SENATE AMENDMENT
    Bill No. CS for SB 2448
    Amendment No. ___   Barcode 315370
                            CHAMBER ACTION
              Senate                               House
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       04/28/2004 12:05 PM         .                    
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11  Senator Dockery moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         On page 7, lines 17-29, delete those lines
15  
16  and insert:  
17         Section 2.  Subsection (2) and paragraphs (f), (i), and
18  (j) of subsection (3) of section 20.43, Florida Statutes, are
19  amended, and paragraph (k) is added to that subsection, to
20  read:
21         20.43  Department of Health.--There is created a
22  Department of Health.
23         (2)(a)  The head of the Department of Health is the
24  Secretary of Health and State Health Officer. The secretary
25  must be a physician licensed under chapter 458 or chapter 459
26  who has advanced training or extensive experience in public
27  health administration. The secretary is appointed by the
28  Governor subject to confirmation by the Senate. The secretary
29  serves at the pleasure of the Governor.
30         (b)  The Officer of Women's Health Strategy is
31  established within the Department of Health and shall report
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    11:31 AM   03/26/04                             s2448c1c-15j01

SENATE AMENDMENT Bill No. CS for SB 2448 Amendment No. ___ Barcode 315370 1 directly to the secretary. 2 (3) The following divisions of the Department of 3 Health are established: 4 (f) Division of Emergency Medical Operations Services 5 and Community Health Resources. 6 (i) Division of Information Technology Resource 7 Management. 8 (j) Division of Health Access Awareness and Tobacco. 9 (k) Division of Disability Determinations. 10 Section 3. Section 381.04015, Florida Statutes, is 11 created to read: 12 381.04015 Women's Health Strategy; legislative intent; 13 duties of Officer of Women's Health Strategy; other state 14 agency duties.-- 15 (1) LEGISLATIVE INTENT.--The Legislature recognizes 16 that the health care needs of women are gender-specific and 17 that public policy must take into account the distinct 18 characteristics of women's health issues. Priority shall be 19 given to improve the overall health status of women through 20 research and education on women's health issues. The 21 Legislature recognizes the importance of understanding why 22 there are such large differences between how women and men 23 experience certain diseases and also recognizes that 24 biomedical research is the key to finding these answers. Such 25 research has important implications for both women and men in 26 terms of clinical practice and disease prevention and 27 manifestation. The Legislature recognizes that as the state's 28 population continues to age and life expectancy for women 29 continues to rise, it is of the utmost importance for the 30 Legislature to encourage effective medical research on 31 long-term health issues for women and to educate elder women 2 11:31 AM 03/26/04 s2448c1c-15j01
SENATE AMENDMENT Bill No. CS for SB 2448 Amendment No. ___ Barcode 315370 1 about the importance of participating in medical studies. The 2 Legislature finds and declares that the design and delivery of 3 health care services and the medical education of health care 4 practitioners shall be directed by the principle that health 5 care needs are gender-specific. 6 (2) DUTIES.--The Officer of Women's Health Strategy in 7 the Department of Health shall: 8 (a) Ensure that the state's policies and programs are 9 responsive to sex and gender differences and to women's health 10 needs across the life span. 11 (b) Organize an interagency Committee for Women's 12 Health for the purpose of integrating women's health programs 13 in current operating and service delivery structures and 14 setting priorities for women's health. This committee shall be 15 comprised of the heads or directors of state agencies with 16 programs affecting women's health, including, but not limited 17 to, the Department of Health, the Agency for Health Care 18 Administration, the Department of Education, the Department of 19 Elderly Affairs, the Department of Corrections, the Office of 20 Insurance Regulation of the Department of Financial Services, 21 and the Department of Juvenile Justice. 22 (c) Assess the health status of women in the state 23 through the collection and review of health data and trends. 24 (d) Review the state's insurance code as it relates to 25 women's health issues. 26 (e) Work with medical school curriculum committees to 27 develop course requirements on women's health and promote 28 clinical practice guidelines specific to women. 29 (f) Organize statewide Women's Health Month 30 activities. 31 (g) Coordinate a Governor's statewide conference on 3 11:31 AM 03/26/04 s2448c1c-15j01
