BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1592
                                                                  Page  1

          Date of Hearing:   May 14, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                     AB 1592 (Gaines) - As Amended:  May 6, 2014 

          Policy Committee:                              HealthVote:19-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill requires the Department of Public Health (DPH) to  
          issue a report to the Legislature every two years detailing  
          funding, coordination, and action plans related to diabetes.  It  
          also:

          1)Requires the Department of Health Care Services (DHCS) to  
            provide data to DPH.

          2)Requires the report to include detailed budget blueprints  
            identifying needs, costs, and resources required to implement  
            the action plans, as well as a cost-benefit analysis to assist  
            in prioritizing plans.

           FISCAL EFFECT  

          1)Costs of about $300,000 (GF) annually to DPH for staff to  
            produce the report.

          2)Minor and absorbable costs to DHCS to provide relevant data.

          3)To the extent the report makes detailed recommendations to  
            spend state funds on programs to combat diabetes, this bill  
            could result in cost pressure to the GF. 

           COMMENTS  

           Purpose  . According to the author, the state of California has no  
          plan in place to mitigate the escalating fiscal impact of  
          diabetes, and while there has been extensive legislation enacted  
          to promote awareness and cost saving measures for conditions  
          such as cardiovascular disease and tobacco addiction, current  








                                                                  AB 1592
                                                                  Page  2

          law is woefully inadequate in regard to diabetes.  The author  
          states that diabetes has reached epidemic levels in California,  
          and as of 2012, about one in seven adult Californians have  
          diabetes and many more will be diagnosed in the near future.   
          Finally, the author states that this bill would require the CDP  
          to create and submit to the state a diabetes action plan, which  
          will provide policy guidance addressing the escalating fiscal  
          impact of diabetes treatment and care.

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081