Latest Legislative Updates

Congress Passes Spending Bill to Fund Government, Renews SDPI

Early this morning, both chambers of Congress approved a spending bill written by the Majority and Minority leaders in the Senate. Following the vote, President Trump signed the bill into law, reopening the federal government after an hours-long shutdown. The bill funds the federal government until March 23, 2018...

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Budget Deal Includes 2 Year SDPI Renewal, Other Public Health Programs

Senate leadership has announced a two-year budget agreement to avoid another shutdown and lessen Congress's reliance on short term Continuing Resolutions to fund the government. It would fund the federal government through March 23, 2018, and provide a pathway for Congress to determine the final spending amounts for the remainder of FY 2018. Congress must pass a spending bill by the end of the day TODAY, February 8, 2018, to avoid another shutdown...

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SDPI Outreach Needed: Next Continuing Resolution MAY Include Long-Term Renewal

As the National Indian Health Board has previously reported, one of our top legislative priorities is the long-term renewal of the Special Diabetes Program for Indians. Funding for this highly effective, life-saving program will expire on March 31, 2018, unless Congress reauthorizes it before then.

When SDPI renewal was not included in the last Continuing Resolution despite Congressional promises to Indian Country, NIHB promised to provide Tribes and advocates with Congressional outreach guidance, materials, and information in order to secure renewal for the program...

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We Fight On: Special Diabetes Program for Indians Renewal Efforts Continue

The Work Continues...
Thank you to everyone who participated in Congressional outreach for the Special Diabetes Program for Indians (SDPI) renewal today. Unfortunately, we just learned that SDPI is not likely to be included in the current Continuing Resolution (CR). The House Rules Committee is considering the CR now - we expect that the Committee will issue a Closed Rule, meaning no amendments will be allowed, and SDPI renewal is not in the CR. The CR being considered the Rules Committee today, if approved, will expire February 16, 2018. The CR does contain a 6-year reauthorization for the Children's Health Insurance Program (CHIP). For many months, lawmakers and Congressional Leadership assured NIHB and Indian Country that the SDPI renewal would be taken up with CHIP: that did not happen today...

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New Continuing Resolution Does NOT Include Special Diabetes Program for Indians Reauthorization

Yesterday, January 16, 2018, House Republican leadership released language for the next Continuing Resolution (CR), which will fund federal government agencies until February 16. The CR includes a six-year reauthorization for the Children's Health Insurance Program (CHIP). Many American Indian/Alaska Native (AI/AN) children and their families receive coverage from this program, and NIHB supports its renewal. Unfortunately, the CR does NOT include any language renewing the Special Diabates Program for Indians (SDPI), which now expires on March 31, 2018! ...

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Congress Approves Continuing Funding Resolution -
Includes SDPI Funding Through March 31

Last night, Congress approved a short-term continuing resolution (CR) that would fund the federal government - including the Indian Health Service and most other federal agencies - through January 19, 2018 at current year funding levels. The previous CR would have expired today. The legislation passed in the House of Representatives by a margin of 231-188 where 16 Republicans voted no and 14 Democrats voted for the bill. In the Senate the legislation was approved by a vote of 66-32. In the Senate, 17 Democrats supported the measure and 2 Republicans opposed.

Importantly, the bill also contained a short term extension for the Special Diabetes Program for Indians (SDPI). Funding for this life-saving program would have expired on December 31. The new extension funds SDPI through March 31. The House of Representatives has already approved a 2-year extension for SDPI but due to the way it was paid for (through cuts to the Prevention and Public Health Fund) that legislation did not make it through the Senate...

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Congress Enacts 3-month Extension for the Special Diabetes Program for Indians

On September 29, 2017, President Trump signed a 3 month extension for the Special Diabetes Program for Indians (SDPI) into law as part of the Disaster Tax Relief and Airport and Airway Extension Act (H.R. 3823). The program would have expired on September 30, 2017, but now is set to expire on December 31, 2017. It is funded level funding from previous years ($150 million).

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Contact Legislators Now About the Special Diabetes Program for Indians

Dear SDPI Advocates:

As many of you know, the Special Diabetes Program for Indians (SDPI) expires at the end of September. With this life-saving program at risk, it is essential that Tribes and their advocates reach out to Members of Congress to voice support for renewal of SDPI by September 30.

Last night, the Senate Finance Committee announced a 5 year deal on the renewal of the Children's Health Insurance Program (CHIP). CHIP is believed to be the legislative vehicle for moving SDPI and other programs that expire by the end of the month. However, it is not clear if the Senate Finance Committee intends to include other program "extenders" - like SDPI - in their legislation...

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U.S. Senate passes a two year renewal for the Special Diabetes Program for Indians (SDPI)

On April 14, 2015, the U.S. Senate passed a two (2) year renewal for the Special Diabetes Program for Indians (SDPI). The renewal was contained in a larger bill called: "H.R. 2 - The Medicare Access and CHIP Reauthorization Act of 2015." The measure was passed the Senate by a bipartisan vote of 92-8. This follows action by the House of Representatives on March 26, 2015, which also passed the legislation by a bipartisan vote. President Obama is expected to sign the legislation into law.

