Hip fractures are among the most devastating consequences of osteoporosis and are associated with substantial loss of independence, along with an increased risk of admission to extended care facilities, morbidity, and mortality.1 Age-adjusted incidence of hip fracture in the United States increased among both men and women from 1986-1995 and steadily declined from 1995-2012.2,3 Hip fracture rates then plateaued at levels higher than projected for years 2013-2015, translating to an estimated 3700 additional hip fractures per year.3 Efforts are needed to understand this higher plateau rate, but overall declines in bone mineral density (BMD) screening may have contributed.3