Florida Senate - 2011                                     SB 586
       
       
       
       By Senator Wise
       
       
       
       
       5-00562-11                                             2011586__
    1                        A bill to be entitled                      
    2         An act relating to Alzheimer’s disease; creating s.
    3         430.5025, F.S.; directing the Department of Elderly
    4         Affairs to develop and implement a public education
    5         program relating to screening for Alzheimer’s disease;
    6         providing criteria for awarding grants; providing a
    7         definition; requiring grant recipients to submit an
    8         evaluation of certain activities to the department;
    9         authorizing the department to provide technical
   10         support; requiring an annual report to the
   11         Legislature; providing for implementation of the
   12         public education program to operate within existing
   13         resources of the department; providing that
   14         implementation of the memory-impairment screening
   15         grant program is contingent upon an appropriation of
   16         state funds or the availability of private resources;
   17         amending s. 400.1755, F.S.; specifying the types of
   18         facilities where an employee or direct caregiver
   19         providing care for persons with Alzheimer’s disease
   20         may begin employment without repeating certain
   21         training requirements; amending s. 400.6045, F.S.;
   22         requiring direct caregivers to comply with certain
   23         continuing education requirements; amending s.
   24         429.178, F.S.; specifying the types of facilities
   25         where an employee or direct caregiver providing care
   26         for persons with Alzheimer’s disease may begin
   27         employment without repeating certain training
   28         requirements; providing an effective date.
   29  
   30         WHEREAS, Alzheimer’s disease is a slow, progressive
   31  disorder of the brain which results in loss of memory and other
   32  cognitive functions, is the eighth leading cause of death in the
   33  United States, and currently affects an estimated 5 million
   34  Americans, with that number expected to increase to 16 million
   35  by mid-century, and
   36         WHEREAS, Alzheimer’s disease strikes approximately 1 in 10
   37  people over the age of 65 and nearly half of those who are age
   38  85 or older, although some people develop symptoms as young as
   39  age 40, and
   40         WHEREAS, Alzheimer’s disease takes an enormous toll on
   41  family members who are the caregivers for individuals having the
   42  disease, and
   43         WHEREAS, caregivers for individuals who have Alzheimer’s
   44  disease suffer more stress, depression, and health problems than
   45  caregivers for individuals who have other illnesses, and
   46         WHEREAS, Alzheimer’s disease costs United States businesses
   47  more than $60 billion annually due to lost productivity and
   48  absenteeism by primary caregivers and increased insurance costs,
   49  and
   50         WHEREAS, recent advancements in scientific research have
   51  demonstrated the benefits of early medical treatment for persons
   52  who have Alzheimer’s disease and the benefits of early access to
   53  counseling and other support services for their caregivers, and
   54         WHEREAS, research shows that several medications have been
   55  developed which can reduce the symptoms of Alzheimer’s disease,
   56  that persons begin to benefit most when these medications are
   57  taken in the early stages of a memory disorder, and that this
   58  intervention may extend the period during which patients can be
   59  cared for at home, thereby significantly reducing the costs of
   60  institutional care, and
   61         WHEREAS, with early diagnosis, patients can participate in
   62  decisions regarding their care and their families can take
   63  advantage of support services that can reduce caregiver
   64  depression and related health problems, and
   65         WHEREAS, in direct response to research breakthroughs,
   66  National Memory Screening Day was established as a collaborative
   67  effort by organizations and health care professionals across the
   68  country to promote awareness and early detection of memory
   69  impairments, and
   70         WHEREAS, on National Memory Screening Day, which is held on
   71  the third Tuesday of November in recognition of National
   72  Alzheimer’s Disease Month, health care professionals administer
   73  free memory screenings at hundreds of sites throughout the
   74  United States, and
   75         WHEREAS, memory screening is used as an indicator of
   76  whether a person might benefit from more extensive testing to
   77  determine whether a memory or cognitive impairment exists and
   78  identifies persons who may benefit from medical attention, but
   79  is not used to diagnose any illness and in no way replaces
   80  examination by a qualified physician, NOW, THEREFORE,
   81  
   82  Be It Enacted by the Legislature of the State of Florida:
   83  
   84         Section 1. Section 430.5025, Florida Statutes, is created
   85  to read:
   86         430.5025Memory-impairment screening; grants.—
   87         (1)The Department of Elderly Affairs shall develop and
   88  implement a public education program relating to screening for
   89  memory impairment and the importance of early diagnosis and
   90  treatment of Alzheimer’s disease and related disorders.
   91         (2)The department may award grants to qualifying entities
   92  to support the development, expansion, or operation of programs
   93  that provide:
   94         (a)Information and education on the importance of memory
   95  screening for early diagnosis and treatment of Alzheimer’s
   96  disease and related disorders.
