BILL NUMBER: AB 572	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 8, 2015

INTRODUCED BY   Assembly Member Beth Gaines
   (Coauthors: Assembly Members Chávez, Cristina Garcia, and
Gonzalez)

                        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.
   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, and to  submit a report to the Legislature by an
unspecified date that includes  , among other things,
information on the financial impact of all types of diabetes on
Californians, an assessment of the benefits of implemented programs
aimed at controlling diabetes and preventing the disease, and action
plans for battling diabetes.   an update on the status
of the plan and the progress of plan objectives and outcomes. 
   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) 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) 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) 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".   California.   "  
   104251.  (a) The State Department of Public Health shall submit a
report to the Legislature on or before ______, that includes all of
the following:
   (1) The financial impact of all types of diabetes on Californians.
Items included in this assessment shall include the number of
persons living with diabetes, the number of family members impacted
by prevention and diabetes control programs implemented by the
department, the financial impact diabetes and its complications have
on the state, and the financial toll or impact of diabetes in
comparison to other chronic diseases and conditions.
   (2) An assessment of the benefits of implemented programs and
activities aimed at controlling diabetes and preventing the disease.
This assessment shall also document the amount and source for any
funding directed to the department for programs and activities aimed
at reaching those with diabetes.
   (3) A description of the level of coordination existing between
state departments and entities on activities, programmatic
activities, and providing information to the public regarding
managing, treating, and preventing all forms of diabetes and its
complications.
   (4) The development or revision of detailed action plans for
battling diabetes with a range of actionable items for consideration
by the Legislature. The plans shall identify proposed action steps to
reduce the impact of diabetes, pre-diabetes, and related diabetes
complications. The plans shall also identify expected outcomes of the
action steps proposed in the following biennium while also
establishing benchmarks for controlling and preventing relevant forms
of diabetes.
   (5) The development of a detailed budget blueprint identifying
needs, costs, and resources required to implement the plan identified
in paragraph (4). This blueprint shall include a budget range for
all options presented in the plan identified in paragraph (4).
   (b) The report submitted to the Legislature pursuant to this
section shall be submitted in compliance with Section 9795 of the
Government Code.
   (c) This section shall remain in effect only until ______, and as
of that date is repealed, unless a later enacted statute, that is
enacted before ______, deletes or extends that date.  
   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, 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
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 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, and preventing all forms of
diabetes and its complications.
   (6) A detailed budget blueprint identifying needs, costs, and
resources required to implement the plan. This blueprint shall
include a budget range for each action step identified.
   (7) Policy recommendations for the prevention and treatment 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) The State Department of Public Health shall submit a report to
the Legislature on or before ______, and biennially thereafter, that
includes an update on the status of the plan and the progress of
plan objectives and outcomes. The report shall additionally include
recommendations for improving the plan 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) (1) The requirement for submitting a report imposed under
subdivision (c) is inoperative on ____, pursuant to Section 10231.5
of the Government Code.
   (2) The report submitted to the Legislature pursuant to this
section shall be submitted in compliance with Section 9795 of the
Government Code.