BILL ANALYSIS Ó
SB 1090
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Date of Hearing: August 3, 2016
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Lorena Gonzalez, Chair
SB 1090
(Mitchell) - As Amended August 1, 2016
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Urgency: No State Mandated Local Program: NoReimbursable: No
SUMMARY:
This bill creates a funding structure to allocate funds to local
health jurisdictions for sexually transmitted disease outreach
and screening services, to the extent funds are appropriated by
the Legislature for the purpose.
It also updates and broadens statutes related to STD prevention,
and clarifies it does not affect existing services or prevent
California Department of Public Health (CDPH) from adding new
services.
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FISCAL EFFECT:
1)Unknown GF costs to provide funding to local health
jurisdictions. The bill requires the CDPH to make funding
available upon appropriation by the Legislature. The amount
would depend on future budget appropriations.
2)Unknown GF costs to provide program administration, including
developing program guidelines, reviewing applications,
awarding grants, and monitoring local implementation. For
instance, if the amount of funding made available in the
future were $10 million per year, the Department would be able
to spend up to ten percent ($1 million) per year to administer
the program.
COMMENTS:
1)Purpose. According to the author, this bill is necessary
because STDs remain a large and persistent public health
challenge in the state. This bill updates codes governing STD
prevention and provides greater specificity with respect to
distribution of funds, establishes accountability standards,
and requires the department to authorize innovative and
impactful outreach and screening services.
2)Background. According to CDPH, bacterial STDs in California
(chlamydia, gonorrhea, and syphilis) continued to pose a
substantial and increasing public health burden. Chlamydia
alone affected about 175,000 people in 2014. Cases of
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gonorrhea have risen 68%, and cases of syphilis has risen 86%,
since 2010. Important disparities persist, with the highest
disease rates found among young people, African-Americans, and
gay and bisexual men. CDPH is responsible for statewide STD
prevention and control, but most public health activities are
conducted locally. State and local funding for STDs is
discretionary. The state has allocated funding in range of
$10-15 million annually (GF/federal) in recent years.
3)Related Budget Action. The 2016-17 budget bill (SB 826 (Leno),
Chapter 23, Statutes of 2016) appropriated $5 million in
one-time money for CDPH's Sexually Transmitted Disease
Prevention Program. However, the funding was not specifically
allocated for purposes of SB 1090.
4)Related Legislation. AB 2424 (Gomez), pending in the Senate
Appropriations Committee, creates a funding distribution and
accountability scheme for local grants related to chronic
disease prevention.
Analysis Prepared by:Lisa Murawski / APPR. / (916)
319-2081
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