BILL ANALYSIS Ó
SB 1090
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SENATE THIRD READING
SB
1090 (Mitchell)
As Amended August 15, 2016
Majority vote
SENATE VOTE: 39-0
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|Committee |Votes|Ayes |Noes |
| | | | |
| | | | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Health |18-0 |Wood, Maienschein, | |
| | |Bonilla, Burke, | |
| | |Campos, Chiu, Gomez, | |
| | |Roger Hernández, | |
| | |Lackey, Nazarian, | |
| | |Olsen, Patterson, | |
| | |Ridley-Thomas, | |
| | |Rodriguez, Santiago, | |
| | |Steinorth, McCarty, | |
| | |Waldron | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Appropriations |20-0 |Gonzalez, Bigelow, | |
| | |Bloom, Bonilla, | |
| | |Bonta, Calderon, | |
| | |Chang, Daly, Eggman, | |
| | |Gallagher, Eduardo | |
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| | |Garcia, Holden, | |
| | |Jones, Obernolte, | |
| | |Quirk, Santiago, | |
| | |Wagner, Weber, Wood, | |
| | |McCarty | |
| | | | |
| | | | |
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SUMMARY: Requires the Department of Public Health (DPH), to the
extent funds are appropriated by the Legislature for these
purposes, to allocate funds to counties for sexually transmitted
disease (STD) outreach, screening and other core services.
Specifically, this bill:
1)Requires DPH, to the extent funds are appropriated by the
Legislature, to allocate funds to local health jurisdictions
for STD outreach, screening and other core services in
accordance to the extent possible with the following:
a) Requires counties to be targeted and prioritized based
on population and incidence of STDs;
b) Requires funds to be allocated to targeted counties in a
manner that balances the need to spread funding to as many
counties as possible and the need to provide meaningful
services to each funded county;
c) Requires each recipient county to demonstrate to DPH
that the county has done all of the following:
i) Identified priority target populations;
SB 1090
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ii) Satisfactorily described its outreach protocols;
iii) Included community-based partners for outreach,
screening and other core services; and,
iv) Allocated resources for laboratory costs.
d) Requires DPH to develop measures for each county to
demonstrate accountability.
2)Requires DPH to authorize innovative and impactful outreach,
screening and other core services, including, but not limited
to, the following:
a) Voluntary screening for STDs among inmates and wards of
county adult and juvenile correctional facilities. DPH may
provide assistance or guidance to the local health
jurisdiction if necessary to secure participation by other
county agencies;
b) Social media platforms that allow a person to receive
test results, share test results with partners, access
treatment services, and reduce administrative costs;
c) State-of-the-art testing modalities that ensure swift
and accurate screening for STDs; and,
d) Community-based testing and disease investigation.
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3)Requires DPH to monitor activities in funded counties, based
on the accountability measures required under 1)d) above, in
order to assess the effectiveness of outreach, screening, and
other core services.
4)Prohibits DPH from spending more than 10% of any funds
appropriated by the Legislature for administrative costs.
5)States legislative intent regarding the services specified in
1) above.
6)Deletes references in existing law to "venereal disease" and
instead uses the term "sexually transmitted diseases," which
is defined as diseases that are primarily transmitted through
sexual contact.
FISCAL EFFECT: According to the Assembly Appropriations
Committee, this bill does not by itself fund or require the
programs it specifies. However, the placement in code of newly
authorized activities creates the following cost pressure:
1)Unknown General Fund (GF) cost pressure to provide funding to
local health jurisdictions. The bill requires the DPH to make
funding available upon appropriation by the Legislature. The
amount would depend on future budget appropriations.
2)Unknown GF cost pressure 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 $1 million per year to
administer the program.
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COMMENTS: According to the author, this bill is necessary
because STDs remain a large and persistent public health
challenge for the citizens of our state. The increasingly large
number of cases makes STDs the most commonly reported
communicable disease in California. Exacerbating the problem is
the fact that because STDs are often asymptomatic, the burden of
the disease is far greater than the number of reported cases.
It is astonishing that infections that have been easily
preventable and treatable for decades are on the rise in
dramatic fashion. We can reverse this deplorable situation
through more robust and systematic prevention and health
interventions. There is a serious lack of funds directed at
this epidemic. However, there is also insufficient statutory
direction to DPH in terms of addressing priorities and defining
and implementing innovative mechanisms for engaging people who
are at greatest risk for exposure to an STD. The consequences
of inattention are varied, expensive and often permanent.
Analysis Prepared by:
Rosielyn Pulmano/ HEALTH / (916) 319-2097 FN:
0004098