Senate Bill sb0642c1

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    Florida Senate - 2006                            CS for SB 642

    By the Committee on Judiciary; and Senator Miller





    590-1827-06

  1                      A bill to be entitled

  2         An act relating to the Lead Poisoning

  3         Prevention Screening and Education Act;

  4         providing a short title; providing legislative

  5         findings; providing definitions; providing for

  6         the establishment of a statewide comprehensive

  7         educational program on lead poisoning

  8         prevention; providing for a public information

  9         initiative; providing for distribution of

10         literature about childhood lead poisoning;

11         requiring the establishment of a screening

12         program for early identification of persons at

13         risk of elevated levels of lead in the blood;

14         providing for screening of children; providing

15         for prioritization of screening; providing for

16         the maintenance of records of screenings;

17         providing for reporting of cases of lead

18         poisoning; providing an appropriation;

19         providing contingencies for implementing the

20         educational program under the act; providing

21         effective dates.

22  

23  Be It Enacted by the Legislature of the State of Florida:

24  

25         Section 1.  Short title.--This act may be cited as the

26  "Lead Poisoning Prevention Screening and Education Act."

27         Section 2.  Legislative findings.--

28         (1)  Nearly 300,000 American children may have levels

29  of lead in their blood in excess of 10 micrograms per

30  deciliter (ug/dL). Unless prevented or treated, elevated

31  

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1  blood-lead levels in egregious cases may result in impairment

 2  of the ability to think, concentrate, and learn.

 3         (2)  A significant cause of lead poisoning in children

 4  is the ingestion of lead particles from deteriorating

 5  lead-based paint in older, poorly maintained residences.

 6         (3)  Childhood lead poisoning can be prevented if

 7  parents, property-owners, health professionals, and those who

 8  work with young children are informed about the risks of

 9  childhood lead poisoning and how to prevent it.

10         (4)  Knowledge of lead-based-paint hazards, their

11  control, mitigation, abatement, and risk avoidance is not

12  sufficiently widespread.

13         (5)  Most children who live in older homes and who

14  otherwise may be at risk for childhood lead poisoning are not

15  tested for the presence of elevated lead levels in their

16  blood.

17         (6)  Testing for elevated lead levels in the blood can

18  lead to the mitigation or prevention of the harmful effects of

19  childhood lead poisoning and may also prevent similar injuries

20  to other children living in the same household.

21         Section 3.  Definitions.--As used in this act, the

22  term:

23         (1)  "Affected property" means a room or group of rooms

24  within a property constructed before January 1, 1960, or

25  within a property constructed between January 1, 1960, and

26  January 1, 1978, where the owner has actual knowledge of the

27  presence of lead-based paint, that form a single independent

28  habitable dwelling unit for occupation by one or more

29  individuals and that has living facilities with permanent

30  provisions for living, sleeping, eating, cooking, and

31  sanitation. Affected property does not include:

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1         (a)  An area not used for living, sleeping, eating,

 2  cooking, or sanitation, such as an unfinished basement;

 3         (b)  A unit within a hotel, motel, or similar seasonal

 4  or transient facility, unless such unit is occupied by one or

 5  more persons at risk for a period exceeding 30 days;

 6         (c)  An area that is secured and inaccessible to

 7  occupants; or

 8         (d)  A unit that is not offered for rent.

 9         (2)  "Dust-lead hazard" means surface dust in a

10  residential dwelling or a facility occupied by a person at

11  risk which contains a mass-per-area concentration of lead

12  equal to or exceeding 40 ug/ft2 on floors or 250 ug/ft2 on

13  interior windowsills based on wipe samples.

14         (3)  "Elevated blood-lead level" means a quantity of

15  lead in whole venous blood, expressed in micrograms per

16  deciliter (ug/dL), which exceeds 10 ug/dL or such other level

17  as specifically provided in this act.

18         (4)  "Lead-based paint" means paint or other surface

19  coatings that contain lead equal to or exceeding 1.0 milligram

20  per square centimeter, 0.5 percent by weight, or 5,000 parts

21  per million (ppm) by weight.

