California 2019 2019-2020 Regular Session

California Assembly Bill AB2466 Introduced / Bill

Filed 02/19/2020

                    CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2466Introduced by Assembly Member BloomFebruary 19, 2020 An act to amend Section 104250 of the Health and Safety Code, relating to diabetes. LEGISLATIVE COUNSEL'S DIGESTAB 2466, as introduced, Bloom. Diabetes.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, including diabetes. Existing law makes findings about the impact of diabetes in California and states the intent of the Legislature to require the department to submit information to the Legislature as specified, on diabetes prevention and management activities and expenditures of the department.This bill would makes technical, nonsubstantive changes to those provisions.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: NO  Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 104250 of the Health and Safety Code is amended to read: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 highest number of annual new cases of diabetes in the United States.(c) The incidence of diabetes amongst among 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.(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.

 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2466Introduced by Assembly Member BloomFebruary 19, 2020 An act to amend Section 104250 of the Health and Safety Code, relating to diabetes. LEGISLATIVE COUNSEL'S DIGESTAB 2466, as introduced, Bloom. Diabetes.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, including diabetes. Existing law makes findings about the impact of diabetes in California and states the intent of the Legislature to require the department to submit information to the Legislature as specified, on diabetes prevention and management activities and expenditures of the department.This bill would makes technical, nonsubstantive changes to those provisions.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: NO  Local Program: NO 





 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION

 Assembly Bill 

No. 2466

Introduced by Assembly Member BloomFebruary 19, 2020

Introduced by Assembly Member Bloom
February 19, 2020

 An act to amend Section 104250 of the Health and Safety Code, relating to diabetes. 

LEGISLATIVE COUNSEL'S DIGEST

## LEGISLATIVE COUNSEL'S DIGEST

AB 2466, as introduced, Bloom. Diabetes.

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, including diabetes. Existing law makes findings about the impact of diabetes in California and states the intent of the Legislature to require the department to submit information to the Legislature as specified, on diabetes prevention and management activities and expenditures of the department.This bill would makes technical, nonsubstantive changes to those provisions.

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, including diabetes. Existing law makes findings about the impact of diabetes in California and states the intent of the Legislature to require the department to submit information to the Legislature as specified, on diabetes prevention and management activities and expenditures of the department.

This bill would makes technical, nonsubstantive changes to those provisions.

## Digest Key

## Bill Text

The people of the State of California do enact as follows:SECTION 1. Section 104250 of the Health and Safety Code is amended to read: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 highest number of annual new cases of diabetes in the United States.(c) The incidence of diabetes amongst among 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.(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.

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 104250 of the Health and Safety Code is amended to read: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 highest number of annual new cases of diabetes in the United States.(c) The incidence of diabetes amongst among 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.(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.

SECTION 1. Section 104250 of the Health and Safety Code is amended to read:

### SECTION 1.

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 highest number of annual new cases of diabetes in the United States.(c) The incidence of diabetes amongst among 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.(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.

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 highest number of annual new cases of diabetes in the United States.(c) The incidence of diabetes amongst among 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.(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.

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 highest number of annual new cases of diabetes in the United States.(c) The incidence of diabetes amongst among 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.(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.



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 highest number of annual new cases of diabetes in the United States.

(c) The incidence of diabetes amongst among 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.

(h) A recent study of a large state with a sizable diabetes population found that the rate of diagnosed diabetes in that states Medicaid population is nearly double that of its general population.

(i) There is no cure for any type of diabetes; however, there is evidence that diabetes can be prevented or delayed in onset through lifestyle changes and medical intervention.

(j) Diabetes, when left untreated, can lead to serious and costly complications and a reduced lifespan.

(k) Many of these serious complications can be delayed or avoided with timely diagnosis, effective patient self-care, and improved social awareness.

(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 management activities conducted by the State Department of Public Health department and expenditures associated with diabetes prevention and management activities. These activities are set forth by the State Department of Public Health department in the California Wellness Plan 2014 and the report dated September 2014 entitled Burden of Diabetes in California.