October 20, 2019
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       Florida Senate - 2010                              CS for SB 580
       
       
       
       By the Committee on Health and Human Services Appropriations;
       and Senator Wise
       
       
       
       603-04261-10                                           2010580c1
    1                        A bill to be entitled                      
    2         An act relating to Alzheimer’s disease; creating s.
    3         430.5025, F.S.; directing the Department of Elderly
    4         Affairs to develop and implement a public education
    5         program relating to screening for Alzheimer’s disease;
    6         providing criteria for awarding grants; providing a
    7         definition; requiring grant recipients to submit an
    8         evaluation of certain activities to the department;
    9         authorizing the department to provide technical
   10         support; requiring an annual report to the
   11         Legislature; providing for implementation of the
   12         public education program to operate within existing
   13         resources of the department; providing that
   14         implementation of the memory-impairment screening
   15         grant program is contingent upon an appropriation of
   16         state funds or the availability of private resources;
   17         amending s. 400.1755, F.S.; specifying the types of
   18         facilities where an employee or direct caregiver of an
   19         assisted living facility may begin employment without
   20         repeating certain training requirements; amending s.
   21         400.6045, F.S.; requiring direct caregivers to comply
   22         with certain continuing education requirements;
   23         amending s. 429.178, F.S.; specifying the types of
   24         facilities where an employee or direct caregiver of an
   25         assisted living facility may begin employment without
   26         repeating certain training requirements; providing an
   27         effective date.
   28  
   29         WHEREAS, Alzheimer’s disease is a slow, progressive
   30  disorder of the brain which results in loss of memory and other
   31  cognitive functions, is the eighth leading cause of death in the
   32  United States, and currently affects an estimated 5 million
   33  Americans, with that number expected to increase to 16 million
   34  by mid-century, and
   35         WHEREAS, Alzheimer’s disease strikes approximately 1 in 10
   36  people over the age of 65 and nearly half of those who are age
   37  85 or older, although some people develop symptoms as young as
   38  age 40, and
   39         WHEREAS, Alzheimer’s disease takes an enormous toll on
   40  family members who are the caregivers for individuals having the
   41  disease, and
   42         WHEREAS, caregivers for individuals who have Alzheimer’s
   43  disease suffer more stress, depression, and health problems than
   44  caregivers for individuals who have other illnesses, and
   45         WHEREAS, Alzheimer’s disease costs United States businesses
   46  more than $60 billion annually due to lost productivity and
   47  absenteeism by primary caregivers and increased insurance costs,
   48  and
   49         WHEREAS, recent advancements in scientific research have
   50  demonstrated the benefits of early medical treatment for persons
   51  who have Alzheimer’s disease and the benefits of early access to
   52  counseling and other support services for their caregivers, and
   53         WHEREAS, research shows that several medications have been
   54  developed which can reduce the symptoms of Alzheimer’s disease,
   55  that persons begin to benefit most when these medications are
   56  taken in the early stages of a memory disorder, and that this
   57  intervention may extend the period during which patients can be
   58  cared for at home, thereby significantly reducing the costs of
   59  institutional care, and
   60         WHEREAS, with early diagnosis, patients can participate in
   61  decisions regarding their care and their families can take
   62  advantage of support services that can reduce caregiver
   63  depression and related health problems, and
   64         WHEREAS, in direct response to research breakthroughs,
   65  National Memory Screening Day was established as a collaborative
   66  effort by organizations and health care professionals across the
   67  country to promote awareness and early detection of memory
   68  impairments, and
   69         WHEREAS, on National Memory Screening Day, which is held on
   70  the third Tuesday of November in recognition of National
   71  Alzheimer’s Disease Month, health care professionals administer
   72  free memory screenings at hundreds of sites throughout the
   73  United States, and
   74         WHEREAS, memory screening is used as an indicator of
   75  whether a person might benefit from more extensive testing to
   76  determine whether a memory or cognitive impairment exists and
   77  identifies persons who may benefit from medical attention, but
   78  is not used to diagnose any illness and in no way replaces
   79  examination by a qualified physician, NOW, THEREFORE,
   80  
   81  Be It Enacted by the Legislature of the State of Florida:
   82  
   83         Section 1. Section 430.5025, Florida Statutes, is created
   84  to read:
   85         430.5025Memory-impairment screening; grants.—
   86         (1)The Department of Elderly Affairs shall develop and
   87  implement a public education program relating to screening for
   88  memory impairment and the importance of early diagnosis and
   89  treatment of Alzheimer’s disease and related disorders.
   90         (2)The department may award grants to qualifying entities
   91  to support the development, expansion, or operation of programs
   92  that provide:
   93         (a)Information and education on the importance of memory
   94  screening for early diagnosis and treatment of Alzheimer’s
   95  disease and related disorders.
