S. 1805In committeeHealth care
Bill would let nurse practitioners certify diabetic shoes for Medicare
Data as of July 12, 2026
S 1805 would let nurse practitioners and physician assistants certify Medicare-covered diabetic shoes, not just physicians.40-second read · 4 questions answered below
Decoded
What does this do?
This bill would change Medicare rules so nurse practitioners and physician assistants can complete required documentation certifying that a diabetic patient needs therapeutic shoes and inserts. Currently only physicians can certify this medical necessity. The change affects only who can complete the paperwork, not the coverage itself.
Who does it affect?
Medicare beneficiaries with diabetes, especially those cared for mainly by nurse practitioners or physician assistants, would be affected. Nurse practitioners and physician assistants would gain new documentation authority under Medicare.
Why does it matter?
Patients who rely on nurse practitioners or physician assistants for regular care, common in rural areas or places with doctor shortages, could get required documentation without a separate physician visit. This could affect how quickly patients access diabetic shoes and inserts, which help prevent foot complications.
Where does it stand?
- Introduced
- Senate committee — You are here
- Senate vote
- House
- President's desk
Right now: a Senate committee is reviewing it. If the House changes it, it goes back to the Senate before reaching the President.
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Official title
Promoting Access to Diabetic Shoes Act
- Introduced:
- May 19, 2025
- Latest action:
- May 19, 2025
Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S2973-2974)
Read the official bill on Congress.govMake the call
Three steps: where you stand, your script, the call.