,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cabd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bi1 #bjag ,ms4 
,de,gette 7= h]self1 ,ms4 ,j5k9s (      
,kansas1 ,mr4 ,re$1 ,ms4 ,del,bene1 ,mr4
 ,kildee1 ,mr4 ,langev91 ,mr4 ,b5 ,ray  
,lujn ( ,new ,mexico1 ,mr4 ,mooney (    
,we/ ,virg9ia1 ,mrs4 ,napolitano1 ,mr4  
,nolan1 ,ms4 ,norton1 ,ms4              
,roybal-,all>d1 ,mr4 ,ryan ( ,ohio1 ,mr4
 ,smi? ( ,new ,j]sey1 ,mr4 ,mc,govern1 &
 ,mrs4 ,watson ,coleman7 introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to r$uce !       
occurr5ce ( diabetes 9 ,m$ic>e          
b5efici>ies by ext5d+ cov]age "u ,m$ic>e
 = m$ical nutrition !rapy s]vices to su*
 b5efici>ies ) pre-diabetes or ) risk   

factors = develop+ type #b diabetes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,prev5t+ ,diabetes 9 ,m$ic>e ,act (   
#bjag4  #b4 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,accord+ to ! ,c5t]s =    
,disease ,control & ,prev5tion1 !re are 
#hf1jjj1jjj adults ) pre-diabetes 9 !   
,unit$ ,/ates4 ,! ,c5t]s e/imates t #ea 
p]c5t ( adults :o are #fe ye>s ( age or 
old] h pre-diabetes4 ,m ?an #ij p]c5t ( 
adults ) pre-diabetes are unaw>e !y h x4
  7#b7 ,= a significant numb] ( p )     
pre-diabetes1 e>ly int]v5tion c rev]se  
elevat$ blood glucose levels to normal  
range & prev5t diabetes & its           
complications completely or c           
significantly delay its onset4 ,accord+ 
to ! ,in/itute = ,alt]native ,futures1  
if #ej p]c5t ( adults ) pre-diabetes 7  
able to successfully make life/yle      
*anges prov5 to prev5t or delay         
diabetes1 !n by #bjbe approximately     
#d1gjj1jjj new cases ( diabetes c\ld be 
prev5t$ at a co/ sav+s ( #cjj billion4  
7#c7 ,ne>ly #a-;9-#e hospitalizations 9 

#bjjh 7 relat$ to diabetes accord+ to ! 
,ag5cy = ,heal?c>e ,rese>* & ,quality4  
7#d7 ,prev5t+ diabetes & its            
complications c save money & lives4 ,!  
av]age annual co/ to treat someone )    
diabetes is #ac1gda1 comp>$ to #c1die = 
someone :o does n h diabetes4 ,"o out ( 
e ?ree ,m$ic>e doll>s is sp5t on        
diabetes4  7#e7 ,diabetes is unique     
because its complications & _! associat$
 heal? c>e co/s are (t5 prev5table )    
curr5tly available m$ical treatm5t &    
life/yle *anges4  7#f7 ,9 #bjjb1 !      
,diabetes ,prev5tion ,program /udy      
conduct$ by ! ,national ,in/itutes (    
,heal? f\nd t p>ticipants 7all ( :om 7  
at increas$ risk ( develop+ type #b     
diabetes7 :o made life/yle *anges r$uc$ 
_! risk ( develop+ type #b diabetes by  
#eh p]c5t & t p>ticipants :o are #fj    
ye>s ( age or old] r$uc$ _! risk (      
develop+ diabetes by #ga p]c5t4  7#g7 ,!
 ,ag5cy = ,heal?c>e ,rese>* & ,quality  
has demon/rat$ t #b1ejj1jjj1jjj 9       
hospitalization co/s relat$ to !        

treatm5t ( diabetes or complications    
result+ f diabetes c\ld be sav$ by      
provid+ s5iors ) appropriate prim>y c>e 
to prev5t ! onset ( diabetes4  7#h7 ,!  
,m$ic>e program curr5tly provides       
cov]age = scre5+ & id5tify+ b5efici>ies 
) pre-diabetes b does n provide adequate
 s]vices to su* b5efici>ies to help !m  
prev5t or delay ! onset ( diabetes4  #c4
 ,m$ic>e cov]age ( m$ical nutrition     
!rapy s]vices = p ) pre-diabetes & risk 
factors = develop+ type #b diabetes  7a7
 ,9 g5]al ,section #ahfa ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$-- 7#a7 9 subsection 7s77#b77,v71 
by /rik+ a b5efici>y ) diabetes or a    
r5al disease & ins]t+ an individual )   
diabetes1 pre-diabetes 7z def9$ 9       
subsection 7yy77#d771 or a r5al disease1
 or an individual at risk = diabetes 7z 
def9$ 9 subsection 7yy77#b771 9 ! matt] 
prec$+ clause 7i72 &  7#b7 9 subsection 
7yy7-- 7,a7 9 ! head+1 by add+ 2        
,pre-,diabetes at ! end2 &  7,b7 by add+
 at ! end ! foll[+ new p>agraph3  7#d7  

,! t]m pre-diabetes means a condition ( 
impair$ fa/+ glucose or impair$ glucose 
tol]ance id5tifi$ by a blood glucose    
level t is high] ?an normal1 b n s high 
z to indicate actual diabetes4  4  7b7  
,effective date ,! am5dm5ts made by ?is 
section %all apply ) respect to s]vices 
furni%$ on or aft] ,janu>y #a1 #bjai4