
01/23/08 - American Diabetes Association Supports H.B. 1323
January 23, 2008 
The Honorable Craig R. Fry
Indiana House of Representatives
200 West Washington Street
Indianapolis, IN 46204
Dear Chairman Fry:
On behalf of The American Diabetes Association and dialysis patients
across the state of Indiana, we write to express our support for H.B.
1323, the Indiana Dialysis Patient’s “Bill of Rights.”
Diabetes is the number one cause of chronic kidney disease and end
stage renal failure. Today, there are 20.8 million children and adults
in the United States who have diabetes, and each day, approximately
4,110 additional people are diagnosed with the disease. As this
already significant number continues to rise, so, too, will the number
of people who need dialysis treatments.
Currently, 6,478 people in Indiana suffer from kidney disease and rely
on dialysis treatments to stay alive. As you know, dialysis patients
are among the most vulnerable in America, typically requiring treatment
3 times a week for about 4 hours at a time to remove toxins that would
otherwise be fatal.
To meet their specialized needs, community-based dialysis centers
provide high-quality care in a caring environment. In fact, dialysis
patients often develop a deep level of trust and security with their
physician, nurses, and techs, which makes the rigorous treatment they
receive less stressful.
In Indiana, however, all this is at risk: insurance companies are
forcing many patients to leave their dialysis center because of a
unilateral decision to reduce payments for out-of-network care. This
announcement comes as a shock to many because it will force patients to
abruptly leave their current provider and in many cases drive longer
distances to receive the care they need.
Patients deserve to have access to the highest quality care possible.
Patients who have paid higher premiums for the right to choose where
they receive their care also deserve to exercise that right. Without
your support, however, these rights will be violated.
As a result, we write in strong support of H.B. 1323, the Indiana
Dialysis Patient’s “Bill of Rights.” This important measure will
preserve dialysis patients’ freedom of choice and prohibit unilateral
rate-setting by private insurers for out-of-network dialysis services.
H.B. 1323 will also bring an end to after-the-fact policy changes and
ensure patients are not forced to travel unreasonable distances for
in-network dialysis services. Finally, H.B. 1323 will safeguard the
right of dialysis patients to be informed by ensuring they are notified
of any benefit changes that would affect their coverage.
Please help ensure Indiana’s dialysis patients have the freedom of
choice to decide where they receive their care. Please support H.B.
1323, the Indiana Dialysis Patient’s “Bill of Rights.”
Sincerely,
R. Stewart Perry
Chairman
American Diabetes Association
The American Diabetes Association is the nation's leading 501(C)3
nonprofit health organization providing diabetes research, information
and advocacy. Founded in 1940, the American Diabetes Association
conducts programs in all 50 states and the District of Columbia,
reaching hundreds of communities. The mission of the Association is to
prevent and cure diabetes and to improve the lives of all people
affected by diabetes.