Iowa Senators Expand Their Understanding of DME Supplier Issues

Published in Government Relations on October 22, 2024

NuCara Home Medical hosted an event for Sen. Joni Ernst (R-IA) at their Urbandale location on Thursday, Oct. 10. Matt Flatt, CEO of NuCara Home Medical, highlighted the event as a valuable opportunity to educate Sen. Ernst on the importance of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and the challenges faced by the industry. A special thanks to Matt Flatt and his team at NuCara Home Medical for organizing this fantastic event! 

NuCara

John Gallagher of VGM, Matt Flatt of NuCara Home Medical, and Sen. Joni Ernst (R-IA) 

NuCara Home Medical

Sen. Ernst with the NuCara Home Medical team 

On Thursday, Oct. 17, Sen. Chuck Grassley (R-IA) visited VGM’s headquarters in Waterloo, IA. These meetings were timely, with elections just a few weeks away, emphasizing the need for legislators to consider the DME industry in year-end legislation.  

Both senators were asked to support the 75/25 blended rate in a year-end package and indicated they would voice their support to Sen. John Thune (R-SD) for S1294. 

75/25 blended rate

VGM with Sen.Grassley

John Gallagher, Christa Miehe, Jeremy Stolz, Sen. Chuck Grassley (R-IA), Adam Miller, and Emily Harken 

Currently, there is a House Dear Colleague letter supporting this legislation. Constituents are encouraged to reach out to their representatives to support this letter, which calls for the re-establishment of the Medicare 75/25 blended rate for DME in non-rural, non-competitive bid areas for 2025. 

How You Can Help: 

  1. Contact your members of Congress and urge them to support the DME industry by reaching out to the staff of Rep. Miller-Meeks (R-IA) or Rep. Tonko (D-NY). 
  2. Highlight the importance and emphasize that fair reimbursement rates are crucial for DME suppliers to provide Medicare beneficiaries with the necessary supplies and services to heal at home, rather than in a hospital. 

Contact Information: 

  • Rep. Mariannette Miller-Meeks’ Health Staff: Blake Thelander (blake.thelander@mail.house.gov) 
  • Rep. Paul Tonko’s Health Staff: Emily Silverberg (emily.silverberg@mail.house.gov) 

Engage with Legislators: Legislators will be home for most of October until election day. This is a great opportunity to meet your legislators in person! Here are some ways to engage: 

  • Invite them to your office for a tour and meeting. 
  • Request an in-person meeting at their office. 
  • Attend a public event like a state or town fair and speak directly to them about the issues. 
  • Reach out to their staff members requesting support. 

The period after elections but before the new administration takes over is known as the “lame duck” period. This is an interesting time, as outgoing politicians can make decisions with little fear of consequence, presenting a great opportunity to gain additional support for DME legislation. We are hopeful there will be an end-of-the-year package that will carry the DME bill. 

Please reach out to Emily Harken at Emily.harken@vgm.com if you would like any assistance connecting with your legislator!  


TAGS

  1. advocacy
  2. dmepos
  3. vgm government

From Our Experts

New Bipartisan Senate Bill Aims to Improve Access to Diabetes Technology & Education for Medicare Beneficiaries thumbnail New Bipartisan Senate Bill Aims to Improve Access to Diabetes Technology & Education for Medicare Beneficiaries U.S. Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME), Cochairs of the Senate Diabetes Caucus, have introduced the Diabetes Interventions Addressing Barriers to Enrollment, Technology, and Education Services (DIABETES) Act, S.4037. VGM Reintroduces the Fraud, Waste & Abuse Reporting Resource Center thumbnail VGM Reintroduces the Fraud, Waste & Abuse Reporting Resource Center VGM Government Relations is proud to announce the reintroduction of its Fraud, Waste & Abuse (FWA) Reporting Resource Center—a newly refreshed online hub designed to protect the integrity of the DMEPOS industry and reinforce our unwavering commitment to ethical, compliant care. Celebrating Another DME Champion of Change: Thom Harvill of Above and Beyond Medical thumbnail Celebrating Another DME Champion of Change: Thom Harvill of Above and Beyond Medical We're proud to once again recognize a true Champion of Change in the DME industry: Thom Harvill of Above and Beyond Medical in Tennessee. Thom has dedicated many years to the DME community—consistently showing up, speaking out, and pushing the industry forward. He's the kind of advocate who never stops asking, “Who else can I reach out to about this?” Federal Actions This Week Signal The Administration Is Doubling Down On Its Goal To Eliminate Fraud Waste And Abuse thumbnail Federal Actions This Week Signal The Administration Is Doubling Down On Its Goal To Eliminate Fraud Waste And Abuse This week, the Trump administration, through the Centers for Medicare & Medicaid Services (CMS), announced a significant deferral of federal Medicaid matching funds to Minnesota alongside the release of a new Request for Information (RFI) tied to the administration's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) initiative. These actions along with the changes to DMEPOS accreditation and enrollment signal the administration's aggressive posture on Medicaid and Medicare... VGM Response To CMS Moratorium On New DMEPOS Provider thumbnail VGM Response To CMS Moratorium On New DMEPOS Provider The federal moratorium on new DME suppliers presents a defining moment for us as an industry—an opportunity to demonstrate that the VGM members serving patients are the gold standard. We have long shown that our members operate with integrity, excellence in compliance, and unmatched commitment to service, efficiency, and patient outcomes. Now, we must elevate that message. Trump Administration Announces Nationwide DMEPOS Enrollment Moratorium thumbnail Trump Administration Announces Nationwide DMEPOS Enrollment Moratorium In a press release published on the CMS website Feb. 25, 2026, it was announced that CMS will implement a six-month moratorium on new enrollments for DMEPOS suppliers. Proposed LCD Changes to Impact Seat Elevation on Group 2 Non-Complex Power Wheelchair Bases thumbnail Proposed LCD Changes to Impact Seat Elevation on Group 2 Non-Complex Power Wheelchair Bases The DME Medicare Administrative Contractors (MACs) issued a proposed Local Coverage Determination (LCD) change for seat elevation use on group 2 non-complex power wheelchair bases (K0830, K0831 and K0108 on group 2 non-complex HD bases). John Quinlan Named 2026 Van G. Miller Homecare Champion thumbnail John Quinlan Named 2026 Van G. Miller Homecare Champion AAHomecare announced earlier this week that John Quinlan of Quinlan's Pharmacy in New York has been selected as the recipient of this year's Van G. Miller Award. John has been a valued VGM member for many years, and his leadership within the DMEPOS community has made a meaningful impact on patients, providers, and the industry as a whole. His commitment to quality care, patient access, and industry advocacy consistently sets him apart.