Featured Position Statement
Prevent Non-Communicable Diseases in Low- and Middle-Income Countries
The Society of Behavioral Medicine strongly urges inclusion of behavioral scientists in the implementation of the Global Action Plan for the prevention of non-communicable diseases in low- and middle-income countries.
Archived Position Statements by Topic
Support Increased Knowledge about and Efforts to Address the Financial Burden Associated with Cancer Treatment
The Society of Behavioral Medicine recommends creating a Medicare cap for cancer treatment costs irrespective of treatment setting; transitioning to clinical pathway payment programs; limiting non-Affordable Care Act compliant short-term health plans; and expanding employer support of cancer treatment.
Congress Should Ensure Affordable Care Act Coverage of Prostate Cancer Screening Support Services for High-Risk Men
The Society of Behavioral Medicine supports the United States Preventive Services Taskforce (USPSTF) guideline for the consideration of prostate cancer screening for high-risk men between the ages of 55-69. SBM encourages policymakers to include provisions for coverage of patient navigation services in the Affordable Care Act (ACA) to facilitate shared-decision making between providers and patients regarding screening.
Support Increased Knowledge about and Efforts to Address the Financial Burden Associated with Cancer Treatment
The Society of Behavioral Medicine strongly urges legislators to prioritize cancer financial toxicity at the state and national level.
Support Oral Cancer Early-Detection Examinations
SBM calls on healthcare providers and legislators to expand awareness of oral cancer risk factors, increase early detection of oral cancers, support policies that increase utilization of dental services, and enhance education related to oral cancers.
Encourage Lung Cancer Screening in High-Risk Populations
SBM calls for increased lung cancer screening for high risk patients, to reduce cancer deaths. Screening is recommended for those who are 55-80 years of age; have no current cancer symptoms; smoke currently or quit within the last 15 years; and have a 30 pack-year smoking history. Legislators should support the integration of evidence-based tobacco treatment into screening programs, and should increase funding for screening and research. Health care providers should integrate evidence-based tobacco treatment into screening, reduce screening barriers, and counsel patients about the potential benefits and harms associated with screening. The brief is endorsed by the American College of Radiology and the American Lung Association in Greater Chicago.
Increase HPV Vaccination Uptake: An Urgent Opportunity for Cancer Prevention
SBM calls for increased human papillomavirus (HPV) vaccination rates to prevent cancer. The vaccination is recommended for 11- and 12-year-olds. Legislators should advocate for vaccine insurance coverage and adequate provider reimbursement. Health care providers should treat HPV vaccination as a routine vaccination, and should use culturally appropriate communication strategies to educate patients and parents about the vaccine’s importance, effectiveness, and safety. The brief is endorsed by the International Society of Behavioral Medicine.
Support the National Colorectal Cancer Roundtable’s Call to Action to Reach 80% Colorectal Cancer Screening Rates by 2018
In response to the significant colorectal cancer (CRC) burden and persistent underutilization of screening, the National Colorectal Cancer Roundtable’s 80% by 2018 initiative sets an important goal for CRC screening in older Americans. SBM supports 80% by 2018 and encourages policymakers and health care providers to implement the recommendations outlined by the initiative.
Retain Support for the National Colorectal Cancer Roundtable’s Call to Action to Reach 80% Colorectal Cancer Screening (2019 Update)
The Society of Behavioral Medicine encourage the United States Preventative Services Task Force (USPSTF) to reevaluate the evidence and age recommendation for initiating CRC screening given data suggesting that CRC is developing at an increasing rate among younger adults. USPSTF recommendations inform Medicaid coverage for preventative services and testing.
Ban Indoor Tanning for Minors
SBM supports a total ban on indoor tanning for minors under the age of 18. Strong evidence links indoor tanning to increased risk for melanoma. Repeated exposure during childhood is associated with the greatest increase in risk.
Promote sun safety policies and practices for youth in educational, childcare, and recreational settings
The Society of Behavioral Medicine recommends that youth be allowed and encouraged to engage in sun-safe behaviors in educational, childcare, and recreational settings, including use of sunscreen, wide-brimmed hats, other sun-protective clothing, and shade.
Community Health Workers
Integrate Community Health Workers into the Patient-Centered Medical Home
SBM supports expanding the use of community health workers to enhance primary care, prevention, and chronic disease management programs within patient-centered medical homes to improve patient outcomes and reduce unnecessary utilization of resources.
Integrate Peer Support in Prevention and Health Care Under the Affordable Care Act
SBM recommends the inclusion of community health workers and other providers of peer support as a regular part of prevention and routine care. This brief is co-authored with the Center for Health Law and Policy Innovation, National Council of La Raza, and Peers for Progress.
Congress Should Restrict ICE from Entering Medical Facilities
SBM calls for Congress to restrict Immigration and Customs Enforcement (ICE) from engaging with immigrants in or around health care settings, including: hospitals, community-based clinics, ambulances, pharmacies, physical therapy and mental health and addiction treatment practices, and rehabilitation facilities.
Increase Funding for Fruit and Vegetable Production in Farm Bill Reauthorization
SBM recommends that reauthorization of the federal Farm Bill include funding allocations for increasing fruit and vegetable production, which can increase Americans’ fruit and vegetable intake and improve health.
Increase Funding for the NIH Office of Behavioral and Social Sciences Research
SBM recommends increased funding for the National Institutes of Health (NIH) Office of Behavioral and Social Sciences Research to promote timely and effective behavioral health research that can reduce chronic disease in the United States.
Increase Funding for Medicaid and CHIP to Help Families
Medicaid and the Child Health Insurance Program (CHIP) help families afford health care, avoiding financial strain and health problems. Congress must increase Medicaid and CHIP funding, and extend CHIP funding through at least 2022.
