H.F. 60 Section 1. Section 231.62, Code 2011, is amended to read as 1 follows: 2 231.62 Alzheimer’s disease services and training —— 3 implementation of recommendations . 4 1. The department shall regularly review trends and 5 initiatives to address the long-term living needs of Iowans to 6 determine how the needs of persons with Alzheimer’s disease and 7 similar forms of irreversible dementia can be appropriately 8 met. 9 2. The department shall act within the funding available 10 to the department to expand and improve training and education 11 of persons who regularly deal with persons with Alzheimer’s 12 disease and similar forms of irreversible dementia. Such 13 persons shall include but are not limited to law enforcement 14 personnel, long-term care resident’s advocates, state employees 15 with responsibilities for oversight or monitoring of agencies 16 providing long-term care services, and workers and managers in 17 services providing direct care to such persons, such as nursing 18 facilities and other long-term care settings, assisted living 19 programs, elder group homes, residential care facilities, adult 20 day facilities, and home health care services. The actions 21 shall include but are not limited to adopting rules. 22 3. The department shall adopt rules in consultation with the 23 direct care worker task force established pursuant to 2005 Iowa 24 Acts, ch. 88, and in coordination with the recommendations made 25 by the task force, to implement all of the following training 26 and education provisions: 27 a. Standards for initial hours of training for direct care 28 staff, which shall require at least eight hours of classroom 29 instruction and at least eight hours of supervised interactive 30 experiences. 31 b. Standards for continuing and in-service education for 32 direct care staff, which shall require at least eight hours 33 annually. 34 c. Standards which provide for assessing the competency of 35 -1- LSB 1728YH (2) 84 pf/nh 1/ 3

H.F. 60 those who have received training. 1 d. A standard curriculum model for the training and 2 education. The curriculum model shall include but is not 3 limited to the diagnosis process; progression of the disease; 4 skills for communicating with persons with the disease, 5 family members and friends, and caregivers; daily life skills; 6 caregiver stress; the importance of building relationships 7 and understanding personal histories; expected challenging 8 behaviors; nonpharmacologic interventions; and medication 9 management. 10 e. A certification process which shall be implemented for 11 the trainers and educators who use the standard curriculum 12 model. 13 4. The department shall conduct a statewide campaign to 14 educate health care providers regarding tools and techniques 15 for early detection of Alzheimer’s disease and similar forms of 16 irreversible dementia so that patients and their families will 17 better understand the progression of such disease. 18 5. Within the funding available, the department shall 19 provide funding for public awareness efforts and educational 20 efforts for agencies providing long-term care services, 21 direct care workers, caregivers, and state employees with 22 responsibilities for providing oversight or monitoring of 23 agencies providing long-term care services. The department 24 shall work with local Alzheimer’s disease association chapters 25 and other stakeholders in providing the funding. 26 6. The department shall develop a schedule for 27 implementation of the recommendations submitted by the 28 Alzheimer’s disease task force to the governor and the general 29 assembly in January 2008 relating to education and training, 30 funding and reimbursement, services and housing, and wellness 31 and disease management. The schedule shall provide priorities 32 for implementation of all recommendations by January 1, 2020. 33 EXPLANATION 34 This bill directs the department on aging to develop a 35 -2- LSB 1728YH (2) 84 pf/nh 2/ 3

H.F. 60 schedule for implementation of the recommendations submitted 1 by the Alzheimer’s disease task force to the governor and the 2 general assembly in January 2008 relating to education and 3 training, funding and reimbursement, services and housing, and 4 wellness and disease management. The schedule is to provide 5 priorities for implementation of all recommendations by January 6 1, 2020. The Alzheimer’s disease task force was created 7 pursuant to 2007 Iowa Acts, chapter 121. 8 -3- LSB 1728YH (2) 84 pf/nh 3/ 3