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Requires the Health and Human Services Secretary to change Medicare rules so entities can participate in the Medicare Diabetes Prevention Program (MDPP) Expanded Model by offering only online services (synchronous or asynchronous) from January 1, 2026 through December 31, 2030. It also removes any limit on how many times an individual may enroll in MDPP and sets the entity's administrative location as the address on file with the Diabetes Prevention Recognition Program, while allowing claims when a beneficiary is located in a different state at the time of service. Also establishes the Act's short title and defines MDPP by reference to the existing Medicare statutory and regulatory framework; no new funding or program authorizations are included.
The bill greatly expands convenient, cross-state, and repeat access to Medicare’s Diabetes Prevention Program by enabling online participation and removing enrollment caps through 2030, but risks reducing in-person access for those without reliable internet, increasing Medicare spending, and disadvantaging community-based providers.
Medicare beneficiaries can access the Medicare Diabetes Prevention Program (MDPP) fully online (synchronous or asynchronous) from Jan 1, 2026 through Dec 31, 2030, expanding convenient access to prevention services.
Medicare beneficiaries and their providers can maintain continuity of care when a beneficiary is in a different State because providers may submit claims across state lines, reducing administrative barriers for traveling or relocated patients.
Medicare beneficiaries (including those with chronic conditions) can enroll in MDPP multiple times through 2030 without program-entry limits, enabling repeated or renewed prevention efforts.
Medicare beneficiaries in areas with unreliable internet or those who prefer face-to-face care may lose practical access to in-person MDPP options if participation is limited to online, reducing equitable access.
Removing enrollment limits through 2030 may increase Medicare spending on MDPP, creating fiscal pressure or opportunity costs that could affect other Medicare services or taxpayers.
Permitting only online supplier participation risks disadvantaging community and in-person providers (especially in rural areas), potentially reducing local program availability and community-based service options.
Introduced February 24, 2025 by Diana DeGette · Last progress February 24, 2025