Revision: March 27, 2014, midnight
HB 1572-FN – AS AMENDED BY THE HOUSE
12Mar2014… 0298h
2014 SESSION
05/03
HOUSE BILL 1572-FN
AN ACT establishing a permanent subcommittee of the health and human services oversight committee relative to Alzheimer’s disease and other related dementia and requiring certain training and education programs regarding Alzheimer’s disease and other related dementia.
COMMITTEE: Health, Human Services and Elderly Affairs
I. Establishes a permanent subcommittee of the health and human services oversight committee relative to Alzheimer’s disease and other dementia.
II. Requires the department of health and human services to develop an educational program on Alzheimer’s disease and to include a link to the Alzheimer’s Association on the state website.
III. Requires the police standards and training council to provide training to the law enforcement community on Alzheimer’s disease.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
12Mar2014… 0298h
14-2394
05/03
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Fourteen
AN ACT establishing a permanent subcommittee of the health and human services oversight committee relative to Alzheimer’s disease and other related dementia and requiring certain training and education programs regarding Alzheimer’s disease and other related dementia.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Health and Human Services Oversight Committee; Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementia. Amend RSA 126-A by inserting after section 15 the following new section:
126-A:15-a Subcommittee on Alzheimer’s Disease and Other Related Dementia.
I. In addition to the subcommittees established under RSA 126-A:15, II, the health and human services oversight committee shall create a permanent subcommittee on Alzheimer’s disease and other related dementia.
II. Members of the subcommittee shall be as follows:
(a) One member of the house of representatives, appointed by the speaker of the house of representatives.
(b) One member of the senate, appointed by the president of the senate.
(c) The commissioner of the department of health and human services, or designee.
(d) The attorney general, or designee.
(e) A representative of the Alzheimer’s Association, appointed by the association.
(f) A representative of the New Hampshire Medical Society, appointed by the society.
(g) The following persons appointed by the governor:
(1) A person who has Alzheimer’s disease.
(2) A caregiver of a person who has Alzheimer’s disease.
(3) A representative of the nursing facility industry.
(4) A representative of the assisted living industry.
(5) A representative of the adult day care services industry.
(6) A researcher with Alzheimer’s-related expertise in basic transitional, clinical, or drug development science.
(h) A representative of the New Hampshire Nurse Practitioner Association, appointed by the association.
(i) A representative of the Home Care Association of New Hampshire, appointed by the association.
(j) A representative of the board of nursing, appointed by the board.
III. The subcommittee shall:
(a) Review other states’ plans for Alzheimer’s disease.
(b) Survey individuals with Alzheimer’s disease to more accurately estimate the number of persons in the state with the disease.
(c) Study existing services and resources, including but not limited to:
(1) The type, cost, and availability of dementia services.
(2) Dementia-specific training requirements for long-term care staff.
(3) Quality care measures across all care settings.
(4) Capacity of public safety and law enforcement to respond to persons with Alzheimer’s disease.
(5) Availability of home and community-based resources for persons with Alzheimer’s disease and respite care to assist families and caregivers.
(6) Inventory of long-term care dementia care units and beds.
(7) Adequacy and appropriateness of geriatric-psychiatric units for persons with behavior disorders associated with Alzheimer’s disease and related dementia.
(8) Assisted living residential options for persons with dementia.
(9) State support of Alzheimer’s disease research through New Hampshire universities and other resources.
(d) Determine state policies and responses that are necessary to provide clear and coordinated services and supports to persons, families, and caregivers living with Alzheimer’s disease and develop strategies to address any identified gaps in service.
(e) Establish a New Hampshire state plan for Alzheimer’s disease and other related dementia as approved by the health and human services oversight committee.
IV. Beginning November 1, 2014, and each November 1 thereafter, the health and human services oversight committee shall submit an annual report to the chairperson of the health, human services, and elderly affairs committee, the speaker of the house of representatives, the president of the senate, the house clerk, the senate clerk, the governor, and the state library relative to:
(a) The status of implementation of the New Hampshire state plan for Alzheimer’s disease and other related dementia.
(b) The subcommittee’s findings and recommendations, including any recommendations for legislation.
