Latest Legislative Updates

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)