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Career Talk: Licensure will benefits RD's SB2936
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02/18/12 04:29 PM | Edit ReplyReply   |    Licensure will benefits RD's SB2936
MonigueJ
284 Posts
Chicago
Registered Dietitian

Please read, ADA/AND are working very very hard. Many states licensure laws will expire in 2013 and etc. Please read below. I will respond in all caps.

ILLINOIS: SB 2936 highlights... The scope of practice has been broadened. Scope of practice is now defined as “dietetic and nutrition services” which includes: nutrition counseling, nutrition assessment, medically prescribe diet, medical nutrition therapy Furthermore, the definition of MNT has been broadened to be much more comprehensive — most likely for insurance purposes. OBESITY REIMBURSEMENTS

Would repeal ability to use CCN or “Certified Clinical Nutritionist” after passing the additional criteria of CBNS certification. "ONLY LDN'S WILL BE ABLE TO USED THE NAMEs OF DIETETIAN AND NUTRITONIST" NO ONE ELSE

Acknowledges ADA name change to Academy of Nutrition and Dietetics Increases fine to 10,000 for each offense. Before if you were licensed to practice nutrition services in another state — you could practice in Illinois. This bill would repeal that. Changes the board from 7 to 5 -- 4 of which are licensed dietitian (removes the requirement that a physician and a nurse has to be on the board). "ONLY RD'S CAN GOVERN RD AND APPROVE LICENSURE". Exam is determined by the Dept. But the bill does mention the CDR exam. Board may waive requirements of licensure if individual is registered with ADA.

" HOW CAN YOU BECOME A REGISTERED DIETITIAN...SUPERVISED DIETITIAN"

Changes practice hours from 900 to 1200 CED hours no longer specifically prescribed. It just has to be in accordance of ADA rules.

Please read this bill carefully. It is available here: http://1.usa.gov/Aqy1q0

Note on reading SB 2936: The amendments to the current act regulating dietitians are shown either through strike-throughs (provisions that will be repealed if SB 2936 passes) and underlined portions (provisions that will be added).

Illinois General Assembly - Full Text of SB2936

02/18/12 04:34 PM | Edit ReplyReply   |    RE: Licensure will benefits RD's SB2936
MonigueJ
284 Posts
Chicago
Registered Dietitian


    Posted by MonigueJ:
    Please read, ADA/AND are working very very hard. Many states licensure laws will expire in 2013 and etc. Please read below. I will respond in all caps.

    ILLINOIS: SB 2936 highlights... The scope of practice has been broadened. Scope of practice is now defined as “dietetic and nutrition services” which includes: nutrition counseling, nutrition assessment, medically prescribe diet, medical nutrition therapy Furthermore, the definition of MNT has been broadened to be much more comprehensive — most likely for insurance purposes. OBESITY REIMBURSEMENTS

    Would repeal ability to use CCN or “Certified Clinical Nutritionist” after passing the additional criteria of CBNS certification. "ONLY LDN'S WILL BE ABLE TO USED THE NAMEs OF DIETETIAN AND NUTRITONIST" NO ONE ELSE

    Acknowledges ADA name change to Academy of Nutrition and Dietetics Increases fine to 10,000 for each offense. Before if you were licensed to practice nutrition services in another state — you could practice in Illinois. This bill would repeal that. Changes the board from 7 to 5 -- 4 of which are licensed dietitian (removes the requirement that a physician and a nurse has to be on the board). "ONLY RD'S CAN GOVERN RD AND APPROVE LICENSURE". Exam is determined by the Dept. But the bill does mention the CDR exam. Board may waive requirements of licensure if individual is registered with ADA.

    " HOW CAN YOU BECOME A REGISTERED DIETITIAN...SUPERVISED DIETITIAN"

    Changes practice hours from 900 to 1200 CED hours no longer specifically prescribed. It just has to be in accordance of ADA rules.

    Please read this bill carefully. It is available here: http://1.usa.gov/Aqy1q0

    Note on reading SB 2936: The amendments to the current act regulating dietitians are shown either through strike-throughs (provisions that will be repealed if SB 2936 passes) and underlined portions (provisions that will be added).

