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Sellers of incontinence products have squared off against the Texas state comptroller’s office, which wants to competitively bid underpads, catheters and other supplies for Medicaid patients in the state.

More than 1,400 companies currently bill the state’s Medicaid program $140 million a year for incontinence products, according to The Texas Tribune. The comptroller’s office believes cutting down the list of vendors to a few select partners will save Medicaid $15 million a year and reduce Medicaid fraud, waste and abuse.

Vendors argue that paring the number of vendors will force smaller healthcare suppliers to close. That could lead to thousands of job losses. Competitive bidding on a national scale—specifically in the area of durable medical equipment—has become a sore spot for suppliers in recent years.