Congresswoman Schrier Introduces Bill to Strengthen Diabetes Education and Care

WASHINGTON, DC – Congresswoman Kim Schrier, M.D. (WA-08) recently reintroduced the bipartisan Expanding Access to Diabetes Self-Management Training Act, which will expand Medicare coverage for diabetes self-management training services. These services reduce diabetes-related deaths and heart attacks, lead to improved self-care, and lower care costs for hospitals. Congresswoman Schrier is joined in introducing this legislation by Congressman Gus Bilirakis (FL-12). This legislation was introduced in the U.S. Senate by Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME). 

“I’ve had type 1 diabetes for 40 years and still remember the lessons I learned in 1985 about managing my blood sugars. So I know firsthand the importance of education in navigating this disease. Without a proper understanding of the roles that insulin, food, exercise, medications, and illness have on blood sugar, individuals with diabetes can quickly end up in the hospital,” said Congresswoman Schrier. “We know that self-management training helps people with diabetes live healthy lives, and I am proud to work with my Democratic and Republican colleagues to introduce this important bill and remove barriers to self-management training.”

The Expanding Access to Diabetes Self-Management Training Act will: 

• Allow the initial 10 hours of diabetes self-management training (DSMT) to remain available until fully used.
• Permit DSMT and Medical Nutrition Therapy (MNT) services to be provided on the same day.
• Exclude DSMT services from Part B cost-sharing and deductible requirements.
• Permit physicians and qualified nonphysician practitioners (e.g., podiatrists, emergency department providers, physician assistants, nurse practitioners, or clinical nurse specialists) to refer for DSMT services.
• Establish a Center for Medicare Innovation demonstration program to test the impact of covering virtual DSMT under the Medicare program. 

“By providing diabetes patients with these self-management resources, seniors will be empowered to take control of their own health and well-being, and we can help mitigate the negative impact this disease has on them and their families,” said Congressman Gus Bilirakis. “Supporting our seniors in managing chronic conditions like diabetes is not just good policy—it’s a commitment to health, dignity, and independence.”

"The Association of Diabetes Care & Education Specialists (ADCES) extends our sincere appreciation to Representatives Kim Schrier, MD, and Gus Bilirakis for leading efforts to expand access to diabetes education and care for Medicare beneficiaries,” said ADCES President Veronica Brady, PhD, RN, FNP-P, BC-ADM, CDCES. “Diabetes Self-Management Training (DSMT) supports people living with diabetes in improving their health outcomes and preventing complications—benefits that can also contribute to lowering overall health care costs.”

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