    Illinois General Assembly - Full Text of SB2936


In Illinois after 2013 only RD's can become LDN's we are making headway!!! What will they do with those individuals that are LDN's (grandfathered) or LDN's (who took the RD exam)

02/18/12 06:40 PM | Edit ReplyReply   |    re
NourishMe
113 Posts

Educator

Hi Monique,

So I did reread over the proposed changes to the current practice act in Illinois, and you are correct, an internship is not required only 1200 hours of supervised practice. This essentially means, a DI, an ISPP, an alternative internship, or supervised work or volunteer experience. So that part hasn't changed and has been in effect for over 10 years now. http://www.idfpr.com/Renewals/apply/Forms/diet-ex.pdf

Of course, those that are RDs can easily apply, however those that are unmatched DPD graduates, CCNs, CNS, will have to do an internship or show supervised experience from their current/former supervisors in order to apply as an LDN. Supervisors must be a RD, LDN, PhD (with a related degree) and/or licensed healthcare providers with "nutrition care" as part of their scope of practice.

Education: http://www.ilga.gov/commission/jcar/admincode/068/068012450B01300R.html

Experience: http://www.ilga.gov/commission/jcar/admincode/068/068012450B01400R.html

I knew that if I moved to Illinois, I would have to work supervised for a length of time before I could apply to be an LDN (currently requires at least a BS degree and the 900 supervised hrs). So nothing major has changed since the last time I looked into Illinois laws, at least with regard to who can practice. Thank goodness. (Hmm, wonder if supervision works the same if I'm an independent contractor in my state, but my RD supervisors are in another state, that just happens to be in Illinois?) However, there are other current/proposed state practice acts that don't make some of the allowances that IL has provisioned. Some want the DI or nothing!

[Edited by NourishMe on 02/18/12 06:46 PM]

[Edited by NourishMe on 02/18/12 06:58 PM]


"Be the change you want to see in the world."

02/18/12 09:58 PM | Edit ReplyReply   |    Nutrition/ dietitian
shandstar
1237 Posts
Lewisville TX
Registered Dietitian

So it's getting pretty strict- are other states going to follow this? So for those nutritions, 1200 hours can come from something other than an internship, right? Sorry all of this policy, legislative stuff is confusing to me ;)

02/18/12 11:18 PM | Edit ReplyReply   |    Nutrition/ dietitian
NourishMe
113 Posts

Educator


    Posted by shandstar:
    So it's getting pretty strict- are other states going to follow this? So for those nutritions, 1200 hours can come from something other than an internship, right? Sorry all of this policy, legislative stuff is confusing to me ;)

Hi Shandstar,

Yes, this as Monique has mentioned may be the trend. States that currently License Dietitian/Nutritionists have very similar requirements. If you have a Bachelors, Masters or Doctorate in nutrition or similar program, you can substitute the DI for 900 - 1200 hours from education/work/volunteer/internship experience, depending on the state. These LDNs are also the only ones that can practice unless there are exemptions.

North Carolina is a rather interesting one, as they break licensure into 5 categories. In NC, as well as another state I was reviewing, Doctorates do not have to have an internship/experience component, but must have the minimum education requirements. Anyway, NC created a rather nice 40+ minute video that thoroughly explains the laws as well as who can practice, what dietetics and nutrition practice is and what "nutrition information" unlicensed pracitioners can provide. http://childrenandyouth.ncgovconnect.com/p60832992/

My only concern here, and among the MAIN reasons, organizations, credentialed nutrition professionals, and citizens contest these laws is because they are not written fairly. NC stipulates how the professional organization is separate from the board credentialing LDNs, but in reality, when you look at ALL states with LDN or other practice acts:

1) AND members created these boards

2) AND members hold majority of seats compared to other nutrition professionals and outsiders

3) CDR, associated with AND, provides the RD exam

So while in theory this "Universal Credential" sounds great for alot of nutrition professionals that would qualify, it doesn't take into account the different practice modalities and exams that CCN and CNS take. This is something less than a handful of states take into account, and, in New York for example, if the proposed LDN bill passes, the long standing separate exams will be replaced with only the CDR's RD Exam.

The only way to make this a truly fair, honest and "universal credential" is during the process of overhauling the core education requirements for DPD students, internship requirements and adjusting the RD Exam accordingly, that AND, ACEND and CDR welcomes input and collaboration from NANP.org, CNCB.org and CBNS.org, as these are the nutritionist credentialing organizations/boards.

[Edited by NourishMe on 02/18/12 11:26 PM]


"Be the change you want to see in the world."

02/19/12 11:34 AM | Edit ReplyReply   |    RE: Nutrition/ dietitian
MonigueJ
284 Posts
Chicago
Registered Dietitian


    Posted by shandstar:
    So it's getting pretty strict- are other states going to follow this? So for those nutritions, 1200 hours can come from something other than an internship, right? Sorry all of this policy, legislative stuff is confusing to me ;)

Shandstar, you are correct! Currently in Illinois you have to receive approval of the 900 to 1200 hours from other RD's in order to be approved to take the LDN exam. I've have meet woman that have waited one year or more for approval.

