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PAMES could not support its goals in advocating for the interests of our industry without your contributions.  Please take a moment to review the different contribution levels below and consider participating.  We greatly appreciate your financial support of our legislative efforts.

ADVOCATE LEVEL $5,000 & up    
CONTRIBUTOR LEVEL $2,500-$4,999    
SUPPORTER LEVEL  $1,500-$2,499
FRIEND LEVEL      $500 -$1,499  
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All Legislative Fund Contributors will be listed on the PAMES’ Legislative Page. Level assignments are good for one year from the date the application is received (an application must be received for all levels and amounts are considered payable in full for the entire year).  No refunds are given for partial use and/or cancellation of program(s). 



Latest News

The 21st Century Cures Act was just passed in the House of Representatives by a landslide vote (392 to 26).  This was a much larger bill that focused on many healthcare issues from Cancer Research to Mental Health Reform and many other items.  Given our tremendous CRT bi-partisan support across congress, language was included in this bill to delay CRT accessory code cuts for another 6 months in order to enact a permanent fix in the 1st half of next year.  Additionally, retroactive language was included for rural relief of DME products/services which will benefit us dating back to July 1st of this year.  

This bill will now go to the Senate and our expectation is that it will pass.  The White House has already issued a letter of support for this bill which is also great.  We expect this will become law by Mid-December.


First Word Alert: Walden Chosen by Steering Cmte to Chair Energy and Commerce Committee

(Bloomberg) -- House Republican Steering Cmte recommends Ore. Rep. Greg Walden to chair House Energy and Commerce Cmte, according to statement from House Speaker Paul Ryan.

  • Walden, chair of subcmte on communications and technology, beats Reps. John Shimkus of Ill. and Joe Barton of Texas
  • Full Republican caucus to vote to ratify cmte’s decision tomorrow
  • Energy and Commerce Cmte to formulate Obamacare replacement next year
  • NOTE: Walden replaces Rep. Fred Upton, who was term limited

PAMES is on road again! Legislative visits to discuss S.2736 with Rep. Schrader, Rep. Blumenauer and Sen Wyden

PAMES and Oregon DMEPOS providers along with VGM and AA Home Care had meetings at the Oregon City district office of Rep. Kurt Schrader (D-Ore.), a member of the House Energy and Commerce Committee. Then the group traveled to Portland where they met with staff of Sen. Ron Wyden (D-Ore.), the ranking member of the Senate Finance Committee, as well as Rep. Earl Blumenauer (D-Ore.), who sits on the House Ways and Means Committee.

We had very productive meetings that should forward our progress and gather support along with our industry partners, members and advocates to ensure that providers maintain the ability to provide quality health care to their patients.

Now is time for you to do your part!  Send a message to your members of Congress to support legislation, including S. 2736, that will freeze the July cuts in order for a long-term solution to be implemented! Go to to send a message to your members of Congress!


DME Suppliers host key meetings with Energy and Commerce committee members Cathy McMorris-Rodgers (WA) and Larry Bucshon (IN)

Peaks & Plains Medical hosted a wonderful event with Congresswoman Cathy McMorris-Rodgers at their Spokane, Washington office. Yesterday, over a dozen providers across the state were able to attend which was a strong showing of support

to direct towards the Congresswoman. With this support Rep. McMorris-Rodgers took great interest in signing on to the H.R. 3229 CRT bill, which will exclude CRT accessory items from competitive bidding. A big shout-out to those in

attendance for showing just how important these issues are to the industry!

Vice President of Peaks & Plains, Leigh McNellis, reports back that the Congresswoman was very supportive about the issues that providers had brought to her. “Washington Providers were given a renewed sense of hope to have Congresswoman Cathy McMorris-Rodgers’ support on keeping access to medical equipment and supplies to rural Washington clients with an engaging discussion of the issues at hand,” said McNellis.

HME in DC: Rep. Ellmers Fights for HME Providers on Capitol Hill

Reprinted from American Association for Home Care
Homecare champion Rep. Renee Ellmers (R-NC) today presented a series of questions about DME audits at a hearing before the House Energy and Commerce Subcommittee on Oversight and Investigations entitled “Medicare Program Integrity: Screening Out Errors, Fraud, and Abuse."

Ellmers presented problems that providers face with audits and the timetable for payment to Deputy Administrator and Director at the Center for Program Integrity at CMS, Shantanu Agrawal, M.D., and showed how difficult it is for providers to stay in business with the excessive audit demands they face - up to 46 percent of claims in some categories.

“There is fraud, we all know that there is fraud and abuse of the system, but you are going after the good guys to make up the dollar difference. You are not addressing the real fraud issues," said Ellmers during her questioning.

Rep. Ellmers has been an advocate for the HME industry, thanks to hard work from NCAMES and HME providers in North Carolina. These members built a relationship with Rep. Ellmers and educated her on the issues such as competitive bidding and the out of control audit system that hurt businesses.

A video of the exchange is available on the Energy and Commerce Subcommittee YouTube page. Click here to view the video of Rep. Ellmers.

Take Action on Binding Bids Legislation

Reprinted from American Association for Home Care

Thanks to the combined efforts of HME advocates at the recent Washington Legislative Conference, as well as dedicated efforts by industry leaders, Reps. Pat Tiberi (R-Ohio) and John Larson (D-Conn.), have introduced H.R. 4920, the Medicare DMEPOS Competitive Bidding Improvement Act of 2014, legislation that makes all bids binding as well as requiring providers to obtain bonds and provide proof of licensure before bidding.

Stakeholders and economists have repeatedly cited the use of speculative, non-binding bids as a major flaw in the bidding program that is causing havoc for patients and providers nationwide. This fix to the bidding program will make all bids binding as well as require providers to obtain bonds before bidding, cut low-ball bids out of the system and ensure that there are enough legitimate bid winners available to serve patients who need home medical equipment.

Given the compressed election-year calendar that remains for this Congressional session, we need your help to quickly build support for this important legislation. There are a number of ways you can contribute to the success of this bill. Send an email in support of H.R. 4920 to your Representative here, and find additional resources for contacting Capitol Hill here on our H.R. 4920 Take Action page.

We need a concerted and passionate response from all segments of the homecare community to convince Congress to take action and provide this important fix to the bidding program.