{
  "legislationId": "119_S_4037",
  "lastUpdate": "2026-03-24T12:27:45.450Z",
  "history": [
    {
      "timestamp": "2026-03-24T12:27:45.449Z",
      "source_url": "https://www.congress.gov/119/bills/s4037/BILLS-119s4037is.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4037 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4037 To ensure continued access to diabetes technology upon Medicare enrollment, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 10, 2026 Mrs. Shaheen (for herself and Ms. Collins) introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To ensure continued access to diabetes technology upon Medicare enrollment, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Diabetes Interventions Addressing Barriers to Enrollment, Technology, and Education Services (DIABETES) Act'' or the ``Diabetes Act''. SEC. 2. FINDINGS; SENSE OF CONGRESS. (a) Findings.--Congress finds the following: (1) According to the Centers for Disease Control and Prevention, in 2021, an estimated 38,400,000 Americans, or 11.6 percent of the entire United States population, have diabetes. (2) The total number of individuals with diabetes is projected to increase to an estimated 54,900,000 individuals by 2030. (3) Diabetes disproportionately impacts the Medicare population, as the Centers for Medicare & Medicaid Services found in 2022, and 26 percent of Medicare beneficiaries have diabetes. (4) Both type 1 and 2 diabetes can significantly harm long- term health and is associated with numerous comorbidities such as cancer, heart disease, chronic kidney disease, blindness, and amputations. (5) The direct and indirect cost of diabetes is significant as the American Diabetes Association found that the total annual cost of diabetes in 2022 was $412,900,000,000, $306,600,000,000 of which is attributable to direct medical costs. (6) The American Diabetes Association and the American Association of Clinical Endocrinology have set forth clinical guidelines that include the use of continuous glucose monitors, insulin pumps, automated insulin delivery systems, and diabetes self-management training for individuals with diabetes. (7) An automated insulin delivery system consists of a continuous glucose monitor, an insulin pump, and an algorithm or software. (8) The algorithm or software is a critical component of an automated insulin delivery system as it continuously learns the user's behavior and physiological responses and automatically administers the appropriate amount of insulin. (9) Medicare currently fails to separately reimburse for the essential algorithms and software that drive automated insulin delivery (AID) systems, which may stifle future innovation and maintenance, and impede beneficiary access. (10) Medicare has an existing pathway to separately reimburse for the algorithm or software in an automated insulin delivery system, the Medicare durable medical equipment benefit. (11) Including continuous glucose monitors, durable insulin pumps, and related supplies into the competitive bidding program further limits innovation and access to diabetes technologies. (12) The Centers for Medicare & Medicaid Services' final rule entitled ``Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies'' (90 Fed. Reg. 55342 (December 2, 2025)), which reclassifies continuous glucose monitors and durable insulin pumps as items requiring frequent and substantial servicing when they are phased into the competitive bidding program, will have numerous unintended consequences that may prevent Medicare beneficiaries from accessing the continuous glucose monitor or durable insulin pump they need to survive. (b) Sense of Congress Regarding Automated Insulin Delivery Systems.--It is the sense of Congress that the Secretary of Health and Human Services should commit to take administrative action to-- (1) recognize that the algorithm or software in an automated insulin delivery system is a ``reasonable and necessary'' item ``for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member'' consistent with Medicare coverage requirements under section 1862(a)(1)(A) of the Social Security Act; (2) ensure the algorithm or software in an automated insulin delivery system is treated as a separately payable supply to durable medical equipment; and (3) when applicable, recognize the algorithm or software in an automated insulin delivery system as ``medical supplies associated with the injection of insulin'' consistent with section 1860D-2(e)(1) of the Social Security Act. SEC. 3. CONTINUED ACCESS TO DIABETES RELATED TECHNOLOGIES. (a) In General.--Section 1861(ww) of the Social Security Act (42 U.S.C. 1395x(ww)) is amended-- (1) in paragraph (1)-- (A) by striking ``and'' after ``upon the agreement with the individual,''; and (B) by inserting ``and ensuring care continuity for individuals using diabetes technology covered under part B as described in paragraph (5),'' after ``(as defined in paragraph (4)),''; and (2) by adding at the end the following new paragraph: ``(5)(A) Subject to subparagraphs (B) and (C) of this paragraph, during the first 12 months of an individual's enrollment for benefits under part B, a provider (as defined in subparagraph (E)) may certify to the Secretary that an individual is using 1 or multiple diabetes technologies covered under part B (as defined in subparagraph (D)). ``(B) During the initial preventive physical examination or other covered service as determined appropriate by the Secretary during the period described in subparagraph (A), the provider may make a determination of the individual's use of diabetes technology covered under part B. In the case where the provider makes such determination, the provider shall submit a certification to the Secretary as required under subparagraph (C). ``(C) Not