BILL ANALYSIS                                                                                                                                                                                                    



                                                                           
           ACR 29
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          ACR 29 (Jones)
          As Amended July 2, 2009
          Majority vote
           
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          |ASSEMBLY:  |78-0 |(April 13,      |SENATE: |34-1 |(August 27,    |
          |           |     |2009)           |        |     |2009)          |
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           Original Committee Reference:   HEALTH  

           SUMMARY  :  Requests the California Health and Human Services  
          Agency (CHHSA) provide leadership to encourage departments  
          within the agency focus on preventing, reducing, and eliminating  
          health disparities among racial and ethnic population subgroups.

           The Senate amendments  :

          1)Encourage the Legislature to consider the diverse health care  
            needs of various ethnic subgroups, including, but not limited  
            to, the multiple subgroups within the Asian Pacific Islander  
            population, to the extent possible.

          2)Clarify the intent for CHHSA and it's departments to conduct  
            the work encouraged by this resolution within existing  
            resources.

           EXISTING LAW  establishes CHHSA, the state agency tasked with  
          administration and oversight of California's state and federal  
          programs for health care, social services, public assistance,  
          and rehabilitation through the following 12 departments:   
          Department of Aging; Department of Alcohol and Drug Programs;  
          Department of Public Health; Department of Health Care Services;  
          Department of Mental Health; Managed Risk Medical Insurance  
          Board; Emergency Medical Services Authority; Office of Statewide  
          Health Planning and Development; Department of Child Support  
          Services; Department of Community Services and Development;  
          Department of Developmental Services; and, Department of  
          Rehabilitation.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version as passed by the Senate.









                                                                           
           ACR 29
                                                                  Page  2

           FISCAL EFFECT  :  According to the Senate Appropriations Committee  
          analysis, to the extent to which CHHSA chooses to provide  
          leadership as requested by this resolution and to the extent  
          that any of these activities go beyond current efforts and  
          programs currently under the authority of CHHSA, this bill could  
          potentially result in major state costs to address disparities  
          in the manner described in this resolution.

           COMMENTS  :  According to the author, low-income populations and  
          communities of color disproportionately experience worse health  
          and safety outcomes across a broad spectrum of illnesses,  
          injuries, and treatments.  The author maintains that efforts to  
          reduce racial and ethnic disparities in health and health care  
          in California will continue to fall short unless the complex  
          interplay of social, physical, and environmental influences are  
          addressed through collaborative interdisciplinary actions.  As  
          the lead agency tasked with administrative oversight of  
          California's state and federal programs for health, the CHHSA is  
          the most appropriate state entity to take a leadership role and  
          facilitate collaboration with state departments in order to  
          address ethnic and racial health disparities in California.  The  
          author maintains that while some departments within CHHSA  
          independently operate various programs that address racial and  
          ethnic disparities, the purpose of this resolution is to  
          encourage CHHSA to assist with bridging the silos that currently  
          exist in state government and to move toward a more  
          comprehensive strategy.

           
          Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916)  
          319-2097


          FN:  0001761