Bill Text: PA HB272 | 2011-2012 | Regular Session | Amended


Bill Title: Establishing a task force on Lyme disease and related maladies; and providing for powers and duties of the task force, the Department of Health, the Department of Conservation and Natural Resources and the Pennsylvania Game Commission to execute prevention and education strategies.

Spectrum: Slight Partisan Bill (Republican 37-19)

Status: (Engrossed - Dead) 2012-10-17 - Referred to RULES [HB272 Detail]

Download: Pennsylvania-2011-HB272-Amended.html

SENATE AMENDED

 

PRIOR PRINTER'S NOS. 225, 2895, 4139

PRINTER'S NO.  4222

  

THE GENERAL ASSEMBLY OF PENNSYLVANIA

  

HOUSE BILL

 

No.

272

Session of

2011

  

  

INTRODUCED BY HESS, BAKER, FLECK, MAJOR, CALTAGIRONE, CARROLL, CAUSER, COHEN, D. COSTA, J. EVANS, GOODMAN, GROVE, HARKINS, HARRIS, KAUFFMAN, M. K. KELLER, KIRKLAND, KORTZ, KOTIK, KULA, MAHONEY, MILLARD, PEIFER, PICKETT, RAPP, SWANGER, TALLMAN, YOUNGBLOOD, MOUL, BENNINGHOFF, MURT, KAVULICH, DENLINGER, BRADFORD, TRUITT, BRIGGS, MILLER, SCAVELLO, WATSON, GABLER, KILLION, FREEMAN, M. SMITH, HORNAMAN, HENNESSEY, R. BROWN, BEAR, PAYNE, CONKLIN, STEVENSON, PERRY, MAHER, ROCK, SAYLOR, HARPER AND BROOKS, JANUARY 27, 2011

  

  

SENATOR D. WHITE, BANKING AND INSURANCE, IN SENATE, AS AMENDED, OCTOBER 15, 2012   

  

  

  

AN ACT

  

1

Establishing a task force on Lyme disease and related maladies; 

<--

2

providing for powers and duties of the task force, the

3

Department of Health, the Department of Conservation and

4

Natural Resources and the Pennsylvania Game Commission and

5

for required coverage; and executing prevention and education

6

strategies.

7

Establishing a task force on Lyme disease and related maladies;

<--

8

and providing for powers and duties of the task force, the

9

Department of Health, the Department of Conservation and

10

Natural Resources and the Pennsylvania Game Commission to

11

execute prevention and education strategies.

12

The General Assembly of the Commonwealth of Pennsylvania

13

hereby enacts as follows:

14

Section 1.  Short title.

<--

15

This act shall be known and may be cited as the Lyme and

16

Related Tick-Borne Disease Surveillance, Education, Prevention

17

and Treatment Act.

18

Section 2.  Findings.

 


1

The General Assembly finds and declares as follows:

2

(1)  Lyme disease and other tick-borne diseases are

3

carried primarily by ticks and pose a serious threat to the

4

health and quality of life of many citizens of this

5

Commonwealth.

6

(2)  The most common way to acquire Lyme disease is to be

7

bitten by a tick that carries the spirochete.

8

(3)  In 2009, 5,722 confirmed cases of Lyme disease were

9

reported in this Commonwealth, the highest number of cases

10

reported in any state and representing a 76% increase since

11

2006. In 2011, provisional numbers of 7,484 cases confirm

12

this ongoing upward trend.

13

(4)  These trends illustrate the World Health

14

Organization's (WHO) projections through 2010. The WHO states

15

that Lyme disease will increasingly become a public health

16

threat in the United States. Pennsylvania needs to be

17

prepared to deal with this trend, which is already being

18

observed in Pennsylvania's statistics.

19

(5)  Lyme disease is most prevalent in southeastern

20

Pennsylvania, but it is found across this Commonwealth.

21

(6)  With proper precautions taken while engaged in

22

outdoor activities, people can greatly reduce their chances

23

of tick pathogen transmission by making sure that frequent

24

tick checks are made and ticks are removed and disposed of

25

promptly and properly.

26

(7)  The early clinical diagnosis and appropriate

27

treatment of these tick-borne disorders and diseases can

28

greatly reduce the risks of continued symptoms which can

29

affect every system and organ of the human body and often

30

every aspect of life.