later than January 1, 2027, the Secretary shall-- ``(i) issue a finalized certification form, developed pursuant to public notice and opportunity for comment, for use under this paragraph; ``(ii) issue guidance and instructions to medicare administrative contractors (as defined in section 1874A(a)(3)), that require the relevant medicare administrative contractors to only assess whether the certification form is included in the individual's medical records when making a determination of whether coverage of the diabetes technology covered under part B is reasonable and necessary as described in section 1862(a)(1)(A); ``(iii) develop a process through notice and comment rulemaking for considering whether an individual's diabetes technology that is not covered under part B at the time of the certification described in subparagraph (A) should be a covered benefit under existing statutory authority; and ``(iv) issue appropriate guidance to relevant audit and oversight entities to ensure those entities do not inappropriately cause disruptions in access to diabetes technology covered under part B. ``(D) For purposes of this paragraph, the term `diabetes technology covered under part B' means, with respect to an individual, any device, related supplies, and software or algorithm that, at the time the certification described in subparagraph (C) is made with respect to the individual, is covered under part B for an individual that has diabetes under the applicable ICD-10 code list, as determined by the Secretary. ``(E) For purposes of this paragraph, the term `provider' means a physician (as defined in section 1861(r)), nurse practitioner, clinical nurse specialist, physician assistant, (as those terms are defined in section 1861(aa)(5)), or certified nurse-midwife (as defined in section 1861(gg)(2)), or other provider of services or supplier as determined appropriate by the Secretary.''. (b) Effective Date.--The amendments made by this section shall apply to items and services furnished on or after January 1, 2027. SEC. 4. IMPROVING ACCESS TO DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES. (a) In General.--Section 1861(qq) of the Social Security Act (42 U.S.C. 1395x(qq)) is amended-- (1) in paragraph (1)-- (A) by striking ``the Secretary determines appropriate'' and inserting ``specified in paragraph (3)''; and (B) by striking ``the physician who is managing the individual's diabetic condition'' and inserting ``a physician or qualified nonphysician practitioner''; (2) in paragraph (2)(B), by striking ``paragraph'' and inserting ``subparagraph''; and (3) by adding at the end the following new paragraph: ``(3) For purposes of paragraph (1) and subject to subparagraph (B), the times specified in this paragraph are the following: ``(A) An initial 10 hours of individual or group educational and training services to remain available until used. ``(B) An additional 2 hours of individual or group educational and training services each year, beginning with the year in which the initial 10 hours described in subparagraph (A) are completed. ``(4) The Secretary shall not limit the quantity or duration of educational and training services furnished by a certified provider to an individual with diabetes if such services are deemed medically necessary by a physician or qualified non-physician practitioner.''. (b) Medical Nutrition Therapy Services.--Section 1861(s)(2)(V) of the Social Security Act (42 U.S.C. 1395x(s)(2)(V)) is amended-- (1) by striking clause (i); (2) by redesignating clauses (ii) and (iii) as clauses (i) and (ii), respectively; and (3) in clause (ii), as so redesignated, by striking ``after consideration of'' and inserting ``consistent with''. (c) Cost-Sharing.--Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended-- (1) in subsection (a)(1)-- (A) by striking ``and (HH)'' and inserting ``(HH)''; and (B) by inserting the following before the semicolon at the end: ``and (II) with respect to diabetes outpatient self-management training services (as defined in section 1861(qq)), the amount paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the fee schedule that applies to such services under this part;''; and (2) in subsection (b), in the first sentence-- (A) by striking ``, and (13)'' and inserting ``(13)''; and (B) by striking ``1861(n)..'' and inserting ``1861(n), and (14) such deductible shall not apply with respect to diabetes outpatient self-management training services (as defined in section 1861(qq))''. (d) Application.--The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2027. SEC. 5. CMI TESTING OF PROVIDING VIRTUAL DIABETES OUTPATIENT SELF- MANAGEMENT TRAINING SERVICES. Section 1115A of the Social Security Act (42 U.S.C. 1315a) is amended-- (1) in subsection (b)(2)(A), by adding at the end the following new sentence: ``The models selected under this subparagraph shall include the testing of the model described in subsection (h).''; and (2) by adding at the end the following new subsection: ``(h) Testing of Providing Virtual Diabetes Outpatient Self- Management Training Services.-- ``(1) Establishment.--Not later than January 1, 2027, the Secretary shall implement a model to test the impact of providing coverage under title XVIII for virtual diabetes outpatient self-management training services furnished to applicable beneficiaries with respect to improved health outcomes for such applicable beneficiaries and reduced expenditures under such title XVIII. ``(2) Model design.-- ``(A) In general.