Florida Senate - 2012                              CS for SB 316
       
       
       
       By the Committee on Children, Families, and Elder Affairs; and
       Senator Wise
       
       
       
       586-00843-12                                           2012316c1
    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         creating the memory-impairment screening grant
    7         program; providing criteria for awarding grants;
    8         providing a definition; requiring grant recipients to
    9         submit an evaluation of certain activities to the
   10         department; authorizing the department to provide
   11         technical support; requiring an annual report to the
   12         Legislature; providing for implementation of the
   13         public education program to operate within existing
   14         resources of the department; providing that
   15         implementation of the memory-impairment screening
   16         grant program is contingent upon an appropriation of
   17         state funds or the availability of private resources;
   18         amending s. 400.1755, F.S.; specifying the types of
   19         facilities where an employee or direct caregiver
   20         providing care for persons with Alzheimer’s disease
   21         may begin employment without repeating certain
   22         training requirements; amending s. 400.6045, F.S.;
   23         requiring direct caregivers to comply with certain
   24         continuing education requirements; amending s.
   25         429.178, F.S.; specifying the types of facilities
   26         where an employee or direct caregiver providing care
   27         for persons with Alzheimer’s disease may begin
   28         employment without repeating certain training
   29         requirements; providing an effective date.
   30  
   31         WHEREAS, Alzheimer’s disease is a slow, progressive
   32  disorder of the brain which results in loss of memory and other
   33  cognitive functions, is the eighth leading cause of death in the
   34  United States, and currently affects an estimated 5 million
   35  Americans, with that number expected to increase to 16 million
   36  by mid-century, and
   37         WHEREAS, Alzheimer’s disease strikes approximately 1 in 10
   38  people over the age of 65 and nearly one-half of those who are
   39  age 85 or older, although some people develop symptoms as young
   40  as age 40, and
   41         WHEREAS, Alzheimer’s disease takes an enormous toll on
   42  family members who are the caregivers for individuals having the
   43  disease, and
   44         WHEREAS, caregivers for individuals who have Alzheimer’s
   45  disease suffer more stress, depression, and health problems than
   46  caregivers for individuals who have other illnesses, and
   47         WHEREAS, Alzheimer’s disease costs United States businesses
   48  more than $60 billion annually due to lost productivity and
   49  absenteeism by primary caregivers and increased insurance costs,
   50  and
   51         WHEREAS, recent advancements in scientific research have
   52  demonstrated the benefits of early medical treatment for persons
   53  who have Alzheimer’s disease and the benefits of early access to
   54  counseling and other support services for their caregivers, and
   55         WHEREAS, research shows that several medications have been
   56  developed which can reduce the symptoms of Alzheimer’s disease,
   57  that persons begin to benefit most when these medications are
   58  taken in the early stages of a memory disorder, and that this
   59  intervention may extend the period during which patients can be
   60  cared for at home, thereby significantly reducing the costs of
   61  institutional care, and
   62         WHEREAS, with early diagnosis, patients can participate in
   63  decisions regarding their care and their families can take
   64  advantage of support services that can reduce caregiver
   65  depression and related health problems, and
   66         WHEREAS, in direct response to research breakthroughs,
   67  National Memory Screening Day was established as a collaborative
   68  effort by organizations and health care professionals across the
   69  country to promote awareness and early detection of memory
   70  impairments, and
   71         WHEREAS, on National Memory Screening Day, which is held on
   72  the third Tuesday of November in recognition of National
   73  Alzheimer’s Disease Month, health care professionals administer
   74  free memory screenings at hundreds of sites throughout the
   75  United States, and
   76         WHEREAS, memory screening is used as an indicator of
   77  whether a person might benefit from more extensive testing to
   78  determine whether a memory or cognitive impairment exists and
   79  identifies persons who may benefit from medical attention, but
   80  is not used to diagnose any illness and in no way replaces
   81  examination by a qualified physician, NOW, THEREFORE,
   82  
   83  Be It Enacted by the Legislature of the State of Florida:
   84  
   85         Section 1. Section 430.5025, Florida Statutes, is created
   86  to read:
   87         430.5025Memory-impairment screening; grants.—
   88         (1)The Department of Elderly Affairs shall develop and
   89  implement a public education program relating to screening for
   90  memory impairment and the importance of early diagnosis and
   91  treatment of Alzheimer’s disease and related disorders.
   92         (2)(a) The memory-impairment screening grant program is
   93  created and shall be administered by the department.
   94         (b) The department may award grants to qualifying entities
   95  to support the development, expansion, or operation of programs
   96  that provide:
   97         1. Information and education on the importance of memory
   98  screening for early diagnosis and treatment of Alzheimer’s
   99  disease and related disorders.
  100         2. Screenings for memory impairment.
