| |
|
| |
| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
| |
| SENATE BILL |
|
| |
| |
| INTRODUCED BY SOLOBAY, FONTANA, RAFFERTY, D. WHITE, BREWSTER, ALLOWAY, GREENLEAF, ORIE, COSTA, LEACH AND FERLO, JANUARY 31, 2011 |
| |
| |
| REFERRED TO PUBLIC HEALTH AND WELFARE, JANUARY 31, 2011 |
| |
| |
| |
| AN ACT |
| |
1 | Establishing the Lupus Education and Awareness Program and the |
2 | Interagency and Partnership Advisory Panel on Lupus; and |
3 | providing for powers and duties of the Department of Health. |
4 | The General Assembly of the Commonwealth of Pennsylvania |
5 | hereby enacts as follows: |
6 | Section 1. Short title. |
7 | This act shall be known and may be cited as the Lupus |
8 | Education and Awareness Act. |
9 | Section 2. Legislative findings and purpose. |
10 | (a) Findings.--The General Assembly finds and declares as |
11 | follows: |
12 | (1) Lupus is an urgent national health issue. Lupus is |
13 | the result of an immune system that is unbalanced and can |
14 | become destructive to any organ or tissue in the body. Lupus |
15 | is unpredictable and potentially fatal, yet no satisfactory |
16 | treatment exists. Its health consequences include heart |
17 | attacks, strokes, seizures and organ failure. |
18 | (2) National data indicates that more than 1.5 million |
|
1 | Americans live with some form of lupus. Lupus affects women |
2 | nine times more often than men, and 80% of newly diagnosed |
3 | cases of lupus develop among women of childbearing age. An |
4 | estimated 65,000 people with lupus reside in this |
5 | Commonwealth. |
6 | (3) Lupus disproportionately affects women of color. It |
7 | is two to three times more common among African Americans, |
8 | Hispanics and Latinos, Asians and Native Americans and is |
9 | generally more prevalent in minority populations, a health |
10 | disparity that remains unexplained. |
11 | (4) No new drugs have been approved by the Food and Drug |
12 | Administration specifically for lupus in 50 years and, while |
13 | current treatments for the disease can be effective, they can |
14 | lead to damaging side effects. |
15 | (5) The pain and fatigue associated with lupus can |
16 | threaten one's ability to live independently, make it |
17 | difficult to maintain employment and lead a normal life. One |
18 | in five people with lupus is disabled by the disease and |
19 | consequently receives support from government programs, |
20 | including Medicare, Medicaid Social Security disability and |
21 | Social Security Supplemental Security Income. |
22 | (6) The estimated average annual total of direct and |
23 | indirect costs for an individual with lupus is $21,000. For |
24 | people who have the most serious form of lupus, medical costs |
25 | can greatly exceed this amount, causing a significant |
26 | economic, emotional and social burden to the entire family |
27 | and society. |
28 | (b) Purpose.--The purpose of this act is to create a |
29 | multipronged, Statewide program to promote public and health |
30 | professional awareness among State and local health and human |
|
1 | services officials, physicians, nurses and other health care |
2 | providers and increase knowledge concerning the causes and |
3 | consequences of lupus, the importance of early diagnosis and |
4 | appropriate management and effective treatment and management |
5 | strategies by taking the following actions: |
6 | (1) Conducting educational and training programs for |
7 | health professionals on lupus diagnosis and management. |
8 | (2) Disseminating medically sound educational materials |
9 | and information on lupus research findings to patients and |
10 | health care professionals. |
11 | (3) Fostering greater public understanding and awareness |
12 | of lupus Statewide. |
13 | Section 3. Definitions. |
14 | The following words and phrases when used in this act shall |
15 | have the meanings given to them in this section unless the |
16 | context clearly indicates otherwise: |
17 | "Department." The Department of Health of the Commonwealth. |
18 | "Panel." The Interagency and Partnership Advisory Panel on |
19 | Lupus established under section 5(a). |
20 | "Program." The Lupus Education and Awareness Program |
21 | established under section 4(a). |
22 | "Secretary." The Secretary of Health of the Commonwealth. |
23 | Section 4. Program. |
24 | (a) Program established.--Subject to appropriation, there is |
25 | established within the department the Lupus Education and |
26 | Awareness Program. The program shall be composed of various |
27 | components, including, but not limited to, public awareness |
28 | activities and professional education programs. |
29 | (b) Department duties.--The department shall promote and |
30 | maintain the program with an emphasis on minority populations |
|
1 | and at-risk communities in order to raise public awareness, |
2 | educate consumers and educate and train health professionals, |
3 | human service providers and other audiences. |
4 | (c) National lupus organization.--The department shall work |
5 | with a national organization that deals with lupus to implement |
6 | programs to raise public awareness about the symptoms and nature |
7 | of lupus, personal risk factors and options for diagnosing and |
8 | treating the disease, with a particular focus on populations at |
9 | elevated risk for lupus, including women and communities of |
10 | color. |
11 | (d) Program initiatives.--The program shall include |
12 | initiatives to educate and train physicians, health care |
13 | professionals and other service providers on the most up-to-date |
14 | and accurate scientific and medical information regarding lupus |
15 | diagnosis, treatment, risks and benefits of medications, |
16 | research advances and therapeutic decision making, including |
17 | medical best practices for detecting and treating the disease in |
18 | special populations. These activities shall include, but not be |
19 | limited to, all of the following: |
20 | (1) Distribution of medically sound health information |
21 | produced by a national organization that deals with lupus and |
22 | government agencies, including, but not limited to, the |
23 | National Institutes of Health, the Centers for Disease |
24 | Control and Prevention and the Social Security |
25 | Administration, through the following: |