--The Secretary shall design the model under this subsection in such a manner to allow for the evaluation of demographic characteristics of applicable beneficiaries participating in such model and the extent to which such model accomplishes the following purposes: ``(i) Improvement in health outcomes with respect to the diabetic conditions, including by reducing A1c levels. ``(ii) Reduced hospitalizations due to diabetic-related complications. ``(iii) Increased utilization of diabetes outpatient self-management training services as evidenced by, for example, Medicare beneficiary participation and utilization of covered hours during the first year and subsequent years or use of diabetes outpatient self-management training services in rural and underserved communities. ``(iv) Improved medication adherence. ``(v) Reduced expenditures under this title attributable to the model. ``(B) Consultation.--In designing the model under this subsection, the Secretary shall, not later than 3 months after the date of the enactment of this subsection, consult with stakeholders in the field of diabetes care and education, clinicians in the primary care community, experts in digital health, and beneficiary groups. ``(3) Definitions.--In this subsection: ``(A) Applicable beneficiary.--The term `applicable beneficiary' means an individual with diabetes as described in section 1861(qq). ``(B) Qualified web-based program.--The term `qualified web-based program' means a web-based program-- ``(i) designed to furnish educational and training services to an individual with diabetes to ensure therapy compliance with respect to the individual's diabetic condition or to provide the individual with necessary skills and knowledge (including skills related to the self-administration of injectable drugs) to participate in the individual's management of such condition; and ``(ii) that meets the quality standards described in section 1861(qq)(2)(B). ``(C) Virtual diabetes outpatient self-management training services.--The term `virtual diabetes outpatient self-management training services' means any diabetes outpatient self-management training services (as defined in section 1861(qq)) furnished by a qualified web-based program for synchronous or asynchronous diabetes outpatient self-management training services.''. SEC. 6. PROVIDING INSULIN PUMP TRAINING AND EDUCATION. (a) In General.--Not later than January 1, 2027, the Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall establish new Healthcare Common Procedure Coding System codes under the fee schedule established under section 1848(b) of the Social Security Act (42 U.S.C. 1395w-4(b)) that describe hook- up, calibration, and patient training with respect to an insulin pump similar to Current Procedural Terminology codes 95249 and 95250 (and any succeeding codes). The Secretary shall ensure the newly established codes sufficiently describe patient education and training as well as insulin pump placement services for technologies covered under section 1834 of the Social Security Act (42 U.S.C. 1395m) and part D of title XVIII of the Social Security Act (42 U.S.C. 1395w-101 et seq.). (b) Education and Outreach.--The Secretary shall use existing communications and mechanisms to provide education and outreach to stakeholders with respect to the ability of health professionals to bill the newly established codes described in subsection (a). SEC. 7. NATIONAL COVERAGE DETERMINATION ON INSULIN PUMPS. Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall issue a proposed national coverage determination (as defined in section 1869(f)(1)(B) of the Social Security Act (42 U.S.C. 1395ff(f)(1)(B))) for infusion pumps, continuous subcutaneous insulin infusion (CSII), number 280.14 pursuant to section 1862(l) of the Social Security Act (42 U.S.C. 1395y(l)). SEC. 8. REPORT ON ENROLLEE ACCESS TO DIABETES-RELATED SERVICES AND TECHNOLOGIES IN FEDERAL HEALTH CARE PROGRAMS. (a) In General.--Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States, in collaboration with the Secretary of Health and Human Services, shall submit to the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce and the Committee on Ways and Means of the House of Representatives, a report that assesses the barriers individuals face in accessing diabetes technologies and diabetes self-management education and support services across Federal health care programs. The report shall specifically review barriers, which include prior authorization practices, the use of preferred formularies, coverage intensity limitations, and other utilization management techniques, to accessing diabetes technologies and diabetes self-management education and support services faced by individuals enrolled in a Federal health care program, and whether any Federal law, regulation, or policy adversely affects access to those covered services or limits the ability of individuals with diabetes to receive services that align with standards of care. (b) Definitions.--In this section: (1) Diabetes technologies.--The term ``diabetes technologies'' means items described in section 1861(ww)(5)(D) of the Social Security Act, as added by section 3, and any device, related supplies, and software or algorithm that monitors or manages an individual's diabetes that is medically necessary for the individual's diagnosis of diabetes, regardless of whether the device, related supplies, and software or algorithm is covered under part B of title XVIII of the Social Security Act. Such term includes glucose monitors, insulin delivery technologies, related supplies, and software or algorithms. (2) Diabetes self-management education and support services.--The term ``diabetes self-management education and support services'' means services described in section 1861(qq) of the Social Security Act (42 U.S.C. 1395x(qq)). (3) Federal health care program.