We?re launching the Endo Girls Need Access apparel campaign to fuel a movement for equitable, lifesaving endometriosis care. This fundraiser features T-shirts, tanks, long sleeves, and sweatshirts printed with the bold message ?Endo Girls Need Access?, paired with a Capitol Hill icon to reflect exactly where change must happen.

This campaign isn?t just clothing. It?s a call to action.

For too long, people with endometriosis have faced systemic barriers to accessing excision surgery, the gold standard for removing the disease at its root. Despite its complexity, precision, and the expertise required to perform it, excision is reimbursed by CMS at nearly the same rate?or even lower?than ablation, a far simpler procedure that burns lesions rather than removing them. Because private insurers follow CMS payment structures, this flawed federal policy has created a national access crisis.

• Excision is time-intensive, technically demanding, and requires advanced surgical training.
• Ablation, despite being less complex, receives similar reimbursement.
• As a result, many excision specialists cannot sustainably take insurance contracts when reimbursement fails to cover the actual work involved.
• Patients across the country are left with impossible choices: paying out-of-pocket, going out-of-network, traveling across states, or settling for incomplete care.

This is a policy-created disparity?and it requires policy-driven solutions.

?? The reimbursement problem begins with federal regulation.

CMS determines how surgical procedures are valued through RVUs (Relative Value Units), which directly shape what insurers pay. When excision is undervalued:

• Patients lose access to comprehensive surgery
• Specialists are forced out-of-network
• Inequities widen for low-income patients and communities of color
• Misaligned incentives worsen misinformation and mismanagement of the disease

To fix this, Congress must push for updated CPT codes, accurate RVUs, and reimbursement rates that reflect the true complexity of excision. Without legislative attention, CMS will not correct these disparities, and insurers will continue replicating the flawed payment model.

All proceeds directly support Endo Excision for All?s work to:

? Advocate on Capitol Hill for reimbursement reform ? Elevate patient voices and educate lawmakers ? Develop accessible, evidence-based resources for patients and providers ? Build sustained pressure for nationwide insurance coverage of excision ? Ensure that excision becomes accessible?not a privilege

When you wear this apparel, you?re not just raising awareness. You?re helping push a federal system to finally recognize the medical, economic, and human reality of endometriosis care.

Together, we can send a message loud enough that Congress cannot ignore: Endo Girls Need Access. Excision must be accessible. Equity must be non-negotiable.