BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:  April 14, 2015


                            ASSEMBLY COMMITTEE ON HEALTH


                                    Bonta, Chair


          AB  
                     572 (Beth Gaines) - As Amended  April 8, 2015


          SUBJECT:  California Diabetes Program.


          SUMMARY:  Requires the California Department of Public Health  
          (DPH) to create a diabetes action plan for the state, and to  
          report the results of the plan to the legislature biennially.   
          Specifically, this bill:  


          1)Requires DPH to develop a detailed action plan for prevention  
            and treatment of diabetes in the state of California,  
            including at least:
           
             a)   Priorities and performance measures that are based upon  
               evidence-based strategies to prevent or control diabetes,  
               expected outcomes of the action steps proposed, and  
               establish benchmarks for prevention and control;

             b)   Analysis of the financial impact of all types of  
               diabetes on the state of California, as specified;

             c)   A summary of expenditures on programs and activities  
               aimed at preventing or controlling diabetes; 

             d)   A summary of the amount and source for any funding  
               directed to the department for programs and activities  
               aimed controlling or preventing diabetes;

             e)   A description of the level of coordination existing  








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               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;

             f)   The development of a detailed budget blueprint  
               identifying needs, costs, and resources required to  
               implement the plan, include a proposed budget for each  
               action step identified; and,

             g)   Policy recommendations for the prevention and treatment  
               of diabetes. 

          2)Specifies that in developing the plan, DPH may include  
            previously developed priorities or performance measures from  
            other relevant programs. 

          3)Requires DPH to report to the Legislature on an unspecified  
            date, and biennially thereafter, the status of the plan,  
            progress of plan objectives, and recommendations for future  
            improvements.  Includes a sunset provision for the reporting  
            requirement, with an unspecified date. 

          4)Makes findings and declarations related to the fiscal impacts  
            of diabetes in California. 



          EXISTING LAW:  Establishes DPH to protect and improve the health  
          of communities through education, promotion of healthy  
          lifestyles, and research for disease and injury prevention.


          FISCAL EFFECT:  This bill has not been analyzed by a fiscal  
          committee.


          COMMENTS: 


          1)PURPOSE OF THIS BILL.  According to the author, diabetes has  
            reached epidemic levels in California.  As of 2012, about one  








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            in seven adult Californians have diabetes and many more will  
            be diagnosed in the near future, and is estimated to affect  
            one in three adults within the next 10 years.  Some estimate  
            the yearly cost of diabetes in California to be over $24.5  
            billion.  The author points out that California has no  
            statutory requirements in place for the prevention and  
            management of diabetes, and states that the State of  
            California has no action plan that specifically addresses the  
            fiscal impact of diabetes.  Furthermore, the author asserts  
            that the state must create an action plan that provides policy  
            guidance and considers the escalating fiscal impact of  
            diabetes treatment and care.

          2)BACKGROUND.  Diabetes is a chronic medical condition marked by  
            high levels of blood glucose (a form of sugar) resulting from  
            defects in insulin production, insulin action, or both.  Type  
            1 diabetes, previously known as juvenile diabetes, is an  
            autoimmune disease in which the body does not produce the  
            hormone insulin.  There is no known way to prevent type 1  
            diabetes.  Type 2 diabetes (previously called  
            non-insulin-dependent diabetes or adult-onset diabetes),  
            accounts for about 90% to 95% of all diagnosed cases of  
            diabetes.  It usually begins as insulin resistance, a disorder  
            in which the cells do not use insulin properly.  As the need  
            for insulin rises, the pancreas gradually loses its ability to  
            produce it.  Gestational diabetes occurs in pregnant women who  
            have never had diabetes before but have higher than normal  
            blood glucose levels during pregnancy.  Immediately after  
            pregnancy, 5% to 10% of women with gestational diabetes are  
            found to have diabetes, usually type 2.  Women who have had  
            gestational diabetes have a 35% to 60% chance of developing  
            diabetes in the next 10-20 years.  Prediabetes is a condition  
            in which individuals have blood glucose levels higher than  
            normal but not high enough to be classified as diabetes.   
            People with prediabetes have an increased risk of developing  
            type 2 diabetes, heart disease, and stroke.  Without  
            intervention, about one out of four people with prediabetes  
            will develop diabetes within three to five years.  Ethnic  
            minorities and those who are poor or disadvantaged have  
            especially high rates of diabetes.  In 2010, one in seven  
            African American (14.3%), one in nine American Indian/Alaskan  
            Natives/Native Hawaiian/Other Pacific Islander (11.6 %), one  








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            in 10 Latino (10.9%), one in 11 Asian American (7.7%), and one  
            in 14 white (7.0%) adults had diagnosed diabetes.

