Expanding Access to Diabetes Self-Management Training Act of 2025

This bill expands Medicare coverage for diabetes self-management training (classes and support to help people manage diabetes). It lets not only doctors but also qualified nonphysician practitioners approve this training. It guarantees 10 hours of training to start (available until used), plus 2 hours every year after that. If your doctor or qualified practitioner says you need more, Medicare cannot cap the amount or length of training. The Medicare Part B deductible will not apply to these services. These changes start for services on or after January 1, 2027.

Medicare’s Innovation Center must also test offering this training virtually by January 1, 2026, and evaluate whether it improves A1c levels, reduces diabetes-related hospital stays, increases use in rural and underserved areas, improves medication use, and lowers costs. Virtual training can be live or on-demand and must meet quality standards.

• Who is affected: People with diabetes on Medicare.
• What changes: Broader provider approval, guaranteed training hours, no cap if medically necessary, and no Part B deductible for this training.
• When: Virtual training test by Jan 1, 2026; broader coverage rules apply starting Jan 1, 2027.