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                                                      PRINTER'S NO. 4205

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE RESOLUTION

No. 813 Session of 2004


        INTRODUCED BY WASHINGTON, TIGUE, PISTELLA, MYERS, JAMES, THOMAS,
           WATERS, READSHAW, ROEBUCK, KIRKLAND, HORSEY, GEORGE, DeWEESE
           AND BEBKO-JONES, JUNE 29, 2004

        REFERRED TO COMMITTEE ON INSURANCE, JUNE 29, 2004

                                  A RESOLUTION

     1  Supporting diabetic insurance coverage.

     2     WHEREAS, Diabetes is a disease that affects the body's
     3  ability to produce or respond to insulin and is the sixth-
     4  leading cause of death and fifth-leading cause of death by
     5  disease in the United States; and
     6     WHEREAS, Diabetes is a disease with serious complications,
     7  including blindness, kidney disease, amputations, heart attack
     8  and stroke, and has no cure; and
     9     WHEREAS, Approximately 2.3 million or 10.8% of all African
    10  Americans have diabetes, and one-third of them do not know it;
    11  and
    12     WHEREAS, African Americans are 1.7 times more likely to have
    13  diabetes than non-Hispanic whites and 25% of African Americans
    14  between the ages of 65 and 74 have diabetes; and
    15     WHEREAS, One in four African-American women over 55 years of
    16  age has diabetes, and African Americans are twice as likely to
    17  suffer from diabetes-related blindness; and

     1     WHEREAS, Diabetes is the most frequent cause of nontraumatic
     2  lower limb amputations, and among people with diabetes, African
     3  Americans are 1.5 to 2.5 times more likely to suffer from lower
     4  limb amputations; and
     5     WHEREAS, Ten to twenty-one percent of all people with
     6  diabetes develop kidney disease and African Americans with
     7  diabetes are 2.6 to 5.6 times more likely to suffer from kidney
     8  disease (end-stage renal disease) each year; and
     9     WHEREAS, Ninety to ninety-five percent of African Americans
    10  with diabetes have type 2, which is preventable, and two main
    11  risk factors increase the chance of developing type 2: genetic
    12  components and lifestyle, including obesity. Type 2 diabetes
    13  could greatly be lowered within the African-American community
    14  through proper diet and exercise. Education on healthy eating is
    15  crucial to fighting the current twin epidemics of diabetes and
    16  obesity with the African-American community; and
    17     WHEREAS, The Diabetes Control and Complications Trial, a
    18  multi-million dollar clinical research effort funded by the
    19  National Institues of Health, proved beyond a shadow of a doubt
    20  that keeping blood sugar in the normal range helps to prevent
    21  the complications of diabetes; and
    22     WHEREAS, Diabetes is a significantly self-managed disease
    23  requiring constant attention on the part of the patient and
    24  access to the tools needed to manage the disease; and
    25     WHEREAS, Appropriate insurance coverage of the necessary
    26  diabetes supplies, equipment and education is the only way to
    27  ensure that people with diabetes have access to the tools they
    28  need to prevent the deadly and costly complications of diabetes;
    29  and
    30     WHEREAS, Forty-three states have already enacted state
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     1  legislation mandating state-regulated insurance plans to cover
     2  the medically necessary supplies, equipment and education needed
     3  to self-manage diabetes; therefore be it
     4     RESOLVED, That the House of Representatives support efforts
     5  in the remaining states to require that insurance providers
     6  cover the necessary supplies, equipment and education needed to
     7  appropriately self-manage diabetes. The House of Representatives
     8  also opposes efforts to roll back, weaken or eliminate existing
     9  provisions that require insurance providers to cover the
    10  necessary supplies, equipment and education needed to
    11  appropriately self-manage this deadly, serious and costly
    12  disease.












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