Florida Senate - 2023                        COMMITTEE AMENDMENT
       Bill No. SB 1182
       
       
       
       
       
       
                                Ì622510eÎ622510                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/14/2023           .                                
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       The Committee on Children, Families, and Elder Affairs (Simon)
       recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 430.5025, Florida Statutes, is created
    6  to read:
    7         430.5025 Alzheimer’s disease and related forms of dementia;
    8  education and training.—
    9         (1) This section may be cited as the “Alzheimer’s Disease
   10  and Related Forms of Dementia Education and Training Act.”
   11         (2) As used in this section, the term:
   12         (a) “Covered provider” means a nursing home, a home health
   13  agency, a nurse registry, a companion or homemaker service
   14  provider, an assisted living facility, an adult family-care
   15  home, or an adult day care center licensed or registered under
   16  chapter 400 or chapter 429.
   17         (b) “Department” means the Department of Elderly Affairs.
   18         (c) “Employee” means a person, contracted staff, or an
   19  independent contractor employed or referred by a covered
   20  provider who is required to undergo a level 2 background
   21  screening under s. 408.809 and chapter 435.
   22         (d) “Personal care” means providing, through in-person
   23  contact, assistance with activities of daily living, assistance
   24  with self-administration of medication, homemaker or companion
   25  services, nursing services, or other services that promote the
   26  physical, mental, and psychosocial well-being of participants,
   27  patients, and residents of covered providers. The term does not
   28  include duties involving administrative functions or maintaining
   29  the physical environment of a licensed facility, including
   30  grounds maintenance, building maintenance, housekeeping,
   31  laundry, or food preparation.
   32         (e) “Regular contact” means the performance of duties other
   33  than personal care which may require employees to interact in
   34  person on a daily basis with participants, patients, or
   35  residents.
   36         (3) The department shall offer to the general public
   37  education about Alzheimer’s disease and related forms of
   38  dementia. Such education must provide basic information about
   39  the most common forms of dementia, how to identify the signs and
   40  symptoms of dementia, coping skills, how to respond to changes,
   41  planning for the future, and how to access additional resources
   42  about dementia.
   43         (4) Employees of covered providers must complete the
   44  following training for Alzheimer’s disease and related forms of
   45  dementia:
   46         (a) Upon beginning employment, each employee must receive
   47  basic written information about interacting with persons who
   48  have Alzheimer’s disease or related forms of dementia.
   49         (b) Within 30 days after beginning employment, each
   50  employee who provides personal care to or has regular contact
   51  with participants, patients, or residents must complete a 1-hour
   52  training program provided by the department.
   53         1. The department shall provide the training in an online
   54  format at no cost. The 1-hour training program must contain
   55  information on understanding the basics about the most common
   56  forms of dementia, how to identify the signs and symptoms of
   57  dementia, and skills for communicating and interacting with
   58  persons with Alzheimer’s disease or related forms of dementia. A
   59  record of the completion of the training program must be made
   60  available to the covered provider which identifies the training
   61  course, the name of the employee, and the date of completion.
   62         2. A covered provider must maintain a record of the
   63  employee’s completion of the training and, upon written request
   64  of the employee, must provide the employee with a copy of the
   65  record of completion consistent with the employer’s written
   66  policies.
   67         3. An employee who has completed the training required in
   68  this subsection is not required to repeat the program upon
   69  changing employment to a different covered provider.
   70         (c) Within 7 months after beginning employment for a home
   71  health agency, nurse registry, or companion or homemaker service
   72  provider, each employee who provides personal care must complete
   73  2 hours of training in addition to the training required in
   74  paragraphs (a) and (b). The additional training must include,
   75  but is not limited to, behavior management, promoting the
   76  person’s independence in activities of daily living, and skills
   77  in working with families and caregivers.
   78         (d) Within 7 months after beginning employment for a
   79  nursing home, an assisted living facility, an adult family-care
   80  home, or an adult day care center, each employee who provides
   81  personal care must complete 3 hours of training in addition to
   82  the training required in paragraphs (a) and (b). The additional
   83  training must include, but is not limited to, behavior
   84  management, promoting the person’s independence in activities of
   85  daily living, skills in working with families and caregivers,
   86  group and individual activities, maintaining an appropriate
   87  environment, and ethical issues.
