National Public Policy, Legislation & Advocacy

Updated September 21, 2021 


The Academy and Public Policy

As a state affiliate of the Academy of Nutrition and Dietetics (Academy), the Massachusetts Academy of Nutrition and Dietetics (MAND) promotes public policy and advocates for issues in line with those of the Academy. The Academy’s defined legislative and public policy priority areas, which are critical to achieving its mission, vision, goals and strategies, are outlined in its Strategic Plan Roadmap.

The Academy’s current priorities are focused around these main areas:

  1. Disease prevention and treatment
  2. Lifecycle nutrition
  3. Healthy food systems and access
  4. Quality health care
  5. Health equity

Read more about the Academy’s public policy priorities here.

Policy Initiatives and Advocacy Team

The Academy's Policy Initiatives and Advocacy (PIA) team, including the Manager of Grassroots and State Advocacy, Senior Director of Government and Regulatory Affairs and Vice President of Policy Initiatives and Advocacy, is located in Washington, DC, where it serves as the Academy’s voice on Capitol Hill. The work of the PIA team complements and supports the work of state affiliates and individual members to promote food and nutrition policies at the national level.

PIA staff members lead the Academy’s consumer protection and licensure efforts and meet with government agencies such as USDA, FDA and the Centers for Medicare and Medicaid Services (CMS) to discuss regulatory issues. They meet with members of Congress to promote nutrition-focused policy, organize the Nutrition and Dietetics Advocacy Summit (formerly, Public Policy Workshop) and guide the Academy’s grassroots activities at the state level.

Nutrition and Dietetics Advocacy Summit

Held annually, the Nutrition and Dietetics Advocacy Summit brings together RDNs and NDTRs from across the country to learn about key policy issues impacting the dietetics profession and our nation’s health. Attendees also sharpen their communication skills and at the end of the conference meet with members of Congress to discuss food and nutrition policy issues. They discuss key pieces of legislation designed to increase access to healthy food, nutrition services and MNT, asking members of Congress to sign on in support of specific bills or voting to pass bills to become law.

The 2019 Nutrition and Dietetics Advocacy Summit was held in Washington, DC, and MAND members visited the offices of our two U.S. senators and nine U.S. representatives to discuss the Expanding Access to Diabetes Self-Management Training Act (DSMT) and Treat and Reduce Obesity Act (TROA).

Note: The Nutrition and Dietetics Advocacy Summit was not held in 2020 or 2021 due to the COVID-19 pandemic.

-   Planning has begun for the 2021 Nutrition and Dietetics Advocacy Summit! The virtual summit will be held January 25-27, 2022. More details and links to register will be sent out by the Academy in coming months.


U.S. Congress

Each Congress lasts two years, with two one-year sessions. The current 117th Congress began on January 3, 2021 and will end on January 3, 2023. Every new Congress, the Academy works with members of the U.S. Senate and U.S. House of Representatives to find sponsors and cosponsors of bills in line with the Academy’s stated public policy priorities. Bills which are not passed by Congress to become law during a session of Congress “die in session” and need to be reintroduced in the new Congress. Thus, bills supported by the Academy vary over time, as bills get passed, die in session, or are reintroduced in a new session. Academy staff in Washington, DC, work with nutrition champions on Capitol Hill to get new bills introduced and to get bills from the previous Congress reintroduced.

In the 2019-2020 session, the Academy’s main legislative priorities were:

Expanding Access to Diabetes Self-Management Training Act (S.814/H.R.1840)

Treat and Reduce Obesity Act (S.595/H.R.1530)


In the 2020-2021 session, the Academy’s main legislative priorities were:

The Medical Nutrition Therapy Act (S.4504/H.R.6971)

Allied Health Workforce Diversity Act (S.2747/H.R.3637) 

Support Access to Healthy Food and Nutrition Services


In the current 2021-2022 session, the Academy’s main legislative priority is:

The Medical Nutrition Therapy Act (S.1536/H.R.3108)

This bill amends the Social Security Act to expand Medicare Part B coverage of outpatient MNT for obesity, prediabetes, hyperlipidemia, hypertension, malnutrition, cancer, celiac disease, eating disorders, HIV/AIDS and any other disease or condition causing unintentional weight loss. It also authorizes nurse practitioners, physician assistants, clinical nurse specialists and psychologists to refer patients for MNT.

