BILL NUMBER: AB 572 AMENDED
BILL TEXT
AMENDED IN SENATE JULY 2, 2015
AMENDED IN ASSEMBLY APRIL 16, 2015
AMENDED IN ASSEMBLY APRIL 8, 2015
INTRODUCED BY Assembly Member Beth Gaines
(Coauthors: Assembly Members Chávez, Cristina Garcia, Gonzalez,
and Ridley-Thomas)
FEBRUARY 24, 2015
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 572, as amended, Beth Gaines. California
Diabetes Program. prevention: treatment.
Existing law establishes the State Department of Public Health and
sets forth its powers and duties pertaining to, among other things,
protecting, preserving, and advancing public health, including
disseminating information regarding diseases.
This bill would require the State Department of Public Health to
develop a detailed action plan for the prevention and
treatment of diabetes, update the California Wellness
Plan 2014 to include specified items, including priorities and
performance measures that are based upon evidence-based strategies to
prevent and control diabetes, and to submit a report to the
Legislature by January 1, 2018, that includes an update on
the status of the plan and the progress of those
specified plan objectives and outcomes.
items.
The bill would also make related findings and declarations.
Vote: majority. Appropriation: no. Fiscal committee: 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. Diabetes.
104250. The Legislature finds and declares all of the following:
(a) It is reported 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) There is a disproportionate prevalence of type 2 diabetes
among Californians who are Black, Hispanic, or of Asian origin
compared to the general population. As of 2010, the incidence of
diabetes among Black and Hispanic people was nearly double that among
non-Hispanic Whites at approximately 14 percent. Asians and Pacific
Islanders, in the aggregate, experience higher rates of diabetes than
other populations. Certain groups within the Asian and Pacific
Islander population experience the highest prevalence and risk
overall, including Filipino, South Asians, and Pacific Islanders, who
suffer from diabetes at rates of 15 percent, 16 percent, and more
than 18 percent respectively.
(g)
(h) A recent study of a large state with a sizable
diabetes population found that the rate of diagnosed diabetes in that
state's Medicaid population is nearly double that of its general
population.
(h)
( i) There is no cure for any type of
diabetes. diabetes; however, there is
evidence that diabetes can be prevented or delayed in onset through
lifestyle changes and medical intervention.
(i)
(j) Diabetes when left untreated can lead to serious
and costly complications and a reduced lifespan.
(j)
( k) Many of these serious complications can
be delayed or avoided with timely diagnosis, effective patient
self-care, and improved social awareness.
(k)
(l) It is the intent of the Legislature to require the
State Department of Public Health to provide to the Legislature
information, including the annual federal Centers for Disease Control
and Prevention progress report, on diabetes prevention and control
activities conducted by the State Department of Public Health and
expenditures associated with diabetes prevention and control
activities. These activities are set forth by the State Department of
Public Health in the California Wellness Plan 2014 and the report
dated September 2014 entitled "Burden of Diabetes in California."
104251. (a) The State Department of Public Health shall
develop a detailed action plan for the prevention and treatment of
diabetes in the state. The plan shall include, at a minimum,
update the California Wel lness Plan 2014
to include all of the following items:
(1) Priorities and performance measures that are based upon
evidence-based strategies to prevent or control diabetes. The plan
shall also identify expected outcomes of the action steps
proposed priorities and performance measures and
establish benchmarks for controlling and preventing relevant forms
of diabetes.
(2) An analysis of the financial impact on the state of
all types of diabetes. This assessment shall include the
number of persons living with diabetes, the number of family members
affected by diabetes, the financial impact diabetes and its
complications have on the state, and the financial impact of diabetes
in comparison to other chronic diseases and conditions.
(3) A summary of expenditures by the department on programs and
activities aimed at preventing or controlling diabetes.
(4) A summary of the amount and source of any funding directed to
the department for programs and activities aimed at controlling or
preventing diabetes.
(5) A description of the existing level of coordination between
state departments and entities with regard to activities,
programmatic activities, and the provision of information to the
public regarding managing, treating, managing
and preventing all forms of diabetes and
its complications.
(6) A detailed budget blueprint identifying needs, costs, and
resources required to implement the plan.
items listed in paragraphs (1) to (5), inclusive. This
blueprint shall include a budget range for each action step
priority and performance measure identified.
(7) Policy recommendations for the prevention and
treatment management of diabetes.
(b) The plan may revise the priorities and performance measures
previously set forth as part of the California Wellness Plan, the
Burden of Diabetes in California report, or other diabetes prevention
programs within the State Department of Public Health.
(c)
(b) The State Department of Public Health shall submit
a report to the Legislature on or before January 1, 2018, and
biennially thereafter, that includes an update on the status
of the plan and the progress of plan objectives
and outcomes. the plan items listed in paragraphs (1)
to (7), inclusive, of subdivision (a). The report shall
additionally include recommendations for improving the
those plan items based upon
activities and findings to date. The State Department of Public
Health shall make the report and any updates issued pursuant to this
section available on its Internet Web site.
(d)
(c) (1) The requirement for submitting a report imposed
under subdivision (c) (b) is
inoperative on January 1, 2024.
(2) The report submitted to the Legislature pursuant to this
section shall be submitted in compliance with Section 9795 of the
Government Code.