          According to the California Diabetes Program (CDP), diabetes  
            costs in California exceed $24 billion each year.  Total  
            health care and related costs for the treatment of diabetes in  
            California are about $24.5 billion.  Direct medical costs  
            (e.g., hospitalizations, medical care, treatment, supplies)  
            account for about $18.7 billion, the other $5.8 billion  
            include indirect costs such as disability payments, time lost  
            from work, and premature death.  The average annual treatment  
            cost per case for diagnosed diabetes in the U.S. was nearly  
            $10,000 in 2007.

          There is no known cure for diabetes.  Increased risk of heart  
            disease, stroke, and kidney damage (and the need for dialysis  
            as a result) are the most deadly effects.  Uncontrolled high  
            blood sugars may also affect the eyes and cause blindness.   
            Diabetes frequently affects circulation, and a simple cut on  
            the foot can lead to an amputation due to infection.   
            Diabetics tend to experience longer hospitalizations and  
            mortality rates.  California has an estimated 3.9 million  
            adults with diabetes (2010), and the numbers are rising  
            rapidly. 

          3)THE 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 Centers for Disease Control and Prevention (CDC). A  
            few key objectives that CDP focuses on include:
             a)   Monitoring statewide diabetes health status and risk  
               factors;
             b)   Engaging in outreach to increase awareness about the  
               disease;
             c)   Guiding public policy to support at-risk and vulnerable  
               populations;
             d)   Offering leadership, guidance, and resources to  
               community health interventions;
             e)   Seeking to improve the health care delivery system; and,
             f)   Reducing diabetes-related health disparities.










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            CDP achieves these through partnering with different  
            individual, community, health care, policy, and environmental  
            entities.  On July 1, 2013, a new CDC-funded program "State  
            Public Health Actions to Prevent and Control Diabetes, Heart  
            Disease, Obesity and Associated Risk Factors and Promote  
            School Health" began.  Funding allocated to pre-diabetes and  
            diabetes decreased by $250,000.  With this new grant, CDC  
            funding for California chronic disease prevention overall  
            decreased by $2.2 million.  The new collaborative grant, known  
            as Prevention First, Advancing Synergy for Health, requires  
            coordination among programs that historically were  
            categorically funded and stand-alone programs.  Prevention  
            First addresses individuals with pre-diabetes and diabetes.  
          4)THE CALIFORNIA WELLNESS PLAN.  In February 2014, DPH Chronic  
            Disease Prevention Branch published the California Wellness  
            Plan (Plan), the result of a statewide process led by DPH to  
            develop a roadmap for DPH and partners to promote health and  
            eliminate preventable chronic disease in California.  The plan  
            aligns with the Let's Get Healthy California Taskforce  
            priorities and includes 26 priorities and performance measures  
            developed in 2012 that are based upon evidence-based  
            strategies to prevent chronic disease and promote equity.  The  
            Plan contains short, intermediate, and long-term objectives  
            with measurable effects on a variety of chronic diseases, of  
            which diabetes is a major focus.  The plan contains 15  
            objectives specific to diabetes, including objectives to  
            increase utilization of diabetes prevention and  
            self-management programs, as well as broad objectives to  
            reduce the prevalence of obesity and diabetes among children  
            and adults.  DPH's chronic disease programs plan to  
            collaborate with local and state partners, including the  
            Office of Health Equity, engaged in diabetes prevention to  
            implement the objectives.  DPH intends to monitor the progress  
            of Plan objectives and publish regular reports on outcomes.