   88         (e) For an assisted living facility, adult family-care
   89  home, or adult day care center that advertises and provides, or
   90  is designated to provide, specialized care for persons with
   91  Alzheimer’s disease or related forms of dementia, in addition to
   92  the training specified in paragraphs (a) and (b), employees must
   93  receive the following training:
   94         1. Within 3 months after beginning employment, each
   95  employee who provides personal care to or has regular contact
   96  with the residents or participants must complete the additional
   97  3 hours of training as provided in paragraph (d).
   98         2. Within 6 months after beginning employment, each
   99  employee who provides personal care must complete an additional
  100  4 hours of dementia-specific training. Such training must
  101  include, but is not limited to, understanding Alzheimer’s
  102  disease and related forms of dementia, the stages of Alzheimer’s
  103  disease, communication strategies, medical information, and
  104  stress management.
  105         3. Thereafter, each employee who provides personal care
  106  must participate in at least 4 hours of continuing education
  107  each calendar year through contact hours, on-the-job training,
  108  or electronic learning technology. For this subparagraph, the
  109  term “on-the-job training” means a form of direct coaching in
  110  which a facility administrator or his or her designee instructs
  111  an employee who provides personal care with guidance, support,
  112  or hands-on experience to help develop and refine the employee’s
  113  skills for caring for a person with Alzheimer’s disease or a
  114  related form of dementia. The continuing education must cover at
  115  least one of the topics included in the dementia-specific
  116  training in which the employee has not received previous
  117  training in the previous calendar year. The continuing education
  118  may be fulfilled and documented in a minimum of one quarter-hour
  119  increments through on-the-job training of the employee by a
  120  facility administrator or his or her designee or by an
  121  electronic learning technology chosen by the facility
  122  administrator. On-the-job training may not account for more than
  123  2 hours of continuing education each calendar year.
  124         (5) The department may establish training curricula
  125  guidelines for the training required in paragraphs (4)(c), (d),
  126  and (e). The department may approve training providers and
  127  training curricula and maintain a list of approved providers.
  128  Approved training may be offered in a variety of formats,
  129  including, but not limited to, in person, electronically, or on
  130  the-job by a facility administrator or his or her designee.
  131  Continuing education under this section does not require the
  132  adoption of training curricula guidelines by the department or
  133  approval of the training provider and curricula by the
  134  department. The department may develop or provide continuing
  135  education training or curricula as an option for covered
  136  providers and employees.
  137         (a) A training provider meeting one of the following
  138  qualifications may offer training in compliance with the
  139  training curricula guidelines without prior approval of the
  140  department:
  141         1. A person approved by an applicable board or the
  142  Department of Health to provide training who is registered with
  143  the electronic continuing education tracking system under s.
  144  456.025; or
  145         2. A training provider approved by the department or its
  146  designee before July 1, 2023.
  147         (b) Training providers qualified under subparagraph (a)1.
  148  must also have:
  149         1. At least 1 year of teaching experience as an educator
  150  for caregivers of persons with Alzheimer’s disease or related
  151  forms of dementia;
  152         2. At least 1 year of practical experience in a program
  153  providing care to persons with Alzheimer’s disease or related
  154  forms of dementia; or
  155         3. Completed a specialized training program in the subject
  156  matter of Alzheimer’s disease and related forms of dementia from
  157  an accredited health care, human services, or gerontology
  158  education provider.
  159         (c) Upon an employee’s completion of the training specified
  160  in paragraphs (4)(c), (d), and (e), the training provider must
  161  provide a record of the completion of the training which
  162  includes the name of the employee, the name of the training
  163  provider, the topics covered, and the date of completion. The
  164  training record is evidence of completion of training in the
  165  identified topic and the employee is not required to repeat
  166  training in that topic if the employee changes employment to a
  167  different covered provider.
  168         (d) Any Alzheimer’s disease and related forms of dementia
  169  training curriculum approved by the department or its designee
  170  before July 1, 2023, remains in effect until the curriculum’s
  171  expiration date.
  172         (6) The department may adopt rules to establish training
  173  curriculum guidelines, requirements for the approval of other
  174  qualified training providers, and a process for conducting a
  175  sampling of training or training curricula as necessary to
  176  monitor for compliance with curricula guidelines.
  177         (7) For a certified nursing assistant as defined in s.
  178  464.201, training hours completed as required under this section
  179  may count toward the total hours of training required to
  180  maintain certification as a nursing assistant.
