CSIHME Launches New Website

• California HMDR Exemptee training certification course - for home medical device retailers applying for a California Exemptee license. State-approved by the California Department of Public Health - Food and Drug Branch.

Updated June 4, 2026

It appears that CSIHME no longer exists. In 2013, NAIMES acquired CSIHME to combine resources and build a unified front against challenging federal bidding systems.

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This new website launched, The Committee to Save Independent Home Medical Equipment suppliers (or CSIHME), to help achieve its mission:

The Committee to Save Independent Home Medical Equipment suppliers (or CSIHME) is a non-profit business league formed by independent HME providers for the purpose of advancing the agenda, needs, and value of the independent HME provider community through focused lobbying efforts and public relations activities. In short, CSIHME wants to give a voice to the people who have committed their lives to helping others through Home Medical Equipment and supplies.

The site offers information about the group, and the efforts of its lobbyist and publicist. It also provides a method for people to help subsidize those efforts. 

Return Home:  The Designated Representative and Exemptee Blog

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For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training  
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute

FAQ: Designated Representative or Exemptee?

• California Board of Pharmacy Designated Representative Training Courses | by SkillsPlus Intl Inc.  - for wholesalers, 3PL, and reverse distributors. Board Approved. 
  
• Buy Board-approved California Designated Representative training now!

Updated May 25, 2022

Unfortunately, the originally linked document is no longer available.

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Question:

Am I a "Designated Representative" or "Exemptee" in the eyes of the California State Board of Pharmacy?

Answer:
Designated Representative.

According to the DESIGNATED REPRESENTATIVE* - REQUIREMENTS AND APPLICATION 17M-27 (Rev. 1/08):

Under California law, the name used to describe any individual who is in charge of any wholesale drug premises (in California or elsewhere) will change on January 1, 2006, from the former name, exemptee, to designated representative. For conventional use, the board will refer to such an individual as a designated representative throughout this application.

Return Home:  The Designated Representative and Exemptee Blog

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California Board of Pharmacy Designated Representative Training Courses | by SkillsPlus Intl Inc.  - for wholesalers, 3PL, and reverse distributors. Board Approved.

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):

• CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
• CA Designated Representative 3PL Training
• CA Designated Representative Reverse Distributor Training 
• The Designated Representative Institute

     Florida:

• Florida Certified Designated Representative - CDR Laws and Rules Examination Prep Course

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

• CA Home Medical Device Retailer (HMDR) Exemptee Training Course
• The Exemptee Institute