The current board (consist of 7 people RD's, RN and MD's)contacts each one of them and make sure that RD's are supervising them. Many of those woman either have years of experience working WIC and LTC interchangeably.

The new board of 2013(NO RN'S AND NO MD's) only 4 or 5 LDN, RD's will govern the BOARD OF DIETITIAN/NUTRITIONIST IN THE STATE OF ILLINOIS. Now that's an accomplishment!

In 2013...that will end, only those individuals that received an ADA/AND internship can become LDN's no one else. In 2013, no one else but LDN's can used the name Nutritionist, Dietitian Nutrition, Nutritionist Consultant and etc... Those individuals will be fined in excess of $10,000!

So for all of the RD's that hate to use the word Nutritionist in the state of illinois, you will now feel much more comfortable in 2013 knowing that they are people who earned and qualified for the same credentials as you!

Now, that makes me feel GREAT!!!!!!!!!! I told everyone be patience. It's coming!!!! Once Illinois starts all other states will jump on board.

RD's rock !!!!!!!

02/19/12 11:59 AM | Edit ReplyReply   |    RE: Nutrition/ dietitian
MonigueJ
284 Posts
Chicago
Registered Dietitian


    Posted by NourishMe:

      Posted by shandstar:
      So it's getting pretty strict- are other states going to follow this? So for those nutritions, 1200 hours can come from something other than an internship, right? Sorry all of this policy, legislative stuff is confusing to me ;)

    Hi Shandstar,

    Yes, this as Monique has mentioned may be the trend. States that currently License Dietitian/Nutritionists have very similar requirements. If you have a Bachelors, Masters or Doctorate in nutrition or similar program, you can substitute the DI for 900 - 1200 hours from education/work/volunteer/internship experience, depending on the state. These LDNs are also the only ones that can practice unless there are exemptions.

    North Carolina is a rather interesting one, as they break licensure into 5 categories. In NC, as well as another state I was reviewing, Doctorates do not have to have an internship/experience component, but must have the minimum education requirements. Anyway, NC created a rather nice 40+ minute video that thoroughly explains the laws as well as who can practice, what dietetics and nutrition practice is and what "nutrition information" unlicensed pracitioners can provide. http://childrenandyouth.ncgovconnect.com/p60832992/

    My only concern here, and among the MAIN reasons, organizations, credentialed nutrition professionals, and citizens contest these laws is because they are not written fairly. NC stipulates how the professional organization is separate from the board credentialing LDNs, but in reality, when you look at ALL states with LDN or other practice acts:

    1) AND members created these boards

    2) AND members hold majority of seats compared to other nutrition professionals and outsiders

    3) CDR, associated with AND, provides the RD exam

    So while in theory this "Universal Credential" sounds great for alot of nutrition professionals that would qualify, it doesn't take into account the different practice modalities and exams that CCN and CNS take. This is something less than a handful of states take into account, and, in New York for example, if the proposed LDN bill passes, the long standing separate exams will be replaced with only the CDR's RD Exam.

    The only way to make this a truly fair, honest and "universal credential" is during the process of overhauling the core education requirements for DPD students, internship requirements and adjusting the RD Exam accordingly, that AND, ACEND and CDR welcomes input and collaboration from NANP.org, CNCB.org and CBNS.org, as these are the nutritionist credentialing organizations/boards.

    [Edited by NourishMe on 02/18/12 11:26 PM]


Nourish ME, I understand your concerns! Nonetheless, the field of Nutrition must be regulated by one organization!!! Not several. They must protect the health of the public.

To my understanding you are definitely correct. You wrote" The only way to make this a truly fair, honest and "universal credential" is during the process of overhauling the core education requirements for DPD students, internship requirements and adjusting the RD Exam.

It's something about this new ISPP program, we had a major discussion at our dietetic orgnaization meeting. We meet several ISPP students that completed an internship. Each of them successsfully completed over 1500 hours.

They were required to complete the norm, ie Clinical, Community, Food Service, Management in additions to those hours these students had to complete about 12 or more hours in the DPD program, ie MNT,Nutritional Biochemistry and etc..

Here's the interesting part, those ISPP students ( from other states) completed hours with an Herbalist and(Alternative Therapist), Clinical Psychologist- counseling obese pts, with Pediatrics, Chiropractor, Naturopathy and some CCN's and Health coaches. They were allowed to learn more than the tradition internships.

