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The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population (2000)

Chapter: Appendix D: State Licensure Laws for the Practice of Dietetics (as of June 1999)

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Suggested Citation:"Appendix D: State Licensure Laws for the Practice of Dietetics (as of June 1999)." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
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Appendix D
State Licensure Laws for the Practice of Dietetics (as of June 1999)

STATUTORY DEFINITIONS

  • Licensing statutes explicitly define the scope and requirements of professional practice. It is illegal to practice a regulated profession without first obtaining a license from the state.

  • Statutory certification limits the use of particular professional titles to persons meeting predetermined requirements, but persons not certified can still practice the profession.

  • Registration is the least restrictive form of state regulation. In California (the only state where this statutory category is currently used), registration is an entitlement law that prohibits use of the title “dietitian” by persons not meeting state-mandated qualifications. However, unregistered persons may practice the profession. Typically, exams are not given and enforcement of the registration requirement is minimal.

PROFESSIONAL REGULATION: STATE UPDATE

Alabama (1989)1—licensing of dietitian-nutritionists

Arkansas (1989)—licensing of dietitians

California (1995)1—registration of dietitians

Connecticut (1994)—certification of dietitians

Delaware (1994)—certification of dietitian-nutritionists

District of Columbia (1986)—licensing of dietitians and nutritionists

Florida (1988)—licensing of dietitian-nutritionists and nutrition counselors

Suggested Citation:"Appendix D: State Licensure Laws for the Practice of Dietetics (as of June 1999)." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×

Georgia (1994)1—licensing of dietitians

Idaho (1994)—licensing of dietitians

Illinois (1990)—licensing of dietitians and nutrition counselors

Indiana (1994)—certification of dietitians

Iowa (1985)—licensing of dietitians

Kansas (1989)1—licensing of dietitians

Kentucky (1994)1—licensing of dietitians and certification of nutritionists

Louisiana (1987)1—licensing of dietitian-nutritionists

Maine (1994)1—licensing of dietitians and dietetic technicians

Maryland (1994)1—licensing of dietitians and nutritionists

Minnesota (1994)—licensing of dietitian-nutritionists

Mississippi (1994)1—licensing of dietitians and protection of nutritionist title

Montana (1987)1—licensing of nutritionists and protection of dietitian title

Nebraska (1995)1—licensing of medical nutrition therapist

Nevada (1995)—certification2 of dietitians

New Mexico (1997)1—licensing of dietitians, nutritionists, and nutrition associates

New York (199l)—certification of dietitians and nutritionists

North Carolina (199l)—licensing of dietitians and nutritionists

North Dakota (1989)1—licensing of dietitians and certification2 of nutritionists

Ohio (1986)—licensing of dietitians

Oklahoma (1984)—licensing of dietitians

Oregon (1989)—certification2 of dietitians

Puerto Rico (1974)1—licensing of dietitians and nutritionists

Rhode Island (l991)1—licensing of dietitians and nutritionists

South Dakota (1996)—licensing of dietitian-nutritionists

Tennessee (1987)—licensing of dietitian-nutritionists

Texas (1993)1—certification2 of dietitians

Utah (1996)1—certification of dietitians

Vermont (1993)—certification of dietitians

Virginia (1995)—certification2 of dietitians and nutritionists

Washington (1988)—certification of dietitians and nutritionists

West Virginia (1996)—licensing of dietitians

Wisconsin (1994)—certification of dietitians

SOURCE: Reproduced with permission from the Journal of the American Dietetic Association. 1997. Update on state licensure laws and ADA regulatory remarks. J Am Diet Assoc 97:1251.

1  

Year amended or authorized.

2  

These laws provide the certified practitioner with a license and are termed “voluntary licensing” laws.

Suggested Citation:"Appendix D: State Licensure Laws for the Practice of Dietetics (as of June 1999)." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×
Page 340
Suggested Citation:"Appendix D: State Licensure Laws for the Practice of Dietetics (as of June 1999)." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×
Page 341
Next: Appendix E: The American Dietetic Association Foundation Knowledge and Skills and Competency Requirements for Entry-Level Dietitans »
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Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited.

  • Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life?
  • Which health professionals are best qualified to provide such services?
  • What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population?

This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.

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