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ENGROSSED SENATE AMENDMENT
TO
ENGROSSED HOUSE
BILL NO. 2747 By: Miller, Conley, Roe,
Cantrell, Manger, Martinez,
Pittman, Hill, Boatman,
Provenzano, Wallace,
Alonso-Sandoval, West
(Tammy), Munson, Hefner and
Dollens of the House
and
Haste and Rogers of the
Senate
[ Alzheimer's and dementia disease – Alzheimer's
Research Advisory Coun cil – laboratory – revolving
fund – awards – effective date ]
AMENDMENT NO. 1. Page 1, strike the stricken title, enacting clause
and entire bill and insert
“An Act relating to Alzheimer's disease and related
dementia; creating the Alzheimer's Disease and
Related Dementia Infrastructure Act; providing short
title; defining terms; requiring the State Department
of Health to compile and update certain state plan;
listing components of state plan ; requiring certain
publication and submission of state plan; creating
the Dementia Caregiver Support Group and Education
Program Development Fund ; specifying type of fund and
source of monies; providing for expenditure of fun ds;
stating allowable expenses; directi ng development of
program for certain grant awards; providing for
annual awards subject to available funding; providing
for application and eligibility for receipt of
awards; imposing certain duties on the Department;
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requiring certain curriculum to includ e specified
training; repealing 63 O.S. 2021, Sections 1 -879.2
and 1-879.3, which relate to Alzheimer's Research
Advisory Council and duties, development, and
enhancement of Core Neuropathy Laboratory; providing
for codification; and providing an effect ive date.
BE IT ENACTED BY THE PEOPLE OF THE STA TE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-879.11 of Title 63, unless
there is created a duplication in numbering, reads as follows:
This act shall be known and may be cit ed as the “Alzheimer’s
Disease and Related Dementia Infrastructure Act”.
SECTION 2. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-879.12 of Title 63, unless
there is created a duplication in numb ering, reads as follows:
As used in this act:
1. “Alzheimer’s Disease and Related Dementia State Plan” or
“state plan” means a plan developed by the state in conjunction with
stakeholders for meeting the needs of individuals with Alzheimer’s
disease and related dementia and their caregivers;
2. “Caregiver” means any person other than a paid provider who
provides care for a person with dementia; and
3. “Dementia” means a degenerative disease of the centra l
nervous system characterized especially by prematu re cognitive
deterioration. This includes Alzheimer ’s disease and related
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dementia and diagnoses which are similarly marked by irreversible
deterioration of intellectual faculties with concomitant emotion al
disturbance resulting from organic brain disorde r, such as:
a. chronic traumatic encephalopathy,
b. Creutzfeldt-Jakob disease,
c. frontotemporal dementia ,
d. Huntington’s disease,
e. Korsakoff’s syndrome,
f. Lewy body dementia,
g. Parkinson’s disease,
h. progressive supranuclear palsy,
i. vascular dementia, or
j. any other neurocognitive disorder that results in the
irreversible deterioration of intellectual fac ulties.
SECTION 3. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-879.13 of Title 63, unless
there is created a duplication in numbering, reads a s follows:
A. The State Department of Health shall compile and publish an
Alzheimer’s Disease and Related Dementia State Plan, and shall
update the state plan every four (4) years. The Department shall
consult with relevant stakeholders in compiling and updating the
state plan.
B. Components of the state plan shall include, but not be
limited to:
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1. Information on statewide coordination and service system
development for Alzheimer’s disease and related dementia ;
2. Information on education, support, and other available
services for Alzheimer’s disease and related dementia ;
3. Progress reports, updates, and measures of improvement or
decline in relevant metrics regarding dementia diagnosi s, treatment,
services, and outcomes as compared to the previous state plan;
4. Public policy recommendations concerning Alzheimer ’s disease
and related dementia for state policymakers; and
5. Information on all grant awardees, projects, and amounts
awarded under Section 5 of this act .
C. The Department shall publish the state plan on its Internet
website and shall submit the state plan to the Speaker of the H ouse
of Representatives, the President Pro Temp ore of the Senate, the
Governor, and the appropriate cabinet secretary.
SECTION 4. NEW LAW A new s ection of law to be co dified
in the Oklahoma Statutes as Section 1-879.14 of Title 63, unless
there is created a duplication in numbering, reads as follows:
There is hereby created in the State Treasury a revolving fund
for the State Department of Health to be designated the “Dementia
Caregiver Support Group and Education Program Development Fund ”.
The fund shall be a continuing fund, n ot subject to fiscal year
limitations, and shall c onsist of all monies deposited to the credit
of the fund by law. All monies accruing to the credit of t he fund
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are hereby appropriated and may b e budgeted and expende d by the
Department for the purpose of awarding grants as described in
Section 5 of this act. Expenditures from the fund s hall be made
upon warrants issued by th e State Treasurer against claims filed as
prescribed by law with the Director o f the Office of Management and
Enterprise Services for appr oval and payment.