--The term ``Federal health care program'' means any plan or program that provides health benefits, whether through insurance or otherwise, that is directly funded in whole or in part, by the United States Government, including a Federal health care program (as defined in section 1128B(f) of the Social Security Act (42 U.S.C. 1320a-7b(f))) and a health benefits plan under chapter 89 of title 5, United States Code. SEC. 9. ENSURING ACCESS TO DIABETES-RELATED TECHNOLOGIES. Section 1847(a)(2) of the Social Security Act (42 1395w-3(a)(2)) is amended by adding at the end the following new subparagraph: ``(E) Certain diabetic-related items.--Continuous glucose monitors and insulin pumps that are covered as durable medical equipment under section 1861(n) furnished on or after January 1, 2031.''. <all>\n\nSUMMARY TO EVALUATE:\nTitle: The DIABETES Act: Ensuring Continued Access to Technology and Education in Medicare\nSummary: This bill ensures seniors have uninterrupted access to modern insulin pumps and glucose monitors when they enroll in Medicare. It also introduces free disease management training and simplifies access to advanced insulin-dosing software.\nKey Points: Guarantees continuity of care by allowing beneficiaries to keep using their existing diabetes technology when joining Medicare., Eliminates out-of-pocket costs (deductibles and coinsurance) for diabetes self-management training services., Increases covered training time to 10 initial hours and 2 additional hours every subsequent year., Recognizes algorithms and software in automated insulin delivery systems as separately payable medical supplies., Establishes a pilot program to test the effectiveness of virtual (online) diabetes education services., Allows nurse practitioners and physician assistants to refer patients for training, expanding access beyond doctor-only referrals.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-03-24T12:18:21.530Z",
      "source_url": "https://www.congress.gov/119/bills/s4037/BILLS-119s4037is.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4037 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4037 To ensure continued access to diabetes technology upon Medicare enrollment, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 10, 2026 Mrs. Shaheen (for herself and Ms. Collins) introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To ensure continued access to diabetes technology upon Medicare enrollment, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Diabetes Interventions Addressing Barriers to Enrollment, Technology, and Education Services (DIABETES) Act'' or the ``Diabetes Act''. SEC. 2. FINDINGS; SENSE OF CONGRESS. (a) Findings.--Congress finds the following: (1) According to the Centers for Disease Control and Prevention, in 2021, an estimated 38,400,000 Americans, or 11.6 percent of the entire United States population, have diabetes. (2) The total number of individuals with diabetes is projected to increase to an estimated 54,900,000 individuals by 2030. (3) Diabetes disproportionately impacts the Medicare population, as the Centers for Medicare & Medicaid Services found in 2022, and 26 percent of Medicare beneficiaries have diabetes. (4) Both type 1 and 2 diabetes can significantly harm long- term health and is associated with numerous comorbidities such as cancer, heart disease, chronic kidney disease, blindness, and amputations. (5) The direct and indirect cost of diabetes is significant as the American Diabetes Association found that the total annual cost of diabetes in 2022 was $412,900,000,000, $306,600,000,000 of which is attributable to direct medical costs. (6) The American Diabetes Association and the American Association of Clinical Endocrinology have set forth clinical guidelines that include the use of continuous glucose monitors, insulin pumps, automated insulin delivery systems, and diabetes self-management training for individuals with diabetes. (7) An automated insulin delivery system consists of a continuous glucose monitor, an insulin pump, and an algorithm or software. (8) The algorithm or software is a critical component of an automated insulin delivery system as it continuously learns the user's behavior and physiological responses and automatically administers the appropriate amount of insulin. (9) Medicare currently fails to separately reimburse for the essential algorithms and software that drive automated insulin delivery (AID) systems, which may stifle future innovation and maintenance, and impede beneficiary access. (10) Medicare has an existing pathway to separately reimburse for the algorithm or software in an automated insulin delivery system, the Medicare durable medical equipment benefit. (11) Including continuous glucose monitors, durable insulin pumps, and related supplies into the competitive bidding program further limits innovation and access to diabetes technologies. (12) The Centers for Medicare & Medicaid Services' final rule entitled ``Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies'' (90 Fed. Reg. 55342 (December 2, 2025)), which reclassifies continuous glucose monitors and durable insulin pumps as items requiring frequent and substantial servicing when they are phased into the competitive bidding program, will have numerous unintended consequences that may prevent Medicare beneficiaries from accessing the continuous glucose monitor or durable insulin pump they need to survive. (b) Sense of Congress Regarding Automated Insulin Delivery Systems.--It is the sense of Congress that the Secretary of Health and Human Services should commit to take administrative action to-- (1) recognize that the algorithm or software in an automated insulin delivery system is a ``reasonable and necessary'' item ``for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member'' consistent with Medicare coverage requirements under section 1862(a)(1)(A) of the Social Security Act; (2) ensure the algorithm or software in an automated insulin delivery system is treated as a separately payable supply to durable medical equipment; and (3) when applicable, recognize the algorithm or software in an automated insulin delivery system as ``medical supplies associated with the injection of insulin'' consistent with section 1860D-2(e)(1) of the Social Security Act. SEC. 3. CONTINUED ACCESS TO DIABETES RELATED TECHNOLOGIES. (a) In General.