Aumua Backs Bill to Increase Access to CGM for Medicare Patients

October 5, 2015
Press Release

Fa'asamoa

Washington, D.C. – Monday, Congresswoman Aumua Amata, cosponsored H.R. 1427, the Medicare CGM Access Act, introduced by Representatives Reed, DeGette and Whitfield.

“I am pleased that Representatives Reed, DeGette and Whitfield have introduced this important legislation that will increase access to Continuous Glucose Monitoring (CGM), a key therapy in the management of diabetes,” said Amata.  “With the prevalence of the diabetes on the island, it is essential that we increase access to life saving treatments for Medicare and Medicaid patients,” continued Amata.

Type 2 diabetes has reached epidemic proportions in American Samoa, making increased access to a variety of treatments essential.  The vast majority of American Samoan’s use either Medicare or Medicaid, and this expansion of services would be crucial in improving the health of the island’s residents. 

The bill would create a new benefit category under the Medicare program for CGM devices that are furnished to certain Medicare beneficiaries who meet qualifying criteria.

CGM devices are defined as Class III medical device that continuously senses or monitors and trends glucose levels.  CGM devices include sensors, transmitters, software, and other components, supplies and accessories necessary and related to the operation of the device.

Should the bill become law, Medicare beneficiaries who meet the following criteria would be eligible for the CGM device coverage.

  • A beneficiary with Type I diabetes who meets these three criteria:
    • The beneficiary is following an intensive insulin treatment regimen.
    • The beneficiary’s attending physician certifies (at least once every three years) that the condition cannot be safely and effectively managed with self-monitoring of blood glucose.
    • The beneficiary has been unable to achieve optimum blood glucose control or has experienced hypoglycemia unawareness or frequent hypoglycemic episodes.
  • Beneficiaries meeting other evidence based criteria specified in the future by the Secretary.
  • A beneficiary who regularly used a CGM device before becoming Medicare eligible.

“I want to thank Representatives Reed, DeGette and Whitfield for introducing this important legislation that will provide much needed health care services to many of our most vulnerable citizens, and I am proud to support this legislation and look forward to seeing it signed into law,” concluded Amata.

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Lagolago e Amata le Pili e Fa’afaigofie ai i Gasegase e agava’a mo le Medicare le Mata’ituina o le Suka

Washington, D.C. Aso Gafua, Na lagolago e le afioga i le Faipule o le Konekeresi o Aumua Amata le Iugafono a le Maota 1427, (H.R. 1427), lea na fa’auluina e Faipule Reed, DeGette ma Whitfield.

Saunoa Amata, “Ua ou fiafia lava ina ua fa’aulu e afioga i Faipule o Reed, DeGette ma Whitfield lenei tulafono taua o le a atili ai ona faigofie ona maua e gasegase e agava’a i le porokalama o le Medicare mo le Fa’aauauina ona Mata’itu le Suka (Continuous Glucose Monitoring, CGM), o se tasi o togafitiga taua mo le ma’i  suka. Ona o le ta’atele o le ma’isuka i lo tatou atunu’u, o lea e taua ai le fa’ateleina o avanoa i togafitiga e fa’asaoina ai le soifua mo gasegase i porokalama o le Medicare ma le Medicaid.”

Taluai le salalau o le ma’i suka (Type 2) i Amerika Samoa, o le mea lea ua alagatatau ai ona saili ni auala mo ni togafitiga. O le vaega tele o tagata Amerika Samoa e faaaoga le Medicare po o le Medicaid, ma e taua lenei tautua faaopoopo e fa’aleleia atili ai le soifua maloloina o le mamalu o le atunu’u.

O le a fesoasoani lenei tulafono taufa’aofi e maua ai se isi vaega i le porokalama a le Medicare mo masini fa’apitoa mo togafitiga ia e mafai ona togafitia ai i latou e agava’a i le Medicare.

O masini nei e pei ona taua e fa’aauau ona mata’ituina tulaga ua o’o i ai le suka o le gasegase.

A pasia lenei pili, ona maua lea e i latou o loo i lalo o le porokalama a le Medicare, fa’amanuiaga o masini fa’apitoa o lo’o taua i lalo.

  • O se gasegase e maua i le suka (Type 1) e agava’a i tulaga nei:
  • loo i lalo o se togafitiga faapitoa.
  • Ua fa’amaonia e lana foma’i (fa’atasi i tausaga e tolu) e le mafai ona mata’ituina e ia le suka i  se tulaga saogalemu e aunoa ma le faaaogaina o masini fa’apitoa.
  • E le’i mafai e le gasegase i lalo o le Porokalama ona taofiofia le suka pe tula’i mai nisi fa’afitauli i le gasegase.

Na fa’ai’u le saunoaga a Amata i lona faapea mai, “E fia momoli atu le fa’afetai i Faipule o Reed, DeGette ma Whitfield ona o le faauluina o lenei tulafono taua o le a maua ai togafitiga taua e mana’omia mo le toatele o nai o tatou tagata e lamatia i lenei gasegase, o le pogai foi lea ua ou fiafia ai e lagolago lenei tulafono taufa’aofi ma moomooga ia sainia.”

 

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