SDPI is one of many programs in this legislation. Other provisions included a 2-year authorization of the Children Health Insurance Program (CHIP) and a permanent adjustment of the Medicare physician payment formula. You can read a summary of the legislation here.

SDPI provides critical programs that are helping our Tribal communities address complications and burdens of Type 2 diabetes. The newly-passed legislation funds SDPI at $150 million per year, which is the same as the current level. This program will now expire on September 30, 2017.



U.S. House of Representatives passes a two year renewal for SDPI

On Thursday, March 25 the U.S. House of Representatives passed a two (2) year renewal for the Special Diabetes Program for Indians (SDPI). The renewal was contained in a larger bill called: "H.R. 2 - The Medicare Access and CHIP Reauthorization Act of 2015." The measure was passed by a bipartisan vote of 392-37, with 212 Republicans and 180 Democrats supporting it.

SDPI is one of many programs in this legislation. Other provisions included a 2-year authorization of the Children Health Insurance Program (CHIP) and a permanent adjustment of the Medicare physician payment formula. You can read a summary of the legislation here.

SDPI provides critical programs that are helping our Tribal communities address complications and burdens of Type 2 diabetes. This program is set to expire on September 30, 2015 unless Congress acts to renew it.

The measure now goes to the U.S. Senate for consideration. The Senate is expected to take up the bill during the week of April 13 when it returns from a two week recess. Please stay tuned to NIHB for updates.



Special Diabetes Program for Indians Legislative Update

The Special Diabetes Program for Indians (SDPI) is typically renewed as part of the “Sustainable Growth Rate” Fix (or “Doc Fix”) which governs the rates physicians are paid by Medicare. Accompanying this legislation, are a group of public health programs known as the “Medicare Extenders.” SDPI, along with the Special Diabetes Program (SDP), to promote research for Type 1 Diabetes, is one of those programs. Over the last several years, Congress has enacted only short-term legislation for the Doc Fix, and consequently, SDPI has only been renewed for a year at a time.

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The Special Diabetes Program for Indians is funded at $150 million for FY 2015 but Tribes are seeking a $200 million per year for a 5 year renewal.

Today, SDPI is funded at a level of $150 million per year and supports 404 diabetes treatment and prevention programs in 35 states. With funding for this critical program set to expire on September 30, 2015, Tribes are requesting a renewal of this program of $200 million/ year for 5 years. While we understand an increase in funds during this budgetary environment is difficult, SDPI has been level-funded since 2002. This represents an effective decrease. Calculating for inflation, $150 million in 2002 would be about $115 million in 2014 – or 23 percent less. It is critical that Congress continue to invest in SDPI, which will save millions in preventative care over the long term.



Congress Passes Legislation Renewing SDPI Funding for One Year

SDPI funded at $150 million

WASHINGTON DC- March 31, 2014-Today Congress passed a one year renewal of the Special Diabetes Program for Indians (SDPI). The National Indian Health Board (NIHB), which continues to lead national efforts to secure the SDPI program, is very pleased with this development. Stacy Bohlen, NIHB's Executive Director states, "American Indians and Alaska Natives suffer from the worst Type 2 Diabetes rates in the United States. We have four-year-olds presenting with Type 2 Diabetes - this has got to stop and SDPI is making that possible. Today's victory is one more step in making this life-saving program permanent."..

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In January 2013, the Special Diabetes Program for Indians (SDPI) was renewed for 1 year as part of the American Taxpayer Relief Act (a.k.a. “fiscal cliff” deal) (P.L. 112-240).

As SDPI is set to expire on September 30, 2014 we have a critical opportunity to have this program renewed by March 31, when Congress must renew the Medicare Extender legislation that is typically the legislative vehicle for SDPI. SDPI funding is changing the diabetes landscape for American Indians/Alaska Natives (AI/ANs) and how SDPI is saving lives, lowering medical expenditures and demonstrating a real return on the federal investment.

The current SGR Fix and the Medicare Extenders –the typical legislative vehicle for SDPI - expires on March 31, 2014. With funding for this critical program set to expire on September 30, NIHB urges Congress to enact a multi-year renewal of by this date to ensure that this program can continue. Click here to see how you can help support this important renewal.



Summary of Congressional Briefing on SDPI

On Tuesday, March 12, the office of Congressman Tom Reed (R-NY) and the National Indian Health Board (NIHB) held a briefing on the Special Diabetes Program for Indians (SDPI). As you may recall, SDPI is set to expire on September 30, 2014. We have a critical opportunity to have this program renewed by March 31, when Congress must renew the Medicare Extender legislation that is typically the legislative vehicle for SDPI...Read More (PDF)