  101         (3)As used in this section, the term “qualifying entities”
  102  means public and nonprofit private entities that provide
  103  services and care to individuals who have Alzheimer’s disease or
  104  related disorders and their caregivers and families.
  105         (4)When awarding grants under this section, the department
  106  shall give preference to applicants that:
  107         (a)Have demonstrated experience in promoting public
  108  education and awareness of the importance of memory screening or
  109  providing memory-screening services.
  110         (b)Have established arrangements with health care
  111  providers and other organizations to provide screenings for
  112  memory impairment in a manner that is convenient to individuals
  113  in the communities served by the applicants.
  114         (c)Provide matching funds.
  115         (5)A qualifying entity that receives a grant under this
  116  section shall submit to the department an annual evaluation that
  117  describes activities carried out with funds received under this
  118  section, the long-term effectiveness of such activities in
  119  promoting early detection of memory impairment, and any other
  120  information that the department requires.
  121         (6)The department may set aside an amount not to exceed 15
  122  percent of the total amount appropriated to the memory
  123  impairment screening grant program for the fiscal year to
  124  provide grantees with technical support in the development,
  125  implementation, and evaluation of memory-impairment screening
  126  programs.
  127         (7)A grant may be awarded under subsection (2) only if an
  128  application for the grant is submitted to the department and the
  129  application is in the form, is made in the manner, and contains
  130  the agreements, assurances, and information that the department
  131  determines are necessary to carry out the purposes of this
  132  section.
  133         (8)The department shall annually submit to the President
  134  of the Senate and the Speaker of the House of Representatives a
  135  report on the activities carried out under this section,
  136  including provisions describing the extent to which the
  137  activities have affected the rate of screening for memory
  138  impairment and have improved outcomes for patients and
  139  caregivers.
  140         Section 2. Implementation.—
  141         (1)Implementation of the public education program created
  142  under s. 430.5025, Florida Statutes, shall operate within
  143  existing resources of the Department of Elderly Affairs.
  144         (2)Implementation of the memory-impairment screening grant
  145  program created under s. 430.5025, Florida Statutes, is
  146  contingent upon appropriation of state funds or the availability
  147  of private resources.
  148         Section 3. Subsection (6) of section 400.1755, Florida
  149  Statutes, is amended to read:
  150         400.1755 Care for persons with Alzheimer’s disease or
  151  related disorders.—
  152         (6) Upon completing any training listed in this section,
  153  the employee or direct caregiver shall be issued a certificate
  154  that includes the name of the training provider, the topic
  155  covered, and the date and signature of the training provider.
  156  The certificate is evidence of completion of training in the
  157  identified topic, and the employee or direct caregiver is not
  158  required to repeat training in that topic if the employee or
  159  direct caregiver changes employment to a different facility or
  160  to an assisted living facility, home health agency, adult day
  161  care center, or hospice adult family-care home. The direct
  162  caregiver must comply with other applicable continuing education
  163  requirements.
  164         Section 4. Paragraph (h) of subsection (1) of section
  165  400.6045, Florida Statutes, is amended to read:
  166         400.6045 Patients with Alzheimer’s disease or other related
  167  disorders; staff training requirements; certain disclosures.—
  168         (1) A hospice licensed under this part must provide the
  169  following staff training:
  170         (h) Upon completing any training described in this section,
  171  the employee or direct caregiver shall be issued a certificate
  172  that includes the name of the training provider, the topic
  173  covered, and the date and signature of the training provider.
  174  The certificate is evidence of completion of training in the
  175  identified topic, and the employee or direct caregiver is not
  176  required to repeat training in that topic if the employee or
  177  direct caregiver changes employment to a different hospice or to
  178  a home health agency, assisted living facility, nursing home, or
  179  adult day care center. The direct caregiver must comply with
  180  other applicable continuing education requirements.
  181         Section 5. Subsection (4) of section 429.178, Florida
  182  Statutes, is amended to read:
  183         429.178 Special care for persons with Alzheimer’s disease
  184  or other related disorders.—
  185         (4) Upon completing any training listed in subsection (2),
  186  the employee or direct caregiver shall be issued a certificate
  187  that includes the name of the training provider, the topic
  188  covered, and the date and signature of the training provider.
  189  The certificate is evidence of completion of training in the
  190  identified topic, and the employee or direct caregiver is not
  191  required to repeat training in that topic if the employee or
  192  direct caregiver changes employment to a different assisted
  193  living facility or nursing home, hospice, adult day care center,
  194  or home health agency facility. The employee or direct caregiver
  195  must comply with other applicable continuing education
  196  requirements.
  197         Section 6. This act shall take effect July 1, 2012.