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-recog-
nized virtual diabetes prevention program suppliers to 
be included in the Medicare Diabetes Prevention Pro-
gram Expanded Model conducted by the Center for Medi-
care and Medicaid Innovation under section 1115A of 
the Social Security Act (42 U.S.C. 1315a). 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Promoting Responsible 
and Effective Virtual Experiences through Novel Tech-
nology to Deliver Improved Access and Better Engage-
ment with Tested and Evidence-Based Strategies Act’’ or 
the ‘‘PREVENT DIABETES Act’’. 
SEC. 2. INCLUSION OF VIRTUAL DIABETES PREVENTION 
PROGRAM SUPPLIERS IN MDPP EXPANDED 
MODEL. 
(a) IN GENERAL.—Not later than January 1, 2021, 
the Secretary shall revise the regulations under part 410 
and section 424.200–.518 of title 42, Code of Federal 
Regulations (or any successor regulations), to permit any 
diabetes prevention lifestyle change program, including 
any online or virtual diabetes prevention program, that 
has met the standards for full recognition by the CDC— 
(1) to apply to be a MDPP supplier; and 
(2) upon a successful application, to participate 
in the MDPP Expanded Model described in the final 
rule published in the Federal Register on November 
15, 2017, entitled ‘‘Medicare Program; Revisions to 
Payment Policies Under the Physician Fee Schedule 
and Other Revisions to Part B for CY 2018; Medi-
care Shared Savings Program Requirements; and 
Medicare Diabetes Prevention Program’’, in accord-
ance with this section. 
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(b) VIRTUAL DIABETES PREVENTION PROGRAM SUP-
PLIERS.—A virtual diabetes prevention program supplier 
participating in the MDPP Expanded Model shall be sub-
ject to the same standards as in-person MDPP suppliers 
participating in such program, except— 
(1) the administrative location of a virtual dia-
betes prevention program supplier shall be the ad-
dress of the supplier on file under the Diabetes Pre-
vention Recognition Program of the CDC; 
(2) a virtual diabetes prevention program sup-
plier shall not be required to report a change in its 
administrative location except when such supplier’s 
address on file under the Diabetes Prevention Rec-
ognition Program has changed; and 
(3) a virtual diabetes prevention program sup-
plier shall not be prohibited from submitting or re-
ceiving payment for a claim for virtual diabetes pre-
vention program services because the beneficiary was 
not present in the same State or country as such 
supplier or service. 
(c) DIABETES PREVENTION PROGRAM SUPPLIER 
SCREENING LEVEL.—The supplier enrollment screening 
level applicable to a virtual diabetes prevention program 
supplier shall be at a ‘‘high’’ categorical risk in accordance 
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with section 424.518(c)(2) of title 42, Code of Federal 
Regulations (or any successor regulations). 
(d) CLARIFICATION.—Notwithstanding any provision 
of this law, the MDPP Expanded Model, upon the inclu-
sion of virtual diabetes prevention program suppliers, shall 
continue to be an expanded model under section 1115A 
of the Social Security Act (42 U.S.C. 1315a), unless the 
Secretary determines, based on performance data from the 
MDPP Expanded Model, that continued testing would be 
inconsistent with the requirements set forth in subsection 
(c) of such section 1115A. 
(e) OTHER TESTING.—Nothing in this section shall 
limit the Secretary from developing and testing additional 
models that utilize virtual technology or deliver health care 
services through virtual means. 
(f) DEFINITIONS.—In this section: 
(1) CDC.—The term ‘‘CDC’’ means the Cen-
ters for Disease Control and Prevention. 
(2) MDPP.—The term ‘‘MDPP’’ means the 
Medicare Diabetes Prevention Program. 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(4) VIRTUAL DIABETES PREVENTION PROGRAM 
SUPPLIER.—The term ‘‘virtual diabetes prevention 
program supplier’’ means a supplier, that meets the 
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