Expanding Access to Diabetes Self-Management Training Act of 2025

Increased Training Hours: The bill establishes a specific schedule for training, providing an initial 10 hours and an additional 2 hours each year, which helps ensure patients have access to necessary education (Section 2(a)(3)(A)).

Medical Necessity Flexibility: A physician or qualified non-physician practitioner can deem services medically necessary, which prevents the Secretary from limiting the quantity or duration of services for those individuals (Section 2(a)(3)(B)).

Lower Out-of-Pocket Costs: For diabetes outpatient self-management training services, the amount paid shall be 100 percent of the lesser of the actual charge or the fee schedule, and the deductible shall not apply to these services (Section 2(c)).

Expanded Access through Virtual Services: The Secretary is required to implement a model to test virtual diabetes outpatient self-management training services, which may improve health outcomes and increase utilization in rural and underserved communities (Section s. 3(h)(1)-(2)(A)(iii)).

Improved Health Outcomes: The virtual model is designed to evaluate improvements in health outcomes, such as reducing A1c levels, reducing hospitalizations due to complications, and improving medication adherence (Section 3(h)(2)(A)(i)-(iv)).