2 New Paragraph; Commissioner of Health and Human Services; Alzheimer’s Disease and Other Related Dementia. Amend RSA 126-A:5 by inserting after paragraph XXII the following new paragraph:
XXIII. The commissioner, in collaboration with the commissioner of the department of safety, the director of the police standards and training council, and the local chapter of the Alzheimer’s Association, shall develop an educational program on Alzheimer’s disease and other related dementia, for both the general public and special interest groups, including law enforcement. Depending upon available resources, additional information and input may be sought from the fish and game department, the adjutant general’s department, the board of medicine, the New?Hampshire Medical Society, and other interested parties. The commissioner shall provide an interim report on or before January 1, 2015 with a final report on or before July 1, 2015 on the status of the implementation of the educational program to the oversight committee on health and human services established in RSA 126-A:13 and the subcommittee on Alzheimer’s disease and other related dementia established in RSA 126-A:15-a. The commissioner shall post a link to the local chapter of the Alzheimer’s Association on the department’s website.
3 New Section; Police Standards and Training Council; Alzheimer’s Disease and Other Related Dementia Training. Amend RSA 188-F by inserting after section 28 the following new section:
188-F:28-a Alzheimer’s Disease and Other Related Dementia Training. The director of the police standards and training council shall provide education and training to the law enforcement community on Alzheimer’s disease and other related dementia. The director may use the educational program developed in conjunction with the department of health and human services under RSA 126-A:5, XXIII and may include such additional components as may be appropriate to effectively assist law enforcement officers in responding to incidents involving persons with Alzheimer’s disease and other related dementia.
4 Effective Date. This act shall take effect upon its passage.
LBAO
14-2394
Amended 03/17/14
HB 1572-FN FISCAL NOTE
AN ACT establishing a permanent subcommittee of the health and human services oversight committee relative to Alzheimer’s disease and other related dementia and requiring certain training and education programs regarding Alzheimer’s disease and other related dementia.
FISCAL IMPACT:
The Departments of Safety and Health and Human Services and the New Hampshire Police Standards and Training Council state this bill, as amended by the House (Amendment #2014-0298h), will increase state expenditures and may increase state revenue by indeterminable amounts in FY 2014 and in each year thereafter. There will be no fiscal impact on county or local revenue and expenditures.
METHODOLOGY:
The Department of Safety states this bill would require the Commissioner of Health and Human Services, in collaboration with the Commissioner of the Department of Safety and the local chapter of the Alzheimer’s Association, to develop an education program on Alzheimer’s disease. The program would be available to the public and special interest groups, such as law enforcement. The Department indicates the Division of State Police recently contracted with the National Alliance on Mental Illness (NAMI), to develop an on-line training video to address law enforcement interaction with individuals suffering from mental health conditions. The Division of State Police paid approximately $4,000 for production of this training video. The Department estimates that a similar production to educate law enforcement officers concerning Alzheimer’s disease would result in a one-time cost of less than $10,000 in FY 2015.
The Department of Health and Human Services states it has developed public educational materials in conjunction with the Alzheimer’s Association, has a link to the Association on its Website and assumes there would be no fiscal impact resulting from these requirements. The Department assumes the requirement to collaborate with the Department of Safety and the Alzheimer’s Association on a program specifically for law enforcement and special interest groups would result in an indeterminable increase in state general fund expenditures. The Department is not able to estimate these costs until the parties convene and jointly determine the scope, curriculum, and how the program would be implemented. In addition, the Department expects existing personnel would work to research similar programs in other parts of the country, explore potential federal grant funding, and work with staff from the Department of Safety and the Alzheimer’s Association. The Department is not able to determine the additional state expenditures or potential federal revenue.
The New Hampshire Police Standards and Training Council states the bill will increase state restricted expenditures by an indeterminable amount. The Council states there are currently 3,988 law enforcement officers in service in New Hampshire. It is unclear to the Council if the training would be mandatory or optional, if it would be required for all officers or only recruit officers, or how much time the training would require.
The New Hampshire Municipal Association states this bill will have no impact on local expenditures and revenue. The Association indicates the bill does not make the training a prerequisite to a person’s service as a police officer. The Association assumes such training would be optional and there would be no cost to municipalities except to the extent that a municipality chooses to have its officers attend the training.