Expanding Access to Diabetes Self-Management Training Act of 2025
Expanding Access to Diabetes Self-Management Training Act of 2025
Plain Language Summary
# 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, such training is often limited in who can provide it and how much coverage is available. The bill would allow more types of healthcare practitioners (not just doctors) to provide this training and would guarantee Medicare covers an initial 10 hours of training plus 2 additional hours each year for ongoing education. **Who it affects and key provisions:** The bill primarily affects Medicare beneficiaries with diabetes who need education on managing their condition. It also impacts healthcare providers who offer diabetes training.
A significant provision prevents the Centers for Medicare & Medicaid Services (the agency that administers Medicare) from restricting training that doctors determine is medically necessary. Additionally, the bill requires testing of virtual diabetes training programs to see whether delivering training online affects costs, the quality of services, and patient health outcomes. **Current status:** The bill is currently in committee (S 1925) in the 119th Congress, meaning it has not yet been voted on by the full Senate. It was introduced by Senator Jeanne Shaheen (D-NH).
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
Read twice and referred to the Committee on Finance.