AAPM&R and 35 other organizations signed on to the Independence through Enhancement of Medicare and Medicaid (“ITEM”) Coalition comment letter to the CMS Durable Medical Equipment (DME) competitive bidding proposed rule. The ITEM Coalition is a national consumer and clinician-led coalition advocating for access to and coverage of assistive devices and technologies for persons with injuries, illnesses, disabilities, and chronic conditions of all ages. Despite expressing some concern, the ITEM Coalition is generally very supportive of the reforms made in this Proposed Rule to access to care for those needing durable medical equipment (DME), including dually-eligible beneficiaries.