On May 13, more than 120 HME stakeholders gathered in Washington, D.C. to meet with lawmakers and congressional staff as part of AAHomecare’s Washington Legislative Conference.
Their mission was to advocate for critical DME policy changes that affect patient access, provider stability, and the financial future of home medical equipment suppliers.
Over the course of the day, stakeholders participated in more than 55 meetings, including sessions with members of key healthcare finance committees.
Discussions focused on a range of pressing issues, including Medicare reimbursement, Medicare Advantage challenges, proposed changes to non-invasive ventilation (NIV) coverage, access to upgraded wheelchair components, and the impact of potential new tariffs on essential medical products.
Building Support for H.R. 2005 and Blended Reimbursement Rates
One of the top priorities during the conference was building momentum for H.R. 2005. This bill seeks to reestablish the 75-25 blended Medicare reimbursement rates for non-rural, non-competitive bid areas.
The policy would help address ongoing financial pressure on DME providers, many of whom are struggling to cover rising equipment and labor costs under static reimbursement structures.
Stakeholders emphasized the importance of a Senate companion bill to complement H.R. 2005 and advance the bill in both chambers of Congress.
Advocating for Wheelchair Upgrade Access
In addition to reimbursement reform, providers also urged lawmakers to support H.R. 1703 and S. 247. These bipartisan bills would allow broader access to carbon fiber and titanium wheelchair components.
These upgrades are lighter, more durable, and offer improved mobility for users, many of whom depend on their wheelchairs every day to maintain independence and health.
The proposed legislation reflects a growing push to align coverage policy with advances in medical equipment and evolving standards of care.
Addressing NIV Coverage and Medicare Advantage Challenges
Stakeholders also raised concerns about potential changes to non-invasive ventilation coverage. As CMS explores revisions to existing coverage policies, providers are advocating for rules that reflect the clinical value and necessity of NIV therapy.
For patients with chronic respiratory conditions, delays or denials in access to this equipment can result in worsening health and costly hospitalizations.
Issues within the Medicare Advantage program also featured prominently in discussions. Providers shared ongoing challenges related to inconsistent coverage rules, prior authorization delays, and administrative burdens that make timely care harder to deliver.
With enrollment growing, resolving these barriers is even more urgent.
Tariff Concerns Add a New Layer of Complexity
Proposed new tariffs on imported medical equipment and components have introduced another challenge for HME and DME suppliers.
Stakeholders explained how tariffs could drive up the cost of essential items at a time when reimbursement is already falling short. Many of these products are not widely manufactured in the U.S, which leaves providers few alternatives if new costs are introduced.
The message to lawmakers was clear: without relief or carve-outs, tariffs could significantly disrupt the delivery of medically necessary equipment and strain already thin margins.
Meeting With the Right Voices in Congress
AAHomecare’s meeting schedule included members of the House Energy & Commerce Committee, the Ways and Means Committee, and the Senate Finance Committee. These are the key committees responsible for Medicare policy. They oversee healthcare financing at the federal level.
The conversations were designed to educate lawmakers and staff on the current realities facing DME suppliers and to build long-term support for industry-specific legislation. AAHomecare also confirmed that additional virtual meetings will be scheduled in the coming weeks with offices that could not attend in person.
What Comes Next
With Senate action on reimbursement under review and efforts continuing to expand wheelchair access and address tariff impact, AAHomecare is maintaining pressure on multiple fronts.
Stakeholders are encouraged to follow up with their representatives, share how policy gaps affect their patients and operations, and stay involved in local advocacy. The legislative conference showed that DME providers are united in their message and ready to work with policymakers on long-term solutions.
As the conversation continues, the industry’s voice is getting louder and harder to ignore.
