Amended in Assembly April 8, 2015

California Legislature—2015–16 Regular Session

Assembly Bill No. 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 amended, 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 begin insert develop a detailed action plan for the prevention and treatment of diabetes, and to end insert submit a report to the Legislature by an unspecified date that includes begin delete , 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. end delete begin insert an update on the status of the plan and the progress of plan objectives and outcomes. end insert

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:

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.  Diabetes.

 

104250.  

The Legislature finds and declares all of the following:

(a) It is reported 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 that 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) It is the intent of the Legislature to require the State
Department of Public Health to provide to the Legislature
information, including the annual federal Centers for Disease
Control and Prevention progress report, on diabetes prevention
and control activities conducted by the State Department of Public
Health and expenditures associated with diabetes prevention and
control activities. These activities are set forth by the State
Department of Public Health in the California Wellness Plan 2014
and the report dated September 2014 entitled “Burden of Diabetes
in begin delete California”. end delete begin insert California. end insert begin insert ” end insert

begin delete

104251.  

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

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

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

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

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

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

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

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

end delete begin insert

begin insert 104251. end insert   

(a) The State Department of Public Health shall
develop a detailed action plan for the prevention and treatment of
diabetes in the state. The plan shall include, at a minimum, all of
the following items:

(1) Priorities and performance measures that are based upon
evidence-based strategies to prevent or control diabetes. The plan
shall also identify expected outcomes of the action steps proposed
and establish benchmarks for controlling and preventing relevant
forms of diabetes.

(2) An analysis of the financial impact on the state of all types
of diabetes. This assessment shall include the number of persons
living with diabetes, the number of family members affected by
diabetes, the financial impact diabetes and its complications have
on the state, and the financial impact of diabetes in comparison
to other chronic diseases and conditions.

(3) A summary of expenditures on programs and activities aimed
at preventing or controlling diabetes.

(4) A summary of the amount and source of any funding directed
to the department for programs and activities aimed at controlling
or preventing diabetes.

(5) A description of the existing level of coordination between
state departments and entities with regard to activities,
programmatic activities, and the provision of information to the
public regarding managing, treating, and preventing all forms of
diabetes and its complications.

(6) A detailed budget blueprint identifying needs, costs, and
resources required to implement the plan. This blueprint shall
include a budget range for each action step identified.

(7) Policy recommendations for the prevention and treatment
of diabetes.

(b) The plan may revise the priorities and performance measures
previously set forth as part of the California Wellness Plan, the
Burden of Diabetes in California report, or other diabetes
prevention programs within the State Department of Public Health.

(c) The State Department of Public Health shall submit a report
to the Legislature on or before ______, and biennially thereafter,
that includes an update on the status of the plan and the progress
of plan objectives and outcomes. The report shall additionally
include recommendations for improving the plan based upon
activities and findings to date. The State Department of Public
Health shall make the report and any updates issued pursuant to
this section available on its Internet Web site.

(d) (1) The requirement for submitting a report imposed under
subdivision (c) is inoperative on ____, pursuant to Section 10231.5
of the Government Code.

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

end insert