Amended IN Assembly March 01, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 1881Introduced by Assembly Members Fong and Salas(Principal coauthor: Assembly Member Mathis)(Principal coauthor: Senator Fuller)(Coauthor: Assembly Member Cunningham)(Coauthors: Assembly Members Cunningham, Gallagher, and Lackey)(Coauthors: Senators Vidak and Wilk)January 17, 2018 An act to add Section 101161 to the Health and Safety Code, relating to health. LEGISLATIVE COUNSEL'S DIGESTAB 1881, as amended, Fong. Valley Fever testing.Existing law requires the State Department of Public Health to establish a list of reportable communicable and noncommunicable diseases and conditions and specify the timeliness requirements related to the reporting of each disease and condition. Existing law also supports research into the development of a vaccine to protect against coccidioidomycosis, also known as Valley Fever. This bill would standardize testing for coccidioidomycosis by requiring encourage a medical provider to order, or a city or county public health laboratory to use, 2 specified blood tests in suspected cases of coccidioidomycosis. By imposing specific coccidioidomycosis testing requirements on local health departments, the bill would create a state-mandated local program. coccidioidomycosis, but would allow the ordering or use of other types of tests. The bill would require the department to develop standardized methodology for specified coccidioidomycosis tests to ensure comparable sensitivity and specificity among laboratories, among other things.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESNO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 101161 is added to the Health and Safety Code, to read:101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever:(a)(1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody.(b)(2) A complement fixation test to determine the immunoglobulin G titer.(b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis.(c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories.SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. Amended IN Assembly March 01, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 1881Introduced by Assembly Members Fong and Salas(Principal coauthor: Assembly Member Mathis)(Principal coauthor: Senator Fuller)(Coauthor: Assembly Member Cunningham)(Coauthors: Assembly Members Cunningham, Gallagher, and Lackey)(Coauthors: Senators Vidak and Wilk)January 17, 2018 An act to add Section 101161 to the Health and Safety Code, relating to health. LEGISLATIVE COUNSEL'S DIGESTAB 1881, as amended, Fong. Valley Fever testing.Existing law requires the State Department of Public Health to establish a list of reportable communicable and noncommunicable diseases and conditions and specify the timeliness requirements related to the reporting of each disease and condition. Existing law also supports research into the development of a vaccine to protect against coccidioidomycosis, also known as Valley Fever. This bill would standardize testing for coccidioidomycosis by requiring encourage a medical provider to order, or a city or county public health laboratory to use, 2 specified blood tests in suspected cases of coccidioidomycosis. By imposing specific coccidioidomycosis testing requirements on local health departments, the bill would create a state-mandated local program. coccidioidomycosis, but would allow the ordering or use of other types of tests. The bill would require the department to develop standardized methodology for specified coccidioidomycosis tests to ensure comparable sensitivity and specificity among laboratories, among other things.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESNO Amended IN Assembly March 01, 2018 Amended IN Assembly March 01, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 1881 Introduced by Assembly Members Fong and Salas(Principal coauthor: Assembly Member Mathis)(Principal coauthor: Senator Fuller)(Coauthor: Assembly Member Cunningham)(Coauthors: Assembly Members Cunningham, Gallagher, and Lackey)(Coauthors: Senators Vidak and Wilk)January 17, 2018 Introduced by Assembly Members Fong and Salas(Principal coauthor: Assembly Member Mathis)(Principal coauthor: Senator Fuller)(Coauthor: Assembly Member Cunningham)(Coauthors: Assembly Members Cunningham, Gallagher, and Lackey)(Coauthors: Senators Vidak and Wilk) January 17, 2018 An act to add Section 101161 to the Health and Safety Code, relating to health. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1881, as amended, Fong. Valley Fever testing. Existing law requires the State Department of Public Health to establish a list of reportable communicable and noncommunicable diseases and conditions and specify the timeliness requirements related to the reporting of each disease and condition. Existing law also supports research into the development of a vaccine to protect against coccidioidomycosis, also known as Valley Fever. This bill would standardize testing for coccidioidomycosis by requiring encourage a medical provider to order, or a city or county public health laboratory to use, 2 specified blood tests in suspected cases of coccidioidomycosis. By imposing specific coccidioidomycosis testing requirements on local health departments, the bill would create a state-mandated local program. coccidioidomycosis, but would allow the ordering or use of other types of tests. The bill would require the department to develop standardized methodology for specified coccidioidomycosis tests to ensure comparable sensitivity and specificity among laboratories, among other things.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above. Existing law requires the State Department of Public Health to establish a list of reportable communicable and noncommunicable diseases and conditions and specify the timeliness requirements related to the reporting of each disease and condition. Existing law also supports research into the development of a vaccine to protect against coccidioidomycosis, also known as Valley Fever. This bill would standardize testing for coccidioidomycosis by requiring encourage a medical provider to order, or a city or county public health laboratory to use, 2 specified blood tests in suspected cases of coccidioidomycosis. By imposing specific coccidioidomycosis testing requirements on local health departments, the bill would create a state-mandated local program. coccidioidomycosis, but would allow the ordering or use of other types of tests. The bill would require the department to develop standardized methodology for specified coccidioidomycosis tests to ensure comparable sensitivity and specificity among laboratories, among other things. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 101161 is added to the Health and Safety Code, to read:101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever:(a)(1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody.(b)(2) A complement fixation test to determine the immunoglobulin G titer.(b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis.(c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories.SEC. 2.If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 101161 is added to the Health and Safety Code, to read:101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever:(a)(1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody.(b)(2) A complement fixation test to determine the immunoglobulin G titer.(b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis.(c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories. SECTION 1. Section 101161 is added to the Health and Safety Code, to read: ### SECTION 1. 101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever:(a)(1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody.(b)(2) A complement fixation test to determine the immunoglobulin G titer.(b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis.(c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories. 101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever:(a)(1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody.(b)(2) A complement fixation test to determine the immunoglobulin G titer.(b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis.(c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories. 101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever:(a)(1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody.(b)(2) A complement fixation test to determine the immunoglobulin G titer.(b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis.(c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories. 101161. (a) A medical provider shall is encouraged to order, or a city or county public health laboratory shall is encouraged to use, both of the following serologic tests in a suspected case of coccidioidomycosis, also known as Valley Fever: (a) (1) An immunodiffusion test to determine the presence of coccidioides precipitin immunoglobulin M antibody or immunoglobulin G antibody. (b) (2) A complement fixation test to determine the immunoglobulin G titer. (b) A medical provider may order, or a city or county public health laboratory may use, a coccidioides antigen enzyme immunoassay or other test in a suspected case of coccidioidomycosis. (c) The department shall develop standardized methodology for tests ordered or used pursuant to subdivision (a), including, but not limited to, methodology to ensure comparable sensitivity and specificity among laboratories. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.