Florida Senate - 2022 CS for SB 1572 By the Committee on Health Policy; and Senators Baxley, Gibson, Jones, and Garcia 588-02925A-22 20221572c1 1 A bill to be entitled 2 An act relating to dementia-related staff training; 3 creating s. 430.5025, F.S.; providing a short title; 4 defining terms; requiring the Department of Elderly 5 Affairs to offer certain dementia-related education to 6 the public; specifying uniform dementia-related 7 education and training for employees of covered 8 providers; requiring the department or its designee to 9 provide certain dementia-related employee training in 10 an online format and at no cost; providing minimum 11 requirements for the training; requiring the 12 department or its designee to make a record of the 13 completion of the training; providing requirements for 14 the record; requiring covered providers to maintain 15 such records of training completion for their 16 employees; providing that an employee does not have to 17 repeat such training after changing employment to 18 another covered provider; providing additional 19 training and continuing education requirements for 20 certain employees providing direct care; authorizing 21 the department to adopt training curriculum 22 guidelines; authorizing the department or its designee 23 to approve training providers and curricula and 24 maintain a list of approved providers; authorizing 25 training to be offered in a variety of formats; 26 providing that certain continuing education does not 27 require the adoption of curriculum guidelines by the 28 department or provider or curriculum approval by the 29 department or its designee; providing qualifications 30 and requirements for approved providers; providing 31 that training curricula approved before the effective 32 date of this act remain in effect until their 33 respective expiration dates; authorizing the 34 department to adopt certain rules; authorizing 35 certified nursing assistants to count the dementia 36 related training toward their annual certification 37 training requirements; authorizing health care 38 practitioners to count the dementia-related training 39 requirements toward their continuing education 40 requirements for licensure; creating s. 400.51, F.S.; 41 requiring individuals employed, contracted, or 42 referred by a nurse registry and individuals 43 registered as companion or homemaker services 44 providers to complete specified dementia-related 45 training; amending ss. 400.1755, 400.4785, 429.178, 46 429.52, 429.83, 429.917, and 429.918, F.S.; revising 47 dementia-related staff training requirements for 48 nursing homes, home health agencies, facilities that 49 provide special care for persons with Alzheimers 50 disease or related dementia, assisted living 51 facilities, adult family-care homes, adult day care 52 centers, and specialized Alzheimers services adult 53 day care centers, respectively, to conform to changes 54 made by the act; extending the timeframe in which 55 individuals employed, contracted, or referred to 56 provide services before a specified date must complete 57 the dementia-related staff training required by this 58 act; providing that proof of completion of equivalent 59 training substitutes for such training; providing that 60 individuals employed, contracted, or referred to 61 provide services on or after a specified date are 62 subject to the timeframes for completion of such 63 training which are specified in the act; providing an 64 effective date. 65 66 Be It Enacted by the Legislature of the State of Florida: 67 68 Section 1.Section 430.5025, Florida Statutes, is created 69 to read: 70 430.5025Education and training to foster awareness of 71 Alzheimers disease and related forms of dementia. 72 (1)This section may be cited as the Florida Alzheimers 73 Disease and Dementia Education and Training Act. 74 (2)As used in this section, the term: 75 (a)Covered provider means a nursing home facility, a 76 home health agency, a nurse registry, a companion or homemaker 77 service provider, an assisted living facility, an adult family 78 care home, or an adult day care center licensed or registered 79 under chapter 400 or chapter 429. 80 (b)Department means the Department of Elderly Affairs. 81 (c)Direct care means providing, through in-person 82 contact, assistance with the activities of daily living; 83 assistance with the self-administration of medication; homemaker 84 or companion services; nursing services; or other services that 85 promote the physical, mental, and psychosocial well-being of 86 participants, patients, and residents of covered providers. The 87 term does not include administrative functions or maintenance of 88 the physical environment of a licensed facility, including 89 grounds maintenance, building maintenance, housekeeping, 90 laundry, or food preparation. 91 (d)Employee means an individual, contracted staff, or an 92 independent contractor employed or referred by a covered 93 provider who is required to undergo a level 2 background 94 screening as required by s. 408.809 and chapter 435. 