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

Igniting Champions Of Change During August Recess thumbnail Igniting Champions Of Change During August Recess This August recess, DME suppliers across the country seized the opportunity to engage with lawmakers and advocate for critical DMEPOS legislation. Their efforts are helping to build momentum and expand the network of congressional supporters. You Got The Contract! ...Now What?! Part 3: Contract Implementation thumbnail You Got The Contract! ...Now What?! Part 3: Contract Implementation Contract Implementation: Turning Agreements Into Revenue  Securing a contract is worth celebrating—but what happens next is just as critical. Do you have a structured process for implementation, or does the contract sit in your inbox waiting for an issue to arise? A robust implementation workflow is essential to ensure accurate and timely reimbursement and avoid preventable denials. Deadline To Comment On CMS' Proposed Rule Is Today thumbnail Deadline To Comment On CMS' Proposed Rule Is Today VGM Group has submitted our comments on the CY26 CMS DMEPOS/Home Health Proposed Rule and encourages you to do the same (if you haven't done so already)!  Our comments provide key recommendations aimed at protecting patient access and supporting the HME community.  VGM's Key Recommendations Include: CONNECT for Health Act Gains Bipartisan Telehealth Support thumbnail CONNECT for Health Act Gains Bipartisan Telehealth Support On April 2, 2025, a bipartisan group of 60 senators reintroduced the CONNECT for Health Act, legislation that would expand patient access to telehealth services through Medicare while removing barriers to adoption. The bill would also make permanent the COVID-19 telehealth flexibilities currently set to expire Sept. 30. The lead sponsors of the bill are Sens. Brian Schatz (D-HI), Roger Wicker (R-MS), Mark Warner (D-VA), Cindy Hyde-Smith (R-MS), Peter Welch (D-VT), and John Barrasso (R-WY). [Vlog] Important Updates Regarding NIPPV NCD thumbnail [Vlog] Important Updates Regarding NIPPV NCD Watch below an important update from Ronda Burhmester, Sr. Director Payer Relations & Reimbursement, VGM & Associates, regarding non-invasive pressure ventilation. Make Your Voice Heard On The Competitive Bidding Program thumbnail Make Your Voice Heard On The Competitive Bidding Program “If the Competitive Bidding Program goes forward, it will be devastating—not just for providers like me but, most importantly, for the patients we serve,” said Jonathan Temple, owner of OxyMed LLC. You Got the Contract! Part 2: Maintaining It thumbnail You Got the Contract! Part 2: Maintaining It In our last article, we discussed the key provisions to be sure you know about your contract. It is critical to understand these provisions to help comply with the contract terms, fulfill your obligations as your business changes, and understand the payer's obligations and your rights under the contract. In this article we discuss some best practices for managing your contracts once you get them. Industry Uncertainty & Advocacy: What You Can Do Now thumbnail Industry Uncertainty & Advocacy: What You Can Do Now The proposed rule introduces broad structural changes without full clarity on implementation timelines or enforcement. Industry groups like VGM, AAHomecare, and CQRC are urging stakeholders to engage in advocacy to shape final rules. To prepare for the sweeping changes in the 2025 CMS Proposed Rule for DMEPOS, companies should take a multi-pronged strategic approach. Here is a breakdown of key preparation strategies: