When CMS released its proposed regulation in late June with additional changes to the durable medical equipment (DME) competitive bidding program, it was a pleasant surprise to see at least one significant positive proposal to improve the program. The proposed rule was included in CMS’s larger End Stage Renal Disease (ESRD) annual payment proposed rule and also includes other modifications that DME suppliers will need to know (81 Federal Register 42802, June 30, 2016).