Access & Care Coalition

The mission of the Access & Care Coalition is to counter restricted consumer access to medical supplies under Medicare, Medicaid and private insurance. The Access & Care Coalition consists of urological and ostomy medical technology suppliers and manufacturers, as well as clinician, physician, and consumer and disability advocates. The Coalition will take action on health policy matters that:

  • are in the best interests of high quality care that maximize function and independent living for people with disabilities;
  • can provide people with disabilities with their choice of, and access to, the prescribed and medically appropriate urological and ostomy medical technology and supplies

Working closely with consumer and disability advocates, providers and manufacturers of continence care products and the physician and clinical communities, the Coalition has agreed to work within the regulatory and/or legislative framework to address coverage, coding and payment policy changes as they relate to urological and ostomy medical technology and supplies, medical documentation improvements and standards of care.

In order to develop a set of principles about urological and ostomy medical technology and supplies that can provide consumers with disabilities with their choice of and access to medically appropriate urological medical technology and supplies, the Coalition promotes reform in the following areas:

United Spinal Association and United Spinal’s Access and Care Coalition want to ensure that all individuals with a medical condition or disability requiring urological or ostomy prosthetic supplies have access to the supplies prescribed by their health care providers. We ask that policymakers:

  • Recognize that individuals require access to urological and ostomy prosthetic supplies that meet their specific medical needs, and that such products are not generic, one-type-fits-all commodities.
  • Ensure Medicare, Medicaid, and private insurers within state/federal health care marketplaces cover the full range of prescribed urological and ostomy prosthetic supplies, and do so in a manner that is not economically burdensome for the consumer.
  • Ensure fair Medicare and Medicaid coding and coverage processes that recognize the function of urological and ostomy medical supplies and will permit new innovative urological and ostomy technologies to come to market.
  • Save our Medical Supplies

Access to urology and ostomy supplies: are you getting what you need? Click here to take our survey.

Access and Care Coalition Position Statement Opposing Competitive Bidding (pdf)

Tips for consumers under home health care who use ostomy and urologicals (pdf)

Tips for home health nurses and therapists when helping people who use ostomy and urological products (pdf)


American Association Homecare abc-medical-logo apple-west-home-supply
Burmans coloplast-logo
ConvaTec cure-logo
Har Kel Medical Specialties hollister-logo  jr-medical-logo
 Lupus Foundation of America  McAirlaids  mckesson
   siman-foundation-for-continence-logo Spina Bifida Association
 teleflex uromed
Wellspect Wound, Ostomy, and Continence Nursing Certification