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28 | + | STATE OF OKLAHOMA | |
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30 | + | 1st Session of the 59th Legislature (2023) | |
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32 | + | CONFERENCE COMMITTEE | |
33 | + | SUBSTITUTE FOR | |
34 | + | ENGROSSED HOUSE | |
3 | 35 | BILL NO. 2747 By: Miller, Conley, Roe, | |
4 | 36 | Cantrell, Manger, Martinez, | |
5 | 37 | Pittman, Hill, Boatman, | |
6 | 38 | Provenzano, Wallace, | |
7 | 39 | Alonso-Sandoval, West | |
8 | 40 | (Tammy), Munson, Hefner, | |
9 | - | Dollens, and Stark of the | |
10 | - | House | |
41 | + | and Dollens of the House | |
11 | 42 | ||
12 | 43 | and | |
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14 | 45 | Haste and Rogers of the | |
15 | 46 | Senate | |
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19 | - | ||
50 | + | CONFERENCE COMMITTEE SUB STITUTE | |
20 | 51 | ||
21 | 52 | An Act relating to Alzheimer's disease and related | |
22 | 53 | dementia; creating the Alzheimer's Disease and | |
23 | 54 | Related Dementia Infrastructure Act; providing short | |
24 | 55 | title; defining terms; requiring the State Department | |
25 | 56 | of Health to compile and update certain state plan; | |
26 | - | listing components of state plan ; requiring certain | |
27 | - | publication and submission of state plan; requiring | |
28 | - | the State Department of Health to create and publish | |
29 | - | an annual report; creating the Dementia Caregiver | |
30 | - | Support Group and Education Pro gram Development Fun d; | |
31 | - | specifying type of fund and source of monies; | |
32 | - | providing for expenditure of fun ds; stating allowable | |
33 | - | expenses; directing development of program for | |
34 | - | certain grant awards; providing for annual awards | |
35 | - | subject to available funding; provid ing for | |
36 | - | application and eligibility for receipt of awards; | |
37 | - | imposing certain duties on the Department; providing | |
38 | - | rules; creating the Alzheimer's Disease and Related | |
39 | - | Dementia Research Fund; requiring the State | |
40 | - | Department of Health to maintain a minimum of one | |
41 | - | dementia-specific trained and certified e mployee in | |
42 | - | each health district; requiring certain curriculum to | |
43 | - | include specified training; repealing 63 O.S. 2021, | |
44 | - | Sections 1-879.2 and 1-879.3, which relate to the | |
45 | - | Alzheimer's Research Adv isory Council and duties, | |
46 | - | development, and enhancement of the Core Neuropathy ENR. H. B. NO. 2747 Page 2 | |
47 | - | Laboratory; providing for c odification; and providing | |
48 | - | an effective date. | |
57 | + | requiring the State Department of Health to create | |
58 | + | and publish an annual report; listing components of | |
59 | + | state plan; requiring certain publication and | |
60 | + | submission of state plan; creating the Dementia | |
61 | + | Caregiver Support Gr oup and Education Pro gram | |
62 | + | Development Fund; specifying type of fund and source | |
63 | + | of monies; providing for expenditure of fun ds; | |
64 | + | stating allowable expenses; directi ng development of | |
65 | + | program for certain grant awards; providing for | |
66 | + | annual awards subject to avai lable funding; provid ing | |
67 | + | for application and eligibility for receipt of | |
68 | + | awards; imposing certain duties on the Department; | |
69 | + | creating the Alzheimer's Disease and Related Dementia | |
70 | + | Research Fund; requiring the State Department of | |
71 | + | Health to maintain a minimum of one dementia-specific | |
72 | + | trained and certified employee in each health | |
73 | + | district; providing rules; requiring certain | |
74 | + | curriculum to includ e specified training; repealing | |
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101 | + | 63 O.S. 2021, Sections 1-879.2 and 1-879.3, which | |
102 | + | relate to the Alzheimer's Research Adv isory Council | |
103 | + | and duties, development, and enhancement of the Core | |
104 | + | Neuropathy Laboratory; providing for c odification; | |
105 | + | and providing an effect ive date. | |
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54 | 111 | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | |
55 | - | ||
56 | 112 | SECTION 1. NEW LAW A new section of law to be codified | |
57 | 113 | in the Oklahoma Statutes as Section 1-879.11 of Title 63, unless | |