   97         (b)Screenings for memory impairment.
   98         (3)As used in this section, the term “qualifying entities”
   99  means public and nonprofit private entities that provide
  100  services and care to individuals who have Alzheimer’s disease or
  101  related disorders and their caregivers and families.
  102         (4)When awarding grants under this section, the department
  103  shall give preference to applicants that:
  104         (a)Have demonstrated experience in promoting public
  105  education and awareness of the importance of memory screening or
  106  providing memory-screening services.
  107         (b)Have established arrangements with health care
  108  providers and other organizations to provide screenings for
  109  memory impairment in a manner that is convenient to individuals
  110  in the communities served by the applicants.
  111         (c)Provide matching funds.
  112         (5)A qualifying entity that receives a grant under this
  113  section shall submit to the department an evaluation that
  114  describes activities carried out with funds received under this
  115  section, the long-term effectiveness of such activities in
  116  promoting early detection of memory impairment, and any other
  117  information that the department requires.
  118         (6)The department may set aside an amount not to exceed 15
  119  percent of the total amount appropriated to the memory
  120  impairment screening grant program for the fiscal year to
  121  provide grantees with technical support in the development,
  122  implementation, and evaluation of memory-impairment screening
  123  programs.
  124         (7)A grant may be awarded under subsection (2) only if an
  125  application for the grant is submitted to the department and the
  126  application is in the form, is made in the manner, and contains
  127  the agreements, assurances, and information that the department
  128  determines are necessary to carry out the purposes of this
  129  section.
  130         (8)The department shall annually submit to the President
  131  of the Senate and the Speaker of the House of Representatives a
  132  report on the activities carried out under this section,
  133  including provisions describing the extent to which the
  134  activities have affected the rate of screening for memory
  135  impairment and have improved outcomes for patients and
  136  caregivers.
  137         Section 2. Implementation.—
  138         (1)Implementation of the public education program created
  139  under s. 430.5025, Florida Statutes, shall operate within
  140  existing resources of the Department of Elderly Affairs.
  141         (2)Implementation of the memory-impairment screening grant
  142  program created under s. 430.5025, Florida Statutes, is
  143  contingent upon appropriation of state funds or the availability
  144  of private resources.
  145         Section 3. Subsection (6) of section 400.1755, Florida
  146  Statutes, is amended to read:
  147         400.1755 Care for persons with Alzheimer’s disease or
  148  related disorders.—
  149         (6) Upon completing any training listed in this section,
  150  the employee or direct caregiver shall be issued a certificate
  151  that includes the name of the training provider, the topic
  152  covered, and the date and signature of the training provider.
  153  The certificate is evidence of completion of training in the
  154  identified topic, and the employee or direct caregiver is not
  155  required to repeat training in that topic if the employee or
  156  direct caregiver changes employment to a different facility or
  157  to an assisted living facility, home health agency, adult day
  158  care center, or hospice adult family-care home. The direct
  159  caregiver must comply with other applicable continuing education
  160  requirements.
  161         Section 4. Paragraph (h) of subsection (1) of section
  162  400.6045, Florida Statutes, is amended to read:
  163         400.6045 Patients with Alzheimer’s disease or other related
  164  disorders; staff training requirements; certain disclosures.—
  165         (1) A hospice licensed under this part must provide the
  166  following staff training:
  167         (h) Upon completing any training described in this section,
  168  the employee or direct caregiver shall be issued a certificate
  169  that includes the name of the training provider, the topic
  170  covered, and the date and signature of the training provider.
  171  The certificate is evidence of completion of training in the
  172  identified topic, and the employee or direct caregiver is not
  173  required to repeat training in that topic if the employee or
  174  direct caregiver changes employment to a different hospice or to
  175  a home health agency, assisted living facility, nursing home, or
  176  adult day care center. The direct caregiver must comply with
  177  other applicable continuing education requirements.
  178         Section 5. Subsection (4) of section 429.178, Florida
  179  Statutes, is amended to read:
  180         429.178 Special care for persons with Alzheimer’s disease
  181  or other related disorders.—
  182         (4) Upon completing any training listed in subsection (2),
  183  the employee or direct caregiver shall be issued a certificate
  184  that includes the name of the training provider, the topic
  185  covered, and the date and signature of the training provider.
  186  The certificate is evidence of completion of training in the
  187  identified topic, and the employee or direct caregiver is not
  188  required to repeat training in that topic if the employee or
  189  direct caregiver changes employment to a different assisted
  190  living facility or nursing home, hospice, adult day care center,
  191  or home health agency facility. The employee or direct caregiver
  192  must comply with other applicable continuing education
  193  requirements.
  194         Section 6. This act shall take effect July 1, 2011.