  181         (8) For a health care practitioner as defined in s.
  182  456.001, training hours completed as required under this section
  183  may count toward the total hours of continuing education
  184  required by that practitioner’s licensing board.
  185         (9) Each person employed, contracted, or referred to
  186  provide services before July 1, 2023, must complete the training
  187  required in this section before July 1, 2026. Proof of
  188  completion of equivalent training completed before July 1, 2023,
  189  shall substitute for the training required in subsection (4).
  190  Each person employed, contracted, or referred to provide
  191  services on or after July 1, 2023, may satisfy the training
  192  requirements by completing training using approved curricula as
  193  specified in paragraph (5)(d) until the effective date of the
  194  rules adopted by the department under subsection (6).
  195         Section 2. Paragraph (b) of subsection (2) of section
  196  400.0239, Florida Statutes, is amended to read:
  197         400.0239 Quality of Long-Term Care Facility Improvement
  198  Trust Fund.—
  199         (2) Expenditures from the trust fund shall be allowable for
  200  direct support of the following:
  201         (b) Development and implementation of specialized training
  202  programs for long-term care facility personnel who provide
  203  direct care for residents with Alzheimer’s disease and other
  204  dementias, including training provided under s. 430.5025,
  205  residents at risk of developing pressure sores, and residents
  206  with special nutrition and hydration needs.
  207         Section 3. Section 400.1755, Florida Statutes, is amended
  208  to read:
  209         400.1755 Care for persons with Alzheimer’s disease or
  210  related disorders; staff training requirements.—
  211         (1) As a condition of licensure, the employees of
  212  facilities licensed under this part must complete the training
  213  required under s. 430.5025 provide to each of their employees,
  214  upon beginning employment, basic written information about
  215  interacting with persons with Alzheimer’s disease or a related
  216  disorder.
  217         (2) All employees who are expected to, or whose
  218  responsibilities require them to, have direct contact with
  219  residents with Alzheimer’s disease or a related disorder must,
  220  in addition to being provided the information required in
  221  subsection (1), also have an initial training of at least 1 hour
  222  completed in the first 3 months after beginning employment. This
  223  training must include, but is not limited to, an overview of
  224  dementias and must provide basic skills in communicating with
  225  persons with dementia.
  226         (3) An individual who provides direct care shall be
  227  considered a direct caregiver and must complete the required
  228  initial training and an additional 3 hours of training within 9
  229  months after beginning employment. This training shall include,
  230  but is not limited to, managing problem behaviors, promoting the
  231  resident’s independence in activities of daily living, and
  232  skills in working with families and caregivers.
  233         (a) The required 4 hours of training for certified nursing
  234  assistants are part of the total hours of training required
  235  annually.
  236         (b) For a health care practitioner as defined in s.
  237  456.001, continuing education hours taken as required by that
  238  practitioner’s licensing board shall be counted toward this
  239  total of 4 hours.
  240         (4) For an employee who is a licensed health care
  241  practitioner as defined in s. 456.001, training that is
  242  sanctioned by that practitioner’s licensing board shall be
  243  considered to be approved by the Department of Elderly Affairs.
  244         (5) The Department of Elderly Affairs or its designee must
  245  approve the initial and continuing training provided in the
  246  facilities. The department must approve training offered in a
  247  variety of formats, including, but not limited to, Internet
  248  based training, videos, teleconferencing, and classroom
  249  instruction. The department shall keep a list of current
  250  providers who are approved to provide initial and continuing
  251  training. The department shall adopt rules to establish
  252  standards for the trainers and the training required in this
  253  section.
  254         (6) Upon completing any training listed in this section,
  255  the employee or direct caregiver shall be issued a certificate
  256  that includes the name of the training provider, the topic
  257  covered, and the date and signature of the training provider.
  258  The certificate is evidence of completion of training in the
  259  identified topic, and the employee or direct caregiver is not
  260  required to repeat training in that topic if the employee or
  261  direct caregiver changes employment to a different facility or
  262  to an assisted living facility, home health agency, adult day
  263  care center, or adult family-care home. The direct caregiver
  264  must comply with other applicable continuing education
  265  requirements.
