BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2287
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          ASSEMBLY THIRD READING
          AB 2287 (Monning)
          As Amended May 28, 2010
          Majority vote 

           ECONOMIC DEVELOPMENT            APPROPRIATIONS      12-0        
                         (vote not relevant)
           ----------------------------------------------------------------- 
          |     |                          |Ayes:|Fuentes, Ammiano,         |
          |     |                          |     |Bradford,                 |
          |     |                          |     |Charles Calderon, Coto,   |
          |     |                          |     |Davis, Monning, Ruskin,   |
          |     |                          |     |Skinner, Solorio,         |
          |     |                          |     |Torlakson, Torrico        |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY :  Requires the California Health and Human Services  
          Agency (CHHSA) to direct the appropriate state departments  
          within the agency to apply for the Community Transformation  
          Grants under the federal Patient Protection and Affordable Care  
          Act [(PPACA) Public Law 111-148].  Specifically,  this bill  :   

          1)Makes the following legislative findings and declarations:

             a)   Given the significant fiscal challenges ahead for  
               California, it is important for the Legislature to ensure  
               that state agencies to maximize their opportunity to obtain  
               additional federal funds, particularly in cases where doing  
               so could offset state General Fund costs or assist the  
               state with the transformation of California's health care  
               system, under the PPACA; and,

             b)   It is the intent of the Legislature to take full  
               advantage of the opportunities through the PPACA to improve  
               state health care programs and invest in health prevention  
               and education, with the goal of building, promoting, and  
               sustaining healthy communities through reducing chronic  
               disease rates, eliminating conditions that lead to health  
               disparities, and increasing the cultural and linguistic  
               appropriateness of health services. 

          2)Requires CHHSA to direct the appropriate departments within  
            CHHSA to apply for federal grants under Section 4201 of PPACA  
            to allow the state to develop a stronger evidence base of  








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            effective prevention programming and engage in preventive  
            health activities that achieve, at a minimum, all of the  
            following:

             a)   Creating healthier school environments, including but  
               not limited to, healthy food options and physical activity;

             b)   Creating an infrastructure to support active living and  
               access to nutritious foods;

             c)   Developing and promoting programs targeting a variety of  
               age levels to increase nutrition, physical activity,  
               smoking cessation, and safety, as well as address special  
               population needs;

             d)   Working to highlight healthy food options;

             e)   Assessing and implementing worksite wellness programs;  
               and,

             f)   Prioritizing strategies to reduce racial and ethnic  
               disparities.
          3)Requires CHHSA to direct the appropriate departments with  
            CHHSA to make information regarding federal grant  
            opportunities under Section 4201 of PPACA available to local  
            government agencies, local public health departments, school  
            districts, state and local nonprofit organizations, and Indian  
            tribes through existing channels, and by placing a link on  
            each relevant department's existing Website.

           EXISTING LAW  establishes the 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.

           FISCAL EFFECT  :  According to the Assembly Appropriations  








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          Committee, this bill would have unknown one-time General Fund  
          costs in the range of $50,000 to $100,000 to CHHSA to direct  
          departments under CHHSA jurisdiction to apply for federal health  
          reform grants and for publicizing funding opportunities on  
          departmental Web sites.  Actual costs will depend on the depth  
          and breadth of agency related to attaining and maximizing  
          federal funding.  As written, this bill does not contain a  
          deadline by which CHHSA must complete the requirements of the  
          bill.

           COMMENTS  :  PPACA, signed into law March 23, 2010, includes a  
          variety of population health provisions that impact states  
          including funding opportunities for state agencies to prevent  
          chronic disease, improve immunization rates, promote the public  
          health workforce, and enhance infectious disease surveillance.   
          According to the author, it will be important for California to  
          maximize this opportunity to obtain additional federal funds,  
          particularly in light of the fiscal challenges currently facing  
          the state, to ensure that California continues to build,  
          promote, and sustain healthy communities.
           

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


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