State Diabetes Prevention Block Grant Act of 2026

This Act establishes a new block grant program under the Public Health Service Act, administered by the Secretary of Health and Human Services, to provide flexible funding to states for evidence-based diabetes prevention initiatives. Each state receiving a grant shall submit a plan describing how funds will be used to reduce the incidence of type 2 diabetes in high-risk populations, including through community-based lifestyle interventions, screening, and referral programs. The Secretary shall define minimum evidence standards based on peer-reviewed research, but states retain discretion in program design and implementation. No state shall be required to adopt any specific curriculum or partner with any private entity as a condition of receiving funds. Grantees must report annually on outcomes, including number of participants, changes in risk factors, and cost-effectiveness. The program is funded by an annual appropriation from general revenues, capped at $500 million, and shall sunset after 5 years unless reauthorized by Congress. The HHS Office of Inspector General shall audit a random sample of state programs each year to ensure compliance with evidence standards and proper use of funds. If a state is found to have materially misused funds, the Secretary may reduce future allocations by up to 20% for one year.