BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2354
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 2354 (V. Manuel Perez)
          As Amended May 28, 2010
          Majority vote 

           HEALTH              11-5        APPROPRIATIONS      12-5        
           
           ----------------------------------------------------------------- 
          |Ayes:|Monning, Ammiano, Carter, |Ayes:|Fuentes, Ammiano,         |
          |     |Caballero, Eng, Hayashi,  |     |Bradford,                 |
          |     |Hernandez, Jones, Nava,   |     |Charles Calderon, Coto,   |
          |     |V. Manuel Perez, Salas    |     |Davis, Monning, Ruskin,   |
          |     |                          |     |Skinner, Solorio,         |
          |     |                          |     |Torlakson, Torrico        |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Conway, Emmerson, Gaines, |Nays:|Conway, Harkey, Miller,   |
          |     |Smyth, Audra Strickland   |     |Nielsen, Norby            |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the California Department of Public Health  
          (DPH), to assess federal grant opportunities related to  
          promotores in medically underserved communities pursuant to the  
          federal Patient Protection and Affordable Care Act (Public Law  
          111-148).  Specifically,  this bill  :   

          1)Requires DPH to assess funding opportunities for the use of  
            promotores in medically underserved communities that promote  
            positive health behaviors and outcomes pursuant to Section  
            399V of the federal Patient Protection and Affordable Care  
            Act.

          2)Prohibits DPH from conducting new research and requires the  
            assessment in 1) above to rely upon past research about the  
            efficacy of promotores.

          3)Requires a report of the findings in 1) above to be submitted  
            to the Legislature, as specified.

          4)Repeals, as specified, the reporting requirement in 3) above,  
            on April 1, 2015.

           EXISTING LAW  :









                                                                  AB 2354
                                                                  Page  2


          1)Permits DPH to do all of the following in order to protect,  
            preserve, and advance public health:  a) studies; b)  
            demonstrations of innovative methods; c) evaluations of  
            existing projects; d) provisions of training programs; and, e)  
            dissemination of information.

          2)Permits DPH, in performing activities listed in 2) above, to  
            do all of the following: a) perform the activity directly; b)  
            enter into contracts, cooperative agreements, or other  
            agreements for the performance of the activity; and, d) award  
            grants for the performance of the activity.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, this bill will result in unknown one-time costs of  
          less than $50,000 General Fund to DPH to assess the viability of  
          pursuing federal health reform grants to implement promotores  
          programming in California and make related recommendations to  
          the Legislature.

           COMMENTS  :  According to the author, it has been documented that  
          integrating promotores and community health workers in health  
          programs and strategies has been associated with improvements in  
          access to health care, health status, and health screening  
          behavior.  The author maintains that as increased federal  
          funding becomes available to California, it is incumbent upon  
          the state to target resources and invest funding to proven  
          programs, successful models, and best practices.  


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


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