BILL ANALYSIS Ó AB 2696 Page 1 Date of Hearing: April 20, 2016 ASSEMBLY COMMITTEE ON APPROPRIATIONS Lorena Gonzalez, Chair AB 2696 (Beth Gaines) - As Amended April 18, 2016 ----------------------------------------------------------------- |Policy |Health |Vote:|19 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- Urgency: No State Mandated Local Program: NoReimbursable: No SUMMARY: This bill requires the California Department of Public Health to submit a report about diabetes. Specifically, this bill: 1)Requires a report to the Legislature on or before January 1, 2019, that includes a summary and compilation of recommendations on diabetes prevention and management, including evidence-based strategies, policy recommendations, AB 2696 Page 2 and an analysis of the fiscal impact of diabetes on the state. 2)Requires CDPH to beginning July 1, 2017, to post information its web site about the amount and source of funding, as well as expenditures, for diabetes prevention and management. FISCAL EFFECT: The report is consistent with ongoing diabetes-related activities; costs are expected to be absorbable within existing resources. COMMENTS: 1)Purpose. According to the author, diabetes has reached epidemic levels in California. The author contends the State of California has no action plan to mitigate the escalating fiscal impact of diabetes. 2)Background. There is evidence the high and growing prevalence of diabetes in the American populations is an economic burden. A recent economic analysis in the journal Diabetes Care places the total economic burden at $322 billion (or over $1,000 per person in the United States), of which $244 billion is in excess medical costs. According to the study's authors, the results "underscore the urgency to better understand the cost mitigation potential of prevention and treatment strategies." A January 2015 State Audit report found California's spending on diabetes prevention was minimal and suggested that if the Legislature wishes CDPH to address diabetes, state funding should be appropriated for that purpose. AB 2696 Page 3 In recent years, CDPH has prepared several reports that are related to diabetes, including the 2014 California Wellness Plan, the 2010 Obesity Prevention Plan, the 2013 Burden of Chronic Disease and Injury, and the 2015 Economic Burden of Chronic Disease in California. Analysis Prepared by:Lisa Murawski / APPR. / (916) 319-2081