| 1 | The Health & Families Council recommends the following: | 
| 2 | 
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| 3 | Council/Committee Substitute | 
| 4 | Remove the entire bill and insert: | 
| 5 | A bill to be entitled | 
| 6 | An act relating to arthritis prevention and education; | 
| 7 | creating s. 385.210, F.S.; providing a popular name; | 
| 8 | providing legislative findings; providing purposes; | 
| 9 | directing the Department of Health to establish an | 
| 10 | arthritis prevention and education program; requiring the | 
| 11 | department to conduct a needs assessment; providing for | 
| 12 | establishment of a statewide partnership on arthritis; | 
| 13 | providing for implementation of a public awareness effort; | 
| 14 | providing for funding through contributions; directing the | 
| 15 | Secretary of Health to seek federal waivers as necessary | 
| 16 | to maximize federal funding; providing an effective date. | 
| 17 | 
 | 
| 18 | Be It Enacted by the Legislature of the State of Florida: | 
| 19 | 
 | 
| 20 | Section 1.  Section 385.210, Florida Statutes, is created | 
| 21 | to read: | 
| 22 | 385.210  Arthritis prevention and education.-- | 
| 23 | (1)  POPULAR NAME.--This act may be cited as the "Arthritis | 
| 24 | Prevention and Education Act." | 
| 25 | (2)  LEGISLATIVE FINDINGS.--The Legislature finds the | 
| 26 | following: | 
| 27 | (a)  Arthritis encompasses more than 100 diseases and | 
| 28 | conditions that affect joints, the surrounding tissues, and | 
| 29 | other connective tissues. | 
| 30 | (b)  Arthritis is the leading cause of disability in the | 
| 31 | United States, limiting daily activities for more than 7 million | 
| 32 | citizens. | 
| 33 | (c)  This disease has a significant impact on quality of | 
| 34 | life, not only for the individual who experiences its painful | 
| 35 | symptoms and resulting disability, but also for family members | 
| 36 | and caregivers. | 
| 37 | (d)  There are enormous economic and social costs | 
| 38 | associated with treating arthritis and its complications. The | 
| 39 | economic costs are estimated at over $116 billion (1997) | 
| 40 | annually in the United States. | 
| 41 | (e)  Currently, the challenge exists to ensure delivery of | 
| 42 | effective, but often underutilized, interventions that are | 
| 43 | necessary in the prevention or reduction of arthritis-related | 
| 44 | pain and disability. | 
| 45 | (f)  Although there exists a large quantity of public | 
| 46 | information about arthritis, including programs that can | 
| 47 | dramatically affect early diagnosis and treatment as well as the | 
| 48 | quality of life of people with arthritis, such information | 
| 49 | remains inadequately disseminated and insufficient in addressing | 
| 50 | the needs of specific diverse populations and other underserved | 
| 51 | groups. | 
| 52 | (g)  The National Arthritis Foundation, the Centers for | 
| 53 | Disease Control and Prevention, and the Association of State and | 
| 54 | Territorial Health Officials have led the development of a | 
| 55 | public health strategy, the National Arthritis Action Plan, to | 
| 56 | respond to this challenge. | 
| 57 | (h)  Educating the public and the health care community | 
| 58 | throughout the state about this devastating disease is of | 
| 59 | paramount importance and is in every respect in the public | 
| 60 | interest and to the benefit of all residents of the state. | 
| 61 | (3)  PURPOSES.--The purposes of this section are to: | 
| 62 | (a)  Create and foster a statewide program that promotes | 
| 63 | public awareness and increases knowledge concerning the causes | 
| 64 | of arthritis, the importance of early diagnosis and appropriate | 
| 65 | management, effective prevention strategies, and pain prevention | 
| 66 | and management. | 
| 67 | (b)  Develop knowledge and enhance understanding of | 
| 68 | arthritis by disseminating educational materials and information | 
| 69 | on research results, services provided, and strategies for | 
| 70 | prevention and education to patients, health professionals, and | 
| 71 | the public. | 
| 72 | (c)  Establish a solid scientific base of knowledge | 
| 73 | concerning the prevention of arthritis and related disabilities | 
| 74 | through surveillance, epidemiology, and prevention research. | 
