The PREVENT DIABETES Act would expand Medicare coverage to include diabetes prevention programs starting January 1, 2025. The legislation allows Medicare beneficiaries who do not have diabetes to participate in structured behavioral health change sessions following CDC-approved curricula, delivered either in-person or online by certified diabetes prevention program suppliers, with no limit on how many times someone can enroll. Medicare beneficiaries who are entitled to Part A benefits and enrolled in Part B would be eligible, as long as they do not have type 2 diabetes, end-stage renal disease, or meet other exclusion criteria set by the Secretary of Health and Human Services. The bill requires the government to establish a payment structure for these services and to update that structure annually based on inflation, while the current Medicare Diabetes Prevention Program Expanded Model would end on January 1, 2025. By January 1, 2028, the Secretary must report to Congress on the program's effectiveness, including its impact on participation rates, weight loss, health outcomes, and costs related to type 2 diabetes.
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