SECTION 5. NEW LAW A new section of law to be co dified
in the Oklahoma Statutes as Section 1-879.15 of Title 63, unless
there is created a dup lication in numbering, reads as follows:
A. The State Department of Health shall develop a program to
award grants to nonprofit organizations operating in areas of this
state that meet the United States Census Bureau classification of
“rural” to support community efforts to establish support groups and
evidence-based community education programs for caregivers of
persons with Alzheimer’s disease and related dementia. Subject to
available funding, the grants shall be awarded annually.
B. The Department shall develop an application pro cess and
eligibility requirements for receiving the grants. The Depart ment
shall be responsible for distributing and managing the grant awards.
C. The State Commissioner of Health may promulgate rules as
necessary to implement this act .
SECTION 6. NEW LAW A new s ection of law to be codified
in the Oklahoma Statutes as Section 1280.5 of Title 59, unless there
is created a duplication in numbering, reads as follows:
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Curriculum for certified community health workers shall include,
but not be limited to, training on Alzheimer’s disease and related
dementia.
SECTION 7. REPEALER 63 O.S. 2021, Sections 1-879.2 and
1-879.3, are hereby repealed.
SECTION 8. This act shall become effective November 1, 2023.”
Passed the Senate the 26th day of April, 2023.
Presiding Officer of the Senate
Passed the House of Representatives the ____ day of __________,
2023.
Presiding Officer of the House
of Representatives
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ENGROSSED HOUSE
BILL NO. 2747 By: Miller, Conley, Roe,
Cantrell, Manger, Martinez,
Pittman, Hill, Boatman,
Provenzano, Wallace,
Alonso-Sandoval, West
(Tammy), Munson, Hefner and
Dollens of the House
and
Haste and Rogers of the
Senate
[ Alzheimer's and dementia disease – Alzheimer's
Research Advisory Coun cil – laboratory – revolving
fund – awards – effective date ]
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 9. REPEALER 63 O.S. 2021, Sections 1-879.2, and
1-879.3, are hereby repealed.
SECTION 10. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-879.5 of Title 63, unless
there is created a duplication in numbering, reads as follows:
This act shall be known and may be cited as the "Alzheimer's
Disease and Related Dementia Infrastructure Act".
SECTION 11. NEW LAW A new section of law t o be codified
in the Oklahoma Statutes as Section 1-879.6 of Title 63, unless
there is created a duplication in numbering, reads a s follows:
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The purpose of this act is to develop a coordinated state
structure and state and community r esponse to dementia th at meets
the growing need for dementia -specific services, research and
community education, and caregiver support.
SECTION 12. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-879.7 of Title 63, unless
there is created a duplication in numbering, reads as follows:
As used in this act:
1. "Alzheimer's and Related Dementia State Plan" means a plan
developed by the state in conjunction with stakeholders for meeting
the needs of individuals with Alzheimer's disease and related
dementia or diagnosis and their caregivers ;
2. "Caregiver" means any person other than a paid provider who
provides care for a person with dementia; and
3. "Dementia" means a degenerative disease of the centra l
nervous system chara cterized especially by premature cognitive
deterioration. This includes Alzheimer 's disease and related
dementia and diagnoses which are similarly marked by irreversible
deterioration of intellectual faculties with concomitant emotion al
disturbance resulting from organic brain disorder, such as:
a. Chronic Traumatic Encephalopathy ,
b. Creutzfeldt-Jakob Syndrome,
c. Frontotemporal dementias,
d. Huntington's disease,
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e. Korsakoff's Syndrome,
f. Lewy-body disease,
g. Parkinson's disease,
h. Progressive supranuclear palsy,
i. Vascular dementia, or
j. any other neurocognitive brain disorder that results
in the irreversible deterioration o f intellectual
faculties.
SECTION 13. NEW LAW A new section of law to be codified
in the Oklahoma Statut es as Section 1-879.8 of Title 63, unless
there is created a duplication in numbering, reads a s follows:
A. In the State Departm ent of Health, there i s hereby created
an Office of Alzheimer's Disease and Related Dementia Resource
Coordination to provide statewide coordination, service system
development, and information on education, support, and other
available services. The Office shall provide the foll owing:
1. Initiate the development of systems which coordinate the
delivery of programs and services;
2. Facilitate the coordination and integration of research,
program development, planning, a nd quality assurance;
3. Identify potential users of servic es and gaps in the service
delivery system and expand methods and resources to e nhance
statewide services;
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4. Serve as a resource for education, research, and training
and provide information on available services;
5. Provide technical assistance for the application of relevant
federal and state grants;
6. Provide technical assista nce for state and loca l initiatives
to serve individuals, families, and caregivers;
7. Work with relevant State Dep artment of Health staff to
recommend public policy concernin g Alzheimer's disease and related
dementia to state policymakers;
8. Facilitate the coordination of A lzheimer's State Plan re-
write every four (4) years, stakeholder involvement in the re -write,
amendments to the Alzheimer 's State Plan during the re-write interim
period, and any progress reports, updates, and other communication
regarding the Alzheimer's State Plan;
9. Submit an annual report that details Alzheimer 's State Plan
implementation progress, information on service deliv ery system
developments and gaps, research updates, and resources, outreach,
and information to The Advancement of Wellness A dvisory Council as
defined in Section 1-103a.1 of Title 63 of the Oklahoma Statutes,
for review and approval. Upon approval the an nual report shall be
provided to the Secretary of Health and Human Services, the Office
of the Governor, the Oklahoma State Legislature, and made publicly
available on the State Department of Health 's website; and
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10. Facilitate the coordination and integ ration of educational
initiatives for health care providers on the importance and value of
early detection and timely diagnosis of cognitive impairment,
validated cognitive assessment tools, and increasing understanding
and awareness of early warning signs of Alzheimer's disease and
other types of dementia and how to reduce the risk of cognit ive
decline.
