Florida Senate - 2012 CS for SB 682 By the Committee on Children, Families, and Elder Affairs; and Senators Richter, Sachs, Latvala, Joyner, Bennett, and Gibson 586-01856-12 2012682c1 1 A bill to be entitled 2 An act relating to Alzheimer’s disease; establishing 3 the Purple Ribbon Task Force within the Department of 4 Elderly Affairs; providing for membership; providing 5 that members shall serve without compensation or 6 reimbursement for per diem or travel expenses; 7 requiring the department to provide administrative 8 support; providing duties of the task force; 9 authorizing the task force to hold meetings by 10 teleconference or other electronic means, or in person 11 without compensation or reimbursement for per diem or 12 travel expenses; requiring the task force to submit a 13 report in the form of an Alzheimer’s disease state 14 plan to the Governor and Legislature; providing for 15 termination of the task force; providing an effective 16 date. 17 18 WHEREAS, Alzheimer’s disease is a slow, progressive 19 disorder of the brain that results in loss of memory and other 20 cognitive functions and eventually death, and 21 WHEREAS, because Alzheimer’s disease is accompanied by 22 memory loss, poor judgment, changes in personality and behavior, 23 and a tendency to wander or become lost, a person with this 24 disease is at an increased risk for accidental injury, abuse, 25 neglect, and exploitation, and 26 WHEREAS, approximately one in eight Americans 65 years of 27 age or older and almost half of Americans 85 years of age or 28 older develop Alzheimer’s disease or a related form of dementia, 29 and 30 WHEREAS, there are 459,806 probable cases of Alzheimer’s 31 disease in this state in 2011, which population is expected to 32 triple by the year 2050, and 33 WHEREAS, Alzheimer’s disease takes an enormous toll on 34 family members, with an estimated one in four family members 35 providing caregiving support for individuals with the disease, 36 and 37 WHEREAS, caregivers for persons having Alzheimer’s disease 38 witness the deteriorating effects of the disease and often 39 suffer more emotional stress, depression, and health problems 40 than caregivers of people having other illnesses, which can 41 negatively affect such caregivers’ employment, income, and 42 financial security, and 43 WHEREAS, younger-onset Alzheimer’s disease is a form of 44 Alzheimer’s disease that strikes a person who is younger than 65 45 years of age when symptoms first appear, but younger-onset 46 Alzheimer’s disease can strike persons as early as 30, 40, or 50 47 years of age, with new data showing that there may be as many as 48 500,000 Americans under the age of 65 who have dementia or 49 cognitive impairment at a level of severity consistent with 50 dementia, and 51 WHEREAS, the state needs to assess the current and future 52 impact of Alzheimer’s disease on Floridians and the state’s 53 health care system, programs, resources, and services to ensure 54 the continued development and implementation of a more 55 inclusive, integrated, comprehensive, coordinated, and current 56 strategy to address the needs of the growing number of 57 Floridians having Alzheimer’s disease or a related form of 58 dementia and the corresponding needs of their caregivers, NOW, 59 THEREFORE, 60 61 Be It Enacted by the Legislature of the State of Florida: 62 63 Section 1. The Purple Ribbon Task Force.—The Purple Ribbon 64 Task Force is established within the Department of Elderly 65 Affairs. 66 (1) The task force shall consist of 18 volunteer members, 67 of whom six shall be appointed by the Governor, six shall be 68 appointed by the Speaker of the House of Representatives, and 69 six shall be appointed by the President of the Senate, as 70 follows: 71 (a) A member of the House of Representatives. 72 (b) A member of the Senate. 73 (c) A representative from the Alzheimer’s Association. 74 (d) At least one person having Alzheimer’s disease or a 75 related form of dementia. 76 (e) At least one family caregiver or former family 77 caregiver of a person having Alzheimer’s disease or a related 78 form of dementia. 79 (f) A representative from the Alzheimer’s Disease Advisory 80 Committee. 81 (g) A representative of law enforcement with knowledge 82 about the disappearance and recovery, self-neglect, abuse, 83 exploitation, and suicide of persons having Alzheimer’s disease 84 or a related form of dementia. 85 (h) A representative who has knowledge of and experience 86 with the Baker Act and its impact on persons having Alzheimer’s 87 disease or a related form of dementia. 88 (i) An expert on disaster preparedness and response for 89 persons having Alzheimer’s disease or a related form of 90 dementia. 91 (j) A representative of a health care facility or hospice 92 that serves persons with Alzheimer’s disease. 93 (k) A representative of the adult day care services 94 industry. 95 (l) A representative of health care practitioners 96 specializing in the treatment of persons having Alzheimer’s 97 disease or a related form of dementia. 98 (m) A Florida board-certified elder law attorney. 99 (n) A representative of the area agencies on aging or aging 100 and disability resource centers. 