CODING: Words stricken are deletions; words underlined are additions.



                                                   HOUSE AMENDMENT

                                                   Bill No. HB 525

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  Representative(s) Littlefield offered the following:

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13         Amendment (with title amendment) 

14         On page 2, between lines 16 and 17, of the bill

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16  insert:

17         Section 1.  Section 385.210, Florida Statutes, is

18  created to read:

19         385.210 Arthritis prevention and education.--

20         (1)  SHORT TITLE.--This act may be cited as the

21  "Arthritis Prevention and Education Act."

22         (2)  LEGISLATIVE FINDINGS.--The Legislature finds the

23  following:

24         (a)  Arthritis encompasses more than 100 diseases and

25  conditions that affect joints, the surrounding tissues, and

26  other connective tissues.

27         (b)  Arthritis is the leading cause of disability in

28  the United States, limiting daily activities for more than 7

29  million citizens.

30         (c)  This disease has a significant impact on quality

31  of life, not only for the individual who experiences its

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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 525

    Amendment No. ___ (for drafter's use only)





  1  painful symptoms and resulting disability, but also for family

  2  members and caregivers.

  3         (d)  There are enormous economic and social costs

  4  associated with treating arthritis and its complications,

  5  which are estimated at almost $80 billion annually in the

  6  United States.

  7         (e)  Currently, the challenge exists to ensure delivery

  8  of effective, but often underutilized, interventions that are

  9  necessary in the prevention or reduction of arthritis-related

10  pain and disability.

11         (f)  Although there exists a large quantity of public

12  information about arthritis, including programs that can

13  dramatically impact early diagnosis and treatment as well as

14  the quality of life of people with arthritis, such information

15  remains inadequately disseminated and insufficient in

16  addressing the needs of specific diverse populations and other

17  underserved groups.

18         (g)  The Arthritis Foundation, Florida Chapter, the

19  Centers for Disease Control and Prevention, and the

20  Association of State and Territorial Health Officials have led

21  the development of a public health strategy, the National

22  Arthritis Action Plan, to respond to this challenge.

23         (h)  Educating the public and the health care community

24  throughout the state about this devastating disease is of

25  paramount importance and is in every respect in the public

26  interest and to the benefit of all residents of the state.

27         (3)  PURPOSES.--The purposes of this section are to:

28         (a)  Create and foster a statewide program that

29  promotes public awareness and increases knowledge about the

30  causes of arthritis, the importance of early diagnosis and

31  appropriate management, effective prevention strategies, and

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    File original & 9 copies    03/11/02
    hci0001                     04:52 pm         00525-0061-425823




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 525

    Amendment No. ___ (for drafter's use only)





  1  pain prevention and management.

  2         (b)  Develop knowledge and enhance understanding of

  3  arthritis by disseminating educational materials and

  4  information on research results, services provided, and

  5  strategies for prevention and education to patients, health

  6  professionals, and the public.

  7         (c)  Establish a solid scientific base of knowledge on

  8  the prevention of arthritis and related disabilities through

  9  surveillance, epidemiology, and prevention research.

10         (d)  Utilize educational and training resources and

11  services developed by organizations with appropriate expertise

12  and knowledge of arthritis and to use available technical

13  assistance.

14         (e)  Evaluate the need for improving the quality and

15  accessibility of existing community-based arthritis services.

16         (f)  Heighten awareness among state and local health

17  and human services officials, health professionals and

18  providers, and policymakers about the prevention, detection,

19  and treatment of arthritis.

20         (g)  Implement and coordinate state and local programs

21  and services to reduce the public health burden of arthritis.

22         (h)  Provide lasting improvements in the delivery of

23  health care for individuals with arthritis and their families,

24  thus improving their quality of life while also containing

25  health care costs.

26         (4)  ARTHRITIS PREVENTION AND EDUCATION PROGRAM.--

27         (a)  Program establishment.--To the extent that funds

28  are specifically made available for this purpose, the

29  Department of Health shall establish, promote, and maintain an

30  arthritis prevention and education program to raise public

31  awareness, educate consumers, and educate and train health

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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 525

    Amendment No. ___ (for drafter's use only)





  1  professionals, teachers, and human services providers, and for

  2  other purposes as provided in this section.

  3         (b)  Needs assessment.--The department shall conduct a

  4  needs assessment to identify:

  5         1.  Epidemiological and other research on arthritis

  6  being conducted within the state.

  7         2.  Available technical assistance and educational

  8  materials and programs on arthritis nationwide and within the

  9  state.

10         3.  The level of public and professional awareness of

11  arthritis.

12         4.  The needs of people with arthritis, their families,

13  and caregivers.

14         5.  The educational and support service needs of health

15  care providers, including physicians, nurses, managed care

16  organizations, and other health care providers, relating to

17  arthritis.

18         6.  The services available to persons with arthritis.

19         7.  The existence of arthritis treatment,

20  self-management, physical activity, and other education

21  programs.

22         8.  The existence of rehabilitation services for people

23  with arthritis.

24         (c)  Advisory panel on arthritis.--The department shall

25  establish and coordinate an advisory panel on arthritis to

26  provide nongovernmental input regarding the arthritis

27  prevention and education program. Membership shall include,

28  but is not limited to, persons with arthritis, public health

29  educators, medical experts on arthritis, providers of

30  arthritis health care, persons knowledgeable in health

31  promotion and education, and representatives of national

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    File original & 9 copies    03/11/02
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 525

    Amendment No. ___ (for drafter's use only)





  1  arthritis organizations and their local chapters.

  2         (d)  Public awareness.--The department shall use, but

  3  is not limited to, strategies consistent with the National

  4  Arthritis Action Plan and existing state planning efforts to

  5  raise public awareness and knowledge on the causes and nature

  6  of arthritis, personal risk factors, the value of prevention

  7  and early detection, ways to minimize preventable pain, and

  8  options for diagnosing and treating the disease.

  9         (5)  FUNDING.--

10         (a)  Contributions.--The Secretary of Health may accept

11  grants, services, and property from the Federal Government,

12  foundations, organizations, medical schools, and other

13  entities as may be available for the purposes of fulfilling

14  the obligations of this program.

15         (b)  Federal waivers.--The secretary shall seek any

16  federal waiver or waivers that may be necessary to maximize

17  funds from the Federal Government to implement this program.

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20  ================ T I T L E   A M E N D M E N T ===============

21  And the title is amended as follows:

22         On page 1, line 2,

23  remove:  said line

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25  and insert:

26         An act relating to chronic diseases; creating

27         s. 385.210, F.S.; creating the "Arthritis

28         Prevention and Education Act"; providing

29         legislative findings; providing purposes;

30         directing the Department of Health to establish

31         an arthritis prevention and education program;

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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 525

    Amendment No. ___ (for drafter's use only)





  1         requiring the department to conduct a needs

  2         assessment; providing for establishment of an

  3         advisory panel on arthritis; providing for

  4         implementation of a public awareness effort;

  5         providing for funding through contributions;

  6         directing the Secretary of Health to seek

  7         federal waivers as necessary to maximize

  8         federal funding;

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