,,ii  #aah? ,,congress  #b;d ,session   
,s4 #djid  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #aj1 #bjbd,mr4  
,scott ( ,s\? ,c>ol9a 7= himself1 ,mr4  
,w>n]1 & ,mr4 ,cram]7 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to provide = cov]age ( ! ,m$ic>e  
,diabetes ,prev5tion program1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,promot+ ,responsible &    
,effective ,virtual ,exp]i5ces ?r\gh    
,novel ,te*nology to ,deliv] ,improv$   
,access & ,bett] ,engagem5t ) ,te/$ &   
,evid5ce-bas$ ,/rategies ,act or !      
,,prev5t ,,diabetes ,act4  #b4 ,m$ic>e  
,diabetes ,prev5tion ,program  7a7      
,cov]age  7#a7 ,9 g5]al ,section #ahfa (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciex7 is am5d$-- 7,a7 9 subsection   
7s77#b71 by add+ at ! end ! foll[+ new  
subp>agraph3  7,,kk7 diabetes prev5tion 
program s]vices 7z def9$ 9 subsection   
7nnn772  2 &  7,b7 by add+ at ! end !   

foll[+ new subsection3  7nnn7 ,diabetes 
prev5tion program s]vices  7#a7 ,9 g5]al
 ,! t]m diabetes prev5tion program      
s]vices means /ructur$ behavioral heal? 
*ange sessions t-- 7,a7 are furni%$ to  
an eligible individual describ$ 9       
p>agraph 7#b7 by a diabetes prev5tion   
program suppli] = ! purpose ( prev5t+ or
 delay+ ! onset ( type ,,ii diabetes2   
7,b7 foll[ a ,,cdc-approv$ curriculum2 &
  7,c7 are furni%$ on or aft] ,janu>y   
#a1 #bjbe4  7#b7 ,eligible individual   
describ$ ,an eligible individual        
describ$ 9 ?is p>agraph is an individual
 t-- 7,a7 is entitl$ to b5efits "u "p ,a
 & is enroll$ "u "p ,b2  7,b7 has no    
previ\s diagnosis ( diabetes 7o!r ?an   
ge/ational diabetes72  7,c7 does n h    
end-/age r5al disease2 &  7,d7 meets    
additional m$ical crit]ia specifi$ by ! 
,secret>y4  7#c7 ,no lifetime limit on  
p>ticipation ,!re %all be no limitation 
on ! numb] ( times an eligible          
individual may enroll 9 ! diabetes      
prev5tion program4  4  7#b7 ,con=m+     

*ange ,section #ahfb7;a77#a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciey7a77#a77 is am5d$-- 7,a7 9        
subp>agraph 7,o71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,p71 by /rik+ !     
semicolon at ! end & ins]t+ 1 &2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,q7 9 ! case ( diabetes  
prev5tion program s]vices 7z def9$ 9    
section #ahfa7nnn77#a771 :i* are furni%$
 to an individual :o is n an eligible   
individual 7z def9$ 9 section           
#ahfa7nnn77#b772  4  7b7 ,diabetes      
prev5tion program suppli]s ,section     
#ahff ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acie;cc7 is am5d$ by add+ at 
! end ! foll[+ new subsection3  7l7     
,diabetes prev5tion program suppli]s    
7#a7 ,diabetes prev5tion program suppli]
 ,9 ?is subsection1 ! t]m diabetes      
prev5tion program suppli] means an      
entity t-- 7,a7 is recogniz$ "u ! ,c5t]s
 = ,disease ,control & ,prev5tion       
,diabetes ,prev5tion ,recognition       
,program & (f]s a program ?r\gh an      

