John Gallagher and Greg Packer Attend Successful Fly-In on Capitol Hill

Published in Government Relations on May 16, 2023

On May 10, John Gallagher, VP of VGM Government Relations, and Greg Packer, President of U.S. Rehab, participated in the AAHomecare Fly-In event in Washington D.C. The purpose of their attendance was to discuss key industry issues with members of Congress and their staff. 

John, Guthrie, Witter, Apria

One of the main focuses of their discussions was the introduction of S. 1294. This bill aims to establish a 75/25 blended rate for non-rural, non-competitive bidding area (CBA) suppliers. Senator Stabenow from Michigan and Senator Thune from South Dakota are the sponsors of this bill. Additionally, talks were underway regarding a potential house bill with Representative Tonko from New York. 

The plan for the competitive bid program and its current status with the Centers for Medicare and Medicaid Services (CMS) was also discussed. Gallagher and Packer highlighted the fact that suppliers have been operating under the same rates since 2016, despite significant inflation and supply chain issues. This ended on the topic of deficit reduction through sequestration. Strategies to mitigate the impact of sequestration on the industry were explored. 

Positive interactions were reported with staff at Senator Crapo's office, Senator Lankford, staff from Senator Ernst's office, and a member of Representative Feenestra’s office. These individuals expressed support for the industry's efforts and willingness to help. 

John with Staff Member

Conversations that were had with individuals such as Rep. Miller-Meeks and staff from Senator Grassley’s office were productive, with a willingness to review the information and work towards future collaboration. There was a shared understanding of issues related to blended rates (75/25) and the complex rehab technology (CRT) information. 

Additionally, Senator Marshall from Kansas was working on a bill called the "Improving Seniors Timely Access to Care Act," which would aid in the prior authorization (PA) process. The meeting with Senator Marshall was productive. 

Greg and Wayne

Overall, Packer and Gallagher attended 14 successful meetings in D.C., with various members of Congress and their staff showing support and understanding of the industry's concerns. VGM Government Relations will continue to champion change for the industry throughout the year on Capitol Hill and at the grassroots level.  


TAGS

  1. cms
  2. complex rehab
  3. medicare
  4. vgm
  5. vgm government

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.