58 | 114 | there is created a duplication in numbering, reads as follows: | |
59 | - | ||
60 | 115 | This act shall be known and may be cit ed as the “Alzheimer’s | |
61 | 116 | Disease and Related Dementia Infrastructure Act”. | |
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63 | 117 | SECTION 2. NEW LAW A new section of law to be codified | |
64 | 118 | in the Oklahoma Statutes as Section 1-879.12 of Title 63, unless | |
65 | 119 | there is created a duplication in numb ering, reads as follows: | |
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67 | 120 | As used in this act: | |
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69 | 121 | 1. “Alzheimer’s Disease and Related Dementia State Plan” or | |
70 | 122 | “state plan” means a plan developed by the state in conjunction with | |
71 | 123 | stakeholders for meeting the needs of individuals with Alzheimer’s | |
72 | 124 | disease and related dementia and their caregivers; | |
73 | - | ||
74 | 125 | 2. “Caregiver” means any person other than a paid provider who | |
75 | 126 | provides care for a person with dementia; and | |
76 | - | ||
77 | 127 | 3. “Dementia” means a degenerative disease of the centra l | |
78 | 128 | nervous system characterized especially by prematu re cognitive | |
79 | 129 | deterioration. This includes Alzheimer’s disease and related | |
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80 | 156 | dementia and diagnoses which are similarly marked by irreversible | |
81 | 157 | deterioration of intellectual faculties with concomitant emotion al | |
82 | 158 | disturbance resulting from organic brain disorde r, such as: | |
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84 | 159 | a. chronic traumatic encephalopathy, | |
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86 | 160 | b. Creutzfeldt-Jakob disease, | |
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88 | 161 | c. frontotemporal dementia , | |
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90 | 162 | d. Huntington’s disease, | |
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92 | 163 | e. Korsakoff syndrome, | |
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94 | 164 | f. Lewy body dementia, | |
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96 | 165 | g. Parkinson’s disease, | |
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98 | 166 | h. progressive supranuclear palsy, | |
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100 | 167 | i. vascular dementia, or | |
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102 | 168 | j. any other neurocognitive disorder that results in the | |
103 | 169 | irreversible deterioration of intellectual fac ulties. | |
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105 | 170 | SECTION 3. NEW LAW A new section of law to be codified | |
106 | 171 | in the Oklahoma Statutes as Section 1-879.13 of Title 63, unless | |
107 | 172 | there is created a duplication in numbering, reads as follows: | |
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109 | 173 | A. The State Department of Health shall compile and publish an | |
110 | 174 | Alzheimer’s Disease and Related Dementia State Plan and shall update | |
111 | 175 | the state plan every four (4) years. The Department shall consult | |
112 | 176 | with relevant stakeholders when compiling and updating the state | |
113 | 177 | plan. | |
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115 | 178 | B. Components of the state plan shall include, but not be | |
116 | 179 | limited to: | |
117 | 180 | ||
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118 | 206 | 1. Information on statewide coordination and service system | |
119 | 207 | development for Alzheimer’s disease and related dementia; | |
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121 | 208 | 2. Information on education, support, and other available | |
122 | 209 | services for Alzheimer’s disease and related dementia ; | |
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124 | 210 | 3. Progress reports, updates, and measures of improvement or | |
125 | 211 | decline in relevant metrics regarding dementia diagnosis, treatment, | |
126 | 212 | services, and outcomes as compared to the previous state plan; | |
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128 | 213 | 4. Public policy recommendations concerning Alzheimer ’s disease | |
129 | 214 | and related dementia for state policymakers; and | |
130 | - | ||
131 | 215 | 5. Information on all grant awardees, projects, and amounts | |
