WASHINGTON—A radical Republican plan that would slice $6 trillion off federal spending over the next decade got a thumbs up on Friday—but only by House Republicans. Every Democrat voted “no.”

By a vote of 235-193, the Republican-run House managed to push the $3.5 trillion, 2012 blueprint for government spending from Rep. Paul Ryan, R-Wis., onto the Senate floor, though by some accounts there it is DOA.

WASHINGTON—A survey of HME companies released yesterday by the American Association for Homecare found that many HME power wheelchair providers have made “abrupt changes” in their operations to comply with new Medicare policies.

The regulatory changes, however, have made it difficult for some businesses to provide quality products and service, according to the association.

Following is AAHomecare’s release on the survey results:

WASHINGTON—As of Friday, 75 U.S. representatives have signed on to H.R. 1041 to repeal competitive bidding. Introduced March 11, the Fairness in Medicare Bidding Act has garnered broad bipartisan support. Here’s how the American Association for Homecare says you can keep the momentum going:

BALTIMORE—All is well. That was the word about Round 1 of competitive bidding from the Centers for Medicare and Medicaid Services at last week’s meeting of the Program Advisory and Oversight Committee.

After all, agency representatives said, of the 54,000 calls the 1-800 Medicare line has received about competitive bidding, only 43 were complaints.

What?

ELYRIA, Ohio—Citing the rising costs of raw materials, fuel and other commodities, officials at Invacare informed customers last week that prices were going up. Affected product categories include home care beds and mattresses, custom manual wheelchairs, personal care, manual wheelchairs, respiratory, patient transport, power rehab and rehab parts.

If you think accountable care organizations, or ACOs, will only affect hospitals and physicians, says health care attorney Jeff Baird, think again. These new entities will be charged with treating patients across care settings to better coordinate and improve care for Medicare patients that will keep them out of the system. That presents HME providers with both opportunities as these new referral sources emerge—and the challenges of providing the services the ACOs want.

HME provider L. Jack Clark, RRT, CRT, PA, was fond of ending many of his conversations with the phrase, “Now go be successful.” Clark himself certainly was, and friends and colleagues throughout the HME sector were saddened to learn of his death April 7 at age 64.

A member of HomeCare’s Editorial Advisory Board, Clark was clearly a pioneer respiratory practitioner as his license number was one of the first ever issued, according to his staff.

IRVING, Texas—The American Association for Respiratory Care has joined the list of more than two dozen patient and advocacy groups endorsing H.R. 1041, the bill to repeal competitive bidding. In a letter to Rep. Jason Altmire, D-Pa., who introduced the legislation with Rep.

LUBBOCK, Texas—The MED Group announced Friday it has launched the National Orthotics & Prosthetics Network. Provider Tim Pederson, formerly of WestMed Rehab in Rapid City, S.D., will lead development of the group. “The changing reimbursement environment within the industry is creating the opportunity for more providers to expand into new business lines,” said Jeff Woodham, MED’s senior vice president and general manager, in a release.

INDIANAPOLIS—National Government Services is counting down the days in its vendor migration project, which mandates that all providers who currently use dial-up and point-to-point protocol (PPP) file transfer protocol (FTP) must switch to a network service vendor, or NSV, for their secured connection to the CEDI gateway. As of May 1, direct connections will no longer be supported. If you haven’t switched yet, NGS says you may get a busy signal with your dial-up service.

ALEXANDRIA, Va.—The National Home Infusion Association has developed Standards for Ethical Practice that it says “reflect the industry’s commitment to the delivery of safe, high quality infusion therapy and reaffirm its members’ pledge to conduct business operations with the highest level of integrity.” A team of clinicians, health care providers and compliance experts developed the new standards.