B. The Office of Alzheimer's Disease and Related Dementia
Resource Coordination shall maintain on staff at least one (1 )
dementia services manager. The dementia services manager shall be a
full-time, permanent employee and shall be responsibl e for the
staffing and operational det ails of the Office of Alzheimer's
Disease and Related Dementia Resource Coordination.
SECTION 14. NEW LAW A new section of law to b e codified
in the Oklahoma Statutes as Section 1-879.9 of Title 63, unless
there is created a duplicat ion in numbering, reads as follows:
A. There is hereby created in the State Treasury, subject to
the availability of funds, a re volving fund for the Stat e Department
of Health's Office of Alzh eimer's Disease and Rel ated Dementia
Resource Coordination to b e designated the Alzheimer's Disease and
Related Dementia Research Fund . The Alzheimer's Disease and Related
Dementia Research Fund shall be a continuing fund, not subject to
fiscal year limitations, and shall consist of all monies d eposited
to the credit of the fund by law. All monies accruing to the credit
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of the fund are hereby appropriated an d may be budgeted and expended
by the State Department of He alth for the purposes listed in Section
5 of this act. Expenditures from the fu nd shall be made upon
warrants issued by the State Treasurer against claims filed as
prescribed by law with the Dire ctor of the Office of Management and
Enterprise Services for approval and payment.
B. The awards shall be made through an awards committee of
seven (7) members, coordinated by the dementia services manager
consisting of three (3) representatives from the scientific and
medical communities, three (3) members of the general public, and
the dementia services manager.
C. The awards shall be give n annually to selected applicants
residing and performing research in the state of Oklahoma in order
to support research into the causes of Alzheimer's disease and
related disorders, methods of treatment, ways that families can cope
with the stresses of th e disease, and the imp act of the disease on
Oklahoma.
D. Information on the awardee, project, and dollars awarded
shall be included in the annual report as defined in paragraph 9 of
Section 5 of this act.
SECTION 15. NEW LAW A new s ection of law to be co dified
in the Oklahoma Statutes as Section 1-879.10 of Title 63, unless
there is created a dup lication in numbering, reads as follows:
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A. There is hereby created in the State Treasury , subject to
the availability of funds, a revolving fund for the State D epartment
of Health's Office of Alzheimer's Disease and Related Dem entia
Resource Coordination to be designated the Dementia Caregiver
Support Group and Education Program Development Fund . The Dementia
Caregiver Support Group and Edu cation Program Development Fund shall
be a continuing fund, not subject to fiscal year limitations, and
shall consist of all monies deposited to the credit of the fund by
law. All monies accruing to the credit of t he fund are hereby
appropriated and may b e budgeted and expende d by the State
Department of Health's Office of Alzheimer's Disease and Related
Dementia Resource Coordination for the purpose of providing funds
for the Dementia Caregiver Support Group and Education Program
Development Fund. Expenditures from the fund s hall be made upon
warrants issued by the State T reasurer against claims filed as
prescribed by law with the Director o f the Office of Management and
Enterprise Services for approval and payment .
B. The Dementia Support and Education Program Development Fund
shall be administered b y the State Department of Health's Office of
Alzheimer's Disease and Related Dementia Resource Coordination. The
awards shall be made through an awards committee of f ive (5)
members, facilitated by the demen tia services manager consisting of
representatives from the Alzheimer's Disease and Related Dementia
State Plan writing committee.
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C. The awards shall be given annually to non-profit applicants
residing in the stat e of Oklahoma in areas of the state meeti ng the
Census Bureau classification of rural in order to support community
efforts to establish Alzheimer 's disease and related dementia
caregiver support groups and evidence-based community education
programs.
D. The Office of Alzheimer's Disease and Related Dementia
Resource Coordination shall include information on the awardee(s),
project(s), and dollars awarded in the annual report as define d in
paragraph 9 of Section 5 of this act.
E. The Dementia Caregiver Support Group and Education Program
Development Fund shall sunset five (5) years from the effective date
of this act.
SECTION 16. This act shall become effective November 1, 2023.
Passed the House of Representatives the 20th day of March, 2023.
Presiding Officer of the House
of Representatives
Passed the Senate the ____ day of __________, 2023.
Presiding Officer of the Senate
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