Competitive Bidding
The Medicare Competitive Bidding Program (CBP) national RID model would dramatically reshape access to essential ostomy and urological supplies, CGMs, insulin infusion pumps, and Off-the-Shelf braces, significantly reducing supplier participation and market structure.
Take Action
Your voice makes a difference. Take Action today to protect access to essential supplies and the suppliers who provide them.
Contact Congress
Contact your Member of Congress to support legislation addressing CBP and the RID model implementation. Legislation for ostomy/urological supplies (HR XXXX) and CGMs/insulin pumps (HR XXXX) would:
Engage Key Stakeholders
Contact the NFIB and SBA on how CBP will impact your business, and encourage them to make this a priority issue.
See our Small Business page for guidance.
Multiply Your Impact
Help end users, family caregivers, and communities understand CBP and take action. Share these resources:
- UOAA Webinar — panelist roundtable featuring clinicians, HME industry, and consumer advocates discussing CBP's impact
- HighCostofLowBids.org — ostomates and catheter users can email Congress
- Advocacy for people with diabetes — people with diabetes can get involved in The Diabetes Patient Advocacy Coalition
- Follow allied consumer groups on social — DPAC, UOAA, Spina Bifida Association, and United Spinal
AAHomecare in Action
How AAHomecare is Advancing the Issue: AAHomecare is expanding the HME community's impact through a multi-channel effort across federal agencies, Congress, and public awareness, in coordination with allied stakeholder groups including the ITEM Coalition, UOAA, United Spinal Association, Spina Bifida Association, and more.
Engaging the Administration 
AAHomecare has held numerous meetings with the Administration, including HHS leadership, CMS key staff, and the SBA Office of Advocacy (including its Listening Session), to share concerns about the CBP round and highlight opportunities for sub-regulatory improvement.
Engaging
Congress
AAHomecare is working with committees of jurisdiction and Congressional champions to advance legislative solutions addressing CBP. At the recent Washington Legislative Conference, grassroots advocates held Congressional meetings demonstrating the strength of coordinated engagement.
Engaging the Media 
AAHomecare is working with ostomy and urological stakeholders to ensure end users, clinicians, and industry voices are reflected in national conversations about CBP policy. Media coverage and public awareness efforts help elevate these issues, including coverage of ostomate Ellyn Mantell in RealClearHealth and catheter user/supplier Madonna Long in the Washington Times.
CBP FAQs
CBP Resources
Explore key resources to help navigate the Competitive Bidding Program (CBP), including education, advocacy materials, CMS resources, and tools for small businesses.
CBP Education
- Competitive Bidding Essentials Webinar
- CBP Bid Calculator – CGMs & Insulin Pumps Webinar
- CBP Bid Calculator – Ost, Uro, & Hydrophilic Webinar
- CBP Bid Calculator – Braces
- Understanding the Bid Process
- Overview of the Final Rule Competitive Bidding Changes
- Summary of Key Rules for CBP by Brown & Fortunato