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Medicare: Full Coverage for Type II Diabetes Prevention Programs

This Act establishes permanent and full coverage for Type II diabetes prevention services under Medicare Part B, significantly benefiting individuals at risk. Eligible citizens can access CDC-approved structured behavioral sessions with no lifetime limit on participation, promoting better health outcomes and potentially reducing future healthcare costs. These changes take effect on January 1, 2025, replacing the previous pilot model.
Key points
New Medicare Benefit: Diabetes Prevention Program Services are added as a permanent covered benefit under Medicare Part B.
100% Coverage: Medicare will cover 100% of the payment amount for these services, meaning no out-of-pocket costs for eligible beneficiaries.
No Lifetime Limit: There is no limitation on the number of times an eligible individual may enroll in the diabetes prevention program.
Eligibility Criteria: The program is available to individuals enrolled in Medicare Parts A and B who have no prior diagnosis of diabetes (other than gestational diabetes) or end-stage renal disease.
Provider Requirements: Services must be furnished by suppliers recognized under the CDC Diabetes Prevention Recognition Program, including in-person and virtual delivery modes.
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Additional Information
Print number: 118_S_4094
Sponsor: Sen. Scott, Tim [R-SC]
Process start date: 2024-04-10
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Summarized by: gemini-flash-latest
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

PREVENT DIABETES Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_4094.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2024-04-10.

What are the main provisions?

Key points include:

  • New Medicare Benefit: Diabetes Prevention Program Services are added as a permanent covered benefit under Medicare Part B.
  • 100% Coverage: Medicare will cover 100% of the payment amount for these services, meaning no out-of-pocket costs for eligible beneficiaries.
  • No Lifetime Limit: There is no limitation on the number of times an eligible individual may enroll in the diabetes prevention program.
  • Eligibility Criteria: The program is available to individuals enrolled in Medicare Parts A and B who have no prior diagnosis of diabetes (other than gestational diabetes) or end-stage renal disease.
  • Provider Requirements: Services must be furnished by suppliers recognized under the CDC Diabetes Prevention Recognition Program, including in-person and virtual delivery modes.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Scott, Tim [R-SC].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health Benefits