  266         Section 4. Section 400.4785, Florida Statutes, is amended
  267  to read:
  268         400.4785 Patients with Alzheimer’s disease or other related
  269  disorders; staff training requirements; certain disclosures.—
  270         (1) The employees of a home health agency must complete the
  271  training required under s. 430.5025 A home health agency must
  272  provide the following staff training:
  273         (a) Upon beginning employment with the agency, each
  274  employee must receive basic written information about
  275  interacting with participants who have Alzheimer’s disease or
  276  dementia-related disorders.
  277         (b) In addition to the information provided under paragraph
  278  (a), newly hired home health agency personnel who will be
  279  providing direct care to patients must complete 2 hours of
  280  training in Alzheimer’s disease and dementia-related disorders
  281  within 9 months after beginning employment with the agency. This
  282  training must include, but is not limited to, an overview of
  283  dementia, a demonstration of basic skills in communicating with
  284  persons who have dementia, the management of problem behaviors,
  285  information about promoting the client’s independence in
  286  activities of daily living, and instruction in skills for
  287  working with families and caregivers.
  288         (c) For certified nursing assistants, the required 2 hours
  289  of training shall be part of the total hours of training
  290  required annually.
  291         (d) For a health care practitioner as defined in s.
  292  456.001, continuing education hours taken as required by that
  293  practitioner’s licensing board shall be counted toward the total
  294  of 2 hours.
  295         (e) For an employee who is a licensed health care
  296  practitioner as defined in s. 456.001, training that is
  297  sanctioned by that practitioner’s licensing board shall be
  298  considered to be approved by the Department of Elderly Affairs.
  299         (f) The Department of Elderly Affairs, or its designee,
  300  must approve the required training. The department must consider
  301  for approval training offered in a variety of formats. The
  302  department shall keep a list of current providers who are
  303  approved to provide the 2-hour training. The department shall
  304  adopt rules to establish standards for the employees who are
  305  subject to this training, for the trainers, and for the training
  306  required in this section.
  307         (g) Upon completing the training listed in this section,
  308  the employee shall be issued a certificate that states that the
  309  training mandated under this section has been received. The
  310  certificate shall be dated and signed by the training provider.
  311  The certificate is evidence of completion of this training, and
  312  the employee is not required to repeat this training if the
  313  employee changes employment to a different home health agency.
  314         (2)(h) A licensed home health agency whose unduplicated
  315  census during the most recent calendar year was composed
  316  comprised of at least 90 percent of individuals aged 21 years or
  317  younger at the date of admission is exempt from the training
  318  requirements in this section.
  319         (3)(2) An agency licensed under this part which claims that
  320  it provides special care for persons who have Alzheimer’s
  321  disease or other related disorders must disclose in its
  322  advertisements or in a separate document those services that
  323  distinguish the care as being especially applicable to, or
  324  suitable for, such persons. The agency must give a copy of all
  325  such advertisements or a copy of the document to each person who
  326  requests information about the agency and must maintain a copy
  327  of all such advertisements and documents in its records. The
  328  Agency for Health Care Administration shall examine all such
  329  advertisements and documents in the agency’s records as part of
  330  the license renewal procedure.
  331         Section 5. Section 400.510, Florida Statutes, is created to
  332  read:
  333         400.510 Patients with Alzheimer’s disease or other related
  334  disorders; staff training requirements.—A person employed,
  335  contracted, or referred by a nurse registry or a person
  336  registered with the agency to provide companion or homemaker
  337  services must complete the training required under s. 430.5025.
  338         Section 6. Section 429.178, Florida Statutes, is amended to
  339  read:
  340         429.178 Special care for persons with Alzheimer’s disease
  341  or other related disorders.—
  342         (1) A facility that which advertises that it provides
  343  special care for persons with Alzheimer’s disease or other
  344  related disorders must meet the following standards of
  345  operation:
  346         (1)(a)1. If the facility has 17 or more residents, have an
  347  awake staff member on duty at all hours of the day and night; or
  348         (b)2. If the facility has fewer than 17 residents, have an
  349  awake staff member on duty at all hours of the day and night or
  350  have mechanisms in place to monitor and ensure the safety of the
  351  facility’s residents.
  352         (2)(b) Offer activities specifically designed for persons
  353  who are cognitively impaired.
  354         (3)(c) Have a physical environment that provides for the
  355  safety and welfare of the facility’s residents.
  356         (4)(d)Require employed Employ staff to complete who have
  357  completed the training and continuing education required under
  358  s. 430.5025 in subsection (2).
