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1 1 (January 16, 2020)

handle is hein.crs/govbhwx0001 and id is 1 raw text is: Researh Sevice Special Diabetes Programs Expire in FY2020: Policy Considerations and Extension Proposals Updated January 16, 2020 Under the Balanced Budget Act of 1997 (P.L. 105-33), Congress amended the Public Health Service Act (PHSA) to create two special diabetes programs. The first-the Special Diabetes Program for Type I Diabetes (PHSA §330B; U.S.C. 42 §254c-2)-provides funding for the National Institutes of Heall (NIH) to award grants to study type I diabetes. The second-the Special Diabetes Program for Indians (PHSA §330C; U.S.C. 42 §254c-3)-provides funding to the Indian Health Service (IHS) to award grants for activities related to preventing and treating diabetes for American Indians and Alaska Natives at IHS- funded facilities. This Insight describes both programs and their funding histories. An estimated 9.4% of the U.S. population has diabetes (including both type 1 and type 2), and diabetes was the seventh leading cause of death in 2017. Diabetes disproportionately affects certain subpopulations, especially American Indians and Alaska Natives, who have the highest prevalence among racial/ethnic groups. The special diabetes programs are aimed at two subpopulations of those with diabetes: people with type 1 diabetes and American Indians and Alaska Natives. Program Funding Since enactment, both programs have received direct (i.e., mandatory) appropriations. Both NIH and IHS generally receive their funding through annual discretionary appropriations. For both agencies, the special diabetes programs represent one of the only direct spending budget authorities. The amount appropriated to both programs has increased over time. Initially, they were each funded at $30 million in FY1998. This amount increased to $150 million annually for each program beginning in FY2004. The programs' most recent multiyear funding extension was in Section 50902 of the Bipartisan Budget Act of 2018 (P.L. 115-123), which provided each with $150 million annually for FY2018 and FY2019. Partial FY2020 funding at similar funding levels to FY2019 has been provided in RL. 116-94 through May 22, 2020, and in earlier continuing resolutions (P.L. 116--69; PL. 116-59). A longer funding extension has not been enacted; however, previously appropriated funds will be available until expended after expiration. Several introduced bills would provide longer extensions as discussed below. Congressional Research Service https://crsreports.congress.gov IN11063 CRS NStGHT Prepaimed for Mernbei-s and Committees 4 o. C- --q .. . . . . . . . ...-----------------------------------------------------------------------------------------------------------------------------------------------------------------------

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