October 4, 2019 Edition

2019 CHEAC Annual Meeting Next Week

As a friendly reminder, the 2019 CHEAC Annual Meeting will be held next Wednesday, October 9 through Friday, October 11 at the Westin Pasadena. Annual meeting attendees are encouraged to reference the email with key reminders as they prepare to travel to Pasadena.

Due to the Annual Meeting, the CHEAC Office will be closed for the remainder of the week beginning on Tuesday, October 8. Our regular weekly update will not be published next Friday. Please also note, the CHEAC Office will be closed on Monday, October 14 in observance of the Columbus Day holiday.

We look forward to seeing attendees in Pasadena!

Newsom, Facing Oct. 13 Deadline, Continues Action on Bills

Governor Gavin Newsom continues to take action on measures passed by the Legislature and faces a deadline on Sunday, October 13 to sign or veto all measures advanced to his desk. As a reminder, CHEAC will issue a final bill chart in mid-October indicating all actions on tracked measures. Below, we highlight a number of bills and actions taken by Governor Newsom to date:

Animal Care and Control

AB 588 (Chen) – WATCH – Chapter 430, Statutes of 2019

AB 588, authored by Assembly Member Phillip Chen, and sponsored by the California Animal Welfare Association (CAWA), would require animal shelters to disclose in writing a dog’s known bite history and the circumstances related to the bite prior to selling, giving away, or otherwise releasing the dog. Any shelter, human society shelter, or animal rescue group that violates these provisions may be fined up to $500 to be imposed by the city or county in which the animal shelter or rescue group is located. Governor Newson signed the measure into law.

SB 64 (Chang) – WATCH – Vetoed

Governor Newsom vetoed SB 64 authored by Senator Ling Ling Chang expressing concerns that the bill had an unintended consequence of creating a burden for individuals who may already be struggling with the basic costs of caring for their pets. The measure would have required animal shelters, including animal control agencies and rescue groups, to microchip dogs or cats prior to releasing the animal back to an owner or to a new owner for adoption, sale, or release. Exceptions include when a dog or cat is already microchipped or if a licensed veterinarian certifies the animal is medical unfit for the procedure. It would have allowed a shelter or rescue group that does not have microchipping capability on location to enter into an agreement with the owner or new owner to present proof, within 30 days, that the dog or cat is microchipped. Shelters or rescue groups in violation of the requirements would have been subjected to a civil penalty of $100 unless the shelter or rescue group does not have microchipping capability on site.

Emergency Medical Services (EMS)

SB 438 (Hertzberg)NEUTRAL – Chapter 389, Statutes of 2019

SB 438, authored by Senator Robert Hertzberg and sponsored by the California Professional Firefighters (CPF), sought to restrict the use of non-governmental operated public safety answering points (PSAPs) and circumscribes the existing medical control authority of local EMS agency medical directors. Late amendments resulting from negotiations by a county coalition, including CHEAC, with the author and sponsors, would allow local EMS agencies to continue private contractual arrangements but will also allow a public safety agency to operate medical dispatch for their own jurisdiction. In addition, the measure further clarifies that EMS medical dispatching, including call processing, falls within the medical control of the local EMS medical director. Governor Newsom signed SB 438 into law.

Environmental Health

AB 834 (Quirk) – WATCH – Chapter 354, Statues of 2019

Governor Newsom signed into law AB 834 by Assembly Member Bill Quirk which will require the State Water Resources Control Board to establish a Freshwater and Estuarine Harmful Algal Bloom Program and to work in consultation with the California Department of Public Health (CDPH), Department of Water Resources, Department of Fish and Wildlife, and other state and federal entities to conduct specified activities related to harmful algal blooms.

AB 836 (Wicks) – WATCH – Chapter 393, Statutes of 2019

AB 836 by Assembly Member Buffy Wicks was signed into law by Governor Newsom. The measure establishes until January 2025 a pilot grant program to be administered by the State Air Resources Board to provide funding, upon appropriation by the Legislature, to retrofit ventilation systems at various facilities (e.g. schools, community centers, senior centers, libraries) to create a network of clean air centers and mitigate adverse public health impacts due to wildfire and other smoke events.

Health Coverage/Health Care Reform

AB 1004 (McCarty) – SUPPORT – Chapter 387, Statutes of 2019

Assembly Member Kevin McCarty authored AB 1004, which requires screening services under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program to include developmental screening services for individuals zero to three years of age. The bill would also require Medi-Cal managed care plans to put in place mechanisms to ensure timely and consistent development screenings for children. Governor Newsom signed the measure into law.

AB 1088 (Wood) – SUPPORT – Chapter 450, Statutes of 2019

Governor Newsom signed into law AB 1088, authored by Assembly Member Jim Wood and sponsored by Western Center on Law & Poverty, Justice in Aging, and Disability Rights California. The measure requires DHCS to seek a Medicaid state plan amendment or waiver to implement an income disregard allowing an aged, blind, or disabled individual who becomes ineligible for Medi-Cal who would otherwise be eligible if not for the state buy-in of their Medicare Part B premiums.

