California 2023-2024 Regular Session

California Assembly Bill AB1965 Compare Versions

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1-Amended IN Senate May 30, 2024 Amended IN Assembly April 04, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1965Introduced by Assembly Member Blanca Rubio(Coauthors: Assembly Members Aguiar-Curry, Bonta, Haney, Schiavo, and Weber)January 29, 2024An act to add Section 131022 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 1965, as amended, Blanca Rubio. Public health: Office of Tribal Affairs.Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, 2 chief deputies, subject to confirmation by the Senate.This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to regularly consult with California tribal representatives, as specified, and oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations. Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) The health impacts of colonialism and state-sponsored historical trauma persist in tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.SEC. 2. Section 131022 is added to the Health and Safety Code, to read:131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
1+Amended IN Assembly April 04, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1965Introduced by Assembly Member Blanca Rubio(Coauthors: Assembly Members Aguiar-Curry, Bonta, Haney, Schiavo, and Weber)January 29, 2024An act to add Section 131022 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 1965, as amended, Blanca Rubio. Public health: Office of Tribal Affairs.Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, two 2 chief deputies, subject to confirmation by the Senate.This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting Tribal tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations. Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) a. The health impacts of colonialism and state-sponsored historical trauma persist in Tribal tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.SEC. 2. Section 131022 is added to the Health and Safety Code, to read:131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. (c)(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
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3- Amended IN Senate May 30, 2024 Amended IN Assembly April 04, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1965Introduced by Assembly Member Blanca Rubio(Coauthors: Assembly Members Aguiar-Curry, Bonta, Haney, Schiavo, and Weber)January 29, 2024An act to add Section 131022 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 1965, as amended, Blanca Rubio. Public health: Office of Tribal Affairs.Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, 2 chief deputies, subject to confirmation by the Senate.This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to regularly consult with California tribal representatives, as specified, and oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations. Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
3+ Amended IN Assembly April 04, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1965Introduced by Assembly Member Blanca Rubio(Coauthors: Assembly Members Aguiar-Curry, Bonta, Haney, Schiavo, and Weber)January 29, 2024An act to add Section 131022 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGESTAB 1965, as amended, Blanca Rubio. Public health: Office of Tribal Affairs.Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, two 2 chief deputies, subject to confirmation by the Senate.This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting Tribal tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations. Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
44
5- Amended IN Senate May 30, 2024 Amended IN Assembly April 04, 2024
5+ Amended IN Assembly April 04, 2024
66
7-Amended IN Senate May 30, 2024
87 Amended IN Assembly April 04, 2024
98
109 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION
1110
1211 Assembly Bill
1312
1413 No. 1965
1514
1615 Introduced by Assembly Member Blanca Rubio(Coauthors: Assembly Members Aguiar-Curry, Bonta, Haney, Schiavo, and Weber)January 29, 2024
1716
1817 Introduced by Assembly Member Blanca Rubio(Coauthors: Assembly Members Aguiar-Curry, Bonta, Haney, Schiavo, and Weber)
1918 January 29, 2024
2019
2120 An act to add Section 131022 to the Health and Safety Code, relating to public health.
2221
2322 LEGISLATIVE COUNSEL'S DIGEST
2423
2524 ## LEGISLATIVE COUNSEL'S DIGEST
2625
2726 AB 1965, as amended, Blanca Rubio. Public health: Office of Tribal Affairs.
2827
29-Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, 2 chief deputies, subject to confirmation by the Senate.This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to regularly consult with California tribal representatives, as specified, and oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations.
28+Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, two 2 chief deputies, subject to confirmation by the Senate.This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting Tribal tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations.
3029
31-Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, 2 chief deputies, subject to confirmation by the Senate.
30+Existing law establishes the State Department of Public Health that is led by the State Public Health Officer, who is appointed by the Governor and subject to confirmation by the Senate. The Governor is authorized to appoint, upon the recommendation of the State Public Health Officer, two 2 chief deputies, subject to confirmation by the Senate.
3231
33-This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to regularly consult with California tribal representatives, as specified, and oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations.
32+This bill would establish the Office of Tribal Affairs within the department to be led by a Tribal Health Liaison to assist in addressing the public health disparities impacting Tribal tribal communities. The bill would require the office to communicate needs and to propose specific solutions from tribal communities to the department and state entities, as specified. The bill would provide that the Tribal Health Liaison be appointed by and serve at the pleasure of the State Public Health Officer and would require the State Public Health Officer to regularly consult with and consider input and information provided by the Tribal Health Liaison. The bill would require the Tribal Health Liaison, among other duties, to oversee the departments tribal health equity meetings, advisory groups, and workgroups. The bill would make related findings and declarations.