--Section 1861(ww) of the Social Security Act (42 U.S.C. 1395x(ww)) is amended-- (1) in paragraph (1)-- (A) by striking ``and'' after ``upon the agreement with the individual,''; and (B) by inserting ``and ensuring care continuity for individuals using diabetes technology covered under part B as described in paragraph (5),'' after ``(as defined in paragraph (4)),''; and (2) by adding at the end the following new paragraph: ``(5)(A) Subject to subparagraphs (B) and (C) of this paragraph, during the first 12 months of an individual's enrollment for benefits under part B, a provider (as defined in subparagraph (E)) may certify to the Secretary that an individual is using 1 or multiple diabetes technologies covered under part B (as defined in subparagraph (D)). ``(B) During the initial preventive physical examination or other covered service as determined appropriate by the Secretary during the period described in subparagraph (A), the provider may make a determination of the individual's use of diabetes technology covered under part B. In the case where the provider makes such determination, the provider shall submit a certification to the Secretary as required under subparagraph (C). ``(C) Not later than January 1, 2027, the Secretary shall-- ``(i) issue a finalized certification form, developed pursuant to public notice and opportunity for comment, for use under this paragraph; ``(ii) issue guidance and instructions to medicare administrative contractors (as defined in section 1874A(a)(3)), that require the relevant medicare administrative contractors to only assess whether the certification form is included in the individual's medical records when making a determination of whether coverage of the diabetes technology covered under part B is reasonable and necessary as described in section 1862(a)(1)(A); ``(iii) develop a process through notice and comment rulemaking for considering whether an individual's diabetes technology that is not covered under part B at the time of the certification described in subparagraph (A) should be a covered benefit under existing statutory authority; and ``(iv) issue appropriate guidance to relevant audit and oversight entities to ensure those entities do not inappropriately cause disruptions in access to diabetes technology covered under part B. ``(D) For purposes of this paragraph, the term `diabetes technology covered under part B' means, with respect to an individual, any device, related supplies, and software or algorithm that, at the time the certification described in subparagraph (C) is made with respect to the individual, is covered under part B for an individual that has diabetes under the applicable ICD-10 code list, as determined by the Secretary. ``(E) For purposes of this paragraph, the term `provider' means a physician (as defined in section 1861(r)), nurse practitioner, clinical nurse specialist, physician assistant, (as those terms are defined in section 1861(aa)(5)), or certified nurse-midwife (as defined in section 1861(gg)(2)), or other provider of services or supplier as determined appropriate by the Secretary.''. (b) Effective Date.--The amendments made by this section shall apply to items and services furnished on or after January 1, 2027. SEC. 4. IMPROVING ACCESS TO DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES. (a) In General.--Section 1861(qq) of the Social Security Act (42 U.S.C. 1395x(qq)) is amended-- (1) in paragraph (1)-- (A) by striking ``the Secretary determines appropriate'' and inserting ``specified in paragraph (3)''; and (B) by striking ``the physician who is managing the individual's diabetic condition'' and inserting ``a physician or qualified nonphysician practitioner''; (2) in paragraph (2)(B), by striking ``paragraph'' and inserting ``subparagraph''; and (3) by adding at the end the following new paragraph: ``(3) For purposes of paragraph (1) and subject to subparagraph (B), the times specified in this paragraph are the following: ``(A) An initial 10 hours of individual or group educational and training services to remain available until used. ``(B) An additional 2 hours of individual or group educational and training services each year, beginning with the year in which the initial 10 hours described in subparagraph (A) are completed. ``(4) The Secretary shall not limit the quantity or duration of educational and training services furnished by a certified provider to an individual with diabetes if such services are deemed medically necessary by a physician or qualified non-physician practitioner.''. (b) Medical Nutrition Therapy Services.--Section 1861(s)(2)(V) of the Social Security Act (42 U.S.C. 1395x(s)(2)(V)) is amended-- (1) by striking clause (i); (2) by redesignating clauses (ii) and (iii) as clauses (i) and (ii), respectively; and (3) in clause (ii), as so redesignated, by striking ``after consideration of'' and inserting ``consistent with''. (c) Cost-Sharing.--Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended-- (1) in subsection (a)(1)-- (A) by striking ``and (HH)'' and inserting ``(HH)''; and (B) by inserting the following before the semicolon at the end: ``and (II) with respect to diabetes outpatient self-management training services (as defined in section 1861(qq)), the amount paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the fee schedule that applies to such services under this part;''; and (2) in subsection (b), in the first sentence-- (A) by striking ``, and (13)'' and inserting ``(13)''; and (B) by striking ``1861(n)..'' and inserting ``1861(n), and (14) such deductible shall not apply with respect to diabetes outpatient self-management training services (as defined in section 1861(qq))''. (d) Application.