House Study Bill 262 



                                       HOUSE FILE       
                                       BY  (PROPOSED COMMITTEE ON
                                            HUMAN RESOURCES BILL BY
                                            CHAIRPERSON SMITH)


    Passed House,  Date               Passed Senate, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act creating a hemophilia advisory committee and providing an
  2    effective date.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 2808HC 82
  5 jr/es/88

PAG LIN



  1  1    Section 1.  NEW SECTION.  135N.1  SHORT TITLE.
  1  2    This chapter shall be known and may be cited as the
  1  3 "Hemophilia Advisory Committee Act".
  1  4    Sec. 2.  NEW SECTION.  135N.2  LEGISLATIVE INTENT AND
  1  5 FINDINGS.
  1  6    1.  It is the intent of the general assembly to establish
  1  7 an advisory committee to provide recommendations on
  1  8 cost=effective treatment programs that enhance the quality of
  1  9 life of those afflicted with hemophilia and contain the high
  1 10 cost of that treatment.
  1 11    2.  The general assembly finds inherited hemophilia and
  1 12 other bleeding and clotting disorders are devastating health
  1 13 conditions that can cause serious financial, social, and
  1 14 emotional hardships for patients and their families.
  1 15 Hemophilia and other bleeding and clotting disorders are
  1 16 incurable, so appropriate lifetime care and treatment are
  1 17 necessities for maintaining optimum health.  Advancements in
  1 18 drug therapies are allowing individuals greater latitude in
  1 19 managing their conditions, fostering independence, and
  1 20 minimizing chronic complications.  However, the rarity of
  1 21 these disorders coupled with the delicate processes for
  1 22 producing factors and administering anticoagulants makes
  1 23 treating these disorders extremely costly.
  1 24    Sec. 3.  NEW SECTION.  135N.3  ESTABLISHMENT AND DUTIES OF
  1 25 HEMOPHILIA ADVISORY COMMITTEE.
  1 26    1.  The director of the department of public health shall
  1 27 establish an advisory committee known as the hemophilia
  1 28 advisory committee.
  1 29    2.  The committee shall review and make recommendations to
  1 30 the director concerning but not limited to the following:
  1 31    a.  Proposed legislative or administrative changes to
  1 32 policies and programs that are integral to the health and
  1 33 wellness of individuals with hemophilia and other bleeding and
  1 34 clotting disorders.
  1 35    b.  Standards of care and treatment for persons living with
  2  1 hemophilia and other bleeding and clotting disorders.
  2  2    c.  The development of community=based initiatives to
  2  3 increase awareness of care and treatment for persons living
  2  4 with hemophilia and other bleeding and clotting disorders.
  2  5    d.  Facilitating communication and cooperation between
  2  6 persons with hemophilia and other bleeding and clotting
  2  7 disorders.
  2  8    Sec. 4.  NEW SECTION.  135N.4  MEMBERSHIP.
  2  9    1.  The following persons shall serve as nonvoting members
  2 10 of the committee:
  2 11    a.  The director of public health or a designee.
  2 12    b.  The director of the department of human services or a
  2 13 designee.
  2 14    c.  The commissioner of insurance or a designee.
  2 15    2.  The following voting members shall be appointed by the
  2 16 director, serving three year terms:
  2 17    a.  One member who is a board=certified physician licensed,
  2 18 practicing, and currently treating individuals with hemophilia
  2 19 or other bleeding and clotting disorders.
  2 20    b.  One member who is a nurse licensed, practicing, and
  2 21 currently treating individuals with hemophilia or other
  2 22 bleeding and clotting disorders.
  2 23    c.  One member who is a social worker licensed, practicing,
  2 24 and currently treating individuals with hemophilia or other
  2 25 bleeding and clotting disorders.
  2 26    d.  One member who is a representative of a
  2 27 federally=funded hemophilia treatment center.
  2 28    e.  One member who is a representative of an organization
  2 29 established under the Iowa insurance code for the purpose of
  2 30 providing health insurance.
  2 31    f.  One member who is a representative of a voluntary
  2 32 health organization who currently services the hemophilia and
  2 33 other bleeding and clotting disorders community.
  2 34    g.  One member who is a patient, or caregiver of a patient,
  2 35 with hemophilia.
  3  1    h.  One member who is a patient, or caregiver of a patient,
  3  2 with a bleeding disorder other than hemophilia.
  3  3    i.  One member who is a patient, or caregiver of a patient,
  3  4 with a clotting disorder.
  3  5    3.  The committee appointments may be made not withstanding
  3  6 sections 69.16 and 69.16A.
  3  7    4.  If there is a vacancy on the committee, such position
  3  8 shall be filled in the same manner as the original
  3  9 appointment.
  3 10    Sec. 5.  NEW SECTION.  135N.5  MEETINGS.
  3 11    1.  The committee shall meet no less than four times per
  3 12 year and is subject to chapters 20 and 21 relating to open
  3 13 meetings and public records.
  3 14    2.  Members of the committee shall receive no compensation,
  3 15 but may be reimbursed for actual expenses incurred in the
  3 16 carrying out of their duties.
  3 17    Sec. 6.  NEW SECTION.  135N.6  REPORT REQUIRED.
  3 18    The committee shall, by January 15, 2008, and annually
  3 19 thereafter, submit to the governor and the general assembly a
  3 20 report with recommendations for maintaining and improving
  3 21 access to care for individuals with hemophilia and other
  3 22 bleeding and clotting disorders.  Subsequent annual reports
  3 23 shall report on the status of implementing the recommendations
  3 24 as proposed by the committee and on any state and national
  3 25 activities with regard to hemophilia and other bleeding and
  3 26 clotting disorders.
  3 27    Sec. 7.  EFFECTIVE DATE.  This Act, being deemed of
  3 28 immediate importance, takes effect upon enactment.
  3 29                           EXPLANATION
  3 30    This bill creates a hemophilia advisory committee within
  3 31 the department of public health.  The committee may advise the
  3 32 director of public health on a variety of matters, including
  3 33 proposed legislative or administrative changes relating to
  3 34 hemophilia, standards of care and treatment, the development
  3 35 of community=based initiatives to increase awareness of care
  4  1 and treatment for persons living with hemophilia and other
  4  2 bleeding and clotting disorders, and facilitating linkages for
  4  3 persons with hemophilia and other bleeding and clotting
  4  4 disorders.
  4  5    The committee has 12 members, with the director of public
  4  6 health, the director of the department of human services, and
  4  7 the commissioner of insurance, or their designees, serving as
  4  8 nonvoting members.  The director of public health will appoint
  4  9 nine voting members representing a variety of stakeholder
  4 10 interests.
  4 11    The bill has an immediate effective date.
  4 12 LSB 2808HC 82
  4 13 jr:nh/es/88