August 17, 2018 Edition

CHEAC Annual Meeting Registration Closes in Two Weeks

This is a friendly reminder that registration for the 2018 CHEAC Annual Meeting closes in two weeks on September 1, 2018. This year’s meeting will be held from October 17 – October 19 and will provide local health department professionals representing a wide variety of disciplines throughout California with networking and learning opportunities.

Members are encouraged to stay at the Hyatt Regency as all conference programming will occur at this location. Availability remains in CHEAC’s room block at the Hyatt Regency, though CHEAC’s discounted room rate has limited availability. Rooms will be offered at the Hyatt’s prevailing room rate when CHEAC’s rate is not available.

More information on this year’s CHEAC Annual Meeting, including registration, is available here.

Suspense File Hearings Held, Two Weeks Remain in Legislative Session

Yesterday, the Senate and Assembly Appropriations Committees held their suspense file hearings, meeting today’s deadline for fiscal committees to meet and report bills to the floor. Both committees reviewed more than 600 measures combined, deciding the fate of a significant number of bills with just two weeks remaining in the legislative session. The California Legislature now enters a floor-only session ahead of its August 31 adjournment date.

Below, we highlight actions of interest from suspense file hearings to CHEAC Members. This week’s CHEAC Weekly Bill Chart is available here.

Environmental Health

AB 626 (E. Garcia) – Oppose – Do Pass

AB 626 by Assembly Member Eduardo Garcia would create a new type of food facility defined as a “microenterprise home kitchen” in the California Retail Food Code and allow the sale of potentially hazardous foods directly to consumers in private homes. These entities would be provided a significant number of exemptions related to enforcement, health, and sanitation provisions. The measure was advanced to the Senate Floor without amendments. CHEAC encourages members to submit letters to and contact their senator(s) expressing opposition to the bill.

SB 212 (Jackson) – Support – Do Pass

Establishes a comprehensive statewide pharmaceutical and sharps waste stewardship program.

Access to Health Services

SB 1125 (Atkins) – Support – Do Pass

Authorizes Medi-Cal reimbursement at FQHCs/RHCs for a maximum of two visits for a medical visit and a mental health or dental visit.

Chronic Disease Prevention and Wellness Promotion

AB 1335 (Bonta) – Support – Held on Suspense

Requires sugar-sweetened beverages (SSBs), vending machines, dispensing machines, and SSB point of purchase to bear the safety warning, “STATE OF CALIFORNIA SAFETY WARNING: Drinking beverages with added sugar(s) contributes to obesity, type 2 diabetes, and tooth decay.”

AB 1871 (Bonta) – Support – Do Pass

Requires charter schools to provide needy pupils with at least one nutritionally-adequate free or reduced-price meal per school day.

AB 3043 (Berman)Support – Do Pass as Amended

Authorizes any educational entity participating in the federal School Breakfast Program to provide a universal breakfast program. Increases CDE grants to initiate or expand a school breakfast program or federal summer meals program.  

Communicable Disease Control

AB 2892 (Quirk) – Support – Held on Suspense

Establishes the California Mosquito Surveillance and Research Program within CDPH.

Dental Health Services

SB 1464 (Wiener) – Support – Held on Suspense

 Requires DHCS to provide a payment adjustment for Denti-Cal and dental managed care beneficiaries with special dental care needs.

Drug & Alcohol Services

SB 275 (Portantino) – Support – Do Pass as Amended

Requires DHCS to convene and expert panel and adopt regulations to establish youth substance use disorder treatment, early intervention, and quality standards.

Health Coverage/Health Care Reform

AB 11 (McCarty) – Support – Do Pass

Requires EPSDT screening services to include developmental screening for individuals zero to three years of age.

AB 2275 (Arambula)Support – Do Pass

Requires DHCS to establish a quality assessment and performance improvement program for all Medi-Cal managed care plans.

AB 2430 (Arambula) – Support – Held on Suspense

Increases Medi-Cal eligibility for seniors or disabled individuals up to 138 percent FPL.

AB 2965 (Arambula)Support – Held on Suspense

Expands Medi-Cal to all undocumented adults under 26 years of age with income at or below 138 percent FPL.

SB 974 (Lara) – Support – Held on Suspense

Expands Medi-Cal to all undocumented adults 65 years of age and older with income at or below 138 percent FPL.

Health Equity

SB 918 (Wiener) – Support – Do Pass as Amended

Requires the Homeless Coordinating and Financing Council to assume responsibilities related to identifying funding, policy, and practice gaps related to young people experiencing homelessness.

Maternal, Child, and Adolescent Health

AB 2289 (Weber) – Support – Do Pass

Sets forth accommodation rights of pregnant and parenting pupils, including the provision of a minimum of eight weeks of parental leave for pregnant and parenting pupils.

AB 2785 (Rubio) – Support – Do Pass as Amended

Requires all California Community Colleges and the California State University to provide reasonable accommodations on all campuses for a lactating student to express breastmilk, breastfeed an infant, or address other breastfeeding needs.

Public Health Emergency Preparedness

AB 2576 (Aguiar-Curry) – Support – Do Pass as Amended

Allows for certain clinical services to be provided and reimbursed by Medi-Cal during and following a state of emergency.

Tobacco Control

AB 1097 (Levine) – Support – Do Pass as Amended

Bans smoking and disposal of cigar/cigarette waste at a state coastal beach, state park, public campgrounds, monument sites, landmark sites, and sites of historical interest.

SB 835 (Glazer) – Support – Do Pass as Amended

Bans smoking and disposal of cigar/cigarette waste at all state parks.

SB 836 (Glazer) – Support – Do Pass as Amended

Bans smoking and disposal of cigar/cigarette waste at all state coastal beaches.

CDPH Reports Valley Fever Cases Continued to Rise in 2017

In a report released by the California Department of Public Health (CDPH), the highest annual number of new Valley Fever cases in California was reported in 2017. Between January and December 2017, 7,466 new cases of Valley Fever were reported to CDPH, marking the highest annual incidence reported in the state since Valley Fever became a reportable condition in 1995.

The highest Valley Fever incidence in 2017 were reported in counties in the Central Valley and Central Coast regions, including Kern, Kings, San Luis Obispo, Fresno, Tulare, Madera, and Monterey counties, according to the report. CDPH indicated it is unclear why there has been such a significant increase in reported Valley Fever cases in California since 2014. Additional information on Valley Fever and the number of cases in California is available from CDPH here.

CDC Report Shows Significant Increase in Opioid Use Disorder Among Pregnant Women

A recent report from the U.S. Centers for Disease Control and Prevention (CDC) included in the Morbidity and Mortality Weekly Report (MMWR) indicated that the number of women with an opioid use disorder (OUD) at labor and delivery quadrupled between 1999 and 2014 in the United States. OUD during pregnancy has been closely associated with adverse maternal and neonatal outcomes, including preterm labor, stillbirth, neonatal abstinence syndrome, and maternal mortality. For every 1,000 delivery hospitalizations in the U.S., OUD prevalence was 1.5 in 1999 and 6.5 in 2014.

California had the lowest average annual rate increase (0.01 per 1,000 delivery hospitalizations per year), while other states such as Maine, New Mexico, Vermont, and West Virginia saw the most significant increases. The CDC report underscores the need for national, state, and provider efforts to prevent, monitor, and treat OUD among reproductive-aged and pregnant women. The full CDC report is available here.