--The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2027. SEC. 5. CMI TESTING OF PROVIDING VIRTUAL DIABETES OUTPATIENT SELF- MANAGEMENT TRAINING SERVICES. Section 1115A of the Social Security Act (42 U.S.C. 1315a) is amended-- (1) in subsection (b)(2)(A), by adding at the end the following new sentence: ``The models selected under this subparagraph shall include the testing of the model described in subsection (h).''; and (2) by adding at the end the following new subsection: ``(h) Testing of Providing Virtual Diabetes Outpatient Self- Management Training Services.-- ``(1) Establishment.--Not later than January 1, 2027, the Secretary shall implement a model to test the impact of providing coverage under title XVIII for virtual diabetes outpatient self-management training services furnished to applicable beneficiaries with respect to improved health outcomes for such applicable beneficiaries and reduced expenditures under such title XVIII. ``(2) Model design.-- ``(A) In general.--The Secretary shall design the model under this subsection in such a manner to allow for the evaluation of demographic characteristics of applicable beneficiaries participating in such model and the extent to which such model accomplishes the following purposes: ``(i) Improvement in health outcomes with respect to the diabetic conditions, including by reducing A1c levels. ``(ii) Reduced hospitalizations due to diabetic-related complications. ``(iii) Increased utilization of diabetes outpatient self-management training services as evidenced by, for example, Medicare beneficiary participation and utilization of covered hours during the first year and subsequent years or use of diabetes outpatient self-management training services in rural and underserved communities. ``(iv) Improved medication adherence. ``(v) Reduced expenditures under this title attributable to the model. ``(B) Consultation.--In designing the model under this subsection, the Secretary shall, not later than 3 months after the date of the enactment of this subsection, consult with stakeholders in the field of diabetes care and education, clinicians in the primary care community, experts in digital health, and beneficiary groups. ``(3) Definitions.--In this subsection: ``(A) Applicable beneficiary.--The term `applicable beneficiary' means an individual with diabetes as described in section 1861(qq). ``(B) Qualified web-based program.--The term `qualified web-based program' means a web-based program-- ``(i) designed to furnish educational and training services to an individual with diabetes to ensure therapy compliance with respect to the individual's diabetic condition or to provide the individual with necessary skills and knowledge (including skills related to the self-administration of injectable drugs) to participate in the individual's management of such condition; and ``(ii) that meets the quality standards described in section 1861(qq)(2)(B). ``(C) Virtual diabetes outpatient self-management training services.--The term `virtual diabetes outpatient self-management training services' means any diabetes outpatient self-management training services (as defined in section 1861(qq)) furnished by a qualified web-based program for synchronous or asynchronous diabetes outpatient self-management training services.''. SEC. 6. PROVIDING INSULIN PUMP TRAINING AND EDUCATION. (a) In General.--Not later than January 1, 2027, the Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall establish new Healthcare Common Procedure Coding System codes under the fee schedule established under section 1848(b) of the Social Security Act (42 U.S.C. 1395w-4(b)) that describe hook- up, calibration, and patient training with respect to an insulin pump similar to Current Procedural Terminology codes 95249 and 95250 (and any succeeding codes). The Secretary shall ensure the newly established codes sufficiently describe patient education and training as well as insulin pump placement services for technologies covered under section 1834 of the Social Security Act (42 U.S.C. 1395m) and part D of title XVIII of the Social Security Act (42 U.S.C. 1395w-101 et seq.). (b) Education and Outreach.--The Secretary shall use existing communications and mechanisms to provide education and outreach to stakeholders with respect to the ability of health professionals to bill the newly established codes described in subsection (a). SEC. 7. NATIONAL COVERAGE DETERMINATION ON INSULIN PUMPS. Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall issue a proposed national coverage determination (as defined in section 1869(f)(1)(B) of the Social Security Act (42 U.S.C. 1395ff(f)(1)(B))) for infusion pumps, continuous subcutaneous insulin infusion (CSII), number 280.14 pursuant to section 1862(l) of the Social Security Act (42 U.S.C. 1395y(l)). SEC. 8. REPORT ON ENROLLEE ACCESS TO DIABETES-RELATED SERVICES AND TECHNOLOGIES IN FEDERAL HEALTH CARE PROGRAMS. (a) In General.--Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States, in collaboration with the Secretary of Health and Human Services, shall submit to the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce and the Committee on Ways and Means of the House of Representatives, a report that assesses the barriers individuals face in accessing diabetes technologies and diabetes self-management education and support services across Federal health care programs. The report shall specifically review barriers, which include prior authorization practices, the use of preferred formularies, coverage intensity limitations, and other utilization management techniques, to accessing diabetes technologies and diabetes self-management education and support services faced by individuals enrolled in a Federal health care program, and whether any Federal law, regulation, or policy adversely affects access to those covered services or limits the ability of individuals with diabetes to receive services that align with standards of care. (b) Definitions.--In this section: (1) Diabetes technologies.--The term ``diabetes technologies'' means items described in section 1861(ww)(5)(D) of the Social Security Act, as added by section 3, and any device, related supplies, and software or algorithm that monitors or manages an individual's diabetes that is medically necessary for the individual's diagnosis of diabetes, regardless of whether the device, related supplies, and software or algorithm is covered under part B of title XVIII of the Social Security Act. Such term includes glucose monitors, insulin delivery technologies, related supplies, and software or algorithms. (2) Diabetes self-management education and support services.--The term ``diabetes self-management education and support services'' means services described in section 1861(qq) of the Social Security Act (42 U.S.C. 1395x(qq)). (3) Federal health care program.--The term ``Federal health care program'' means any plan or program that provides health benefits, whether through insurance or otherwise, that is directly funded in whole or in part, by the United States Government, including a Federal health care program (as defined in section 1128B(f) of the Social Security Act (42 U.S.C. 1320a-7b(f))) and a health benefits plan under chapter 89 of title 5, United States Code. SEC. 9. ENSURING ACCESS TO DIABETES-RELATED TECHNOLOGIES. Section 1847(a)(2) of the Social Security Act (42 1395w-3(a)(2)) is amended by adding at the end the following new subparagraph: ``(E) Certain diabetic-related items.--Continuous glucose monitors and insulin pumps that are covered as durable medical equipment under section 1861(n) furnished on or after January 1, 2031.''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa DIABETES: Łatwiejszy dostęp do technologii i edukacji dla diabetyków w Medicare\",\n  \"pl_summary\": \"Ustawa zapewnia seniorom nieprzerwany dostęp do nowoczesnych pomp insulinowych i monitorów glikemii po przejściu do systemu Medicare. Wprowadza również bezpłatne szkolenia z zarządzania chorobą oraz ułatwia korzystanie z zaawansowanego oprogramowania dawkującego insulinę.\",\n  \"pl_key_points\": [\n    \"Gwarancja zachowania ciągłości leczenia przy użyciu dotychczasowej technologii (pompy, monitory) po zapisaniu się do Medicare.\",\n    \"Zniesienie opłat (udziału własnego i wkładu pacjenta) za szkolenia z zakresu samodzielnego zarządzania cukrzycą.\",\n    \"Zwiększenie liczby godzin refundowanych szkoleń: 10 godzin na start i 2 godziny corocznej kontynuacji.\",\n    \"Uznanie oprogramowania i algorytmów w systemach automatycznego podawania insuliny za oddzielnie refundowane wyroby medyczne.\",\n    \"Wprowadzenie możliwości odbywania szkoleń diabetologicznych w formie zdalnej (online).\",\n    \"Ułatwienie wystawiania skierowań na szkolenia przez pielęgniarki i asystentów lekarzy, a nie tylko przez lekarzy prowadzących.\"\n  ],\n  \"eng_ai_title\": \"The DIABETES Act: Ensuring Continued Access to Technology and Education in Medicare\",\n  \"eng_summary\": \"This bill ensures seniors have uninterrupted access to modern insulin pumps and glucose monitors when they enroll in Medicare. It also introduces free disease management training and simplifies access to advanced insulin-dosing software.\",\n  \"eng_key_points\": [\n    \"Guarantees continuity of care by allowing beneficiaries to keep using their existing diabetes technology when joining Medicare.\",\n    \"Eliminates out-of-pocket costs (deductibles and coinsurance) for diabetes self-management training services.\",\n    \"Increases covered training time to 10 initial hours and 2 additional hours every subsequent year.\",\n    \"Recognizes algorithms and software in automated insulin delivery systems as separately payable medical supplies.\",\n    \"Establishes a pilot program to test the effectiveness of virtual (online) diabetes education services.\",\n    \"Allows nurse practitioners and physician assistants to refer patients for training, expanding access beyond doctor-only referrals.\"\n  ],\n  \"de_ai_title\": \"Das DIABETES-Gesetz: Sicherung des Zugangs zu Technologien und Schulungen bei Medicare\",\n  \"de_summary\": \"Dieses Gesetz garantiert Senioren den ununterbrochenen Zugang zu modernen Insulinpumpen und Glukosemonitoren beim Wechsel zu Medicare. Es führt zudem kostenlose Schulungen zum Krankheitsmanagement ein und erleichtert die Nutzung fortschrittlicher Dosierungssoftware.\",\n  \"de_key_points\": [\n    \"Gewährleistung der Behandlungskontinuität mit bestehender Diabetes-Technologie beim Eintritt in das Medicare-System.\",\n    \"Abschaffung von Zuzahlungen und Selbstbeteiligungen für Schulungen zum Diabetes-Selbstmanagement.\",\n    \"Erhöhung der erstattungsfähigen Schulungsstunden auf 10 Initialstunden und 2 jährliche Folgestunden.\",\n    \"Anerkennung von Algorithmen und Software in automatisierten Insulinsystemen als separat vergütungsfähige medizinische Leistungen.\",\n    \"Einführung eines Pilotmodells für virtuelle (online-basierte) Diabetes-Schulungen.\",\n    \"Erleichterung der Überweisung zu Schulungen durch qualifiziertes Pflegepersonal und Arzthelfer statt nur durch Fachärzte.