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STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
CONFERENCE COMMITTEE
SUBSTITUTE FOR
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
CONFERENCE COMMITTEE SUB STITUTE
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;
requiring the State Department of Health to create
and publish an annual report; listing components of
state plan; requiring certain publication and
submission of state plan; creating the Dementia
Caregiver Support Gr oup and Education Pro gram
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 avai lable funding; provid ing
for application and eligibility for receipt of
awards; imposing certain duties on the Department;
creating the Alzheimer's Disease and Related Dementia
Research Fund; requiring the State Department of
Health to maintain a minimum of one dementia-specific
trained and certified employee in each health
district; providing rules; requiring certain
curriculum to includ e specified training; repealing
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63 O.S. 2021, Sections 1-879.2 and 1-879.3, which
relate to the Alzheimer's Research Adv isory Council
and duties, development, and enhancement of the Core
Neuropathy Laboratory; providing for c odification;
and providing an effect ive date.
BE IT ENACTED BY THE PEOPLE OF THE STATE 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 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 as 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 when 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 diagnosis, 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
Oklahoma House of Representatives, the President Pro Temp ore of the
Oklahoma State Senate, the Governor, and the appropriate cabinet
secretary.
D. The State Department of Health shall create and publish an
annual report that consists of the progress of implementing the
state plan, and the use and distribu tion of the Dementia Caregive r
Support Group and Education Pr ogram Development Fund and the
Alzheimer's Disease and Rel ated Dementia Research Fund.
E. The Department shall publish the annual report on its
Internet website.
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SECTION 4. NEW LAW A n ew section of law to be codified
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 the fund
are hereby appropriated and may b e budgeted and expended by the
Department for the purpose of awarding grants as described in
Section 5 of this act. Expenditures from the fund shall be made
upon warrants issued by the 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 c odified
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
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persons with Alzheimer’s disease and related dementia. Subject to
available funding, the grants shall be awarded annuall y.
B. The Department shall develop an appli cation process 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 .
D. The State Department of Health shall include information on
the awardee(s), project(s), and dollars awarded in the ann ual report
as described in Section 3 of this act.
E. This fund shall sunset five (5) years from the enactment of
this act.
SECTION 6. NEW LAW A new section of law to be codif ied
in the Oklahoma Statutes as Section 1-879.16 of Title 63, unless
there is created a duplicat ion in numbering, re ads as follows:
A. There is hereby created in the State Treasury, subject to
the availability of funds, a revolving fund for the State Department
of Health to be 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 dep osited
to the credit of the fund by law. All monies accruing to the credit
of the fund are hereby appropriated and m ay be budgeted and expended
by the State Department of Health for the purpos es listed in Section
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5 of this act. Expenditures from the fund shall be made upon
warrants issued by t he State Treasurer against claims filed as
prescribed by law with the Directo r of the Office of Management and
Enterprise Services for approval and payme nt.
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 sc ientific and
medical communities, three (3) members of the general public, a nd
the Dementia Services Manager .
C. The awards shall be given 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 dementia, methods of treatment, ways that families can cope
with the stresses of the 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 described in Section 3 of
this act.
SECTION 7. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1 -879.17 of Title 63, unless
there is created a duplicati on in numbering, reads as follows:
A. The State Department of Health shall maintain a minimum of
at least one (1) dementia-specific trained and certified community
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health worker, health educator , or other relevant employee in each
health district to serve Oklahoma resident s.
B. The State Department of Health shall have a dementia-
specific trained and certified community health worker, health
educator, or other relevant employee in each health district by
identifying and train ing one (1) relevant employee in three (3)
health districts the year after the enactment of this act, then one
(1) relevant employee in three (3) health districts each year
following until each health district ha s one (1) dementia-specific
trained and certified relevant employee serving each health district
or by year four after the enactment of this act, whichever comes
first.
C. Each health district shall select an emplo yee to receive the
dementia-specific training and certification based on that
district’s assessment of the employee's capabilities, worklo ad,
competency, and interest. The health district shall oversee the
employee in the employee’s day-to-day capacity.
D. The State Department of Health-trained and -certified
dementia-specific employee shall serve Oklahoma residents in the
following manner:
1. Connect caregivers and perso ns living with Alzheimer's
disease or related dementia to community resources;
2. Provide community outreach, engag ement, and education on
Alzheimer's disease and related dementia ; and
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3. Help connect caregivers and persons living with Alzheimer's
disease or related dementia to relevant e ducation and support
groups.
E. The State Department of Health -trained and -certified
dementia-specific employee shall complete a dementia care training
program recognized by the Centers for Medicare and Medicaid Services
(CMS) from a certified training s ource or trainer.
F. The State Department of Health -trained and -certified
dementia-specific employee shall complete annual continuing
education.
G. Each health district shall work with the employee acting as
the director or manager of federal funds pertaining to the
development of a dementia -friendly public health system to share
data and quality metrics on the trained and certified dementia -
specific employee’s impact in local communities. Data and quality
metrics shall be established by the Center for Chronic Disease
Prevention and Health Promotion .
H. The oversight of the trained and certified dementia-specific
employee’s certification status, continu ing education, data and
quality metrics analysis, and impact reporting shall reside with the
employee acting as the director or manager of federal funds
pertaining to the development of a dementia -friendly public health
system. As part of this oversight, the employee acting as the
director or manager of fede ral funds pertaining to the development
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of a dementia-friendly public health system shall receive up to ten
percent (10%) of administrative funds to ensure sustainability of
the integrity of the trained and certified dementi a-specific
employee program.
I. The State Department of Health shall include information on
the implementation of the trained and certified dementia-specific
employees and the data and quality metrics achieved in local
communities in the annual report as described in Section 3 of this
act.
SECTION 8. 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:
Curriculum for certified community healt h workers shall include,
but not be limited to, training on Alzheimer’s disease and related
dementia.
SECTION 9. REPEALER 63 O.S. 2021, Sections 1-879.2 and
1-879.3, are hereby repealed.
SECTION 10. This act shall become effective November 1, 2023.
59-1-8342 TJ 05/08/23