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.

Prevention

DAA’s 2018 Advocacy Priorities. Prevention of type 2 diabetes is a policy priority for the Diabetes Advocacy Alliance (DAA) because slowing the number of new cases of diabetes is vital to decreasing the human and economic burden of diabetes in America. (Click here for a complete list of the DAA’s 2018 Advocacy Priorities.)

The time is right for advocacy for diabetes prevention because:

  • We have a very strong evidence base. Scientific research has demonstrated conclusively that type 2 diabetes can be prevented or delayed in adults with prediabetes through both community-based and online settings.
  • We have a structure in place for scaling up diabetes prevention programs nationwide. The Centers for Disease Control and Prevention (CDC) has established the National Diabetes Prevention Program (National DPP), which makes it possible for organizations to get trained and certified as CDC-recognized providers of evidence-based diabetes prevention programs.
  • We have a favorable review from the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary, certifying that diabetes prevention programs save money and improve health outcomes in seniors in Medicare, as demonstrated by the YMCA of the USA under a grant from the Centers for Medicare and Medicaid Innovation. Because of this favorable review, HHS Secretary Burwell has proposed extending coverage for diabetes prevention programs under Medicare.




Disparities/Social Determinants of Health
Social, economic and environmental factors can influence a person’s health. For people with diabetes and/or those at-risk for developing the disease, efforts to address health disparities and social determinants of health have the potential to improve health outcomes.

Preventing Diabetes in Medicare Act
The legislation allows Medicare to reimburse registered dietitians and other qualified nutrition professionals to provide medical nutrition therapy (MNT) to patients at risk of diabetes or with prediabetes, in addition to patients with diabetes and kidney disease as currently covered.

Medicare Diabetes Prevention Program
The Department of Health and Human Services announced in March 2016 that Medicare would cover diabetes prevention programs for eligible beneficiaries beginning January 2018. Successful implementation of this benefit is critical to ensure seniors at-risk for developing type 2 diabetes understand the benefit and participate in this evidence-based program which is estimated to save over $2,600 per beneficiary over 15 months.

National Diabetes Prevention Program
The National Diabetes Prevention Program (National DPP) is an evidence-based lifestyle change program for preventing type 2 diabetes led by the Centers for Disease Control and Prevention (CDC). Federal funding supports access to and expansion of the program to some of the more than 86 million Americans with prediabetes.

Preventive Health Savings Act
The legislation would create a more accurate budget scoring system for legislation dealing with preventive health services. The legislation would allow the Congressional Budget Office (CBO) to collect data past the current ten year window since savings for preventive services often occur outside the conventional budget window.