22         (5)  "Lead-based-paint hazard" means paint-lead hazards

23  and dust-lead hazards.

24         (6)  "Owner" means a person, firm, corporation,

25  nonprofit organization, partnership, government, guardian,

26  conservator, receiver, trustee, executor, or other judicial

27  officer, or other entity which, alone or with others, owns,

28  holds, or controls the freehold or leasehold title or part of

29  the title to property, with or without actually possessing it.

30  The definition includes a vendee who possesses the title, but

31  does not include a mortgagee or an owner of a reversionary

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1  interest under a ground rent lease. The term includes any

 2  authorized agent of the owner, including a property manager or

 3  leasing agent.

 4         (7)  "Paint-lead hazard" means any one of the

 5  following:

 6         (a)  Any lead-based paint on a friction surface that is

 7  subject to abrasion and where the dust-lead levels on the

 8  nearest horizontal surface underneath the friction surface,

 9  such as the windowsill or floor, are equal to or greater than

10  the dust-lead-hazard levels defined in subsection (2);

11         (b)  Any damaged or otherwise deteriorated lead-based

12  paint on an impact surface that is caused by impact from a

13  related building material, such as a door knob that knocks

14  into a wall or a door that knocks against its door frame;

15         (c)  Any chewable lead-based painted surface on which

16  there is evidence of teeth marks; or

17         (d)  Any other deteriorated lead-based paint in or on

18  the exterior of any residential building or any facility

19  occupied by a person at risk.

20         (8)  "Person at risk" means a child under the age of 6

21  years or a pregnant woman who resides or regularly spends at

22  least 24 hours per week in an affected property.

23         (9)  "Secretary" means the secretary of the Department

24  of Health or a designee chosen by the secretary to administer

25  the Lead Poisoning Prevention Screening and Education Act.

26         (10)  "Tenant" means the individual named as the lessee

27  in a lease, rental agreement, or occupancy agreement for a

28  dwelling unit.

29         Section 4.  Educational programs.--

30         (1)  LEAD POISONING PREVENTION EDUCATIONAL PROGRAM

31  ESTABLISHED.--In order to achieve the purposes of this act, a

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1  statewide, multifaceted, ongoing educational program designed

 2  to meet the needs of tenants, property owners, health care

 3  providers, early childhood educators, care providers, and

 4  realtors is established.

 5         (2)  PUBLIC INFORMATION INITIATIVE.--The Governor, in

 6  conjunction with the Secretary of Health and his or her

 7  designee, shall sponsor a series of public service

 8  announcements on radio, television, the Internet, and print

 9  media about the nature of lead-based-paint hazards, the

10  importance of standards for lead poisoning prevention in

11  properties, and the purposes and responsibilities set forth in

12  this act. In developing and coordinating this public

13  information initiative, the sponsors shall seek the

14  participation and involvement of private industry

15  organizations, including those involved in real estate,

16  insurance, mortgage banking, and pediatrics.

17         (3)  DISTRIBUTION OF LITERATURE ABOUT CHILDHOOD LEAD

18  POISONING.--By January 1, 2007, the Secretary of Health or his

19  or her designee shall develop culturally and linguistically

20  appropriate information pamphlets regarding childhood lead

21  poisoning, the importance of testing for elevated blood-lead

22  levels, prevention of childhood lead poisoning, treatment of

23  childhood lead poisoning, and, where appropriate, the

24  requirements of this act. These information pamphlets shall be

25  distributed to parents or the other legal guardians of

26  children 6 years of age or younger on the following occasions:

27         (a)  By a health care provider at the time of a child's

28  birth and at the time of any childhood immunization or

29  vaccination unless it is established that such information

30  pamphlet has been provided previously to the parent or legal

31  

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1  guardian by the health care provider within the prior 12

 2  months.

