1. Short title This Act may be cited as the Preventing Diabetes in Medicare Act of 2023 . 2. Findings Congress finds the following: (1) According to the Centers for Disease Control and Prevention, there are more than 96,000,000 adults with pre-diabetes in the United States. The Centers estimates that 27 percent of adults who are 65 years of age or older have pre-diabetes. More than 80 percent of adults with pre-diabetes do not know they have it. (2) For a significant number of people with pre-diabetes, early intervention can reverse elevated blood glucose levels to normal range and prevent diabetes and its complications completely or can significantly delay its onset. According to the Institute for Alternative Futures, if 50 percent of adults with pre-diabetes were able to successfully make lifestyle changes proven to prevent or delay diabetes, then by 2025 approximately 4,700,000 new cases of diabetes could be prevented at a cost savings of $300 billion. (3) Preventing diabetes and its complications can save money and lives. The average annual cost to treat someone with diabetes is $16,752, which is 2.3 times higher than average costs for someone who does not have diabetes. The United States spends $327 billion per year on costs associated with diabetes, with government insurance including Medicare covering over 2/3 of these costs. (4) Diabetes is unique because its complications and their associated health care costs are often preventable with currently available medical treatment and lifestyle changes. (5) According to the American Journal of Clinical Nutrition, pre-diabetes medical nutrition therapy provided by a dietitian, such as that found in lifestyle interventions, has the potential to improve glycemic control and prevent progression of type 2 diabetes. In addition, an independent systematic review of diabetes prevention using nutrition therapy conducted in Europe found that individuals who received the lifestyle interventions had a 47-percent reduced risk of developing type 2 diabetes. (6) The Medicare