Florida Senate - 2019                        COMMITTEE AMENDMENT
       Bill No. SB 860
       
       
       
       
       
       
                                Ì7364084Î736408                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/20/2019           .                                
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       Appropriations Subcommittee on Health and Human Services
       (Stargel) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Subsections (2) and (3) of section 430.501,
    6  Florida Statutes, are amended to read:
    7         430.501 Alzheimer’s Disease Advisory Committee; research
    8  grants.—
    9         (2) There is created an Alzheimer’s Disease Advisory
   10  Committee, composed of 15 10 members to be selected by the
   11  Governor, which shall advise the Department of Elderly Affairs
   12  in the performance of its duties under this act. All members
   13  must be residents of the state. The committee shall advise the
   14  department regarding legislative, programmatic, and
   15  administrative matters that relate to persons living with
   16  Alzheimer’s disease victims and their caretakers.
   17         (3)(a) The committee membership shall include the following
   18  be representative as follows:
   19         1. Eleven members appointed by the Governor.
   20         a. At least 4 of the 11 10 members must be licensed
   21  pursuant to chapter 458 or chapter 459 or hold a Ph.D. degree
   22  and be currently involved in the research of Alzheimer’s
   23  disease.
   24         b.2.The 10 members must include At least 4 of the 11
   25  members must be persons who have been caregivers of persons
   26  living with victims of Alzheimer’s disease.
   27         c.3. Whenever possible, the 10 members appointed by the
   28  Governor shall include one 1 each of the following
   29  professionals: a gerontologist, a geriatric psychiatrist, a
   30  geriatrician, a neurologist, a social worker, and a registered
   31  nurse, and a first responder.
   32         2.Two members appointed by the President of the Senate,
   33  one of whom must be a sitting member of the Senate, and two
   34  members appointed by the Speaker of the House of
   35  Representatives, one of whom must be a sitting member of the
   36  House of Representatives.
   37         (b)1. The Governor shall appoint members from a broad
   38  cross-section of public, private, and volunteer sectors. All
   39  nominations shall be forwarded to the Governor by the Secretary
   40  of Elderly Affairs in accordance with this subsection.
   41         2. Members shall be appointed to 4-year staggered terms in
   42  accordance with s. 20.052, except for the sitting members of the
   43  Senate and House of Representatives, who shall be appointed to a
   44  term corresponding to their term of office.
   45         3. The Secretary of Elderly Affairs shall serve as an ex
   46  officio member of the committee.
   47         4. The committee shall elect one of its members to serve as
   48  chair for a term of 1 year.
   49         5. The committee may establish subcommittees as necessary
   50  to carry out the functions of the committee.
   51         6. The committee shall meet quarterly, or as frequently as
   52  needed.
   53         7.The committee shall submit an annual report to the
   54  Governor, the President of the Senate, the Speaker of the House
   55  of Representatives, and the Secretary of Elderly Affairs on or
   56  before each September 1. The annual report shall include
   57  information and recommendations on Alzheimer’s disease policy;
   58  all state-funded efforts in Alzheimer’s disease research,
   59  clinical care, institutional, home-based, and community-based
   60  programs and the outcomes of such efforts; and any proposed
   61  updates to the Alzheimer’s disease state plan submitted under
   62  subparagraph 8.
   63         8.Beginning in 2020, and every third year thereafter, on
   64  or before November 1, the Department of Elderly Affairs shall
   65  review the Alzheimer’s disease state plan and submit an updated
   66  state plan to the Governor, the President of the Senate, and the
   67  Speaker of the House of Representatives. The Department of
   68  Elderly Affairs shall utilize the annual reports submitted by
   69  the committee and collaborate with state Alzheimer’s disease
   70  organizations and professionals when considering such updates to
   71  the Alzheimer’s disease state plan. The state plan shall:
   72         a.Assess the current and future impact on the state of
   73  Alzheimer’s disease and related forms of dementia.
   74         b.Examine the existing industries, services, and resources
   75  addressing the needs of persons having Alzheimer’s disease or a
   76  related form of dementia and their family caregivers.
   77         c.Examine the needs of persons of all cultural backgrounds
   78  having Alzheimer’s disease or a related form of dementia and how
   79  their lives are affected by the disease from early-onset,
   80  through mid-stage, to late-stage.
   81         d.Develop a strategy to mobilize a state response to this
   82  public health crisis.
   83         e.Provide information regarding:
   84         (I)State trends with respect to persons having Alzheimer’s
   85  disease or a related form of dementia and their needs,
   86  including, but not limited to:
   87         (A)The role of the state in providing community-based
   88  care, long-term care, and family caregiver support, including
   89  respite, education, and assistance to persons who are in the
   90  early stages of Alzheimer’s disease, who have early-onset
   91  Alzheimer’s disease, or who have a related form of dementia.
   92         (B)The development of state policy with respect to persons
   93  who have Alzheimer’s disease or a related form of dementia.
   94         (C)Surveillance of persons who have Alzheimer’s disease or
   95  a related form of dementia for the purpose of accurately
   96  estimating the number of such persons in the state at present
   97  and projected population levels.
   98         (II)Existing services, resources, and capacity, including,
