Kim Schrier (D-WA)
Expanding Access to Diabetes Self-Management Training Act of 2025
A Democratic bill with 5 Republican cosponsors · See all 15 cosponsors
Last activity — 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The Expanding Access to Diabetes Self-Management Training Act of 2025 aims to improve access to diabetes outpatient self-management training services. It amends the Social Security Act to specify training hours and allows a wider range of practitioners to oversee these services. The bill also updates medical nutrition therapy and changes cost-sharing rules for these training services. Additionally, it requires the Center for Medicare and Medicaid Innovation to test a model for virtual diabetes outpatient self-management training. This testing includes evaluating health outcomes and expenditures. These changes are scheduled to apply to certain items and services starting January 1, 2027.
Yes· 3 of 9
- Scored +8
Does this make health care easier to get in general?
The bill significantly expands access to diabetes self-management training through specified hours and virtual options.
- Scored +6
Would people over 65 be better off under this?
The bill enhances Medicare benefits, which primarily benefits senior citizens.
- Scored +6
Would retired people be better off under this?
Increased Medicare benefits provide significant value to retirees managing diabetes.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Training Hours: The bill establishes a specific schedule for training, providing an initial 10 hours and an additional 2 hours each year, which helps ensure patients have access to necessary education (Section 2(a)(3)(A)).
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Medical Necessity Flexibility: A physician or qualified non-physician practitioner can deem services medically necessary, which prevents the Secretary from limiting the quantity or duration of services for those individuals (Section 2(a)(3)(B)).
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Lower Out-of-Pocket Costs: For diabetes outpatient self-management training services, the amount paid shall be 100 percent of the lesser of the actual charge or the fee schedule, and the deductible shall not apply to these services (Section 2(c)).
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Expanded Access through Virtual Services: The Secretary is required to implement a model to test virtual diabetes outpatient self-management training services, which may improve health outcomes and increase utilization in rural and underserved communities (Section s. 3(h)(1)-(2)(A)(iii)).
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Improved Health Outcomes: The virtual model is designed to evaluate improvements in health outcomes, such as reducing A1c levels, reducing hospitalizations due to complications, and improving medication adherence (Section 3(h)(2)(A)(i)-(iv)).
Potential Negative Impacts for People
- No specific negative impacts are explicitly stated in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would retired people be better off under this? — Increased Medicare benefits provide significant value to retirees managing diabetes. Would people over 65 be better off under this? — The bill enhances Medicare benefits, which primarily benefits senior citizens. Would households on low incomes be better off under this? — Eliminating deductibles for diabetes training reduces the financial burden on low-income individuals. Would people in rural areas be better off under this? — The expansion into virtual training specifically targets increased utilization in rural communities. Would middle-income households be better off under this? — Reduces out-of-pocket healthcare costs for those with diabetes.
- Healthcare
- Does this make health care easier to get in general? — The bill significantly expands access to diabetes self-management training through specified hours and virtual options. Does this put more money into Medicare, the health coverage for people over 65? — The bill expands coverage and reduces cost-sharing for diabetes training services under Medicare. Does this lower what a hospital stay costs? — Improved self-management training aims to reduce hospitalizations due to diabetic complications.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — The bill promotes virtual services that can increase utilization in rural communities.
- 7/22/2026
- 1 Cosponsor added.
- 7/14/2026
- 2 Cosponsors added.
- 6/29/2026
- 2 Cosponsors added.
- 6/9/2026
- 1 Cosponsor added.
- 6/3/2026
- 2 Cosponsors added.
- 2/12/2026
- 1 Cosponsor added.
- 9/15/2025
- 2 Cosponsors added.
- 6/6/2025
- 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.
- 4 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Gus BilirakisRepublican · Florida
Suzan DelBeneDemocrat · Washington
Brian FitzpatrickRepublican · Pennsylvania
Adelita GrijalvaDemocrat · Arizona
Mike KellyRepublican · Pennsylvania
Jennifer KiggansRepublican · Virginia
Sarah McBrideDemocrat · Delaware
Eleanor NortonDemocrat · District of Columbia
Chellie PingreeDemocrat · Maine
Mark PocanDemocrat · Wisconsin
Nellie PouDemocrat · New Jersey
Deborah RossDemocrat · North Carolina
Josh RileyDemocrat · New York
Joe WilsonRepublican · South Carolina
Debbie Wasserman SchultzDemocrat · Florida