; ; and (2) in subsection (b)— (A) by striking and (10) and inserting (10) ; and (B) by striking 1861(hhh)(1)). and inserting 1861(hhh)(1)), and (11) such deductible shall not apply with respect to diabetes outpatient self-management training services (as defined in section 1861(qq)). (d) Revision of manual Not later than 180 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall revise the Medicare Benefit Policy Manual to ensure that diabetes outpatient self-management training services (as defined in section 1861(qq) of the Social Security Act ( 42 U.S.C. 1395x(qq) ), as amended by subsection (a)) may be furnished by an entity that is a hospital outpatient department at alternate, nonhospital sites (including community-based locations). (e) Application The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2019. 3. Virtual Diabetes Outpatient Self-Management Training Services Demonstration Program (a) In general Beginning not later than January 1, 2019, the Secretary of Health and Human Services (in this section referred to as the “Secretary”) shall select an appropriate number of applicable beneficiaries to participate in a 2-year demonstration program to test the impact of furnishing diabetes outpatient self-management training services through a qualified online platform with respect to cost and clinical outcomes for such applicable beneficiaries. Under such program, diabetes outpatient self-management training services furnished through a qualified online platform to an applicable beneficiary shall be covered under title XVIII of the Social Security Act, and payment for such services shall be made in the same manner as payment is made under such title for such services furnished in an outpatient setting. (b) Definitions In this section: (1) Applicable beneficiary The term applicable beneficiary means an individual— (A) who is enrolled under part B of title XVIII of the Social Security Act