BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1329
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1329 (Davis)
          As Amended September 2, 2011
          2/3 vote.  Urgency
           
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          |ASSEMBLY:  |78-0 |(May 19, 2011)  |SENATE: |35-0 |(September 7,  |
          |           |     |                |        |     |2011)          |
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           Original Committee Reference:    HEALTH  

           SUMMARY  :  Requires the Department of Public Health (DPH) to 
          establish a process to receive applications for, and award a 
          contract, grant, or allocation of funds, as specified, to an 
          agency to operate the statewide Ken Maddy California Cancer 
          Registry (CCR).  Exempts these contracts, grants, or allocation 
          of funds from being subject to specified provisions of the 
          Public Contract Code.

           The Senate amendments  :

          1)Clarify that DPH may establish a competitive process to 
            receive applications for, and issue, the award of a contract, 
            grant, or allocation of funds, including, but not limited to, 
            a cooperative agreement, subvention agreement, or any other 
            agreement allowed by the law to an agency to operate the 
            statewide cancer reporting system.  Clarify that DPH may enter 
            into contracts, or issue grants or funding allocations to 
            other agencies representing a designated cancer reporting 
            region for the purposes of collecting and collating cancer 
            incidence data.

          2)Exempt the contract, grant or funding allocations to operate 
            the CCR from being subject to specified provisions of the 
            Public Contract Code.

          3)Require DPH to include appropriate terms and conditions in a 
            contract, grant or allocation of funds awarded to operate the 
            CCR to ensure the proper use of state funds.

          4)Add an urgency clause.

          5)Make other technical and clarifying changes.









                                                                  AB 1329
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           EXISTING LAW  :

          1)Establishes the CCR, through which DPH is required to conduct 
            a program of epidemiological assessments of the incidence of 
            cancer.

          2)Requires DPH to establish a statewide system for the 
            collection of information determining the incidence of cancer 
            using both population-based cancer registries and regional 
            cancer incidence reporting.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar 
          to the version passed by the Senate.

           FISCAL EFFECT  :  According to the Senate Appropriations 
          Committee, this bill could result in potentially significant 
          cost pressure to the General Fund to the extent a grantee fails 
          to complete the scope of work contained in the grant within the 
          prescribed budget.

          COMMENTS  :  According to the author and sponsors of this bill, 
          the Public Health Institute (PHI) and the University of Southern 
          California, the current DPH state contract to administer the CCR 
          expires on June 30, 2012.  The issuance of the contract to 
          administer the CCR has historically been through a competitive 
          bid process.  The author and sponsors maintain that DPH program 
          officials have stated that permission to re-bid the contract has 
          apparently been denied by the Department of General Services, 
          despite the fact that DPH has used competitive contracts to 
          administer the CCR for over 25 years.  The author and sponsors 
          argue that, if DPH cannot re-bid the contract to administer the 
          CCR, its functions will be disrupted and federal funding could 
          be jeopardized.  The author and sponsors further argue that the 
          existing structure of CCR has been successful as it has 
          leveraged a public/private partnership between the state, the 
          federal government, non-profits and universities in California 
          to build one of the world's premier cancer registries.  
          According to the author and sponsors, this bill would remedy the 
          current administrative obstacle by allowing DPH the flexibility 
          to maintain the competitive granting process which will protect 
          the flow of federal dollars and the integrity of the operations 
          of the highly successful CCR.

          CCR is a collaborative effort among DPH's Cancer Surveillance 
          and Research Branch, non-profit research entities, regional 








                                                                  AB 1329
                                                                  Page  3

          registries, health care providers, cancer registrants, and 
          cancer researchers throughout California and the nation.  Since 
          its inception in 1985, the CCR has collected, analyzed, and 
          disseminated information on cancer incidence and mortality.  The 
          statewide population-based cancer surveillance system monitors 
          the incidence and mortality of specific cancers over time and 
          analyzes different cancer risks, cancer by geographic region, 
          age, race/ethnicity, sex, and other social characteristics of 
          the population.  DPH contracts with a central registry, 
          currently PHI, and sub contracts with regional registries.  
          County-level data are made available to health departments, 
          hospitals, and the public.  The regional registries link CCR 
          data to the national cancer data system, support nonprofit 
          organizations that advocate for cancer treatment and prevention, 
          and support public awareness and patient education.  The CCR 
          database also provides information regarding the causes of 
          cancer and treatment methods.  The CCR contains over 2.5 million 
          cancer cases.  It is the largest cancer registry in the world 
          and contains more than 50% of the cancer cases that are tracked 
          by the National Cancer Institute's Surveillance, Epidemiology, 
          and End Results Program.  


           Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916) 
          319-2097 

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