Florida Senate - 2014                        COMMITTEE AMENDMENT
       Bill No. SB 1192
       
       
       
       
       
       
                                Ì139958dÎ139958                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/25/2014           .                                
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       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 40 - 130
    4  and insert:
    5         supervised by a physician, a physician assistant, or an
    6  advanced registered nurse practitioner.
    7         (c) “Palliative care” means patient- and family-centered
    8  medical care offered throughout the continuum of an illness
    9  which optimizes quality of life by anticipating, preventing, and
   10  treating suffering caused by serious illness. Palliative care
   11  involves addressing physical, emotional, social, and spiritual
   12  needs and facilitating patient autonomy, access to information,
   13  and choice. The term includes, but is not limited to,
   14  discussions of the patient’s goals for treatment; discussion of
   15  treatment options appropriate to the patient, including, if
   16  appropriate, hospice care; and comprehensive pain and symptom
   17  management.
   18         (d) “Serious illness” means a medical illness or physical
   19  injury or condition that substantially impacts quality of life
   20  for more than a short period of time. The term includes, but is
   21  not limited to, cancer, renal or liver failure, heart or lung
   22  disease, and Alzheimer’s disease and related dementias.
   23         (2) PALLIATIVE CARE AND QUALITY OF LIFE INTERDISCIPLINARY
   24  ADVISORY COUNCIL.—There is established within the Department of
   25  Health a Palliative Care and Quality of Life Interdisciplinary
   26  Advisory Council, which is an advisory council as defined in s.
   27  20.03, Florida Statutes.
   28         (a) The primary purpose of the council is to consult with
   29  and advise the department on matters relating to the
   30  establishment, maintenance, operation, and outcome evaluation of
   31  palliative care initiatives in this state.
   32         (b) The council shall consist of nine members appointed by
   33  the Governor in consultation with the State Surgeon General and
   34  include professionals who have expertise in various aspects of
   35  palliative care, including, but not limited to,
   36  interdisciplinary palliative care, medical, nursing, social
   37  work, pharmacy, and spiritual expertise; patient and family
   38  caregivers or their advocates; and such other members as the
   39  State Surgeon General deems appropriate. The Governor in
   40  consultation with the State Surgeon General shall ensure that
   41  representation on the council reflects a broad perspective of
   42  palliative care and includes experience in palliative care in a
   43  variety of inpatient, outpatient, and community settings, such
   44  as acute care, long-term care, and hospice, and with a variety
   45  of populations, including pediatric, youth, and adult. One
   46  council member shall be a designee of the American Cancer
   47  Society. At least two council members shall be board-certified
   48  hospice and palliative medicine physicians, physician
   49  assistants, or nurses. Members shall serve for a term of 3
   50  years.
   51         (c) The council shall adopt internal organizational
   52  procedures as necessary for its efficient organization which
   53  must, at a minimum, require the council to elect a chair and
   54  vice chair whose duties shall be established by the council.
   55         (d) The department shall provide such staff, information,
   56  and other assistance as is reasonably necessary to assist the
   57  council in carrying out its responsibilities.
   58         (e) Members of the council shall serve without
   59  compensation, but may receive reimbursement as provided in s.
   60  112.061, Florida Statutes, for travel and other necessary
   61  expenses incurred in the performance of their official duties.
   62         (f) The department shall fix a time and place for regular
   63  meetings of the council, which shall meet at least twice a year.
   64         (3) PALLIATIVE CARE CONSUMER AND PROFESSIONAL INFORMATION
   65  AND EDUCATION PROGRAM.—
   66         (a) The department shall establish a palliative care
   67  consumer and professional information and education program. The
   68  purpose of the program is to maximize the effectiveness of
   69  palliative care initiatives in this state by making
   70  comprehensive and accurate information and education about
   71  palliative care available to the public, health care
   72  practitioners, and health care facilities.
   73         (b) The department shall publish on its website information
   74  and resources, including links to external resources, about
   75  palliative care, which shall include, but not be limited to,
   76  continuing education opportunities for health care
   77  practitioners, information about palliative care delivery in the
   78  home and in primary, secondary, and tertiary care settings, best
   79  practices for palliative care delivery, and consumer educational
   80  materials and referral information for palliative care,
   81  including hospice.
   82         (c) The department may develop and implement other
   83  initiatives regarding palliative care services and education to
   84  further the purposes of this section.
   85         (d) The department shall consult with the Palliative Care
   86  and Quality of Life Interdisciplinary Advisory Council in
   87  implementing this subsection.
   88  
   89  ================= T I T L E  A M E N D M E N T ================
   90  And the title is amended as follows:
   91         Delete lines 21 - 27
   92  and insert:
   93         to implement this act; providing an effective date.