95 (e)Regular contact means the performance of duties other 96 than direct care which may require employees to interact in 97 person on a daily basis with participants, patients, or 98 residents. 99 (3)The department shall offer education to the general 100 public about Alzheimers disease and related forms of dementia. 101 The education must provide basic information about the most 102 common forms of dementia, how to identify the signs and symptoms 103 of dementia, skills for coping with and responding to changes as 104 a result of the onset of dementia symptoms, planning for the 105 future, and how to access additional resources about dementia. 106 (4)Employees of covered providers must receive uniform 107 training about Alzheimers disease and related forms of dementia 108 as follows: 109 (a)Upon beginning employment, each employee must receive 110 basic written information about interacting with individuals who 111 have Alzheimers disease or a related form of dementia. 112 (b)Within 30 days after the date of beginning employment, 113 each employee who provides direct care and is in regular contact 114 with participants, patients, or residents must complete a 1-hour 115 training provided by the department or its designee. 116 1.The department or its designee shall provide the 117 training required under this paragraph in an online format and 118 at no cost. The 1-hour training must include information on 119 understanding the basics about the most common forms of 120 dementia, how to identify the signs and symptoms of dementia, 121 and skills for communicating and interacting with individuals 122 who have Alzheimers disease or a related form of dementia. A 123 record of completion of the training must be made available 124 which identifies the training course, the name of the employee, 125 and the date of completion. 126 2.A covered provider must maintain a record of the 127 employees completion of the training. 128 3.An employee who has completed the training is not 129 required to repeat the training after changing employment to a 130 different covered provider. 131 (c)Within 7 months after the date of beginning employment, 132 each employee of a home health agency or nurse registry, or a 133 companion or homemaker service provider who provides direct 134 care, must complete an additional 2 hours of training. The 135 training must cover, but need not be limited to, behavior 136 management, promotion of the individuals independence in 137 activities of daily living, and skills for working with family 138 members and caregivers. 139 (d)Within 7 months after the date of beginning employment, 140 each employee of a nursing home, an assisted living facility, an 141 adult family-care home, or an adult day care center who provides 142 direct care must complete an additional 3 hours of training. The 143 training must cover, but need not be limited to, behavior 144 management, promotion of the individuals independence in 145 activities of daily living, skills for working with family 146 members and caregivers, group and individual activities, 147 maintaining an appropriate environment, and ethical issues. 148 (e)For an assisted living facility, adult family-care 149 home, or adult day care center that advertises and provides, or 150 is designated to provide, specialized care for individuals who 151 have Alzheimers disease or a related form of dementia, its 152 employees must receive the following training in addition to the 153 training specified in paragraphs (a) and (b): 154 1.Within 3 months after the date of beginning employment, 155 each employee who has regular contact with or provides direct 156 care to residents or participants must complete an additional 3 157 hours of training in the topics specified in paragraph (d). 158 2.Within 6 months after the date of beginning employment, 159 each employee who provides direct care must complete an 160 additional 4 hours of dementia-specific training. The training 161 must include, but need not be limited to, information related to 162 understanding Alzheimers disease and related forms of dementia, 163 the stages of Alzheimers disease, communication strategies, 164 medical information, and stress management. 165 3.Thereafter, each employee who provides direct care must 166 participate in a minimum of 4 contact hours of continuing 167 education each calendar year. The continuing education must 168 cover at least one of the topics included in the dementia 169 specific training in which the employee has not received 170 previous training. 171 (f)The department may adopt training curriculum guidelines 172 for the training specified in paragraphs (c), (d), and (e). The 173 department or its designee may approve training providers and 174 training curricula and maintain a list of approved providers. 175 Approved training may be offered in a variety of formats, 176 including in-person and electronic formats. However, continuing 177 education under this section does not require the adoption of 178 training curriculum guidelines by the department or the approval 179 of training providers and curricula by the department or its 180 designee. 