The New England Medical Dealers Association (NEMED) has sent a letter to Health and Human Services (HHS) Secretary Kathleen Sebelius applauding her for finalizing the Community First Choice rule, but warning that competitive bidding threatens to undermine the new program designed to encourage home care. "If driving more care and services into the home setting is the Department's ultimate goal, then a robust network of healthy, financially viable HME providers will be critical," the letter said.