1. Access to Quality Diabetes Education Act By Olga Ajpacaja

2. Access to Quality Diabetes Education Act  NAME OF THE BILL: Access to Quality Diabetes Education Act  NUMBER OF THE PUBLIC BILL: H.R.1726  YEAR THAT THE BILL WAS DESIGNED: 2015  The Billis is in the House of Representative

3. Access to Quality Diabetes Education Act  To amend title XVIII of the Social Security Act to expand access to diabetes self-management training allowing certified diabetes educators to provide diabetes self- management training services under Part B of the Medicare Program.  https://www.congress.gov/bill/114th-congress/house- bill/1726/text https://www.congress.gov/bill/114th-congress/house- bill/1726/text

4. The bill to amend title XVIII of the Social Security Act  was introduced in house in March 26, 2015.  The bill was presented in order to study the barriers that limit Medicare beneficiaries with diabetes to get access to improve a series of recommendations on effective outreach strategies to educate primary care physicians and other health care provides as well as the public about the benefits of diabetes self-management training.

5. Committee/Subcommittee  04/14/2015 Referred to the Subcommittee on Health.  Type of Action: Committee Consideration  Action By: House Ways and Means  03/27/2015 Referred to the Subcommittee on Health.  Type of Action: Committee Consideration  Action By: House Energy and

6. Committee/Subcommittee  03/26/2015 Referred to House Ways and Means  Type of Action: Introduction and Referral  Action By: House of Representatives  03/26/2015 Referred to House Energy and Commerce  Type of Action: Introduction and Referral  Action By: House of Representatives

7. How the policy is expected to work  Provide a registered health care professionals and certified diabetes educator who specializes in helping diabetic’s people by giving educational information about diabetes.  Teach people with diabetes self- management skills to stay healthy and avoid complications and emergency care, as well as avoiding to develop other secondary conditions affected by diabetes.  By implementing the policy, it will help to improve positive health outcomes, ensure quality, and avoiding escalating diabetes-associated health cost

8. Policy is expected to work  It has been proved that diabetes self-management training is effective in helping to reduce the complications and risks of diabetes and is essential factor for a treatment.  People who have been trained from certified diabetes educator are better able to manage and implement a healthy lifestyle plan received from a physician skilled in diabetes.

9. How the policy is implemented  Diabetes self-management training has been proven effective in helping to reduce the risks and complication of diabetes.  Diabetes education will provide knowledge and skills training to patients with diabetes.  Patients who have received training from a certified diabetes educator are better able to implement the treatment plan received from a physician skilled in diabetes treatment.  People with diabetes will be able to manage their medications, address nutritional matters, facilitate diabetes-related problem solving, and make lifestyle changes to be able to manage their diabetes.

10. Policy benefits  The policy is for adult people with diabetes that have Medicare (part B). It is designed to teach and support individuals with diabetes and help them to be self- sufficient for their own good.

11. Diabetes’ Costs  The center for Disease Control Center provided funding to expand the National; Diabetes Prevention program to help prevent the beginning of type 2 diabetes for people high risk of diabetes.  This awarded was in recognition of the importance role of Diabetes Self-management training programs.  Moreover, the policy will help Medicare program to save an estimated of $2,000,000,000 over 10 years. The Diabetes Self-Management Training would benefit people with diabetes as well as Medicare program.

12. Diabetes’ Costs  Diabetes cost the United States an estimated $245 million in 2015.  The medical cost is $176 billion in medical goods and services and $69 billion in indirect costs from lost workdays, restricted activity, disability, and early death.  Medical costs for people with diabetes are twice as high as for people without diabetes. (Center for Disease Control and Prevention, pg. 2).

13. DIABETES FACTS  Diabetes is a disease that affect people from any nation, race, ethnicity. It also affects women and men.  The majority of the food you eat is turned into sugar (glucose) for your body to use for energy. The pancreas makes insulin, which helps sugar get into your cells  Diabetes is when your body does not make enough insulin or cannot use the insulin it does make. This causes sugar to build up.

14. DIABETES FACTS  In 2013, Diabetes was the seventh leading cause of death. At this time, at least one out of three people develop diabetes in their lifetime.  In 2012, 1.7 million people 20 years and older were diagnosed with diabetes (type 2).  The risk of death for adults with diabetes is 50% higher than for adults without diabetes.

15. DIABETES FACTS  29.1 million people have diabetes which means 1 out of every 11 people and 1 out of 4 people do not know they have diabetes.  The Center for Disease and Prevention Control estimates that 1 in 3 Americans will have diabetes by 2050 if current tendencies continue.

16. HEALTH RISKS  People who have diabetes are at high risk of serious health complications such as: blindness, kidney failure, heart attack, loss of toes, feet, or legs, etc.  The risk is the same for both men and women. Race and ethnicity play an important role in diabetes.  People of racial and ethnic minority groups are more likely to be diagnosed with diabetes during their lifetime.

17. CAUSES OF THE DIABETES  Obesity is one of the various risk factors related to type 2 diabetes.  Another factors that are associated with diabetes are:  lack of physical activity, unhealthy diet, and socioeconomic factors contribute to obesity and type 2 diabetes.

18. CAUSES OF DIABETES  Obesity in people with type 2 diabetes is also related with poor control of blood sugar, blood pressure, and cholesterol levels.  Various health complications of diabetes develop severely when they are compound by overweight or obesity

19. DIABETES EDUCATION  One example of a preventive care practice is diabetes self-management education, which can help teach individuals how to manage the disease with certain self- care behaviors.  For example, eating healthy diet, taking medications appropriately, self-monitoring blood sugar levels, and being physically active.

20. DIABETES AWARNESS  Diabetes can be treated, controlled, and managed by healthful eating, medications to lower the blood glucose levels, and regular physical activity.  It is essential to know how to manage diabetes effectively to reduce cardiovascular disease risk factors, such as high blood sugar.

21. AWARNESS  It essential to educate people with diabetes and provide with the necessary materials so patients can take care of themselves.  Many people with diabetes (type 2) can control their blood glucose by following a healthy meal plan and a program of regular physical activity, losing excess weight, and taking medications appropriately.