15 | 15 | | An act relating to sickle cell disease; creating s. 2 |
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16 | 16 | | 381.814, F.S.; creating the Sickle Cell Disease 3 |
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17 | 17 | | Research and Treatment Grant Program within the 4 |
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18 | 18 | | Department of Health for a specified purpose; 5 |
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19 | 19 | | specifying the types of projects that are eligible for 6 |
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20 | 20 | | grant funding; authorizing the department to adopt 7 |
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21 | 21 | | rules; providing for the carryforward for a limited 8 |
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22 | 22 | | period of any unexpended balance of an appropriation 9 |
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23 | 23 | | for the program; amending s. 383.147, F.S.; revising 10 |
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24 | 24 | | sickle cell disease and sickle cell trait screening 11 |
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25 | 25 | | requirements; requiring screening providers to notify 12 |
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26 | 26 | | a newborn's parent or guardian, rather than the 13 |
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27 | 27 | | newborn's primary care physician, of certain 14 |
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28 | 28 | | information; authorizing certain persons other than 15 |
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29 | 29 | | newborns who have been identified as having sickle 16 |
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30 | 30 | | cell disease or carrying a sickle cell trait to choose 17 |
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31 | 31 | | to be included in the registry; providing an effective 18 |
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32 | 32 | | 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 381.814, Florida Statutes, is created 23 |
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37 | 37 | | to read: 24 |
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38 | 38 | | 381.814 Sickle Cell Disease Research and Treatment Grant 25 |
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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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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | Program.—The Sickle Cell Disease Research and Treatment Grant 26 |
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52 | 52 | | Program is created within the Department of Health. 27 |
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53 | 53 | | (1) As used in this section, the term: 28 |
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54 | 54 | | (a) "Center of excellence" means a health care facility 29 |
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55 | 55 | | dedicated to the treatment of patients with sickle cell disease 30 |
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56 | 56 | | which provides evidence -based, comprehensive, patient -centered 31 |
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57 | 57 | | coordinated care. 32 |
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58 | 58 | | (b) "Department" means the Department of Health. 33 |
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59 | 59 | | (c) "Health care practitioner" has the same meaning as 34 |
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60 | 60 | | provided in s. 456.001. 35 |
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61 | 61 | | (d) "Program" means the Sickle Cell Disease Research and 36 |
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62 | 62 | | Treatment Grant Program. 37 |
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63 | 63 | | (e) "Sickle cell disease" means the gro up of hereditary 38 |
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64 | 64 | | blood disorders caused by an abnormal type of hemoglobin 39 |
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65 | 65 | | resulting in malformed red blood cells with impaired function. 40 |
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66 | 66 | | The term includes both symptomatic manifestations of sickle cell 41 |
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67 | 67 | | disease and asymptomatic sickle cell trait. 42 |
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68 | 68 | | (2) The purpose of the program is to fund projects that 43 |
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69 | 69 | | improve the quality and accessibility of health care services 44 |
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70 | 70 | | available for persons living with sickle cell disease in this 45 |
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71 | 71 | | state as well as to advance the collection and analysis of 46 |
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72 | 72 | | comprehensive data to sup port research of sickle cell disease. 47 |
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73 | 73 | | The long-term goals of the program are to: 48 |
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74 | 74 | | (a) Improve the health outcomes and quality of life for 49 |
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75 | 75 | | Floridians with sickle cell disease. 50 |
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83 | 83 | | Page 3 of 7 |
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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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86 | 86 | | |
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87 | 87 | | |
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88 | 88 | | (b) Expand access to high -quality, specialized care for 51 |
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89 | 89 | | sickle cell disease. 52 |
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90 | 90 | | (c) Improve awareness and understanding among health care 53 |
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91 | 91 | | practitioners of current best practices for the treatment and 54 |
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92 | 92 | | management of sickle cell disease. 55 |
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93 | 93 | | (3) Funds appropriated to the program shall be awarded by 56 |
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94 | 94 | | the Office of Minority Health and Health Equity, within the 57 |
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95 | 95 | | department, to community -based sickle cell disease medical 58 |
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96 | 96 | | treatment and research centers operating in this state. 59 |
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97 | 97 | | (4) The Office of Minority Health and Health Equity shall 60 |
