Assistive Technology and Deices for People with Limb Loss and Related Mobility Challenges – HR 8581 and S 4343 Posted on November 3, 2020 by AAHD AAHD has joined the Independence Through Enhancement of Medicare and Medicaid (ITEM) Coalition endorsing HR 8581 and S, 4343. The October 29 ITEM Coalition letters are here: Senate; House.