VGM Submits Comments Regarding the Section 232 National Security Investigation On Medical Imports

Published in Government Relations on October 09, 2025

VGM has submitted formal comments to the U.S. Department of Commerce in response to its Section 232 National Security Investigation into the importation of personal protective equipment (PPE), medical consumables, and medical equipment and devices. 

While we recognize the importance of strengthening domestic supply chains and safeguarding national security, VGM emphasized that any resulting trade restrictions must be carefully considered to avoid unintended harm to the durable medical equipment (DME) industry and the patients it serves. 

The submitted comments outlined below include several significant challenges that the DME industry could face if the investigation leads to increased trade restrictions: 

  1. Tariffs and Cost Increases. If new tariffs are imposed on imported medical equipment and components, manufacturers will experience immediate cost hikes. Many essential parts, used in products like wheelchairs, ventilators, and hospital beds, are sourced internationally due to cost and availability. These tariffs could raise production costs, reduce affordability, and limit access for patients and providers. 
  2. Supply Chain Disruption. The DME industry depends on a global supply chain to deliver timely and diverse products. Trade restrictions or tariffs could disrupt this system, causing delays, shortages, and uncertainty, especially critical items like prosthetics, insulin pumps, and glucose monitors that are vital to patient health. 
  3. Limited Domestic Manufacturing Capacity. While boosting domestic production is a worthy goal, current U.S. infrastructure cannot quickly scale to meet demand across all DME categories. Moving away from foreign suppliers without viable domestic alternatives could lead to service gaps. Any shift must consider realistic timelines, investment needs, and workforce readiness. 
  4. Impact on Patient Care and Providers. Higher costs and reduced access to DME products will directly affect patient outcomes. Providers may have to cut services, delay treatments, or pass costs onto patients, undermining healthcare resilience and compromising care quality. 
  5. Risk of Unintended Consequences. Efforts to reduce foreign dependency must be carefully tailored. Broad, one-size-fits-all policies could unintentionally harm U.S. manufacturers who rely on global inputs, stifle innovation, and reduce competitiveness. 

VGM urges the Department of Commerce to take a balanced, collaborative approach that protects national interests without compromising patient care or destabilizing the DME industry. We encourage policymakers to engage with stakeholders across the healthcare continuum to ensure that any future policies support both supply chain resilience and the continued delivery of high-quality, affordable medical equipment to those who need it most.

To submit comments and review the full Section 232 National Security Investigation notice, go to the Federal Rulemaking Portal

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.