\"\n  ],\n  \"fr_ai_title\": \"Loi DIABETES : Garantir l'accès continu aux technologies et à l'éducation dans Medicare\",\n  \"fr_summary\": \"Cette loi garantit aux seniors un accès ininterrompu aux pompes à insuline et moniteurs de glycémie modernes lors de leur inscription à Medicare. Elle instaure la gratuité des formations de gestion de la maladie et facilite l'accès aux logiciels de dosage automatique.\",\n  \"fr_key_points\": [\n    \"Garantie de continuité des soins permettant de conserver ses technologies de pointe lors du passage à Medicare.\",\n    \"Suppression des frais à la charge du patient (franchises et coassurance) pour les services de formation à l'autogestion du diabète.\",\n    \"Augmentation du volume de formation remboursé : 10 heures initiales et 2 heures de suivi annuel.\",\n    \"Reconnaissance des algorithmes et logiciels de livraison d'insuline comme des fournitures médicales remboursables séparément.\",\n    \"Lancement d'un programme pilote pour tester les services de formation au diabète en mode virtuel (en ligne).\",\n    \"Possibilité pour les infirmiers praticiens et assistants médicaux de prescrire ces formations, simplifiant le parcours de soins.\"\n  ],\n  \"es_ai_title\": \"Ley DIABETES: Garantizando el acceso continuo a tecnología y educación en Medicare\",\n  \"es_summary\": \"Esta ley asegura que los adultos mayores mantengan el acceso a sus bombas de insulina y monitores de glucosa al integrarse a Medicare. Además, elimina los costos de capacitación para el manejo de la enfermedad y facilita el uso de software avanzado de dosificación.\",\n  \"es_key_points\": [\n    \"Garantiza que los pacientes no pierdan el acceso a su tecnología para la diabetes al inscribirse en Medicare.\",\n    \"Elimina el pago de deducibles y coseguros para los servicios de capacitación en el autocontrol de la diabetes.\",\n    \"Amplía las horas de capacitación cubiertas a 10 horas iniciales y 2 horas adicionales cada año posterior.\",\n    \"Reconoce el software y los algoritmos de los sistemas de administración de insulina como suministros médicos reembolsables por separado.\",\n    \"Implementa un modelo para probar la eficacia de los servicios de capacitación sobre diabetes de forma virtual.\",\n    \"Permite que enfermeros especializados y asistentes médicos autoricen las capacitaciones, no solo los médicos de cabecera.\"\n  ],\n  \"it_ai_title\": \"Legge DIABETES: Garantire l'accesso continuo a tecnologie e formazione in Medicare\",\n  \"it_summary\": \"Questa legge assicura agli anziani l'accesso ininterrotto a microinfusori e monitor della glicemia quando passano al sistema Medicare. Introduce inoltre corsi di formazione gratuiti e facilita l'uso di software avanzati per il dosaggio dell'insulina.\",\n  \"it_key_points\": [\n    \"Garantisce la continuità terapeutica permettendo di mantenere le tecnologie già in uso al momento dell'iscrizione a Medicare.\",\n    \"Elimina i costi a carico del cittadino (franchigie e ticket) per i servizi di formazione all'autogestione del diabete.\",\n    \"Aumenta le ore di formazione coperte: 10 ore iniziali e 2 ore di aggiornamento ogni anno successivo.\",\n    \"Riconosce algoritmi e software dei sistemi di erogazione automatica di insulina come dispositivi medici rimborsabili separatamente.\",\n    \"Avvia un programma pilota per testare l'efficacia dei servizi di formazione diabetologica via web (online).\",\n    \"Consente a infermieri specializzati e assistenti medici di prescrivere la formazione, ampliando le possibilità di accesso.\"\n  ],\n  \"nl_ai_title\": \"De DIABETES-wet: Waarborging van toegang tot technologie en educatie binnen Medicare\",\n  \"nl_summary\": \"Deze wet zorgt ervoor dat senioren hun moderne insulinepompen en glucosemonitoren kunnen blijven gebruiken wanneer ze overstappen naar Medicare. Het maakt trainingen voor ziektebeheer gratis en vergemakkelijkt de toegang tot geavanceerde doseersoftware.\",\n  \"nl_key_points\": [\n    \"Garandeert continuïteit van zorg door het behoud van huidige diabetestechnologie bij inschrijving voor Medicare.\",\n    \"Schrapt eigen bijdragen en het eigen risico voor trainingen in zelfmanagement van diabetes.\",\n    \"Verhoogt het aantal vergoede trainingsuren naar 10 beginuren en 2 extra uren per volgend jaar.\",\n    \"Erkent algoritmen en software in automatische insulinesystemen als afzonderlijk vergoedbare medische hulpmiddelen.\",\n    \"Start een proefproject om de effectiviteit van virtuele (online) diabeteseducatie te testen.\",\n    \"Stelt verpleegkundig specialisten en physician assistants in staat om patiënten door te verwijzen voor trainingen.\"\n  ],\n  \"pt_ai_title\": \"Lei DIABETES: Garantindo o acesso contínuo a tecnologias e educação no Medicare\",\n  \"pt_summary\": \"Esta lei garante que os idosos mantenham o acesso a bombas de insulina e monitores de glicose ao entrarem no Medicare. Também torna gratuitos os treinos de gestão da doença e facilita o acesso a softwares avançados de dosagem de insulina.\",\n  \"pt_key_points\": [\n    \"Assegura a continuidade dos cuidados, permitindo manter o uso de tecnologias para diabetes já existentes ao aderir ao Medicare.\",\n    \"Elimina custos diretos para o cidadão (franquias e copagamentos) em serviços de formação para o autogestão da diabetes.\",\n    \"Aumenta as horas de formação cobertas para 10 horas iniciais e 2 horas anuais de acompanhamento.\",\n    \"Reconhece algoritmos e softwares de sistemas de administração de insulina como suprimentos médicos reembolsáveis separadamente.\",\n    \"Cria um programa piloto para testar a eficácia de serviços de educação em diabetes através de meios virtuais (online).\",\n    \"Permite que enfermeiros especializados e assistentes médicos encaminhem pacientes para formação, facilitando o acesso.\"\n  ],\n  \"category\": [\"Health\", \"Benefits\"]\n}"
    }
  ]
}