Expanding Access to Diabetes Self-Management Training Act of 2025
Sponsored By: Representative Schrier
Introduced
Summary
Expands Medicare coverage and tests virtual delivery of diabetes self-management training. This bill would create a clear schedule of outpatient diabetes self-management training hours, let physicians or qualified nonphysician practitioners authorize medically necessary training, change cost-sharing so Medicare pays 100 percent of the lesser of the actual charge or the applicable fee schedule for DSMT, and require the Center for Medicare and Medicaid Innovation to test virtual DSMT models.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
More Medicare diabetes training and savings
If enacted, Medicare would expand diabetes self-management training. You could get 10 hours at first, one-on-one or in a group, and those hours would stay available until you use them. After that, you could get 2 hours each year, starting the year you finish the first 10 hours. If your doctor or a qualified practitioner says it is medically necessary, Medicare would not cap training time from certified programs. The Part B deductible would not apply, and Medicare would pay 100% of the lower of the charge or the Medicare fee amount. These changes would start January 1, 2027.
Test of virtual Medicare diabetes training
If enacted, the government would launch a test of virtual diabetes training for Medicare patients by January 1, 2026. The Secretary would consult with diabetes educators, primary care clinicians, digital health experts, and beneficiary groups within 3 months after enactment to design it. The test would track A1c, hospital stays, training use (including in rural and underserved areas), medicine adherence, and Medicare costs. The goal is to see if virtual training improves health and lowers Medicare spending.
Sponsors & CoSponsors
Sponsor
Schrier
WA • D
Cosponsors
Bilirakis
FL • R
Sponsored 6/6/2025
DelBene
WA • D
Sponsored 6/6/2025
Wasserman Schultz
FL • D
Sponsored 6/6/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 6/6/2025
Pocan
WI • D
Sponsored 9/15/2025
Kelly (PA)
PA • R
Sponsored 9/15/2025
Pingree
ME • D
Sponsored 2/12/2026
Roll Call Votes
No roll call votes available for this bill.
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