BILL ANALYSIS                                                                                                                                                                                                    



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          ASSEMBLY THIRD READING
          HR 31 (Eng) 
          As Amended  August 9, 2010
          Majority vote 

           HEALTH              19-0                                        
           
           -------------------------------------- 
          |Ayes:|Monning, Fletcher, Ammiano,     |
          |     |Carter, Conway, De La Torre, De |
          |     |Leon, Eng,                      |
          |     |Gaines, Hayashi, Hernandez,     |
          |     |Jones,                          |
          |     |Bonnie Lowenthal, Nava, V.      |
          |     |Manuel Perez, Salas, Smyth,     |
          |     |Audra Strickland, Silva         |
          |     |                                |
           -------------------------------------- 
           SUMMARY  :  Recommends the establishment of the Legislative Task  
          Force on Chronic Kidney Disease (CKD) to study the social,  
          medical, and fiscal issues surrounding CKD and report back to  
          the Legislature on recommendations for policy changes.   
          Specifically,  this resolution  :   

          1)Makes legislative findings and declarations regarding the  
            prevalence of CKD, and the social and medical implications and  
            health disparities that exist related to CKD.
           
          2)Recommends the establishment of the Legislative Task Force on  
            CKD consisting of specified members. 

          3)Permits the Legislative Task Force on CKD to use existing  
            resources to support its activities and to solicit funding  
            from public and private foundations, and make use of available  
            federal funds.

          4)Permits the Legislative Task Force on CKD to do the following:

             a)   Develop a plan to educate health care professionals  
               about the advantage and methods of early screening,  
               diagnosis, and treatment of CKD and its complications based  
               on the Kidney Disease Outcomes Quality Initiative Clinical  
               Practice Guidelines for CKD or other medically recognized  
               clinical practice guidelines;








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             b)   Develop a plan to educate health care professionals  
               about the advantages of end-stage renal disease (ESRD)  
               modality education, including peritoneal dialysis, prior to  
               the onset of ESRD when kidney function is declining;

             c)   Make recommendations on the implementation of a  
               cost-effective plan for early screening, diagnosis, and  
               treatment of CKD for the state's population;

             d)   Study factors contributing to an increasing rate of CKD  
               among minorities; and,

             e)   Issue a report to the Department of Health Care Services  
               no later than December 31, 2011.  Requires that as part of  
               the report, if a public or private foundation provides  
               funds to operate the task force, the task force should  
               disclose any funds it receives from companies that sell  
               products related to conditions resulting from kidney  
               disease.

          5)Requests the Chief Clerk of the Assembly to transmit copies of  
            this resolution to the author for appropriate distribution.

           FISCAL EFFECT  :  None

           COMMENTS  :  According to the author, CKD is an arduous,  
          insidious, and life-threatening disease that increases daily in  
          numbers.  CKD is frequently a complication associated with high  
          blood pressure and/or diabetes.  Often, the author maintains, as  
          CKD worsens, nerve damage develops, heart disease becomes  
          likely, dialysis is a common necessity, and kidney failure with  
          the need for transplantation is a reality.  The author asserts  
          that California's ethnic minority communities compose a  
          disproportionate share of CKD cases and that the disease and the  
          families it affects do not receive adequate attention or  
          information regarding early detection, intervention, or patient  
          care.  The author argues that other states, such as Texas, have  
          found a legislative task force on CKD to be a catalyst for  
          public and private involvement with long-term results.
           

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









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