26 | (i) Local health departments. |
27 | (ii) Schools. |
28 | (iii) Agencies on aging. |
29 | (iv) Employer wellness programs. |
30 | (v) Physicians and other health professionals. |
|
1 | (vi) Hospitals. |
2 | (vii) Health plans and health maintenance |
3 | organizations. |
4 | (viii) Women's health programs. |
5 | (ix) Nonprofit and community-based organizations. |
6 | (2) Development of educational materials for health |
7 | professionals that identify the latest scientific and medical |
8 | information and clinical applications. |
9 | (3) Working to increase knowledge among physicians, |
10 | nurses and health and human services professionals about the |
11 | importance of lupus diagnosis, treatment and rehabilitation. |
12 | (4) Support of continuing medical education programs |
13 | presented by leading State academic institutions by providing |
14 | them with the most up-to-date information. |
15 | (5) Providing Statewide workshops and seminars for in- |
16 | depth professional development regarding the care and |
17 | management of patients with lupus in order to bring the |
18 | latest information on clinical advances to care providers. |
19 | (6) Development and maintenance of a directory of lupus- |
20 | related services and lupus health care providers with |
21 | specialization in services to diagnose and treat lupus. The |
22 | department shall disseminate this directory to all |
23 | stakeholders, including, but not limited to, individuals with |
24 | lupus, families and representatives from voluntary |
25 | organizations, health care professionals, health plans and |
26 | State and local health agencies. |
27 | (e) Duties of secretary.--The secretary shall do all of the |
28 | following: |
29 | (1) Designate a person in the department to oversee the |
30 | program. |
|
1 | (2) Identify the appropriate entities to carry out the |
2 | program, including, but not limited to, the following: |
3 | (i) Local health departments. |
4 | (ii) Schools. |
5 | (iii) Agencies on aging. |
6 | (iv) Employer wellness programs. |
7 | (v) Physicians and other health professionals. |
8 | (vi) Hospitals. |
9 | (vii) Health plans and health maintenance |
10 | organizations. |
11 | (viii) Women's health organizations. |
12 | (ix) Nonprofit and community-based organizations. |
13 | (3) Base the program on the most current scientific |
14 | information and findings. |
15 | (4) Work with governmental entities, community and |
16 | business leaders, community organizations, health care and |
17 | human service providers and national, State and local |
18 | organizations to coordinate efforts to maximize State |
19 | resources in the areas of lupus education and awareness. |
20 | (5) Use public health institutions for dissemination of |
21 | medically sound health materials. |
22 | Section 5. Panel. |
23 | (a) Panel established.--Subject to appropriation, the |
24 | Interagency and Partnership Advisory Panel on Lupus is |
25 | established to oversee the program and advise the department in |
26 | implementing the program. The panel shall consist of the |
27 | following members, one of whom shall be appointed by the |
28 | secretary as chair: |
29 | (1) At least three individuals with lupus. |
30 | (2) Three representatives from relevant State agencies, |
|
1 | including the department. |
2 | (3) Three scientists with experience in lupus who |
3 | participate in various fields of scientific endeavor, |
4 | including, but not limited to, biomedical research, social, |
5 | translational, behavioral and epidemiological research and |
6 | public health. |
7 | (4) Two medical clinicians with experience in treating |
8 | people with lupus. |
9 | (5) Four representatives from relevant nonprofit women's |
10 | and health organizations, including one representative from a |
11 | national organization that deals with the treatment of lupus. |
12 | (b) Nominations.--Individuals and organizations may submit |
13 | nominations to the secretary to be named to the panel. |
14 | Nominations may include the following: |
15 | (1) Representatives from appropriate State departments |
16 | and agencies, such as entities with responsibility for health |
17 | disparities, public health programs, education, public |
18 | welfare and women's health programs. |
19 | (2) Health and medical professionals with expertise in |
20 | lupus. |
21 | (3) Individuals with lupus and recognized experts in the |
22 | provision of health services to women, lupus research or |
23 | health disparities. |
24 | (c) Terms.--All members of the panel shall serve terms of |
25 | two years. A member may be appointed to serve not more than two |
26 | terms, whether or not consecutive. |
27 | (d) Quorum.--A majority of the members of the panel shall |
28 | constitute a quorum. A majority vote of a quorum shall be |
29 | required for any official action of the panel. |
30 | (e) Meetings.--The panel shall meet at the call of the |
|
1 | chair, but not less than two times per year. |
2 | (f) Compensation.--All members shall serve without |
3 | compensation, but shall be entitled to actual, necessary |
4 | expenses incurred in the performance of their duties as members |
5 | of the panel in accordance with the reimbursement policies for |
6 | the State. |
7 | Section 7. Funding. |
8 | (a) Expenditures.--Subject to the availability of funds, the |
9 | department may make expenditures of up to $2,500 for fiscal year |
10 | 2010-2011 for use toward providing educational materials to |
11 | clinics serving a high percentage of minorities in this |
12 | Commonwealth. |
13 | (b) Additional funding sources.--The secretary may accept |
14 | grants, services and property from the Federal Government, |
15 | foundations, organizations, medical schools and other entities |
16 | as may be available for the purposes of fulfilling the |
17 | obligations of the program. Any such funds shall only supplement |
18 | any appropriations made for the implementation of this act. |
19 | (c) Federal waiver.--The secretary shall seek any Federal |
20 | waiver that may be necessary to maximize funds from the Federal |
21 | Government to implement the program. |
22 | Section 8. Staffing. |
23 | The department shall provide staffing and administrative |
24 | support for the implementation of this act. |
25 | Section 20. Effective date. |
26 | This act shall take effect in 60 days. |
|