181 1.A training provider meeting one of the following 182 qualifications may offer training in accordance with the 183 curriculum guidelines without prior department or designee 184 approval of the provider or the curriculum: 185 a.An individual approved by a board of the Department of 186 Health to provide training who is registered with the electronic 187 continuing education tracking system established in s. 188 456.025(7); 189 b.An individual with a masters or doctoral degree in 190 health care, social services, or gerontology from an accredited 191 college or university; or 192 c.A training provider approved by the department or its 193 designee before July 1, 2022. 194 2.Training providers qualified under sub-subparagraphs 195 1.a. and b. must also have: 196 a.At least 1 year of teaching experience as an educator 197 for caregivers of individuals with Alzheimers disease or 198 related forms of dementia; 199 b.At least 1 year of practical experience in a program 200 providing care to individuals with Alzheimers disease or 201 related forms of dementia; or 202 c.Completed a specialized training program in the subject 203 matter of Alzheimers disease and related forms of dementia from 204 an accredited health care, human services, or gerontology 205 education provider. 206 3.Upon an employees completion of the training specified 207 in paragraphs (c), (d), or (e), the training provider must 208 provide a record of completion of the training which includes 209 the name of the employee, the name of the training provider, the 210 topics covered, and the date of completion. The record is 211 evidence of completion of training in the identified topic, and 212 the employee is not required to repeat training in that topic if 213 the employee changes employment to a different covered provider. 214 4.Any training curriculum on Alzheimers disease or 215 related forms of dementia approved by the department or its 216 designee before July 1, 2022, remains in effect until the 217 curriculums expiration date. 218 (g)The department may adopt rules to create training 219 curriculum guidelines, to establish requirements for the 220 approval of qualified training providers, and to conduct 221 sampling of training or training curricula as necessary to 222 monitor for compliance with curriculum guidelines. 223 (5)For a certified nursing assistant as defined in s. 224 464.201, training completed as required by this section may be 225 counted toward the total hours of training required to maintain 226 certification as a certified nursing assistant. 227 (6)For a health care practitioner as defined in s. 228 456.001, training completed as required by this section may be 229 counted toward the total hours of continuing education required 230 by that practitioners licensing board. 231 Section 2.Section 400.1755, Florida Statutes, is amended 232 to read: 233 400.1755Care for persons with Alzheimers disease or 234 related disorders; staff training requirements. 235 (1)As a condition of licensure, the employees of 236 facilities licensed under this part must complete the training 237 as required by the Florida Alzheimers Disease and Dementia 238 Education and Training Act in s. 430.5025 provide to each of 239 their employees, upon beginning employment, basic written 240 information about interacting with persons with Alzheimers 241 disease or a related disorder. 242 (2)All employees who are expected to, or whose 243 responsibilities require them to, have direct contact with 244 residents with Alzheimers disease or a related disorder must, 245 in addition to being provided the information required in 246 subsection (1), also have an initial training of at least 1 hour 247 completed in the first 3 months after beginning employment. This 248 training must include, but is not limited to, an overview of 249 dementias and must provide basic skills in communicating with 250 persons with dementia. 251 (3)An individual who provides direct care shall be 252 considered a direct caregiver and must complete the required 253 initial training and an additional 3 hours of training within 9 254 months after beginning employment. This training shall include, 255 but is not limited to, managing problem behaviors, promoting the 256 residents independence in activities of daily living, and 257 skills in working with families and caregivers. 258 (a)The required 4 hours of training for certified nursing 259 assistants are part of the total hours of training required 260 annually. 261 (b)For a health care practitioner as defined in s. 262 456.001, continuing education hours taken as required by that 263 practitioners licensing board shall be counted toward this 264 total of 4 hours. 265 (4)For an employee who is a licensed health care 266 practitioner as defined in s. 456.001, training that is 267 sanctioned by that practitioners licensing board shall be 268 considered to be approved by the Department of Elderly Affairs. 