AUTHOR=Gannotti Mary E. , O’Neil Margaret E. , Fragala-Pinkham Maria , Gorton George E. , Whitney Daniel G. TITLE=Policy brief: adaptive cycling equipment for individuals with neurodevelopmental disabilities as durable medical equipment JOURNAL=Frontiers in Rehabilitation Sciences VOLUME=Volume 4 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2023.1160948 DOI=10.3389/fresc.2023.1160948 ISSN=2673-6861 ABSTRACT=- Durable medical equipment policies require that the equipment be medically necessary, and adaptive cycles (bicycles or tricycles) are usually not deemed medically necessary - Individuals with neurodevelopmental disabilities (NDD) are at high risk for secondary conditions, both physical and mental, that can be mitigated by increasing physical activity. - Significant financial costs are associated with the management of secondary conditions - Adaptive cycling can provide improve physical health of individuals with NDD potentially reducing costs of comorbidities. - Expanding DME policies to include adaptive cycling equipment for qualifying individuals with NDD can increase access to equipment - Regulations to insure eligibility, proper fitting, prescription, and training can optimize physical - Programs for recycling or repurposing of equipment are warranted to optimize resources.