I 

116TH CONGRESS 

2D SESSION H. R. 8861 

To permit Centers for Disease Control and Prevention-recognized virtual 

diabetes prevention program suppliers to be included in the Medicare 

Diabetes Prevention Program Expanded Model conducted by the Center 

for Medicare and Medicaid Innovation under section 1115A of the Social 

Security Act (42 U.S.C. 1315a). 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 3, 2020 

Mr. RICE of South Carolina (for himself, Ms. DEGETTE, Mr. REED, and Mr. 

BUTTERFIELD) 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 permit Centers for Disease Control and Prevention-recognized virtual diabetes prevention program suppliers to 

be included in the Medicare Diabetes Prevention Program Expanded Model conducted by the Center for Medicare and Medicaid Innovation under section 1115A of 

the Social Security Act (42 U.S.C. 1315a). 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Promoting Responsible 

3 and Effective Virtual Experiences through Novel Tech4 nology to Deliver Improved Access and Better Engage5 ment with Tested and Evidence-Based Strategies Act’’ or 

6 the ‘‘PREVENT DIABETES Act’’. 

7 SEC. 2. INCLUSION OF VIRTUAL DIABETES PREVENTION 

8 PROGRAM SUPPLIERS IN MDPP EXPANDED 

9 MODEL. 

10 (a) IN GENERAL.—Not later than January 1, 2021, 

11 the Secretary shall revise the regulations under part 410 

12 and section 424.200–.518 of title 42, Code of Federal 

13 Regulations (or any successor regulations), to permit any 

14 diabetes prevention lifestyle change program, including 

15 any online or virtual diabetes prevention program, that 

16 has met the standards for full recognition by the CDC— 

17 (1) to apply to be a MDPP supplier; and 

18 (2) upon a successful application, to participate 

19 in the MDPP Expanded Model described in the final 

20 rule published in the Federal Register on November 

21 15, 2017, entitled ‘‘Medicare Program; Revisions to 

22 Payment Policies Under the Physician Fee Schedule 

23 and Other Revisions to Part B for CY 2018; Medi24 care Shared Savings Program Requirements; and 

25 Medicare Diabetes Prevention Program’’, in accord26 ance with this section. 


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1 (b) VIRTUAL DIABETES PREVENTION PROGRAM SUP2 PLIERS.—A virtual diabetes prevention program supplier 

3 participating in the MDPP Expanded Model shall be sub4 ject to the same standards as in-person MDPP suppliers 

5 participating in such program, except— 

6 (1) the administrative location of a virtual dia7 betes prevention program supplier shall be the ad8 dress of the supplier on file under the Diabetes Pre9 vention Recognition Program of the CDC; 

10 (2) a virtual diabetes prevention program sup11 plier shall not be required to report a change in its 

12 administrative location except when such supplier’s 

13 address on file under the Diabetes Prevention Rec14 ognition Program has changed; and 

15 (3) a virtual diabetes prevention program sup16 plier shall not be prohibited from submitting or re17 ceiving payment for a claim for virtual diabetes pre18 vention program services because the beneficiary was 

19 not present in the same State or country as such 

20 supplier or service. 

21 (c) DIABETES PREVENTION PROGRAM SUPPLIER

22 SCREENING LEVEL.—The supplier enrollment screening 

23 level applicable to a virtual diabetes prevention program 

24 supplier shall be at a ‘‘high’’ categorical risk in accordance 


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1 with section 424.518(c)(2) of title 42, Code of Federal 

2 Regulations (or any successor regulations). 

3 (d) CLARIFICATION.—Notwithstanding any provision 

4 of this law, the MDPP Expanded Model, upon the inclu5 sion of virtual diabetes prevention program suppliers, shall 

6 continue to be an expanded model under section 1115A 

7 of the Social Security Act (42 U.S.C. 1315a), unless the 

8 Secretary determines, based on performance data from the 

9 MDPP Expanded Model, that continued testing would be 

10 inconsistent with the requirements set forth in subsection 

11 (c) of such section 1115A. 

12 (e) OTHER TESTING.—Nothing in this section shall 

13 limit the Secretary from developing and testing additional 

14 models that utilize virtual technology or deliver health care 

15 services through virtual means. 

16 (f) DEFINITIONS.—In this section: 

17 (1) CDC.—The term ‘‘CDC’’ means the Cen18 ters for Disease Control and Prevention. 

19 (2) MDPP.—The term ‘‘MDPP’’ means the 

20 Medicare Diabetes Prevention Program. 

21 (3) SECRETARY.—The term ‘‘Secretary’’ means 

22 the Secretary of Health and Human Services. 

23 (4) VIRTUAL DIABETES PREVENTION PROGRAM

24 SUPPLIER.—The term ‘‘virtual diabetes prevention 

25 program supplier’’ means a supplier, that meets the 


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1 standards for full recognition by the CDC, of diabe2 tes prevention program services that are delivered 

3 via a synchronous or asynchronous technology or 

4 telecommunications. 

Æ 


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