269 (5)The Department of Elderly Affairs or its designee must 270 approve the initial and continuing training provided in the 271 facilities. The department must approve training offered in a 272 variety of formats, including, but not limited to, Internet 273 based training, videos, teleconferencing, and classroom 274 instruction. The department shall keep a list of current 275 providers who are approved to provide initial and continuing 276 training. The department shall adopt rules to establish 277 standards for the trainers and the training required in this 278 section. 279 (6)Upon completing any training listed in this section, 280 the employee or direct caregiver shall be issued a certificate 281 that includes the name of the training provider, the topic 282 covered, and the date and signature of the training provider. 283 The certificate is evidence of completion of training in the 284 identified topic, and the employee or direct caregiver is not 285 required to repeat training in that topic if the employee or 286 direct caregiver changes employment to a different facility or 287 to an assisted living facility, home health agency, adult day 288 care center, or adult family-care home. The direct caregiver 289 must comply with other applicable continuing education 290 requirements. 291 Section 3.Section 400.4785, Florida Statutes, is amended 292 to read: 293 400.4785Patients with Alzheimers disease or other related 294 disorders; staff training requirements; certain disclosures.The 295 employees of a home health agency must complete the training as 296 required by the Florida Alzheimers Disease and Dementia 297 Education and Training Act in s. 430.5025. 298 (1)A home health agency must provide the following staff 299 training: 300 (a)Upon beginning employment with the agency, each 301 employee must receive basic written information about 302 interacting with participants who have Alzheimers disease or 303 dementia-related disorders. 304 (b)In addition to the information provided under paragraph 305 (a), newly hired home health agency personnel who will be 306 providing direct care to patients must complete 2 hours of 307 training in Alzheimers disease and dementia-related disorders 308 within 9 months after beginning employment with the agency. This 309 training must include, but is not limited to, an overview of 310 dementia, a demonstration of basic skills in communicating with 311 persons who have dementia, the management of problem behaviors, 312 information about promoting the clients independence in 313 activities of daily living, and instruction in skills for 314 working with families and caregivers. 315 (c)For certified nursing assistants, the required 2 hours 316 of training shall be part of the total hours of training 317 required annually. 318 (d)For a health care practitioner as defined in s. 319 456.001, continuing education hours taken as required by that 320 practitioners licensing board shall be counted toward the total 321 of 2 hours. 322 (e)For an employee who is a licensed health care 323 practitioner as defined in s. 456.001, training that is 324 sanctioned by that practitioners licensing board shall be 325 considered to be approved by the Department of Elderly Affairs. 326 (f)The Department of Elderly Affairs, or its designee, 327 must approve the required training. The department must consider 328 for approval training offered in a variety of formats. The 329 department shall keep a list of current providers who are 330 approved to provide the 2-hour training. The department shall 331 adopt rules to establish standards for the employees who are 332 subject to this training, for the trainers, and for the training 333 required in this section. 334 (g)Upon completing the training listed in this section, 335 the employee shall be issued a certificate that states that the 336 training mandated under this section has been received. The 337 certificate shall be dated and signed by the training provider. 338 The certificate is evidence of completion of this training, and 339 the employee is not required to repeat this training if the 340 employee changes employment to a different home health agency. 341 (h)A licensed home health agency whose unduplicated census 342 during the most recent calendar year was composed comprised of 343 at least 90 percent of individuals aged 21 years or younger at 344 the date of admission is exempt from the training requirements 345 in this section. 346 (2)An agency licensed under this part which claims that it 347 provides special care for persons who have Alzheimers disease 348 or other related disorders must disclose in its advertisements 349 or in a separate document those services that distinguish the 350 care as being especially applicable to, or suitable for, such 351 persons. The agency must give a copy of all such advertisements 352 or a copy of the document to each person who requests 353 information about the agency and must maintain a copy of all 354 such advertisements and documents in its records. The Agency for 355 Health Care Administration shall examine all such advertisements 356 and documents in the agencys records as part of the license 357 renewal procedure. 