132 | 216 | awarded under Section 5 of this act. | |
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134 | 217 | C. The Department shall publish the state plan on its Internet | |
135 | 218 | website and shall submit the state plan to the Speaker of the | |
136 | - | Oklahoma House of Representatives, the President Pro Temp ore of the | |
219 | + | Oklahoma House of Representatives, the President Pro Temp ore of the | |
137 | 220 | Oklahoma State Senate, the Governor, and the appropriate cabinet | |
138 | 221 | secretary. | |
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140 | 222 | D. The State Department of Health shall create and publish an | |
141 | 223 | annual report that consists of the progress of implementing the | |
142 | 224 | state plan, and the use and distribu tion of the Dementia Caregive r | |
143 | 225 | Support Group and Education Pr ogram Development Fund and the | |
144 | 226 | Alzheimer's Disease and Rel ated Dementia Research Fund. | |
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146 | 227 | E. The Department shall publish the annual report on its | |
147 | 228 | Internet website. | |
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149 | 255 | SECTION 4. NEW LAW A n ew section of law to be codified | |
150 | 256 | in the Oklahoma Statutes as Section 1-879.14 of Title 63, unless | |
151 | 257 | there is created a duplication in numbering, reads as follows: | |
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153 | 258 | There is hereby created in the State Treasury a revolving fund | |
154 | 259 | for the State Department of Health to be designated the “Dementia | |
155 | 260 | Caregiver Support Group and Education Program Development Fund”. | |
156 | 261 | The fund shall be a continuing fund, n ot subject to fiscal year | |
157 | 262 | limitations, and shall c onsist of all monies deposited to the credit | |
158 | 263 | of the fund by law. All monies accruing to the credit of the fund | |
159 | 264 | are hereby appropriated and may b e budgeted and expended by the | |
160 | 265 | Department for the purpose of awarding grants as described in | |
161 | 266 | Section 5 of this act. Expenditures from the fund shall be made | |
162 | 267 | upon warrants issued by the State Treasurer against claims filed as | |
163 | 268 | prescribed by law with the Director o f the Office of Management and | |
164 | 269 | Enterprise Services for appr oval and payment. | |
165 | - | ||
166 | 270 | SECTION 5. NEW LAW A new section of law to be c odified | |
167 | 271 | in the Oklahoma Statutes as Section 1-879.15 of Title 63, unless | |
168 | 272 | there is created a dup lication in numbering, reads as follows: | |
169 | - | ||
170 | 273 | A. The State Department of Health shall develop a program to | |
171 | 274 | award grants to nonprofit organizations operating in areas of this | |
172 | 275 | state that meet the United States Census Bureau classification of | |
173 | 276 | “rural” to support community efforts to establish support groups and | |
174 | 277 | evidence-based community education programs for caregivers of | |
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175 | 304 | persons with Alzheimer’s disease and related dementia. Subject to | |
176 | 305 | available funding, the grants shall be awarded annuall y. | |
177 | - | ||
178 | 306 | B. The Department shall develop an appli cation process and | |
179 | 307 | eligibility requirements for receiving the grants. The Depart ment | |
180 | 308 | shall be responsible for distributing and managing the grant awards. | |
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182 | 309 | C. The State Commissioner of Health may promulgate rules as | |
183 | 310 | necessary to implement this act . | |
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185 | 311 | D. The State Department of Health shall include information on | |
186 | 312 | the awardee(s), project(s), and dollars awarded in the ann ual report | |
187 | 313 | as described in Section 3 of this act. | |
188 | - | ||
189 | 314 | E. This fund shall sunset five (5) years from the enactment of | |
190 | 315 | this act. | |
191 | - | ||
192 | 316 | SECTION 6. NEW LAW A new section of law to be codif ied | |
193 | 317 | in the Oklahoma Statutes as Section 1-879.16 of Title 63, unless | |
194 | 318 | there is created a duplicat ion in numbering, re ads as follows: | |
195 | - | ||
196 | 319 | A. There is hereby created in the State Treasury, subject to | |