  359         (2)(a) An individual who is employed by a facility that
  360  provides special care for residents who have Alzheimer’s disease
  361  or other related disorders, and who has regular contact with
  362  such residents, must complete up to 4 hours of initial dementia
  363  specific training developed or approved by the department. The
  364  training must be completed within 3 months after beginning
  365  employment and satisfy the core training requirements of s.
  366  429.52(3)(g).
  367         (b) A direct caregiver who is employed by a facility that
  368  provides special care for residents who have Alzheimer’s disease
  369  or other related disorders and provides direct care to such
  370  residents must complete the required initial training and 4
  371  additional hours of training developed or approved by the
  372  department. The training must be completed within 9 months after
  373  beginning employment and satisfy the core training requirements
  374  of s. 429.52(3)(g).
  375         (c) An individual who is employed by a facility that
  376  provides special care for residents with Alzheimer’s disease or
  377  other related disorders, but who only has incidental contact
  378  with such residents, must be given, at a minimum, general
  379  information on interacting with individuals with Alzheimer’s
  380  disease or other related disorders, within 3 months after
  381  beginning employment.
  382         (3) In addition to the training required under subsection
  383  (2), a direct caregiver must participate in a minimum of 4
  384  contact hours of continuing education each calendar year. The
  385  continuing education must include one or more topics included in
  386  the dementia-specific training developed or approved by the
  387  department, in which the caregiver has not received previous
  388  training.
  389         (4) Upon completing any training listed in subsection (2),
  390  the employee or direct caregiver shall be issued a certificate
  391  that includes the name of the training provider, the topic
  392  covered, and the date and signature of the training provider.
  393  The certificate is evidence of completion of training in the
  394  identified topic, and the employee or direct caregiver is not
  395  required to repeat training in that topic if the employee or
  396  direct caregiver changes employment to a different facility. The
  397  employee or direct caregiver must comply with other applicable
  398  continuing education requirements.
  399         (5) The department, or its designee, shall approve the
  400  initial and continuing education courses and providers.
  401         (6) The department shall keep a current list of providers
  402  who are approved to provide initial and continuing education for
  403  staff of facilities that provide special care for persons with
  404  Alzheimer’s disease or other related disorders.
  405         (7) Any facility more than 90 percent of whose residents
  406  receive monthly optional supplementation payments is not
  407  required to pay for the training and education programs required
  408  under this section. A facility that has one or more such
  409  residents shall pay a reduced fee that is proportional to the
  410  percentage of such residents in the facility. A facility that
  411  does not have any residents who receive monthly optional
  412  supplementation payments must pay a reasonable fee, as
  413  established by the department, for such training and education
  414  programs.
  415         (8) The department shall adopt rules to establish standards
  416  for trainers and training and to implement this section.
  417         Section 7. Subsection (1) of section 429.52, Florida
  418  Statutes, is amended to read:
  419         429.52 Staff training and educational requirements.—
  420         (1)(a) Each new assisted living facility employee who has
  421  not previously completed core training must attend a preservice
  422  orientation provided by the facility before interacting with
  423  residents. The preservice orientation must be at least 2 hours
  424  in duration and cover topics that help the employee provide
  425  responsible care and respond to the needs of facility residents.
  426  Upon completion, the employee and the administrator of the
  427  facility must sign a statement that the employee completed the
  428  required preservice orientation. The facility must keep the
  429  signed statement in the employee’s personnel record.
  430         (b) Each employee must complete the training required under
  431  s. 430.5025.
  432         (c) If completed before interacting with residents, the 1
  433  hour training required in s. 430.5025 concerning information on
  434  Alzheimer’s disease and related forms of dementia may count
  435  toward the 2 hours of preservice orientation required under
  436  paragraph (a).
  437         Section 8. Section 429.83, Florida Statutes, is amended to
  438  read:
  439         429.83 Residents with Alzheimer’s disease or other related
  440  disorders; training; certain disclosures.—
  441         (1)The employees of an adult family-care home must
  442  complete the training required under s. 430.5025.
  443         (2) An adult family-care home licensed under this part
  444  which claims that it provides special care for persons who have
  445  Alzheimer’s disease or other related disorders must disclose in
  446  its advertisements or in a separate document those services that
  447  distinguish the care as being especially applicable to, or
  448  suitable for, such persons. The home must give a copy of all
  449  such advertisements or a copy of the document to each person who
  450  requests information about programs and services for persons
  451  with Alzheimer’s disease or other related disorders offered by
  452  the home and must maintain a copy of all such advertisements and
  453  documents in its records. The agency shall examine all such
  454  advertisements and documents in the home’s records as part of
  455  the license renewal procedure.
