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STATE PUBLIC POLICY, LEGISLATION & ADVOCACY
Massachusetts Academy of Nutrition and Dietetics - 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.
Read more about the Academy’s legislative and public policy priorities at https://www.eatrightpro.org/advocacy/legislation/all-legislation
MAND's vision is that “Massachusetts residents will thrive through the transformative power of food and nutrition” and our mission is to “empower MAND members, through advocacy and education, to serve their communities as nutrition experts.” MAND’s public policy activities at the state level seek to achieve both.
MAND Public Policy Panel
Every state affiliate of the Academy has a group of elected and appointed members who make up its Public Policy Panel (PPP). The Academy outlines PPP positions and provides guidance and support to affiliate PPP members. The Manager of Grassroots and State Advocacy in the Academy’s Washington, DC, office is available to PPP members to assist and guide them in their public policy and advocacy efforts.
For a quick guide to PPP positions, click here.
Massachusetts State Legislature
Formally called “The General Court of the Commonwealth of Massachusetts,” the Massachusetts legislature is responsible for enacting laws in the state, as well as passing an annual budget. It is comprised of a Senate, with 40 members, and a House of Representatives, with 160 members, all of whom serve two-year terms. Each new two-year legislative session begins on the first Wednesday of each odd-numbered year (e.g., January 2, 2019), and ends its formal session on the last day of July of the even-numbered year, with informal sessions running through the end of December.
MAND tracks a variety of bills in the state legislature, including those which impact the health and nutrition of Massachusetts residents, the nutrition and dietetics profession and dietetic licensure. We also track annual state budgets, as these affect government spending on programs which employ our members and provide nutrition, health and prevention services for state residents (e.g., MA Food Trust Program, Healthy Incentives Program for SNAP recipients).
For additional information on the Massachusetts legislature, visit: https://malegislature.gov.
MAND encourages all members to call upon their state senators and representatives to support bills and budget items in line with our public policy and legislative priorities, as well as to introduce them to our organization and the many important roles of RDNs and NDTRs working across the state. The PPP would be happy to answer any questions you have about state-level legislation and contacting or meeting with your state legislators! Please email MAND's Director of Public Policy, Sarah Conca at email@example.com to learn more.
Legislation - Bills & Public Hearings
MAND tracks the progress of bills in the state legislature and attends public hearings at the State House. Hearings provide an opportunity for members of the public to provide “verbal testimony” and speak directly to legislators to voice their support for or opposition to certain bills. Public hearings also provide an opportunity to submit “written testimony,” position statements for or against a bill. MAND reaches out to its members when it seeks input on a bill for which we plan to provide verbal or written testimony. Many times, we are looking for members with career expertise in the area impacted by the bill, such as elder care, healthy food access, public food assistance programs and public health. We urge any interested member to get involved in this process and also hope to hear from members when called upon to provide input.
A recent example of a bill in line with the Academy’s and MAND’s public policy priorities is S.2473/H.4218, An Act regarding breakfast after the bell, which would mandate that all public K-12 schools serving free or reduced-price meals under the federal National School Lunch Program to at least 60% of the students offer all students a school breakfast after the instructional day has begun. This bill was passed by the Massachusetts House in November 2019 and Senate in January 2020.
Annual Legislative Event - Day on the Hill
The Academy encourages each state affiliate to hold an annual state-level legislative event. To promote its mission, provide members an opportunity to engage in the state legislative process and introduce state legislators to our organization and profession, MAND holds its “Day on the Hill” each March at the State House.
Each year’s event has a theme, such as nutrition in prevention and wellness, or creative solutions to reduce food insecurity, and MAND members working in the specific area being highlighted are asked to speak at the event. The event kicks off with welcome remarks from a state senator or representative who supports public policy and legislation related to nutrition, health and well-being. Each year’s event also serves to present a proclamation from the governor announcing that March is “National Nutrition Month® in Massachusetts.”
MAND needs the support of all members, RDNs, NDTRs, dietetic interns and nutrition students alike to make the event a success. Please check the MAND website’s Meetings & Events section for information on the upcoming event.
Public Policy Partnerships
MAND is an organizational member of several state associations and stakeholder groups. MAND’s PPP works with them to impact public policy to improve public health, especially increasing access to healthy, affordable food and reducing rates of malnutrition and food insecurity and the burden of chronic disease related to poor nutrition.
One such organization is the Massachusetts Public Health Association (MPHA), who puts out “action alerts” at key times in the legislative cycle, such as when a bill is up for a vote by the legislative committee of jurisdiction. MAND supports activities related to its Act FRESH campaign “…taking action to build a better future for Massachusetts families by improving access to healthy, affordable food and safe public spaces for physical activity.”
The key piece of legislation in this campaign is the Massachusetts Food Trust Program. As part of MPHA’s stakeholder group, MAND was involved in the successful legislative campaign to establish the Massachusetts Food Trust in 2014. After two years of continued advocacy, the legislature committed $6 million in capital funding and $100,000 to cover administrative costs of the Food Trust, and in 2017, the government released $1 million in capital funds to begin the real work of funding private and public ventures in healthy food retail.
For more information on the Massachusetts Food Trust visit https://mapublichealth.org/priorities/access-to-healthy-affordable-food/ma-food-trust-program/
Another key partnership is the Massachusetts Food is Medicine Coalition (FIMMA). Food is Medicine is a policy initiative that supports providing individuals and families nutritious foods and meals tailored to chronic health conditions that are impacted by diet, such as diabetes, heart disease and HIV/AIDS. A further goal of Food is Medicine is to incorporate medically tailored meals and other food resources into the health care delivery and payment systems.
