THE SUPPORT OF BNHI TO TSPEN The BNHI in Taiwan was founded in 1993, which was designed for the payment of most hospital expenses of people who joined to the BNHI. The joining rate in Taiwan was over 98%. All the people could be covered for their expenses of out patient clinical or admission. The health healthy insurance was very successful from that time and people in Taiwan satisfied with it over 80% REIMBURSEMENT POLICY FOR NUTRITIONAL SUPPORT For the improvement of nutrition support quality in Taiwan , TSPEN seeked the support from our BNHI in 1993, and the response was positive. BNHI agreed with the proposal by TSPEN, which asked the BNHI pay the fees for patient’s total parenteral nutrition (TPN) only in the hospital, which passed the qualification by TSPEN. The reimbursement policy was very unique in the Asia or even in the whole world. TSPEN was very lucky to get such support, and it increased its member very fast and could run its member education course smoothly after this policy. OUTCOME OF THE POLICY After the reimbursement policy of nutritional support in hospitals, all the hospitals in Taiwan ask their NST member must join into TSPEN, and the annual fees were paid by the hospital. The hospital could increase their income for the fees of TPN paid by the BNHI. The advantages were bidirectional. QUALIFICATION OF CONTROL (QOC) The TSPEN begins to set up the quality control system - QOC for each NST in addition to the original accreditation system in recent days. We believe that a good quality control is more important than the previous checking points with standardized manpower, paper records or academic publications. The items of quality control include the incidence of catheter infection, complications of enteral or parental nutritional support, and outcomes of enteral or parenteral nutrition, etc. The comprehensive social or national policy and system for NSTs or Society of enteral and parenteral nutrition will encourage them to be better and stronger. Though different country may have different policy, the Society has the obligation to negotiate with is government or at least with Minister of Health to get better reimbursement for their NSTs. On the other hand, each Society should set up a good system to improve the quality of NST before it gets confidence and trust from its government. CONCLUSION AND FUTURE The experience to seek reimbursement policy from government of TSPEN would like to share with all the member of PENSA. Once any society can get certain support from a formal organization of its government, it will be a strong help and support to expand the society. The well development of each NST will be benefit for the improvement of nutritional care in each country.    REFERENCES Integrated prevention of noncommunicable diseases. Draft global strategy on diet, physical activity and health. Geneva : World Health Organization; 2003 Steiger WR, Office of Global Health Affairs, US Department of Health and Human Services. Submission to the World Health Organization, 2004 Jan 2. Fielding JE, Marks JS, Myers BW, Nolan PA, Rawson RD , Toomey KE. How do we translate science into public health policy and law? J Law Med Ethics 2002;30(3 Suppl):22-32. Canadian Diabetes Association. 2003 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada . Lupien TR: Nutritional policy in Eurpea. Bibl Nutr Dieta 1994;51:3-8   From "The 11 th PENSA Congress" October 1-4 2005 , Sheraton Grande Walkerhill Hotel, Seoul , Korea . Page: 183-185