H.R. 10086 (119th)Bill Overview

Diabetes Prevention Program Reauthorization Act of 2026

domestic policy
Cosponsors
Support
Bipartisan
Introduced
Aug 13, 2026
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill reauthorizes the National Diabetes Prevention Program by amending the Public Health Service Act. It replaces prior open‑ended language and specifies annual appropriations of $39.3M (FY2027), $44.3M (FY2028), $49.3M (FY2029), $54.3M (FY2030), and $59.3M (FY2031).

Why people may split

Liberal emphasizes public‑health benefits and equity requirements.

Watch point

Relative to its intended legislative type, this bill is narrowly focused and well-specified as a statutory reauthorization: it precisely amends the identified statutory subsection and sets explicit authorized funding levels for five fiscal years.

This bill reauthorizes the National Diabetes Prevention Program by amending the Public Health Service Act.

It replaces prior open‑ended language and specifies annual appropriations of $39.3M (FY2027), $44.3M (FY2028), $49.3M (FY2029), $54.3M (FY2030), and $59.3M (FY2031).

The law simply sets funding levels for the program through FY2031.

Passage55/100

Modest, targeted reauthorization with bipartisan appeal improves chances, but enactment depends on later appropriations and legislative calendar.

CredibilityAligned

Relative to its intended legislative type, this bill is narrowly focused and well-specified as a statutory reauthorization: it precisely amends the identified statutory subsection and sets explicit authorized funding levels for five fiscal years. It does not provide explanatory context, additional implementation steps, new oversight or reporting requirements, or fiscal offsets.

Contention55/100

Liberal emphasizes public‑health benefits and equity requirements.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · CommunitiesFederal agencies · States

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Federal agenciesProvides predictable federal funding for NDPP operations and planning across five fiscal years.
  • CommunitiesMay enable expansion of community-based lifestyle interventions and outreach to high-risk populations.
  • Potential benefitCould sustain or create public health and contractor jobs delivering prevention services.
Likely burdened
  • Federal agenciesAuthorizes additional federal spending without offsets, which may increase budgetary pressures.
  • Potential burdenFixed nominal funding levels may not keep pace with inflation or rising program demand.
  • StatesThe bill specifies amounts but does not describe grant distribution, risking uneven state or provider impacts.
03 · Why people split

Why the argument around this bill splits.

Liberal emphasizes public‑health benefits and equity requirements.
Progressive85%

Generally supportive: views federal reauthorization and steady funding as a needed public health investment.

Would likely press for stronger equity, access, and accountability provisions.

Leans supportive
Centrist75%

Cautiously supportive: sees this as reasonable, incremental public health spending with bipartisan appeal.

Wants clearer oversight, cost-effectiveness data, and budget offsets or limits.

Leans supportive
Conservative30%

Skeptical: supports prevention in principle but objects to expanded federal funding and recurring spending without offsets.

Prefers state, private, or market approaches.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood55/100

Modest, targeted reauthorization with bipartisan appeal improves chances, but enactment depends on later appropriations and legislative calendar.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No CBO cost estimate included in text
  • Whether Congress will appropriate the authorized amounts
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberal emphasizes public‑health benefits and equity requirements.

Modest, targeted reauthorization with bipartisan appeal improves chances, but enactment depends on later appropriations and legislative cal…

Unlocked analysis

Relative to its intended legislative type, this bill is narrowly focused and well-specified as a statutory reauthorization: it precisely amends the identified statutory subsection and sets explicit authorized funding le…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis