Florida Senate - 2012                              CS for SB 682
       
       
       
       By the Committee on Children, Families, and Elder Affairs; and
       Senators Richter, Sachs, Latvala, Joyner, Bennett, and Gibson
       
       
       
       586-01856-12                                           2012682c1
    1                        A bill to be entitled                      
    2         An act relating to Alzheimer’s disease; establishing
    3         the Purple Ribbon Task Force within the Department of
    4         Elderly Affairs; providing for membership; providing
    5         that members shall serve without compensation or
    6         reimbursement for per diem or travel expenses;
    7         requiring the department to provide administrative
    8         support; providing duties of the task force;
    9         authorizing the task force to hold meetings by
   10         teleconference or other electronic means, or in person
   11         without compensation or reimbursement for per diem or
   12         travel expenses; requiring the task force to submit a
   13         report in the form of an Alzheimer’s disease state
   14         plan to the Governor and Legislature; providing for
   15         termination of the task force; providing an effective
   16         date.
   17  
   18         WHEREAS, Alzheimer’s disease is a slow, progressive
   19  disorder of the brain that results in loss of memory and other
   20  cognitive functions and eventually death, and
   21         WHEREAS, because Alzheimer’s disease is accompanied by
   22  memory loss, poor judgment, changes in personality and behavior,
   23  and a tendency to wander or become lost, a person with this
   24  disease is at an increased risk for accidental injury, abuse,
   25  neglect, and exploitation, and
   26         WHEREAS, approximately one in eight Americans 65 years of
   27  age or older and almost half of Americans 85 years of age or
   28  older develop Alzheimer’s disease or a related form of dementia,
   29  and
   30         WHEREAS, there are 459,806 probable cases of Alzheimer’s
   31  disease in this state in 2011, which population is expected to
   32  triple by the year 2050, and
   33         WHEREAS, Alzheimer’s disease takes an enormous toll on
   34  family members, with an estimated one in four family members
   35  providing caregiving support for individuals with the disease,
   36  and
   37         WHEREAS, caregivers for persons having Alzheimer’s disease
   38  witness the deteriorating effects of the disease and often
   39  suffer more emotional stress, depression, and health problems
   40  than caregivers of people having other illnesses, which can
   41  negatively affect such caregivers’ employment, income, and
   42  financial security, and
   43         WHEREAS, younger-onset Alzheimer’s disease is a form of
   44  Alzheimer’s disease that strikes a person who is younger than 65
   45  years of age when symptoms first appear, but younger-onset
   46  Alzheimer’s disease can strike persons as early as 30, 40, or 50
   47  years of age, with new data showing that there may be as many as
   48  500,000 Americans under the age of 65 who have dementia or
   49  cognitive impairment at a level of severity consistent with
   50  dementia, and
   51         WHEREAS, the state needs to assess the current and future
   52  impact of Alzheimer’s disease on Floridians and the state’s
   53  health care system, programs, resources, and services to ensure
   54  the continued development and implementation of a more
   55  inclusive, integrated, comprehensive, coordinated, and current
   56  strategy to address the needs of the growing number of
   57  Floridians having Alzheimer’s disease or a related form of
   58  dementia and the corresponding needs of their caregivers, NOW,
   59  THEREFORE,
   60  
   61  Be It Enacted by the Legislature of the State of Florida:
   62  
   63         Section 1. The Purple Ribbon Task Force.—The Purple Ribbon
   64  Task Force is established within the Department of Elderly
   65  Affairs.
   66         (1) The task force shall consist of 18 volunteer members,
   67  of whom six shall be appointed by the Governor, six shall be
   68  appointed by the Speaker of the House of Representatives, and
   69  six shall be appointed by the President of the Senate, as
   70  follows:
   71         (a) A member of the House of Representatives.
   72         (b) A member of the Senate.
   73         (c) A representative from the Alzheimer’s Association.
   74         (d) At least one person having Alzheimer’s disease or a
   75  related form of dementia.
   76         (e) At least one family caregiver or former family
   77  caregiver of a person having Alzheimer’s disease or a related
   78  form of dementia.
   79         (f) A representative from the Alzheimer’s Disease Advisory
   80  Committee.
   81         (g) A representative of law enforcement with knowledge
   82  about the disappearance and recovery, self-neglect, abuse,
   83  exploitation, and suicide of persons having Alzheimer’s disease
   84  or a related form of dementia.
   85         (h) A representative who has knowledge of and experience
   86  with the Baker Act and its impact on persons having Alzheimer’s
   87  disease or a related form of dementia.
   88         (i) An expert on disaster preparedness and response for
   89  persons having Alzheimer’s disease or a related form of
   90  dementia.
   91         (j) A representative of a health care facility or hospice
   92  that serves persons with Alzheimer’s disease.
   93         (k) A representative of the adult day care services
   94  industry.
   95         (l) A representative of health care practitioners
   96  specializing in the treatment of persons having Alzheimer’s
   97  disease or a related form of dementia.
