115TH CONGRESS 

1ST SESSION S. 747 

To reauthorize the special diabetes programs for Indians. 

IN THE SENATE OF THE UNITED STATES 

MARCH 28, 2017 

Mr. UDALL introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To reauthorize the special diabetes programs for Indians. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Special Diabetes Pro5 gram for Indians Reauthorization Act of 2017’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds that: 

8 (1) American Indians and Alaska Natives are 

9 disproportionately affected by diabetes. 

10 (2) Approximately 16 percent of American In11 dian and Alaska Native people have diabetes comVerDate Sep 11 2014 01:14 Mar 30, 2017 Jkt 069200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S747.IS S747

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1 pared to only 12 percent of the general United 

2 States population. 

3 (3) The death rate due to diabetes for Amer4 ican Indians and Alaska Natives is 1.6 times higher 

5 than for the general population. 

6 (4) In response to the growing epidemic of dia7 betes among Native communities, Congress author8 ized the Special Diabetes Programs for Indians in 

9 1997. 

10 (5) Since the first authorization, the Special Di11 abetes Programs for Indians have— 

12 (A) made it possible for Native commu13 nities to develop and sustain quality diabetes 

14 treatment and prevention programs, includ15 ing— 

16 (i) a 40-percent increase in number of 

17 diabetes clinics; 

18 (ii) a 42-percent increase in access to 

19 registered nutritionists; and 

20 (iii) a 61-percent increase in avail21 ability of culturally tailored education pro22 grams; 

23 (B) resulted in concrete health outcomes, 

24 like a 48-percent decrease in end-stage renal 


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1 disease among American Indian and Alaska Na2 tive populations; and 

3 (C) led to millions of dollars in healthcare 

4 cost savings by decreasing the prevalence of 

5 costly preventable diabetes complications. 

6 (6) Due to the continued positive impact of the 

7 Special Diabetes Programs for Indians on Native 

8 communities and the large return on investment for 

9 healthcare funding, Congress has shown its support 

10 for the programs by— 

11 (A) reauthorizing the Special Diabetes 

12 Programs for Indians no less than 8 times; and 

13 (B) sending letters of support for the Spe14 cial Diabetes Programs to Congressional leader15 ship signed by more than 350 Representatives 

16 and 75 Senators. 

17 SEC. 3. REAUTHORIZATION OF THE SPECIAL DIABETES 

18 PROGRAMS FOR INDIANS. 

19 Section 330C(c) of the Public Health Service Act (42 

20 U.S.C. 254c–3(c)) is amended by striking paragraph (2) 

21 and inserting the following: 

22 ‘‘(2) APPROPRIATIONS.— 

23 ‘‘(A) IN GENERAL.—For the purpose of 

24 making grants under this section, there is apVerDate Sep 11 2014 01:14 Mar 30, 2017 Jkt 069200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S747.IS S747

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1 propriated, out of any money in the Treasury 

2 not otherwise appropriated— 

3 ‘‘(i) $150,000,000 for fiscal year 

4 2018; and 

5 ‘‘(ii) the amount specified in subpara6 graph (B) for each of fiscal years 2019 

7 through 2024. 

8 ‘‘(B) INFLATION ADJUSTMENT.— 

9 ‘‘(i) IN GENERAL.—In the case of any 

10 of fiscal years 2019 through 2024, the dol11 lar amount in subparagraph (A)(i) shall be 

12 increased by an amount equal to the prod13 uct of— 

14 ‘‘(I) such dollar amount; and 

15 ‘‘(II) the percentage increase in 

16 the medical care component of the 

17 consumer price index for the previous 

18 fiscal year as calculated by United 

19 States Bureau of Labor Statistics. 

20 ‘‘(ii) ROUNDING.—If the amount of 

21 any increase under clause (i) is not a mul22 tiple of $10, such increase shall be rounded 

23 to the next lowest multiple of $10.’’. 

Æ 


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