 3         (b)  By the owner or operator of any child care

 4  facility or preschool or kindergarten class on or before

 5  October 15 of the calendar year.

 6         Section 5.  Screening program.--

 7         (1)  The secretary shall establish a program for early

 8  identification of persons at risk of having elevated

 9  blood-lead levels. Such program shall systematically screen

10  children under 6 years of age in the target populations

11  identified in subsection (2) for the presence of elevated

12  blood-lead levels. Children within the specified target

13  populations shall be screened with a blood-lead test at age 12

14  months and age 24 months, or between the ages of 36 months and

15  72 months if they have not previously been screened. The

16  secretary shall, after consultation with recognized

17  professional medical groups and such other sources as the

18  secretary deems appropriate, promulgate rules establishing:

19         (a)  The means by which and the intervals at which such

20  children under 6 years of age shall be screened for lead

21  poisoning and elevated blood-lead levels.

22         (b)  Guidelines for the medical followup on children

23  found to have elevated blood-lead levels.

24         (2)  In developing screening programs to identify

25  persons at risk with elevated blood-lead levels, priority

26  shall be given to persons within the following categories:

27         (a)  All children enrolled in the Medicaid program at

28  ages 12 months and 24 months, or between the ages of 36 months

29  and 72 months if they have not previously been screened.

30  

31  

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1         (b)  Children under the age of 6 years exhibiting

 2  delayed cognitive development or other symptoms of childhood

 3  lead poisoning.

 4         (c)  Persons at risk residing in the same household, or

 5  recently residing in the same household, as another person at

 6  risk with a blood-lead level of 10 ug/dL or greater.

 7         (d)  Persons at risk residing, or who have recently

 8  resided, in buildings or geographical areas in which

 9  significant numbers of cases of lead poisoning or elevated

10  blood-lead levels have recently been reported.

11         (e)  Persons at risk residing, or who have recently

12  resided, in an affected property contained in a building that

13  during the preceding 3 years has been subject to enforcement

14  for violations of lead-poisoning-prevention statutes,

15  ordinances, rules, or regulations as specified by the

16  secretary.

17         (f)  Persons at risk residing, or who have recently

18  resided, in a room or group of rooms contained in a building

19  whose owner also owns a building containing affected

20  properties which during the preceding 3 years has been subject

21  to an enforcement action for a violation of

22  lead-poisoning-prevention statutes, ordinances, rules, or

23  regulations.

24         (g)  Persons at risk residing in other buildings or

25  geographical areas in which the secretary reasonably

26  determines there to be a significant risk of affected

27  individuals having a blood-lead level of 10 ug/dL or greater.

28         (3)  The secretary shall maintain comprehensive records

29  of all screenings conducted pursuant to this section. Such

30  records shall be indexed geographically and by owner in order

31  to determine the location of areas of relatively high

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    Florida Senate - 2006                            CS for SB 642
    590-1827-06




 1  incidence of lead poisoning and other elevated blood-lead

 2  levels.

 3  

 4  All cases or probable cases of lead poisoning found in the

 5  course of screenings conducted pursuant to this section shall

 6  be reported to the affected individual, to his or her parent

 7  or legal guardian if he or she is a minor, and to the

 8  secretary.

 9         Section 6.  For the 2006-2007 fiscal year, the sum of

10  $308,000 in recurring general revenue funds is appropriated to

11  the Department of Health for the purpose of implementing

12  section 5 of this act.

13         Section 7.  Section 4 shall take effect only if the

14  requirements in that section are consistent with requirements

15  of any federal childhood lead-poisoning-prevention grant

16  awarded to the Department of Health and if federal funds

17  awarded with any such grant are permitted to be used to

18  implement the requirements in that section.

19         Section 8.  Except as otherwise expressly provided in

20  this act, this act shall take effect July 1, 2006.

21  

22          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
23                         Senate Bill 642

24                                 

25  --   Provides that the $308,000 recurring general revenue
         funds are appropriated solely for the implementation of
26       the section of the act related to identification of
         persons at risk of having elevated blood-lead levels.
27  
    --   Provides that only implementation of the educational
28       program section of the act is contingent upon receipt of
         any federal childhood lead-poisoning-prevention grant.
29  
    --   Provides that the educational program section of the act
30       may be implemented only to the extent that it is
         consistent with the requirements of any federal childhood
31       lead-poisoning-prevention grant received.

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