The topic at hand is about a proposed rule change by the Centers for Medicare & Medicaid Services (CMS) that could impact the coverage of ostomy supplies. This change might limit the types and brands of supplies that Medicare will reimburse, which is a concern for many who rely on these products. Here's what you need to know and consider:

- The proposed rule would include ostomy equipment in future Competitive Bidding Program rounds. This could restrict the variety of supplies covered by Medicare.
- Ostomates and caregivers are encouraged to submit their comments on this proposal by visiting www.regulations.gov/commenton/CMS-2025-0242-0002 before the deadline of August 29.
- A sample comment highlights the importance of allowing patients to choose appliances that fit their unique anatomy and lifestyle, as each stoma and body is different.
- Limiting coverage to a narrow list of supplies chosen for economic reasons could lead to medical complications and a reduced quality of life.
- Thousands of Medicare beneficiaries rely on having access to a wide range of products from multiple manufacturers.

Here are some additional insights and advice:

1. Several community members have already submitted their comments and encourage others to do the same, regardless of whether they currently use Medicare.
2. Including ostomy items in the Competitive Bidding Program could:
- Eliminate smaller manufacturers that don't offer a full product line, reducing innovation and patient choice.
- Force beneficiaries to use products that may not fit well, leading to issues like leakage, skin damage, and increased healthcare costs.
3. One member has shared an external summary of the proposal's key aspects for easier review and to help with talking points. You can find it at: https://www.meetanostomate.org/discussion-forum/viewtopic.php?t=35599#284913.
4. The general recommendation is to submit personalized and factual comments. Emphasize the individual variability of stomas, the medical necessity of having product choices, and the potential negative outcomes if the rule is adopted.