BILL NUMBER: AB 1592 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY APRIL 23, 2014
AMENDED IN ASSEMBLY APRIL 2, 2014
AMENDED IN ASSEMBLY MARCH 20, 2014
INTRODUCED BY Assembly Member Beth Gaines
( Coauthors: Assembly Members
Fox, Garcia, and Gonzalez )
FEBRUARY 3, 2014
An act to add Article 1 (commencing with Section 104250) to
Chapter 4 of Part 1 of Division 103 of the Health and Safety Code,
relating to diabetes.
LEGISLATIVE COUNSEL'S DIGEST
AB 1592, as amended, Beth Gaines. California Diabetes Program.
Existing law establishes the State Department of Public Health and
sets forth its powers and duties, including, but not limited to, the
administration of the California Diabetes Program.
This bill would require the department to submit a report to the
Legislature by December 31 of each odd-numbered year that is to
include, among other things, information on the financial
impact of diabetes on the Medi-Cal program and public health
programs, an assessment of the benefits of implemented
programs and activities aimed at preventing and controlling
diabetes, and detailed action plans for combating diabetes with
a range of actionable items for consideration by the
Legislature, as specified, Legislature that will aid
in attaining the goals set forth by the State Department of Public
Health in the California Wellness Plan for 2014 and the Diabetes
Burden Report, and would require the department to make the
biannual reports available on its Internet Web site. The bill would
authorize the department to use statistical data from external
sources and requires the State Department of Health Care Services to
provide the department with any relevant statistical data for
purposes of creating the biannual reports. The bill would require the
department to ensure that all grant funds from the federal Centers
for Disease Control and Prevention and other federal sources for the
California Diabetes Program are expended for the purpose of diabetes
prevention, treatment, and awareness pursuant to the grant
requirements, and the creation of the biannual reports.
The bill would also make related findings and declarations.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Article 1 (commencing with Section 104250) is added to
Chapter 4 of Part 1 of Division 103 of the Health and Safety Code, to
read:
Article 1. California Diabetes Program
104250. The Legislature finds and declares all of the following:
(a) It is reported by the California Diabetes Program that one in
seven adult Californians has diabetes, and the numbers are rising
rapidly. The actual number of those whose lives are affected by
diabetes is unknown and stands to be much higher when factoring in
the incidence of type 1 diabetes and undiagnosed gestational
diabetes.
(b) California has the greatest number of annual new cases of
diabetes in the United States.
(c) The incidence of diabetes amongst all Californians has
increased 32 percent over the past decade.
(d) Over 11.4 million people in California have prediabetes, a
condition that is a precursor to full onset type 2 diabetes. This
suggests that the total population of those diagnosed will continue
to rise in the absence of interventions.
(e) The prevalence of diagnosed gestational diabetes in California
has increased 60 percent in just seven years, from 3.3 percent of
hospital deliveries in 1998 to 5.3 percent of hospital deliveries in
2005, with the federal Centers for Disease Control and Prevention
stating that the diagnosis rate could run as high as 18.3 percent.
(f) The fiscal impact to the State of California, including total
health care and related costs for the treatment of diabetes, was over
$35.9 billion in 2010.
(g) A recent study of a large state with a sizable diabetes
population found that the rate of diagnosed diabetes in the state's
Medicaid population is nearly double that of its general population.
(h) There is no cure for any type of diabetes.
(i) Diabetes when left untreated can lead to serious and costly
complications and a reduced lifespan.
(j) Many of these serious complications can be delayed or avoided
with timely diagnosis, effective patient self-care, and improved
social awareness.
(k) The State Department of Public Health has created the
California Wellness Plan for 2014 that provides a set of desired
outcomes regarding diabetes in the state.
(l) The State Department of Public Health will complete a Diabetes
Burden Report by December 31, 2014, and will include in the report,
information on the prevalence of diabetes in California compared to
the rest of the United States, risk factors for developing diabetes
and diabetes complications, and the prevalence of obesity,
inactivity, and cardiovascular disease risk factors among individuals
with diabetes as compared to individuals without diabetes in
California. The report will address the prevalence of prediabetes,
complications of diabetes, and diabetes mortality in California as
compared to the rest of the United States. The report will also
outline the department's programs and activities that address the
burden of diabetes in California.
