Florida Senate - 2012                        COMMITTEE AMENDMENT
       Bill No. SB 682
       
       
       
       
       
       
                                Barcode 659240                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  01/12/2012           .                                
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       The Committee on Children, Families, and Elder Affairs (Latvala)
       recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. The Purple Ribbon Task Force.—The Purple Ribbon
    6  Task Force is established within the Department of Elderly
    7  Affairs.
    8         (1) The task force shall consist of 18 volunteer members,
    9  of whom six shall be appointed by the Governor, six shall be
   10  appointed by the Speaker of the House of Representatives, and
   11  six shall be appointed by the President of the Senate, as
   12  follows:
   13         (a) A member of the House of Representatives.
   14         (b) A member of the Senate.
   15         (c) A representative from the Alzheimer’s Association.
   16         (d) At least one person having Alzheimer’s disease or a
   17  related form of dementia.
   18         (e) At least one family caregiver or former family
   19  caregiver of a person having Alzheimer’s disease or a related
   20  form of dementia.
   21         (f) A representative from the Alzheimer’s Disease Advisory
   22  Committee.
   23         (g) A representative of law enforcement with knowledge
   24  about the disappearance and recovery, self-neglect, abuse,
   25  exploitation, and suicide of persons having Alzheimer’s disease
   26  or a related form of dementia.
   27         (h) A representative who has knowledge of and experience
   28  with the Baker Act and its impact on persons having Alzheimer’s
   29  disease or a related form of dementia.
   30         (i) An expert on disaster preparedness and response for
   31  persons having Alzheimer’s disease or a related form of
   32  dementia.
   33         (j) A representative of a health care facility or hospice
   34  that serves persons with Alzheimer’s disease.
   35         (k) A representative of the adult day care services
   36  industry.
   37         (l) A representative of health care practitioners
   38  specializing in the treatment of persons having Alzheimer’s
   39  disease or a related form of dementia.
   40         (m) A Florida board-certified elder law attorney.
   41         (n) A representative of the area agencies on aging or aging
   42  and disability resource centers.
   43         (o) A person who is an Alzheimer’s disease researcher.
   44         (p) A representative from a memory disorder clinic.
   45         (q) A representative of the assisted living facility
   46  industry.
   47         (r) A representative of the skilled nursing facility
   48  industry.
   49         (2) Initial appointments to the task force shall be made by
   50  July 1, 2012. A vacancy on the task force shall be filled for
   51  the unexpired portion of the term in the same manner as the
   52  original appointment.
   53         (3) Members shall serve on the task force without
   54  compensation and may not receive reimbursement for per diem or
   55  travel expenses.
   56         (4) The Department of Elderly Affairs shall convene the
   57  task force and provide necessary administrative support.
   58         (5) The task force shall:
   59         (a) Assess the current and future impact of Alzheimer’s
   60  disease and related forms of dementia on the state.
   61         (b) Examine the existing industries, services, and
   62  resources addressing the needs of persons having Alzheimer’s
   63  disease or a related form of dementia and their family
   64  caregivers.
   65         (c) Examine the needs of persons of all cultural
   66  backgrounds having Alzheimer’s disease or a related form of
   67  dementia and how their lives are affected by the disease from
   68  younger-onset, through mid-stage, to late-stage.
   69         (d) Develop a strategy to mobilize a state response to this
   70  public health crisis.
   71         (e) Provide information regarding:
   72         1. State trends with respect to persons having Alzheimer’s
   73  disease or a related form of dementia and their needs,
   74  including, but not limited to:
   75         a. The role of the state in providing community-based care,
   76  long-term care, and family caregiver support, including respite,
   77  education, and assistance to persons who are in the early stages
   78  of Alzheimer’s disease, who have younger-onset Alzheimer’s
   79  disease, or who have a related form of dementia.
   80         b. The development of state policy with respect to persons
   81  having Alzheimer’s disease or a related form of dementia.
   82         c. Surveillance of persons having Alzheimer’s disease or a
   83  related form of dementia for the purpose of accurately
   84  estimating the number of such persons in the state at present
   85  and projected population levels.
   86         2. Existing services, resources, and capacity, including,
   87  but not limited to:
   88         a. The type, cost, and availability of dementia-specific
   89  services throughout the state.
   90         b. Policy requirements and effectiveness for dementia
   91  specific training for professionals providing care.
   92         c. Quality care measures employed by providers of care,
   93  including providers of respite, adult day care, assisted living
   94  facility, skilled nursing facility, and hospice services.
   95         d. The capability of public safety workers and law
   96  enforcement officers to respond to persons having Alzheimer’s
   97  disease or a related form of dementia, including, but not
   98  limited to, responding to their disappearance, search and
   99  rescue, abuse, elopement, exploitation, or suicide.
  100         e. The availability of home and community-based services
