Florida Senate - 2009 SB 1872 By Senator Peaden 2-01777-09 20091872__ 1 A bill to be entitled 2 An act relating to cardiovascular disease; creating 3 the Florida Council on Cardiovascular Disease and 4 Stroke; providing definitions; providing for the 5 appointment of members; providing terms of membership; 6 providing requirements for voting and a quorum; 7 providing for quarterly meetings; requiring the 8 Department of Health to provide administrative 9 support; providing for reimbursement of per diem and 10 travel expenses; providing powers and duties of the 11 council; requiring the council to submit written 12 recommendations to the department, the Governor, and 13 the Legislature by a specified date; requiring the 14 council to report on its activities and accounting of 15 funds to the Governor and the Legislature; requiring 16 the council to review available clinical resources and 17 develop a database of recommendations for care and 18 treatment of patients having cardiovascular disease or 19 patients at the risk of or who have suffered from a 20 stroke; requiring the council to make this database 21 available to the public; requiring the council to 22 collect and analyze information related to 23 cardiovascular disease and stroke from different 24 agencies and organizations and create and maintain a 25 database of the information; providing requirements 26 for the database; authorizing the council to use 27 information from other sources; providing an effective 28 date. 29 30 Be It Enacted by the Legislature of the State of Florida: 31 32 Section 1. Florida Council on Cardiovascular Disease and 33 Stroke.— 34 (1) DEFINITIONS.—As used in this section, the term: 35 (a) “Cardiovascular disease” means the group of diseases 36 that involve the heart and blood vessels and that are the result 37 of complex interactions between multiple inherited traits and 38 environmental factors. 39 (b) “Council” means the Florida Council on Cardiovascular 40 Disease and Stroke. 41 (c) “Managed care entity” means a health maintenance 42 organization or a prepaid health clinic certified under chapter 43 641, a prepaid health plan authorized under s. 409.912, Florida 44 Statutes, or an exclusive provider organization certified under 45 s. 627.6472, Florida Statutes. 46 (2) APPOINTMENT OF COUNCIL; TERMS OF MEMBERS.— 47 (a) The Florida Council on Cardiovascular Disease and 48 Stroke is composed of 12 members, including a chairperson, who 49 shall be appointed by the Governor and who are subject to 50 confirmation by the Senate, as follows: 51 1. A licensed physician whose area of specialization is 52 cardiology; 53 2. A licensed physician whose area of specialization is 54 neurology to treat stroke; 55 3. A licensed physician who is employed in a primary care 56 setting; 57 4. A registered nurse whose area of specialization is 58 quality improvement practices for cardiovascular disease and 59 stroke; 60 5. A registered and licensed dietitian; 61 6. A pharmacist who is licensed in this state; 62 7. Two persons who have experience and training in public 63 health policy, research, or practice; 64 8. Two consumer members, with special consideration given 65 to persons who are active participants in the Florida affiliates 66 of the American Heart Association or American Stroke Association 67 and who work in a managed care entity or in a hospital or 68 rehabilitation setting; and 69 9. Two members of the public who provide care for persons 70 who have cardiovascular disease or are at risk of a stroke or 71 who have suffered from cardiovascular disease or stroke. 72 (b) In appointing members under paragraph (a), the Governor 73 shall attempt to appoint female members and members of different 74 minority groups, including African Americans, Hispanic 75 Americans, Native Americans, and Asian Americans. The Governor 76 shall fill any vacancies for the remainder of the unexpired term 77 in the same manner as the original appointment. 78 (c) Members of the council shall be appointed to staggered 79 4-year terms, with the terms of three or four of the members 80 expiring February 1 of each odd-numbered year. 81 (d) A majority of the members of the council constitutes a 82 quorum, and an affirmative vote of a majority of the members is 83 necessary to take action. 84 (e) The council shall meet quarterly or at the call of the 85 chairperson. 86 (f) The Department of Health shall provide staff and 87 administrative support for the council. 88 (g) Members of the council shall serve without 89 compensation, but are entitled to reimbursement for travel and 90 per diem expenses incurred in the performance of their duties in 91 accordance with s. 112.061, Florida Statutes. 92 (3) POWERS AND DUTIES OF THE COUNCIL.