BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           2354 (M. Perez)
          
          Hearing Date:  8/2/2010         Amended: 8/2/2010
          Consultant: Katie Johnson       Policy Vote: Health 6-2
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  AB 2354 would require the California Department  
          of Public Health (CDPH), in consultation with the University of  
          California (UC), to assess the grants to promote positive health  
          behaviors and outcomes available in the federal Patient  
          Protection and Affordable Care Act (ACA) for funding  
          opportunities related to the use of promotores by April 1, 2011.
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2010-11      2011-12       2012-13     Fund
                                                                  
          CDPH and UC staff to     $80        $0       $0        General
          conduct grant research and
          complete the report
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: This bill meets the criteria for referral to the  
          Suspense File.
          
          CDPH would need staff at a cost of $60,000 General Fund in FY  
          2010-2011 to conduct the assessment of federal ACA grants and to  
          make its report to the fiscal and health policy committees of  
          the Legislature by April 1, 2011. Additionally, while the impact  
          on the UC would be minor and absorbable, under $50,000, it would  
          also probably be a cost to the General Fund. Total costs to the  
          General Fund could be approximately $80,000, depending on the  
          actual cost of UC's workload.

          The ACA would require the Centers for Disease Control and  
          Prevention (CDC) to award grants to eligible entities to promote  
          positive health behaviors and outcomes for populations in  
          medically underserved communities through the use of community  
          health workers. The amount appropriated is unspecified, but  
          would be required to be sufficient to carry out the goals of  
          these grants in FFYs 2010 through 2014.











          This bill would define "promotores" as promotores de salud, also  
          know as community health workers, peer leaders, or health  
          advocates, who serve as a bridge between the community and the  
          public health care system by providing health education, health  
          promotion, prevention, informational counseling and referral  
          information and resources in a culturally and linguistically  
          appropriate manner. These provisions would be repealed April 1,  
          2015.