- 2 -

 


1

(8)  Left untreated, Lyme disease can cause a number of

2

signs and symptoms which can become quite severe.

3

Section 3.  Legislative intent.

4

It is the intent of the General Assembly:

5

(1)  To provide the public with information and education

6

to create greater public awareness of the dangers of and

7

measures available to prevent, diagnose and treat Lyme

8

disease and related maladies.

9

(2)  To ensure that:

10

(i)  Licensees, insurers, patients and governmental

11

agencies are educated about treatment options.

12

(ii)  Licensees provide patients with sufficient

13

information about treatment options to enable patients to

14

make an informed choice as part of informed consent and

15

respect the autonomy of that choice.

16

(iii)  Pennsylvania government agencies provide

17

unbiased information regarding treatment options.

18

Section 4.  Definitions.

19

The following words and phrases when used in this act shall

20

have the meanings given to them in this section unless the

21

context clearly indicates otherwise:

22

"Board."  The Pennsylvania State Board of Medicine, the State

23

Board of Osteopathic Medicine and the State Board of Nursing.

24

"Department."  The Department of Health of the Commonwealth.

25

"Licensee."  A licensed physician, a physician's assistant or

26

certified registered nurse practitioner or other licensed health

27

care professional.

28

"Long-term antibiotic or antimicrobial therapy."

29

Administration of oral, intramuscular or intravenous antibiotics

30

or antimicrobial medications, singly or in combination, for

- 3 -

 


1

periods of more than four weeks.

2

"Lyme disease."  The clinical diagnosis of a patient by a

3

licensed physician or certified registered nurse practitioner of

4

the presence of signs or symptoms compatible with acute, late-

5

stage, persistent infection with Borrelia burgdorferi or

6

complications related to such infection or with such other

7

strains of Borrelia that are recognized by the Centers for

8

Disease Control and Prevention as a cause of Lyme disease. The

9

term includes infection which meets the surveillance criteria

10

set forth by the Centers for Disease Control and Prevention and

11

other acute and persistent manifestations of such an infection

12

as determined by a physician.

13

"Related tick-borne illnesses."  Cases of Bartonellosis,

14

Babesiosis/Piroplasmosis, Anaplasmosis, Ehrlichiosis and other

15

tick-transmissible illnesses as may be empirically associated

16

with Lyme disease.

17

"Secretary."  The Secretary of Health of the Commonwealth.

18

"State officials."  The term includes the Secretary of

19

Environmental Protection.

20

"Task force."  The task force established by this act.

21

"Therapeutic purpose."  The use of antibiotics to control a

22

patient's symptoms or signs determined by a physician as

23

reasonably related to Lyme disease and its sequelae or related

24

tick-borne illnesses.

25

Section 5.  Task force.

26

(a)  Establishment.--The department shall establish a task

27

force on Lyme disease and related tick-borne diseases.

28

(b)  Purpose.--The task force shall investigate and make

29

recommendations to the department regarding:

30

(1)  The surveillance and prevention of Lyme disease and

- 4 -

 


1

related tick-borne illnesses in this Commonwealth.

2

(2)  Raising awareness about the long-term effects of the

3

misdiagnosis of Lyme disease.

4

(3)  The development of a program of general public and

5

health care professional information and education regarding

6

Lyme disease which shall include the broad spectrum of

7

scientific and treatment options regarding all stages of Lyme

8

disease and related tick-borne illnesses.

9

(4)  Cooperation with the Pennsylvania Game Commission to

10

disseminate the information required under paragraph (3) to

11

licensees of the commission and the general public.

12

(5)  Cooperation with the Department of Conservation and

13

Natural Resources to disseminate the information required

14

under paragraph (3) to the general public and visitors of

15

State parks and lands.

16

(6)  Cooperation with the Department of Environmental

17

Protection to test ticks and provide results and to publish

18

on its publicly accessible Internet website.

19

(7)  Cooperation with the Department of Education to:

20

(i)  Disseminate the information required under

21

paragraph (3) to school administrators, faculty, staff,

22

parents, guardians and students.

23

(ii)  Determine the role schools may play in the

24

prevention of Lyme disease, including, but not limited

25

to, prompt removal and reporting of tick removals to

26

State officials.

27

(iii)  Update policies to recognize signs or symptoms

28

of Lyme disease and related tick-borne illnesses as

29

health impairments potentially requiring accommodations.