197 | 320 | the availability of funds, a revolving fund for the State Department | |
198 | 321 | of Health to be designated the "Alzheimer's Disease and Related | |
199 | 322 | Dementia Research Fund ". The Alzheimer's Disease and Related | |
200 | 323 | Dementia Research Fund shall be a continuing fund, not subject to | |
201 | 324 | fiscal year limitations, and shall consist of all monies dep osited | |
202 | 325 | to the credit of the fund by law. All monies accruing to the credit | |
203 | 326 | of the fund are hereby appropriated and m ay be budgeted and expended | |
204 | 327 | by the State Department of Health for the purpos es listed in Section | |
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205 | 354 | 5 of this act. Expenditures from the fund shall be made upon | |
206 | 355 | warrants issued by t he State Treasurer against claims filed as | |
207 | 356 | prescribed by law with the Directo r of the Office of Management and | |
208 | 357 | Enterprise Services for approval and payme nt. | |
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210 | 358 | B. The awards shall be made through an awards committee of | |
211 | 359 | seven (7) members, coordinated by the Dementia Services Manager , | |
212 | 360 | consisting of three (3) representatives from the sc ientific and | |
213 | 361 | medical communities, three (3) members of the general public, a nd | |
214 | 362 | the Dementia Services Manager . | |
215 | - | ||
216 | 363 | C. The awards shall be given annually to selected applicants | |
217 | 364 | residing and performing research in the State of Oklahoma in order | |
218 | 365 | to support research into the causes of Alzheimer's disease and | |
219 | 366 | related dementia, methods of treatment, ways that families can cope | |
220 | 367 | with the stresses of the disease, and the imp act of the disease on | |
221 | 368 | Oklahoma. | |
222 | - | ||
223 | 369 | D. Information on the awardee, project, and dollars awarded | |
224 | 370 | shall be included in the annual report as described in Section 3 of | |
225 | 371 | this act. | |
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227 | 372 | SECTION 7. NEW LAW A new section of law to be codified | |
228 | 373 | in the Oklahoma Statutes as Section 1 -879.17 of Title 63, unless | |
229 | 374 | there is created a duplicati on in numbering, reads as follows: | |
230 | - | ||
231 | 375 | A. The State Department of Health shall maintain a minimum of | |
232 | 376 | at least one (1) dementia-specific trained and certified community | |
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233 | 403 | health worker, health educator , or other relevant employee in each | |
234 | 404 | health district to serve Oklahoma resident s. | |
235 | - | ||
236 | 405 | B. The State Department of Health shall have a dementia- | |
237 | 406 | specific trained and certified community health worker, health | |
238 | 407 | educator, or other relevant employee in each health district by | |
239 | 408 | identifying and train ing one (1) relevant employee in three (3) | |
240 | 409 | health districts the year after the enactment of this act, then one | |
241 | 410 | (1) relevant employee in three (3) health districts each year | |
242 | 411 | following until each health district ha s one (1) dementia-specific | |
243 | 412 | trained and certified relevant employee serving each health district | |
244 | 413 | or by year four after the enactment of this act, whichever comes | |
245 | 414 | first. | |
246 | - | ||
247 | 415 | C. Each health district shall select an emplo yee to receive the | |
248 | 416 | dementia-specific training and certification based on that | |
249 | 417 | district’s assessment of the employee's capabilities, worklo ad, | |
250 | 418 | competency, and interest. The health district shall oversee the | |
251 | 419 | employee in the employee’s day-to-day capacity. | |
252 | - | ||
253 | 420 | D. The State Department of Health-trained and -certified | |
254 | 421 | dementia-specific employee shall serve Oklahoma residents in the | |
255 | 422 | following manner: | |
256 | - | ||
257 | 423 | 1. Connect caregivers and perso ns living with Alzheimer's | |
258 | 424 | disease or related dementia to community resources; | |
259 | - | ||
260 | 425 | 2. Provide community outreach, engag ement, and education on | |
261 | 426 | Alzheimer's disease and related dementia ; and | |
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263 | 453 | 3. Help connect caregivers and persons living with Alzheimer's | |
