#aaeth ,,congress  #ast ,session  ,s4   
#gdg  ,,in ,,the ,,senate ,,of ,,the    
,,united ,,states  ,march #bh1 #bjag    
,mr4 ,udall introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to reauthorize the special     
diabetes programs for ,indians4  #a4    
,short title  ,this ,act may be cited as
 the ,special ,diabetes ,program for    
,indians ,reauthorization ,act of #bjag 
4  #b4 ,findings ,congress finds that3  
7#a7 ,american ,indians and ,alaska     
,natives are disproportionately affected
 by diabetes4  7#b7 ,approximately #af  
percent of ,american ,indian and ,alaska
 ,native people have diabetes compared  
to only #ab percent of the general      
,united ,states population4  7#c7 ,the  
death rate due to diabetes for ,american
 ,indians and ,alaska ,natives is #a4f  
times higher than for the general       
population4  7#d7 ,in response to the   
growing epidemic of diabetes among      

,native communities1 ,congress          
authorized the ,special ,diabetes       
,programs for ,indians in #aiig4  7#e7  
,since the first authorization1 the     
,special ,diabetes ,programs for        
,indians have-- 7,a7 made it possible   
for ,native communities to develop and  
sustain quality diabetes treatment and  
prevention programs1 including--  7i7 a 
#dj-percent increase in number of       
diabetes clinics2  7ii7 a #db-percent   
increase in access to registered        
nutritionists2 and  7iii7 a #fa-percent 
increase in availability of culturally  
tailored education programs2  7,b7      
resulted in concrete health outcomes1   
like a #dh-percent decrease in end-stage
 renal disease among ,american ,indian  
and ,alaska ,native populations2 and    
7,c7 led to millions of dollars in      
healthcare cost savings by decreasing   
the prevalence of costly preventable    
diabetes complications4  7#f7 ,due to   
the continued positive impact of the    
,special ,diabetes ,programs for        

,indians on ,native communities and the 
large return on investment for          
healthcare funding1 ,congress has shown 
its support for the programs by--  7,a7 
reauthorizing the ,special ,diabetes    
,programs for ,indians no less than #h  
times2 and  7,b7 sending letters of     
support for the ,special ,diabetes      
,programs to ,congressional leadership  
signed by more than #cej                
,representatives and #ge ,senators4  #c4
 ,reauthorization of the special        
diabetes programs for indians ,section  
#ccj;,c7c7 of the ,public ,health       
,service ,act 7#db ,u4,s4,c4            
#bed;c-#c7;c77 is amended by striking   
paragraph 7#b7 and inserting the        
following3  7#b7 ,appropriations  7,a7  
,in general ,for the purpose of making  
grants under this section1 there is     
appropriated1 out of any money in the   
,treasury not otherwise appropriated--  
7i7 #aej1jjj1jjj for fiscal year #bjah2 
and  7ii7 the amount specified in       
subparagraph 7,b7 for each of fiscal    

years #bjai through #bjbd4  7,b7        
,inflation adjustment  7i7 ,in general  
,in the case of any of fiscal years     
#bjai through #bjbd1 the dollar amount  
in subparagraph 7,a77i7 shall be        
increased by an amount equal to the     
product of--  7,i7 such dollar amount2  
and  7,,ii7 the percentage increase in  
the medical care component of the       
consumer price index for the previous   
fiscal year as calculated by ,united    
,states ,bureau of ,labor ,statistics4  
7ii7 ,rounding ,if the amount of any    
increase under clause 7i7 is not a      
multiple of #aj1 such increase shall be 
rounded to the next lowest multiple of  
#aj4  4