BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      SJR 9


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          SENATE THIRD READING


          SJR  
          9 (Stone)


          As Amended  June 29, 2015


          Majority vote


          SENATE VOTE:  37-0


          SUMMARY:  Urges the President and the Congress of the United  
          States to enact the Chronic Kidney Disease Improvement in  
          Research and Treatment Act (HR 1130).  Makes other findings and  
          declarations about the prevalence, risks, and research efforts  
          of chronic kidney disease.  This resolution declares the  
          following:


          1)Approximately 50 years ago, kidney failure was a death  
            sentence.
          2)In 1972, Congress developed the Medicare End-Stage Renal  
            Disease benefit.  In doing so, Congress ensured that  
            regardless of age or income, any American would have access to  
            life-saving dialysis care.  That was the turning point in  
            kidney care.


          3)The Chronic Kidney Disease Improvement in Research and  
            Treatment Act (HR 1130) was introduced in the House of  
            Representatives by Representative Tom Marino to address kidney  
            disease care.










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          4)House Resolution 1130 is built on three primary tenets. First,  
            for individuals living with chronic diseases, especially when  
            those diseases are complicated by multiple comorbid  
            conditions, coordinated care is key to improving outcomes and  
            lowering health care costs. Second, increased research can  
            lead to a deeper understanding of kidney disease prevention  
            and ultimately to significant innovations in treatment.  
            Lastly, stability in the Medicare program is central to an  
            end-stage renal disease program that ensures quality and  
            produces optimal results.


          5)If left untreated, chronic kidney disease (CKD) can progress  
            to kidney failure, also known as end-stage renal disease, and  
            early cardiovascular death.


          6)More than 20 million adults in the United States, or more than  
            10% of the adult population, are estimated to have CKD and  
            most are undiagnosed.


          7)Kidney disease is the ninth leading cause of death in the  
            United States.


          8)In the United States, diabetes and [sic] are the leading  
            causes of kidney failure, accounting for 72% or about three  
            out of four new cases of kidney failure.


          9)The number of kidney failure cases in the United States  
            population has more than tripled since 1990 and is expected to  
            grow because of an aging population and the increasing number  
            of people with conditions, such as diabetes and high blood  
            pressure, that place them at the risk of developing CKD.


          FISCAL EFFECT:  None.  This resolution is keyed non-fiscal by  








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          the Legislative Counsel.




          Analysis Prepared by:                                             
                          Nicole Willis / RLS. / (916) 319-2800  FN:  
          0001770