358 Section 4.Section 400.51, Florida Statutes, is created to 359 read: 360 400.51Patients with Alzheimers disease or other related 361 disorders; staff training requirements.Each individual 362 employed, contracted, or referred by a nurse registry or any 363 individual registered with the agency to provide companion 364 services or homemaker services must complete the training as 365 required by the Florida Alzheimers Disease and Dementia 366 Education and Training Act in s. 430.5025. 367 Section 5.Section 429.178, Florida Statutes, is amended to 368 read: 369 429.178Special care for persons with Alzheimers disease 370 or other related disorders. 371 (1)A facility that which advertises that it provides 372 special care for persons with Alzheimers disease or other 373 related disorders must meet the following standards of 374 operation: 375 (1)(a)1.If the facility has 17 or more residents, have an 376 awake staff member on duty at all hours of the day and night; or 377 (b)2.If the facility has fewer than 17 residents, have an 378 awake staff member on duty at all hours of the day and night or 379 have mechanisms in place to monitor and ensure the safety of the 380 facilitys residents. 381 (2)(b)Offer activities specifically designed for persons 382 who are cognitively impaired. 383 (3)(c)Have a physical environment that provides for the 384 safety and welfare of the facilitys residents. 385 (4)(d)Require its employees to complete Employ staff who 386 have completed the training and continuing education as required 387 by the Florida Alzheimers Disease and Dementia Education and 388 Training Act in s. 430.5025 subsection (2). 389 (2)(a)An individual who is employed by a facility that 390 provides special care for residents who have Alzheimers disease 391 or other related disorders, and who has regular contact with 392 such residents, must complete up to 4 hours of initial dementia 393 specific training developed or approved by the department. The 394 training must be completed within 3 months after beginning 395 employment and satisfy the core training requirements of s. 396 429.52(3)(g). 397 (b)A direct caregiver who is employed by a facility that 398 provides special care for residents who have Alzheimers disease 399 or other related disorders and provides direct care to such 400 residents must complete the required initial training and 4 401 additional hours of training developed or approved by the 402 department. The training must be completed within 9 months after 403 beginning employment and satisfy the core training requirements 404 of s. 429.52(3)(g). 405 (c)An individual who is employed by a facility that 406 provides special care for residents with Alzheimers disease or 407 other related disorders, but who only has incidental contact 408 with such residents, must be given, at a minimum, general 409 information on interacting with individuals with Alzheimers 410 disease or other related disorders, within 3 months after 411 beginning employment. 412 (3)In addition to the training required under subsection 413 (2), a direct caregiver must participate in a minimum of 4 414 contact hours of continuing education each calendar year. The 415 continuing education must include one or more topics included in 416 the dementia-specific training developed or approved by the 417 department, in which the caregiver has not received previous 418 training. 419 (4)Upon completing any training listed in subsection (2), 420 the employee or direct caregiver shall be issued a certificate 421 that includes the name of the training provider, the topic 422 covered, and the date and signature of the training provider. 423 The certificate is evidence of completion of training in the 424 identified topic, and the employee or direct caregiver is not 425 required to repeat training in that topic if the employee or 426 direct caregiver changes employment to a different facility. The 427 employee or direct caregiver must comply with other applicable 428 continuing education requirements. 429 (5)The department, or its designee, shall approve the 430 initial and continuing education courses and providers. 431 (6)The department shall keep a current list of providers 432 who are approved to provide initial and continuing education for 433 staff of facilities that provide special care for persons with 434 Alzheimers disease or other related disorders. 435 (7)Any facility more than 90 percent of whose residents 436 receive monthly optional supplementation payments is not 437 required to pay for the training and education programs required 438 under this section. A facility that has one or more such 439 residents shall pay a reduced fee that is proportional to the 440 percentage of such residents in the facility. A facility that 441 does not have any residents who receive monthly optional 442 supplementation payments must pay a reasonable fee, as 443 established by the department, for such training and education 444 programs. 