If you are a MAND member, then Public Policy and Advocacy is central to your career, regardless of your career setting, tenure or nutrition philosophy.   Recent policy issues have covered the entire spectrum, such as

  • Participate in the update of Long Term Care Facility Regulations and the Assisted Care Regulations to provide the best nutritional care for residents
  • codifying the scope of practice of unlicensed professionals
  • continuing the State’s licensure provisions for RDNs and CNSs
  • extending federal coverage of Child Nutrition programs
  • allowing RDNs to write medical nutrition orders
  • authorizing CMS to grant billing status to RDNs

We may believe our work as nutrition professionals begins and ends with the public. However,  we must also understand that under what conditions, and if, how, when, where, and by whom those services are provided, is determined by federal, state, and local governments, as well as private corporations.   Optimizing the provision of such services is the goal of the Academy’s public policy mission.  Thus, if nutrition is your profession, then public policy is your business, even if the decision-making seems remote or complex.  As someone famous is reputed to have said, “Those who choose not to participate in democracy are doomed to be controlled by those who do.” 

MAND’s public policy positions are formed by the MAND Public Policy Panel, which includes:

President   Livleen Gill, MBA, RD, LDN  
Affiliate Delegate to the AND House of Delegates   Jessica Kiel, RD, LDN, NASM-CPT, CCRP
Public Policy Coordinator   Barbara Hoffstein, RD, LDN
State Policy Representative   Andrea Troutner, RD, LDN, CDE
State Regulatory Specialist   Arnetta Fletcher, PhD, RDN, LDN 
Reimbursement Representative   Anna Bondy, MPH, RD, LDN
Consumer Protection Coordinator   Diana Suguchi, RDN, LDN

How the Public Policy Panel is working for MAND Members

In 2016 our Maryland State Public Policy Interactive Workshop had 77 members visit their legislators and once again show that Dietitians & DTR’s vote and as the Nutrition Experts are able to act as a resource to our legislators. After doing these meetings for several years and increasing our numbers . . .

Our presence has gotten us to the table:

PRIVATE PRACTICE DIETITIANS: House Bill 1318/Senate Bill 92:  This bill addresses the Access of Health Insurance Companies Networks.  Dan Shattuck, our lobbyist, arranged to have an RD as a part of the work group to address network adequacy and access within the network.  Livleen Gill, Anna Bondy and Glenda Lindsey are representing MAND on this workgroup.

AID FOR DIABETIC STUDENTS IN PUBLIC SCHOOLS:  House Bill 771/Senate Bill 71.  This bill allows for the State Health Department training of volunteer (all employees of the public schools) to act in the absence of a school nurse to aid students requiring aid with diabetes.  This would allow students to participate in school trips and other activities they would otherwise be unable to attend.  The workgroup to determine these regulations will include two MAND members, Andrea Troutner, a CDE and Marla Caplon, an RD with the Montgomery County Public Schools. 

Once again we could not have accomplished this without the connections of our lobbyist/strategists: Barbara Marx Brocato and Dan Shattuck.


For the last 2 years leaders in MAND have been working with the Maryland Office of Healthcare Quality on providing comments on the regulations for Long Term Care and Assisted Living Facilities. More to come on the final draft in the 2016-2017 year.

This June the Public Policy Workshop will bring MAND Members to the Federal level.  From time to time we send out an E-blast that asks members to respond to Action Alerts.

With this being an election year, it is a great time to have our voices heard.

We ask that each of our members take 15- 20 minutes during the year and get engaged in public policy dialogue.


Federal Public Policy
State Public Policy
Public Policy FAQs 

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