As co-founder and former Executive Director I am most proud of the reputation the CTF has earned for our work with CRT and seating and wheeled mobility stakeholders. Our group was formed in 2004, the only clinical group dedicated exclusively to issues surrounding CRT access. The CTF filled an urgent need for rapid action and substantive clinical guidance to numerous legislative and policy issues impacting users of CRT technologies and related services. We never anticipated that our group would still be needed more than 14 years later. Over the years we have earned a reputation that recognizes our front line boots on the ground expertise. We continue to be sought for our deep understanding of complex DME and CRT policy issues, first hand current information and examples of policy consequences, and recommendations to solve root cause barriers to appropriate access and responsible utilization.