States Address the Costs of Diabetes: A 50-State Budget Survey for Fiscal Year 2012

blood pressure photoSeptember 2012

State governments spend millions of dollars treating and educating people in an attempt to prevent all forms of diabetes (for example, type 1, type 2, gestational and pre-diabetes) and its complications. Many of these activities are paid for through appropriations, earmarks, or directives made in state budgets or with federal funds or grants. Documenting the scope and financial impact of the diabetes epidemic, the Centers for Disease Control and Prevention (CDC) National Diabetes Fact Sheet notes that the direct medical cost of diabetes in the United States, including pre-diabetes and undiagnosed diabetes, totaled $116 billion in 2007.

Most states faced difficulty and uncertainty in crafting and enacting their annual budgets for fiscal year (FY) 2012—a result of significant shortfalls experienced in 2009-2011, reduced tax collections and an end to federal stimulus funds under the American Recovery and Reinvestment Act (ARRA).

As a means to assess how states are responding to the diabetes epidemic, the National Conference of State Legislatures (NCSL) conducted a 50-state analysis of appropriations for FY 2012. This analysis reviewed state budgets and related state budget documents that explicitly identified diabetes programmatic appropriations. The methodology used included reviewing state budgets and supplemental budgets and interviewing staff in state fiscal offices, legislative services and state departments of health. This survey follows upon the first 50-state analysis of FY 2011 state budgets dedicated to spending and appropriations on diabetes activities, published by NCSL in May 2011.

The 2012 report differs somewhat from the 2011 report in that the data and information obtained from states this year generally are more detailed. NCSL staff also conducted more interviews with state budget officials for the new report.  -- 6 MORE PAGES - READ THE FULL REPORT:

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