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

WEBINAR: Current Legislative Update – What's Ahead for the DME Industry thumbnail WEBINAR: Current Legislative Update – What's Ahead for the DME Industry Join VGM Group's Ike Isaacson and AAHomecare's Jay Witter for a timely legislative update on the issues shaping the DME industry. With significant movement at the federal level, this session will break down the latest developments, emerging challenges, and what suppliers should be watching right now. Meet the Candidates: Rob Sand, Iowa State Auditor and Gubernatorial Candidate, Visits VGM thumbnail Meet the Candidates: Rob Sand, Iowa State Auditor and Gubernatorial Candidate, Visits VGM On Thursday, April 16, VGM Group welcomed Iowa State Auditor and gubernatorial candidate Rob Sand to its headquarters as part of VGM's Meet the Candidates series. VGM Government Relations Participates in the Iowa Center for Employee Ownership's (IA-CEO) Day at the Capitol thumbnail VGM Government Relations Participates in the Iowa Center for Employee Ownership's (IA-CEO) Day at the Capitol Alongside Amber Brauner, VGM Group's Compensation and Retirement Director, Adam Miller, Vice President of VGM Government Relations, joined numerous employee owners and advocates from employee-owned businesses (ESOPs) across Iowa for a panel discussion with several state legislators and Iowa's Lieutenant Governor. CMS Updates FAQ On Competitive Bidding Program thumbnail CMS Updates FAQ On Competitive Bidding Program On April 2, the Centers for Medicare and Medicaid Services (CMS) issued a new FAQ, inclusive of 24 new questions and answers, on the next round of DMEPOS Competitive Bidding Program (CBP) via CBIC, the official information source for bidders and focal point for bidder education. VGM Group Submits Comments on CMS-6098-NC Request for Information (RFI) Related to Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). thumbnail VGM Group Submits Comments on CMS-6098-NC Request for Information (RFI) Related to Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). The comments reflect VGM Group's support of CMS' goal of strengthening program integrity and shares CMS' commitment to protecting Medicare beneficiaries and taxpayer dollars from fraud, waste, and abuse. DME suppliers already operate in a highly regulated environment and have a direct interest in ensuring that anti-fraud initiatives are precisely targeted, data driven, and operationally feasible, so that legitimate suppliers can continue to serve beneficiaries without unnecessary disruption. Call To Action - Access to Power Seat Elevation on Standard PWCs Threatened thumbnail Call To Action - Access to Power Seat Elevation on Standard PWCs Threatened As reported by NCART: Do you use, recommend or provide power seat elevation for individuals with any of the diagnoses below? If so, and you answer YES to any of the questions below, it is important for Medicare to hear your story in writing by midnight on Saturday, April 4 at PMDRecon@noridian.com. Florida Becomes First State To Follow Medicare; Issues A Six-month Moratorium On DMEPOS Suppliers Enrolling In Medicaid thumbnail Florida Becomes First State To Follow Medicare; Issues A Six-month Moratorium On DMEPOS Suppliers Enrolling In Medicaid As reported by The van Halem Group: On Thursday, March 26, 2026, the Agency for Health Care Administration (AHCA) issued a temporary moratorium on enrollment of new Medicaid providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year thumbnail CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year As reported by CMS: “The Centers for Medicare & Medicaid Services (CMS) is slashing wasteful spending and antiquated paperwork by swapping out faxing and mailing for streamlined electronic transactions. This action lets providers spend less time on administrative hassle and more time caring for patients.