Association of Diabetes Care & Education Specialists



The Expanding Access to DSMT Act

ADCES worked with the Diabetes Advocacy Alliance and our congressional champions on the introduction of the Expanding Access to Diabetes Self-Management Training (DSMT) Act in the 116th Congress. Senators Jean Shaheen (D-NH) and Susan Collins (R-ME) introduced S. 814, the Senate version of this legislation. Representatives Tom Reed (R-NY) and Diana DeGette (D-CO) introduced H.R. 1840 in the House of Representatives. Click here to send a letter to your members of Congress asking them to support this legislation.

Why is this bill important?

As diabetes care and education specialists, we know that self-management can be a path to a better quality of life. However, barriers within the Medicare benefit keep some of our most vulnerable citizens from accessing DSMT. The Expanding Access to DSMT Act (H.R. 1840 and S. 814) will reduce barriers and improve Medicare beneficiary access to DSMT services in the following ways:

  • Allows the initial 10 hours of DSMT during the first year to remain available until fully utilized. If there's a determination of medical necessity, then an additional 6 hours of training/ education may be added.
  • Allows 6 hours of DSMT in subsequent years, up from 2 hours. 
  • Removes the restriction related to coverage of DSMT and Medical Nutrition Therapy (MNT) services furnished on the same day.
  • Excludes DSMT services from Part B cost-sharing and deductible requirements.
  • Permits physicians and qualified non-physician practitioners who are not directly involved in managing an individual's diabetes to refer them for DSMT services. Examples include podiatrists, specialists treating a comorbidity like gangrene or vision loss, or an emergency room doctor.
  • Revises the Medicare Benefit Policy Manual to allow DSMT services to be provided in a community-based location.
  • Establishes a 2-year demonstration of virtual DSMT, potentially paving the way for future Medicare coverage of virtual DSMT services.

Bill Information

Below are some helpful materials to help you advocate for the passage of this legislation, including an issue brief summarizing the key points of the bill. Read the bill text or to see if your member of Congress has signed on as a cosponsor.

Issue Brief

H.R. 1840

S. 814

Advocacy Resources

Visit the Legislative Action Center to take action or send a letter to your legislators.

Subscribe to the Advocacy Forum on My AADE Network to get the latest advocacy updates and information on the re-introduction of this legislation.

Download our Advocacy Guide which features tips on how to take action on a wide range of advocacy issues, including identifying your members of Congress and opportunities for CB involvement in advocacy.

In This Section