119-hr1523

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1523 Introduced in House

    (IH) ]

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119th CONGRESS
 1st Session
 H. R. 1523

 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

 Ms. DeGette (for herself, Mr. Bilirakis, Mr. Crow, and Ms. Schrier) 
 introduced the following bill; which was 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

_______________________________________________________________________

 A BILL

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

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Promoting Responsible and Effective 
Virtual Experiences through Novel Technology to Deliver Improved Access 
and Better Engagement with Tested and Evidence-based Strategies Act'' 
or the ``PREVENT DIABETES Act''.

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--

    (1) 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));

    (2) if an entity participates in the MDPP in the manner 
 described in paragraph

    (1) --
        (A) the administrative location of such entity 
 shall be the address of the entity on file under the 
 Diabetes Prevention Recognition Program; and
        (B) 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

    (3) no limit is applied on the number of times an 
 individual may enroll in the MDPP.

    (b) 

=== Definitions. ===
-In this section:

    (1) MDPP.--The term ``MDPP'' means the Medicare Diabetes 
 Prevention Program conducted under 

section 1115A of the Social 
 Security Act (42 U.S.C. 1315a), as described in the final rule 
 published in the Federal Register entitled ``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'' (88 Fed. Reg. 
 78818 (November 16, 2023)) (or a successor regulation).

    (2) Regulatory terms.--The terms ``Diabetes Prevention 
 Recognition Program'', ``full CDC DPRP recognition'', ``MDPP 
 beneficiary'', ``MDPP services'', and ``MDPP supplier'' have 
 the meanings given each such term in 

section 410.79

    (b) of title 
 42, Code of Federal Regulations.

    (3) Secretary.--The term ``Secretary'' means the Secretary 
 of Health and Human Services.
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