3433
3534 ## Digest Key
3635
3736 ## Bill Text
3837
39-The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) The health impacts of colonialism and state-sponsored historical trauma persist in tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.SEC. 2. Section 131022 is added to the Health and Safety Code, to read:131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
38+The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) a. The health impacts of colonialism and state-sponsored historical trauma persist in Tribal tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.SEC. 2. Section 131022 is added to the Health and Safety Code, to read:131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. (c)(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
4039
4140 The people of the State of California do enact as follows:
4241
4342 ## The people of the State of California do enact as follows:
4443
45-SECTION 1. The Legislature finds and declares all of the following:(a) The health impacts of colonialism and state-sponsored historical trauma persist in tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.
44+SECTION 1. The Legislature finds and declares all of the following:(a) a. The health impacts of colonialism and state-sponsored historical trauma persist in Tribal tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.
4645
47-SECTION 1. The Legislature finds and declares all of the following:(a) The health impacts of colonialism and state-sponsored historical trauma persist in tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.
46+SECTION 1. The Legislature finds and declares all of the following:(a) a. The health impacts of colonialism and state-sponsored historical trauma persist in Tribal tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state. (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.(c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.
4847
4948 SECTION 1. The Legislature finds and declares all of the following:
5049
5150 ### SECTION 1.
5251
53-(a) The health impacts of colonialism and state-sponsored historical trauma persist in tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state.
52+(a) a. The health impacts of colonialism and state-sponsored historical trauma persist in Tribal tribal communities in a deep-rooted and enduring way. Existing law requires, due to major health disparities, the state to conduct studies on the health of American Indian and Alaska Native (AIAN) communities across the state.
5453
5554 (b) Unfortunately, AIAN focused studies, recommendations, and policy solutions have not been produced by some state agencies, including the State Department of Public Health, for many years.
5655
5756 (c) According to the State Department of Public Health, age-adjusted opioid overdose death rates in California were highest amongst AIANs in 2022. Further, in 2020 and 2021, diabetes prevalence and mortality were two times higher among AIANs in California as compared with non-Hispanic Whites. According to the federal Centers for Disease Control and Prevention, in 2021 AIAN women had the highest rates of syphilis (21.3 per 100,000), which was a 57.5 percent increase from 2020, and AIAN babies were up to eight times more likely to have newborn syphilis than babies born to White mothers. Although AIANs contributed only 0.7 percent of all live births in the United States in 2021, they made up 3.6% of all congenital syphilis cases. Sudden Infant Death rates were highest among AIANs at 213.5 per 100,000 live births in 2020.
5857
59-SEC. 2. Section 131022 is added to the Health and Safety Code, to read:131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
58+SEC. 2. Section 131022 is added to the Health and Safety Code, to read:131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. (c)(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
6059
6160 SEC. 2. Section 131022 is added to the Health and Safety Code, to read:
6261
6362 ### SEC. 2.
6463
65-131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
64+131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. (c)(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
6665
67-131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
66+131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. (c)(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
6867
69-131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
68+131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.(b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. (c)(d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.(e) The office shall do all of the following:(1) Engage with tribes and other relevant partners to understand their needs.(2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.(3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.(4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.(5) In collaboration with tribes, develop and establish a tribal consultation policy.(f) For purposes of this section, the following definitions apply:(1) Department means the State Department of Public Health.(2) Office means the Office of Tribal Affairs established pursuant to this section.
7069
7170
7271
73-131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting tribal communities.
72+131022. (a) There is within the State Department of Public Health an Office of Tribal Affairs to assist in addressing the public health disparities impacting Tribal tribal communities.
7473
7574 (b) The Office of Tribal Affairs is led by the Tribal Health Liaison, who shall be appointed by and serve at the pleasure of the State Public Health Officer.
7675
77-(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups. do both of the following:
76+(c) The Tribal Health Liaison shall, among other duties, oversee the departments tribal health equity meetings, advisory groups, and workgroups.
7877
79-(1) Oversee the departments tribal health equity meetings, advisory groups, and workgroups.
78+(c)
8079
81-(2) Regularly consult with California tribal representatives on regulations, rules, and policies that may impact tribes.
80+
8281
8382 (d) The State Public Health Officer shall regularly consult with and consider input and information provided by the Tribal Health Liaison.
8483
8584 (e) The office shall do all of the following:
8685
8786 (1) Engage with tribes and other relevant partners to understand their needs.
8887
8988 (2) Serve as the liaison to communicate needs and to propose specific solutions from tribal communities to the department, the California Health and Human Services Agency, state COVID-19 task forces, and other state agencies.
9089
9190 (3) Ensure that the support and technical assistance provided by the department is culturally competent and timely.
9291
9392 (4) Launch and coordinate an advisory board of tribal representatives to ensure ongoing feedback and input on emerging issues for the purpose of ensuring culturally and community-responsive program improvements.
9493
9594 (5) In collaboration with tribes, develop and establish a tribal consultation policy.
9695
9796 (f) For purposes of this section, the following definitions apply:
9897
9998 (1) Department means the State Department of Public Health.
10099
101100 (2) Office means the Office of Tribal Affairs established pursuant to this section.