445 (8)The department shall adopt rules to establish standards 446 for trainers and training and to implement this section. 447 Section 6.Subsection (1) of section 429.52, Florida 448 Statutes, is amended to read: 449 429.52Staff training and educational requirements. 450 (1)(a)Each new assisted living facility employee who has 451 not previously completed core training must attend a preservice 452 orientation provided by the facility before interacting with 453 residents. The preservice orientation must be at least 2 hours 454 in duration and cover topics that help the employee provide 455 responsible care and respond to the needs of facility residents. 456 Upon completion, the employee and the administrator of the 457 facility must sign a statement that the employee completed the 458 required preservice orientation. The facility must keep the 459 signed statement in the employees personnel record. 460 (b)Each employee of an assisted living facility must 461 complete the training as required by the Florida Alzheimers 462 Disease and Dementia Education and Training Act in s. 430.5025. 463 (c)If completed before interacting with residents, the 1 464 hour training required by s. 430.5025(4)(b) relating to 465 information on Alzheimers disease and related forms of dementia 466 may count toward the 2 hours of preservice orientation required 467 under paragraph (a). 468 Section 7.Section 429.83, Florida Statutes, is amended to 469 read: 470 429.83Residents with Alzheimers disease or other related 471 disorders; training; certain disclosures. 472 (1)The employees of an adult family-care home licensed 473 under this part must complete the training as required by the 474 Florida Alzheimers Disease and Dementia Education and Training 475 Act in s. 430.5025. 476 (2)An adult family-care home licensed under this part 477 which claims that it provides special care for persons who have 478 Alzheimers disease or other related disorders must Disclose in 479 its advertisements or in a separate document those services that 480 distinguish the care as being especially applicable to, or 481 suitable for, such persons. The home must give a copy of all 482 such advertisements or a copy of the document to each person who 483 requests information about programs and services for persons 484 with Alzheimers disease or other related disorders offered by 485 the home and must maintain a copy of all such advertisements and 486 documents in its records. The agency shall examine all such 487 advertisements and documents in the homes records as part of 488 the license renewal procedure. 489 Section 8.Subsection (1) of section 429.917, Florida 490 Statutes, is amended to read: 491 429.917Patients with Alzheimers disease or other related 492 disorders; staff training requirements; certain disclosures. 493 (1)The employees of an adult day care center licensed 494 under this part must complete the provide the following staff 495 training as required by the Florida Alzheimers Disease and 496 Dementia Education and Training Act in s. 430.5025: 497 (a)Upon beginning employment with the facility, each 498 employee must receive basic written information about 499 interacting with participants who have Alzheimers disease or 500 dementia-related disorders. 501 (b)In addition to the information provided under paragraph 502 (a), newly hired adult day care center personnel who are 503 expected to, or whose responsibilities require them to, have 504 direct contact with participants who have Alzheimers disease or 505 dementia-related disorders must complete initial training of at 506 least 1 hour within the first 3 months after beginning 507 employment. The training must include an overview of dementias 508 and must provide instruction in basic skills for communicating 509 with persons who have dementia. 510 (c)In addition to the requirements of paragraphs (a) and 511 (b), an employee who will be providing direct care to a 512 participant who has Alzheimers disease or a dementia-related 513 disorder must complete an additional 3 hours of training within 514 9 months after beginning employment. This training must include, 515 but is not limited to, the management of problem behaviors, 516 information about promoting the participants independence in 517 activities of daily living, and instruction in skills for 518 working with families and caregivers. 519 (d)For certified nursing assistants, the required 4 hours 520 of training shall be part of the total hours of training 521 required annually. 522 (e)For a health care practitioner as defined in s. 523 456.001, continuing education hours taken as required by that 524 practitioners licensing board shall be counted toward the total 525 of 4 hours. 