Health Equity

AB 241 (Kamlager-Dove) – SUPPORT – Chapter 417, Statutes of 2019

Governor Newsom signed into law Assembly Member Sydney Kamlager-Dove’s AB 241 which would require continuing education for physicians, surgeons, nurses, and physician assistants to include information on understanding implicit bias and how biases may contribute to healthcare disparities.

Vector Control

AB 320 (Quirk) – SUPPORT – Chapter 422, Statutes of 2019

AB 320 by Assembly Member Bill Quirk would establish the California Mosquito Surveillance and Research program, to be administered by UC Davis, to maintain an interactive website for the management and dissemination of mosquito-borne virus and surveillance control data, provide confirmation of tests done by local or state agencies, to work in conjunction with local mosquito abatement and vector control districts to conduct research on arbovirus surveillance, transmission of vector-borne diseases, and mosquito ecology and control. Funding is contingent on federal, state or private funding obtained for these purposes. Governor Newsom signed the measure into law.

CDPH Releases New Data, Finds Adolescent Birth Rate Has Fallen to Record Low

The California Department of Public Health (CDPH) released new data on California’s adolescent birth rate, finding a record low of 13.9 births per 1,000 females between the ages of 15-19. The record low reflects an 11.5 percent decline between 2016 and 2017. CDPH indicated the decline can be attributed to a number of factors including improved access to reproductive health services, increased use of contraception, delayed first sexual intercourse, and public health prevention, education, and support programs.

The full CDPH report, including detailed data and statistics, is available here.

2020 ITUP Annual Conference Registration Now Open

The Insure the Uninsured Project (ITUP) this week opened registration for its 2020 Annual Conference which will be held February 24 and 25 in Sacramento. The 24th Annual Conference theme is Taking Bold Steps in Uncertain Times and will explore the steps California is taking to improve health care and coverage in the state against the backdrop of continuing uncertainty at the federal level. Additional information and registration are available here.

CDC Launches 2019-20 Flu Vaccination Campaign

The U.S. Centers for Disease Control and Prevention (CDC), in collaboration with the National Foundation for Infectious Diseases (NFID) and others, launched the 2019-20 flu vaccine campaign to promote the CDC’s recommendation for everyone age six months and older to get an annual flu vaccine. U.S. Secretary of Health and Human Services Alex Azar announced during the launch that CDC flu vaccination coverage estimates for 2018-19 indicated 45 percent of American adults received a flu vaccine last season and nearly 63 percent of children were vaccinated. Additional information on the campaign launch is available here.

NACCHO, CDC Announce Technical Assistance Opportunity for LHDs

The National Association of County and City Health Officials (NACCHO), with support from the U.S. Centers for Disease Control and Prevention (CDC), has announced a continuation of a technical assistance opportunity, “Strong Systems, Stronger Communities,” to local health departments. NACCHO will support LHDs in moving upstream to address social determinants of health and health equity by improving the implementation of the community health improvement plan. Each team will hold an Equity Action Lab with their communities in which they will identify a meaningful goal and design rapid-cycle improvement tests to achieve gains within a short period of time.

Applications are now open through October 25. NACCHO and CDC will host an optional webinar on October 8 from 12:30 pm to 1:30 pm to provide details around the RFP process. Applications and additional information are available here.

NASHP Releases Toolkit on Older Adult Aging in Place Strategies

The National Academy for State Health Policy (NASHP) recently released a toolkit highlighting state initiatives to help older adults in rural communities age in place by increasing services that help people remain in their homes, expanding and professionalizing the caregiver workforce, improving transportation access and services, and making delivery system reforms within Medicaid programs. The report details a number of strategies, including using emergency personnel in new ways, providing mobile adult day care and health services, and using technology to address social determinants of health. The full toolkit is available here.

CHCS to Hold Medicaid-Public Health Collaboration Webinar on Oct. 17

The Center for Health Care Strategies (CHCS) will be holding a webinar on October 17, 2019, from 11:00 am-12:00 pm on “Catalyzing Medicaid-Public Health Collaboration to Achieve Mutual Prevention Goals: Lessons from CDC’s 6|18 Initiative.” The webinar will detail the U.S. Centers for Disease Control and Prevention’s (CDC) initiative to provide a practical framework to guide Medicaid-public health collaborations, including a set of concrete, evidence-based prevention interventions that improve health and control costs. The webinar is funded by the Robert Wood Johnson Foundation (RWJF). Registration is available here.

CMCS Webinar to Detail Asthma Control Initiatives

The Center for Medicaid and CHIP Services (CMCS) is launching the “Improving Asthma Control Learning Collaborative” (Learning Collaborative) to support state Medicaid and Children’s Health Insurance Program (CHIP) agency efforts to improve health outcomes among beneficiaries with asthma. The first of a four-part webinar series, titled “The Role of Medicaid and CHIP in Improving Asthma Control,” will be held on October 22, 2019, from 12:00 pm to 1:00 pm. The webinar will feature presentations from experts in the field, as well as tools state and local agencies can use to drive improvements in asthma control and outcomes. Registration for the webinar is available here.