  456         Section 9. Subsection (1) of section 429.917, Florida
  457  Statutes, is amended to read:
  458         429.917 Patients with Alzheimer’s disease or other related
  459  disorders; staff training requirements; certain disclosures.—
  460         (1) The employees of an adult day care center licensed
  461  under this part must complete the training required under s.
  462  430.5025 provide the following staff training:
  463         (a) Upon beginning employment with the facility, each
  464  employee must receive basic written information about
  465  interacting with participants who have Alzheimer’s disease or
  466  dementia-related disorders.
  467         (b) In addition to the information provided under paragraph
  468  (a), newly hired adult day care center personnel who are
  469  expected to, or whose responsibilities require them to, have
  470  direct contact with participants who have Alzheimer’s disease or
  471  dementia-related disorders must complete initial training of at
  472  least 1 hour within the first 3 months after beginning
  473  employment. The training must include an overview of dementias
  474  and must provide instruction in basic skills for communicating
  475  with persons who have dementia.
  476         (c) In addition to the requirements of paragraphs (a) and
  477  (b), an employee who will be providing direct care to a
  478  participant who has Alzheimer’s disease or a dementia-related
  479  disorder must complete an additional 3 hours of training within
  480  9 months after beginning employment. This training must include,
  481  but is not limited to, the management of problem behaviors,
  482  information about promoting the participant’s independence in
  483  activities of daily living, and instruction in skills for
  484  working with families and caregivers.
  485         (d) For certified nursing assistants, the required 4 hours
  486  of training shall be part of the total hours of training
  487  required annually.
  488         (e) For a health care practitioner as defined in s.
  489  456.001, continuing education hours taken as required by that
  490  practitioner’s licensing board shall be counted toward the total
  491  of 4 hours.
  492         (f) For an employee who is a licensed health care
  493  practitioner as defined in s. 456.001, training that is
  494  sanctioned by that practitioner’s licensing board shall be
  495  considered to be approved by the Department of Elderly Affairs.
  496         (g) The Department of Elderly Affairs or its designee must
  497  approve the 1-hour and 3-hour training provided to employees and
  498  direct caregivers under this section. The department must
  499  consider for approval training offered in a variety of formats.
  500  The department shall keep a list of current providers who are
  501  approved to provide the 1-hour and 3-hour training. The
  502  department shall adopt rules to establish standards for the
  503  employees who are subject to this training, for the trainers,
  504  and for the training required in this section.
  505         (h) Upon completing any training described in this section,
  506  the employee or direct caregiver shall be issued a certificate
  507  that includes the name of the training provider, the topic
  508  covered, and the date and signature of the training provider.
  509  The certificate is evidence of completion of training in the
  510  identified topic, and the employee or direct caregiver is not
  511  required to repeat training in that topic if the employee or
  512  direct caregiver changes employment to a different adult day
  513  care center or to an assisted living facility, nursing home,
  514  home health agency, or hospice. The direct caregiver must comply
  515  with other applicable continuing education requirements.
  516         (i) An employee who is hired on or after July 1, 2004, must
  517  complete the training required by this section.
  518         Section 10. Subsection (6) of section 429.918, Florida
  519  Statutes, is amended to read:
  520         429.918 Licensure designation as a specialized Alzheimer’s
  521  services adult day care center; training.—
  522         (6)(a) An adult day care center having a license designated
  523  under this section must provide the following staff training and
  524  supervision:
  525         (a)1. A registered nurse or licensed practical nurse must
  526  be on site daily for at least 75 percent of the time that the
  527  center is open to ADRD participants. Each licensed practical
  528  nurse who works at the center must be supervised in accordance
  529  with chapter 464.
  530         (b) Each employee must complete the training and continuing
  531  education required under s. 430.5025.
  532         2. Upon beginning employment with the center, each employee
  533  must receive and review basic written information about
  534  interacting with ADRD participants.
  535         3. In addition to the information provided in subparagraph
  536  2., every employee hired on or after July 1, 2012, who has
  537  direct contact with ADRD participants shall complete 4 hours of
  538  dementia-specific training within 3 months after employment.
