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3 | 3 | | HB 1067 2022 |
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9 | 9 | | Page 1 of 7 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to the treatment and care of adult 2 |
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16 | 16 | | patients with sickle cell disease; creating s. 3 |
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17 | 17 | | 381.817, F.S.; providing definitions; creating the 4 |
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18 | 18 | | Sickle Cell Disease Task Force adjunct to the 5 |
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19 | 19 | | Department of Health; providing a purpose; providing 6 |
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20 | 20 | | for membership, meetings, and duties of the task 7 |
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21 | 21 | | force; requiring the task force to submit a report to 8 |
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22 | 22 | | the Governor and Legislature by a specified date; 9 |
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23 | 23 | | providing for future expiration; creating s. 381.819, 10 |
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24 | 24 | | F.S.; requiring the department, in consultation with 11 |
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25 | 25 | | the task force, to develop and implement comprehensive 12 |
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26 | 26 | | training and continuing education requirements for 13 |
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27 | 27 | | certain health care providers; authorizing the 14 |
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28 | 28 | | department to adopt rules; amending s. 381.981, F.S.; 15 |
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29 | 29 | | requiring the Florida Public Health Institute, Inc., 16 |
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30 | 30 | | in consultation with the department, to include sickle 17 |
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31 | 31 | | cell disease as part of its health awareness 18 |
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32 | 32 | | campaigns; providing an effective date. 19 |
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33 | 33 | | 20 |
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34 | 34 | | Be It Enacted by the Legislature of the State of Florida: 21 |
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35 | 35 | | 22 |
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36 | 36 | | Section 1. Section 381.817, Florida Statutes, is created 23 |
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37 | 37 | | to read: 24 |
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38 | 38 | | 381.817 Sickle Cell Disease Task Force. — 25 |
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40 | 40 | | HB 1067 2022 |
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46 | 46 | | Page 2 of 7 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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51 | 51 | | (1) DEFINITIONS.—As used in this section, the term: 26 |
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52 | 52 | | (a) "Department" means the Department of Hea lth. 27 |
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53 | 53 | | (b) "Task force" means the Sickle Cell Disease Task Force 28 |
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54 | 54 | | created under this section. 29 |
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55 | 55 | | (2) CREATION AND PURPOSE. —The Sickle Cell Disease Task 30 |
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56 | 56 | | Force, a task force as defined in s. 20.03(8), is created 31 |
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57 | 57 | | adjunct to the department for the purpose of pro viding 32 |
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58 | 58 | | recommendations for improving the quality of treatment and care 33 |
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59 | 59 | | provided to adult patients diagnosed with sickle cell disease 34 |
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60 | 60 | | and for educating and training health care providers who treat, 35 |
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61 | 61 | | or participate in the treatment of, such patients regarding the 36 |
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62 | 62 | | best practices and guidelines for such treatment. The department 37 |
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63 | 63 | | shall provide staff and administrative support for the task 38 |
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64 | 64 | | force. 39 |
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65 | 65 | | (3)(a) MEMBERSHIP.—The task force shall consist of 18 40 |
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66 | 66 | | members, as follows: 41 |
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67 | 67 | | 1. The State Surgeon General or his or h er designee. 42 |
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68 | 68 | | 2. The Secretary of Health Care Administration or his or 43 |
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69 | 69 | | her designee. 44 |
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70 | 70 | | 3. Three county health department directors, one of whom 45 |
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71 | 71 | | represents a county with a large minority population, one of 46 |
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72 | 72 | | whom represents a rural county, and one of whom re presents a 47 |
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73 | 73 | | large county, appointed by the State Surgeon General. 48 |
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74 | 74 | | 4. One emergency room physician, one primary care 49 |
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75 | 75 | | physician, one hematologist, one registered nurse or advanced 50 |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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88 | 88 | | practice registered nurse, one physician assistant, and one 51 |
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89 | 89 | | pharmacist who treats, or participates in the treatment of, 52 |
