Washington State Passes Bill Exempting Sales Tax on Complex Rehab Technology: A Testimony to the Power of Advocacy and Collaboration

Published in Government Relations on April 21, 2023

Congratulations to Don Whitney of Inland Medical and the PAMES state association, along with the entire state of Washington, on the recent passing of SB 5218. This bill exempts complex rehab technology (CRT) equipment from sales tax, making it more accessible and affordable for those in need of it. The road to passing this bill was not an easy one, but thanks to the hard work and dedication of many individuals and organizations, it has finally become a reality.

“SB 5218 is such a great success for DME providers like Don Whitney and the beneficiaries they serve,” said John Gallagher, VP of VGM Government Relations. “Hopefully in the future, we are able to replicate this success in other states.”

The success of this bill is a testament to the power of advocacy and collaboration. The PAMES Board, along with many other organizations and individuals, worked tirelessly to promote the bill and garner support for it. Senator Padden, Senator Mullet, and Senator Torres were instrumental in sponsoring the bill and rallying support for it in the Senate.

In 2022, PAMES attempted to exempt tax for all DME, CRT, and home medical supplies, but the fiscal impact was too high. They narrowed the focus to CRT products, following the suggestion of Sen. Padden “Lets take the first bite at this with CRT which has minimal Fiscal impact.  When we are successful, we can come back for additional use tax relief”. Members of PAMES reached out to their representatives and senators through emails, testifying, and in Committee Sign In, garnering over 150 pros in both the Senate and the House. Letters of support and testimonies from various organizations, including U.S. Rehab, AAHomecare, the Gleason Foundation, and the National MS Society also assisted in getting the bill passed unanimously through the Senate and the House.

The passage of SB 5218 is a significant victory for the citizens of Washington and for all those who require CRT equipment.

"Finally, those who need CRT equipment can receive it at a much more reasonable cost and not be impacted by the insurance payers who don’t pay for it," said Barb Stockert, executive director of PAMES. “This bill will help ensure that everyone has access to the equipment they need to live healthy, independent lives.”

It is also worth noting the personal relationships and connections that played a role in this bill's success. Don Whitney’s personal relationship with Senator Padden was invaluable in getting the bill passed.

"Having an open door allowed me to bring my talking points, and immediately he said he would help,” said Whitney. “From that moment, trust was already engaged. Communication, persistence, friendship, trust, and relay of information between Sen. Padden, myself, and to PAMES was crucial. Without a personal relationship, I do not believe this would have been possible.

From Our Experts

Bipartisan Medicare O&P Bill Introduced thumbnail Bipartisan Medicare O&P Bill Introduced In a timely move ahead of next week's NAAOP Legislative Fly-In, a bipartisan group of lawmakers introduced the Medicare Orthotics and Prosthetics Patient-Centered Care Act, a bill aimed at improving access to high-quality orthotic and prosthetic care for Medicare beneficiaries. The Patient-Centered Care Act seeks to address critical gaps in Medicare coverage for orthotic and prosthetic (O&P) services. Under current rules, beneficiaries may receive devices without the necessary clinical services Proposed Rule Suggests Significant Change To Accreditation Process thumbnail Proposed Rule Suggests Significant Change To Accreditation Process The recently released proposed rule CMS-1828-P contains a significant change that could reshape how suppliers navigate accreditation. The rule proposes a major change that would require suppliers to be surveyed and reaccredited annually instead of the current three (3) year cadence. This proposal raises substantial questions about both operational feasibility and cost implications. August Of Action: Your Chance To Connect With Congress thumbnail August Of Action: Your Chance To Connect With Congress It's time to take advantage of August Of Action—a perfect opportunity to make your voice heard. Every summer, federal legislators return to their home states during the Congressional recess. While it gives them a break from Washington D.C., it's primarily a time for them to connect with constituents like you. HR1 Passes House, Advances to President Trump's Desk for Signature thumbnail HR1 Passes House, Advances to President Trump's Desk for Signature After extensive negotiations and partisan debate, the House has officially passed HR1, clearing the path for the bill to be signed into law by President Donald Trump. The legislation, which aims to reduce federal healthcare expenditures, contains several provisions that may impact the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) industry. CMS files the Proposed Rule that sheds light on the next round of the Competitive Bidding Program thumbnail CMS files the Proposed Rule that sheds light on the next round of the Competitive Bidding Program On June 30, 2025, CMS filed the anticipated Proposed Rule that includes updates to the Competitive Bidding Program (CBP). Public comments are due 60 days from June 30, 2025. Below is a high-level summary of the rule. It is critical to note that, according to the Proposed Rule Fact Sheet dated June 30, 2025, CMS has stated that they have not announced the specific product categories they are bidding or the specific timeframe for the next competition. Those specifics will be forthcoming in a fu Senate Narrowly Passes HR1, Sending It Back to House for Final Approval thumbnail Senate Narrowly Passes HR1, Sending It Back to House for Final Approval President Donald Trump's sweeping legislative package, formally titled the One Big, Beautiful Bill Act, now referred to as HR1., cleared the Senate today in a dramatic 51–50 vote, with Vice President JD Vance casting the tie-breaking vote. The bill now returns to the House, where lawmakers must decide whether to adopt the Senate's revised version or negotiate further changes before it can reach the president's desk. Several Prominent Medicaid Provisions in Senate's Budget Bill Deemed in Violation of Byrd Rule thumbnail Several Prominent Medicaid Provisions in Senate's Budget Bill Deemed in Violation of Byrd Rule Senate Parliamentarian Elizabeth MacDonough advised this week that multiple Medicaid provisions in the Senate's reconciliation bill would violate Senate procedure by violating the Byrd Rule. The Byrd Rule is a Senate-specific procedural process that allows Senators to prevent or block inclusion of extraneous provisions in reconciliation bills. Other provisions are still under review. Evaluating the Value of a Payer Contract thumbnail Evaluating the Value of a Payer Contract In our last article, Key Payers Denied Your Application Citing Their Network Is Closed – Now What?, we discussed strategies for addressing payer contracting denials due to a closed network. As indicated, this process can be an extremely time-consuming exercise with no guarantees and mixed results. Below are a few things to consider as you evaluate whether a contract is worth the extra effort.