Sec. 3. Recognition of certified diabetes educators as authorized providers of Medicare diabetes outpatient self-management training services
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/bill/113/s/945/is/section-3A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1861(qq) of the Social Security Act (42 U.S.C. 1395x(qq)) is amended— in paragraph (1), by striking by a certified provider (as described in paragraph (2)(A)) in an outpatient setting and inserting in an outpatient setting by a certified diabetes educator (as defined in paragraph (3)) or by a certified provider (as described in paragraph (2)(A)) ; and by adding at the end the following new paragraphs: For purposes of paragraph (1), the term certified diabetes educator means an individual— who is licensed or registered by the State in which the services are performed as a certified diabetes educator; or who— is licensed or registered by the State in which the services are performed as a health care professional; specializes in teaching individuals with diabetes to develop the necessary skills and knowledge to manage the individual’s diabetic condition; and is certified as a diabetes educator by a recognized certifying body (as defined in paragraph (4)).
For purposes of paragraph (3)(B)(iii), the term recognized certifying body means a certifying body for diabetes educators which is recognized by the Secretary as authorized to grant certification of diabetes educators for purposes of this subsection pursuant to standards established by the Secretary. . Section 1842(b)(18)(C) of the such Act (42 U.S.C. 1395u(b)(18)(C)) is amended by adding at the end the following new clause: A certified diabetes educator (as defined in section 1861(qq)(3)). .
The Comptroller General of the United States shall conduct a study to identify the barriers that exist for Medicare beneficiaries with diabetes in accessing diabetes self-management training services under the Medicare program, including economic and geographic barriers and availability of appropriate referrals and access to adequate and qualified providers. Not later than 1 year after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report on the study conducted under paragraph (1).
The Director of the Agency for Healthcare Research and Quality shall, through use of a workshop and other appropriate means, develop a series of recommendations on effective outreach methods to educate physicians and other health care providers as well as the public about the benefits of diabetes self-management training in order to promote better health outcomes for patients with diabetes. Not later than 1 year after the date of the enactment of this Act, the Director of the Agency for Healthcare Research and Quality shall submit to Congress a report on the recommendations developed under paragraph (1).
The amendments made by this section shall apply to items and services furnished after the end of the 12-month period beginning on the date of the enactment of this Act.
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Sec. 3
Recognition of certified diabetes educators as authorized providers of Medicare diabetes outpatient self-management training services
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