The MNT Act has been reintroduced in both Chambers of Congress!

S. 1536 and H.R. 3108 are the newest iterations of the MNT Act. In this session, members have combined previous acts to make a more comprehensive legislative initiative.

The MNT Act aims to do three things:

• 1. Expands MNT coverage to several additional diseases. Currently, a Medicare patient can be referred to a dietitian for MNT for diabetes, renal disease, and post-kidney transplant care. S.1536 & H.R.3108 expands the list of covered conditions considerably, and includes CVD, cancer, GI disorders, prediabetes, obesity, eating disorders, HTN, HIV/AIDS, high cholesterol, and malnutrition.
• 2. Gives the Secretary of Health the authority to include other diseases based on medical necessity. This means that in the future, if evidence warrants the addition of other diseases, the Secretary will be able to add it to the list without taking it to Congress. Currently, it takes a literal act of Congress to add coverage.
• 3. Authorizes nurse practitioners, physician assistants, clinical nurse specialists, and psychologists to refer patients for MNT. Currently, only physicians can refer a patient for MNT. The addition of these care providers will make room for those who do not regularly see a physician to receive MNT.

If you would like more information on each piece of legislation, you can click on the bill numbers above. You can also track these bills on Congress.gov. and/or GovTrack.us. If you would like the Academy Member Brief on the MNT Act, please contact me at PublicPolicy@EatRightNevada.org.

Also, consider participating in the Academy Action Alert regarding the MNT Act, as well as several others. You can access the action alerts in the eatrightPRO Action Center.

On the State level, AB73 has been signed by Governor Sisolak! This cleans up our licensure statute (NRS 640E) and also provides an avenue for provisional licensing for newly graduated dietetic interns. Thanks to Kara Freeman, our former State Policy Representative, for her work in getting this accomplished! Please see her piece in the newsletter below for more information.

Have a great June!
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Dawn Matusz, MS, NDTR
Public Policy Coordinator






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​There are several child nutrition programs which help families, schools, and child care programs provide healthy foods to children. Rather than revisit each one separately, Congress uses a process called Child Nutrition Reauthorization (CNR) to revisit and modify the permanent laws that established many of these programs. The Healthy, Hunger-Free Kids Act (HHFKA) of 2010 was the most recent CNR, and certain provisions in that law expired at the end of September 2015. 

Some of the programs typically included in CNR laws are permanently authorized and have permanent authorization of appropriations.1 The National School Lunch Program (NSLP) and Child and Adult Care Food Program (CACFP) are two examples of such programs. In other words, programs of this type do not expire, even if the CNR law expires. Other programs – WIC, for example – have permanent authorization, yet their authorizations of appropriations expired when the HHFKA expired.1 Funding for these programs has been provided through yearly appropriations acts since the expiration of HHFKA. Still other programs expired and ceased to operate when HHFKA expired.

Especially in light of recent crises like the COVID pandemic and the subsequent economic downturn, CNR is an important step towards improving access to healthy food for all children. Dr. Lee Beers, President of the American Academy of Pediatrics, recently reported to Congress that physicians across the nation have seen an alarming rise in child obesity – including body weight increases between 20% - 90% over the last year.2 Furthermore, Feeding America projects that 1 in 6 children may experience food insecurity in 2021.3 Both child obesity and food insecurity have been exacerbated by the current crises experienced nationwide.

Undoubtedly, Child Nutrition Reauthorization is a crucial endeavor for the 117th Congress. Thankfully, CNR is largely a bipartisan effort, and Congress has already started working towards a new CNR law to be enacted before this session ends in January 2023. 

I hope this has increased your understanding of CNR. If you have any questions, feel free to contact me. For information on the Academy’s CNR stance and talking points, visit here. Also, there are several active Action Alerts in the Academy’s Action Center.

Talk Soon!

Dawn Matusz, MS, NDTR
Public Policy Coordinator



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On March 12, NvAND will be hosting our annual Legislative Day.  Why is it important?  First, there is a bill pending that affects our licensure bill.  In the Committee on Commerce and Labor hearing, there were a number of questions that were asked by the Legislators that showed an interest in the
bill, but not necessarily support.  It is still sitting in Committee before it goes to the full Assembly.  We need to be sure that all members of the Assembly and Senate realize the importance of passing this bill. 

Second, we are the nutrition professionals.  We do our jobs using strong scientific evidence.  Many times, bills might come before the legislator that affect some aspect of nutrition.  By meeting the legislators and making sure they have an understanding of who we are and what we do and that we use evidence-based information, they know they can call on us for advice.  That one-on-one relationship with legislators is important. Can you spare 15-20 minutes on March 12 to meet, virtually, with a legislator?  I have 34 appointments scheduled but not enough of our members to meet with those legislators.  If you can spare 15-20 minutes, please sign up to attend.  We will have a training/kickoff on March 5 so you will know about the bill and what to say.

Thank you to those already registered and I hope to see more of you sign up.

Kara Freeman, DrPH, RD, FAND
State Public Policy Representative