Monthly Archives: July 2016

DME Rural Relief Legislation Did Not Pass

July 18, 2016

NCART Board and Supporters,

Unfortunately the Congressional legislation to impose a 3 month delay to the implementation of the July 1 DME cuts failed to pass the Senate on Friday.

Accordingly, the July 1 cuts will remain in effect unless Congress takes action when they return in September after their summer recess.

The 3 month delay legislation had passed in the House. But it failed to pass in the Senate on Friday due to a “hold” placed by an unidentified Senator as part of the Senate’s “hot line” process.

This further emphasizes the need to secure passage of H.R. 3229 and S. 2196 to stop the application of competitive bid rates to CRT power and manual wheelchair accessories.

We had a very good showing and discussions in Congress last week to secure passage of the CRT accessories legislation.

We will be sharing more details on that and on needed next steps shortly.


Donald E. Clayback
Executive Director | NCART
Office 716-839-9728 | Cell 716-913-4754 |

What do we mean by accessories?


The fight to protect access to CRT accessories has been at the forefront of our legislative discussion. From delaying the application of competitive bid rates to the CMS’ ruling on billing instructions that directly violates S-2425, it’s the issue that has garnered the most attention. But what exactly are we talking about when we refer to CRT accessories?


We’re not talking about frills. The term “accessory” can be deceptive, as it brings to mind items that are nice but not necessarily needed. When we’re talking CRT, accessories include items that are vital to the user’s life and health.


Cushions are not a luxury. In many cases, accessories include things such as seating and positioning cushions. Just like the word “accessory,” this can also bring to mind something that’s a luxury and not a necessity. For CRT users, however, it’s the exact opposite. These cushions and seating positions keep them from developing sores and placing stress on the wrong muscles. It keeps them healthy while using their wheelchair for everyday life.


They include things that are essential to operating the wheelchair. It would be impossible to operate a wheelchair without the wheels. The same goes for the control stick that turns the wheelchair. Yet, all these things are included in the accessory category. They also include miscellaneous parts that keep the chair going. When one of those parts goes out, it can be impossible for CRT users to get it replaced, due to the red-tape and lack of funding.


Getting the right accessories is more difficult than it seems. Because of how the system is currently set up, CRT users often end up being diagnosed with the wrong equipment, which leaves them unable to lead independent lives.
They help contribute to the tax base, not deplete it. By having the right accessories, CRT users are able to lead independent, productive lives that allow them to have jobs, homes and pay their taxes.


At NCART, we seek to educate legislators on the importance of funding CRT, including accessories. If you would like to help, visit our website and email your legislators!