Learn more about the Medical Nutrition Therapy Act:



Centers for Medicare & Medicaid Services (CMS)

When Congress passes a bill into law, one or more government agencies are identified to write regulations to explicitly outline the specifics of the law. For example, the Centers for Medicare & Medicaid Services (CMS), the health care agency overseeing the health care of over 100 million Medicare and Medicaid recipients, writes and updates regulations to reflect major health care legislation, such as new preventive services under the Affordable Care Act. Importantly, CMS regulations impact the large percentage of Academy members working in clinical and outpatient settings. In addition, many states’ Medicaid and commercial insurance plans follow suit, covering conditions and reimbursing RDNs for MNT services in line with CMS.

Therapeutic Diet Order Writing

The Academy was extremely pleased with CMS’ final rule, issued on May 7, 2014, permitting RDNs in hospitals to be privileged to independently order therapeutic diet and monitor and manage dietary plans for their patients. The Academy is actively involved in the continued rollout of the new rule, providing support to affiliates and members working in clinical dietetics seeking to be privileged to work within this new, enlarged role.

Learn more about the RDNs’ ability to write therapeutic diet orders:

Licensure and Professional Regulation of Dietitians

The Academy works to support affiliates in the 47 states, District of Columbia and Puerto Rico who currently have statutory provisions regulating the dietetics profession or associated titles, such as “licensed dietitian/nutritionist.” It also works with affiliates to continue their efforts to obtain new or strengthen existing licensure provisions.

For more information on dietetic licensure in Massachusetts, see the Licensure Information section under the Professional Development tab. Find and click on Massachusetts at

Learn more about the Academy’s efforts to protect consumers and strengthen regulation of the dietetics profession:


The Academy and Advocacy

The Academy calls upon its members to support legislation and issues important to our profession and provides background information and the means for doing so. These include “Action Alerts,” “Take Your Congressperson to Work Day” and Quarterly Advocacy Days. Members may edit their Academy correspondence subscriber preferences and receive regular e-newsletters, such as Eat Right Weekly and Nutrition and Dietetics SmartBrief. Those who serve on an affiliate Public Policy Panel (PPP) may also subscribe to Public Policy Weekly News, which provides updates on a wide variety of policy issues.

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Action Alerts

“Action Alerts” are sent out by the Academy throughout the year as bills or resolutions supported by the Academy are introduced or up for a vote in the U.S. Senate or U.S. House of Representatives, or, if a government agency is planning to implement or change current regulations. Members are urged to take a few minutes to log into their account to use the Academy-provided tool, the “Academy Action Center,” to send pre-written electronic letters to their members of Congress. With only a few keyboard strokes, members can personalize the letters and include their contact information.

Learn more at:

Take Your Congressperson to Work

Each August, Congress recesses and members work from their home district offices. This district work period provides the opportunity for Academy members to meet with their members of Congress to provide further information on key pieces of legislation supported by the Academy. The Academy suggests that during this time members may also wish to organize an opportunity to “take their Congressperson to work,” inviting them to see the important work they do in their role as RDN in the private, public or non-profit sector. If this is something you might like to do, let the PPP know!

Quarterly Advocacy Days

To provide more frequent opportunities for Academy members to meet (in person or remotely) with their members of Congress, the PIA office has established Quarterly Advocacy Days to coordinate affiliates’ policy and advocacy actions to amplify our voices on Capitol Hill. Recent Advocacy Days focused on policies for treating obesity as a chronic disease and to support MNT, IBT and medications for weight management.

National Alliances

To expand the reach of its national advocacy campaigns, the Academy joins national advocacy alliances working on a variety of health and nutrition issues. Examples of these are the Obesity Care Advocacy Network and Defeat Nutrition Today



Annual Meeting

Annual Meeting

2022 ANCE will be virtual. Thursday and Friday, March 24th & 25th. 

Public Policy

Public Policy

Do You Want to Make a Difference for Your Profession and Your Community?  Visit our Public Policy Section.