Amended in Senate July 2, 2015

Amended in Assembly April 16, 2015

Amended in Assembly April 8, 2015

California Legislature—2015–16 Regular Session

Assembly BillNo. 572


Introduced by Assembly Member Beth Gaines

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

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. begin deleteCalifornia end deleteDiabetesbegin delete Program.end deletebegin insert prevention: treatment.end insert

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 tobegin delete develop a detailed action plan for the prevention and treatment of diabetes,end deletebegin insert update the California Wellness Plan 2014 to include specified items, including priorities and performance measures that are based upon evidence-based strategies to prevent and control diabetes,end insert and to submit a report to the Legislature by January 1, 2018, that includesbegin delete an update on the status of the plan andend delete the progress ofbegin insert those specifiedend insert planbegin delete objectives and outcomes.end deletebegin insert items.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:

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.

begin insert

30(g) There is a disproportionate prevalence of type 2 diabetes
31among Californians who are Black, Hispanic, or of Asian origin
32compared to the general population. As of 2010, the incidence of
33diabetes among Black and Hispanic people was nearly double that
34among non-Hispanic Whites at approximately 14 percent. Asians
P3    1and Pacific Islanders, in the aggregate, experience higher rates
2of diabetes than other populations. Certain groups within the Asian
3and Pacific Islander population experience the highest prevalence
4and risk overall, including Filipino, South Asians, and Pacific
5Islanders, who suffer from diabetes at rates of 15 percent, 16
6percent, and more than 18 percent respectively.

end insert
begin delete

7(g)

end delete

8begin insert(h)end insert A recent study of a large state with a sizable diabetes
9population found that the rate of diagnosed diabetes in that state’s
10Medicaid population is nearly double that of its general population.

begin delete

11(h)

end delete

12begin insert(end insertbegin inserti)end insert There is no cure for any type ofbegin delete diabetes.end deletebegin insert diabetes; however,
13there is evidence that diabetes can be prevented or delayed in
14onset through lifestyle changes and medical intervention.end insert

begin delete

15(i)

end delete

16begin insert(j)end insert Diabetes when left untreated can lead to serious and costly
17complications and a reduced lifespan.

begin delete

18(j)

end delete

19begin insert(end insertbegin insertk)end insert Many of these serious complications can be delayed or
20avoided with timely diagnosis, effective patient self-care, and
21improved social awareness.

begin delete

22(k)

end delete

23begin insert(l)end insert It is the intent of the Legislature to require the State
24Department of Public Health to provide to the Legislature
25information, including the annual federal Centers for Disease
26Control and Prevention progress report, on diabetes prevention
27and control activities conducted by the State Department of Public
28Health and expenditures associated with diabetes prevention and
29control activities. These activities are set forth by the State
30Department of Public Health in the California Wellness Plan 2014
31and the report dated September 2014 entitled “Burden of Diabetes
32in California.”

33

104251.  

(a) The State Department of Public Health shall
34begin delete develop a detailed action plan for the prevention and treatment of
35diabetes in the state. The plan shall include, at a minimum,end delete
begin insert update
36the California Welend insert
begin insertlness Plan 2014 to includeend insert all of the following
37items:

38(1) Priorities and performance measures that are based upon
39evidence-based strategies to prevent or control diabetes. The plan
40shall also identify expected outcomes of thebegin delete action stepsend delete proposed
P4    1begin insert priorities and performance measuresend insert and establish benchmarks
2for controlling and preventing relevant forms of diabetes.

3(2) An analysis of the financial impact on the state ofbegin delete all types
4ofend delete
diabetes. This assessment shall include the number of persons
5living with diabetes, the number of family members affected by
6 diabetes, the financial impact diabetes and its complications have
7on the state, and the financial impact of diabetes in comparison to
8other chronic diseases and conditions.

9(3) A summary of expenditures by the department on programs
10and activities aimed at preventing or controlling diabetes.

11(4) A summary of the amount and source of any funding directed
12to the department for programs and activities aimed at controlling
13or preventing diabetes.

14(5) A description of the existing level of coordination between
15state departments and entities with regard to activities,
16programmatic activities, and the provision of information to the
17public regardingbegin delete managing, treating,end deletebegin insert managingend insert and preventingbegin delete all
18forms ofend delete
diabetes and its complications.

19(6) A detailed budget blueprint identifying needs, costs, and
20resources required to implement thebegin delete plan.end deletebegin insert items listed in
21paragraphs (1) to (5), inclusive.end insert
This blueprint shall include a
22budget range for eachbegin delete action stepend deletebegin insert priority and performance
23measureend insert
identified.

24(7) Policy recommendations for the prevention andbegin delete treatmentend delete
25begin insert managementend insert of diabetes.

begin delete

26(b) The plan may revise the priorities and performance measures
27previously set forth as part of the California Wellness Plan, the
28Burden of Diabetes in California report, or other diabetes
29prevention programs within the State Department of Public Health.

end delete
begin delete

5 30(c)

end delete

31begin insert(b)end insert The State Department of Public Health shall submit a report
32to the Legislature on or before January 1, 2018, and biennially
33thereafter, that includesbegin delete an update on the status of the plan andend delete the
34progress ofbegin delete plan objectives and outcomes.end deletebegin insert the plan items listed in
35paragraphs (1) to (7), inclusive, of subdivision (a).end insert
The report shall
36additionally include recommendations for improvingbegin delete theend deletebegin insert thoseend insert
37 planbegin insert itemsend insert based upon activities and findings to date. The State
38Department of Public Health shall make the report and any updates
39issued pursuant to this section available on its Internet Web site.

begin delete

13 40(d)

end delete

P5    1begin insert(c)end insert (1) The requirement for submitting a report imposed under
2subdivisionbegin delete (c)end deletebegin insert (b)end insert is inoperative on January 1, 2024.

3(2) The report submitted to the Legislature pursuant to this
4section shall be submitted in compliance with Section 9795 of the
5Government Code.



O

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