A flurry of noteworthy O&P policy developments have occurred throughout the past few months. Congress continues to work toward introduction of the bipartisan Medicare Orthotics and Prosthetics Patient-Centered Care Act. This is the successor to the O&P Medicare Improvement Act and has been significantly redrafted since the last Congress. The Limb Loss and Preservation Registry (LLPR), the first of its kind in O&P, continues to make progress as it proceeds to launch phase I of the joint National Institutes of Health (NIH)-U.S. Department of Defense (DOD) project. The durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) proposed rule for calendar year 2020 was finalized with few changes, despite substantial advocacy by the O&P profession to improve the rule. These and other developments are gathering momentum as the second session of the 116th Congress approaches.