Competitive Bidding Program Advocacy

The Campaign to Shape the Next Round of the CBP Continues Past the Comment Period

The comment period has closed for the 2026 DMEPOS/Home Health Proposed Rule.  AAHomecare and other HME stakeholders are now engaging advocacy work to reach key decision makers in the Administration.  We need to make sure policymakers understand the stakes for our industry and the potential impacts throughout the healthcare infrastructure.

If the bidding program starts up again using the flawed framework and expanded product mix from the Proposed Rule, the impact on our industry could be felt for a decade or more. 

See more about AAHomecare's continued advocacy aimed at preventing several problematic proposals for restarting the bidding program from taking effect and how you can be a part of this campaign.

See our 2026 DMEPOS/HH Proposed Rule resource page to find AAHomecare's comments and other information about provisions in the proposed rule.

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Support the Campaign

AAHomecare and HME stakeholders has pivoted to the second phase of our efforts to address CMS’ plans to restart the Competitive Bidding program. Our  campaign over the next several months aimed at preventing several problematic proposals for restarting the bidding program from taking effect. The Association has budgeted more than $3 million for this campaign, to be drawn from Association reserves and new fundraising efforts from the DME industry. Already, our partners at VGM and 21 other leading AAH members have pledged more than $750,000 to the effort.

Your support will go toward funding additional lobbying with strong connections to the Administration that can enable us to reach top-level decision makers on this issue. We’ll also be fostering strategic engagement with Capitol Hill allies to bolster our influence with the Administration, as well as polling, media relations, and grassroots mobilization to further support this work as applicable.

AAHomecare will be expanding the solicitation through our membership ranks in the coming weeks. You or your company can donate by credit card here, or you can contact Sue Mairena at suem@aahomecare.org to make a pledge and receive an invoice. [Note: dollar figure at the credit card link represents payments by credit card so far only.]

We will look to leverage the passion, expertise, and connections throughout the AAHomecare membership, HME stakeholders, and our partners with patient advocacy and clinician groups to raise the volume and reinforce that work.  We will have more on that part of the process here soon, and in future Insider and Alert communications with our members.

Campaign Elements

 The campaign will be focused on delivering a strong message to the most influential voices in the White House, CMS, the Office of Management & Budget (OMB) and other important players in this process.  Our work will position AAHomecare and the HME community as a constructive partner in improving access to care while continuing to reduce abuse of the Medicare DME benefit by criminal elements from outside our industry.

Elements of this campaign will include:

•    Engaging the Administration on changes to the DMEPOS rule to make competitive bidding sustainable, including the possibility of stopping or delaying the final rule, including immediate meetings with influential/top-level White House staff.
•    Explaining harms to patients, suppliers, and other healthcare stakeholders associated with the widespread implementation of the bidding program.
•    Highlighting our industry’s constructive partnership with the Trump Administration throughout its first term, including reforms that strengthened both program integrity and patient access.
•    Strategic engagement with Capitol Hill allies to reinforce our work to influence the Administration.
•    Polling, media relations, and grassroots mobilization to further support the campaign where applicable.

Capitol Hill Messaging: See the new Issue Brief we are using in Capitol Hill meetings to see some of the specific issues/problems with the Proposed Rule.

For More Information

Contact Gordon Barnes, AAHomecare Senior Director of Communications with your questions or for other assistance -- gordonb@aahomecare.org.

Resources