This not an easy topic, but I feel very
confident that the article written by ANH-USA is on target. Where
the problem in the proposed bill starts and needs change is - (a) IN
GENERAL. —Section 1861(qq) of the Social Security Act (42 U.S.C.
1395x(qq)) is amended — (1) in paragraph (1), by striking ‘‘by
a certified provider (as described in paragraph (2)(A)) in an
outpatient setting’’ and inserting ‘‘in an outpatient setting
by a certified diabetes educator (as defined in paragraph (3)) or by
a certified provider (as described in paragraph (2)(A)).’’
There is more in the bill than the AADE
website shows, but at this point I am not allowed to use it. One of
my Senators has told me this and he is stating that at this time, the
bill is not scheduled for committee and several attempts to bypass
committee approval have met with defeat. Both my Senator and the
attorney have stated that it is doubtful there will be action this
year on H.R. 1726 and S. 1345.
On September 25, I met with an attorney
who specializes in Social Security law. He feels that the landscape
has changed. I had a printout of the two bills and he read and
reread both and asked if I had any other versions available. After
his arrival in Washington DC, and a meeting with several Senators and
Representatives he called me on Saturday and stated that I could blog
about what I knew, but that he could not say more at this time other
than what is in the paragraph above.
The attorney did state that the bills
currently on file confirm the article published by ANH-USA. If the
wording is not changed, what the AADE told Diabetes Mine indicates
they are deflecting the truth.
On Monday Oct 5, the attorney called
again and stated he does agree that some wording needs to be added to
fairly reimburse CDEs for their time on education. He thanked me for
sending a copy of my blogs for Oct 3 and 5 and he is upset by the law
in Kentucky and the charge of a misdemeanor for violating the law.
I will continue to correspond with both
my senators and my representative to urge them to not approve the
version currently on file. It is also no surprise that the members
of #DiabetesMiseducation Coalition oppose these
bills.
Founding members of
#DiabetesMiseducation
Coalition include:
- International Association for Health Coaches
- National Association of Nutrition Professionals
- Nutrition Therapy Association
- National Health Freedom Coalition
- University of Natural Health
- Maryland University of Integrative Health
- Alliance for Natural Health USA
- American School of Natural Health
- Institute for Transformational Nutrition
These are all organizations that would
be excluded under the changes, plus a few more.
This is speculation on my part, but I
think that with all the AADE members and officers that have both the
CDE and RD (registered dietitian)(dual) titles may be behind this and
the Academy of Nutrition and Dietetics is making its presence felt in
the actions of the AADE.
I will make my feelings known about the
dual titles and that something needs action to specify that if they
are acting as CDEs then they need to clearly state this at the
beginning of any education and not stray into nutrition as many are
doing. I have spoken about this with one of my Senators and she
agrees that it should be one and not both and they should only bill
Medicare for one topic and not two as some have been accused of
doing.
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