BILL NUMBER: AB 1592 AMENDED
BILL TEXT
AMENDED IN SENATE AUGUST 19, 2014
AMENDED IN SENATE JUNE 23, 2014
AMENDED IN ASSEMBLY MAY 28, 2014
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 Bonta, Chávez, Fong, 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, and declaring the urgency thereof, to take
effect immediately.
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, 2015, that
is to include, includes, among other
things, an assessment of the benefits of implemented
programs and activities information on the progress of
the implementation of evidence-based strategies
aimed at preventing and controlling managing
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
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:
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, obesity 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. California. 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
provide to the Legislature information, including the annual federal
Centers for Disease Control and Prevention progress report on
diabetes-related activities conducted by the State Department of
Public Health and expenditures associated with diab
etes-related program activities. These activities are 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, 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:
(1) Information on the progress of the implementation of
evidence-based strategies aimed at preventing and managing diabetes
and the yearly expenditures associated with the implementation of
these strategies.
(2) The annual Federal Centers for Disease Control and Prevention
progress report on diabetes-related activities conducted by the State
Department of Public Health.
(A)
( 3) 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)
( 4) 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
(5) 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 report and any updates issued pursuant to this section
available on its Internet Web 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
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 creating the 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. 104252. The State Department
of Public Health shall also include in the Diabetes Burden Report,
which is to be completed by December 31, 2014, guidelines that will
reduce the fiscal burden of diabetes to the state.
SEC. 2. This act is an urgency statute necessary for the immediate
preservation of the public peace, health, or safety within the
meaning of Article IV of the Constitution and shall go into immediate
effect. The facts constituting the necessity are:
In order for the state to combat diabetes and reduce the fiscal
burden to the state in combating diabetes at the earliest possible
time, it is necessary that this act take effect immediately.