   98         (m) A Florida board-certified elder law attorney.
   99         (n) A representative of the area agencies on aging or aging
  100  and disability resource centers.
  101         (o) A person who is an Alzheimer’s disease researcher.
  102         (p) A representative from a memory disorder clinic.
  103         (q) A representative of the assisted living facility
  104  industry.
  105         (r) A representative of the skilled nursing facility
  106  industry.
  107         (2) Initial appointments to the task force shall be made by
  108  July 1, 2012. A vacancy on the task force shall be filled for
  109  the unexpired portion of the term in the same manner as the
  110  original appointment.
  111         (3) Members shall serve on the task force without
  112  compensation and may not receive reimbursement for per diem or
  113  travel expenses.
  114         (4) The Department of Elderly Affairs shall convene the
  115  task force and provide necessary administrative support.
  116         (5) The task force shall:
  117         (a) Assess the current and future impact of Alzheimer’s
  118  disease and related forms of dementia on the state.
  119         (b) Examine the existing industries, services, and
  120  resources addressing the needs of persons having Alzheimer’s
  121  disease or a related form of dementia and their family
  122  caregivers.
  123         (c) Examine the needs of persons of all cultural
  124  backgrounds having Alzheimer’s disease or a related form of
  125  dementia and how their lives are affected by the disease from
  126  younger-onset, through mid-stage, to late-stage.
  127         (d) Develop a strategy to mobilize a state response to this
  128  public health crisis.
  129         (e) Provide information regarding:
  130         1. State trends with respect to persons having Alzheimer’s
  131  disease or a related form of dementia and their needs,
  132  including, but not limited to:
  133         a. The role of the state in providing community-based care,
  134  long-term care, and family caregiver support, including respite,
  135  education, and assistance to persons who are in the early stages
  136  of Alzheimer’s disease, who have younger-onset Alzheimer’s
  137  disease, or who have a related form of dementia.
  138         b. The development of state policy with respect to persons
  139  having Alzheimer’s disease or a related form of dementia.
  140         c. Surveillance of persons having Alzheimer’s disease or a
  141  related form of dementia for the purpose of accurately
  142  estimating the number of such persons in the state at present
  143  and projected population levels.
  144         2. Existing services, resources, and capacity, including,
  145  but not limited to:
  146         a. The type, cost, and availability of dementia-specific
  147  services throughout the state.
  148         b. Policy requirements and effectiveness for dementia
  149  specific training for professionals providing care.
  150         c. Quality care measures employed by providers of care,
  151  including providers of respite, adult day care, assisted living
  152  facility, skilled nursing facility, and hospice services.
  153         d. The capability of public safety workers and law
  154  enforcement officers to respond to persons having Alzheimer’s
  155  disease or a related form of dementia, including, but not
  156  limited to, responding to their disappearance, search and
  157  rescue, abuse, elopement, exploitation, or suicide.
  158         e. The availability of home and community-based services
  159  and respite care for persons having Alzheimer’s disease or a
  160  related form of dementia and education and support services to
  161  assist their families and caregivers.
  162         f. An inventory of long-term care facilities and community
  163  based services serving persons having Alzheimer’s disease or a
  164  related form of dementia.
  165         g. The adequacy and appropriateness of geriatric
  166  psychiatric units for persons having behavior disorders
  167  associated with Alzheimer’s disease or a related form of
  168  dementia.
  169         h. Residential assisted living options for persons having
  170  Alzheimer’s disease or a related form of dementia.
  171         i. The level of preparedness of service providers before,
  172  during, and after a catastrophic emergency involving a person
  173  having Alzheimer’s disease or a related form of dementia and
  174  their caregivers and families.
  175         3. Needed state policies or responses, including, but not
  176  limited to, directions for the provision of clear and
  177  coordinated care, services, and support to persons having
  178  Alzheimer’s disease or a related form of dementia and their
  179  caregivers and families and strategies to address any identified
  180  gaps in the provision of services.
  181         (f) Hold public meetings and employ technological means to
  182  gather feedback on the recommendations submitted by persons
  183  having Alzheimer’s disease or a related form of dementia, their
  184  caregivers and families, and the general public. Meetings of the
  185  task force may be held in person without compensation or
  186  reimbursement for travel expenses, by teleconference, or by
  187  other electronic means.
  188         (6) The task force shall submit a report of its findings
  189  and date-specific recommendations in the form of an Alzheimer’s
  190  disease state plan to the Governor, the Speaker of the House of
  191  Representatives, and the President of the Senate no later than
  192  August 1, 2013. The task force shall terminate on the earlier of
  193  the date the report is submitted or August 1, 2013.
  194         Section 2. This act shall take effect upon becoming a law.