Bill > A2993

Introduced Session

This bill requires Medicaid coverage for diabetes self-management education, training, services, and equipment for patients diagnosed with diabetes, gestational diabetes, and pre-diabetes. The bill specifically requires the State Medicaid program to cover expenses for diabetes self-management education or training for persons diagnosed with diabetes, gestational diabetes, or pre-diabetes. This education or training is to help ensure that the patient can optimize metabolic control, prevent and manage complications, and maximize quality of life, and is required to be provided by: a health care professional who has been certified by the National Certification Board of Diabetes Educators or by the American Association of Diabetes Educators, including a physician, an advanced practice nurse or registered nurse, a pharmacist, a chiropractor, or a registered dietitian; or by an entity meeting the National Standards for Diabetes Self-Management Education and Support, as evidenced by accreditation by the American Association of Diabetes Educators. The bill requires the State Medicaid program to cover expenses for medical nutrition therapy as a component of a patient's overall treatment plan when: the person is diagnosed with diabetes, gestational diabetes, or pre-diabetes; there is a change in the person's medical condition, treatment, or diagnosis; or when the health care provider determines that reeducation or refresher education is necessary. Under the bill, medical nutrition therapy is required to be provided by a dietitian registered with a nationally-recognized professional association. The bill requires the State Medicaid program to cover items and services furnished under a diabetes prevention program that meets the standards of the National Diabetes Prevention Program established by the Centers for Disease Control and Prevention for persons diagnosed with pre-diabetes. The bill also requires the State Medicaid program to cover expenses for any supplies and equipment recommended or prescribed for the management and treatment of diabetes, gestational diabetes, or pre-diabetes, including, but not limited to: equipment and supplies for self-management of blood glucose; insulin pens; insulin pumps and related supplies; and other insulin delivery devices. The bill limits coverage for the education, training, services, and equipment enumerated by the bill to persons diagnosed with diabetes, gestational diabetes, or pre-diabetes who have received a referral from a physician, advanced practice nurse, or physician assistant. The bill directs the Commissioner of Human Services to apply for State plan amendments or waivers necessary to implement the provisions of the bill and to secure federal financial participation. The bill authorizes the commissioner to adopt rules and regulations necessary to effectuate the purposes of the bill, and allows for the immediate filing of those rules and regulations with the Office of Administrative Law, effective for a period not to exceed six months.

AI Summary

Committee Categories

Herbert Conaway (D)*,  Fred Madden (D)*,  Angela Mcknight (D)*,  Raj Mukherji (D)*,  Nancy Pinkin (D)*,  Shavonda Sumter (D)*,  Joe Vitale (D)*,  Benjie Wimberly (D)*,  Arthur Barclay (D),  Daniel Benson (D),  Ralph Caputo (D),  Robert Gordon (D),  Angelica Jimenez (D),  Gordon Johnson (D),  Patricia Jones (D),  Pam Lampitt (D),  Gabriela Mosquera (D),  Eliana Pintor Marin (D), 

Approved P.L.2017, c.161. (on 07/21/2017)