          5)PROGRESS UPDATES AND PLAN REVISIONS.  According to DPH, the  
            Chronic Disease Control Branch Chief ensures that, at a  
            minimum, the Plan is reviewed in conjunction with partners  
            every five years to assess the need for a new version.  As  
            funding permits and partners agree, a process to create a new  
            version of the Plan will be developed and implemented,  








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            overseen by the Director of Coordination.  The process will  
            capture observations and recommendations based on lessons  
            learned from Plan implementation efforts and from which  
            updated priorities and evidence-based strategies can be  
            determined.  The process will identify specific revisions,  
            assign them to responsible parties and establish targets dates  
            for completion.  This review process will be consistent with  
            the CDC and Evaluation Program guidelines.  Triggers for  
            reviewing the Plan sooner than the five year cycle include,  
            but are not limited to:  a) major changes to DPH authority;  
            or, b) major changes in federal and/or state funding,  
            guidance, or requirements.  Any future versions of the Plan  
            developed in conjunction with partners will also be available  
            to the public on the DPH Website."

          DPH further states that a one-day statewide conference is  
            planned for 2017 for partners and programs to report on  
            progress or short term outcomes of goals of the plan.  A  
            summary of conference reports will be posted online after the  
            conference. 

          6)DIABETES BURDEN REPORT.  In September 2014 DPH published the  
            Burden of Diabetes in California, a report funded by a grant  
            from the CDC and Prevention.  The brief report seeks to  
            describe the current burden of diabetes among adults in the  
            state, and to describe some of the current diabetes prevention  
            and control activities being implemented by DPH.  The report  
            analyzed data from a variety of state sources, including the  
            California Health Interview Survey, the California Death  
            Statistical Master File, the Office of Statewide Health  
            Planning and Development Patient Discharge Data, and that  
            Department of Finance Population Data to assess the most  
            significant health risks associated with Diabetes.  The report  
            also discusses a number of ongoing activities by DPH that  
            support the primary prevention of diabetes through the  
            promotion of health eating, increased physical activity,  
            tobacco cessation, and the prevention and control of  
            overweight and obesity.  Secondary prevention activities focus  
            on evidence-based strategies to prevent or delay the onset of  
            complications among California's diagnosed with type 2  
            diabetes.  DPH is establishing a statewide network of  
            evidence-based lifestyle change programs that are designed to  








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            prevent the development of type 2 diabetes among people at  
            highest risk and prevent or delay the onset of complications  
            among people diagnosed with type 2 diabetes. 

          7)STATE AUDITORS REPORT.  In January 2015, The California State  
            Auditor published report 2014-113, titled "Even With a Recent  
            Increase in Federal Funding, Its Efforts to Prevent Diabetes  
            Are Focused on a Limited Number of Counties."  The report  
            highlighted the fact that DPH manages federal grants that fund  
            its diabetes prevention efforts.  California does not provide  
            any state funding for diabetes prevention.  DPH spending on  
            diabetes prevention has declined over time due to reductions  
            in its federal funding.  In fiscal year 2013-14, its federal  
            funding for diabetes prevention decreased from more than $1  
            million in previous fiscal years to $817,000.  Moreover, DPH's  
            maternal diabetes program also experienced significant  
            reductions in federal funding over the last three fiscal  
            years, declining from $1.2 million in fiscal year 2010-11 to  
            only $71,000 in fiscal year 2013-14.  In fact, in fiscal year  
            2012-13-the most recent year for which nationwide data is  
            available-California had the lowest per capita funding for  
            diabetes prevention in the nation.

          The Auditor's report also found that DPH spent its limited  
            federal funds in an appropriate manner and complied with  
            applicable grant requirements. For the 40 expenditures we  
            reviewed from fiscal years 2009-10 through 2013-14, DPH  
            expenditures were in accordance with federal requirements, and  
            the amounts spent were reasonable.  Additionally, despite a  
            concern that was raised about the relationship between DPH  
            diabetes and tobacco control programs, DPH has not spent its  
            limited diabetes funds on tobacco cessation activities.

          The recommendations of the report were that the state should  
            consider providing state funding to support efforts to address  
            diabetes, that DPH should develop a process for identifying  
            and applying for federal funding opportunities, including  
            routinely and proactively searching for grants, and DPH should  
            ensure that staff responsible for diabetes prevention  
            continues to develop appropriate knowledge and skills. 

          8)SUPPORT.  The California Black Health Network supports this  








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            bill due to the states lack of plan to mitigate the escalating  
            fiscal impact of diabetes.  They point out that while there  
            has been extensive legislation enacted to promote awareness  
            and cost saving measures for conditions such as cardiovascular  
            disease and tobacco addiction, current law is woefully  
            inadequate in regards to diabetes.  The Bayer Corporation  
            states this bill would help the state in managing the growing  
            numbers and costs associated with diabetes. 
          
