H.R. 1523

119th CONGRESS 1st Session

To provide for the inclusion of virtual diabetes prevention program suppliers in the Medicare Diabetes Prevention Program Expanded Model, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · February 24, 2025 · Sponsor: Ms. DeGette

Table of contents

• H.R. 1523
  • SEC. 1. Short title
  • SEC. 2. Inclusion of virtual diabetes prevention program suppliers in MDPP Expanded Model

SEC. 1. Short title

• This Act may be cited as the or the .

SEC. 2. Inclusion of virtual diabetes prevention program suppliers in MDPP Expanded Model

• (a) In general
  • Not later than January 1, 2026, the Secretary shall revise the regulations under parts 410 and 424 of title 42, Code of Federal Regulations, to provide that, for the period beginning January 1, 2026, and ending December 31, 2030—
    • an entity may participate in the MDPP by offering only online MDPP services via synchronous or asynchronous technology or telecommunications if such entity meets the conditions for enrollment as an MDPP supplier (as specified in section 424.205(b) of title 42, Code of Federal Regulations (or a successor regulation));
    • if an entity participates in the MDPP in the manner described in —
      • the administrative location of such entity shall be the address of the entity on file under the Diabetes Prevention Recognition Program; and
      • in the case of online MDPP services furnished by such entity to an MDPP beneficiary who was not located in the same State as the entity at the time such services were furnished, the entity shall not be prohibited from submitting a claim for payment for such services solely by reason of the location of such beneficiary at such time; and
    • no limit is applied on the number of times an individual may enroll in the MDPP.
• (b) Definitions
  • In this section:
    • The term MDPP means the Medicare Diabetes Prevention Program conducted under section 1115A of the Social Security Act (), as described in the final rule published in the Federal Register entitled (88 Fed. Reg. 78818 (November 16, 2023)) (or a successor regulation). The term means the Medicare Diabetes Prevention Program conducted under section 1115A of the Social Security Act (), as described in the final rule published in the Federal Register entitled (88 Fed. Reg. 78818 (November 16, 2023)) (or a successor regulation). Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program 42 U.S.C. 1315a
    • The terms , , , , and have the meanings given each such term in section 410.79(b) of title 42, Code of Federal Regulations. Diabetes Prevention Recognition Program,full CDC DPRP recognition,MDPP beneficiary,MDPP services,MDPP supplier
    • The term Secretary means the Secretary of Health and Human Services.