Medicare and Durable Medical Equipment

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I ran across this article in the latest issue of "Quest," the MDA magazine regarding the proposed changes to Medicare affecting bipaps and respiratory equipment. It was encouraging to see that the MDA Task Force is pushing to correct this proposed action that can affect all those, like my PALS, who depend on continuing affordable respiratory care. I expect that ALSA is also on top of this as well.

"MDA TASK FORCE SENDS LETTERS ABOUT MEDICARE DME RESTRICTIONS

Letters of support from the Steering Committee of the MDA National Task Force on Public Awareness have been sent to Congress supporting efforts to revise restrictive Medicare funding policies for durable medical equipment.

Beginning in April 2008, new Medicare policy will restrict those who rely on mobility equipment and some types of assistive technology to a list of equipment vendors, selected by a competitive bidding process. Medicare users will be authorized to use only two or three vendors.

This policy "will have a dramatic adverse impact on the ability of durable medical equipment consumers to purchase and maintain equipment that is customized for their medical needs," say Task Force steering committee members. "This directly compromises the quality of their lives, especially those living in rural regions of the country."

In an effort to revise this new Medicare policy before it goes into effect, two bills have been introduced in Congress: El The Medicare Access to Complex Rehabilitation and Assistive Technology Act of 2007 (HR 2231), introduced by Rep. Thomas Allen (D-Maine), would exempt all "complex rehabilitation products and assistive technologies" from the competitive bidding program. This includes medically necessary adaptive seating, positioning and mobility devices, and speech generating devices.

The Medicare Durable Medical Equipment Access Act of 2007 (HR 1845), introduced by Rep. John Tanner (D-Tenn.); and S 1428, introduced by Sen. Orrin Hatch (R-Utah), would delay competitive bidding until quality standards are implemented and a special oversight committee is formed. The bill also authorizes exemptions for rural areas and smaller regions.
The Task Force letters of support for these revisions, sent to the bills'
sponsors, read in part:

"On behalf of ... the tens of thousands of U.S. citizens served by MDA who rely on complex and customized medical equipment for mobility and independence, we are writing to register our support of [the proposed legislation]. "[Medicare's] limitation on choice of vendors will drastically compromise customer service and customization of equipment to individual needs. The existing policy promotes a 'one-size-fits-all' concept of care. "We wish to underscore the importance of [the proposed legislation] and thank you for your support of this critical legislation and advocacy on behalf of individuals with neuromuscular diseases who are served by MDA."

The letters were signed by steering committee members Bill Altaffer of Tucson;
Jan Blaustone of Nashville, Tenn.; Mike Neufeldt of New Berlin, Wis.; and Chris Rosa of
Flushing, N.Y.

10 Quest 2007, No. 5"

clary925

3 replies

Thanks for sharing this Cathy. The Advocacy Department has been working on this and several other Medicare issues for some time now, advocating on behalf of PALS to ensure that they continue to have timely access to needed equipment under the Medicare program. Clearly it will take more than a few letters to Congress to make a difference in CMS regulations.

Whether it's BiPaps, wheelchairs or the ALS Registry Act, our goal is to advance public policies that benefit people with ALS, improve quality of life, and ultimately help us find a treatment and cure.

By the way, have you had a chance to meet with Senator Lugar yet regarding the ALS Registry Act? As you know, we have been encouraging advocates to reach out to their Senators this summer to help advance the bill in the Senate. Since Senator Lugar has not yet cosponsored, it is important that he hear from constituents.

I'm not clary925 but I may be able to shed a little light on Senator Lugar's August "break."

He had been in Europe earlier in the month on Senate Foreign Relations Committee business.

Has since been in Russia with ex-senator Sam Nunn continuing to work on their nuclear arms security program on its 15th anniversary.

Washington
Post Aug 31

Who is Cathy?

But it is good to learn that your office is working on the dme issues. I sure do hope a few letters will have some effect on getting co-sponsors for the rgistry law. Mybe not since you do not think they will do much for the dme proposal. What do you suggest?

clary925

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