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* 1. Please identify:

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* 2. Should there be any changes in the national funding distribution and, if so, in what way?

Background Information:
Currently the SDPI funding distribution is as follows:
- Community-Directed grant program ($108.9 million)
- Diabetes Prevention/Healthy Heart Initiatives ($27.4 million)
- Set-asides:
- Urban Indian Health Programs ($7.5 million)
- Data Infrastructure Improvement ($5.2 million)
- CDC Native Diabetes Wellness Program ($1.0 million)

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* 3. The last change to the SDPI national funding formula was for the FY 2004 funding cycle. Based on recommendations from Tribal consultation, the following national funding formula was used to determine allocation to each IHS Area for the SDPI Community-Directed grant program:

- User Population = 30%
- Tribal Size Adjustment (TSA) = 12.5% (adjustment given for small tribes)
- Disease Burden = 57.5% (diabetes prevalence)

Since FY 2004,, user population and diabetes prevalence data from 2002 have been used in the national funding formula. To keep funding levels stable, no changes have been made in either the funding formula or the data used in the formula since FY 2004.

a. Should there be changes to the national funding formula?
b. Should more recent user population and diabetes prevalence data be used? If so, how would the resultant changes in the Area funding distribution be addressed?

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* 4. Should there be any changes in the SDPI Community Directed grant program?

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* 5. Should there be any changes in the SDPI Diabetes Prevention and Healthy Heart Initiatives grant program?

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* 6. Should Tribes not currently participating in the SDPI be allowed to apply for FY 2016 funding?

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* 7. Would Tribes make different recommendations on changes to SDPI if 1-year versus multiple year funding is authorized for FY 2016?

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