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<REGINFO_RIN_DATA xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" RUN_DATE="2026-08-24-04:00" xsi:noNamespaceSchemaLocation="https://www.reginfo.gov/public/xml/REGINFO_XML_Ver10262011.xsd">
    <RIN_INFO>
        <RIN>0938-AI96</RIN>
        <PUBLICATION>
            <PUBLICATION_ID>199810</PUBLICATION_ID>
            <PUBLICATION_TITLE>The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions</PUBLICATION_TITLE>
        </PUBLICATION>
        <AGENCY>
            <CODE>0938</CODE>
            <NAME>Centers for Medicare &amp; Medicaid Services</NAME>
            <ACRONYM>CMS</ACRONYM>
        </AGENCY>
        <PARENT_AGENCY>
            <CODE>0900</CODE>
            <NAME>Department of Health and Human Services</NAME>
            <ACRONYM>HHS</ACRONYM>
        </PARENT_AGENCY>
        <RULE_TITLE>Expanded Coverage for Diabetes Outpatient Self-Management Training Services HCFA-3002-P</RULE_TITLE>
        <ABSTRACT><![CDATA[This rule would provide for uniform coverage of Diabetes outpatient self-management training services. These services include educational and training services furnished to a beneficiary with diabetes by an entity approved to furnish the services. The physician or qualified nonphysician practitioner treating the beneficiary's diabetes would certify that these services are needed as part of a comprehensive plan of care. This rule proposes the quality standards that an entity would be required to meet in order to participate in furnishing diabetes outpatient self-management training services. It sets forth proposed payment amounts that have been established in consultation with appropriate diabetes organizations. It would implement section 4105 of the Balanced Budget Act of 1997 (BBA).]]></ABSTRACT>
        <PRIORITY_CATEGORY>Economically Significant</PRIORITY_CATEGORY>
        <RIN_STATUS>First Time Published in The Unified Agenda</RIN_STATUS>
        <RULE_STAGE>Proposed Rule Stage</RULE_STAGE>
        <MAJOR>Undetermined</MAJOR>
        <UNFUNDED_MANDATE_LIST>
            <UNFUNDED_MANDATE>Undetermined</UNFUNDED_MANDATE>
        </UNFUNDED_MANDATE_LIST>
        <CFR_LIST>
            <CFR>42 CFR 410</CFR>
            <CFR>42 CFR 414</CFR>
            <CFR>42 CFR 476</CFR>
        </CFR_LIST>
        <LEGAL_AUTHORITY_LIST>
            <LEGAL_AUTHORITY>42 USC 1302</LEGAL_AUTHORITY>
            <LEGAL_AUTHORITY>42 USC 1395hh</LEGAL_AUTHORITY>
            <LEGAL_AUTHORITY>42 USC 1395x</LEGAL_AUTHORITY>
        </LEGAL_AUTHORITY_LIST>
        <RPLAN_ENTRY>Yes</RPLAN_ENTRY>
        <RPLAN_INFO>
            <STMT_OF_NEED><![CDATA[Section 4105 of the BBA provided for coverage of diabetes self-management training to include services provided in non-hospital-based-programs. This proposed rule would expand Medicare coverage for diabetes outpatient self-management training; define who may be a certified provider of services that may provide diabetes outpatient management training services; explain that the physician managing the patient's diabetes must certify that the services are needed under a comprehensive plan of care; and sets standards for certified providers that have been established in consultation with appropriate diabetes organizations.]]></STMT_OF_NEED>
            <LEGAL_BASIS><![CDATA[Section 4105(a) of the BBA provides coverage for diabetes outpatient self-management training. Under this coverage training would include educational and training services furnished in an outpatient setting (according to frequency standards established by the Secretary) to a beneficiary with diabetes by a "certified provider" that meets certain quality standards.]]></LEGAL_BASIS>
            <ALTERNATIVES><![CDATA[Coverage is provided for in section 4105(a) of the BBA, therefore, no alternatives to issuing this regulation exist.]]></ALTERNATIVES>
            <COSTS_AND_BENEFITS><![CDATA[rojected Budget Impact of New Benefit ($ in millions): FY 1998 -- $60 FY 1999 -- $560 FY 2000 -- $230 FY 2001 -- $80 FY 2002 -- $80 An estimate of benefits has not been established.]]></COSTS_AND_BENEFITS>
            <RISKS><![CDATA[If the diabetes self-management training is not implemented, our diabetic beneficiaries will not receive information for improving their long term health that would result from this rule.]]></RISKS>
        </RPLAN_INFO>
        <TIMETABLE_LIST>
            <TIMETABLE>
                <TTBL_ACTION>NPRM</TTBL_ACTION>
                <TTBL_DATE>11/00/1998</TTBL_DATE>
            </TIMETABLE>
            <TIMETABLE>
                <TTBL_ACTION>NPRM Comment Period End</TTBL_ACTION>
                <TTBL_DATE>02/00/1999</TTBL_DATE>
            </TIMETABLE>
        </TIMETABLE_LIST>
        <RFA_REQUIRED>Undetermined</RFA_REQUIRED>
        <SMALL_ENTITY_LIST>
            <SMALL_ENTITY>Businesses</SMALL_ENTITY>
            <SMALL_ENTITY>Organizations</SMALL_ENTITY>
        </SMALL_ENTITY_LIST>
        <GOVT_LEVEL_LIST>
            <GOVT_LEVEL>Undetermined</GOVT_LEVEL>
        </GOVT_LEVEL_LIST>
        <PRINT_PAPER>NA</PRINT_PAPER>
        <INTERNATIONAL_INTEREST>Not Collected</INTERNATIONAL_INTEREST>
        <PROCUREMENT>Not Procurement Related</PROCUREMENT>
        <REINVENT_GOVT>No</REINVENT_GOVT>
    </RIN_INFO>
</REGINFO_RIN_DATA>
