Florida Senate - 2012 COMMITTEE AMENDMENT Bill No. SB 682 Barcode 659240 LEGISLATIVE ACTION Senate . House Comm: RCS . 01/12/2012 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— 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,