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?
Did you know AADE Advocacy has a grassroots network of nearly 15,000 users and is growing
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and updates regarding critical pieces of legislation, public policy briefs and more!
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
PRE-DIABETES: USING DIABETES SELF-MANAGEMENT EDUCATION/TRAINING (DSME/T) TO PREVENT DIABETES
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
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.
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
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
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.