264 | 454 | disease or related dementia to relevant e ducation and support | |
265 | 455 | groups. | |
266 | - | ||
267 | 456 | E. The State Department of Health -trained and -certified | |
268 | 457 | dementia-specific employee shall complete a dementia care training | |
269 | 458 | program recognized by the Centers for Medicare and Medicaid Services | |
270 | 459 | (CMS) from a certified training s ource or trainer. | |
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272 | 460 | F. The State Department of Health -trained and -certified | |
273 | 461 | dementia-specific employee shall complete annual continuing | |
274 | 462 | education. | |
275 | - | ||
276 | 463 | G. Each health district shall work with the employee acting as | |
277 | 464 | the director or manager of federal funds pertaining to the | |
278 | 465 | development of a dementia -friendly public health system to share | |
279 | 466 | data and quality metrics on the trained and certified dementia - | |
280 | 467 | specific employee’s impact in local communities. Data and quality | |
281 | 468 | metrics shall be established by the Center for Chronic Disease | |
282 | 469 | Prevention and Health Promotion . | |
283 | - | ||
284 | 470 | H. The oversight of the trained and certified dementia-specific | |
285 | 471 | employee’s certification status, continu ing education, data and | |
286 | 472 | quality metrics analysis, and impact reporting shall reside with the | |
287 | 473 | employee acting as the director or manager of federal funds | |
288 | 474 | pertaining to the development of a dementia -friendly public health | |
289 | 475 | system. As part of this oversight, the employee acting as the | |
290 | 476 | director or manager of fede ral funds pertaining to the development | |
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291 | 503 | of a dementia-friendly public health system shall receive up to ten | |
292 | 504 | percent (10%) of administrative funds to ensure sustainability of | |
293 | 505 | the integrity of the trained and certified dementi a-specific | |
294 | 506 | employee program. | |
295 | - | ||
296 | 507 | I. The State Department of Health shall include information on | |
297 | 508 | the implementation of the trained and certified dementia-specific | |
298 | 509 | employees and the data and quality metrics achieved in local | |
299 | 510 | communities in the annual report as described in Section 3 of this | |
300 | 511 | act. | |
301 | - | ||
302 | 512 | SECTION 8. NEW LAW A new s ection of law to be codified | |
303 | 513 | in the Oklahoma Statutes as Section 1280.5 of Title 59, unless there | |
304 | 514 | is created a duplication in numbering, reads as follows: | |
305 | - | ||
306 | 515 | Curriculum for certified community healt h workers shall include, | |
307 | 516 | but not be limited to, training on Alzheimer’s disease and related | |
308 | 517 | dementia. | |
309 | - | ||
310 | 518 | SECTION 9. REPEALER 63 O.S. 2021, Sections 1-879.2 and | |
311 | 519 | 1-879.3, are hereby repealed. | |
312 | - | ||
313 | 520 | SECTION 10. This act shall become effective November 1, 2023. | |
314 | 521 | ||
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316 | - | ||
317 | - | Passed the House of Representatives the 24th day of May, 2023. | |
318 | - | ||
319 | - | ||
320 | - | ||
321 | - | ||
322 | - | Presiding Officer of the House | |
323 | - | of Representatives | |
324 | - | ||
325 | - | ||
326 | - | Passed the Senate the 25th day of May, 2023. | |
327 | - | ||
328 | - | ||
329 | - | ||
330 | - | ||
331 | - | Presiding Officer of the Senate | |
332 | - | ||
333 | - | ||
334 | - | OFFICE OF THE GOVERNOR | |
335 | - | Received by the Office of the Governor th is ____________________ | |
336 | - | day of ___________________, 20_______, at _______ o'clock _______ M. | |
337 | - | By: _________________________________ | |
338 | - | Approved by the Governor of the State of Oklahoma this _____ ____ | |
339 | - | day of ___________________, 20__ _____, at _______ o'clock __ _____ M. | |
340 | - | ||
341 | - | ||
342 | - | _________________________________ | |
343 | - | Governor of the State of Oklahoma | |
344 | - | ||
345 | - | OFFICE OF THE SECRETARY OF STATE | |
346 | - | Received by the Office of the Secretary of State this __________ | |
347 | - | day of ___________________, 20_______, at ______ _ o'clock _______ M. | |
348 | - | By: _________________________________ | |
522 | + | 59-1-8342 TJ 05/08/23 | |
349 | 523 |