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Medicare and Medicaid Coverage for FDA-Approved Prescription Digital Therapeutics.

This bill mandates that FDA-approved prescription digital therapeutics (software-based medical treatments like apps or devices) be covered under Medicare and Medicaid. This expansion ensures that seniors, people with disabilities, and low-income individuals gain access to modern, digital methods for managing or treating various medical conditions. Coverage for Medicare beneficiaries is set to begin on January 1, 2024.
Key points
Expands Medicare and Medicaid coverage to include software-based medical treatments (Prescription Digital Therapeutics or PDTs).
PDTs must be FDA-approved for the prevention, management, or treatment of a medical condition.
New coverage for Medicare beneficiaries starts January 1, 2024, increasing access to innovative digital healthcare options.
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Additional Information
Print number: 118_S_723
Sponsor: Sen. Shaheen, Jeanne [D-NH]
Process start date: 2023-03-08