The Decline of Medical Equipment Providers Across the U.S. Affects Beneficiary Access to Equipment

Published in Government Relations on January 24, 2020

Over the last ten years, there has been a significant decline in the number of medical equipment providers across the country. This is due to reimbursement cuts, regulatory restrictions, and excessive and unreasonable audits that (primarily) smaller durable medical equipment (DME) suppliers are facing. 

decline of medical equipment providersBy clicking here, you can see the exact number of DME suppliers that have closed across the country. The highest percentage of DME business closing are the states colored in dark blue. These states have lost the most of providers by nearly 50%: 

  • California
  • Arizona
  • Texas
  • Louisiana
  • Illinois
  • Ohio
  • Florida
  • Delaware
  • New Jersey
  • Connecticut

When DME suppliers are forced to close their doors, beneficiaries are directly impacted because their ability to receive their much-needed home medical equipment becomes even more difficult to access. They may be forced to travel long distances for their equipment, which would cost them extra time and money.  

What can you do to help? 

Currently, there is a bill circulating that can help with this issue. The Protecting Home Oxygen & Medical Equipment Act of 2019 allows for increased reimbursement rates for durable medical equipment and oxygen equipment and supplies in areas of the country where reimbursement has been slashed. Take action today by visiting https://people-for-quality-care.rallycongress.net/ctas/ask-your-member-congress-to-support-protecting-home-oxygen-medical-equipment-act. This website allows you to send a pre-written message to your member of Congress asking for their support of this legislation that will ultimately protect beneficiaries’ access to the equipment and services that are critical to their well-being. 

It is especially important for residents of the “dark blue” states (as indicated above) to reach out to their members of Congress and let them know of the urgency to protect the DME suppliers and the beneficiary. Ask for your members of Congress’ support by clicking here

From Our Experts

Update from the Board of Certification/Accreditation thumbnail Update from the Board of Certification/Accreditation Yesterday, the Board of Certification/Accreditation (BOC) issued a clarification regarding the Centers for Medicare & Medicaid's (CMS) recent announcement about withdrawing BOC Accreditation. Here are the key updates... CMS Withdraws BOC Accreditation Authority For DMEPOS Suppliers thumbnail CMS Withdraws BOC Accreditation Authority For DMEPOS Suppliers On December 2, 2025, the Centers for Medicare & Medicaid Services (CMS) officially revoked the Board of Certification/Accreditation International (BOC) as an approved accreditation organization for suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). The DMEPOS Competitive Bid Program (CBP) And The New Remote Item Delivery Competitive Bidding Program – What Suppliers Need To Know thumbnail The DMEPOS Competitive Bid Program (CBP) And The New Remote Item Delivery Competitive Bidding Program – What Suppliers Need To Know A major development to come out of the CMS DMEPOS/Home Health Final Rule is the creation of a new Remote Item Delivery (RID) competitive bid program (CBP). This article provides the key items DMEPOS suppliers need to be aware of regarding this significant development in the competitive bidding program. CMS Changes Accreditation Requirements For All DMEPOS Suppliers Effective January 1, 2026. thumbnail CMS Changes Accreditation Requirements For All DMEPOS Suppliers Effective January 1, 2026. As we shared last week, CMS finalized the DMEPOS accreditation rule change that requires Accrediting Organizations (AOs) to survey and recredential DMEPOS suppliers annually, instead of every three years. This change is outside of competitive bidding and applies to all DMEPOS suppliers as a condition of Medicare enrollment. FAQs from the Webinar: Understanding the Final Rule on the DMEPOS Competitive Bidding Program thumbnail FAQs from the Webinar: Understanding the Final Rule on the DMEPOS Competitive Bidding Program Thank you to everyone who joined last week's webinar! We've compiled the most frequently asked questions from the session along with updated answers to help you stay informed. Major Update On Product Categories For The Next Round Of Competitive Bidding thumbnail Major Update On Product Categories For The Next Round Of Competitive Bidding Since the publication of the Final Rules on the Competitive Bidding Program (CBP) was announced, VGM has been in conversation with CMS officials as well as other industry groups regarding additional products being included into the CBP. The unofficial feedback we received indicated that there would be no additional products beyond those reported in the Final Rule. CMS Finalizes Rule Changing The Next Round Of The Competitive Bidding Program And Updating Other Provisions Related To Provider Enrollment And Prior Authorization thumbnail CMS Finalizes Rule Changing The Next Round Of The Competitive Bidding Program And Updating Other Provisions Related To Provider Enrollment And Prior Authorization Final Rule Analysis from the VGM Payer Relations and Reimbursement team  On Nov, 28, 2025, CMS finalized Final Rule CMS-1828-F that includes updates to the Competitive Bidding Program (CBP) and other provisions related to provider enrollment and prior authorization. Next round is expected to be implemented no later than Jan. 1, 2028. Celebrating the Life and Impact of Mike Hamilton, ADMEA Executive Director thumbnail Celebrating the Life and Impact of Mike Hamilton, ADMEA Executive Director We are deeply saddened to share the passing of our beloved colleague and friend, Mike Hamilton, Executive Director of the Alabama Durable Medical Equipment Association (ADMEA). For more than 50 years, Mike dedicated his life to the durable medical equipment (DME) industry, setting an extraordinary example of hard work, integrity, and unwavering passion. His leadership and advocacy helped shape the industry and improve access to care for countless patients.