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98 | 98 | | award grants under the program to community -based sickle cell 61 |
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99 | 99 | | disease medical treatment and research centers to fund projects 62 |
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100 | 100 | | specific to sickle cell disease in the following project areas. 63 |
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101 | 101 | | (a) Sickle cell disease workforce development and 64 |
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102 | 102 | | education.—Such projects shall include, but need not be limited 65 |
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103 | 103 | | to, facility-based education programs, continuing education 66 |
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104 | 104 | | curriculum development, and outreach and education activities 67 |
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105 | 105 | | with the local health care practitioner community. Workforce 68 |
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106 | 106 | | development and education projects must be based on current 69 |
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107 | 107 | | evidence-based clinical practice guidelines for sickle cell 70 |
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108 | 108 | | disease. 71 |
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109 | 109 | | (b) Sickle Cell Disease Treatment Centers of Excellence. —72 |
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110 | 110 | | Such projects shall include, but need not be limited to, 73 |
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111 | 111 | | operational support for existing centers of excellence, facility 74 |
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122 | 122 | | |
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123 | 123 | | |
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124 | 124 | | enhancement of existing centers of excellence, and the 75 |
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125 | 125 | | establishment of new centers of excellence. 76 |
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126 | 126 | | (5) The department shall: 77 |
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127 | 127 | | (a) By July 15, 2024, publicize the availability of funds, 78 |
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128 | 128 | | establish an application process for submitting a grant 79 |
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129 | 129 | | proposal, and initiate a call for applicati ons. 80 |
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130 | 130 | | (b) Develop uniform data reporting requirements for the 81 |
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131 | 131 | | purpose of evaluating the performance of the grant recipients 82 |
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132 | 132 | | and demonstrating improved health outcomes. 83 |
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133 | 133 | | (c) Develop a monitoring process to evaluate progress 84 |
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134 | 134 | | towards meeting grant objective s. 85 |
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135 | 135 | | (6) The department shall submit an annual report to the 86 |
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136 | 136 | | Governor, the President of the Senate, the Speaker of the House 87 |
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137 | 137 | | of Representatives, and the State Surgeon General by March 1 and 88 |
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138 | 138 | | publish the report on the department's website. The report shall 89 |
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139 | 139 | | include the status and progress for each project supported by 90 |
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140 | 140 | | the program during the previous calendar year. The report shall 91 |
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141 | 141 | | include, at a minimum, recommendations for improving the program 92 |
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142 | 142 | | and the following components for each project supported by the 93 |
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143 | 143 | | program: 94 |
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144 | 144 | | (a) A summary of the project and the project outcomes or 95 |
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145 | 145 | | expected project outcomes. 96 |
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146 | 146 | | (b) The status of the project, including whether it is 97 |
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147 | 147 | | completed or the estimated date of completion. 98 |
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159 | 159 | | |
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160 | 160 | | (c) The amount of the grant awarded and the estimated or 99 |
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161 | 161 | | actual cost of the project. 100 |
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162 | 162 | | (d) The source and amount of any federal, state, or local 101 |
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163 | 163 | | government grants or donations or private grants or donations 102 |
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164 | 164 | | funding the project. 103 |
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165 | 165 | | (e) A list of all entities involved in the project. 104 |
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166 | 166 | | (7) The department may adopt r ules as necessary to 105 |
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167 | 167 | | implement the provisions of this section. 106 |
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168 | 168 | | (8) The recipient of a grant awarded under the program may 107 |
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169 | 169 | | not use more than 5 percent of grant funds for administrative 108 |
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170 | 170 | | expenses. Notwithstanding s. 216.301 and pursuant to s. 216.351, 109 |
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171 | 171 | | the balance of any appropriation from the General Revenue Fund 110 |
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172 | 172 | | for the program which is not disbursed but which is obligated 111 |
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173 | 173 | | pursuant to contract or committed to be expended by June 30 of 112 |
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174 | 174 | | the fiscal year in which the funds are appropriated may be 113 |
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175 | 175 | | carried forward for up to 5 years after the effective date of 114 |
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176 | 176 | | the original appropriation. 115 |
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177 | 177 | | Section 2. Section 383.147, Florida Statutes, is amended 116 |