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90 | 90 | | adult patients with sickle cell disease, appointed by the State 53 |
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91 | 91 | | Surgeon General. 54 |
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92 | 92 | | 5. One representative from each of the following 55 |
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93 | 93 | | organizations, appointed by the Governor: 56 |
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94 | 94 | | a. Florida Medical Association. 57 |
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95 | 95 | | b. Sickle Cell Disease Association of Florida, Inc. 58 |
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96 | 96 | | c. Florida Association of County Health Officers, Inc. 59 |
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97 | 97 | | d. University of South Florida College of Public Health. 60 |
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98 | 98 | | e. Florida Agricultural and Mechanical University 61 |
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99 | 99 | | Institute of Public Health. 62 |
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100 | 100 | | 6. Two adult patients who have been diagnosed with sickle 63 |
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101 | 101 | | cell disease, one appointed by the President of the Senate and 64 |
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102 | 102 | | one appointed by the Speaker of the House of Representatives. 65 |
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103 | 103 | | (b) The members of the task force must be appointed by 66 |
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104 | 104 | | September 1, 2022. A vacancy on the task force shall be filled 67 |
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105 | 105 | | in the same manner as the original appointment. The task force 68 |
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106 | 106 | | shall elect a chair from among its members. 69 |
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107 | 107 | | (c) Members of the task force shall serve without 70 |
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108 | 108 | | compensation but are entitled to reimbursement for per diem and 71 |
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109 | 109 | | travel expenses pursuant to s. 112.061. 72 |
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110 | 110 | | (4) MEETINGS.— 73 |
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111 | 111 | | (a) The task force shall convene its first meeting by 74 |
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112 | 112 | | October 1, 2022. Thereafter, the task force shall meet as often 75 |
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121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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125 | 125 | | as necessary to perform its duties at the call of the chair. 76 |
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126 | 126 | | (b) Meetings may be conducted in person or by 77 |
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127 | 127 | | teleconference or other electronic means. 78 |
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128 | 128 | | (5) DUTIES.—The task force shall: 79 |
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129 | 129 | | (a) Develop recommendations and identify strategies for 80 |
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130 | 130 | | improving the continuum of care for adult patients with sickle 81 |
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131 | 131 | | cell disease and promo ting the coordination among health care 82 |
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132 | 132 | | providers, including, but not limited to, delineating the 83 |
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133 | 133 | | elements of a comprehensive system of care and standardizing 84 |
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134 | 134 | | protocols for the treatment of such patients. 85 |
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135 | 135 | | (b) Identify the barriers to adult patients with sickle 86 |
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136 | 136 | | cell disease in receiving adequate treatment and care, 87 |
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137 | 137 | | including, but not limited to, inconsistent and inadequate 88 |
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138 | 138 | | health insurance coverage, systemic racism, and a lack of 89 |
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139 | 139 | | coordination among health care providers within the continuum of 90 |
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140 | 140 | | care for such patients. 91 |
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141 | 141 | | (c) Develop recommendations and identify strategies for 92 |
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142 | 142 | | eliminating the barriers identified under paragraph (b). 93 |
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143 | 143 | | (d) Develop recommendations for and identify the services 94 |
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144 | 144 | | that are not covered by health insurance, but should be, for 95 |
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145 | 145 | | adult patients with sickle cell disease, including, but not 96 |
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146 | 146 | | limited to, urine screening for albuminuria, annual or biannual 97 |
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147 | 147 | | dilated ophthalmological examination for sickle cell 98 |
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148 | 148 | | retinopathy, pain specialist consultation and services, 99 |
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149 | 149 | | evaluation and treatment for me ntal illness, and disease -100 |
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158 | 158 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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162 | 162 | | modifying therapies. 101 |
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163 | 163 | | (e) Develop recommendations for improving the treatment 102 |
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164 | 164 | | and care of adult patients with sickle cell disease for 103 |
