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AB-1592 California Diabetes Program.(2013-2014)

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Enrolled  August 29, 2014
Passed  IN  Senate  August 25, 2014
Passed  IN  Assembly  August 26, 2014
Amended  IN  Senate  August 19, 2014
Amended  IN  Senate  June 23, 2014
Amended  IN  Assembly  May 28, 2014
Amended  IN  Assembly  May 23, 2014
Amended  IN  Assembly  May 06, 2014
Amended  IN  Assembly  April 23, 2014
Amended  IN  Assembly  April 02, 2014
Amended  IN  Assembly  March 20, 2014

CALIFORNIA LEGISLATURE— 2013–2014 REGULAR SESSION

Assembly Bill
No. 1592


Introduced by Assembly Member Beth Gaines
(Coauthors: Assembly Members Bonta, Chávez, Fong, Fox, Garcia, and Gonzalez)

February 03, 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, and declaring the urgency thereof, to take effect immediately.


LEGISLATIVE COUNSEL'S DIGEST


AB 1592, Beth Gaines. 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 State Department of Public Health to submit a report to the Legislature by December 31, 2015, that includes, among other things, information on the progress of the implementation of evidence-based strategies aimed at preventing and managing diabetes, and actionable items for consideration by the Legislature that will aid in attaining the goals set forth by the department in the California Wellness Plan for 2014 and the Diabetes Burden Report. The bill would also authorize the department to update the report as necessary and at the department’s discretion. The bill would require the department to make the report and any updates available on its Internet Web site. The bill would require the State Department of Public Health to also include guidelines to reduce the fiscal burden of diabetes to the state in the Diabetes Burden Report, which is to be completed by December 31, 2014.
The bill would also make related findings and declarations.
This bill would declare that it is to take effect immediately as an urgency statute.
Vote: 2/3   Appropriation: NO   Fiscal Committee: YES   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 lifespan.
(j) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.
(k) The State Department of Public Health has created the California Wellness Plan for 2014 that provides a set of desired outcomes regarding diabetes in the state.
(l) The State Department of Public Health will complete a Diabetes Burden Report by December 31, 2014, and will include in the report, information on the prevalence of diabetes in California compared to the rest of the United States, risk factors for developing diabetes and diabetes complications, and the prevalence of obesity and cardiovascular disease risk factors among individuals with diabetes as compared to individuals without diabetes in California. The report will address the prevalence of prediabetes, complications of diabetes, and diabetes mortality in California. The report will also outline the department’s programs and activities that address the burden of diabetes in California.
(m) It is the intent of the Legislature to require the State Department of Public Health, as part of the California Diabetes Program, to provide to the Legislature information, including the annual federal Centers for Disease Control and Prevention progress report on diabetes-related activities conducted by the State Department of Public Health and expenditures associated with diabetes-related program activities. These activities are set forth by the State Department of Public Health in the California Wellness Plan for 2014 and the Diabetes Burden Report.

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, 2015, that shall include all of the following:
(1) Information on the progress of the implementation of evidence-based strategies aimed at preventing and managing diabetes and the yearly expenditures associated with the implementation of these strategies.
(2) The annual Federal Centers for Disease Control and Prevention progress report on diabetes-related activities conducted by the State Department of Public Health.
(3) The amount and source for any funding directed to the State Department of Public Health and the State Department of Health Care Services from the Legislature for programs and activities aimed at reaching those with diabetes.
(4) A description of the level of coordination between the State Department of Public Health and the State Department of Health Care Services in preventing, managing, and increasing awareness of all forms of diabetes and its complications within the Medi-Cal population.
(5) Actionable items for consideration by the Legislature that will aid in attaining the goals set forth by the State Department of Public Health in the California Wellness Plan for 2014 and the Diabetes Burden Report.
(b) The State Department of Public Health may, as necessary and at its discretion, issue updates to the report specified in subdivision (a) in future years. The State Department of Public Health shall make the report and any updates issued pursuant to this section available on its Internet Web site. The report and any updates submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.

104252.
 The State Department of Public Health shall also include in the Diabetes Burden Report, which is to be completed by December 31, 2014, guidelines that will reduce the fiscal burden of diabetes to the state.

SEC. 2.

 This act is an urgency statute necessary for the immediate preservation of the public peace, health, or safety within the meaning of Article IV of the Constitution and shall go into immediate effect. The facts constituting the necessity are:
In order for the state to combat diabetes and reduce the fiscal burden to the state in combating diabetes at the earliest possible time, it is necessary that this act take effect immediately.