Senate File 2341 - Enrolled PAG LIN 1 1 SENATE FILE 2341 1 2 1 3 AN ACT 1 4 RELATING TO ALZHEIMER'S DISEASE AND SIMILAR FORMS OF IRREVERS- 1 5 IBLE DEMENTIA. 1 6 1 7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 1 8 1 9 Section 1. NEW SECTION. 135.154 ALZHEIMER'S DISEASE 1 10 SERVICE NEEDS. 1 11 1. The department shall regularly analyze Iowa's 1 12 population by county and age to determine the existing service 1 13 utilization and future service needs of persons with 1 14 Alzheimer's disease and similar forms of irreversible 1 15 dementia. The analysis shall also address the availability of 1 16 existing caregiver services for such needs and the appropriate 1 17 service level for the future. 1 18 2. The department shall modify its community needs 1 19 assessment activities to include questions to identify and 1 20 quantify the numbers of persons with Alzheimer's disease and 1 21 similar forms of irreversible dementia at the community level. 1 22 3. The department shall collect data on the numbers of 1 23 persons demonstrating combative behavior related to 1 24 Alzheimer's disease and similar forms of irreversible 1 25 dementia. The department shall also collect data on the 1 26 number of physicians and geropsychiatric units available in 1 27 the state to provide treatment and services to such persons. 1 28 Health care facilities that serve such persons shall provide 1 29 information to the department for the purposes of the data 1 30 collection required by this subsection. 1 31 4. The department's implementation of the requirements of 1 32 this section shall be limited to the extent of the funding 1 33 appropriated or otherwise made available for the requirements. 1 34 Sec. 2. NEW SECTION. 231.62 ALZHEIMER'S DISEASE SERVICES 1 35 AND TRAINING. 2 1 1. The department shall regularly review trends and 2 2 initiatives to address the long=term living needs of Iowans to 2 3 determine how the needs of persons with Alzheimer's disease 2 4 and similar forms of irreversible dementia can be 2 5 appropriately met. 2 6 2. The department shall act within the funding available 2 7 to the department to expand and improve training and education 2 8 of persons who regularly deal with persons with Alzheimer's 2 9 disease and similar forms of irreversible dementia. Such 2 10 persons shall include but are not limited to law enforcement 2 11 personnel, long=term care resident's advocates, state 2 12 employees with responsibilities for oversight or monitoring of 2 13 agencies providing long=term care services, and workers and 2 14 managers in services providing direct care to such persons, 2 15 such as nursing facilities and other long=term care settings, 2 16 assisted living programs, elder group homes, residential care 2 17 facilities, adult day facilities, and home health care 2 18 services. The actions shall include but are not limited to 2 19 adopting rules. 2 20 3. The department shall adopt rules in consultation with 2 21 the direct care worker task force established pursuant to 2005 2 22 Iowa Acts, chapter 88, and in coordination with the 2 23 recommendations made by the task force, to implement all of 2 24 the following training and education provisions: 2 25 a. Standards for initial hours of training for direct care 2 26 staff, which shall require at least eight hours of classroom 2 27 instruction and at least eight hours of supervised interactive 2 28 experiences. 2 29 b. Standards for continuing and in=service education for 2 30 direct care staff, which shall require at least eight hours 2 31 annually. 2 32 c. Standards which provide for assessing the competency of 2 33 those who have received training. 2 34 d. A standard curriculum model for the training and 2 35 education. The curriculum model shall include but is not 3 1 limited to the diagnosis process; progression of the disease; 3 2 skills for communicating with persons with the disease, family 3 3 members and friends, and caregivers; daily life skills; 3 4 caregiver stress; the importance of building relationships and 3 5 understanding personal histories; expected challenging 3 6 behaviors; nonpharmacologic interventions; and medication 3 7 management. 3 8 e. A certification process which shall be implemented for 3 9 the trainers and educators who use the standard curriculum 3 10 model. 3 11 4. The department shall conduct a statewide campaign to 3 12 educate health care providers regarding tools and techniques 3 13 for early detection of Alzheimer's disease and similar forms 3 14 of irreversible dementia so that patients and their families 3 15 will better understand the progression of such disease. 3 16 5. Within the funding available, the department shall 3 17 provide funding for public awareness efforts and educational 3 18 efforts for agencies providing long=term care services, direct 3 19 care workers, caregivers, and state employees with 3 20 responsibilities for providing oversight or monitoring of 3 21 agencies providing long=term care services. The department 3 22 shall work with local Alzheimer's disease association chapters 3 23 and other stakeholders in providing the funding. 3 24 Sec. 3. IMPLEMENTATION. The department of elder affairs 3 25 shall implement on or before July 1, 2010, the initial 3 26 provisions for expanding and improving training and education 3 27 of those who regularly deal with persons with Alzheimer's 3 28 disease and similar forms of irreversible dementia and for 3 29 providing funding for public awareness efforts and educational 3 30 efforts in accordance with section 231.62, as enacted by this 3 31 Act. 3 32 3 33 3 34 3 35 JOHN P. KIBBIE 4 1 President of the Senate 4 2 4 3 4 4 4 5 PATRICK J. MURPHY 4 6 Speaker of the House 4 7 4 8 I hereby certify that this bill originated in the Senate and 4 9 is known as Senate File 2341, Eighty=second General Assembly. 4 10 4 11 4 12 4 13 MICHAEL E. MARSHALL 4 14 Secretary of the Senate 4 15 Approved , 2008 4 16 4 17 4 18 4 19 CHESTER J. CULVER 4 20 Governor