101 (o) A person who is an Alzheimer’s disease researcher. 102 (p) A representative from a memory disorder clinic. 103 (q) A representative of the assisted living facility 104 industry. 105 (r) A representative of the skilled nursing facility 106 industry. 107 (2) Initial appointments to the task force shall be made by 108 July 1, 2012. A vacancy on the task force shall be filled for 109 the unexpired portion of the term in the same manner as the 110 original appointment. 111 (3) Members shall serve on the task force without 112 compensation and may not receive reimbursement for per diem or 113 travel expenses. 114 (4) The Department of Elderly Affairs shall convene the 115 task force and provide necessary administrative support. 116 (5) The task force shall: 117 (a) Assess the current and future impact of Alzheimer’s 118 disease and related forms of dementia on the state. 119 (b) Examine the existing industries, services, and 120 resources addressing the needs of persons having Alzheimer’s 121 disease or a related form of dementia and their family 122 caregivers. 123 (c) Examine the needs of persons of all cultural 124 backgrounds having Alzheimer’s disease or a related form of 125 dementia and how their lives are affected by the disease from 126 younger-onset, through mid-stage, to late-stage. 127 (d) Develop a strategy to mobilize a state response to this 128 public health crisis. 129 (e) Provide information regarding: 130 1. State trends with respect to persons having Alzheimer’s 131 disease or a related form of dementia and their needs, 132 including, but not limited to: 133 a. The role of the state in providing community-based care, 134 long-term care, and family caregiver support, including respite, 135 education, and assistance to persons who are in the early stages 136 of Alzheimer’s disease, who have younger-onset Alzheimer’s 137 disease, or who have a related form of dementia. 138 b. The development of state policy with respect to persons 139 having Alzheimer’s disease or a related form of dementia. 140 c. Surveillance of persons having Alzheimer’s disease or a 141 related form of dementia for the purpose of accurately 142 estimating the number of such persons in the state at present 143 and projected population levels. 144 2. Existing services, resources, and capacity, including, 145 but not limited to: 146 a. The type, cost, and availability of dementia-specific 147 services throughout the state. 148 b. Policy requirements and effectiveness for dementia 149 specific training for professionals providing care. 150 c. Quality care measures employed by providers of care, 151 including providers of respite, adult day care, assisted living 152 facility, skilled nursing facility, and hospice services. 153 d. The capability of public safety workers and law 154 enforcement officers to respond to persons having Alzheimer’s 155 disease or a related form of dementia, including, but not 156 limited to, responding to their disappearance, search and 157 rescue, abuse, elopement, exploitation, or suicide. 158 e. The availability of home and community-based services 159 and respite care for persons having Alzheimer’s disease or a 160 related form of dementia and education and support services to 161 assist their families and caregivers. 162 f. An inventory of long-term care facilities and community 163 based services serving persons having Alzheimer’s disease or a 164 related form of dementia. 165 g. The adequacy and appropriateness of geriatric 166 psychiatric units for persons having behavior disorders 167 associated with Alzheimer’s disease or a related form of 168 dementia. 169 h. Residential assisted living options for persons having 170 Alzheimer’s disease or a related form of dementia. 171 i. The level of preparedness of service providers before, 172 during, and after a catastrophic emergency involving a person 173 having Alzheimer’s disease or a related form of dementia and 174 their caregivers and families. 175 3. Needed state policies or responses, including, but not 176 limited to, directions for the provision of clear and 177 coordinated care, services, and support to persons having 178 Alzheimer’s disease or a related form of dementia and their 179 caregivers and families and strategies to address any identified 180 gaps in the provision of services. 181 (f) Hold public meetings and employ technological means to 182 gather feedback on the recommendations submitted by persons 183 having Alzheimer’s disease or a related form of dementia, their 184 caregivers and families, and the general public. Meetings of the 185 task force may be held in person without compensation or 186 reimbursement for travel expenses, by teleconference, or by 187 other electronic means. 188 (6) The task force shall submit a report of its findings 189 and date-specific recommendations in the form of an Alzheimer’s 190 disease state plan to the Governor, the Speaker of the House of 191 Representatives, and the President of the Senate no later than 192 August 1, 2013. The task force shall terminate on the earlier of 193 the date the report is submitted or August 1, 2013. 194 Section 2. This act shall take effect upon becoming a law.