30

(c)  Composition.--The task force shall be composed of the

- 5 -

 


1

following individuals:

2

(1)  The Secretary of Health or a designee.

3

(2)  The Insurance Commissioner or a designee.

4

(3)  The Secretary of Education or a designee.

5

(4)  The Deputy Secretary for Parks and Forestry in the

6

Department of Conservation and Natural Resources or a

7

designee.

8

(5)  The Director of the Bureau of Information and

9

Education of the Pennsylvania Game Commission or a designee.

10

(6)  Two physicians licensed in this Commonwealth, who

11

are knowledgeable concerning treatment of Lyme disease and

12

related tick-borne illnesses and who are members of the

13

International Lyme and Associated Diseases Society.

14

(7)  Two physicians licensed in this Commonwealth who are

15

knowledgeable concerning treatment of Lyme disease and

16

related tick-borne illnesses who are members of the

17

Infectious Disease Society of America.

18

(8)  An epidemiologist licensed in this Commonwealth

19

having expertise in spirochetes and related infectious

20

diseases.

21

(9)  Two individuals representing Lyme disease patient

22

groups who may be a Lyme disease patient of a family member

23

of a Lyme disease patient.

24

(10)  One individual who is a Lyme disease patient or a

25

family member of a Lyme disease patient.

26

(11)  Two registered nurses licensed in this

27

Commonwealth, one of which should be a certified registered

28

nurse practitioner and both of whom are knowledgeable

29

concerning Lyme disease and related tick-borne illnesses.

30

(12)  The Director of Vector Management of the Department

- 6 -

 


1

of Environmental Protection.

2

(13)  An entomologist with the Department of Entomology

3

of The Pennsylvania State University who has experience in

4

tick identification and tick-borne diseases.

5

(14)  A registered school nurse licensed in this

6

Commonwealth who is knowledgeable concerning Lyme disease and

7

tick-borne illnesses.

8

(15)  Two veterinarians licensed in this Commonwealth, at

9

least one of whom is a veterinary epidemiologist and both of

10

whom are knowledgeable concerning Lyme disease and related

11

tick-borne illnesses.

12

(d)  Meetings.--

13

(1)  Within 45 days of the effective date of this act,

14

the Secretary of Health shall appoint the members of the task

15

force. The Secretary of Health shall appoint a chairman of

16

the task force.

17

(2)  The task force shall convene within 90 days of the

18

effective date of this act and shall meet quarterly.

19

(3)  The task force shall issue a report with

20

recommendations to the Secretary of Health within one year of

21

its first meeting. The report shall also be transmitted to

22

the relevant committees of the Senate and the House of

23

Representatives. Nothing in this act shall prohibit the task

24

force from making interim reports, taking agreed-upon

25

immediate actions or responding to requests for such reports.

26

(e)  Compensation and expenses.--The members of the task

27

force shall receive no compensation for their services but shall

28

be reimbursed for actual and necessary expenses incurred in

29

performance of their duties. Reimbursement shall be provided by

30

the department.

- 7 -

 


1

(f)  Department.--The department shall:

2

(1)  Develop a program of general public and health care

3

professional information and education regarding Lyme disease

4

which shall include the broad spectrum of scientific and

5

treating options regarding all stages of Lyme disease and

6

related tick-borne illnesses.

7

(2)  Develop an active tick collection, testing and

8

surveillance program in cooperation with the Department of

9

Environmental Protection to provide a better understanding

10

of, including, but not limited to, the full range of tick-

11

borne diseases, geographic hot spots and levels of

12

infectivity to be used in targeting prevention and education

13

efforts. This effort may include veterinary data on tick-

14

borne disease prevention, specifically dogs and horses and

15

other animals as the Centers for Disease Control and

16

Prevention have recommended.

17

(3)  Cooperate with the Pennsylvania Game Commission to

18

disseminate the information required under paragraph (1) to

19

licensees of the Pennsylvania Game Commission and the general

20

public.

21

(4)  Cooperate with the Department of Conservation and

22

Natural Resources to disseminate the information required

23

under paragraph (1) to the general public and visitors of

24

State parks and lands.

25

(5)  Cooperate with the professional associations of

26

health care professionals to provide the education program

27

for professionals required under paragraph (1).

28

(6)  Cooperate with the Department of Education to:

29

(i)  Disseminate the information under paragraph (1)

30

to school administrators, school nurses, faculty and

- 8 -

 


1

staff, parents, guardians and students.

