Over 160 Complex Rehab Technology (CRT) stakeholders from across the country came together at the 2018 National CRT Leadership and Advocacy Conference on April 25 and 26 in Arlington, Virginia. The theme of the conference was protecting access to CRT for people with disabilities who depend on it to manage their medical needs, minimize their healthcare costs, and maximize their independence. The 160 attendees represented all sectors of the CRT community. That included providers, manufacturers, consumers and consumer organizations, clinicians and clinical organizations, family and caregivers, researchers, and other advocates from a total of 36 states. The first day of the conference included a variety of panel presentations covering "The CRT Consumer's Perspective", "Health Care Policy Trends and Politics", "Challenges Facing CRT Providers", and "Industry Issues and Initiatives". The final session of the day was "Capitol Hill Preparation" which opened with comments from Larry Larsen, a California CRT advocate who runs a Hollywood production studio while simultaneously coaching champion springboard and platform divers. Lenny uses a CRT standing power wheelchair that he operates with a sip-and-puff drive control system and a ventilator. Attendees left informed and motivated. The second day of the conference, Capitol Hill Day, centered around taking the critical CRT access message directly to Members of Congress. Delegations of CRT stakeholders met with over 240 offices to educate Members on the benefits of CRT and the barriers to access. The CRT legislative message was twofold: First and foremost, there is an urgent need to cosponsor and pass the "Protecting Beneficiary Access to Complex Rehab Technology" (S. 486 and H.R. 3730). This legislation will stop Medicare from inappropriately applying Competitive Bidding Program payments to critical components of CRT manual wheelchairs. These cuts must be stopped to protect access for the people with significant disabilities who depend on these specialized manual wheelchair systems. The bills currently have 22 cosponsors in the Senate and 99 cosponsors in the House. The second request was to cosponsor and pass the "Ensuring Access to Quality Complex Rehab Technology Act" (H.R. 750). This bill will create a Separate Benefit Category for CRT within the Medicare program and make needed changes to improve coverage policies and safeguards. This bill currently has 103 cosponsors. Passage of the CRT legislation is supported by over 50 national consumer, disability, and medical professional organizations.