Florida Senate - 2019 COMMITTEE AMENDMENT
Bill No. SB 860
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LEGISLATIVE ACTION
Senate . House
Comm: RCS .
03/20/2019 .
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Appropriations Subcommittee on Health and Human Services
(Stargel) recommended the following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Subsections (2) and (3) of section 430.501,
6 Florida Statutes, are amended to read:
7 430.501 Alzheimer’s Disease Advisory Committee; research
8 grants.—
9 (2) There is created an Alzheimer’s Disease Advisory
10 Committee, composed of 15 10 members to be selected by the
11 Governor, which shall advise the Department of Elderly Affairs
12 in the performance of its duties under this act. All members
13 must be residents of the state. The committee shall advise the
14 department regarding legislative, programmatic, and
15 administrative matters that relate to persons living with
16 Alzheimer’s disease victims and their caretakers.
17 (3)(a) The committee membership shall include the following
18 be representative as follows:
19 1. Eleven members appointed by the Governor.
20 a. At least 4 of the 11 10 members must be licensed
21 pursuant to chapter 458 or chapter 459 or hold a Ph.D. degree
22 and be currently involved in the research of Alzheimer’s
23 disease.
24 b.2. The 10 members must include At least 4 of the 11
25 members must be persons who have been caregivers of persons
26 living with victims of Alzheimer’s disease.
27 c.3. Whenever possible, the 10 members appointed by the
28 Governor shall include one 1 each of the following
29 professionals: a gerontologist, a geriatric psychiatrist, a
30 geriatrician, a neurologist, a social worker, and a registered
31 nurse, and a first responder.
32 2. Two members appointed by the President of the Senate,
33 one of whom must be a sitting member of the Senate, and two
34 members appointed by the Speaker of the House of
35 Representatives, one of whom must be a sitting member of the
36 House of Representatives.
37 (b)1. The Governor shall appoint members from a broad
38 cross-section of public, private, and volunteer sectors. All
39 nominations shall be forwarded to the Governor by the Secretary
40 of Elderly Affairs in accordance with this subsection.
41 2. Members shall be appointed to 4-year staggered terms in
42 accordance with s. 20.052, except for the sitting members of the
43 Senate and House of Representatives, who shall be appointed to a
44 term corresponding to their term of office.
45 3. The Secretary of Elderly Affairs shall serve as an ex
46 officio member of the committee.
47 4. The committee shall elect one of its members to serve as
48 chair for a term of 1 year.
49 5. The committee may establish subcommittees as necessary
50 to carry out the functions of the committee.
51 6. The committee shall meet quarterly, or as frequently as
52 needed.
53 7. The committee shall submit an annual report to the
54 Governor, the President of the Senate, the Speaker of the House
55 of Representatives, and the Secretary of Elderly Affairs on or
56 before each September 1. The annual report shall include
57 information and recommendations on Alzheimer’s disease policy;
58 all state-funded efforts in Alzheimer’s disease research,
59 clinical care, institutional, home-based, and community-based
60 programs and the outcomes of such efforts; and any proposed
61 updates to the Alzheimer’s disease state plan submitted under
62 subparagraph 8.
63 8. Beginning in 2020, and every third year thereafter, on
64 or before November 1, the Department of Elderly Affairs shall
65 review the Alzheimer’s disease state plan and submit an updated
66 state plan to the Governor, the President of the Senate, and the
67 Speaker of the House of Representatives. The Department of
68 Elderly Affairs shall utilize the annual reports submitted by
69 the committee and collaborate with state Alzheimer’s disease
70 organizations and professionals when considering such updates to
71 the Alzheimer’s disease state plan. The state plan shall:
72 a. Assess the current and future impact on the state of
73 Alzheimer’s disease and related forms of dementia.
74 b. Examine the existing industries, services, and resources
75 addressing the needs of persons having Alzheimer’s disease or a
76 related form of dementia and their family caregivers.
77 c. Examine the needs of persons of all cultural backgrounds
78 having Alzheimer’s disease or a related form of dementia and how
79 their lives are affected by the disease from early-onset,
80 through mid-stage, to late-stage.
81 d. Develop a strategy to mobilize a state response to this
82 public health crisis.
83 e. Provide information regarding:
84 (I) State trends with respect to persons having Alzheimer’s
85 disease or a related form of dementia and their needs,
86 including, but not limited to:
87 (A) The role of the state in providing community-based
88 care, long-term care, and family caregiver support, including
89 respite, education, and assistance to persons who are in the
90 early stages of Alzheimer’s disease, who have early-onset
91 Alzheimer’s disease, or who have a related form of dementia.
92 (B) The development of state policy with respect to persons
93 who have Alzheimer’s disease or a related form of dementia.
94 (C) Surveillance of persons who have Alzheimer’s disease or
95 a related form of dementia for the purpose of accurately
96 estimating the number of such persons in the state at present
97 and projected population levels.
98 (II) Existing services, resources, and capacity, including,
99 but not limited to:
100 (A) The type, cost, and availability of dementia-specific
101 services throughout the state.
