BILL ANALYSIS Ó
AB 2696
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ASSEMBLY THIRD READING
AB
2696 (Beth Gaines)
As Amended April 18, 2016
Majority vote
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|Committee |Votes|Ayes |Noes |
| | | | |
| | | | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Health |19-0 |Wood, Maienschein, | |
| | |Bonilla, Burke, | |
| | |Campos, Chiu, | |
| | |Dababneh, Gomez, | |
| | | | |
| | | | |
| | |Roger Hernández, | |
| | |Lackey, Nazarian, | |
| | |Olsen, Patterson, | |
| | |Ridley-Thomas, | |
| | |Rodriguez, Santiago, | |
| | |Steinorth, Thurmond, | |
| | |Waldron | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Appropriations |20-0 |Gonzalez, Bigelow, | |
| | |Bloom, Bonilla, | |
| | |Bonta, Calderon, | |
| | |Chang, Daly, Eggman, | |
| | |Gallagher, Eduardo | |
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| | |Garcia, Roger | |
| | |Hernández, Holden, | |
| | |Jones, Obernolte, | |
| | |Quirk, Santiago, | |
| | |Wagner, Weber, Wood | |
| | | | |
| | | | |
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SUMMARY: Requires the Department of Public Health (DPH) to
submit a report to the Legislature on or before January 1, 2019,
that includes a summary and compilation of recommendations on
diabetes prevention and management. Specifically, this bill:
1)Requires the report to include a summary and compilation of
recommendations on diabetes prevention and management, if any,
from all of the following sources:
a) The University of California;
b) The federal Centers for Disease Control and Prevention;
c) The California Wellness Plan;
d) Other statewide diabetes stakeholder groups; and,
e) Other entities identified by DPH as having relevant
findings and recommendations.
2)Requires DPH to include in the report any recommendations from
the institutions listed in 1) above on all of the following
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items:
a) Evidence-based strategies to prevent or manage diabetes;
b) An analysis of the financial impact diabetes and its
complications have on the state; and,
c) Policy recommendations for the prevention and management
of diabetes.
3)Requires DPH to include in the report a description of the
existing level of coordination between state departments with
regard to programmatic activities and the provision of
information to the public regarding managing and preventing
diabetes and its complications.
4)Requires DPH, commencing July 1, 2017, to annually post all of
the following information on its Internet Web site:
a) A summary of the amount and source of any funding
directed to DPH for programs and activities aimed at
preventing or managing diabetes; and,
b) A summary of the expenditures by DPH on programs and
activities aimed at preventing or managing diabetes.
5)Sunsets the reporting requirement on January 1, 2024.
6)Makes various findings and declarations regarding diabetes,
including that there is no cure for any type of diabetes;
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however, there is evidence that diabetes can be prevented or
delayed in onset through lifestyle changes and medical
intervention.
FISCAL EFFECT: According to the Assembly Appropriations
Committee, the report is consistent with ongoing
diabetes-related activities; costs are expected to be absorbable
within existing resources.
COMMENTS: According to the author, diabetes has reached
epidemic levels in California. The author states as of 2012,
about one in seven adult Californians have diabetes and many
more will be diagnosed in the near future and within 10 years,
it will be one in three adults. The author contends that,
today, the State of California has no action plan in place to
mitigate the escalating fiscal impact of diabetes and this bill
would require DPH to create and submit to the State of
California a "diabetes action plan." The author concludes the
goal of the plan is to provide policy guidance addressing the
escalating fiscal impact of diabetes treatment and care.
Diabetes. 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. 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. Prediabetes is a
condition in which individuals have blood glucose levels higher
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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.
According to DPH, 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. Increased risk of heart disease,
stroke, and kidney damage (and the need for dialysis as a
result) are the most deadly effects of diabetes.
Analysis Prepared by:
Lara Flynn / HEALTH / (916) 319-2097 FN:
0003268