   99  but not limited to:
  100         (A)The type, cost, and availability of dementia-specific
  101  services throughout the state.
  102         (B)Policy requirements and effectiveness for dementia
  103  specific training for professionals providing care.
  104         (C)Quality care measures employed by providers of care,
  105  including providers of respite, adult day care, assisted living
  106  facility, skilled nursing facility, and hospice services.
  107         (D)The capability of public safety workers and law
  108  enforcement officers to respond to persons having Alzheimer’s
  109  disease or a related form of dementia, including, but not
  110  limited to, responding to their disappearance, search and
  111  rescue, abuse, elopement, exploitation, or suicide.
  112         (E)The availability of home and community-based services
  113  and respite care for persons having Alzheimer’s disease or a
  114  related form of dementia and education and support services to
  115  assist their families and caregivers.
  116         (F)An inventory of long-term care facilities and
  117  community-based services serving persons who have Alzheimer’s
  118  disease or a related form of dementia.
  119         (G)The adequacy and appropriateness of geriatric
  120  psychiatric units for persons who have behavior disorders
  121  associated with Alzheimer’s disease or a related form of
  122  dementia.
  123         (H)Residential assisted living options for persons who
  124  have Alzheimer’s disease or a related form of dementia.
  125         (I)The level of preparedness of service providers before,
  126  during, and after a catastrophic emergency involving a person
  127  who have Alzheimer’s disease or a related form of dementia and
  128  their caregivers and families.
  129         (III)Needed state policies or responses, including, but
  130  not limited to, directions for the provision of clear and
  131  coordinated care, services, and support to persons who have
  132  Alzheimer’s disease or a related form of dementia and their
  133  caregivers and families and strategies to address any identified
  134  gaps in the provision of services.
  135         9.7. The Department of Elderly Affairs shall provide staff
  136  support to assist the committee in the performance of its
  137  duties.
  138         10.8. Members of the committee and subcommittees shall
  139  receive no salary, but are entitled to reimbursement for travel
  140  and per diem expenses, as provided in s. 112.061, while
  141  performing their duties under this section.
  142         Section 2. Subsection (1) of section 430.502, Florida
  143  Statutes, is amended to read:
  144         430.502 Alzheimer’s disease; memory disorder clinics and
  145  day care and respite care programs.—
  146         (1) There is established:
  147         (a) A memory disorder clinic at each of the three medical
  148  schools in this state;
  149         (b) A memory disorder clinic at a major private nonprofit
  150  research-oriented teaching hospital, and may fund a memory
  151  disorder clinic at any of the other affiliated teaching
  152  hospitals;
  153         (c) A memory disorder clinic at the Mayo Clinic in
  154  Jacksonville;
  155         (d) A memory disorder clinic at the West Florida Regional
  156  Medical Center;
  157         (e) A memory disorder clinic operated by Health First in
  158  Brevard County;
  159         (f) A memory disorder clinic at the Orlando Regional
  160  Healthcare System, Inc.;
  161         (g) A memory disorder center located in a public hospital
  162  that is operated by an independent special hospital taxing
  163  district that governs multiple hospitals and is located in a
  164  county with a population greater than 800,000 persons;
  165         (h) A memory disorder clinic at St. Mary’s Medical Center
  166  in Palm Beach County;
  167         (i) A memory disorder clinic at Tallahassee Memorial
  168  Healthcare;
  169         (j) A memory disorder clinic at Lee Memorial Hospital
  170  created by chapter 63-1552, Laws of Florida, as amended;
  171         (k) A memory disorder clinic at Sarasota Memorial Hospital
  172  in Sarasota County;
  173         (l) A memory disorder clinic at Morton Plant Hospital,
  174  Clearwater, in Pinellas County;
  175         (m) A memory disorder clinic at Florida Atlantic
  176  University, Boca Raton, in Palm Beach County; and
  177         (n) A memory disorder clinic at Florida Hospital in Orange
  178  County; and
  179         (o)A memory disorder clinic at Miami Jewish Health Systems
  180  in Miami-Dade County,
  181  
  182  for the purpose of conducting research and training in a
  183  diagnostic and therapeutic setting for persons suffering from
  184  Alzheimer’s disease and related memory disorders. However,
  185  memory disorder clinics funded as of June 30, 1995, shall not
  186  receive decreased funding due solely to subsequent additions of
  187  memory disorder clinics in this subsection.
  188         Section 3. This act shall take effect July 1, 2019.
  189  
  190  ================= T I T L E  A M E N D M E N T ================
  191  And the title is amended as follows:
  192         Delete everything before the enacting clause
  193  and insert:
  194                        A bill to be entitled                      
  195         An act relating to Alzheimer’s disease; amending s.
  196         430.501, F.S.; increasing membership of the
  197         Alzheimer’s Disease Advisory Committee; revising
  198         representative requirements of the committee;
  199         requiring the committee to submit an annual report to
  200         specified parties which includes certain information
  201         and recommendations; requiring the Department of
  202         Elderly Affairs to review and update the Alzheimer’s
  203         disease state plan every 3 years in collaboration with
  204         certain parties; providing requirements for the plan;
  205         amending s. 430.502, F.S.; establishing a specified
  206         memory disorder clinic; providing that certain clinics
  207         shall not receive decreased funding for a specified
  208         reason; providing an effective date.