(k)
(m) It is the intent of the Legislature to require the
State Department of Public Health , as part of the California
Diabetes Program, to create a diabetes action plan that
provides policy guidance to prevent, treat, and increase awareness of
diabetes and that aids in the reduction of the fiscal
impact of diabetes to aid the state in
complying with the goals set forth by the State Department of Public
Health in the California Wellness Plan for 2014 and the Diabetes
Burden Report .
104251. (a) The State Department of Public Health, as part of the
California Diabetes Program, shall submit a report to the
Legislature by December 31 of each odd-numbered year that shall
include all of the following:
(1) The financial impact of all types of diabetes on the Medi-Cal
program and public health programs, and shall include both of the
following:
(A) The number of individuals with diabetes covered by Medi-Cal
and the number of individuals with diabetes without insurance.
(B) The cost or impact diabetes and its complications place on
both public and private entities within the state.
(2) The number of persons with diabetes and family members
impacted by prevention and diabetes control programs implemented by
the State Department of Public Health, the financial toll or impact
diabetes and its complications places on the program, and the
financial toll or impact diabetes and its complications places on the
State Department of Public Health in comparison to other chronic
diseases and conditions.
(3)
(1) An assessment of the benefits of implemented
programs and activities aimed at preventing and controlling diabetes.
The assessment shall document both of the following:
(A) The amount and source for any funding directed to the State
Department of Public Health and the State Department of Health
Care Services from the Legislature for programs and activities
aimed at reaching those with diabetes.
(B) The amount and source for any funding directed to the State
Department of Public Health and the State Department of Health
Care Services that may be used for the purposes of the action
plans required pursuant to paragraph (5) (3)
.
(4)
(2) A description of the level of coordination between
the State Department of Public Health and the Medi-Cal
program State Department of Health Care Services
in preventing, treating, managing, and increasing awareness of all
forms of diabetes and its complications within the Medi-Cal
population .
(5)
(3) Detailed action plans for combating diabetes with a
range of actionable items for consideration by the
Legislature. The plans shall identify proposed action steps to reduce
the impact of type 1 diabetes, type 2 diabetes, gestational
diabetes, prediabetes, and their related complications. The plans
shall also identify expected outcomes of the action steps proposed in
the following biennium while also establishing benchmarks for
preventing and controlling relevant forms of diabetes.
Legislature that will aid in attaining the goals set forth by the
State Department of Public Health in the California Wellness Plan for
2014 and the Diabetes Burden Report.
(6)
(4) A detailed budget blueprint identifying needs,
costs, and resources required to implement the action plans required
pursuant to paragraph (5) (3) for
consideration by the Legislature. The budget blueprint to the
Legislature shall include a cost-benefit analysis to assist in
prioritizing plans by level of efficiency.
(b) The State Department of Public Health shall make the biannual
reports available on its Internet Web site.
(c) A report submitted pursuant to subdivision (a) shall be
submitted in compliance with Section 9795 of the Government Code.
104252. (a) In order to reduce potential costs incurred by the
State Department of Public Health in the process of creating the
biannual reports as required pursuant to Section 104251, the State
Department of Public Health may use statistical data from external
sources.
(b) (1) The State Department of Health Care Services shall provide
to the State Department of Public Health any relevant statistical
data for the purposes of the creation of the biannual report.
(2) To ensure patient privacy, all data transferred to the State
Department of Public Health from the State Department of Health Care
Services shall conform to requirements described in the federal
Health Insurance Portability and Accountability Act of 1996 (Public
Law 104-191).
104253. The State Department of Public Health shall ensure that
all grant funds from the federal Centers for Disease Control and
Prevention and other federal sources for the California Diabetes
Program are expended for the purpose of diabetes prevention,
treatment, awareness pursuant to the grant requirements, and the
creation of the biannual reports as required pursuant to Section
104251.