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