AB 2696, as amended, Beth Gaines. Diabetes prevention and management.
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 on or before January 1,begin delete 2018,end deletebegin insert 2019,end insert that includes a summary and compilation of recommendations, as specified, on diabetes prevention and management from certain sources, including the University of California and the federal Centers for Disease Control and Prevention. The
bill would require the department to, commencing July 1, 2017, annually post on its Internet Web site a summary of the amount and source of any funding directed to, and expenditures by, the department for programs and activities aimed at preventing or managing diabetes.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
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
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) 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
35and Pacific Islanders, in the aggregate, experience higher rates of
P3 1diabetes than other populations. Certain groups within the Asian
2and Pacific Islander population experience the highest prevalence
3and risk overall, including Filipino, South Asians, and Pacific
4Islanders, who suffer from diabetes at rates of 15 percent, 16
5percent, and more than 18 percent, respectively.
6(h) A recent study of a large state with a sizable diabetes
7population found that the rate of
diagnosed diabetes in that state’s
8Medicaid population is nearly double that of its general population.
9(i) There is no cure for any type of diabetes; however, there is
10evidence that diabetes can be prevented or delayed in onset through
11lifestyle changes and medical intervention.
12(j) begin deleteDiabetes when left untreated end deletebegin insertDiabetes, when left untreated, end insert
13can lead to serious and costly complications and a reduced lifespan.
14(k) Many of these serious complications can be delayed or
15avoided with timely diagnosis, effective patient self-care, and
16improved social
awareness.
17(l) It is the intent of the Legislature to require the State
18Department of Public Health to provide to the Legislature
19information, including the annual federal Centers for Disease
20Control and Prevention progress report, on diabetes prevention
21and management activities conducted by the State Department of
22Public Health and expenditures associated with diabetes prevention
23and management activities. These activities are set forth by the
24State Department of Public Health in the California Wellness Plan
252014 and the report dated September 2014 entitled “Burden of
26Diabetes in California.”
(a) The State Department of Public Health shall
28submit a report to the Legislature on or before January 1,begin delete 2018,end delete
29begin insert 2019,end insert that includes a summary and compilation of
30recommendations on diabetes prevention and management, if any,
31from all of the following sources:
32(1) The University of California.
33(2) The federal Centers for Disease Control and Prevention.
34(3) The California Wellness Plan.
35(4) Other statewide diabetes stakeholder groups.
36(5) Other entities identified by the department as having relevant
37findings and recommendations.
38(b) The department shall include in the report any
39recommendations from those institutions on all of the following
40items:
P4 1(1) Evidence-based strategies to prevent or manage diabetes.
2(2) An analysis of the financial impact diabetes and its
3complications have on the state.
4(3) Policy recommendations for the prevention and management
5of diabetes.
6(c) The department shall also include in the report a description
7of the existing level of coordination between state departments
8with regard to programmatic activities and the provision of
9information to the public regarding managing and preventing
10diabetes and its complications.
11(d) Commencing July 1, 2017, the department shall annually
12post all of the following information on its Internet Web site:
13(1) A summary of the amount and source of any funding directed
14to the department for programs and activities aimed at preventing
15or managing diabetes.
16(2) A summary of the expenditures by the department on
17programs and activities aimed at preventing or managing
diabetes.
18(e) (1) The requirement for submitting a report imposed under
19subdivision (a) is inoperative on January 1, 2024.
20(2) The report submitted to the Legislature pursuant to this
21section shall be submitted in compliance with Section 9795 of the
22Government Code.
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