Protect Funding for SNAP, WIC, and School Breakfast/Lunch to Help Low-Income Children
The Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and school breakfast/lunch programs allow low-income children to access healthy food. Congress must fund them properly.
Retain and Enhance Efforts to Increase Broadband Internet Availability for Health Care Access in Rural Areas
SBM, the International Society of Behavioral Medicine (ISBM), and the American Medical Informatics Association(AMIA) call on federal legislators to appropriate funds to increase internet access for the most vulnerable rural populations in the United States.
SBM Supports the Updated Hypertension Guidelines and Recommends Modifications to Medicare Part B for Lifestyle Counseling Approaches for Hypertension Management
The Society of Behavioral Medicine calls on legislators to modify Medicare Part B to support evidence-based lifestyle counseling to improve blood pressure control among adults with hypertension.
Expand U.S. Health Plan Coverage for Diabetes Self-Management Education and Support
SBM encourages legislation and other policies that require Medicare, Medicaid, and private insurers to reimburse for diabetes self-management education and that support 12 hours each year for everyone with diabetes.
2018 Update: Retain School Meal Standards and Healthy School Lunches
SBM supports the U.S. school meal nutrition standards in the Healthy, Hunger-Free Kids Act. New evidence confirms that changes implemented as a result of the act have improved the dietary quality of school meals without increasing plate waste.
Enact Taxes on Sugary Drinks to Prevent Chronic Disease
Consumption of sugary drinks has a detrimental effect on public health by increasing risk of chronic diseases such as obesity, type 2 diabetes,2 coronary heart disease, and fatty liver disease. Sugary drinks are the largest single source of added sugars in the United States, and account for almost half of all added sugars consumed in the United States.
Retain Healthy School Lunch Policies
SBM supports the retention of the current school lunch standards set by the Healthy, Hunger-Free Kids Act of 2010. SBM further recommends that schools promote traditional and innovative nutrition education formats, repeatedly encourage the consumption of healthful foods, and make small environmental changes in lunchrooms to make more healthful eating accessible, attractive, and normative.
Curbing Summertime Weight Gain among America’s Youth
SBM recommends school officials, community leaders, and legislators adopt policies that enhance youth summer programming to minimize the amount of weight children gain over the summer. Policies should encourage school-community partnerships, family outreach, joint use of facilities, and adherence to healthy eating and physical activity standards. The brief is endorsed by the National Summer Learning Association.
Early Care and Education Policies Can Impact Obesity Prevention among Preschool-Aged Children
SBM recommends early care and education settings provide healthy foods in age-appropriate portions; increase physical activity during childcare hours to as close to 120 minutes per day as possible; decrease sedentary behavior to no more than 30 minutes at a time; and decrease entertainment screen time in childcare to less than 30 minutes weekly.
Educate Health Care Providers about Behavioral Treatments for Obesity
The Society of Behavioral Medicine strongly urges health professional educators and accrediting agencies to include obesity/overweight management education for primary care clinicians.
Modify the CMS Decision to Cover Intensive Behavior Therapy for Obesity
SBM supports the Centers for Medicare and Medicaid Services' (CMS) decision to cover intensive behavior therapy for obesity but has significant concerns. SBM urges modifications to include providers who have expertise in weight control (e.g., psychologists and dietitians) and to expand the treatment time to better match protocols with confirmed efficacy.
Improving Access to Psychosocial Care for Individuals with Persistent Pain: Supporting the National Pain Strategy Call for Interdisciplinary Pain Care
Persistent pain is common, expensive, and debilitating, yet is often inadequately assessed and treated. Growing concerns regarding prescription opioid misuse/abuse and opioid-related fatalities have initiated a re-evaluation of the long-term efficacy and potential risks of opioids in the management of pain.
Help Address the Opioid Crisis by Increasing Funding for Medication-Assisted-Treatment
SBM and the Society for Health Psychology call on federal legislators to help fix the opioid crisis by increasing Medicaid funding for medication-assisted-treatment, which combines behavioral and pharmacological treatments to address opioid-related health problems. Legislators must also declare the opioid epidemic a national emergency and not just a public health emergency; this would provide immediate access to billions of dollars in federal monies for treatment programs.
Increase United States Health Plan Coverage for Exercise Programming in Community Mental Health Programs for People with Serious Mental Illness
SBM encourages legislation and policies for Medicare, Medicaid, and private insurers to reimburse exercise programming for people with serious mental illness treated in community mental health programs. This brief is co-authored with the American College of Sports Medicine.
School-Based Physical Activity Improves Academic Achievement
SBM recommends elementary schools provide as many of the recommended 60 minutes of moderate to vigorous physical activity during school hours as possible.
Support Robust, Well-Designed, Safe and Accessible Community Parks
Considerable research shows people of all ages and across all races and ethnicities are more active when they can access parks. Park use also facilitates a healthy weight status.
Start Middle and High Schools Later for Better Student Health and Learning
SBM recommends school officials start middle and high school classes at 8:30 a.m. or later. Such a schedule promotes students’ sleep, resulting in improvements in physical health, psychological well-being, attention and concentration, academic performance, and driving safety.
Reducing Smoking Disparities for Gender and Sexual Minorities
SBM supports policies that reduce smoking disparities for gender and sexual minorities. Policies should make sure such individuals are included in all local, state, and national tobacco prevention and control activities including use/cessation surveillance, outreach campaigns, product regulations, clean air acts, and healthcare provider training.
Restore CDC Funding for Firearms and Gun Violence Prevention Research
Firearms injuries are the leading cause of non-medical deaths in America, surpassing motor vehicle accidents for the first time in history1. Data from five years of CDC statistics estimate that 91 Americans are killed every day by gun violence, over 33,000 deaths per year.