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H.R. 4818 Statement

Jul 1, 2024 |

United States CapitolThe Amputee Coalition expresses our support for U.S. House of Representatives’ Ways and Means Committee’s proposed “Amendment in the Nature of a Substitute to H.R. 4818” (AINS), which we believe will be an important step toward supporting access to obesity treatments for Medicare beneficiaries.

Obesity is a primary risk factor for developing type 2 diabetes [1] and peripheral arterial disease [2]. Both conditions are common diagnoses leading to limb loss, particularly with those 65 and older [3]. We thank the committee for your efforts to fight obesity and the chronic conditions it can cause, which leads to approximately 300,000 preventable amputations annually [4].

[1] National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2022) What Is Diabetes?

[2] Mayo Clinic. (n.d.). Peripheral Artery Disease (PAD).

[3] Avalere Health. (2024). Prevalence of Limb Loss and Limb Difference in the United States: Implications for Public Policy2. Washington, DC: Avalere Health LLC. Prevalence-of-Limb-Loss-and-Limb-Difference-in-the-United-States_Implications-for-Public-Policy.pdf (

[4] Ibid.