan AbilityLab) 
  • John Gallagher, VP Government Relations (VGM) 

Illinois Meeting“Our industry is facing critical cuts and challenges, and the time to make change is now,” said John Gallagher, VP of Government Relations for VGM. “A 30% cut, that is what our providers are looking at if legislators don’t pass S. 1294 and H.R. 5555. Add in the fact that delivery costs in Illinois are up an average of 43%,” continued Gallagher. “Those numbers don’t add up.” 

If change isn’t made by the end of year, providers in Illinois and across the country will face difficult decisions, and patients will lose access to critical care and products. Clinicians were also in attendance yesterday and voiced concerns about discharge, readmissions, availability of RX products, and access issues in rural and underserved areas of IL.  

“It is critical for all providers and suppliers to talk to their legislators about these issues,” said Neidi Mack, VP Ancillary Services for Prism Health Care. “Our population, our customers, your family, deserves the best care, access to care, and products and services, but that is becoming more difficult each day to provide.”  

There is time to push for change, but it is limited. Join in pushing for 55 in 55 and talk to your legislators today! And then, tell us about it!  

From Our Experts

Update from the Board of Certification/Accreditation thumbnail Update from the Board of Certification/Accreditation Yesterday, the Board of Certification/Accreditation (BOC) issued a clarification regarding the Centers for Medicare & Medicaid's (CMS) recent announcement about withdrawing BOC Accreditation. Here are the key updates... CMS Withdraws BOC Accreditation Authority For DMEPOS Suppliers thumbnail CMS Withdraws BOC Accreditation Authority For DMEPOS Suppliers On December 2, 2025, the Centers for Medicare & Medicaid Services (CMS) officially revoked the Board of Certification/Accreditation International (BOC) as an approved accreditation organization for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). The DMEPOS Competitive Bid Program (CBP) And The New Remote Item Delivery Competitive Bidding Program – What Suppliers Need To Know thumbnail The DMEPOS Competitive Bid Program (CBP) And The New Remote Item Delivery Competitive Bidding Program – What Suppliers Need To Know A major development to come out of the CMS DMEPOS/Home Health Final Rule is the creation of a new Remote Item Delivery (RID) competitive bid program (CBP). This article provides the key items DMEPOS suppliers need to be aware of regarding this significant development in the competitive bidding program. CMS Changes Accreditation Requirements For All DMEPOS Suppliers Effective January 1, 2026. thumbnail CMS Changes Accreditation Requirements For All DMEPOS Suppliers Effective January 1, 2026. As we shared last week, CMS finalized the DMEPOS accreditation rule change that requires Accrediting Organizations (AOs) to survey and recredential DMEPOS suppliers annually, instead of every three years. This change is outside of competitive bidding and applies to all DMEPOS suppliers as a condition of Medicare enrollment. FAQs from the Webinar: Understanding the Final Rule on the DMEPOS Competitive Bidding Program thumbnail FAQs from the Webinar: Understanding the Final Rule on the DMEPOS Competitive Bidding Program Thank you to everyone who joined last week's webinar! We've compiled the most frequently asked questions from the session along with updated answers to help you stay informed. Major Update On Product Categories For The Next Round Of Competitive Bidding thumbnail Major Update On Product Categories For The Next Round Of Competitive Bidding Since the publication of the Final Rules on the Competitive Bidding Program (CBP) was announced, VGM has been in conversation with CMS officials as well as other industry groups regarding additional products being included into the CBP. The unofficial feedback we received indicated that there would be no additional products beyond those reported in the Final Rule. CMS Finalizes Rule Changing The Next Round Of The Competitive Bidding Program And Updating Other Provisions Related To Provider Enrollment And Prior Authorization thumbnail CMS Finalizes Rule Changing The Next Round Of The Competitive Bidding Program And Updating Other Provisions Related To Provider Enrollment And Prior Authorization Final Rule Analysis from the VGM Payer Relations and Reimbursement team  On Nov, 28, 2025, CMS finalized Final Rule CMS-1828-F that includes updates to the Competitive Bidding Program (CBP) and other provisions related to provider enrollment and prior authorization. Next round is expected to be implemented no later than Jan. 1, 2028. Celebrating the Life and Impact of Mike Hamilton, ADMEA Executive Director thumbnail Celebrating the Life and Impact of Mike Hamilton, ADMEA Executive Director We are deeply saddened to share the passing of our beloved colleague and friend, Mike Hamilton, Executive Director of the Alabama Durable Medical Equipment Association (ADMEA). For more than 50 years, Mike dedicated his life to the durable medical equipment (DME) industry, setting an extraordinary example of hard work, integrity, and unwavering passion. His leadership and advocacy helped shape the industry and improve access to care for countless patients.