  101  and respite care for persons having Alzheimer’s disease or a
  102  related form of dementia and education and support services to
  103  assist their families and caregivers.
  104         f. An inventory of long-term care facilities and community
  105  based services serving persons having Alzheimer’s disease or a
  106  related form of dementia.
  107         g. The adequacy and appropriateness of geriatric
  108  psychiatric units for persons having behavior disorders
  109  associated with Alzheimer’s disease or a related form of
  110  dementia.
  111         h. Residential assisted living options for persons having
  112  Alzheimer’s disease or a related form of dementia.
  113         i. The level of preparedness of service providers before,
  114  during, and after a catastrophic emergency involving a person
  115  having Alzheimer’s disease or a related form of dementia and
  116  their caregivers and families.
  117         3. Needed state policies or responses, including, but not
  118  limited to, directions for the provision of clear and
  119  coordinated care, services, and support to persons having
  120  Alzheimer’s disease or a related form of dementia and their
  121  caregivers and families and strategies to address any identified
  122  gaps in the provision of services.
  123         (f) Hold public meetings and employ technological means to
  124  gather feedback on the recommendations submitted by persons
  125  having Alzheimer’s disease or a related form of dementia, their
  126  caregivers and families, and the general public. Meetings of the
  127  task force may be held in person without compensation or
  128  reimbursement for travel expenses, by teleconference, or by
  129  other electronic means.
  130         (6) The task force shall submit a report of its findings
  131  and date-specific recommendations in the form of an Alzheimer’s
  132  disease state plan to the Governor, the Speaker of the House of
  133  Representatives, and the President of the Senate no later than
  134  August 1, 2013. The task force shall terminate on the earlier of
  135  the date the report is submitted or August 1, 2013.
  136         Section 2. This act shall take effect upon becoming a law.
  137  
  138  ================= T I T L E  A M E N D M E N T ================
  139         And the title is amended as follows:
  140         Delete everything before the enacting clause
  141  and insert:
  142                        A bill to be entitled                      
  143         An act relating to Alzheimer’s disease; establishing
  144         the Purple Ribbon Task Force within the Department of
  145         Elderly Affairs; providing for membership; providing
  146         that members shall serve without compensation or
  147         reimbursement for per diem or travel expenses;
  148         requiring the department to provide administrative
  149         support; providing duties of the task force;
  150         authorizing the task force to hold meetings by
  151         teleconference or other electronic means, or in person
  152         without compensation or reimbursement for per diem or
  153         travel expenses; requiring the task force to submit a
  154         report in the form of an Alzheimer’s disease state
  155         plan to the Governor and Legislature; providing for
  156         termination of the task force; providing an effective
  157         date.
  158  
  159         WHEREAS, Alzheimer’s disease is a slow, progressive
  160  disorder of the brain that results in loss of memory and other
  161  cognitive functions and eventually death, and
  162         WHEREAS, because Alzheimer’s disease is accompanied by
  163  memory loss, poor judgment, changes in personality and behavior,
  164  and a tendency to wander or become lost, a person with this
  165  disease is at an increased risk for accidental injury, abuse,
  166  neglect, and exploitation, and
  167         WHEREAS, approximately one in eight Americans 65 years of
  168  age or older and almost half of Americans 85 years of age or
  169  older develop Alzheimer’s disease or a related form of dementia,
  170  and
  171         WHEREAS, there are 459,806 probable cases of Alzheimer’s
  172  disease in this state in 2011, which population is expected to
  173  triple by the year 2050, and
  174         WHEREAS, Alzheimer’s disease takes an enormous toll on
  175  family members, with an estimated one in four family members
  176  providing caregiving support for individuals with the disease,
  177  and
  178         WHEREAS, caregivers for persons having Alzheimer’s disease
  179  witness the deteriorating effects of the disease and often
  180  suffer more emotional stress, depression, and health problems
  181  than caregivers of people having other illnesses, which can
  182  negatively affect such caregivers’ employment, income, and
  183  financial security, and
  184         WHEREAS, younger-onset Alzheimer’s disease is a form of
  185  Alzheimer’s disease that strikes a person who is younger than 65
  186  years of age when symptoms first appear, but younger-onset
  187  Alzheimer’s disease can strike persons as early as 30, 40, or 50
  188  years of age, with new data showing that there may be as many as
  189  500,000 Americans under the age of 65 who have dementia or
  190  cognitive impairment at a level of severity consistent with
  191  dementia, and
  192         WHEREAS, the state needs to assess the current and future
  193  impact of Alzheimer’s disease on Floridians and the state’s
  194  health care system, programs, resources, and services to ensure
  195  the continued development and implementation of a more
  196  inclusive, integrated, comprehensive, coordinated, and current
  197  strategy to address the needs of the growing number of
  198  Floridians having Alzheimer’s disease or a related form of
  199  dementia and the corresponding needs of their caregivers, NOW,
  200  THEREFORE,