California Legislature—2015–16 Regular Session

Assembly BillNo. 572


Introduced by Assembly Member Beth Gaines

(Coauthors: Assembly Members Chávez, Cristina Garcia, and Gonzalez)

February 24, 2015


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.

LEGISLATIVE COUNSEL’S DIGEST

AB 572, as introduced, Beth Gaines. California Diabetes Program.

Existing law establishes the State Department of Public Health and sets forth its powers and duties pertaining to, among other things, protecting, preserving, and advancing public health, including disseminating information regarding diseases.

This bill would require the State Department of Public Health to submit a report to the Legislature by an unspecified date that includes, among other things, information on the financial impact of all types of diabetes on Californians, an assessment of the benefits of implemented programs aimed at controlling diabetes and preventing the disease, and action plans for battling diabetes.

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:

P2    1

SECTION 1.  

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 

5Article 1.  Diabetes.
6

 

7

104250.  

The Legislature finds and declares all of the following:

8(a) It is reported that one in seven adult Californians has
9diabetes, and the numbers are rising rapidly. The actual number
10of those whose lives are affected by diabetes is unknown and stands
11to be much higher when factoring in the incidence of type 1
12diabetes and undiagnosed gestational diabetes.

13(b) California has the greatest number of annual new cases of
14diabetes in the United States.

15(c) The incidence of diabetes amongst all Californians has
16increased 32 percent over the past decade.

17(d) Over 11.4 million people in California have prediabetes, a
18condition that is a precursor to full onset type 2 diabetes. This
19suggests that the total population of those diagnosed will continue
20to rise in the absence of interventions.

21(e) The prevalence of diagnosed gestational diabetes in
22California has increased 60 percent in just seven years, from 3.3
23percent of hospital deliveries in 1998 to 5.3 percent of hospital
24deliveries in 2005, with the federal Centers for Disease Control
25and Prevention stating that the diagnosis rate could run as high as
2618.3 percent.

27(f) The fiscal impact to the State of California, including total
28health care and related costs for the treatment of diabetes, was over
29$35.9 billion in 2010.

30(g) A recent study of a large state with a sizable diabetes
31population found that the rate of diagnosed diabetes in that state’s
32Medicaid population is nearly double that of its general population.

33(h) There is no cure for any type of diabetes.

34(i) Diabetes when left untreated can lead to serious and costly
35complications and a reduced lifespan.

36(j) Many of these serious complications can be delayed or
37avoided with timely diagnosis, effective patient self-care, and
38improved social awareness.

P3    1(k) It is the intent of the Legislature to require the State
2Department of Public Health to provide to the Legislature
3information, including the annual federal Centers for Disease
4Control and Prevention progress report, on diabetes prevention
5and control activities conducted by the State Department of Public
6Health and expenditures associated with diabetes prevention and
7control activities. These activities are set forth by the State
8Department of Public Health in the California Wellness Plan 2014
9and the report dated September 2014 entitled “Burden of Diabetes
10in California”.

11

104251.  

(a) The State Department of Public Health shall
12submit a report to the Legislature on or before ______, that includes
13all of the following:

14(1) The financial impact of all types of diabetes on Californians.
15Items included in this assessment shall include the number of
16persons living with diabetes, the number of family members
17impacted by prevention and diabetes control programs implemented
18by the department, the financial impact diabetes and its
19complications have on the state, and the financial toll or impact
20of diabetes in comparison to other chronic diseases and conditions.

21(2) An assessment of the benefits of implemented programs and
22activities aimed at controlling diabetes and preventing the disease.
23This assessment shall also document the amount and source for
24any funding directed to the department for programs and activities
25aimed at reaching those with diabetes.

26(3) A description of the level of coordination existing between
27state departments and entities on activities, programmatic activities,
28and providing information to the public regarding managing,
29treating, and preventing all forms of diabetes and its complications.

30(4) The development or revision of detailed action plans for
31battling diabetes with a range of actionable items for consideration
32by the Legislature. The plans shall identify proposed action steps
33to reduce the impact of diabetes, pre-diabetes, and related diabetes
34complications. The plans shall also identify expected outcomes of
35the action steps proposed in the following biennium while also
36establishing benchmarks for controlling and preventing relevant
37forms of diabetes.

38(5) The development of a detailed budget blueprint identifying
39needs, costs, and resources required to implement the plan
40identified in paragraph (4). This blueprint shall include a budget
P4    1range for all options presented in the plan identified in paragraph
2(4).

3(b) The report submitted to the Legislature pursuant to this
4section shall be submitted in compliance with Section 9795 of the
5Government Code.

6(c) This section shall remain in effect only until ______, and as
7of that date is repealed, unless a later enacted statute, that is enacted
8before ______, deletes or extends that date.



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