CALIFORNIA CODESHEALTH AND SAFETY CODESECTION 102900-102925 102900. The Legislature finds and declares all of the following: (a) Birth and death certificate-linking studies done by thedepartment in 1974 and repeated in 1984, show unacceptably high ratesof error in the completion of death certificate informationrecording ethnicity for American Indian infants. (b) Official vital data on deaths for American Indians in theState of California indicate an implausible death rate equal toone-half of the United States rate for all races and one-quarter ofthe rate for American Indians in all states. (c) Good demographic data on the American Indian people within thestate does not exist and the data that does exist is fragmented anddifficult to access and compile. (d) The lack of accurate vital data on American Indians inCalifornia results in a significant loss of federal funds for theprovision of health care and promotion services to American Indianpeople residing in 37 rural counties within the state. 102905. (a) The Rural Health Division of the department shall causeto be undertaken a three-year study for the purpose of establishingmore valid statistics regarding American Indian death rates,including rates for the 10 leading causes of death for AmericanIndians within the 37 designated rural Indian counties as follows:Humboldt, Shasta, Siskiyou, Modoc, Del Norte, Mendocino, Lake,Sonoma, Glenn, Butte, Colusa, Plumas, Yuba, Yolo, Tehama, Sutter, ElDorado, Nevada, Placer, Sierra, Tulare, Tuolumne, Amador, Mariposa,Calaveras, Fresno, Kings, Madera, Mono, Inyo, Riverside, SanBernardino, Imperial, Lassen, Santa Barbara, Trinity, and San Diego. (b) This study shall enlist the fullest possible participation ofthe Indian community and specifically the Indian clinics currentlyproviding health care services to rural Indians of the state. Thisproject shall be administered in a manner that allows for input from,and consultation with, concerned tribes and tribal organizations andAmerican Indian-controlled health care corporations.
(c) This study shall identify methods to improve the quality ofofficial state data on Indian mortality and carry out activities toachieve that goal, including the provision of training and thedevelopment of educational materials for morticians and coronersoperating within the state. 102910. For the purpose of conducting the three-year study requiredpursuant to Section 102905, the department is hereby encouraged tocontract with a federally recognized tribe or tribal organization oran American Indian-controlled health care corporation or researchinstitution having a record of good standing with the Commissioner ofCorporations and the Indian Health program within the department,and established competence in the area of records management. 102910. For the purpose of conducting the three-year study requiredpursuant to Section 102905, the department is hereby encouraged tocontract with a federally recognized tribe or tribal organization oran American Indian-controlled health care corporation or researchinstitution having a record of good standing with the Department ofManaged Care and the Indian Health program within the department, andestablished competence in the area of records management. 102915. The study shall be conducted in three phases, as follows: (a) Phase one of the study shall include research design and dataacquisition, including funds for the purchase of data from tribal,federal, state, and county sources and the encoding of this data to acomputer-readable form. (b) Phase two of the study shall include a computerized matchingof the American Indian-specific data with the officially known deathswithin the state for a selected two-year period, and all necessarystatistical analysis and validation of any findings. (c) Phase three shall include the dissemination of the findingsfrom the study, including efforts to improve the collection of vitalevent data on the American Indian population within the state. 102920. The department shall report to the Legislature on or beforeJanuary 1, 1994, on the implementation of this article. Thedepartment also shall report to the Legislature, on or before fouryears after the date that the initial funding is received toimplement this article, on the results of the study required by thisarticle. 102925. The state department shall begin to implement theactivities referred to in Sections 102905, 102910, 102915, and 102920only upon an appropriation for the specific purpose of funding theactivities.