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178 | 178 | | to read: 117 |
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179 | 179 | | 383.147 Newborn and infant screenings for Sickle cell 118 |
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180 | 180 | | disease and sickle cell trait hemoglobin variants; registry.— 119 |
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181 | 181 | | (1) If a screening provider detects that a newborn or an 120 |
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182 | 182 | | infant, as those terms are defined in s. 383.145(2) , is 121 |
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183 | 183 | | identified as having sickle cell disease or sickle cell trait 122 |
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184 | 184 | | through the newborn screening program as described in s. 383.14, 123 |
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192 | 192 | | Page 6 of 7 |
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193 | 193 | | 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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195 | 195 | | |
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196 | 196 | | |
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197 | 197 | | the department carrying a sickle cell hemoglobin variant, it 124 |
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198 | 198 | | must: 125 |
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199 | 199 | | (a) Notify the parent or guardian of the newborn and 126 |
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200 | 200 | | provide information regarding the availability and benefits of 127 |
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201 | 201 | | genetic counseling primary care physician of the newborn or 128 |
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202 | 202 | | infant and 129 |
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203 | 203 | | (b) Submit the results of such screening to the Department 130 |
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204 | 204 | | of Health for inclusion in the sickle cell registry established 131 |
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205 | 205 | | under paragraph (2)(a). The primary care physician must provide 132 |
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206 | 206 | | to the parent or guardian of the newborn or infant information 133 |
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207 | 207 | | regarding the availability and benefits of genetic counseling. 134 |
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208 | 208 | | (2)(a) The Department of Health shall contract with a 135 |
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209 | 209 | | community-based sickle cell disease medical treatment and 136 |
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210 | 210 | | research center to establish and maintain a registry for 137 |
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211 | 211 | | individuals newborns and infants who are identified as carrying 138 |
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212 | 212 | | a sickle cell disease or sickle cell trait hemoglobin variant. 139 |
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213 | 213 | | The sickle cell registry must track sickle cell disease outcome 140 |
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214 | 214 | | measures, except as provided in paragraph (1)(b) . A parent or 141 |
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215 | 215 | | guardian of a newborn or an infan t in the registry may request 142 |
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216 | 216 | | to have his or her child removed from the registry by submitting 143 |
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217 | 217 | | a form prescribed by the department by rule. 144 |
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218 | 218 | | (b) In addition to newborns identified and included in the 145 |
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219 | 219 | | registry under subsection (1), other persons living in this 146 |
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220 | 220 | | state who have been identified with sickle cell disease or 147 |
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221 | 221 | | sickle cell trait may choose to be included in the registry by 148 |
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229 | 229 | | Page 7 of 7 |
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230 | 230 | | 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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234 | 234 | | providing the department with notification as prescribed by 149 |
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235 | 235 | | rule. 150 |
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236 | 236 | | (c)(b) The Department of Health shall also establish a 151 |
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237 | 237 | | system to ensure that the community -based sickle cell disease 152 |
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238 | 238 | | medical treatment and research center notifies the parent or 153 |
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239 | 239 | | guardian of a child who has been included in the registry that a 154 |
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240 | 240 | | follow-up consultation with a physician is recommended. Such 155 |
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241 | 241 | | notice must be provided to the parent or guardian of such child 156 |
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242 | 242 | | at least once during early adolescence and once during late 157 |
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243 | 243 | | adolescence. The department shall make every reasonable effort 158 |
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244 | 244 | | to notify persons included in the registry who are 18 years of 159 |
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245 | 245 | | age that they may request to be removed from the registry by 160 |
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246 | 246 | | submitting a form prescribed by the department by rule. The 161 |
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247 | 247 | | department shall also provide to such persons information 162 |
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248 | 248 | | regarding available educational services, genetic counseling, 163 |
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249 | 249 | | and other beneficial resources. 164 |
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250 | 250 | | (3) The Department of Health shall adopt rules to 165 |
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251 | 251 | | implement this section. 166 |
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252 | 252 | | Section 3. This act shall take effect upon becoming law. 167 |
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