Diabetes Pro Quarterly - Winter 2022 - 9

Advocacy News
New Federal Regulations Expand Access to
Continuous Glucose Monitoring
After many months leading advocacy on behalf of
the diabetes community, the American Diabetes
Association (ADA) scored a major victory in late
December 2021, when the U.S. government issued
regulations-reflecting ADA's numerous requests-
broadening access to continuous glucose
monitoring (CGM) for people with diabetes.
The Centers for Medicare & Medicaid Services
(CMS) released the Durable Medical Equipment,
Prosthetics, Orthotics and Supplies (DMEPOS) final
rule, which will go into effect on February 19.
When the proposed rule was released in November
2020, it included a provision that would provide
reimbursement under Medicare for all adjunctive
CGM systems. The ADA strongly supported this
provision and commended CMS for recognizing
the functional benefits of the full range of CGM
systems on the market. At the same time, ADA
urged CMS not to finalize another proposed
provision. That would have cut reimbursement for
a different type of CGM-one the agency referred
to as " manual and nonadjunctive because it
does not include alarms-so greatly as to render
it financially out of reach for tens of thousands
of people with diabetes who currently use that
system. The ADA could not be more thrilled that
CMS' final rule aligned with its many requests. This
is an important win for all Medicare recipients with
diabetes and for the entire diabetes community
because private insurers often adopt coverage
policies first enacted by CMS.
Summit Shines Light on Costs of
Diabetes Care
The American Diabetes Association held its firstever
virtual Cost of Care Summit in November 2021.
A diverse group of leading policymakers, people
with diabetes, clinicians, advocates, and industry
stakeholders gathered to discuss the current
unparalleled high costs of living with diabetes. From
the price of insulin and other drugs to the costs
borne because of certain insurance practices, to the
costs of hospitalization and outpatient treatment,
to the enormous expense of devices and supplies,
diabetes places an outsized burden on those with
the disease. More information can be found here:
Policy Action to Lower the Cost of Diabetes Care.
Updated Advocacy Position Statements
Available
* The American Diabetes Association's (ADA's)
position statement on Diabetes Management in
Detention Facilities was updated in October 2021.
The statement outlines what constitutes adequate
medical care for inmates in prisons and jails.
* The ADA's new statement on COVID-19
prevention strategies in the school setting was
released on Dec. 2, 2021.
* The ADA's new Diabetes Medical Management
Plan for schools is now available, along with an
explanation of updates/changes and information
on how to use this guidance. A special thanks
to Safe at School Working Group member Janet
Rodriguez, BSN, RN, CDCES, from the University
of South Florida, who led the effort.
The ADA's Advocacy Team looks forward to continuing
our work together to benefit people with diabetes.
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https://www.diabetes.org/sites/default/files/2021-11/ADA-position-statement-diabetes-management-detention-settings-2021.pdf https://www.diabetes.org/sites/default/files/2021-12/ADA-Statement-on-COVID19-Prevention-Strategies-in-School-Setting.pdf https://www.diabetes.org/tools-support/know-your-rights/safe-at-school-state-laws/written-care-plans/diabetes-medical-management-plan https://www.govinfo.gov/content/pkg/FR-2021-12-28/pdf/2021-27763.pdf https://www.diabetes.org/tools-support/know-your-rights/safe-at-school-state-laws/written-care-plans/diabetes-medical-management-plan https://www.govinfo.gov/content/pkg/FR-2021-12-28/pdf/2021-27763.pdf https://www2.smartbrief.com/signupSystem/subscribe.action?pageSequence=1&briefName=diabetespro https://www.diabetes.org/advocacy/diabetes-care-cost?utm_source=advocacy-overview&utm_medium=website&utm_content=learn-more-1-btn&utm_campaign=ADV&s_src=online&s_subsrc=diabetes-care-cost http://professional.diabetes.org

Diabetes Pro Quarterly - Winter 2022

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