SENATE AMENDMENT Bill No. CS for SB 2448 Amendment No. ___ Barcode 315370 1 women's health, cosponsored by the agencies participating in 2 the Committee for Women's Health and other private 3 organizations and entities impacting women's health in the 4 state. 5 (h) Promote research, treatment, and collaboration on 6 women's health issues at universities and medical centers in 7 the state. 8 (i) Promote employer incentives for wellness programs 9 targeting women's health programs. 10 (j) Serve as the primary state resource for women's 11 health information. 12 (k) Develop a statewide women's health plan 13 emphasizing collaborative approaches to meeting the health 14 needs of women. The plan shall: 15 1. Identify activities designed to reduce the number 16 of premature deaths in women, including: 17 a. Providing specific strategies for reducing the 18 mortality rate of women. 19 b. Listing conditions that may cause or contribute to 20 disease in women and the best methods by which to identify, 21 control, and prevent these conditions from developing. 22 c. Identifying the best methods for ensuring an 23 increase in the percentage of women in the state who receive 24 diagnostic and screening testing. 25 2. Provide for increasing research and appropriate 26 funding at institutions in the state studying disease in 27 women. 28 3. Provide recommendations for the development of 29 practice guidelines for addressing disease in women. 30 4. Provide recommendations for reducing health 31 disparities among women in all races and ethnic groups. 4 11:31 AM 03/26/04 s2448c1c-15j01
SENATE AMENDMENT Bill No. CS for SB 2448 Amendment No. ___ Barcode 315370 1 5. Coordinate with existing program plans that address 2 women's health issues. 3 (l) Promote clinical practice guidelines specific to 4 women. 5 (m) Serve as the state's liaison with other states and 6 federal agencies and programs to develop best practices in 7 women's health. 8 (n) Develop a statewide, web-based clearinghouse on 9 women's health issues and resources. 10 (o) Promote public awareness campaigns and education 11 on the health needs of women. 12 (p) By January 15 of each year, provide the Governor, 13 the President of the Senate, and the Speaker of the House of 14 Representatives a report with policy recommendations for 15 implementing the provisions of this section. 16 (3) DUTIES OF OTHER STATE AGENCIES.-- 17 (a) Women's health issues shall be taken into 18 consideration in the annual budget planning of the Department 19 of Health, the Agency for Health Care Administration, and the 20 Department of Elderly Affairs. 21 (b) The inclusion of gender considerations and 22 differential impact shall be one of the criteria when 23 assessing research and demonstration proposals for which state 24 funding is being sought from the Department of Health, the 25 Agency for Health Care Administration, and the Department of 26 Elderly Affairs. 27 (c) Boards or advisory bodies that fall under the 28 purview of the Department of Health, the Agency for Health 29 Care Administration, and the Department of Elderly Affairs 30 shall be encouraged to seek equal representation of women and 31 men and the inclusion of persons who are knowledgeable and 5 11:31 AM 03/26/04 s2448c1c-15j01
SENATE AMENDMENT Bill No. CS for SB 2448 Amendment No. ___ Barcode 315370 1 sensitive to gender and diversity issues. 2 (4) RESPONSIBILITY AND COORDINATION.--The officer and 3 the department shall direct and carry out the Women's Health 4 Strategy established under this section in accordance with the 5 requirements of this section and may work with the Executive 6 Office of the Governor and other state agencies to carry out 7 their duties and responsibilities under this section. 8 Section 4. Effective July 1, 2004, there is 9 appropriated the sum of $150,000 from the General Revenue 10 Fund, and one full-time equivalent position is authorized, for 11 the Department of Health to implement the establishment of the 12 Officer of Women's Health Strategy by this act. 13 14 (Redesignate subsequent sections.) 15 16 17 ================ T I T L E A M E N D M E N T =============== 18 And the title is amended as follows: 19 On page 1, lines 6-16, delete those lines 20 21 and insert: 22 Department of Health; amending s. 20.43, F.S.; 23 establishing the Officer of Women's Health 24 Strategy in the Department of Health; 25 designating the Division of Emergency Medical 26 Services and Community Health Resources as the 27 "Division of Emergency Medical Operations"; 28 designating the Division of Information 29 Resource Management as the "Division of 30 Information Technology"; designating the 31 Division of Health Awareness and Tobacco as the 6 11:31 AM 03/26/04 s2448c1c-15j01
SENATE AMENDMENT Bill No. CS for SB 2448 Amendment No. ___ Barcode 315370 1 "Division of Health Access and Tobacco"; 2 creating the Division of Disability 3 Determinations; creating s. 381.04015, F.S.; 4 providing legislative intent; providing the 5 duties of the Officer of Women's Health 6 Strategy; requiring an annual report to the 7 Governor and Legislature with policy 8 recommendations for implementing the Women's 9 Health Strategy; requiring consideration of 10 women's health issues and gender in state 11 policy, planning, and budgeting; providing for 12 responsibility and coordination; providing an 13 appropriation; transferring and amending s. 14 216.341, F.S.; 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 7 11:31 AM 03/26/04 s2448c1c-15j01