  539         4. In addition to the requirements of subparagraphs 2. and
  540  3., each employee hired on or after July 1, 2012, who provides
  541  direct care to ADRD participants shall complete an additional 4
  542  hours of dementia-specific training within 6 months after
  543  employment.
  544         (b) The Department of Elderly Affairs or its designee shall
  545  approve the training required under this section. The department
  546  shall adopt rules to establish standards for employees who are
  547  subject to this training, for trainers, and for the training
  548  required in this section.
  549         (c) Upon completing any training described in this section,
  550  the employee shall be issued a certificate that includes the
  551  name of the training provider, the topics covered, and the date
  552  and signature of the training provider. The certificate is
  553  evidence of completion of training in the identified topics, and
  554  the employee is not required to repeat training in those topics
  555  if the employee changes employment to a different adult day care
  556  center.
  557         (c)(d) Each employee hired on or after July 1, 2012, who
  558  provides direct care to ADRD participants, must receive and
  559  review an orientation plan that includes, at a minimum:
  560         1. Procedures to locate an ADRD participant who has
  561  wandered from the center. These procedures must shall be
  562  reviewed regularly with all direct care staff.
  563         2. Information on the Silver Alert program in this state.
  564         3. Information regarding available products or programs
  565  used to identify ADRD participants or prevent them from
  566  wandering away from the center, their home, or other locations.
  567         Section 11. This act shall take effect July 1, 2023.
  568  
  569  ================= T I T L E  A M E N D M E N T ================
  570  And the title is amended as follows:
  571         Delete everything before the enacting clause
  572  and insert:
  573                        A bill to be entitled                      
  574         An act relating to education and training for
  575         Alzheimer’s disease and related forms of dementia;
  576         creating s. 430.5025, F.S.; providing a short title;
  577         defining terms; requiring the Department of Elderly
  578         Affairs to offer certain education about Alzheimer’s
  579         disease and related forms of dementia to the general
  580         public; specifying uniform dementia-related education
  581         and training for employees of covered providers;
  582         requiring the department to provide certain dementia
  583         related employee training in an online format and at
  584         no cost; providing minimum requirements for the
  585         training; requiring the department to make a record of
  586         the completion of the training; providing requirements
  587         for the record; requiring covered providers to
  588         maintain such records of training completion for their
  589         employees; providing that an employee does not have to
  590         repeat such training after changing employment to
  591         another covered provider; providing additional
  592         training and continuing education requirements for
  593         certain employees who provide direct care to patients
  594         with Alzheimer’s disease or related forms of dementia;
  595         authorizing the department to establish training
  596         curriculum guidelines; authorizing the department to
  597         approve training providers and curricula and maintain
  598         a list of approved providers; authorizing training to
  599         be offered in a variety of formats; providing that
  600         certain continuing education does not require the
  601         adoption of curriculum guidelines by the department or
  602         provider or curriculum approval by the department;
  603         authorizing the department to develop or provide
  604         continuing education training or curricula as an
  605         option for covered providers and their employees;
  606         providing qualifications and requirements for training
  607         providers; providing that training curricula approved
  608         before the effective date of this act remain in effect
  609         until their respective expiration dates; authorizing
  610         the department to adopt rules related to training
  611         curriculum guidelines, qualified training providers,
  612         and compliance monitoring procedures; authorizing
  613         certified nursing assistants to count the dementia
  614         related training toward their annual certification
  615         training requirements; authorizing health care
  616         practitioners to count the dementia-related training
  617         requirements toward their continuing education
  618         requirements for licensure; authorizing persons
  619         employed, contracted, or referred to provide services
  620         before the effective date of this act to complete the
  621         required training by a specified date; providing for
  622         the substitution of equivalent training for training
  623         required by this act; authorizing persons to satisfy
  624         the training requirements of this act using training
  625         curricula approved before the effective date of this
  626         act until the department adopts rules for training
  627         curricula guidelines; amending ss. 400.0239, 400.1755,
  628         and 400.4785, F.S.; conforming provisions to changes
  629         made by the act; creating s. 400.510, F.S.; requiring
  630         a person employed, contracted, or referred by a nurse
  631         registry or a person registered with the Agency for
  632         Health Care Administration to provide companion or
  633         homemaker services to complete specified training;
  634         amending ss. 429.178, 429.52, 429.83, 429.917, and
  635         429.918, F.S.; conforming provisions to changes made
  636         by the act; providing an effective date.