all[able ,diabetes ,prev5tion           
,recognition ,program deliv]y mode      
includ+ 9-p]son1 onl9e1 di/ance le>n+1  
comb9ation1 & o!r syn*ron\s & asyn*ron\s
 modalities z det]m9$ by ! ,secret>y2   
7,b7 is enroll$ "u ! diabetes prev5tion 
program 9 accordance ) p>agraph 7#b72 & 
7,c7 meets ! requirem5ts describ$ 9     
p>agraph 7#b77;,b74  7#b7 ,enrollm5t 9  
diabetes prev5tion program  7,a7        
,application ,an entity seek+ to enroll 
z a diabetes prev5tion program suppli]  
"u ?is section %all submit to !         
,secret>y an application = enrollm5t at 
su* "t & 9 su* mann] z specifi$ by !    
,secret>y4 ,su* application mu/ meet all
 elem5ts z specifi$ by ! ,secret>y4     
7,b7 ,requirem5ts  7i7 ,adm9i/rative    
requirem5ts ,ea* diabetes prev5tion     
program suppli] %all ma9ta9-- 7,i7      
adm9i/rative requirem5ts z outl9$ by !  
,secret>y2  7,,ii7 active enrollm5t z a 
diabetes prev5tion program suppli] "u   
subsection 7j72 &  7,,iii7 at lea/ "o   
adm9i/rative location4  7ii7            

,docum5tation2 data submission  7,i7    
,docum5tation ,ea* diabetes prev5tion   
program suppli] %all ma9ta9 docum5tation
 9 accordance ) /&>ds specifi$ by !     
,secret>y4  7,,ii7 ,data submission ,ea*
 diabetes prev5tion program suppli] %all
 ma9ta9 in=mation z specifi$ by !       
,secret>y & submit x to ! ,secret>y 9 ! 
=m & mann] specifi$ by ! ,secret>y4     
7iii7 ,inspection & review requirem5ts  
,ea* diabetes prev5tion program suppli] 
%all all[ ! ,secret>y1 or any p]son or  
organization designat$ by ! ,secret>y1  
to conduct inspections ( any            
adm9i/rative location ( a diabetes      
prev5tion program suppli]1 or ( any     
eligible sett+ 9 :i* diabetes prev5tion 
program s]vices are furni%$1 z well z   
review all docum5tation & records       
ma9ta9$ by su* suppli] = purposes ( !   
diabetes prev5tion program4  7,c7       
,diabetes prev5tion program suppli]     
t]m9ation ,! ,secret>y may t]m9ate !    
enrollm5t ( a diabetes prev5tion program
 suppli] = purposes ( p>ticipation 9 !  

diabetes prev5tion program if su*       
suppli]-- 7i7 fails to meet !           
requirem5ts describ$ 9 subp>agraph 7,b72
  7ii7 improp]ly d5ies s]vices to an    
eligible individual 7z def9$ 9 section  
#ahfa7nnn77#b771 includ+ a d5ial on !   
basis ( an eligible individual's weight1
 heal? /atus1 or a*ievem5t ( p]=mance   
goals2 or  7iii7 fails to comply )      
additional /&>ds e/abli%$ by !          
,secret>y4  7#c7 ,adm9i/rative location 
def9$ ,9 ?is subsection1 ! t]m          
adm9i/rative location means a physical  
location 9 :i* a diabetes prev5tion     
program suppli] is ! prim>y op]ator (   
su* location or ! location f :i* !      
diabetes prev5tion program suppli]'s    
bus9ess is run 9 ! case ( an onl9e or   
comb9ation program1 & :]e 9-p]son       
diabetes prev5tion program s]vices may  
or may n be furni%$4  4  7c7 ,paym5t =  
diabetes prev5tion program s]vices  7#a7
 ,9 g5]al ,section #ahcc7;a77#a7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7a77#a77 is am5d$-- 7,a7 by /rik+ 

& 7,,hh7 & ins]t+ 7,,hh72 &  7,b7 9     
subp>agraph 7,,hh71 by /rik+ ! semicolon
 at ! end & ins]t+ ! foll[+3 1 & 7,,ii7 
) respect to diabetes prev5tion program 
s]vices furni%$ on or aft] ,janu>y #a1  
#bjbe1 z describ$ 9 section #ahfa7nnn71 
! am\nt paid %all be equal to #ajj p]c5t
 ( ! paym5t am\nt e/abli%$ 9 ! paym5t   
/ructure describ$ 9 section #ahcd7;aa724
  7#b7 ,paym5t /ructure ,section #ahcd (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciem7 is am5d$ by add+ at ! end !    
foll[+ subsection3  7aa7 ,paym5t =      
diabetes prev5tion program s]vices  7#a7
 ,9 g5]al ,! ,secret>y %all e/abli% an  
appropriate paym5t /ructure "u :i* !    
,secret>y %all make paym5ts to a        
diabetes prev5tion program suppli] =    
diabetes prev5tion program s]vices      
furni%$ to an eligible individual 7z    
def9$ 9 section #ahfa7nnn77#b774  7#b7  
,annual update ,! ,secret>y %all update 
! paym5t /ructure "u ?is subsection     
annually by ! p]c5tage increase 9 !     
,consum] ,price ,index = all urban      

