Exam 2: public policy Flashcards
How a bill becomes a law
- Bill is introduced to house or senate –> assigned to a committee –> if moving forward, bill assigned to a subcommittee –> after markups, committee will kill the bill or vote it out of committee –> full house for consideration –> once passed both house and senate, bill moves to conference committee which consists of both chambers) –> works out differences between 2 forms of bill (so there is one cohesive bill) –> sent back to both chambers for approval –> sent to president for signature of veto
RDNs are currently reimbursed for
3 hours for 1st year of diagnosis; 2 hours each year after
Medicare currently reimburses for
- kidney disease
- kidney transplant
- diabetes
What happens after a bill becomes a law?
- must be sent to appropriate government agency where supplemental rules (regulations) are written so the law can be implemented
- rules define requirements and specific services and identify qualified providers of the services
- also determines who enforces the laws/penalties for breaking it
ANDPAC
- political action committee through the AND
- collects contributions from members to support candidates whose views align w/ the academy’s
Treat and reduce obesity act
- introduced in 2013
- aims to effectively treat and reduce obesity in older Americans by increasing medicare beneficiaries’ access to qualified practitioners (RDNs are named as qualified practitioners)
- died in previous congress
Ryan White HIV/AIDS program
largest federal program dedicated to providing treatment and care to people living with HIV (fills the gaps between insurance - prescriptions are expensive)
- funds essential treatment when no other resources are available
- RDNs are covered providers
- MNT reduced cost of HIV treatment from $50,000/month to $17,000/month
Older Americans Act
- promotes health and well-being to older adults, giving them access to nutrition information and disease prevention services (prevents weight loss, provides socialization which improves health)
- funds congregate dining and home-delivered meals
- only requirement is to be > 60 years old and need to be homebound to qualify for home delivery
HITECH act
- Addresses health information technology
- provides incentive payments to physicians and small hospitals who adopt electronic health records in the next 5 years (this costs a lot of money and requires rooms to store servers w/ large amount of memory)
- now targets only small portion of “eligible professionals” for incentive payments
- does not include RDs, nurses, social workers, PTs, OTs, SLPs
CMS Rule on therapeutic diet orders
Allows RDNs to become privileged to independently
- order patient diets w/o physician approval
- order lab tests to monitor effectiveness of dietary plans and orders
**this is on the federal (not state) level; so facilities usually have to decide; RDNs not specifically allowed/but also not specifically prohibited under NC state law (so proceed with caution)
2014 farm bill
- funds nutrition and agriculture programs such as SNAP, EFNEP, school-based fresh fruit and vegetable program, farmer’s market program, WIC
- currently up for reauthorization
