S. 1925: Expanding Access to Diabetes Self-Management Training Act of 2025 (119th Congress) Bill Summary

This bill, known as the Expanding Access to Diabetes Self-Management Training Act of 2025, aims to improve access to diabetes education and training services for individuals with diabetes. Here are the key points of what the bill proposes:

1. Improved Access to Training Services

The bill amends the Social Security Act to enhance diabetes outpatient self-management training services. Specifically, it includes the following changes:

Clarifies that qualified non-physician practitioners, in addition to physicians, can manage and determine the need for diabetes education services.
Establishes a requirement for an initial 10 hours of training, with an additional 2 hours of annual training, available until used.
Allows unlimited educational services if deemed medically necessary by a qualified practitioner.

2. Medical Nutrition Therapy Services

The bill also amends the section regarding medical nutrition therapy services, removing previous requirements that may have limited access and ensuring that these services are consistent with best practices for diabetes management.

3. Cost-Sharing Adjustments

The bill changes provisions related to cost-sharing for diabetes outpatient self-management training services:

Ensures that Medicare pays 100% of the costs for these services when provided, eliminating out-of-pocket expenses for beneficiaries.
Removes certain deductibles that would otherwise apply to these training services.

4. Testing for Virtual Training Services

A significant focus of the bill is to test the viability of virtual diabetes outpatient self-management training services:

The bill instructs the Center for Medicare and Medicaid Innovation to implement a model to analyze virtual training services’ impact on health outcomes and expenditures.
The model will evaluate whether these services can improve individual health outcomes, reduce hospitalization rates, increase service utilization, and enhance medication adherence.
The design of the testing model will involve consultation with various stakeholders in the diabetic care field.