consum]s 7all items2 ,unit$ ,/ates city 
av]age7 = ! #ab-mon? p]iod end+ ) ,june 
( ! prec$+ ye>4  7#c7 ,t]m9ation (      
p>ticipation  7,a7 ,9 g5]al ,a diabetes 
prev5tion program suppli] may t]m9ate ! 
p>ticipation ( an individual p>ticipat+ 
9 ! diabetes prev5tion program if !     
individual is no long] an eligible      
individual 7z def9$ 9 section           
#ahfb7nnn77#b774  7,b7 ,docum5tation    
support+ t]m9ation ,9 ! case ( a        
diabetes prev5tion program suppli] t    
t]m9ates ! p>ticipation ( an individual 
p>ticipat+ 9 ! diabetes prev5tion       
program1 su* suppli] %all ma9ta9 records
 support+ su* t]m9ation1 includ+ ! date 
( ! t]m9ation1 ! reason = ! t]m9ation1 !
 details ( any incid5ts lead+ to su*    
t]m9ation1 any rem$iation ef=ts tak5 by 
su* suppli]1 & any f9al actions tak5 by 
su* suppli]4  7#d7 ,cont9uation ( m$ic>e
 diabetes prev5tion program exp&$ model 
/&>ds ,except z specifi$ o!rwise 9 ?is  
,act1 ! ,secret>y %all ext5d ! /&>ds ( !
 ,m$ic>e ,diabetes ,prev5tion ,program  

,exp&$ ,model 79 effect z ( ! date (    
enactm5t ( ! ,,prev5t ,,diabetes ,act7  
to gov]n ! diabetes prev5tion program4  
7#e7 ,diabetes prev5tion program ,9 ?is 
subsection1 ! t]m diabetes prev5tion    
program means ! paym5t /ructure describ$
 9 ?is subsection4  4  #c4 ,sunset (    
,,mdpp ,exp&$ ,model ,no paym5t %all be 
made = s]vices furni%$ "u ! ,m$ic>e     
,diabetes ,prev5tion ,program ,exp&$    
,model conduct$ "u section #aaae;,a ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acae;a7 aft] ,janu>y #a1 #bjbe4  #d4   
,update to regulations ,n lat] ?an      
,novemb] #cj1 #bjbd1 ! ,secret>y (      
,heal? & ,human ,s]vices %all update !  
regulations 9 sections #daj4gi1 #dad4hd1
 #dbd4bjj1 & #dbd4bje ( title #db1 ,code
 ( ,f$]al ,regulations1 & any o!r       
relevant regulations1 9 accordance )    
sections #b & #c ( ?is ,act4  #e4       
,report ,n lat] ?an ,janu>y #a1 #bjbh1 !
 ,secret>y ( ,heal? & ,human ,s]vices   
%all submit to ,congress a report on !  
diabetes prev5tion program4 ,su* report 

%all include a description ( ! impact ( 
su* program on-- 7#a7 p>ticipation (    
eligible individuals & diabetes         
prev5tion program suppli]s 9 ! diabetes 
prev5tion program z comp>$ to ! ,m$ic>e 
,diabetes ,prev5tion ,program ,exp&$    
,model2  7#b7 weight loss among eligible
 individuals2  7#c7 heal? outcomes (    
eligible individuals2 &  7#d7 diagnoses 
& co/s relat+ to type #b diabetes =     
eligible individuals :o h receiv$       
diabetes prev5tion plan s]vices v]sus ^?
 :o h n4