The PREVENT DIABETES Act would temporarily expand the Medicare Diabetes Prevention Program (MDPP) to explicitly include virtual, online-only MDPP suppliers from 2026 through 2030. Under the bill, these online providers could enroll as MDPP suppliers if they meet existing enrollment requirements, and they would be treated as MDPP suppliers with an administrative location tied to the entity’s Diabetes Prevention Recognition Program (DPRP) records. Importantly, online services could be billed for beneficiaries located in a different state, and there would be no limit on how many times an individual can enroll in MDPP through these online providers. The bill also preserves current definitions and regulatory terms for MDPP and related programs. The act is codified as the “Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies Act” or the “PREVENT DIABETES Act.” The expanded online MDPP participation would be limited to the period beginning January 1, 2026, and ending December 31, 2030.
Key Points
- 1Allows online-only MDPP services to participate in the Medicare MDPP Expanded Model from 2026 through 2030, provided the entity meets enrollment requirements for MDPP suppliers.
- 2If an online MDPP supplier participates, its administrative location must be the DPRP-recognized address on file, and online services to beneficiaries in other states would not be disqualified solely due to the beneficiary’s location.
- 3No limit on the number of times an individual may enroll in MDPP when served by these online providers.
- 4Uses existing MDPP definitions and regulatory terms (as in CFR 410.79(b) and related sections) and applies them to virtual suppliers; the Secretary remains the relevant authority.
- 5Short title is the PREVENT DIABETES Act, with the formal long title describing the virtual MDPP expansion and related purposes.