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, thatbegin delete is to include,end deletebegin insert includes,end insert among other things,begin delete an assessment of the benefits of implemented programs and activitiesend deletebegin insert information on the progress of the
implementation of evidence-based strategiesend insert aimed at preventing andbegin delete controllingend deletebegin insert
managingend insert diabetes, andbegin delete detailed action plans for combating diabetes with a range ofend delete 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.begin delete 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.end delete The bill would require the State Department of Public Health to also
include guidelines to reduce the fiscal burden of diabetes to the state in the Diabetes Burden Report, which is to be completed by December 31, 2014.
The bill would also make related findings and declarations.
This bill would declare that it is to take effect immediately as an urgency statute.
Vote: 2⁄3. 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.
P3 1(b) California has the greatest number of annual new cases of
2diabetes in the United States.
3(c) The incidence of diabetes amongst all Californians has
4increased 32 percent over the
past decade.
5(d) Over 11.4 million people in California have prediabetes, a
6condition that is a precursor to full onset type 2 diabetes. This
7suggests that the total population of those diagnosed will continue
8to rise in the absence of interventions.
9(e) The prevalence of diagnosed gestational diabetes in
10California has increased 60 percent in just seven years, from 3.3
11percent of hospital deliveries in 1998 to 5.3 percent of hospital
12deliveries in 2005, with the federal Centers for Disease Control
13and Prevention stating that the diagnosis rate could run as high as
1418.3 percent.
15(f) The fiscal impact to the State of California, including total
16health care and related costs for the treatment of diabetes, was over
17$35.9
billion in 2010.
18(g) A recent study of a large state with a sizable diabetes
19population found that the rate of diagnosed diabetes in the state’s
20Medicaid population is nearly double that of its general population.
21(h) There is no cure for any type of diabetes.
22(i) Diabetes when left untreated can lead to serious and costly
23complications and a reduced lifespan.
24(j) Many of these serious complications can be delayed or
25avoided with timely diagnosis, effective patient self-care, and
26improved social awareness.
27(k) The State Department of Public Health has created the
28California Wellness Plan for 2014 that
provides a set of desired
29outcomes regarding diabetes in the state.
30(l) The State Department of Public Health will complete a
31Diabetes Burden Report by December 31, 2014, and will include
32
in the report, information on the prevalence of diabetes in
33California compared to the rest of the United States, risk factors
34for developing diabetes and diabetes complications, and the
35prevalence ofbegin delete obesity, inactivity,end deletebegin insert obesityend insert and cardiovascular disease
36risk factors among individuals with diabetes as compared to
37individuals without diabetes in California. The report will address
38the prevalence of prediabetes, complications of diabetes, and
39diabetes mortality inbegin delete California as compared to the rest of the begin insert California.end insert The report will
also outline the
40United States.end delete
P4 1department’s programs and activities that address the burden of
2diabetes in California.
3(m) It is the intent of the Legislature to require the State
4Department of Public Health, as part of the California Diabetes
5Program, tobegin delete create a diabetes action plan that provides policy begin insert provide to the
6guidance to prevent, treat, and increase awareness of diabetes and
7to aid the state in complying with the goalsend delete
8Legislature information, including the annual federal Centers for
9Disease Control and Prevention progress report on
10diabetes-related activities conducted by the State Department of
11Public Health and expenditures associated with diabetes-related
12program activities. These activities areend insert
set forth by the State
13Department of Public Health in the California Wellness Plan for
142014 and the Diabetes Burden Report.
(a) The State Department of Public Health, as part of
16the California Diabetes Program, shall submit a report to the
17Legislature by December 31, 2015, that shall include all of the
18following:
19(1) An assessment of the benefits of implemented programs and
20activities aimed at preventing and controlling diabetes. The
21assessment shall document both of the following:
22(1) Information on the progress of the
implementation of
23evidence-based strategies aimed at preventing and managing
24diabetes and the yearly expenditures associated with the
25implementation of these strategies.
26(2) The annual Federal Centers for Disease Control and
27Prevention progress report on diabetes-related activities conducted
28by the State Department of Public Health.
29(A)
end delete
30begin insert(end insertbegin insert3)end insert The amount and source for any funding directed to the State
31Department of Public Health and the State Department of
Health
32Care Services from the Legislature for programs and activities
33aimed at reaching those with diabetes.
34(B) The amount and source for any funding directed to the State
35Department of Public Health and the State Department of Health
36Care Services that may be used for the purposes of the action plans
37required pursuant to paragraph (3).
38(2)
end delete
39begin insert(end insertbegin insert4)end insert A description
of the level of coordination between the State
40Department of Public Health and the State Department of Health
P5 1Care Services in preventing,begin delete treating,end delete managing, and increasing
2awareness of all forms of diabetes and its complications within
3the Medi-Cal population.
4(3) Detailed action plans for combating diabetes with a range
5of actionable
6begin insert(5)end insertbegin insert end insertbegin insertActionableend insert
items for consideration by the Legislature that
7will aid in attaining the goals set forth by the State Department of
8Public Health in the California Wellness Plan for 2014 and the
9Diabetes Burden Report.
10(4) A detailed budget blueprint identifying needs, costs, and
11
resources required to implement the action plans required pursuant
12to paragraph (3) for consideration by the Legislature. The budget
13blueprint to the Legislature shall include a cost-benefit analysis to
14assist in prioritizing plans by level of efficiency.
15(b) The State Department of Public Health may, as necessary
16and at its discretion, issue updates to the report specified in
17subdivision (a) in future years. The State Department of Public
18Health shall make the report and any updates issued pursuant to
19this section available on its Internet Web site. The report and any
20updates submitted pursuant to subdivision (a) shall be submitted
21in compliance with Section 9795 of the Government Code.
(a) In order to reduce potential costs incurred by the
23State Department of Public Health in the process of creating the
24report as required pursuant to Section 104251, the State Department
25of Public Health may use statistical data from external sources.
26(b) (1) The State Department of Health Care Services shall
27provide to the State Department of Public Health any relevant
28statistical data for the purposes of creating the report.
29(2) To ensure patient privacy, all data transferred to the State
30Department of Public Health from the State Department of Health
31Care Services shall conform to requirements described in the
32federal Health Insurance Portability and Accountability Act of
331996 (Public Law 104-191).
The State Department of Public Health shall also
36include in the Diabetes Burden Report, which is to be completed
37by December 31, 2014, guidelines that will reduce the fiscal burden
38of diabetes to the state.
This act is an urgency statute necessary for the
40immediate preservation of the public peace, health, or safety within
P6 1the meaning of Article IV of the Constitution and shall go into
2immediate effect. The facts constituting the necessity are:
3In order for the state to combat diabetes and reduce the fiscal
4burden to the state in combating diabetes at the earliest possible
5time, it is necessary that this act take effect immediately.
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