2

(ii)  Determine what role schools may play in the

3

prevention of Lyme disease, including, but not limited

4

to, prompt removal and reporting of tick removals to

5

State officials.

6

(iii)  Update policies to recognize signs or symptoms

7

of Lyme disease and related tick-borne illnesses as

8

health conditions potentially requiring accommodations.

9

(7)  Cooperate with the Department of Environmental

10

Protection to publish and make available on its publicly

11

accessible Internet website the information developed under

12

paragraph (2) to health care professionals and the general

13

public.

14

(8)  Cooperate with The Pennsylvania State University,

15

Department of Entomology, Cooperative Extension Program for

16

Integrated Pest Management, to disseminate educational

17

resources about ticks, related diseases and integrated pest

18

management for disease prevention as required under paragraph

19

(1) to health care professionals and the general public.

20

(9)  Identify and apply for public and private funding in

21

order to carry out the provisions of this act.

22

Section 6.  Required coverage.

23

(a)  Tick-borne illnesses.--Except as provided in subsection

24

(b), every health care policy which is delivered, issued for

25

delivery, renewed, extended or modified in this Commonwealth by

26

a health insurer must cover prescribed treatment for Lyme

27

disease or related tick-borne illnesses if the diagnosis and

28

treatment plan are documented in the patient's medical record,

29

and it is documented in the patient's medical record that the

30

patient has been properly informed of multiple standards of

- 9 -

 


1

care, risks and benefits and able to exercise informed consent.

2

Such treatment plans may include long-term therapies, long-term

3

antibiotic or antimicrobial therapy and treatment as prescribed

4

by the patient's attending physician.

5

(b)  Exception.--Subsection (a) shall not apply to any of the

6

following types of insurance:

7

(1)  Hospital indemnity.

8

(2)  Accident.

9

(3)  Specified disease.

10

(4)  Disability income.

11

(5)  Dental.

12

(6)  Vision.

13

(7)  Civilian Health and Medical Program of the Uniformed

14

Services (CHAMPUS) supplement.

15

(8)  Medicare supplement.

16

(9)  Long-term care.

17

(10)  Other limited insurance benefit plans.

18

Section 7.  Effective date.

19

This act shall take effect July 1, 2013.

20

Section 1.  Short title.

<--

21

This act shall be known and may be cited as the Lyme and

22

Related Tick-Borne Disease Surveillance, Education, Prevention

23

and Treatment Act.

24

Section 2.  Findings.

25

The General Assembly finds that:

26

(1)  Lyme disease and other tick-borne diseases are

27

carried primarily by ticks and pose a serious threat to the

28

health and quality of life of many citizens of this

29

Commonwealth.

30

(2)  The most common way to acquire Lyme disease is to be

- 10 -

 


1

bitten by a tick that carries the spirochete.

2

(3)  In 2009, 5,722 cases of Lyme disease were reported

3

in this Commonwealth, the highest number of cases reported in

4

any state, and representing a 76% increase since 2006. In

5

2010, provisional numbers of 6,277 cases, confirm this

6

ongoing upward trend.

7

(4)  These trends illustrate the World Health

8

Organization's (WHO) projections through 2100. The WHO states

9

that Lyme disease will increasingly become a public health

10

threat in the United States. Pennsylvania needs to be

11

prepared to deal with this trend, which is already being

12

observed in Pennsylvania's statistics.

13

(5)  Lyme disease is most prevalent in Southeastern

14

Pennsylvania, but it is found across this Commonwealth.

15

(6)  With proper precautions taken while engaged in

16

outdoor activities, people can greatly reduce their chances

17

of tick pathogen transmission by making sure that frequent

18

tick checks are made and ticks are removed and disposed of

19

promptly and properly.

20

(7)  The early clinical diagnosis and appropriate

21

treatment of these tick-borne disorders and diseases can

22

greatly reduce the risks of continued symptoms which can

23

affect every system and organ of the human body and often

24

every aspect of life.

25

(8)  Left untreated, Lyme disease can cause a number of

26

signs and symptoms which can become quite severe.

27

Section 3.  Legislative intent.

28

It is the intent of the General Assembly:

29

(1)  To provide the public with information and education

30

to create greater public awareness of the dangers of and

- 11 -

 


1

measures available to prevent, diagnose and treat Lyme

2

disease and related maladies.