   96         (b)Screenings for memory impairment.
   97         (3)As used in this section, the term “qualifying entities”
   98  means public and nonprofit private entities that provide
   99  services and care to individuals who have Alzheimer’s disease or
  100  related disorders and their caregivers and families.
  101         (4)When awarding grants under this section, the department
  102  shall give preference to applicants that:
  103         (a)Have demonstrated experience in promoting public
  104  education and awareness of the importance of memory screening or
  105  providing memory-screening services.
  106         (b)Have established arrangements with health care
  107  providers and other organizations to provide screenings for
  108  memory impairment in a manner that is convenient to individuals
  109  in the communities served by the applicants.
  110         (c)Provide matching funds.
  111         (5)A qualifying entity that receives a grant under this
  112  section shall submit to the department an evaluation that
  113  describes activities carried out with funds received under this
  114  section, the long-term effectiveness of such activities in
  115  promoting early detection of memory impairment, and any other
  116  information that the department requires.
  117         (6)The department may set aside an amount not to exceed 15
  118  percent of the total amount appropriated to the memory
  119  impairment screening grant program for the fiscal year to
  120  provide grantees with technical support in the development,
  121  implementation, and evaluation of memory-impairment screening
  122  programs.
  123         (7)A grant may be awarded under subsection (2) only if an
  124  application for the grant is submitted to the department and the
  125  application is in the form, is made in the manner, and contains
  126  the agreements, assurances, and information that the department
  127  determines are necessary to carry out the purposes of this
  128  section.
  129         (8)The department shall annually submit to the President
  130  of the Senate and the Speaker of the House of Representatives a
  131  report on the activities carried out under this section,
  132  including provisions describing the extent to which the
  133  activities have affected the rate of screening for memory
  134  impairment and have improved outcomes for patients and
  135  caregivers.
  136         Section 2. Implementation.—
  137         (1)Implementation of the public education program created
  138  under s. 430.5025, Florida Statutes, shall operate within
  139  existing resources of the Department of Elderly Affairs.
  140         (2)Implementation of the memory-impairment screening grant
  141  program created under s. 430.5025, Florida Statutes, is
  142  contingent upon appropriation of state funds or the availability
  143  of private resources.
  144         Section 3. Subsection (6) of section 400.1755, Florida
  145  Statutes, is amended to read:
  146         400.1755 Care for persons with Alzheimer’s disease or
  147  related disorders.—
  148         (6) Upon completing any training listed in this section,
  149  the employee or direct caregiver shall be issued a certificate
  150  that includes the name of the training provider, the topic
  151  covered, and the date and signature of the training provider.
  152  The certificate is evidence of completion of training in the
  153  identified topic, and the employee or direct caregiver is not
  154  required to repeat training in that topic if the employee or
  155  direct caregiver changes employment to a different facility or
  156  to an assisted living facility, home health agency, adult day
  157  care center, or hospice adult family-care home. The direct
  158  caregiver must comply with other applicable continuing education
  159  requirements.
  160         Section 4. Paragraph (h) of subsection (1) of section
  161  400.6045, Florida Statutes, is amended to read:
  162         400.6045 Patients with Alzheimer’s disease or other related
  163  disorders; staff training requirements; certain disclosures.—
  164         (1) A hospice licensed under this part must provide the
  165  following staff training:
  166         (h) Upon completing any training described in this section,
  167  the employee or direct caregiver shall be issued a certificate
  168  that includes the name of the training provider, the topic
  169  covered, and the date and signature of the training provider.
  170  The certificate is evidence of completion of training in the
  171  identified topic, and the employee or direct caregiver is not
  172  required to repeat training in that topic if the employee or
  173  direct caregiver changes employment to a different hospice or to
  174  a home health agency, assisted living facility, nursing home, or
  175  adult day care center. The direct caregiver must comply with
  176  other applicable continuing education requirements.
  177         Section 5. Subsection (4) of section 429.178, Florida
  178  Statutes, is amended to read:
  179         429.178 Special care for persons with Alzheimer’s disease
  180  or other related disorders.—
  181         (4) Upon completing any training listed in subsection (2),
  182  the employee or direct caregiver shall be issued a certificate
  183  that includes the name of the training provider, the topic
  184  covered, and the date and signature of the training provider.
  185  The certificate is evidence of completion of training in the
  186  identified topic, and the employee or direct caregiver is not
  187  required to repeat training in that topic if the employee or
  188  direct caregiver changes employment to a different assisted
  189  living facility or nursing home, hospice, adult day care center,
  190  or home health agency facility. The employee or direct caregiver
  191  must comply with other applicable continuing education
  192  requirements.
  193         Section 6. This act shall take effect July 1, 2010.

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