BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
SB 1090 (Mitchell) - Sexually transmitted diseases: outreach
and screening services
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|Version: April 12, 2016 |Policy Vote: HEALTH 9 - 0 |
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|Urgency: No |Mandate: No |
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|Hearing Date: April 25, 2016 |Consultant: Brendan McCarthy |
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This bill meets the criteria for referral to the Suspense File.
Bill
Summary: SB 1090 would require the Department of Public Health,
upon appropriation of funding, to allocate funds to local health
jurisdictions for sexually transmitted disease outreach and
screening services.
Fiscal
Impact:
Unknown costs to provide funding to local health jurisdictions
(General Fund). The bill requires the Department of Public
Health to make funding available, upon appropriation by the
Legislature, to local health jurisdictions. The amount of
funding available under the bill is unknown at this time and
would depend on future budget appropriations. Staff is not
aware of any significant source of funding that could be used
for this new program other than the General Fund.
Unknown costs to provide program administration, including
developing program guidelines, reviewing applications,
awarding grants, and monitoring accountability requirements on
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grantees. According to the Department of Public Health, if the
amount of funding made available in the future were $10
million per year, the Department would need about $1.6 million
per year to administer the program.
Background: Under current law, the Sexually Transmitted Disease Branch
within the Department of Public Health performs disease
surveillance, education, assessment of access to treatment,
disease investigation, and policy development. The Sexually
Transmitted Disease Branch currently contracts with some local
health jurisdictions (including 27 county health departments and
1 city health department). The current year budget allocation
for these contracts is $3.5 million and the Governor's budget
proposal includes $3.3 million for this purpose.
Proposed Law:
SB 1090 would require the Department of Public Health, upon
appropriation of funding, to allocate funds to local health
jurisdictions for sexually transmitted disease outreach and
screening services.
Specific provisions of the bill would:
Require the Department of Public Health, upon appropriation of
funding by the Legislature, to allocate funds to local health
jurisdictions for sexually transmitted disease outreach and
screening services;
Require funding to be targeted and prioritized based on
population and disease incidence;
Require funding to be balanced between the need to spread
funding to many counties and the need to provide meaningful
services;
Require recipient counties to demonstrate compliance with
specified accountability measures and to comply with
Department-developed accountability measures;
Authorize the Department to solicit proposals from community
based organizations if a local health jurisdiction declines a
grant;
Require the Department to authorize specified types of
outreach and screening services;
Require the Department to monitor program activity to ensure
accountability measures are met;
The bill also makes a variety of technical changes to current
law to reflect current terminology and practice with regard to
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sexually transmitted diseases.
Staff
Comments: As noted above, the Department of Public Health's
projected costs to administer the bill's requirements are about
16% of the assumed program size. This level of administrative
cost is relatively high. For example, many bond funded grant
programs are limited to using 5% of total funds for
administration. It may be possible to reduce administrative
costs by streamlining program requirements.
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