AADE e-Advocacy Newsletter

April through June 2010

AADE Advocacy at the Annual Meeting!

As you have seen over the last couple months AADE has increased its advocacy efforts this year both at the state and federal level and this will not stop during annual meeting.

What is AADE Advocacy doing in San Antonio?

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Did you know AADE Advocacy has a grassroots network of nearly 15,000 users and is growing every day?

Subscribe to the AADE Advocacy Action Network now to receive advocacy action alerts, news and updates regarding critical pieces of legislation, public policy briefs and more!

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Who is Co-Sponsoring the Legislation?

H.R. 2425

Introduced on May 14, 2009 as the Medicare Diabetes Self-Management Training Act of 2009 by Representative Diana DeGette (D-CO 1st).

There are currently 45 co-sponsors for this bipartisan legislation (31 Democrats and 15 Republicans).

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New AADE Public Policy Brief



57 million Americans are estimated to have pre-diabetes, a condition in which a person's blood sugar (glucose) level is above normal but below a level that indicates diabetes. Prediabetes may have no outward symptoms, and is diagnosed with a blood glucose test.

It is well-accepted that pre-diabetes and diabetes are on a continuum; left untreated, prediabetes will almost always become type 2 diabetes within a few years. In addition to serving as a definitive precursor to the onset of diabetes, individuals with pre-diabetes are at increased risk for a variety of cardiovascular problems, high cholesterol, and polycystic ovarian syndrome for women.

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Energy and Commerce Diabetes Hearing

On Thursday July 1, 2010 the House Energy and Commerce Subcommittee on Health held a hearing entitled “The Battle Against Diabetes: Progress Made, Challenges Unmet.” The hearing heard about advances in research into type 1, type 2, and gestational diabetes, as well as other related public health efforts. It also explored the understanding of the causes and consequences of diabetes, as well as evidence-based prevention and management strategies.

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Congressional work almost completed for 2010!

Only half a year remains in the current session of Congress. Once Congress adjourns, all bills that have not been voted on will essentially 'die,' and must be reintroduced again in the 112th session of Congress that begins in January 2011.

The Medicare Access to Diabetes Self-Management Training Act has been introduced in the Senate as S. 3211 and in the House as H.R. 2425. We must increase the number of Congressional co-sponsors for these bills if they are going to pass Congress this year. That is where you come in! We need your help in contacting your Senators and Representatives and asking them to co-sponsor our bill.

Because it can be confusing to understand the legislative process, we thought it would be helpful to answer some general questions about bills and the process for getting them passed.

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Why Diabetes Self-Management Training (DSMT)?
Issue Background

Section 4105 of the Balanced Budget Act of 1997 (BBA) provided coverage and reimbursement for diabetes self-management training (DSMT) by physicians and other healthcare providers who are currently eligible to bill Medicare for services or supplies, provided that DSMT is furnished incident to other covered services, regardless of whether those items or services are related to diabetes care. While the intent of the legislation to include outpatient clinic settings was achieved, the spirit behind the need for such legislation was not met. The statutory provision did not recognize certified diabetes educators (CDEs), the largest and most qualified group of healthcare professionals to provide DSMT.

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