Our mission is to unite and align key diabetes stakeholders and the larger diabetes community around key
diabetes-related policy and legislative efforts in order to elevate diabetes on the national agenda.


DAA’s 2018 Advocacy Priorities. Since the many serious health complications of diabetes can largely be prevented with proper treatment and care, the Diabetes Advocacy Alliance (DAA) strongly supports policies improving the care of people with diabetes. (Click here for a complete list of the DAA’s 2018 Advocacy Priorities.)

It is critical that people with diabetes have access to a team of health care professionals, medications, devices, and self-management education to help them manage their diabetes successfully. To help drive optimal outcomes for people with diabetes, it also is vital that there be sufficient insurance coverage as well as sound quality measures for high-quality diabetes care.

Medicare Coverage of Continuous Glucose Monitoring (CGM) Systems
In January 2017, the Centers for Medicare and Medicaid Services (CMS) announced the determination of a benefit category and coverage for continuous glucose monitoring (CGM) systems by Medicare. Ensuring eligible Medicare beneficiaries have access to CGM systems and that the benefit is implemented successfully is a priority.

Diabetes Self-Management Training (DSMT) / Access to Quality Diabetes Education Act
Despite the fact that diabetes self-management training (DSMT) is a covered benefit under the Medicare program, only 5% of Medicare beneficiaries with newly diagnosed diabetes participate in this evidence-based service. The Centers for Medicare and Medicaid Services (CMS) recognizes the significant underutilization of DSMT and is committed to reducing barriers contributing to the underutilization of the benefit. In addition to regulatory reforms, legislation is also crucial to expand access to diabetes self-management training (DSMT) so older adults with diabetes can prevent costly complications by designating qualified and credentialed diabetes educators as Medicare providers of DSMT. When previously scored, CBO estimated the legislation would have an unscorable, de minimis impact on the federal budget. To view DAA’s regulatory position statement on DSMT click here.

Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act
The legislation would recognize podiatrists as physicians in order to cover their services under the Medicaid program and clarify and improve coordination of care in Medicare’s Therapeutic Shoe Program for patients with diabetes.

National Clinical Care Commission Act (H.R. 309)
The legislation creates a commission comprised of private sector experts, including health care professionals and patient advocates, and representatives from the federal agencies. The goal of the commission is to improve the implementation and coordination of federal clinical care initiatives for patients with complex metabolic or autoimmune disease, diabetes, or complications caused by such diseases. The legislation has no budget impact.

Quality Measures
Measuring the quality of care for people with diabetes can provide useful information on how the health care system performs and ultimately help improve care for people with chronic diseases like diabetes. While dozens of diabetes quality measures have been developed, a major gap exists in that current measures do not address prediabetes/diabetes screening and referral to diabetes prevention programs. Advancing quality measures tied to screening and prevention is essential to ensuring that people with diabetes and those at-risk receive optimal care.

High-Quality and Affordable Insurance
People with diabetes and those at-risk for developing diabetes have benefited from reforms in the Affordable Care Act. As policymakers look to reform the health insurance market and the health care system, the needs of people with chronic diseases like diabetes and people at-risk for developing the disease must be a priority to ensure that high-quality and affordable insurance is available and accessible. View DAA’s health care principles here.