Senate Bill sb1598

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    Florida Senate - 2007                                  SB 1598

    By Senator Saunders





    37-1196A-07

  1                      A bill to be entitled

  2         An act relating to the public health system;

  3         amending s. 381.001, F.S.; revising the intent

  4         of the Legislature regarding the mission of the

  5         state's public health system, the Department of

  6         Health's duty to monitor and regulate factors

  7         in the environment which affect the public

  8         health, and the functions of the public health

  9         system with regard to local planning and

10         development activities; providing additional

11         legislative intent regarding the improvement of

12         the land use planning and growth management

13         process by planning agencies; providing an

14         effective date.

15  

16         WHEREAS, the cost of health care in this state has

17  grown substantially, and hospitals statewide face $2.1 billion

18  in uncompensated care annually, and an estimated 20 percent of

19  Florida's population is now uninsured, and

20         WHEREAS, the state's population is now over 18 million

21  and continues to grow, and

22         WHEREAS, motor vehicle traffic has continually risen,

23  and the number of trips people take on foot has dropped by 42

24  percent in the last 20 years, and the percentage of all trips

25  under a 1/2 mile which are made by vehicle instead of walking

26  in Florida is 54 percent, and the percentage of all traffic

27  deaths involving pedestrians in Florida is 17 percent, and

28         WHEREAS, asthma associated with poor air quality from

29  motor vehicles is the number one reason children visit the

30  emergency room and miss school, and

31  

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    Florida Senate - 2007                                  SB 1598
    37-1196A-07




 1         WHEREAS, the Centers for Disease Control and Prevention

 2  report that 60 percent of adults in this state are overweight

 3  or at risk of becoming overweight, and that 28 percent of

 4  low-income children between 2 and 5 years of age in this state

 5  are overweight or at risk of becoming overweight, and

 6          WHEREAS, Dr. Julie Gerberding, the Director of the

 7  Centers for Disease Control and Prevention reports that 1 in 3

 8  Americans born in 2000 will develop diabetes sometime during

 9  their lifetime and that Type II Diabetes, once called

10  adult-onset diabetes, is becoming increasingly common in

11  children, and the cost for treating diabetes in the United

12  States is estimated at $132 billion annually, and

13         WHEREAS, Florida has a large elderly population to

14  consider when planning for future transportation, health care,

15  and community needs, and the number of people older than age

16  65 will double by the year 2020, and

17         WHEREAS, Dr. Howard Frumkin, the current Director of

18  the National Center for Environmental Health, and Dr. Richard

19  Jackson, the former Director of the National Center for

20  Environmental Health and the former California State Health

21  Officer, believe that the physical environment affects

22  physical and mental health, and that communities must be

23  designed to encourage walking, biking, and social interaction

24  and to prevent traffic injuries, decrease air and water

25  pollution, improve pedestrian facilities, preserve green

26  space, upgrade public transportation, and offer healthful

27  services in near proximity, and

28         WHEREAS, the break between the planning and development

29  processes and community public health must be bridged, NOW,

30  THEREFORE,

31  

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    Florida Senate - 2007                                  SB 1598
    37-1196A-07




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

 2  

 3         Section 1.  Section 381.001, Florida Statutes, is

 4  amended to read:

 5         381.001  Legislative intent; public health system.--

 6         (1)  It is the intent of the Legislature that the

 7  Department of Health be responsible for the state's public

 8  health system which shall be designed to promote, protect, and

 9  improve the health of all people in the state. The mission of

10  the state's public health system is to foster the conditions

11  in which people can be healthy, by assessing state and

12  community health needs and priorities through data collection,

13  epidemiologic studies, health-affect assessments, and

14  community participation; by developing comprehensive public

15  health policies and objectives aimed at improving the health

16  status of people in the state; and by ensuring essential

17  health care and a natural and built an environment which

18  enhances the health of the individual and the community.  The

19  Legislature recognizes that the state's public health system

20  must be founded on an active partnership between federal,

21  state, and local government and between the public and private

22  sectors, and, therefore, assessment, policy development, and

23  service provision must be shared by all of these entities to

24  achieve its mission.

25         (2)  It is the intent of the Legislature that the

26  department, in carrying out the mission of public health,

27  focus attention on identifying, assessing, and controlling the

28  presence and spread of communicable diseases; on monitoring

29  and regulating factors in the natural and built environment

30  which may impair the public's health, with particular

31  attention to supporting healthy communities; preventing

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    Florida Senate - 2007                                  SB 1598
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 1  contamination of drinking water, the air people breathe, and

 2  the food people consume; and ensuring availability of and

 3  access to preventive and primary health care, including, but

 4  not limited to, acute and episodic care, prenatal and

 5  postpartum care, child health, family planning, school health,

 6  chronic disease prevention, child and adult immunization,

 7  dental health, nutrition, and health education and promotion

 8  services.

 9         (3)  It is, furthermore, the intent of the Legislature

10  that the public health system include comprehensive planning,

11  data collection, technical support, and health resource

12  development functions. These functions include, but are not

13  limited to, state laboratory and pharmacy services, the state

14  vital statistics system, the Florida Center for Health

15  Information and Policy Analysis, emergency medical services

16  coordination and support, assessment of local planning and

17  development activities, and recruitment, retention, and

18  development of preventive and primary health care

19  professionals and managers.

20         (4)  It is, furthermore, the intent of the Legislature

21  that the department provide public health services through the

22  67 county health departments in partnership with county

23  governments, as specified in part I of chapter 154, and in so

24  doing make every attempt possible to solicit the support and

25  involvement of private and not-for-profit health care agencies

26  in fulfilling the public health mission.

27         (5)  It is, furthermore, the intent of the Legislature,

28  recognizing that the roots of planning and zoning are in the

29  public health field, that the state, regional, and local

30  planning agencies improve the land use planning and growth

31  management process through the following means:

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    Florida Senate - 2007                                  SB 1598
    37-1196A-07




 1         (a)  Use and make reference to the Principles of Smart

 2  Growth, a developing movement that invests time, attention,

 3  and resources in restoring community and vitality to center

 4  cities and older suburbs, in land use decisionmaking.

 5         (b)  Support public health membership on review boards,

 6  planning commissions, regional planning councils, and other

 7  planning bodies of deliberation.

 8         (c)  Provide incentives for developers and community

 9  redevelopment projects at the local level in order to support

10  a healthy development certification or smart growth

11  designation for such qualifying developments or projects.

12         (d)  Support the use of health-affect assessments on

13  developments of a certain size or of a development considered

14  to be regional.

15         Section 2.  This act shall take effect upon becoming a

16  law.

17  

18            *****************************************

19                          SENATE SUMMARY

20    Revises the intent of the Legislature regarding the
      mission of the state's public health system, the
21    Department of Health's duty to monitor and regulate
      factors in the environment which affect the public
22    health, and the functions of the public health system
      with regard to local planning and development activities.
23    Provides additional legislative intent regarding the
      improvement of the land use planning and growth
24    management process by planning agencies.

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