BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  ACR 111
          Author:   Levine (D), et al.
          Amended:  3/20/14 in Assembly
          Vote:     21


           ASSEMBLY FLOOR  :  Read and adopted, 3/20/14
          _________________________________________________________________ 
          _

           SUBJECT  :    Colorectal Cancer Awareness Month

           SOURCE  :     Author


           DIGEST  :    This resolution designates the month of March 2014 as  
          Colorectal Cancer Awareness Month.

           ANALYSIS  :    This resolution makes the following legislative  
          findings:  

          1.Colorectal cancer is the second leading cause of cancer deaths  
            in California, with 14,255 new cases and 5,265 deaths expected  
            in 2014.

          2.Colorectal cancer is treatable, curable, and in many cases,  
            completely preventable and when detected at an early stage,  
            survival is 95%.

          3.There were approximately one million colorectal cancer  
            survivors in the United States in 2002.

          4.Colorectal cancer is known as a silent killer because symptoms  
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            only show up in the later stages of the disease and with  
            proper screening, colorectal cancer can be prevented or, if  
            found early, treated and cured.

          5.In 2010, only 51% of California adults 50 years and older had  
            received colorectal cancer screening according to the  
            guidelines.

          6.According to the United States Preventative Services Task  
            Force, access to appropriate use of colorectal cancer  
            screening tests, such as colonoscopy, sigmoidoscopy, and fecal  
            occult blood test/fecal immunochemical test, could reduce  
            death rates of colon cancer up to 66%.

          7.According to the American Cancer Society, in 2011, only about  
            45% of colorectal cancers were diagnosed at an early, more  
            treatable and curable stage. 

          8.The uninsured, underinsured, and underserved are least likely  
            to get screening for colorectal cancer, which means they are  
            more likely to be diagnosed at a late stage when chances of  
            survival drop to 13%.

          9.Colorectal cancer screening is one of the most cost-effective  
            prevention measures in health care, more cost-effective than  
            breast or prostate cancer screening.

          10.African Americans have the highest colorectal cancer  
            incidence and mortality rates of all racial groups in this  
            country.  In California, colorectal cancer is the second most  
            common cancer among Korean, Hispanic, Japanese, South Asian,  
            Kampuchean, and Hmong men, and the second most common cancer  
            among Chinese, Filipino, Hispanic, Japanese, Korean, Laotian,  
            Vietnamese, and Kampuchean women.

          11.The California Colorectal Cancer Coalition (C4) is a  
            nonprofit organization established to increase colorectal  
            cancer screening rates in an effort to decrease mortality  
            associated with the disease, and implement strategies to  
            reduce disparities in colorectal cancer screening, diagnosis,  
            and treatment among underserved populations in California.

          12.The C4 encourages Californians to discuss the colorectal  
            cancer screening test that is best for them with their doctors  







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            and believes that the best test is the one you have done.

          This resolution designates the month of March 2014 as Colorectal  
          Cancer Awareness Month.

           FISCAL EFFECT  :    Fiscal Com.:  No

           SUPPORT  :   (Verified  4/3/14)

          The American Cancer Society Cancer Action Network


          JL:e:n  4/4/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

                                   ****  END  ****