BILL ANALYSIS Ó
-----------------------------------------------------------------
|SENATE RULES COMMITTEE | AB 1592|
|Office of Senate Floor Analyses | |
|1020 N Street, Suite 524 | |
|(916) 651-1520 Fax: (916) | |
|327-4478 | |
-----------------------------------------------------------------
THIRD READING
Bill No: AB 1592
Author: Beth Gaines (R), et al.
Amended: 8/19/14 in Senate
Vote: 27 - Urgency
SENATE HEALTH COMMITTEE : 6-0, 7/2/14
AYES: Hernandez, DeSaulnier, Evans, Monning, Nielsen, Wolk
NO VOTE RECORDED: Morrell, Beall, De León
SENATE APPROPRIATIONS COMMITTEE : 6-0, 8/14/14
AYES: De León, Gaines, Hill, Lara, Padilla, Steinberg
NO VOTE RECORDED: Walters
ASSEMBLY FLOOR : 79-0, 5/29/14 - See last page for vote
SUBJECT : California Diabetes Program
SOURCE : Author
DIGEST : This bill requires the Department of Public Health
(DPH) to submit a report to the Legislature regarding a diabetes
action plan for the state. Permits DPH to issue updates, as
necessary, to the reports and requires the report to be posted
on their Internet Web site.
ANALYSIS : Existing law:
1.Establishes DPH to protect and improve the health of
communities through education, promotion of healthy
lifestyles, and research for disease and injury prevention.
CONTINUED
AB 1592
Page
2
Establishes the California Diabetes Program (CDP) within DPH.
2.Provides DPH with the authority to perform activities that
protect, preserve, and advance public health, including
studies and dissemination of information.
This bill:
1.States legislative intent to require DPH, as part of the
California Diabetes Program, to provide to the Legislature
information, including the annual federal Centers for Disease
Control and Prevention (CDC) progress report on
diabetes-related activities conducted by DPH and expenditures
associated with diabetes-related program activities.
Specifies that these activities are set forth by DPH in the
California Wellness Plan for 2014 and the Diabetes Burden
Report.
2.Requires DPH to submit a report to the Legislature by December
31, 2015, which includes:
A. 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.
B. The annual CDC progress report on diabetes-related
activities conducted by DPH.
C. The amount and source for any funding directed to DPH
and the Department of Health Care Services from the
Legislature for programs and activities aimed at reaching
those with diabetes.
D. A description of the level of coordination between DPH
and the Department of Health Care Services in preventing,
managing, and increasing awareness of all forms of diabetes
and its complications within the Medi-Cal population.
E. Actionable items for consideration by the Legislature
that will aid in attaining the goals set forth by DPH in
the California Wellness Plan for 2014 and the Diabetes
Burden Report.
AB 1592
Page
3
1.Permits DPH to issue updates to the report as necessary and at
its discretion. Requires DPH to make the report and subsequent
updates available on its Internet Web Site and to submit them
to the Legislature, as specified.
2.Requires DPH to include guidelines in the Diabetes Burden
Report that will reduce the fiscal burden of diabetes to the
state.
3.Makes various findings and declarations related to the
prevalence and cost of diabetes in California and steps the
state can take to increase awareness of diabetes.
Comments
According to the author's office, this bill requires the
California Diabetes Program to create and submit a "diabetes
action plan" based on the goals set forth in the recently
released California Wellness Plan and the Diabetes Burden
Report, which is set to be completed by the end of 2014. The
goal of the plan is to provide policy guidance addressing the
escalating fiscal impact of diabetes treatment and care. The
plan will provide actionable suggestions that, when implemented,
will reduce the fiscal impact of this ever-growing epidemic to
address prevention, awareness, and treatment of costly
diabetes-related complications.
California Diabetes Program . CDP was established in 1981 and
represents a partnership between DPH and the University of
California, San Francisco. It primarily receives its funding
from the CDC. A few key objectives that CDP focuses on include:
Monitoring statewide diabetes health status and risk factors;
Engaging in outreach to increase awareness about the disease;
Guiding public policy to support at-risk and vulnerable
populations;
Offering leadership, guidance, and resources to community
health interventions;
Seeking to improve the health care delivery system; and,
Reducing diabetes-related health disparities.
CDP achieves these through partnering with different individual,
community, health care, policy, and environmental entities.
AB 1592
Page
4
Diabetes in California . DPH issued a study, The Burden of
Chronic Disease and Injury, in 2013 that highlights some of the
leading causes of death, such as heart disease, cancer, stroke,
and respiratory disease, all of which have a strong connection
to obesity. Diabetes is another serious chronic disease stemming
from obesity that adversely affects quality of life and results
in serious medical costs. The last decade has witnessed a 32%
rise in diabetes prevalence, affecting some 3.9 million people
and costing upwards of $24 billion per year. According to the
CDC, more than one-third of U.S. adults are obese, and
approximately 12.5 million children and adolescents ages 2 to 19
years are obese. Research indicates a tripling in the youth
obesity rate over the past three decades. While this increase
has stabilized between the years 2005 and 2010, in 2010, 38% of
public school children were overweight and obese. Overweight
youth face increased risks for many serious detrimental health
conditions that do not commonly occur during childhood,
including high cholesterol and type-2 diabetes. Additionally,
more than 80% of obese adolescents remain obese as adults.
FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes
Local: No
According to the Senate Appropriations Committee, one-time costs
of about $300,000 for contract staff to analyze data, develop
recommendations, and prepare the report as well as staff support
from DPH (General Fund).
SUPPORT : (Verified 8/19/14)
AdvaMed
Adventist Health & Loma Linda University Medical Center
American Diabetes Association
Astra Zeneca
BayBIO
BIOCOM
California Association of Area Agencies on Aging
California Chronic Care Coalition
California Healthcare Institute
California Medical Association
Lucile Packard Children's Hospital Stanford
Novo Nordisk
Sacramento Women + Health Care Coalition
Stanford Children's Health
AB 1592
Page
5
ARGUMENTS IN SUPPORT : Advanced Medical Technology Association
(AdvaMed) writes that this bill aims to establish collaboration
among state agencies with a vested interest in containing the
reach of the diabetes epidemic by directing them to develop a
plan of action to confront the disease. AdvaMed states that
this bill will help provide the public with an understanding of
what the state is doing to combat the disease and how
legislators can prioritize resources available. The American
Diabetes Association states that it is important that California
prioritize the tremendous implications of diabetes as a chronic
disease in the state, which impacts its overall health care
costs and the health and wellness of its residents, and states
that this bill is an important step in that direction.
ASSEMBLY FLOOR : 79-0, 05/29/14
AYES: Achadjian, Alejo, Allen, Ammiano, Bigelow, Bloom,
Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian
Calderon, Campos, Chau, Chávez, Chesbro, Conway, Cooley,
Dababneh, Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox,
Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon,
Gorell, Gray, Grove, Hagman, Hall, Harkey, Roger Hernández,
Holden, Jones, Jones-Sawyer, Levine, Linder, Logue, Lowenthal,
Maienschein, Mansoor, Medina, Melendez, Mullin, Muratsuchi,
Nazarian, Nestande, Olsen, Pan, Patterson, Perea, John A.
Pérez, V. Manuel Pérez, Quirk, Quirk-Silva, Rendon,
Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Wagner,
Waldron, Weber, Wieckowski, Wilk, Williams, Yamada, Atkins
NO VOTE RECORDED: Vacancy
JL:nl 8/19/14 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
**** END ****