H.R.3826 - Expanding Access to Diabetes Self-Management Training Act of 2025 (119th Congress)
Summary
H.R. 3826, the "Expanding Access to Diabetes Self-Management Training Act of 2025," aims to improve access to diabetes outpatient self-management training services under Medicare. The bill amends Title XVIII of the Social Security Act to expand coverage and reduce cost-sharing for these services. It also mandates a pilot program to test the provision of virtual diabetes self-management training services through the Center for Medicare and Medicaid Innovation (CMI).
Expected Effects
The bill will likely increase the utilization of diabetes self-management training services by Medicare beneficiaries. This is due to reduced cost-sharing and expanded access through virtual programs. The CMI pilot program could lead to broader adoption of virtual training services if proven effective.
Potential Benefits
- Increased access to diabetes self-management training for Medicare beneficiaries.
- Reduced out-of-pocket costs for these services, potentially improving adherence to treatment plans.
- Innovation in healthcare delivery through the testing of virtual training programs.
- Improved health outcomes for individuals with diabetes, such as reduced A1c levels and hospitalizations.
- Potential cost savings to the Medicare system through better management of diabetes.
Potential Disadvantages
- Increased Medicare spending due to expanded coverage and reduced cost-sharing.
- Potential for fraud and abuse in the provision of virtual training services.
- The effectiveness of virtual training programs may vary among different populations.
- Implementation challenges in establishing and monitoring the CMI pilot program.
- Delayed application of amendments until January 1, 2027.
Most Disadvantaged Areas:
Constitutional Alignment
The bill aligns with the General Welfare Clause (Article I, Section 8) of the Constitution, as it aims to promote the health and well-being of Medicare beneficiaries. Congress has broad authority to legislate on matters related to healthcare and social welfare programs. The establishment of Medicare itself is rooted in this constitutional authority.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).