3

(2)  To ensure that:

4

(i)  Licensees, insurers, patients and governmental

5

agencies are educated about treatment options.

6

(ii)  Licensees provide patients with sufficient

7

information about treatment options to enable patients to

8

make an informed choice as part of informed consent and

9

to respect the autonomy of that choice.

10

(iii)  Pennsylvania government agencies provide

11

unbiased information regarding treatment options.

12

Section 4.  Definitions.

13

The following words and phrases when used in this act shall

14

have the meanings given to them in this section unless the

15

context clearly indicates otherwise:

16

"Department."  The Department of Health of the Commonwealth.

17

"Licensee."  A licensed physician, a physician's assistant, a

18

certified registered nurse practitioner or other licensed health

19

care professional.

20

"Lyme disease."  The clinical diagnosis of a patient by a

21

licensed physician or certified registered nurse practitioner of

22

the presence of signs or symptoms compatible with acute, late-

23

stage, persistent infection with Borrelia burgdorferi or

24

complications related to such infection or with such other

25

strains of Borrelia that are recognized by the Centers for

26

Disease Control and Prevention as a cause of Lyme disease. The

27

term includes infection that meets the surveillance criteria

28

established by the Centers for Disease Control and Prevention

29

and other acute and persistent manifestations of such an

30

infection as determined by a physician.

- 12 -

 


1

"Related tick-borne illness."  A case of Bartonella,

2

babesiosis/piroplasmosis, anaplasmosis, ehrlichiosis or other

3

tick-transmissible illness. The term does not include Lyme

4

disease.

5

"Secretary."  The Secretary of Health of the Commonwealth.

6

"State officials."  The term includes the Secretary of

7

Environmental Protection of the Commonwealth.

8

"Task force."  The task force established by this act.

9

Section 5.  Task force.

10

(a)  Establishment.--The department shall establish a task

11

force on Lyme disease and related tick-borne diseases.

12

(b)  Purpose.--The task force shall investigate and make

13

recommendations to the department regarding:

14

(1)  The surveillance and prevention of Lyme disease and

15

related tick-borne illnesses in this Commonwealth.

16

(2)  Raising awareness about the long-term effects of the

17

misdiagnosis of Lyme disease.

18

(3)  Development of a program of general public and

19

health care professional information and education regarding

20

Lyme disease which shall include the broad spectrum of

21

scientific and treatment options regarding all stages of Lyme

22

disease and related tick-borne illnesses.

23

(4)  Cooperation with the Pennsylvania Game Commission to

24

disseminate the information required under paragraph (3) to

25

licensees of the commission and the general public.

26

(5)  Cooperation with the Department of Conservation and

27

Natural Resources to disseminate the information required

28

under paragraph (3) to the general public and visitors of

29

State parks and lands.

30

(6)  Cooperation with the Department of Education to:

- 13 -

 


1

(i)  Disseminate the information required under

2

paragraph (3) to school administrators, faculty and

3

staff, parents, guardians and students.

4

(ii)  Determine what role schools may play in the

5

prevention of Lyme disease, including, but not limited

6

to, prompt removal and reporting of tick removals to

7

State officials.

8

(iii)  Update policies to recognize signs or symptoms

9

of Lyme disease and related tick-borne illnesses as

10

health conditions potentially requiring accommodations.

11

(7)  Cooperation of the Department of Environmental

12

Protection to test ticks and provide results and to publish

13

infection rates on its publicly accessible Internet website.

14

(c)  Composition.--The task force shall be composed of the

15

following individuals: 

16

(1)  The secretary or a designee.

17

(2)  The Secretary of the Commonwealth or a designee.

18

(3)  The Secretary of Education or a designee.

19

(4)  The Deputy Secretary for Parks and Forestry in the

20

Department of Conservation and Natural Resources or a

21

designee.

22

(5)  The Director of the Bureau of Information and

23

Education of the Pennsylvania Game Commission or a designee.

24

(6)  Two physicians licensed in this Commonwealth who are

25

knowledgeable concerning treatment of Lyme disease and

26

related tick-borne illness and who are members of the

27

International Lyme and Associated Diseases Society.

28

(7)  Two physicians licensed in this Commonwealth who are

29

knowledgeable concerning treatment of Lyme disease and

30

related tick-borne illness and who are members of the

- 14 -

 


1

Infectious Diseases Society of America.

