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

Published in VGM 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

Showing Up...It Matters! thumbnail Showing Up...It Matters! We've all heard the phrase, "Showing up matters." That can mean a lot of different things at different times in our lives, even changing daily. Perhaps it means leaving work early to attend your children's event. Maybe it means not missing that important meeting at work. No doubt, both of those things are important. For us here in the Government Relations corner of VGM Group, it means something additional. Matthew Flatt: A Champion for Change in Home Medical Equipment thumbnail Matthew Flatt: A Champion for Change in Home Medical Equipment In every industry, there are people who do more than simply lead organizations. They inspire progress, build relationships, and create lasting change. In the home medical equipment (HME) industry, Matthew Flatt, CEO of Medicap Home Medical (formerly NuCara Home Medical) and President of the Midwest Association for Medical Equipment Services (MAMES), is one of those individuals... Full Legislative Text Released for Bipartisan Ostomy and Urological Supply Bill- H.R. 10787 thumbnail Full Legislative Text Released for Bipartisan Ostomy and Urological Supply Bill- H.R. 10787 Representatives Brad Schneider (IL-10) and Greg Murphy, M.D. (NC-03) have introduced the bipartisan Access to Medical Supplies Act, legislation designed to protect Medicare beneficiaries who rely on ostomy and urological supplies. The bill would... Action Alert: Support H.R. 10787 to Protect Patient Access to Urological and Ostomy Supplies thumbnail Action Alert: Support H.R. 10787 to Protect Patient Access to Urological and Ostomy Supplies The DMEPOS community has an important opportunity to protect access to vital urological and ostomy supplies for Medicare beneficiaries. Rep. Greg Murphy (R-NC) and Rep. Brad Schneider (D-IL) have introduced H.R. 10787, bipartisan legislation that would amend Title XVIII of the Social Security Act to exclude urological and ostomy supplies from Medicare competitive acquisition programs for five years... CMS Announces Registration and Bid Window Dates for Round 2028 of the DMEPOS Competitive Bidding Program thumbnail CMS Announces Registration and Bid Window Dates for Round 2028 of the DMEPOS Competitive Bidding Program Yesterday, CMS announced the Round 2028 bidding details with registration opening December 1, 2026, and the bid window opening January 5, 2027. The new Round 2028 timeline is as follows... Congratulations to CAMPS On This Important Legislative Victory thumbnail Congratulations to CAMPS On This Important Legislative Victory The signing of AB 1794 is another reminder of the critical role state associations play in shaping healthcare policy, removing barriers to patient care, and ensuring providers have a seat at the table when important decisions are made. Legislative successes like this do not happen by accident. They are the result of engaged members, strong advocacy efforts, and collaboration with policymakers to address real-world challenges facing providers and the patients they serve. S.247, Choices for Increased Mobility Act of 2025, Passes U.S. Senate thumbnail S.247, Choices for Increased Mobility Act of 2025, Passes U.S. Senate S.247, Choices for Increased Mobility Act of 2025 has passed in the Senate through unanimous consent. It now heads to the President to be signed into law. Introduced in the Senate by Sen. Tammy Duckworth (D-IL), The Choices for Increased Mobility Act of 2025 would... August Recess Recap: Building Relationships, Advancing Advocacy thumbnail August Recess Recap: Building Relationships, Advancing Advocacy As Congress worked through the August recess, the VGM Government Relations team remained actively engaged in securing meetings and building relationships with legislators, candidates, and key congressional staff across the country. This summer, the team made a strategic decision to focus getting a strong balance between Republican and Democratic offices, recognizing the importance of broadening support for DMEPOS priorities and ensuring policymakers from both parties understand the challenges..