BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   AJR 44|
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                                 THIRD READING


          Bill No:  AJR 44
          Author:   Carter (D), et al.
          Amended:  8/21/12 in Assembly
          Vote:     21

           
           ASSEMBLY FLOOR  :  79-0, 8/23/12 (Consent) - See last page 
            for vote


           SUBJECT  :    Sickle Cell Anemia Awareness Month

           SOURCE  :     Author


           DIGEST  :    This resolution recognizes the month of 
          September 2012, and each September thereafter, as Sickle 
          Cell Anemia Awareness Month in California, and urges the 
          President and the Congress of the United States to restore 
          and continue funding for sickle cell anemia centers and 
          research to make sickle cell anemia and other genetic 
          hemoglobin disorders a public health priority.

           ANALYSIS  :    This resolution makes the following 
          legislative findings:

            1.  Sickle cell anemia and sickle cell disease, used 
              interchangeably, refer to a group of inherited 
              disorders that affect the red blood cells.

            2.  Sickle cell anemia is a disease in which a person's 
              body produces abnormally shaped red blood cells that 
              resemble a crescent or sickle, and which do not last as 
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              long as normal round red blood cells, which leads to 
              anemia.  The sickle cells also get stuck in blood 
              vessels and block blood flow, which can cause pain and 
              organ damage.

            3.  Sickle cell anemia is a genetic disorder where 
              individuals with the disease are born with two sickle 
              cell genes, each inherited from one parent. An 
              individual with only one sickle cell gene has a "sickle 
              cell trait," which occurs in one out of every 12 
              African Americans and in one out of every 100 Latinos 
              in the United States.

            4.  It is estimated that more than 70,000 Americans have 
              sickle cell anemia.  Sickle cell anemia occurs in one 
              out of every 500 African American births and in one out 
              of every 36,000 Latino births.

            5.  Sickle cell anemia can be a life-threatening 
              condition, and access to comprehensive care can be 
              limited by social, economic, cultural, and geographic 
              barriers.

            6.  The average cost of hospitalization for sickle cell 
              anemia in 2004 was $6,223, for more than 84,000 
              hospital admissions that year.  Total hospitalization 
              costs for individuals with sickle cell anemia equaled 
              $488,000,000, of which 65 percent were covered by 
              Medicaid funds.

            7.  Individuals living with sickle cell anemia encounter 
              barriers to obtaining quality care and improving their 
              quality of life.  These barriers include limitations in 
              geographic access to comprehensive care, the varied use 
              of effective treatments, the high reliance on emergency 
              departments and on public health programs, and the 
              limited number of health care providers with knowledge 
              and experience to manage and treat sickle cell anemia.

            8.  The Sickle Cell Anemia Control Act was signed into 
              law in 1972 by President Richard Nixon after pledging 
              that his administration would "reverse the record of 
              neglect on the dreaded disease" by increasing funding 
              for and expanding sickle cell anemia-related programs, 

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              including the development of comprehensive sickle cell 
              anemia centers.

            9.  In 1975, the Sickle Cell Disease Association of 
              America, Inc. and its member organizations began 
              conducting monthlong events in September to call 
              attention to sickle cell anemia and the need to address 
              the problem at national and local levels, and chose 
              September as National Sickle Cell Awareness Month in 
              order for the public to reflect on the children and 
              adults whose lives, education, and careers have been 
              affected by this disease.

            10. In 2003, the Sickle Cell Treatment Act was signed 
              into law.

            11. The effort to officially recognize Sickle Cell Anemia 
              Awareness Month succeeded at the federal level in 1983 
              when the United States House of Representatives 
              unanimously passed, and President Ronald Reagan signed, 
              the first resolution introduced by the Congressional 
              Black Caucus that recognized September as National 
              Sickle Cell Anemia Awareness Month.

          FISCAL EFFECT  :    Fiscal Com.:  No


           ASSEMBLY FLOOR  :  79-0, 8/23/12
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Beall, 
            Bill Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Cedillo, Chesbro, Conway, Cook, Davis, Dickinson, 
            Donnelly, Eng, Feuer, Fletcher, Fong, Fuentes, Furutani, 
            Beth Gaines, Galgiani, Garrick, Gatto, Gordon, Gorell, 
            Grove, Hagman, Halderman, Hall, Harkey, Hayashi, Hill, 
            Huber, Hueso, Huffman, Jeffries, Jones, Knight, Lara, 
            Logue, Bonnie Lowenthal, Ma, Mansoor, Mendoza, Miller, 
            Mitchell, Monning, Morrell, Nestande, Nielsen, Norby, 
            Olsen, Pan, Perea, V. Manuel P�rez, Portantino, Silva, 
            Skinner, Smyth, Solorio, Swanson, Torres, Valadao, 
            Wagner, Wieckowski, Williams, Yamada, John A. P�rez
          NO VOTE RECORDED:  Roger Hern�ndez



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          CTW:n   8/28/12   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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