| 75 | (d)  Use educational and training resources and services | 
| 76 | developed by organizations with appropriate expertise and | 
| 77 | knowledge of arthritis and use available technical assistance. | 
| 78 | (e)  Evaluate the need for improving the quality and | 
| 79 | accessibility of existing community-based arthritis services. | 
| 80 | (f)  Heighten awareness among state and local health and | 
| 81 | human services officials, health professionals and providers, | 
| 82 | and policymakers about the prevention, detection, and treatment | 
| 83 | of arthritis. | 
| 84 | (g)  Implement and coordinate state and local programs and | 
| 85 | services to reduce the public health burden of arthritis. | 
| 86 | (h)  Provide lasting improvements in the delivery of health | 
| 87 | care for individuals with arthritis and their families, thereby | 
| 88 | improving their quality of life while also containing health | 
| 89 | care costs. | 
| 90 | (4)  ARTHRITIS PREVENTION AND EDUCATION PROGRAM.-- | 
| 91 | (a)  Program establishment.--To the extent that funds are | 
| 92 | specifically made available for this purpose, the Department of | 
| 93 | Health shall establish, promote, and maintain an arthritis | 
| 94 | prevention and education program to raise public awareness, | 
| 95 | educate consumers, and educate and train health professionals, | 
| 96 | teachers, and human services providers, and for other purposes | 
| 97 | as provided in this section. | 
| 98 | (b)  Needs assessment.--The department shall conduct a | 
| 99 | needs assessment to identify: | 
| 100 | 1.  Epidemiological and other research on arthritis being | 
| 101 | conducted within the state. | 
| 102 | 2.  Available technical assistance and educational | 
| 103 | materials and programs on arthritis nationwide and within the | 
| 104 | state. | 
| 105 | 3.  The level of public and professional awareness of | 
| 106 | arthritis. | 
| 107 | 4.  The needs of people with arthritis, their families, and | 
| 108 | caregivers. | 
| 109 | 5.  The educational and support service needs of health | 
| 110 | care providers, including physicians, nurses, managed care | 
| 111 | organizations, and other health care providers, relating to | 
| 112 | arthritis. | 
| 113 | 6.  The services available to persons with arthritis. | 
| 114 | 7.  The existence of arthritis treatment, self-management, | 
| 115 | physical activity, and other education programs. | 
| 116 | 8.  The existence of rehabilitation services for people | 
| 117 | with arthritis. | 
| 118 | (c)  Statewide partnership on arthritis.--The department | 
| 119 | shall establish and coordinate a statewide partnership on | 
| 120 | arthritis to collaborate with the department and address | 
| 121 | arthritis issues within the state. Membership shall include, but | 
| 122 | is not limited to, persons with arthritis, public health | 
| 123 | educators, medical experts on arthritis, providers of arthritis | 
| 124 | health care, persons knowledgeable in health promotion and | 
| 125 | education, and representatives of national arthritis | 
| 126 | organizations and their local chapters. | 
| 127 | (d)  Public awareness.--The department shall use, but is | 
| 128 | not limited to, strategies consistent with the National | 
| 129 | Arthritis Action Plan and existing state planning efforts to | 
| 130 | raise public awareness and knowledge about the causes and nature | 
| 131 | of arthritis, personal risk factors, the value of prevention and | 
| 132 | early detection, ways to minimize preventable pain through | 
| 133 | evidence-based self-management interventions, and options for | 
| 134 | diagnosing and treating the disease. | 
| 135 | (5)  FUNDING.-- | 
| 136 | (a)  The Secretary of Health may accept grants, services, | 
| 137 | and property from the Federal Government, foundations, | 
| 138 | organizations, medical schools, and other entities as may be | 
| 139 | available for the purposes of fulfilling the obligations of this | 
| 140 | program. | 
| 141 | (b)  The secretary shall seek any federal waiver or waivers | 
| 142 | that may be necessary to maximize funds from the Federal | 
| 143 | Government to implement this program. | 
| 144 | Section 2.  This act shall take effect upon becoming a law. |