Jeanne Shaheen (D-NH)
Expanding Access to Diabetes Self-Management Training Act of 2025
A Democratic bill with 1 Republican cosponsor · See all 4 cosponsors
Last activity — Read twice and referred to the Committee on Finance.
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 training services for individuals with diabetes. It amends the Social Security Act to change how diabetes outpatient self-management training is managed and provided. The bill specifies certain hours for initial and annual training services and removes limits on services deemed medically necessary by a provider. It also modifies medical nutrition therapy and cost-sharing rules for these training services. Additionally, the bill requires the Secretary to implement a model to test the impact of virtual diabetes training services. This testing is intended to evaluate health outcomes and expenditures.
Yes· 3 of 9
- Scored +8
Does this make health care easier to get in general?
The bill significantly improves access to diabetes training by removing deductibles and allowing more hours.
- Scored +7
Would people over 65 be better off under this?
The bill provides significant benefits for Medicare beneficiaries managing diabetes.
- Scored +7
Would retired people be better off under this?
The bill directly benefits Medicare beneficiaries, a group largely comprised of retirees.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Improved Access to Training Hours: The bill establishes a specific schedule for training, including an initial 10 hours and an additional 2 hours each year, ensuring these hours remain available until used (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 those services (Section 2(a)(3)(B)).
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Reduced Financial Burden: 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 amount (Section 2(c)(1)(A)).
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Elimination of Deductibles: The deductible shall not apply with respect to diabetes outpatient self-management training services (Section 2(c)(1)(B)).
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Testing of Virtual Services: The Secretary is required to implement a model to test virtual diabetes outpatient self-management training services to see if they improve health outcomes and reduce expenditures (Section 3(h)(1)).
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Focus on Health Improvements: The virtual service model is designed to evaluate improvements in health outcomes, such as reducing A1c levels and reducing hospitalizations due to diabetic-related complications (Section 3(h)(2)(A)).
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? — The bill directly benefits Medicare beneficiaries, a group largely comprised of retirees. Would people over 65 be better off under this? — The bill provides significant benefits for Medicare beneficiaries managing diabetes. Would households on low incomes be better off under this? — Removing deductibles and covering 100% of costs helps lower-income individuals access care. Would people in rural areas be better off under this? — The emphasis on virtual training can significantly improve accessibility for those in rural areas. Would middle-income households be better off under this? — Reduction in cost-sharing and deductibles provides financial relief for medical needs.
- Healthcare
- Does this make health care easier to get in general? — The bill significantly improves access to diabetes training by removing deductibles and allowing more hours. Does this put more money into Medicare, the health coverage for people over 65? — The bill expands coverage for diabetes self-management training under Medicare. Does this lower what a hospital stay costs? — By improving self-management, the bill aims to reduce hospitalizations due to complications.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — The bill specifically targets increased utilization in rural and underserved communities via virtual services.
- 4/27/2026
- 1 Cosponsor added.
- 12/15/2025
- 1 Cosponsor added.
- 12/8/2025
- 1 Cosponsor added.
- 6/2/2025
- Read twice and referred to the Committee on Finance.
- 1 Cosponsor added.
- Introduced in Senate
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.
Cory BookerDemocrat · New Jersey
Susan CollinsRepublican · Maine
Amy KlobucharDemocrat · Minnesota
Angus KingIndependent · Maine