[Congressional Record Volume 156, Number 65 (Tuesday, May 4, 2010)]
[Senate]
[Pages S3088-S3089]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
MEDICARE DIABETES SELF-MANAGEMENT TRAINING ACT
Mrs. SHAHEEN. Mr. President, I rise today to talk about the Medicare
Diabetes Self-Management Training Act, a bill I have recently
introduced along with Senators Stabenow, Hagan, Franken and Landrieu.
This bill will improve the lives of Medicare beneficiaries with
diabetes by improving their access to high quality information and care
from certified diabetes educators.
Diabetes affects many individuals and families in New Hampshire and
across the country. My own family was touched by the disease in 2007
when my eldest granddaughter Elle was diagnosed with type 1 diabetes.
We have experienced firsthand the challenges that diabetics and their
families confront in having to continuously monitor and manage blood
sugar levels, administer daily injections, and face a lifetime of
worrying about the possibility of serious complications arising from
the disease. Diabetes can be managed effectively but it requires a
sustained coordinated team effort among patients and their health care
providers. Certified diabetes educators, as defined by the American
Association of Diabetes Educators, ``are licensed healthcare
professionals who specialize in educating people with diabetes about
their condition. The training, counseling and support that diabetes
educators provide to patients is known as diabetes education or
diabetes self-management training.'' This education teaches patients
how to stay healthy, and the diabetes educator is an important part of
the health care team.
Take for example a case from Raymond, NH. The patient, Rachel, is 45
years old and has type 2 diabetes. For years she struggled, trying to
understand how her eating habits and lack of physical activity
negatively impacted her diabetes and general health. Her medical
provider followed all the appropriate American Diabetes Association
guidelines, tried several oral medications and insulin, but in spite of
this, Rachel's diabetes remained poorly controlled. In fact, not only
were her blood sugar levels elevated, but she was already starting to
suffer from complications related to diabetes.
However, once Rachel began working with a certified diabetes
educator, CDE, things started turning around. The CDE was able to
assess and accommodate Rachel's individual learning style and barriers
to change. Through ongoing support and positive reinforcement, Rachel
began to recognize her ability to control her diabetes with a few
lifestyle changes. Successful, long-
[[Page S3089]]
term behavior change is difficult to achieve in the best of
circumstances. One only has to look at the current obesity epidemic in
the U.S. to appreciate the difficulty in learning how to eat healthily.
Rachel's success in eating less and healthier and walking daily was due
in large part to the relationship that developed between her and her
diabetes educator. Rachel now understood the lifestyle changes
necessary to achieve success and was able to bring her blood sugar into
a safe range. She reported having more energy and was able to cut her
insulin dose in half.
Over the years Congress has made strong efforts to improve the care
of individuals with diabetes. This includes authorizing the diabetes
self-management training, DSMT, as a Medicare benefit in 1997, with the
goal of providing a more comprehensive level of support to educate
beneficiaries about diabetes and self-management techniques, reduce the
known risks and complications of diabetes, and improve overall health
outcomes.
However, there is a significant gap in the 1997 DSMT benefit that
holds it back from achieving its full potential. Under the DSMT,
Medicare covers the critical types of health care services necessary
for diabetes control, but does not recognize the health care
professionals who deliver those services. Certified diabetes educators
are the primary group of health care professionals who work most
closely with the patient to provide essential training and education in
diabetes self-management. My legislation is designed to address this
gap by ensuring that certified diabetes educators are designated
providers under Medicare for these vitally important services.
Under the Medicare Diabetes Self-Management Training Act, a certified
diabetes educator would be a covered provider of Medicare DSMT
services. This health care professional, who is State licensed or
registered, is most typically a nurse, dietician, or pharmacist, who
specializes in teaching people with diabetes how to stay healthy and
who maintains rigorous certification and continuing education
credentials. This bill also increases education and outreach to primary
care physicians about the importance of DSMT for their patients with
diabetes. I am proud to have introduced this bill along with my
colleagues Senators Stabenow, Franken, Hagan and Landrieu.
Diabetes is an incredibly costly disease. It is among the chief
contributing causes of adult blindness, lower extremity amputations,
heart disease, periodontal disease, kidney disease, vascular disease
and infections. There is no cure yet but with the proper tools it can
be well managed and complications can be prevented. I believe this bill
is an important step along that path. I urge my colleagues to support
this important cause.
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