Bill Text: CA AB1592 | 2013-2014 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: California Diabetes Program.

Spectrum: Slight Partisan Bill (Democrat 5-2)

Status: (Vetoed) 2014-09-25 - Vetoed by Governor. [AB1592 Detail]

Download: California-2013-AB1592-Amended.html

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BILL NUMBER: AB 1592	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 20, 2014

INTRODUCED BY   Assembly Member Beth Gaines

                        FEBRUARY 3, 2014

   An act  to add Article 1 (commencing with Section 104250) to
Chapter 4 of Part 1 of Division 103 of the Health and Safety Code,
  relating to diabetes.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1592, as amended, Beth Gaines.  Diabetes. 
 California Diabetes Program.  
   Existing law establishes the State Department of Public Health and
sets forth its powers and duties, including, but not limited to, the
administration of the California Diabetes Program.  
   This bill would require the department to submit a report to the
Legislature by December 31 of each odd-numbered year that is to
include, among other things, information on the financial impact of
diabetes on the Medi-Cal program, the Public Employees' Medical and
Hospital Care Act, and public health programs, and detailed action
plans for combating diabetes with a range of actionable items for
consideration by the Legislature, as specified, and would require the
department to make the biannual reports available on its Internet
Web site. The bill would authorize the department to use statistical
data from external sources and requires the State Department of
Health Care Services to provide the department with any relevant
statistical data for purposes of creating the biannual reports. The
bill would require the department to ensure that all grant funds from
the federal Centers for Disease Control and Prevention and other
federal sources for the California Diabetes Program are expended for
the purpose of diabetes prevention, treatment, and awareness pursuant
to the grant requirements, and the creation of the biannual reports.
 
   The bill would also make related findings and declarations. 

   Existing law authorizes the State Department of Public Health to
perform studies, demonstrate innovative methods, and disseminate
information relating to the protection, preservation, and advancement
of public health.  
   This bill would state the intent of the Legislature to enact
legislation that would create a statewide plan to address diabetes in
California. 
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Article 1 (commencing with Section
104250) is added to Chapter 4 of Part 1 of Division 103 of the 
 Health and Safety Code   , to read:  

      Article 1.  California Diabetes Program


   104250.  The Legislature finds and declares all of the following:
   (a) It is reported by the California Diabetes Program that one in
seven adult Californians has diabetes, and the numbers are rising
rapidly. The actual number of those whose lives are affected by
diabetes is unknown and stands to be much higher when factoring in
the incidence of type 1 diabetes and undiagnosed gestational
diabetes.
   (b) California has the greatest number of annual new cases of
diabetes in the United States.
   (c) The incidence of diabetes amongst all Californians has
increased 32 percent over the past decade.
   (d) Over 11.4 million people in California have prediabetes, a
condition that is a precursor to full onset type 2 diabetes. This
suggests that the total population of those diagnosed will continue
to rise in the absence of interventions.
   (e) The prevalence of diagnosed gestational diabetes in California
has increased 60 percent in just seven years, from 3.3 percent of
hospital deliveries in 1998 to 5.3 percent of hospital deliveries in
2005, with the federal Centers for Disease Control and Prevention
stating that the diagnosis rate could run as high as 18.3 percent.
   (f) The fiscal impact to the State of California, including total
health care and related costs for the treatment of diabetes, was over
$35.9 billion in 2010.
   (g) A recent study of a large state with a sizable diabetes
population found that the rate of diagnosed diabetes in the state's
Medicaid population is nearly double that of its general population.
   (h) There is no cure for any type of diabetes.
   (i) Diabetes when left untreated can lead to serious and costly
complications and a reduced life span.
   (j) Many of these serious complications can be delayed or avoided
with timely diagnosis, effective patient self-care, and improved
social awareness.
   (k) It is the intent of the Legislature to require the State
Department of Public Health to create a diabetes action plan that
provides policy guidance to prevent, treat, and increase awareness of
diabetes and that aids in the reduction of the fiscal impact of
diabetes to the state.
   104251.  (a) The State Department of Public Health, as part of the
California Diabetes Program, shall submit a report to the
Legislature by December 31 of each odd-numbered year that shall
include all of the following:
   (1) The financial impact of all types of diabetes on the Medi-Cal
program, the Public Employees' Medical and Hospital Care Act
(PEMHCA), as administered by the California Public Employees'
Retirement System (CalPERS) for current employees, their families,
and retirees, and public health programs, and shall include both of
the following:
   (A) The number of individuals with diabetes covered by Medi-Cal or
PEMHCA, and the number of individuals with diabetes without
insurance.
   (B) The cost or impact diabetes and its complications place on
both public and private entities within the state.
   (2) The number of persons with diabetes and family members
impacted by prevention and diabetes control programs implemented by
the State Department of Public Health, the financial toll or impact
diabetes and its complications places on the program, and the
financial toll or impact diabetes and its complications places on the
State Department of Public Health in comparison to other chronic
diseases and conditions.
   (3) An assessment of the benefits of implemented programs and
activities aimed at preventing and controlling diabetes. The
assessment shall document both of the following:
   (A) The amount and source for any funding directed to the State
Department of Public Health from the Legislature for programs and
activities aimed at reaching those with diabetes.
   (B) The amount and source for any funding directed to the State
Department of Public Health that may be used for the purposes of the
action plans required pursuant to paragraph (5).
   (4) A description of the level of coordination between the State
Department of Public Health, the Medi-Cal program, and CalPERS in
preventing, treating, managing, and increasing awareness of all forms
of diabetes and its complications.
   (5) Detailed action plans for combating diabetes with a range of
actionable items for consideration by the Legislature. The plans
shall identify proposed action steps to reduce the impact of type 1
diabetes, type 2 diabetes, gestational diabetes, prediabetes, and
their related complications. The plans shall also identify expected
outcomes of the action steps proposed in the following biennium while
also establishing benchmarks for preventing and controlling relevant
forms of diabetes.
   (6) A detailed budget blueprint identifying needs, costs, and
resources required to implement the action plans required pursuant to
paragraph (5) for consideration by the Legislature. The budget
blueprint to the Legislature shall include a cost-benefit analysis to
assist in prioritizing plans by level of efficiency.
   (b) The State Department of Public Health shall make the biannual
reports available on its Internet Web site.
   (c) A report submitted pursuant to subdivision (a) shall be
submitted in compliance with Section 9795 of the Government Code.
   104252.  (a) In order to reduce potential costs incurred by the
State Department of Public Health in the process of creating the
biannual reports as required pursuant to Section 104251, the State
Department of Public Health may use statistical data from external
sources.
   (b) (1) The State Department of Health Care Services shall provide
to the State Department of Public Health any relevant statistical
data for the purposes of the creation of the biannual report.
   (2) To ensure patient privacy, all data transferred to the State
Department of Public Health from the State Department of Health Care
Services shall conform to requirements described in the federal
Health Insurance Portability and Accountability Act of 1996 (Public
Law 104-191).
   104253.  The State Department of Public Health shall ensure that
all grant funds from the federal Centers for Disease Control and
Prevention and other federal sources for the California Diabetes
Program are expended for the purpose of diabetes prevention,
treatment, awareness pursuant to the grant requirements, and the
creation of the biannual reports as required pursuant to Section
104251.  
  SECTION 1.    It is the intent of the Legislature
to enact legislation that would create a statewide plan to address
diabetes in California.