Bill Text: IL HR1276 | 2017-2018 | 100th General Assembly | Introduced

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Bill Title: Endorses and supports the Screen at 23 campaign and urges the Illinois Department of Public Health to endorse and support the Screen at 23 campaign's efforts to increase awareness of diabetes among Asian American communities, including using appropriate screening measures for Asian American patients, and to eliminate disparities.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Passed) 2018-11-28 - Resolution Adopted [HR1276 Detail]

Download: Illinois-2017-HR1276-Introduced.html

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HOUSE RESOLUTION
WHEREAS, November is American Diabetes Month, and
approximately 1,325,000 people in Illinois, or 12.5% of the
adult population, have diabetes; residents of Asian American
heritage comprise 7.8% of the population of the State of
Illinois; and
WHEREAS, Diabetes is the fifth leading cause of death among
Asian Americans; and
WHEREAS, Asian Americans are over 30% more likely to have
diabetes than white Americans; and
WHEREAS, Asian Americans are also at greater risk of
developing prediabetes, diabetes, and associated risks, such
as cardiovascular disease, at a lower body mass index (BMI)
than whites, Hispanics, African Americans, or Native
Americans; and
WHEREAS, Asian Americans face a healthcare disparity in
type 2 diabetes detection and diagnosis; this is due in part to
general guidelines calling for screening at a body mass index
of 25kg/m2; this current guideline misses 36% of diabetes
diagnoses in Asian Americans over the age of 45 in Illinois,
approximately 16,030 individuals; this also underestimates the

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prevalence of prediabetes among Asian Americans and the
increased risk of both among younger Asian Americans; and
WHEREAS, Two out of three persons with type 2 diabetes die
from heart attack or stroke, and adults with diabetes are at
risk for developing end stage renal disease and kidney failure,
blindness, and lower limb loss; and
WHEREAS, The per capita health care cost of direct medical
expenses for diagnosed and undiagnosed diabetes, prediabetes,
and gestational diabetes, along with associated indirect costs
and productivity loss in Illinois, is an estimated $8,981 per
year; in 2017, the annual cost for diabetes in Illinois was
estimated at $8.7 billion in medical costs plus $3.2 billion in
productivity loss; and
WHEREAS, Early detection and treatment can mitigate
diabetes-related complications, risks, and costs; and
WHEREAS, Interventions focusing on nutrition, physical
activity, and healthy weight loss have been shown to reverse
prediabetes, improve glucose function in diabetics, and reduce
the need for multiple medications; and
WHEREAS, Screening Asian American patients aged 45 and
older at a body mass index of 23kg/m2 instead of 25kg/m2 would

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unmask over 9,222 diabetes cases and many thousands more
prediabetes cases and would lead to increased screenings among
younger Asian Americans at risk for diabetes at BMI 23, thereby
initiating treatment or early interventions to reduce negative
co-morbidities like heart diseases, kidney diseases, and limb
amputation; and
WHEREAS, The National Institutes of Health found that more
than half of Asian Americans with diabetes are undiagnosed,
greatly increasing their overall health risk; and
WHEREAS, According to community-based participatory
research and studies on Asian American subpopulations, Asian
Americans also have increased risk for diabetes and
prediabetes; and
WHEREAS, Recent analysis of cross-sectional national data
shows Asian Americans are the least likely ethnic group to
receive recommended diabetes screening, with a 34% lower rate
of diabetes screening than white Americans; and
WHEREAS, The World Health Organization recommends
screening Asian patients at a lower body mass index than
non-Hispanic whites, and the 2015 official guidelines of the
American Diabetes Association recommend that Asian Americans
should be tested for type 2 diabetes at a body mass index of

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23; and
WHEREAS, The Asian American, Native Hawaiian, and Pacific
Islander Diabetes Coalition has coordinated the Screen at 23
campaign with the support of over 40 national and regional
health organizations; and
WHEREAS, The State of Illinois has the opportunity to join
Hawaii, California, and Massachusetts as the fourth state to
formally recognize and recommend screening adult Asian
Americans for type 2 diabetes at a body mass index of 23,
enabling thousands of individuals to get the early care and
treatment needed to live healthier and happier lives;
therefore, be it
RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
HUNDREDTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that we
endorse and support the Screen at 23 campaign and urge the
Illinois Department of Public Health to endorse and support the
Screen at 23 campaign's efforts to increase awareness of
diabetes among Asian American communities, including using
appropriate screening measures for Asian American patients,
and to eliminate disparities; and be it further
RESOLVED, That the Illinois Department of Public Health is
urged to actively encourage, via existing communication

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protocols and internal mechanisms, all public and private
health providers and facilities to also participate in these
efforts; and be it further
RESOLVED, That suitable copies of this resolution be
delivered to the Governor and the Director of Public Health.