This legislation, effective from January 1, 2026, through December 31, 2029, expands the Medicare Diabetes Prevention Program (MDPP) by allowing entities to participate solely through distance learning or online delivery modalities . This provision aims to increase access to diabetes prevention services for Medicare beneficiaries by embracing virtual care options. A key aspect is that claims for online MDPP services will not be prohibited simply because the beneficiary was located in a different state than the service provider, removing geographical barriers. Furthermore, the bill eliminates any existing limits on the number of times an individual may enroll in the MDPP, promoting continuous engagement if needed. The Secretary of Health and Human Services is authorized to implement these changes efficiently through program instructions.