1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 1523 |
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5 | 5 | | To provide for the inclusion of virtual diabetes prevention program suppliers |
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6 | 6 | | in the Medicare Diabetes Prevention Program Expanded Model, and |
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7 | 7 | | for other purposes. |
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8 | 8 | | IN THE HOUSE OF REPRESENTATIVES |
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9 | 9 | | FEBRUARY24, 2025 |
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10 | 10 | | Ms. D |
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11 | 11 | | EGETTE(for herself, Mr. BILIRAKIS, Mr. CROW, and Ms. SCHRIER) in- |
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12 | 12 | | troduced the following bill; which was referred to the Committee on En- |
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13 | 13 | | ergy and Commerce, and in addition to the Committee on Ways and |
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14 | 14 | | Means, for a period to be subsequently determined by the Speaker, in |
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15 | 15 | | each case for consideration of such provisions as fall within the jurisdic- |
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16 | 16 | | tion of the committee concerned |
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17 | 17 | | A BILL |
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18 | 18 | | To provide for the inclusion of virtual diabetes prevention |
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19 | 19 | | program suppliers in the Medicare Diabetes Prevention |
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20 | 20 | | Program Expanded Model, and for other purposes. |
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21 | 21 | | Be it enacted by the Senate and House of Representa-1 |
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22 | 22 | | tives of the United States of America in Congress assembled, 2 |
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23 | 23 | | SECTION 1. SHORT TITLE. 3 |
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24 | 24 | | This Act may be cited as the ‘‘Promoting Responsible 4 |
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25 | 25 | | and Effective Virtual Experiences through Novel Tech-5 |
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26 | 26 | | nology to Deliver Improved Access and Better Engage-6 |
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27 | 27 | | VerDate Sep 11 2014 02:09 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1523.IH H1523 |
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28 | 28 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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29 | 29 | | •HR 1523 IH |
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30 | 30 | | ment with Tested and Evidence-based Strategies Act’’ or 1 |
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31 | 31 | | the ‘‘PREVENT DIABETES Act’’. 2 |
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32 | 32 | | SEC. 2. INCLUSION OF VIRTUAL DIABETES PREVENTION 3 |
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33 | 33 | | PROGRAM SUPPLIERS IN MDPP EXPANDED 4 |
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34 | 34 | | MODEL. 5 |
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35 | 35 | | (a) I |
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36 | 36 | | NGENERAL.—Not later than January 1, 2026, 6 |
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37 | 37 | | the Secretary shall revise the regulations under parts 410 7 |
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38 | 38 | | and 424 of title 42, Code of Federal Regulations, to pro-8 |
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39 | 39 | | vide that, for the period beginning January 1, 2026, and 9 |
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40 | 40 | | ending December 31, 2030— 10 |
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41 | 41 | | (1) an entity may participate in the MDPP by 11 |
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42 | 42 | | offering only online MDPP services via synchronous 12 |
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43 | 43 | | or asynchronous technology or telecommunications if 13 |
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44 | 44 | | such entity meets the conditions for enrollment as 14 |
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45 | 45 | | an MDPP supplier (as specified in section 15 |
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46 | 46 | | 424.205(b) of title 42, Code of Federal Regulations 16 |
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47 | 47 | | (or a successor regulation)); 17 |
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48 | 48 | | (2) if an entity participates in the MDPP in the 18 |
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49 | 49 | | manner described in paragraph (1)— 19 |
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50 | 50 | | (A) the administrative location of such en-20 |
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51 | 51 | | tity shall be the address of the entity on file 21 |
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52 | 52 | | under the Diabetes Prevention Recognition Pro-22 |
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53 | 53 | | gram; and 23 |
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54 | 54 | | (B) in the case of online MDPP services 24 |
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55 | 55 | | furnished by such entity to an MDPP bene-25 |
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56 | 56 | | VerDate Sep 11 2014 02:09 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1523.IH H1523 |
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57 | 57 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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58 | 58 | | •HR 1523 IH |
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59 | 59 | | ficiary who was not located in the same State 1 |
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60 | 60 | | as the entity at the time such services were fur-2 |
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61 | 61 | | nished, the entity shall not be prohibited from 3 |
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62 | 62 | | submitting a claim for payment for such serv-4 |
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63 | 63 | | ices solely by reason of the location of such ben-5 |
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64 | 64 | | eficiary at such time; and 6 |
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65 | 65 | | (3) no limit is applied on the number of times 7 |
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66 | 66 | | an individual may enroll in the MDPP. 8 |
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67 | 67 | | (b) D |
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68 | 68 | | EFINITIONS.—In this section: 9 |
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69 | 69 | | (1) MDPP.—The term ‘‘MDPP’’ means the 10 |
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70 | 70 | | Medicare Diabetes Prevention Program conducted 11 |
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71 | 71 | | under section 1115A of the Social Security Act (42 12 |
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72 | 72 | | U.S.C. 1315a), as described in the final rule pub-13 |
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73 | 73 | | lished in the Federal Register entitled ‘‘Medicare 14 |
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74 | 74 | | and Medicaid Programs; CY 2024 Payment Policies 15 |
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75 | 75 | | Under the Physician Fee Schedule and Other 16 |
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76 | 76 | | Changes to Part B Payment and Coverage Policies; 17 |
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77 | 77 | | Medicare Shared Savings Program Requirements; 18 |
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78 | 78 | | Medicare Advantage; Medicare and Medicaid Pro-19 |
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79 | 79 | | vider and Supplier Enrollment Policies; and Basic 20 |
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80 | 80 | | Health Program’’ (88 Fed. Reg. 78818 (November 21 |
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81 | 81 | | 16, 2023)) (or a successor regulation). 22 |
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82 | 82 | | (2) R |
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83 | 83 | | EGULATORY TERMS .—The terms ‘‘Diabe-23 |
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84 | 84 | | tes Prevention Recognition Program’’, ‘‘full CDC 24 |
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85 | 85 | | DPRP recognition’’, ‘‘MDPP beneficiary’’, ‘‘MDPP 25 |
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86 | 86 | | VerDate Sep 11 2014 02:09 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1523.IH H1523 |
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87 | 87 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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88 | 88 | | •HR 1523 IH |
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89 | 89 | | services’’, and ‘‘MDPP supplier’’ have the meanings 1 |
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90 | 90 | | given each such term in section 410.79(b) of title 2 |
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91 | 91 | | 42, Code of Federal Regulations. 3 |
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92 | 92 | | (3) S |
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93 | 93 | | ECRETARY.—The term ‘‘Secretary’’ means 4 |
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94 | 94 | | the Secretary of Health and Human Services. 5 |
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95 | 95 | | Æ |
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96 | 96 | | VerDate Sep 11 2014 02:09 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H1523.IH H1523 |
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97 | 97 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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