Two Massachusetts organizations – Community Servings and the Center for Health Law and Policy Innovation of Harvard Law School – pioneered this work over the past several years, ensuring that health care organizations and lawmakers were involved and updated as test programs and research studies were set up and the state’s blueprint was created.
Since the June 18th launch of the Massachusetts Food is Medicine State Plan, MAND members have been actively involved in further guiding FIMMA efforts across the state, attending meetings of the Food is Medicine community based organization task force as part of the broader FIMMA coalition.
MAND’s public policy panel has been asked to work with these MAND members to help support their work. Might you be interested in helping to support your colleagues and FIM? Visit https://foodismedicinema.org/ for more information on the Massachusetts Food is Medicine State Plan.
Click here to read the Massachusetts Food is Medicine State Plan.
Regulation - DPH & DPL
In addition to legislation, MAND tracks regulation at the state level. Regulations are the specific rules created for carrying out legislation. Regulatory agencies, such as the Massachusetts Department of Public Health (DPH), set and revise regulations over time, and, as with legislation, seek public comment when they do so. For example, DPH might seek to update school nutrition standards for public schools and individuals and organizations, including MAND members, will submit written testimony to DPH to uphold strict nutrition standards in school meals.
Other regulations impact our profession directly. The Division of Professional Licensure (DPL) oversees the Board of Registration of Dietitians and Nutritionists, which grants licenses to qualified dietitians and oversees licensees to ensure they are complying with all requirements relating to ethical practice, ongoing continuing education and license renewal.
Massachusetts is one of 47 states with dietetic licensure or certification. After many years of grassroots advocacy work performed by hundreds of MAND members, the Massachusetts legislature passed a bill in 1999 establishing the Board of Registration of Dietitians and Nutritionists and creating the credential “licensed dietitian/nutritionist” or “LDN.” Defining the LDN credential, and ways to obtain and maintain state licensure, provide an extra level of protection for the public against those practicing without the proper education, supervised practice experience and ethical guidelines requisite of the nutrition and dietetics profession as established by the Academy and CDR.
For a history and overview of dietetic licensure in Massachusetts, click here.
MAND worked with the Academy to create a fact sheet on dietetic licensure in Massachusetts. To view this document, which is intended for use by MAND members looking to learn more or inform others about licensure, click here.
As with other bills, MAND may attend public hearings or submit written testimony related to state legislation affecting dietetic licensure. A recent example is H.991, ‘An Act advancing and expanding access to telemedicine services.’
To view MAND’s January 2020 letter to the Joint Committee on Financial Services related to H.991, click here.
To view the Academy’s January 2020 letter, sent to provide additional background information, MAND’s letter, click here.
The Academy asks all state affiliates to appoint a Consumer Protection Coordinator (CPC). MAND’s CPC serves as the liaison to the Board of Registration of Dietitians and Nutritionists, attending its quarterly meetings to facilitate clear and effective communication between the Board and MAND and address questions pertaining to licensure and continuing education requirements.
To learn more about dietetic licensure, visit the Licensure Information section, located under Professional Development.
For information on providing telehealth to other New England states and their licensure regulations, please refer to this spreadsheet.
MAND & Advocacy
If you are interested in MAND’s public policy activities, such as responding to “action alerts” to support nutrition legislation, or getting involved in our activities to promote our profession, consider joining MAND’s “grassroots network,” an email list of MAND members who wish to stay updated about public policy. Or, consider joining one of our monthly conference calls.
MAND has many ways to get involved and we would love for you to do so! If so, please email MAND's Director of Public Policy, Sarah Conca, at firstname.lastname@example.org.
Other resources for those wishing to learn more about public policy in Massachusetts:
The Food is Medicine Massachusetts Coalition (FIMMA) was created to address the nutritional needs of individuals through the health care system to prevent, manage, and treat diet-related chronic illnesses. Food is Medicine interventions improve health outcomes and reduce health care costs.
The Food is Medicine Massachusetts State Plan is the culmination of two years’ work from a variety of statewide stakeholders in Food is Medicine interventions. The State Plan contains strategies for organizations and state agencies to use to improve access to Food is Medicine over time.
Massachusetts Food System Collaborative (MFSC) was created following the completion of the Massachusetts Local Food Action Plan in December 2015. The goals of the Collaborative are to promote, monitor and facilitate implementation of the Plan.
Massachusetts Health Council (MHC) leads a stakeholder group working to strengthen a culture of health in Massachusetts, promoting policies and programs to enable healthier lifestyles, wellness, and preventative care.
Massachusetts Healthy Eating Community of Practice (HE CoP) focuses on increasing state residents’ access to healthy, safe, and affordable foods, especially locally grown fruits and vegetables. HE CoP strategies align with the Mass in Motion Healthy Markets Initiative and work of the Massachusetts Food Policy Council and Massachusetts Public Health Association.
Massachusetts Public Health Association (MPHA) is a private, non-profit, statewide membership organization founded in 1879, and is now a leading affiliate that promotes a healthy Massachusetts through advocacy, education, community organizing and coalition building. They support policies and programs to prevent illness, disease and injury, with a focus on communities facing inequities.
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