AB 1592 Assembly Bill

BILL NUMBER: AB 1592	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MAY 23, 2014
	AMENDED IN ASSEMBLY  MAY 6, 2014
	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 State Department of Public Health to
submit a report to the Legislature by December 31  of each
odd-numbered year   , 2015,  that is to include,
among other things, 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 that will aid
in attaining the goals set forth by the department in the California
Wellness Plan for 2014 and the Diabetes Burden Report.  The bill
would also authorize the department to update the report  
as necessary and at the department's discretion.  The bill would
require the department to make the  biannual reports
  report and any updates  available on its Internet
Web site. The bill would authorize the department to use statistical
data from external sources, and would require the State Department
of Health Care Services to provide the department with any relevant
statistical data for purposes of creating the  biannual
reports   report  .
   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.
   (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 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
  , 2015,  that shall include all of the following:

   (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 (3).
   (2) A description of the level of coordination between the State
Department of Public Health and the 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.
   (3) Detailed action plans for combating diabetes with a range of
actionable items for consideration by the 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.
   (4) A detailed budget blueprint identifying needs, costs, and
resources required to implement the action plans required pursuant to
paragraph (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  may, as necessary
and at its discretion, issue updates to the report specified in
subdivision (a) in future years. The State   Department of
Public Health  shall make the  biannual reports
  report and any updates issued pursuant to this section
 available on its Internet Web  site. 
    (c)     A 
 site. The  report  and any updates  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   report  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).