H.R. 3826

119 HR 3826 IH: Expanding Access to Diabetes Self-Management Training Act of 2025
 U.S. House of Representatives
 2025-06-06
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 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 I
 119th CONGRESS  1st Session
 H. R. 3826
 IN THE HOUSE OF REPRESENTATIVES
 June 6, 2025
  Ms. Schrier  (for herself,  Mr. Bilirakis ,  Ms. DelBene ,  Ms. Wasserman Schultz , and  Ms. Norton ) introduced the following bill; which was referred to the  Committee on Energy and Commerce , and in addition to the Committee on  Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
 A BILL
To amend title XVIII of the Social Security Act to improve access to diabetes outpatient self-management training services, to require the Center for Medicare and Medicaid Innovation to test the provision of virtual diabetes outpatient self-management training services, and for other purposes.
1.
Short title
This Act may be cited as the   Expanding Access to Diabetes Self-Management Training Act of 2025  .
2.
Improving access to diabetes outpatient self-management training services
(a)
In general
Section 1861(qq) of the Social Security Act ( 42 U.S.C. 1395x(qq) ) is amended—
(1)
in paragraph (1)—
(A)
by striking  the Secretary determines appropriate  and inserting  specified in paragraph (3) ; and
(B)
by striking  the physician who is managing the individual's diabetic condition  and inserting  a physician or qualified nonphysician practitioner ;
(2)
in paragraph (2)(B), by striking  paragraph  and inserting  subparagraph ; and
(3)
by adding at the end the following new paragraph:
(3)(A)
For purposes of paragraph (1) and subject to subparagraph (B), the times specified in this paragraph are the following:
(i)
An initial 10 hours of individual or group educational and training services to remain available until used.
(ii)
An additional 2 hours of individual or group educational and training services each year, beginning with the year in which the initial 10 hours described in subparagraph (A) are completed.
(B)
The Secretary shall not limit the quantity or duration of educational and training services furnished by a certified provider to an individual with diabetes if such services are deemed medically necessary by a physician or qualified non-physician practitioner.
  .
(b)
Medical nutrition therapy services
Section 1861(s)(2)(V) of the Social Security Act ( 42 U.S.C. 1395x(s)(2)(V) ) is amended—
(1)
by striking clause (i);
(2)
by redesignating clauses (ii) and (iii) as clauses (i) and (ii), respectively; and
(3)
in clause (ii), as so redesignated, by striking  after consideration of  and inserting  consistent with .
(c)
Cost-Sharing
Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended—
(1)
in subsection (a)(1)—
(A)
by striking  and (HH)  and inserting  (HH) ; and
(B)
by inserting the following before the semicolon at the end:  and (II) with respect to diabetes outpatient self-management training services (as defined in section 1861(qq)), the amount paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the fee schedule that applies to such services under this part; ; and
(2)
in subsection (b), in the first sentence—
(A)
by striking  , and (13)  and inserting  (13) ; and
(B)
by striking  1861(n).. and inserting  1861(n), and (14) such deductible shall not apply with respect to diabetes outpatient self-management training services (as defined in section 1861(qq)) .
(d)
Application
The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2027.
3.
CMI testing of providing virtual diabetes outpatient self-management training services
Section 1115A of the Social Security Act ( 42 U.S.C. 1315a ) is amended—
(1)
in subsection (b)(2)(A), by adding at the end the following new sentence: “The models selected under this subparagraph shall include the testing of the model described in subsection (h).”; and
(2)
by adding at the end the following new subsection:
(h)
Testing of providing virtual diabetes outpatient self-Management training services
(1)
Establishment
Not later than January 1, 2026, the Secretary shall implement a model to test the impact of providing coverage under title XVIII for virtual diabetes outpatient self-management training services furnished to applicable beneficiaries with respect to improved health outcomes for such applicable beneficiaries and reduced expenditures under such title XVIII.
(2)
Model design
(A)
In general
The Secretary shall design the model under this subsection in such a manner to allow for the evaluation of demographic characteristics of applicable beneficiaries participating in such model and the extent to which such model accomplishes the following purposes:
(i)
Improvement in health outcomes with respect to the diabetic conditions, including by reducing A1c levels.
(ii)
Reduced hospitalizations due to diabetic-related complications.
(iii)
Increased utilization of diabetes outpatient self-management training services as evidenced by, for example, Medicare beneficiary participation and utilization of covered hours during the first year and subsequent years or use of diabetes outpatient self-management training services in rural and underserved communities.
(iv)
Improved medication adherence.
(v)
Reduced expenditures under this title attributable to the model.
(B)
Consultation
In designing the model under this subsection, the Secretary shall, not later than 3 months after the date of the enactment of this subsection, consult with stakeholders in the field of diabetes care and education, clinicians in the primary care community, experts in digital health, and beneficiary groups.
(3)
Definitions
In this subsection:
(A)
Applicable beneficiary
The term  applicable beneficiary  means an individual with diabetes as described in section 1861(qq).
(B)
Qualified web-based program
The term  qualified web-based program  means a web-based program—
(i)
designed to furnish educational and training services to an individual with diabetes to ensure therapy compliance with respect to the individual’s diabetic condition or to provide the individual with necessary skills and knowledge (including skills related to the self-administration of injectable drugs) to participate in the individual’s management of such condition; and
(ii)
that meets the quality standards described in section 1861(qq)(2)(B).
(C)
Virtual diabetes outpatient self-management training services
The term  virtual diabetes outpatient self-management training services  means any diabetes outpatient self-management training services (as defined in section 1861(qq)) furnished by a qualified web-based program for synchronous or asynchronous diabetes outpatient self-management training services.
  .