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165 | 165 | | prolonged acute pain, especially in hospital emergency 104 |
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166 | 166 | | departments, including, but not limited to, managing pain for 105 |
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167 | 167 | | such patients in accordance with the National Heart, Lung, and 106 |
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168 | 168 | | Blood Institute's guidelines in the Evidence -Based Management of 107 |
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169 | 169 | | Sickle Cell Disease: Expert Panel Report, 2014. 108 |
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170 | 170 | | (f) Develop recommendations for standardizing the use of 109 |
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171 | 171 | | individualized care plans by health care providers for each 110 |
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172 | 172 | | adult patient with sickle cell disease, which would be included 111 |
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173 | 173 | | in his or her medical records. 112 |
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174 | 174 | | (g) Develop recommendations for training and educating 113 |
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175 | 175 | | health care providers who care for and trea t, or participate in 114 |
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176 | 176 | | the treatment and care of, adult patients with sickle cell 115 |
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177 | 177 | | disease, including, but not limited to, comprehensive courses 116 |
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178 | 178 | | covering systemic racism and its negative impact on the 117 |
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179 | 179 | | accessibility of care, the management of pain in such pati ents, 118 |
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180 | 180 | | and other diseases that disproportionately affect the minority 119 |
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181 | 181 | | community. 120 |
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182 | 182 | | (h) Develop recommendations and identify strategies for 121 |
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183 | 183 | | providing support to adult patients with sickle cell disease 122 |
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184 | 184 | | through the use of community -based organizations and case 123 |
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185 | 185 | | managers in health care facilities. 124 |
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186 | 186 | | (6) REPORT.—By October 1, 2023, the task force shall 125 |
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195 | 195 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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199 | 199 | | submit a report that includes its findings and recommendations 126 |
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200 | 200 | | to the Governor, the President of the Senate, and the Speaker of 127 |
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201 | 201 | | the House of Representatives. 128 |
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202 | 202 | | (7) EXPIRATION.—This section expires October 1, 2024. 129 |
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203 | 203 | | Section 2. Section 381.819, Florida Statutes, is created 130 |
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204 | 204 | | to read: 131 |
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205 | 205 | | 381.819 Training and continuing education relating to 132 |
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206 | 206 | | treatment and care of adults with sickle cell disease. —By 133 |
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207 | 207 | | September 1, 2024, the Department of Health, in consultation 134 |
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208 | 208 | | with the Sickle Cell Disease Task Force created under s. 135 |
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209 | 209 | | 381.817, shall develop and implement comprehensive training and 136 |
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210 | 210 | | continuing education requirements for health care providers 137 |
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211 | 211 | | relating to the treatment and care o f adults with sickle cell 138 |
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212 | 212 | | disease. The department may adopt rules to implement this 139 |
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213 | 213 | | section. 140 |
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214 | 214 | | Section 3. Paragraph (v) is added to subsection (2) of 141 |
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215 | 215 | | section 381.981, Florida Statutes, to read: 142 |
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216 | 216 | | 381.981 Health awareness campaigns. — 143 |
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217 | 217 | | (2) The awareness c ampaigns shall include the provision of 144 |
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218 | 218 | | educational information about preventing, detecting, treating, 145 |
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219 | 219 | | and curing the following diseases or conditions. Additional 146 |
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220 | 220 | | diseases and conditions that impact the public health may be 147 |
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221 | 221 | | added by the board of directors of the Florida Public Health 148 |
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222 | 222 | | Institute, Inc.; however, each of the following diseases or 149 |
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223 | 223 | | conditions must be included in an awareness campaign during at 150 |
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236 | 236 | | least 1 month in any 24 -month period: 151 |
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237 | 237 | | (v) Sickle cell disease. 152 |
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238 | 238 | | Section 4. This act shall take effect July 1, 2022. 153 |
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