As part of a $2.3 trillion omnibus appropriations package passed by Congress Dec. 21, the reauthorization of a Special Diabetes Program for Indians (SPDI) allows for the continued services addressing health issues on tribal lands throughout the U.S.As part of a $2.3 trillion omnibus appropriations package passed by Congress Dec. 21, the reauthorization of a Special Diabetes Program for Indians (SPDI) allows for the continued services addressing health issues on tribal lands throughout the U.S.