Each of these ISPP students were older students and had at least 2 decades of work experience. All of those ISPP students don't want to be traditional RD's. They are changing the field of nutrition

ADA/AND, I feel has recognized that the entire field of nutrition should be covered and supported! The one ISPP student passed the RD exam and now has a job working on major research with a pharmaceutical company understanding herbs remedies.

This ISPP student is a major component of alternative therapies. She stated that now she has a strong basis on the sciences and biochemistry of the human body!

Is the ISPP program the secret weapon of the ADA?

02/19/12 12:09 PM | Edit ReplyReply   |    RE: Nutrition/ dietitian
MonigueJ
284 Posts
Chicago
Registered Dietitian


    Posted by MonigueJ:

      Posted by NourishMe:

        Posted by shandstar:
        So it's getting pretty strict- are other states going to follow this? So for those nutritions, 1200 hours can come from something other than an internship, right? Sorry all of this policy, legislative stuff is confusing to me ;)

      Hi Shandstar,

      Yes, this as Monique has mentioned may be the trend. States that currently License Dietitian/Nutritionists have very similar requirements. If you have a Bachelors, Masters or Doctorate in nutrition or similar program, you can substitute the DI for 900 - 1200 hours from education/work/volunteer/internship experience, depending on the state. These LDNs are also the only ones that can practice unless there are exemptions.

      North Carolina is a rather interesting one, as they break licensure into 5 categories. In NC, as well as another state I was reviewing, Doctorates do not have to have an internship/experience component, but must have the minimum education requirements. Anyway, NC created a rather nice 40+ minute video that thoroughly explains the laws as well as who can practice, what dietetics and nutrition practice is and what "nutrition information" unlicensed pracitioners can provide. http://childrenandyouth.ncgovconnect.com/p60832992/

      My only concern here, and among the MAIN reasons, organizations, credentialed nutrition professionals, and citizens contest these laws is because they are not written fairly. NC stipulates how the professional organization is separate from the board credentialing LDNs, but in reality, when you look at ALL states with LDN or other practice acts:

      1) AND members created these boards

      2) AND members hold majority of seats compared to other nutrition professionals and outsiders

      3) CDR, associated with AND, provides the RD exam

      So while in theory this "Universal Credential" sounds great for alot of nutrition professionals that would qualify, it doesn't take into account the different practice modalities and exams that CCN and CNS take. This is something less than a handful of states take into account, and, in New York for example, if the proposed LDN bill passes, the long standing separate exams will be replaced with only the CDR's RD Exam.

      The only way to make this a truly fair, honest and "universal credential" is during the process of overhauling the core education requirements for DPD students, internship requirements and adjusting the RD Exam accordingly, that AND, ACEND and CDR welcomes input and collaboration from NANP.org, CNCB.org and CBNS.org, as these are the nutritionist credentialing organizations/boards.

      [Edited by NourishMe on 02/18/12 11:26 PM]


    Nourish ME, I understand your concerns! Nonetheless, the field of Nutrition must be regulated by one organization!!! Not several. They must protect the health of the public.

    To my understanding you are definitely correct. You wrote" The only way to make this a truly fair, honest and "universal credential" is during the process of overhauling the core education requirements for DPD students, internship requirements and adjusting the RD Exam.

    It's something about this new ISPP program, we had a major discussion at our dietetic orgnaization meeting. We meet several ISPP students that completed an internship. Each of them successsfully completed over 1500 hours.

    They were required to complete the norm, ie Clinical, Community, Food Service, Management in additions to those hours these students had to complete about 12 or more hours in the DPD program, ie MNT,Nutritional Biochemistry and etc..

    Here's the interesting part, those ISPP students ( from other states) completed hours with an Herbalist and(Alternative Therapist), Clinical Psychologist- counseling obese pts, with Pediatrics, Chiropractor, Naturopathy and some CCN's and Health coaches. They were allowed to learn more than the tradition internships.

    Each of these ISPP students were older students and had at least 2 decades of work experience. All of those ISPP students don't want to be traditional RD's. They are changing the field of nutrition

    ADA/AND, I feel has recognized that the entire field of nutrition should be covered and supported! The one ISPP student passed the RD exam and now has a job working on major research with a pharmaceutical company understanding herbs remedies.

    This ISPP student is a major component of alternative therapies. She stated that now she has a strong basis on the sciences and biochemistry of the human body!

    Is the ISPP program the secret weapon of the ADA?


Oh, I forgot one ISPP student was allowed to intern in Food safety regulations she is currently a food scientist/MPH and wanted to be an RD and now has a job working with USDA and consults with WHO ( world health organization). She will be helping with the new SQF standards.

The SQF standards the President put in place to make every major country comply with food safety of the world. She will be working in China for 6 months. WOW!

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