Public Policy Agenda


The American Society for Parenteral and Enteral Nutrition (ASPEN) seeks an environment in which every patient receives safe, efficacious, and high quality care by advancing the science and practice of clinical nutrition and metabolism.

Program Objectives

ASPEN’s intent includes active advocacy for high priority issues pertaining to nutrition support, including working in coalition with other like-minded organizations, as appropriate. Our advocacy also includes working with Congress, the Executive branch (NIH, regulatory agencies, CMS), public/private groups, and the courts (amicus briefs) to:

  • Advocate for optimal nutrition as a national patient safety issue and optimal nutrition as a national patient safety goal. 
  • Work on patient access to nutrition care through changing reimbursement 
  • Improve nutrition support therapy by minimizing product shortages
  • Improve the safety and quality of all patients/consumers receiving nutrition support therapy, resulting in improved patient outcomes; 
  • Advocate for fair reimbursement to ensure that beneficiaries of government funded health programs receive the highest quality nutrition support care; 
  • Sponsor the concept of a fair marketplace that does not jeopardize the provision of safe and quality nutrition support; 
  • Promote continued federal funding for nutrition and metabolic research, education, and training and dissemination of same; and 
  • Advocate for health system reform that benefits the efficacious delivery of nutrition support. 
  • Promote an interdisciplinary approach to the nutrition care of patients.
  • Support reimbursement for nutrition clinician services to improve patient care.

Priority Issues

  1. Work to change government guidelines to: 
    1. Advance information technology and safe practice issues related to parenteral and enteral nutrition (compounding pharmacy oversight, drug shortages, PN safety, connectors for enteral devices). 
    2. Monitor and influence development of new definitions for medical foods and billing codes, especially for malnutrition, nutrition therapy, and metabolic support 
    3. Integrate, coordinate, and develop initiatives to better define, diagnose, and treat disease related malnutrition. 
    4. Promote adequate coverage and reimbursement for parenteral and enteral nutrition
  2. Support reimbursement for nutrition therapy and appropriate clinician services to improve patient care.
  3. Work to improve funding for the support of: 
    1. Health professions education and training in nutrition support; 
    2. Nutrition support therapy related research. 

Approved by the ASPEN Board of Directors February 24, 2016

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