more entities from each of the categories described in 
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 
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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. 
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SEC. 6. 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 March 
31, 2025, 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 March 31, 2025, the virtual 
presence of such physician, physician assistant, 
nurse practitioner, or clinical nurse specialist)’’ after 
‘‘under the program’’. 
(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. 
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SEC. 7. 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, beginning January 1, 2026— 
(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 
submitting a claim for payment for such serv-
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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. 
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(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
SEC. 8. MEDICATION-INDUCED MOVEMENT DISORDER OUT-
REACH AND EDUCATION. 
Not later than January 1, 2026, the Secretary shall 
use existing communications mechanisms to provide edu-
cation and outreach to physicians and appropriate non- 
physician practitioners participating under the Medicare 
program under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.) with respect to periodic screening for 
medication-induced movement disorders that are associ-
ated with the treatment of mental health disorders in at- 
risk patients, as well as resources related to clinical guide-
lines and best practices for furnishing such screening serv-
ices through telehealth. Such education and outreach shall 
include information on how to account for such screening 
services in evaluation and management code selection. The 
Secretary shall, to the extent practicable, seek input from 
relevant stakeholders to inform such education and out-
reach. Such education and outreach may also address 
other relevant screening services furnished through tele-
health, as the Secretary determines appropriate. 
Æ 
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