,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dgji  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbj,mr4 ,scott of ,south ,carolina   
7for himself1 ,mr4 ,warner1 ,mr4        
,cramer1 ,ms4 ,sinema1 ,mr4 ,cotton1 and
 ,ms4 ,smith7 introduced the following  
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to permit ,centers for ,disease      
,control and ,prevention-recognized     
virtual diabetes prevention program     
suppliers to be included in the         
,medicare ,diabetes ,prevention ,program
 ,expanded ,model conducted by the      
,center for ,medicare and ,medicaid     
,innovation under section #aaae;,a of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acae;a74  #a4 ,short title   
,this ,act may be cited 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 ,act4  
#b4 ,inclusion of virtual diabetes      
prevention program suppliers in ,,mdpp  
,expanded ,model  7a7 ,in general ,not  
later than ,january #a1 #bjba1 the      
,secretary shall revise the regulations 
under part #daj and section             
#dbd4bjj-4eah of title #db1 ,code of    
,federal ,regulations 7or any successor 
regulations71 to permit any diabetes    
prevention lifestyle change program1    
including any online or virtual diabetes
 prevention program1 that has met the   
standards for full recognition by the   
,,cdc-- 7#a7 to apply to be a ,,mdpp    
supplier2 and  7#b7 upon a successful   
application1 to participate in the      
,,mdpp ,expanded ,model described in the
 final rule published in the ,federal   
,register on ,november #ae1 #bjag1      
entitled ,medicare ,program2 ,revisions 
to ,payment ,policies ,under the        
,physician ,fee ,schedule and ,other    
,revisions to ,part ,b for ,,cy #bjah2  
,medicare ,shared ,savings ,program     

,requirements2 and ,medicare ,diabetes  
,prevention ,program1 in accordance with
 this section4  7b7 ,virtual diabetes   
prevention program suppliers ,a virtual 
diabetes prevention program supplier    
participating in the ,,mdpp ,expanded   
,model shall be subject to the same     
standards as in-person ,,mdpp suppliers 
participating in such program1 except-- 
7#a7 the administrative location of a   
virtual diabetes prevention program     
supplier shall be the address of the    
supplier on file under the ,diabetes    
,prevention ,recognition ,program of the
 ,,cdc2  7#b7 a virtual diabetes        
prevention program supplier shall not be
 required to report a change in its     
administrative location except when such
 supplier's address on file under the   
,diabetes ,prevention ,recognition      
,program has changed2 and  7#c7 a       
virtual diabetes prevention program     
supplier shall not be prohibited from   
submitting or receiving payment for a   
claim for virtual diabetes prevention   

program services because the beneficiary
 was not present in the same ,state or  
country as such supplier or service4    
7c7 ,diabetes prevention program        
supplier screening level ,the supplier  
enrollment screening level applicable to
 a virtual diabetes prevention program  
supplier shall be at a high categorical 
risk in accordance with section         
#dbd4eah7;c77#b7 of title #db1 ,code of 
,federal ,regulations 7or any successor 
regulations74  7d7 ,clarification       
,notwithstanding any provision of this  
law1 the ,,mdpp ,expanded ,model1 upon  
the inclusion of virtual diabetes       
prevention program suppliers1 shall     
continue to be an expanded model under  
section #aaae;,a of the ,social         
,security ,act 7#db ,u4,s4,c4 #acae;a71 
unless the ,secretary determines1 based 
on performance data from the ,,mdpp     
,expanded ,model1 that continued testing
 would be inconsistent with the         
requirements set forth in subsection 7c7
 of such section #aaae;,a4  7e7 ,other  

testing ,nothing in this section shall  
limit the ,secretary from developing and
 testing additional models that utilize 
virtual technology or deliver health    
care services through virtual means4    
7f7 ,definitions ,in this section3 7#a7 
,,cdc ,the term ,,cdc means the ,centers
 for ,disease ,control and ,prevention4 
7#b7 ,,mdpp ,the term ,,mdpp means the  
,medicare ,diabetes ,prevention         
,program4  7#c7 ,secretary ,the term    
,secretary means the ,secretary of      
,health and ,human ,services4  7#d7     
,virtual diabetes prevention program    
supplier ,the term virtual diabetes     
prevention program supplier means a     
supplier1 that meets the standards for  
full recognition by the ,,cdc1 of       
diabetes prevention program services    
that are delivered via a synchronous or 
asynchronous technology or              
telecommunications4