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, 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 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 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:
Article 1 (commencing with Section 104250) is
2added to Chapter 4 of Part 1 of Division 103 of the Health and
3Safety Code, to read:
4
The Legislature finds and declares all of the following:
8(a) It is reported by the California Diabetes Program that one
9in seven adult Californians has diabetes, and the numbers are rising
10rapidly. The actual number of those whose lives are affected by
11diabetes is unknown and stands to be much higher when factoring
12in the incidence of type 1 diabetes and undiagnosed gestational
13diabetes.
14(b) California has the greatest number of annual new cases of
15diabetes in the United States.
16(c) The incidence of diabetes amongst all Californians has
17increased 32 percent over the past decade.
18(d) Over 11.4 million people in California have prediabetes, a
19condition that is a precursor to full onset type 2 diabetes. This
20suggests that the total population of those diagnosed will continue
21to rise in the absence of interventions.
22(e) The prevalence of diagnosed gestational diabetes in
23California has increased 60 percent in just seven years, from 3.3
24percent of hospital deliveries in 1998 to 5.3 percent of hospital
P3 1deliveries in 2005, with the federal Centers for Disease Control
2and Prevention stating that the diagnosis rate could run as high as
318.3 percent.
4(f) The fiscal impact to the State of California, including total
5health care and related costs for the treatment of diabetes, was over
6$35.9 billion in 2010.
7(g) A recent study of a large state with a sizable diabetes
8population found that
the rate of diagnosed diabetes in the state’s
9Medicaid population is nearly double that of its general population.
10(h) There is no cure for any type of diabetes.
11(i) Diabetes when left untreated can lead to serious and costly
12complications and a reduced lifespan.
13(j) Many of these serious complications can be delayed or
14avoided with timely diagnosis, effective patient self-care, and
15improved social awareness.
16(k) The State Department of Public Health has created the
17California Wellness Plan for 2014 that provides a set of desired
18outcomes regarding diabetes in the state.
19(l) The State Department of Public Health will complete a
20Diabetes Burden Report by December 31, 2014, and will include
21
in the report, information on the prevalence of diabetes in
22California compared to the rest of the United States, risk factors
23for developing diabetes and diabetes complications, and the
24prevalence of obesity, inactivity, and cardiovascular disease risk
25factors among individuals with diabetes as compared to individuals
26without diabetes in California. The report will address the
27prevalence of prediabetes, complications of diabetes, and diabetes
28mortality in California as compared to the rest of the United States.
29The report will also outline the department’s programs and
30activities that address the burden of diabetes in California.
31(m) It is the intent of the Legislature to require the State
32Department of Public Health, as part of the California Diabetes
33Program, to create a diabetes action plan that provides policy
34guidance to prevent, treat, and increase awareness of diabetes and
35to aid the state in complying with the goals set forth by the
State
36Department of Public Health in the California Wellness Plan for
372014 and the Diabetes Burden Report.
(a) The State Department of Public Health, as part of
39the California Diabetes Program, shall submit a report to the
P4 1Legislature by December 31, 2015, that shall include all of the
2following:
3(1) An assessment of the benefits of implemented programs and
4activities aimed at preventing and controlling diabetes. The
5assessment shall document both of the following:
6(A) The amount and source for any funding directed to the State
7Department of Public Health and the State Department of Health
8Care Services from the Legislature for programs and activities
9aimed at reaching those with diabetes.
10(B) The amount and source for
any funding directed to the State
11Department of Public Health and the State Department of Health
12Care Services that may be used for the purposes of the action plans
13required pursuant to paragraph (3).
14(2) A description of the level of coordination between the State
15Department of Public Health and the State Department of Health
16Care Services in preventing, treating, managing, and increasing
17awareness of all forms of diabetes and its complications within
18the Medi-Cal population.
19(3) Detailed action plans for combating diabetes with a range
20of actionable items for consideration by the Legislature that will
21aid in attaining the goals set forth by the State Department of Public
22Health in the California Wellness Plan for 2014 and the Diabetes
23Burden Report.
24(4) A detailed budget blueprint identifying needs, costs, and
25
resources required to implement the action plans required pursuant
26to paragraph (3) for consideration by the Legislature. The budget
27blueprint to the Legislature shall include a cost-benefit analysis to
28assist in prioritizing plans by level of efficiency.
29(b) The State Department of Public Health may, as necessary
30and at its discretion, issue updates to the report specified in
31subdivision (a) in future years. The State Department of Public
32Health shall make the report and any updates issued pursuant to
33this section available on its Internet Web site. The report and any
34updates submitted pursuant to subdivision (a) shall be submitted
35in compliance with Section 9795 of the Government Code.
(a) In order to reduce potential costs incurred by the
37State Department of Public Health in the process of creating the
38report as required pursuant to Section 104251, the State Department
39of Public Health may use statistical data from external sources.
P5 1(b) (1) The State Department of Health Care Services shall
2provide to the State Department of Public Health any relevant
3statistical data for the purposes ofbegin delete the creation ofend deletebegin insert creatingend insert the
4report.
5(2) To ensure patient
privacy, all data transferred to the State
6Department of Public Health from the State Department of Health
7Care Services shall conform to requirements described in the
8federal Health Insurance Portability and Accountability Act of
91996 (Public Law 104-191).
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