HR6241-119

In Committee

Urban and Rural Diabetes Initiative Act

119th Congress Introduced Nov 20, 2025

Summary

What This Bill Does

The Urban and Rural Diabetes Initiative Act adds a Public Health Service Act grant program for eligible public and nonprofit private providers serving medically underserved communities. Eligible providers include community-based organizations, health care organizations, rural health clinics, Federally qualified health centers, and State, local, or Tribal health departments. Grant recipients must provide routine diabetes care, public education on prevention and control, eye care, foot care, treatment for kidney disease and other complications, culturally and linguistically appropriate services, and outreach to inform the public. HHS must ensure equitable geographic distribution and balance urban and rural needs, and the bill authorizes such sums as necessary for fiscal years 2026 through 2031.

Who Benefits and How

Patients with diabetes in medically underserved urban and rural communities benefit from expanded routine care, prevention education, eye and foot care, kidney-disease treatment, culturally appropriate services, and outreach. Federally qualified health centers, rural health clinics, community organizations, nonprofit providers, and State, local, and Tribal health departments benefit from new grant eligibility.

Who Bears the Burden and How

HHS must design and administer the grant program, review applications, ensure equitable geographic distribution, and monitor recipient conditions. Grant recipients must provide specified diabetes services, language and cultural tailoring, public outreach, and application assurances. Federal taxpayers bear the cost of appropriations for fiscal years 2026 through 2031.

Key Provisions

  • Authorizes HHS grants for diabetes treatment and comorbid-condition services in medically underserved communities.
  • Requires grant recipients to provide routine care, prevention education, eye care, foot care, kidney-disease treatment, culturally appropriate services, and outreach.
  • Expands eligible providers to include community organizations, health care organizations, rural health clinics, FQHCs, and State, local, or Tribal health departments.
  • Requires equitable geographic distribution and balanced attention to urban and rural communities.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Authorizes HHS grants for diabetes treatment, prevention education, complication care, culturally appropriate services, and outreach in medically underserved urban and rural communities.

Key Policy Areas

Healthcare, Public Health, Rural Health

Primary Purpose

Authorizes HHS grants for diabetes treatment, prevention education, complication care, culturally appropriate services, and outreach in medically underserved urban and rural communities.

Policy Domains

Healthcare Public Health Rural Health

Substantive provisions

Identified Gains
  • Diabetic patients in medically underserved communities
  • Federally qualified health centers
  • Rural health clinics
  • Community-based health organizations
  • State and Tribal health departments
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Rural health clinics:
Federally qualified health centers:
State and Tribal health departments:
Community-based health organizations:
Diabetic patients in medically underserved communities:
Identified Costs
  • Department of Health and Human Services
  • Grant recipient health providers
  • Federal taxpayers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Federal taxpayers:
Grant recipient health providers:
Department of Health and Human Services:

Legislative Progress

In Committee
Introduced Committee Passed
Nov 20, 2025

Ms. Waters (for herself, Ms. Barragán, Mrs. Beatty, Mr. Carson, …

Nov 20, 2025

Referred to the House Committee on Energy and Commerce.

Nov 20, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
8 mentions across 2 clauses
+6 positive -2 negative

Diabetic patients in medically underserved communities, Federally qualified health centers, Grant recipient health providers

Positive-direction: Diabetic patients in medically underserved communities, Federally qualified health centers, Rural health clinics

Negative-direction: Grant recipient health providers

Non-Profit Institutions
2 mentions across 2 clauses
+2 positive

Community-based health organizations

State & Local Government
2 mentions across 2 clauses
+2 positive

State and Tribal health departments

Government
2 mentions across 2 clauses
-2 negative

Department of Health and Human Services

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Public Health Rural Health

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology