Bill > HR3826

This bill aims to expand access to diabetes self-management training services under Medicare by making several key modifications. It increases the available training hours from the current limited amount to an initial 10 hours of individual or group educational services that can be used flexibly, with an additional 2 hours provided annually. The bill removes restrictions on the quantity of training services if a physician or qualified non-physician practitioner deems them medically necessary. It also eliminates cost-sharing for these services, meaning Medicare will cover 100% of the costs, and removes any associated deductibles. Furthermore, the bill requires the Center for Medicare and Medicaid Innovation (CMI) to test a virtual diabetes self-management training model by January 1, 2026, which will assess the impact of online training on health outcomes, such as reducing A1c levels, hospitalizations, and overall medical expenses. The virtual training model will be designed in consultation with diabetes care experts, clinicians, digital health specialists, and patient advocacy groups, with a focus on evaluating the program's effectiveness for diverse beneficiary demographics, particularly in rural and underserved communities. These changes are set to take effect for services provided on or after January 1, 2027.

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https://www.congress.gov/bill/119th-congress/house-bill/3826/all-info