          9)RELATED  
            LEGISLATION.
             a)   AB 270 (Nazarian) requires DPH to apply to the State  
               Department of Motor Vehicles to sponsor a diabetes  
               awareness, education, and research specialized license  
               plate program. Establishes the Diabetes Awareness Fund and  
               specifies that revenues from the fund will be used by DPH  
               to fund programs related to diabetes awareness and  
               prevention.  AB 270 was unanimously approved by the  
               Assembly Transportation Committee on March 23, 2014 and is  
               pending in the Assembly Appropriations Committee. 

             b)   SB 203 (Monning) requires a safety warning to be affixed  
               to sugar sweetened beverages that states "STATE OF  
               CALIFORIA SAFETY WARNING: Drinking beverages with added  
               sugar(s) contributes to obesity, diabetes, and tooth  
               decay".  SB 203 is pending in the Senate Health Committee. 

          10) PREVIOUS LEGISLATION.  

             a)   AB 1592 (Beth Gaines) of 2014 would have required DPH to  
               complete and submit to the Legislature a Diabetes Burden  
               Report by December 31, 2015 including, among other things,  
               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.  Would have required DPH  
               to include in the report guidelines that will reduce the  
               fiscal burden of diabetes to the state. This bill was  
               vetoed by the Governor, stating that DPH had already  
               submitted its Diabetes Burden Report to the CDC, as  
               required, and is unable to withdraw the report to include  
               additional information prescribed by the bill.  









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             b)   SB 1316 (Cannella) of 2014 would have required the  
               Department of Health Care Services, DPH, and the Board of  
               Administration of the Public Employees' Retirement System  
               to submit a report to the Legislature regarding their  
               diabetes-related programs, and states it is the intent of  
               the Legislature to coordinate a response that assesses the  
               quality of care and manages the costs paid for by  
               state-financed health programs relating to diabetes.  SB  
               1316 was held in the Senate Rules Committee without action.

             c)   SB 64 (Solis), Chapter 540, Statutes of 1999, requires  
               every health care service plan and disability (health)  
               insurer to provide coverage for the management and  
               treatment of diabetes including equipment, supplies,  
               medications, outpatient self-management education, and  
               medical nutrition therapy, as medically necessary,  
               determined by the plan and insurers in conjunction with the  
               treating physician.

          11)POLICY COMMENTS. 

             a)   DPH has developed proposed actions to address diabetes  
               in California.  The 2014 California Wellness Plan, which  
               focuses heavily on diabetes and closely linked illnesses,  
               outlines a number of obtainable, measurable goals for  
               reducing diabetes in this state, similar to those requested  
               in this bill.  The 2014 Burden of Diabetes in California  
               report contains some of the demographic information  
               requested in this bill.  DPH already has stated that it  
               will issue the first progress report on the Plan in January  
               2017.  

             b)   The research goals of this bill are ambitious.  As  
               drafted, this bill requires DPH to assess the entire fiscal  
               impact of diabetes on the state, as well as to project the  
               cost of treating the issue.  The breadth and this request  
               is large and beyond what DPH typically undertakes, although  
               knowing more about the fiscal impacts of the disease on the  
               state could be valuable information for policy makers. 

          12)TECHNICAL AMENDMENTS.
           








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             a)   The bill was drafted with an open date for DPH to report  
               the plan to the legislature and the sunset on report  
               provisions.  The author would like the amend the previously  
               open dates to be: 
                  (1)       (c) The State Department of Public Health  
                    shall submit a report to the Legislature on or before  
                    January 1, 2018, and biennially thereafter,

                  (2)       (d) This section shall remain in effect only  
                    until January 1, 2024, and as of that date is  
                    repealed, unless a later enacted statute deletes or  
                    extends that date.

             b)   Section 104251 (a)(3) will be amended to read "A summary  
               of expenditures by the Department on programs and  
               activities aimed at preventing or controlling diabetes."

          REGISTERED SUPPORT / OPPOSITION:


          Support




          American Diabetes Association 
          Bayer Corporation
          Biocom
          Boehringer-Ingelheim Pharmaceutical Company
          California Academy of Family Physicians
          California Black Health Network


          Opposition


          None on file.


          Analysis Prepared  
          by:              Dharia McGrew / HEALTH / (916) 319-2097









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