2

(8)  An epidemiologist licensed in this Commonwealth who

3

has expertise in spirochetes and related infectious diseases.

4

(9)  Two individuals who represent Lyme disease patient

5

groups who may be a Lyme disease patient or a family member

6

of a Lyme disease patient.

7

(10)  One individual who is a Lyme disease patient or

8

family member of a Lyme disease patient.

9

(11)  Two registered nurses licensed in this

10

Commonwealth, one of whom is a certified registered nurse

11

practitioner and both of whom are knowledgeable concerning

12

Lyme disease and related tick-borne illness.

13

(12)  The Director of Vector Management of the

14

Department of Environmental Protection.

15

(13)  An entomologist with the Department of Entomology

16

of The Pennsylvania State University who has experience in

17

tick identification and tick borne diseases.

18

(14)  A registered school nurse licensed in this

19

Commonwealth who is knowledgeable concerning Lyme disease and

20

related tick-borne illness.

21

(15)  Two veterinarians licensed in this Commonwealth, at

22

least one of whom is a veterinary epidemiologist and both of

23

whom are knowledgeable concerning Lyme disease and related

24

tick-borne illness.

25

(d)  Meetings.--

26

(1)  Within 45 days of the effective date of this

27

section, the secretary shall appoint the members of the task

28

force. The secretary shall appoint a chairman of the task

29

force.

30

(2)  The task force shall convene within 90 days of the

- 15 -

 


1

effective date of this section and shall meet at least

2

quarterly.

3

(3)  The task force shall issue a report with

4

recommendations to the secretary within one year of its first

5

meeting. The report shall also be transmitted to the Public

6

Health and Welfare Committee of the Senate and the Health

7

Committee of the House of Representatives.

8

(4)  Nothing in this act shall be construed to prohibit

9

the task force from making interim reports.

10

(e)  Compensation and expenses.--The members of the task

11

force shall receive no compensation for their services but shall

12

be allowed their actual and necessary expenses incurred in

13

performance of their duties. Reimbursement shall be provided by

14

the department.

15

(f)  Duties of department.--The department shall:

16

(1)  Develop a program of general public information and

17

education regarding Lyme disease which shall include the

18

broad spectrum of scientific and treating options regarding

19

all stages of Lyme disease and related tick-borne illnesses.

20

(2)  Cooperate with the Pennsylvania Game Commission to

21

disseminate the information required under paragraph (1) to

22

licensees of the Pennsylvania Game Commission and the general

23

public.

24

(3)  Cooperate with the Department of Conservation and

25

Natural Resources to disseminate the information required

26

under paragraph (1) to the general public and visitors of

27

State parks and lands.

28

(4)  Cooperate with the Department of Education to:

29

(i)  Disseminate the information required under

30

paragraph (1) to school administrators, school nurses,

- 16 -

 


1

faculty and staff, parents, guardians and students.

2

(ii)  Determine what role schools may play in the

3

prevention of Lyme disease, including, but not limited

4

to, prompt removal and reporting of tick removals to

5

State officials. 

6

(iii)  Update policies to recognize signs or symptoms

7

of Lyme disease and related tick-borne illnesses as

8

health conditions potentially requiring accommodations.

9

(5)  Cooperate with professional associations of health

10

care professionals to provide the education program for

11

professionals required under paragraph (1).

12

(6)  Cooperate with the Department of Environmental

13

Protection to disseminate tick infection information required

14

under paragraph (1) to health care professionals and the

15

general public.

16

(7)  Cooperate with the Pennsylvania State University,

17

Department of Entomology, cooperative extension program for

18

integrated pest management, to disseminate educational

19

resources about ticks, related diseases and integrated pest

20

management for disease prevention as required under paragraph

21

(1) to health care professionals and the general public.

22

(g)  Tick collection and testing program.--The department may

23

develop an active tick collection and testing program in

24

cooperation with the Department of Environmental Protection.

25

This effort may include a tick surveillance program to provide a

26

better understanding of, including, but not limited to, the full

27

range of tick-borne diseases, geographic hot spots and levels of

28

infectivity to be used in targeting prevention and education

29

efforts and veterinary data on tick-borne disease prevention,

30

specifically dogs and horses and other animals as the Centers

- 17 -

 


1

for Disease Control and Prevention have recommended.

2

Section 6.  Effective date.

3

This act shall take effect immediately.

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