BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    SCR 117  


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          Date of Hearing:  June 29, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          SCR 117  
          (Pan) - As Introduced March 7, 2016


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          Urgency:      State Mandated Local Program:    Reimbursable:  No


          SUMMARY:


          This resolution encourages the state to study palliative care  
          and to develop solutions, tools, and best practices for  
          providing better patient-centered care and information to  
          individuals with chronic diseases.








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          FISCAL EFFECT:


          Because this resolution specifically references potential  
          benefits of formation of a state palliative care and quality of  
          life interdisciplinary advisory council, as well as a palliative  
          care information and education program within the Department of  
          Public Health, it may result in unknown, likely minor cost  
          pressure to enhance state capacity related to palliative care.


          COMMENTS:


          1)Purpose and Background. Palliative care is specialized medical  
            care for people with serious illnesses.  It is intended to  
            provide patients with relief from the symptoms, pain, and  
            stress of a serious illness.  The goal is to improve quality  
            of life for both the patient and the family.  Studies have  
            indicated numerous benefits of high-quality palliative care.  
            This resolution, sponsored by the American Cancer Society  
            Cancer Action Network, encourages the state to do more to  
            improve palliative care access and affordability.



          2)Context. This resolution appears consistent with recent  
            studies and related state efforts.  Studies and workgroups  
            have also noted significant gaps in training and availability  
            of palliative care in California. For example, a 2015 study  
            titled "Dying in California: A Status Report on  
            End-of-Life-Care" notes growing demand far outpaces the  
            capacity of services. Palliative care specialists are in short  
            supply, and certification programs are limited.  The  
            California State Innovation Plan released in 2014 by the  
            California Health and Human Services Agency included enhancing  
            palliative care as one of four key initiatives to improve  








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            health in California.   In addition, SB 1004 (Hernandez),  
            Chapter 574, Statutes of 2014, requires the Department of  
            Health Care Services to establish standards and provide  
            technical assistance for Medi-Cal managed care plans to ensure  
            delivery of palliative care services.   



          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081