Expanding Access to Diabetes Self-Management Training Act of 2025
Expanding Access to Diabetes Self-Management Training Act of 2025
Plain Language Summary
# Expanding Access to Diabetes Self-Management Training Act of 2025 **What the bill would do:** This bill would expand Medicare coverage for diabetes self-management training—educational programs that teach people with diabetes how to manage their condition. Currently, Medicare has limitations on who can provide this training and how much coverage is available. The bill would allow more types of healthcare providers (not just doctors) to offer these services, guarantee patients receive at least 10 initial hours of training plus 2 additional hours yearly, and prevent Medicare from denying coverage for training deemed medically necessary by doctors. **Who it affects and key provisions:** The bill primarily affects Medicare beneficiaries with diabetes who need education and training on managing their condition.
It also impacts healthcare providers who offer this training, potentially expanding job opportunities for nurses, dietitians, and other practitioners. An additional provision requires Medicare's innovation center to test whether providing this training online is effective and to measure any impact on costs and patient outcomes. **Current status:** The bill is currently in committee (HR 3826), meaning it has been introduced but not yet voted on by the full House. It was sponsored by Representative Kim Schrier, a Democrat from Washington.
CRS Official Summary
Expanding Access to Diabetes Self-Management Training Act of 2025This bill expands Medicare coverage of diabetes outpatient self-management training. Specifically, the bill specifies that in addition to physicians, other health care practitioners may also provide such services. It also specifies that coverage includes an initial 10 hours of training until used, as well as an additional 2 hours of training per year. The bill also prohibits the Centers for Medicare & Medicaid Services from limiting training that is deemed medically necessary. Additionally, the Center for Medicare and Medicaid Innovation must test a model in which such training is provided virtually and evaluate any effects on costs, services, and health outcomes.
Latest Action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.