#aae? ,,congress  #a/ ,session  ,s4 #gdg
  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$       
,,/ates  ,m>* #bh1 #bjag ,mr4 ,udall    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to reau?orize ! special     
diabetes programs = ,indians4  #a4 ,%ort
 title  ,?is ,act may be cit$ z !       
,special ,diabetes ,program = ,indians  
,reau?orization ,act ( #bjag 4  #b4     
,f9d+s ,congress f9ds t3 7#a7 ,am]ican  
,indians & ,alaska ,natives are         
disproportionately affect$ by diabetes4 
7#b7 ,approximately #af p]c5t ( ,am]ican
 ,indian & ,alaska ,native p h diabetes 
comp>$ to only #ab p]c5t ( ! g5]al      
,unit$ ,/ates population4  7#c7 ,! dea? 
rate due to diabetes = ,am]ican ,indians
 & ,alaska ,natives is #a4f times high] 
?an = ! g5]al population4  7#d7 ,9      
response to ! gr[+ epidemic ( diabetes  
among ,native communities1 ,congress    
au?oriz$ ! ,special ,diabetes ,programs 
= ,indians 9 #aiig4  7#e7 ,s9ce ! fir/  

au?orization1 ! ,special ,diabetes      
,programs = ,indians h-- 7,a7 made x    
possible = ,native communities to       
develop & su/a9 quality diabetes        
treatm5t & prev5tion programs1 includ+--
  7i7 a #dj-p]c5t increase 9 numb] (    
diabetes cl9ics2  7ii7 a #db-p]c5t      
increase 9 access to regi/]$            
nutritioni/s2 &  7iii7 a #fa-p]c5t      
increase 9 availability ( culturally    
tailor$ education programs2  7,b7       
result$ 9 concrete heal? outcomes1 l a  
#dh-p]c5t decrease 9 end-/age r5al      
disease among ,am]ican ,indian & ,alaska
 ,native populations2 &  7,c7 l$ to     
millions ( doll>s 9 heal?c>e co/ sav+s  
by decreas+ ! preval5ce ( co/ly         
prev5table diabetes complications4  7#f7
 ,due to ! cont9u$ positive impact ( !  
,special ,diabetes ,programs = ,indians 
on ,native communities & ! l>ge return  
on inve/m5t = heal?c>e fund+1 ,congress 
has %[n its support = ! programs by--   
7,a7 reau?oriz+ ! ,special ,diabetes    
,programs = ,indians no less ?an #h     

times2 &  7,b7 s5d+ lett]s ( support = !
 ,special ,diabetes ,programs to        
,congressional lead]%ip sign$ by m ?an  
#cej ,repres5tatives & #ge ,s5ators4    
#c4 ,reau?orization ( ! special diabetes
 programs = indians ,section #ccj;,c7c7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bed;c-#c7;c77 is am5d$ by    
/rik+ p>agraph 7#b7 & ins]t+ ! foll[+3  
7#b7 ,appropriations  7,a7 ,9 g5]al ,= !
 purpose ( mak+ grants "u ?is section1  
!re is appropriat$1 out ( any money 9 ! 
,treasury n o!rwise appropriat$--  7i7  
#aej1jjj1jjj = fiscal ye> #bjah2 &  7ii7
 ! am\nt specifi$ 9 subp>agraph 7,b7 =  
ea* ( fiscal ye>s #bjai ?r\gh #bjbd4    
7,b7 ,inflation adju/m5t  7i7 ,9 g5]al  
,9 ! case ( any ( fiscal ye>s #bjai     
?r\gh #bjbd1 ! doll> am\nt 9 subp>agraph
 7,a77i7 %all be increas$ by an am\nt   
equal to ! product (--  7,i7 su* doll>  
am\nt2 &  7,,ii7 ! p]c5tage increase 9 !
 m$ical c>e compon5t ( ! consum] price  
index = ! previ\s fiscal ye> z calculat$
 by ,unit$ ,/ates ,bureau ( ,labor      

,/ati/ics4  7ii7 ,r\nd+ ,if ! am\nt (   
any increase "u clause 7i7 is n a       
multiple ( #aj1 su* increase %all be    
r\nd$ to ! next l[e/ multiple ( #aj4  4