— 93 (a) The council shall develop an effective and resource 94 efficient plan to reduce the morbidity, mortality, and economic 95 burden of cardiovascular disease and stroke in this state. The 96 council shall: 97 1. Conduct health education, public awareness, and 98 community outreach activities that relate to primary and 99 secondary prevention of cardiovascular disease and stroke; 100 2. Promote, enhance, and coordinate health education, 101 public awareness, and community outreach activities that relate 102 to primary and secondary prevention of cardiovascular disease 103 and stroke and that are provided by private and other public 104 organizations; 105 3. Coordinate activities with other entities that are 106 concerned with medical conditions that are similar to 107 cardiovascular disease and stroke or that have similar risk 108 factors; 109 4. Identify for health care providers, employers, schools, 110 community health centers, and other groups the benefits of 111 encouraging treatment and primary and secondary prevention, 112 promote public awareness of cardiovascular disease and stroke, 113 and recognize innovative and effective programs that achieve the 114 objectives of improved treatment, prevention, and public 115 awareness; 116 5. Provide guidance regarding the roles and 117 responsibilities of government agencies, health care providers, 118 employers, third-party payers, patients, and families of 119 patients in the treatment, primary and secondary prevention, and 120 public awareness of cardiovascular disease and stroke; 121 6. Improve access to treatment for and primary and 122 secondary prevention of cardiovascular disease and stroke 123 through public awareness programs, including access for 124 uninsured individuals and individuals living in rural or 125 underserved areas; 126 7. Assist communities in developing comprehensive local 127 programs for the prevention of cardiovascular disease and 128 stroke; 129 8. Assist the Department of Education and local school 130 districts in promoting a public school curriculum that includes 131 physical, nutritional, and health education relating to the 132 prevention of cardiovascular disease and stroke; 133 9. Establish appropriate forums, programs, or initiatives 134 that are designed to educate the public regarding the effect of 135 heart disease and stroke on women's health, with an emphasis on 136 preventive health and healthy lifestyles; 137 10. Evaluate and enhance the implementation and 138 effectiveness of the program developed under this section; and 139 11. Advise the Legislature on legislation that is needed to 140 develop further and maintain a statewide system of quality 141 education services for all persons who have cardiovascular 142 disease or who have suffered from or are at risk for stroke. The 143 council may develop and submit legislation to the Legislature or 144 comment on pending legislation that affects persons who have 145 cardiovascular disease or who have suffered from or are at risk 146 for stroke. 147 (b) By January 15, 2010, the council shall make written 148 recommendations for performing its duties under this section to 149 the Department of Health, the Governor, the President of the 150 Senate, and the Speaker of the House of Representatives. 151 (c) By January 15, 2011, and each January 15 thereafter, 152 the council shall report to the Governor, the President of the 153 Senate, and the Speaker of the House of Representatives on the 154 activities of the council, accounting for all funds received and 155 disbursed by or for the council during the preceding fiscal 156 year. 157 (4) DATABASE OF CLINICAL RESOURCES.—The council shall 158 review available clinical resources and shall develop a database 159 of recommendations for appropriate care and treatment of 160 patients who have cardiovascular disease or patients who have 161 suffered from or are at risk for stroke. The council shall make 162 the database accessible to the public. 163 (5) CARDIOVASCULAR DISEASE AND STROKE DATABASE.— 164 (a) The council shall collect and analyze information 165 related to cardiovascular disease and stroke at the state level 166 and regional level and, to the extent feasible, at the local 167 level. The council shall obtain the information from federal and 168 state agencies and from private and public organizations. The 169 council shall maintain a database of this information. The 170 database shall include, but need not be limited to: 171 1. Information related to behavioral risk factors 172 identified for cardiovascular disease and stroke; 173 2. Morbidity and mortality rates for cardiovascular disease 174 and stroke; and 175 3. Community indicators relevant to cardiovascular disease 176 and stroke. 177 (b) In compiling the database, the council may use 178 information available from other sources, such as the Behavioral 179 Risk Factor Surveillance System established by the Centers for 180 Disease Control and Prevention, reports of data from hospital 181 discharges, and information included in death certificates. 182 Section 2. This act shall take effect July 1, 2009.