526 (f)For an employee who is a licensed health care 527 practitioner as defined in s. 456.001, training that is 528 sanctioned by that practitioners licensing board shall be 529 considered to be approved by the Department of Elderly Affairs. 530 (g)The Department of Elderly Affairs or its designee must 531 approve the 1-hour and 3-hour training provided to employees and 532 direct caregivers under this section. The department must 533 consider for approval training offered in a variety of formats. 534 The department shall keep a list of current providers who are 535 approved to provide the 1-hour and 3-hour training. The 536 department shall adopt rules to establish standards for the 537 employees who are subject to this training, for the trainers, 538 and for the training required in this section. 539 (h)Upon completing any training described in this section, 540 the employee or direct caregiver shall be issued a certificate 541 that includes the name of the training provider, the topic 542 covered, and the date and signature of the training provider. 543 The certificate is evidence of completion of training in the 544 identified topic, and the employee or direct caregiver is not 545 required to repeat training in that topic if the employee or 546 direct caregiver changes employment to a different adult day 547 care center or to an assisted living facility, nursing home, 548 home health agency, or hospice. The direct caregiver must comply 549 with other applicable continuing education requirements. 550 (i)An employee who is hired on or after July 1, 2004, must 551 complete the training required by this section. 552 Section 9.Subsection (6) of section 429.918, Florida 553 Statutes, is amended to read: 554 429.918Licensure designation as a specialized Alzheimers 555 services adult day care center. 556 (6)(a)An adult day care center having a license designated 557 under this section must provide the following staff training and 558 supervision: 559 (a)1.A registered nurse or licensed practical nurse must 560 be on site daily for at least 75 percent of the time that the 561 center is open to ADRD participants. Each licensed practical 562 nurse who works at the center must be supervised in accordance 563 with chapter 464. 564 2.Upon beginning employment with the center, each employee 565 must receive and review basic written information about 566 interacting with ADRD participants. 567 3.In addition to the information provided in subparagraph 568 2., every employee hired on or after July 1, 2012, who has 569 direct contact with ADRD participants shall complete 4 hours of 570 dementia-specific training within 3 months after employment. 571 4.In addition to the requirements of subparagraphs 2. and 572 3., each employee hired on or after July 1, 2012, who provides 573 direct care to ADRD participants shall complete an additional 4 574 hours of dementia-specific training within 6 months after 575 employment. 576 (b)Each employee must complete the training and continuing 577 education as required by the Florida Alzheimers Disease and 578 Dementia Education and Training Act in s. 430.5025 The 579 Department of Elderly Affairs or its designee shall approve the 580 training required under this section. The department shall adopt 581 rules to establish standards for employees who are subject to 582 this training, for trainers, and for the training required in 583 this section. 584 (c)Upon completing any training described in this section, 585 the employee shall be issued a certificate that includes the 586 name of the training provider, the topics covered, and the date 587 and signature of the training provider. The certificate is 588 evidence of completion of training in the identified topics, and 589 the employee is not required to repeat training in those topics 590 if the employee changes employment to a different adult day care 591 center. 592 (d)Each employee hired on or after July 1, 2012, who 593 provides direct care to ADRD participants, must receive and 594 review an orientation plan that includes, at a minimum: 595 1.Procedures to locate an ADRD participant who has 596 wandered from the center. These procedures must shall be 597 reviewed regularly with all direct care staff. 598 2.Information on the Silver Alert program in this state. 599 3.Information regarding available products or programs 600 used to identify ADRD participants or prevent them from 601 wandering away from the center, their home, or other locations. 602 Section 10.Each individual employed, contracted, or 603 referred to provide services before July 1, 2022, must complete 604 the training required by s. 430.5025, Florida Statutes, as 605 created by this act, by July 1, 2025. Proof of completion of 606 equivalent training received before July 1, 2022, shall 607 substitute for the required training under s. 430.5025, Florida 608 Statutes. Individuals employed, contracted, or referred to 609 provide services on or after July 1, 2022, must complete the 610 required training in the timeframes specified in s. 430.5025, 611 Florida Statutes. 612 Section 11.This act shall take effect July 1, 2022.