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Re: [IP] 530G <Medicare & CGM Coverage>



 Thank you to my friend, Richard Price, for sharing a story of severe
hypoglycemia that could have been disastrous. Medicare coverage of CGM
technology should be the standard of care for anyone subject to severe
hypoglycemia and its many complications including death!

 The good news is that there are now 198 co-sponsors for H.R. 1427, the Medicare
CGM Access Act of 2015. There are 435 House members so that means that 46% from
both parties have supported this proposed legislation. The identical bill in the
Senate, S. 804, has only 37 out of 100 members on board.

 The bad news is that the 114th Congress will adjourn in a few short months.
These bills will die if no action is taken. A Congressional hearing must be
scheduled before either of these bills can come to the floor of the House and
Senate for a vote. We can make this happen.

 It is time to end Medicare's refusal to cover CGM devices. All of us are
getting older. If you are not old enough for Medicare, when you reach age 65 you
will most likely lose your CGM coverage. If you are currently on Medicaid, which
is a state program, you are also denied coverage because CMS sets policy for
both Medicare and Medicaid. Many private insurers also follow Medicare rules for
coverage of CGM equipment and sensors.

Jerry Smith
.
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