102 (B) Policy requirements and effectiveness for dementia
103 specific training for professionals providing care.
104 (C) Quality care measures employed by providers of care,
105 including providers of respite, adult day care, assisted living
106 facility, skilled nursing facility, and hospice services.
107 (D) The capability of public safety workers and law
108 enforcement officers to respond to persons having Alzheimer’s
109 disease or a related form of dementia, including, but not
110 limited to, responding to their disappearance, search and
111 rescue, abuse, elopement, exploitation, or suicide.
112 (E) The availability of home and community-based services
113 and respite care for persons having Alzheimer’s disease or a
114 related form of dementia and education and support services to
115 assist their families and caregivers.
116 (F) An inventory of long-term care facilities and
117 community-based services serving persons who have Alzheimer’s
118 disease or a related form of dementia.
119 (G) The adequacy and appropriateness of geriatric
120 psychiatric units for persons who have behavior disorders
121 associated with Alzheimer’s disease or a related form of
122 dementia.
123 (H) Residential assisted living options for persons who
124 have Alzheimer’s disease or a related form of dementia.
125 (I) The level of preparedness of service providers before,
126 during, and after a catastrophic emergency involving a person
127 who have Alzheimer’s disease or a related form of dementia and
128 their caregivers and families.
129 (III) Needed state policies or responses, including, but
130 not limited to, directions for the provision of clear and
131 coordinated care, services, and support to persons who have
132 Alzheimer’s disease or a related form of dementia and their
133 caregivers and families and strategies to address any identified
134 gaps in the provision of services.
135 9.7. The Department of Elderly Affairs shall provide staff
136 support to assist the committee in the performance of its
137 duties.
138 10.8. Members of the committee and subcommittees shall
139 receive no salary, but are entitled to reimbursement for travel
140 and per diem expenses, as provided in s. 112.061, while
141 performing their duties under this section.
142 Section 2. Subsection (1) of section 430.502, Florida
143 Statutes, is amended to read:
144 430.502 Alzheimer’s disease; memory disorder clinics and
145 day care and respite care programs.—
146 (1) There is established:
147 (a) A memory disorder clinic at each of the three medical
148 schools in this state;
149 (b) A memory disorder clinic at a major private nonprofit
150 research-oriented teaching hospital, and may fund a memory
151 disorder clinic at any of the other affiliated teaching
152 hospitals;
153 (c) A memory disorder clinic at the Mayo Clinic in
154 Jacksonville;
155 (d) A memory disorder clinic at the West Florida Regional
156 Medical Center;
157 (e) A memory disorder clinic operated by Health First in
158 Brevard County;
159 (f) A memory disorder clinic at the Orlando Regional
160 Healthcare System, Inc.;
161 (g) A memory disorder center located in a public hospital
162 that is operated by an independent special hospital taxing
163 district that governs multiple hospitals and is located in a
164 county with a population greater than 800,000 persons;
165 (h) A memory disorder clinic at St. Mary’s Medical Center
166 in Palm Beach County;
167 (i) A memory disorder clinic at Tallahassee Memorial
168 Healthcare;
169 (j) A memory disorder clinic at Lee Memorial Hospital
170 created by chapter 63-1552, Laws of Florida, as amended;
171 (k) A memory disorder clinic at Sarasota Memorial Hospital
172 in Sarasota County;
173 (l) A memory disorder clinic at Morton Plant Hospital,
174 Clearwater, in Pinellas County;
175 (m) A memory disorder clinic at Florida Atlantic
176 University, Boca Raton, in Palm Beach County; and
177 (n) A memory disorder clinic at Florida Hospital in Orange
178 County; and
179 (o) A memory disorder clinic at Miami Jewish Health Systems
180 in Miami-Dade County,
181
182 for the purpose of conducting research and training in a
183 diagnostic and therapeutic setting for persons suffering from
184 Alzheimer’s disease and related memory disorders. However,
185 memory disorder clinics funded as of June 30, 1995, shall not
186 receive decreased funding due solely to subsequent additions of
187 memory disorder clinics in this subsection.
188 Section 3. This act shall take effect July 1, 2019.
189
190 ================= T I T L E A M E N D M E N T ================
191 And the title is amended as follows:
192 Delete everything before the enacting clause
193 and insert:
194 A bill to be entitled
195 An act relating to Alzheimer’s disease; amending s.
196 430.501, F.S.; increasing membership of the
197 Alzheimer’s Disease Advisory Committee; revising
198 representative requirements of the committee;
199 requiring the committee to submit an annual report to
200 specified parties which includes certain information
201 and recommendations; requiring the Department of
202 Elderly Affairs to review and update the Alzheimer’s
203 disease state plan every 3 years in collaboration with
204 certain parties; providing requirements for the plan;
205 amending s. 430.502, F.S.; establishing a specified
206 memory disorder clinic; providing that certain clinics
207 shall not receive decreased funding for a specified
208 reason; providing an effective date.