CHCS Report Maps How Texas Medicaid Could Cover the National Diabetes Prevention Program — Diabetes Care Could Cost Texas Medicaid $8.1B a Year

A June 2026 Center for Health Care Strategies report, funded by the Episcopal Health Foundation, examines options for Texas Medicaid to cover the CDC's National Diabetes Prevention Program. The stakes: more than seven million Texas adults have prediabetes, 13.2% have diagnosed diabetes, and diabetes care could cost Texas Medicaid $8.1 billion annually — nearly 21 percent of total Medicaid spending.

The report maps coverage pathways through State Plan Amendments, Section 1115 demonstrations, and Medicaid managed-care pilots. Texas Medicaid does not currently cover the National DPP; whether and how a future benefit would reach health centers is an open design question — no current reimbursement pathway exists, so health centers should treat this as a policy-watch item, not a revenue line.