Sponsors (11)
The bill expands and clarifies remote access to the Medicare Diabetes Prevention Program to increase participation and long-term prevention, but it raises risks of higher Medicare spending, reduced in-person support for some beneficiaries, and more complex oversight across jurisdictions.
Medicare beneficiaries can access the Medicare Diabetes Prevention Program (MDPP) remotely, including from out-of-state online suppliers, increasing convenience and likely participation.
People at risk for diabetes can re-enroll in MDPP multiple times through 2030 because enrollment caps are removed, supporting longer-term prevention and disease management.
Online MDPP suppliers and health systems get clearer rules by defining the administrative location and adopting existing DPRP/CMS definitions, reducing regulatory uncertainty for providers.
Taxpayers and Medicare beneficiaries may face higher Medicare spending if utilization rises because enrollment limits were removed and online access expands.
Medicare beneficiaries who need or benefit most from face-to-face support could see reduced in-person program availability or lower engagement if delivery shifts toward online-only options.
Allowing out-of-state claims for online MDPP services may complicate program oversight and make fraud detection and enforcement harder for CMS and state governments.
Based on analysis of 2 sections of legislative text.
Allows Medicare-covered Diabetes Prevention Program suppliers to offer online-only MDPP services nationwide from Jan 1, 2026 through Dec 31, 2030 and removes individual enrollment limits for that period.
Official title: To provide for the inclusion of virtual diabetes prevention program suppliers in the Medicare Diabetes Prevention Program Expanded Model, and for other purposes.
Introduced February 24, 2025 by Diana DeGette · Last progress February 24, 2025
Allows entities to offer an online-only Medicare Diabetes Prevention Program (MDPP) Expanded Model from January 1, 2026 through December 31, 2030 if they meet existing MDPP supplier enrollment requirements. It directs HHS to revise Medicare regulations to permit synchronous or asynchronous online MDPP services, treat the supplier's administrative location as the address on file with the CDC DPRP, and permit claims when beneficiaries are in a different state than the supplier. Also removes limits on the number of MDPP enrollments per individual for the specified period and incorporates existing statutory and regulatory definitions for MDPP and related terms.