paragraphs (1) through (7) of subsection (b), shall issue 
and disseminate, or update and revise as applicable, guid-
ance for the entities described in such subsection on the 
following: 
(1) Best practices on facilitating and inte-
grating use of interpreters during a telemedicine ap-
pointment. 
(2) Best practices on providing accessible in-
structions on how to access telecommunications sys-
tems (as such term is used for purposes of section 
1834(m) of the Social Security Act (42 U.S.C. 
1395m(m))) for individuals with limited English pro-
ficiency. 
(3) Best practices on improving access to dig-
ital patient portals for individuals with limited 
English proficiency. 
(4) Best practices on integrating the use of 
video platforms that enable multi-person video calls 
furnished via a telecommunications system for pur-
poses of providing interpretation during a telemedi-
cine appointment for an individual with limited 
English proficiency. 
(5) Best practices for providing patient mate-
rials, communications, and instructions in multiple 
VerDate Sep 11 2014 
04:23 Sep 03, 2025
Jkt 059200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H5081.IH
H5081
kjohnson on DSK7ZCZBW3PROD with $$_JOB
languages, including text message appointment re-
minders and prescription information. 
(b) ENTITIES DESCRIBED.—For purposes of sub-
section (a), an entity described in this subsection is an 
entity in 1 or more of the following categories: 
(1) Health information technology service pro-
viders, including— 
(A) electronic medical record companies; 
(B) remote patient monitoring companies; 
and 
(C) telehealth or mobile health vendors and 
companies. 
(2) Health care providers, including— 
(A) physicians; and 
(B) hospitals. 
(3) Health insurers. 
(4) Language service companies. 
(5) Interpreter or translator professional asso-
ciations. 
(6) Health and language services quality certifi-
cation organizations. 
(7) Patient and consumer advocates, including 
such advocates that work with individuals with lim-
ited English proficiency. 
VerDate Sep 11 2014 
04:23 Sep 03, 2025
Jkt 059200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H5081.IH
H5081
kjohnson on DSK7ZCZBW3PROD with $$_JOB
SEC. 7. IN-HOME CARDIOPULMONARY REHABILITATION 
FLEXIBILITIES. 
(a) IN GENERAL.—Section 1861(eee)(2) of the Social 
Security Act (42 U.S.C. 1395x(eee)(2)) is amended— 
(1) in subparagraph (A)(ii), by inserting ‘‘(in-
cluding, with respect to items and services furnished 
through audio and video real-time communications 
technology (excluding audio-only) on or after Sep-
tember 30, 2025, and before January 1, 2027, in 
the home of an individual who is an outpatient of 
the hospital)’’ after ‘‘outpatient basis’’; and 
(2) in subparagraph (B), by inserting ‘‘(includ-
ing, with respect to items and services furnished 
through audio and video real-time communications 
technology on or after September 30, 2025, and be-
fore January 1, 2027, the virtual presence of such 
physician, physician assistant, nurse practitioner, or 
clinical nurse specialist)’’ after ‘‘under the pro-
gram’’. 
(b) PROGRAM INSTRUCTION AUTHORITY.—Notwith-
standing any other provision of law, the Secretary of 
Health and Human Services may implement the amend-
ments made by this section by program instruction or oth-
erwise. 
VerDate Sep 11 2014 
04:23 Sep 03, 2025
Jkt 059200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H5081.IH
H5081
kjohnson on DSK7ZCZBW3PROD with $$_JOB
SEC. 8. INCLUSION OF VIRTUAL DIABETES PREVENTION 
PROGRAM SUPPLIERS IN MDPP EXPANDED 
MODEL. 
(a) IN GENERAL.—Not later than January 1, 2026, 
the Secretary shall revise the regulations under parts 410 
and 424 of title 42, Code of Federal Regulations, to pro-
vide that, for the period beginning January 1, 2026, and 
ending December 31, 2030— 
(1) an entity may participate in the MDPP by 
offering only online MDPP services via synchronous 
or asynchronous technology or telecommunications if 
such entity meets the conditions for enrollment as 
an 
MDPP 
supplier 
(as 
specified 
in 
section 
424.205(b) of title 42, Code of Federal Regulations 
(or a successor regulation)); 
(2) if an entity participates in the MDPP in the 
manner described in paragraph (1)— 
(A) the administrative location of such en-
tity shall be the address of the entity on file 
under the Diabetes Prevention Recognition Pro-
gram; and 
(B) in the case of online MDPP services 
furnished by such entity to an MDPP bene-
ficiary who was not located in the same State 
as the entity at the time such services were fur-
nished, the entity shall not be prohibited from 
VerDate Sep 11 2014 
04:23 Sep 03, 2025
Jkt 059200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H5081.IH
H5081
kjohnson on DSK7ZCZBW3PROD with $$_JOB
submitting a claim for payment for such serv-
ices solely by reason of the location of such ben-
eficiary at such time; and 
(3) no limit is applied on the number of times 
an individual may enroll in the MDPP. 
(b) DEFINITIONS.—In this section: 
(1) MDPP.—The term ‘‘MDPP’’ means the 
Medicare Diabetes Prevention Program conducted 
under section 1115A of the Social Security Act (42 
U.S.C. 1315a), as described in the final rule pub-
lished in the Federal Register entitled ‘‘Medicare 
and Medicaid Programs; CY 2024 Payment Policies 
Under the Physician Fee Schedule and Other 
Changes to Part B Payment and Coverage Policies; 
Medicare Shared Savings Program Requirements; 
Medicare Advantage; Medicare and Medicaid Pro-
vider and Supplier Enrollment Policies; and Basic 
Health Program’’ (88 Fed. Reg. 78818 (November 
16, 2023)) (or a successor regulation). 
(2) REGULATORY TERMS.—The terms ‘‘Diabe-
tes Prevention Recognition Program’’, ‘‘full CDC 
DPRP recognition’’, ‘‘MDPP beneficiary’’, ‘‘MDPP 
services’’, and ‘‘MDPP supplier’’ have the meanings 
given each such term in section 410.79(b) of title 
42, Code of Federal Regulations. 
VerDate Sep 11 2014 
04:23 Sep 03, 2025
Jkt 059200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H5081.IH
H5081
kjohnson on DSK7ZCZBW3PROD with $$_JOB
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
Æ 
VerDate Sep 11 2014 
04:23 Sep 03, 2025
Jkt 059200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6301
E:\BILLS\H5081.IH
H5081
kjohnson on DSK7ZCZBW3PROD with $$_JOB