Sponsors (6)
The bill broadens and clarifies remote, cross‑state access to MDPP and removes enrollment caps to boost prevention and participation, trading increased access and regulatory clarity for higher potential Medicare costs, risks to in‑person engagement, and tougher cross‑jurisdiction oversight.
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 (including Medicare beneficiaries) can re-enroll in MDPP multiple times through 2030 because enrollment caps are suspended, supporting longer-term prevention efforts.
Hospitals and other MDPP suppliers gain clearer regulatory rules for online delivery through defined administrative location and adoption of existing DPRP/CMS definitions, reducing regulatory uncertainty for virtual providers.
Taxpayers and Medicare beneficiaries may face higher Medicare spending if utilization rises because enrollment limits are removed and online access expands.
Medicare beneficiaries (and other patients at risk) who need face-to-face support may experience reduced access or engagement if online-only delivery displaces in-person MDPP options.
State governments and CMS may face harder oversight and greater fraud-detection challenges because allowing out-of-state claims complicates jurisdictional monitoring.
Based on analysis of 2 sections of legislative text.
Permits online-only suppliers to provide the Medicare Diabetes Prevention Program Expanded Model and changes enrollment, claims, and re-enrollment rules for 2026–2030.
Requires the HHS Secretary to change Medicare regulations so entities can offer the Medicare Diabetes Prevention Program (MDPP) Expanded Model entirely online (synchronous or asynchronous) for the period January 1, 2026 through December 31, 2030, if they meet existing MDPP supplier enrollment rules. It sets the supplier administrative address to the CDC Diabetes Prevention Recognition Program record, allows claims when the beneficiary is in a different state than the supplier, and removes the limit on the number of MDPP enrollments per individual for that period.
Introduced February 24, 2025 by Diana DeGette · Last progress February 24, 2025