Full Text of HB4475 93rd General Assembly
HB4475ham001 93RD GENERAL ASSEMBLY
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Aging Committee
Filed: 03/04/04
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09300HB4475ham001 |
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LRB093 19565 RCE 48541 a |
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| AMENDMENT TO HOUSE BILL 4475
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| AMENDMENT NO. ______. Amend House Bill 4475 by replacing | 3 |
| lines 4 through 30 on page 1 and lines 1 through 25 on page 2 | 4 |
| with the following:
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| "Section 1. Short title. This Act may be cited as the | 6 |
| Excellence in Alzheimer's Disease Center Treatment Act. | 7 |
| Section 5. Purpose. This Act is intended to maintain and | 8 |
| enhance excellence in Alzheimer's disease treatment in | 9 |
| Illinois in order to develop strategies to treat and prevent | 10 |
| Alzheimer's disease in Illinois and across the United States, | 11 |
| ensure that all Illinois citizens obtain the highest quality | 12 |
| clinical care for Alzheimer's disease and other dementias, | 13 |
| reduce the enormous societal cost of this disease, ensure that | 14 |
| Illinois is a national center for Alzheimer's disease research, | 15 |
| and maintain and enhance Illinois' ability to attract | 16 |
| additional federal and private research funding. | 17 |
| Section 15. Definitions. As used in this Act: | 18 |
| "Academic medical center hospital" means a hospital | 19 |
| located in Illinois that is either (i) under common ownership | 20 |
| with the college of medicine of a college or university or (ii) | 21 |
| a free-standing hospital in which the majority of the clinical | 22 |
| chiefs of service are department chairmen in an affiliated | 23 |
| medical school.
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| "Qualified Academic Medical Center Hospital - Pre 1996 | 2 |
| Designation" means any academic medical center hospital that | 3 |
| was designated by the National Institutes of Health and | 4 |
| National Institutes on Aging as an Alzheimer's Disease Core (or | 5 |
| Research) Center prior to calendar year 1996. | 6 |
| "Qualified Academic Medical Center Hospital - Post 1996 | 7 |
| Designation" means any academic medical center hospital that | 8 |
| was designated by the National Institutes of Health and | 9 |
| National Institutes on Aging as an Alzheimer's Disease Core (or | 10 |
| Research) Center in or after calendar year 1996 through | 11 |
| calendar year 2003. | 12 |
| Section 20. Funds created. | 13 |
| (a) The Alzheimer's Disease Center Clinical Fund is created | 14 |
| as a special fund in the State treasury, to which the General | 15 |
| Assembly shall from time to time appropriate funds and from | 16 |
| which the Comptroller shall pay amounts as authorized by law. | 17 |
| The amount appropriated to this Fund for any State fiscal year | 18 |
| after fiscal year 2004 shall not be less than 72.7% of the | 19 |
| total amount that was appropriated to the Department of Public | 20 |
| Aid for Alzheimer's Disease care in fiscal year 2004.
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| (b) The Alzheimer's Disease Center Expanded Clinical Fund | 22 |
| is created as a special fund in the State treasury, to which | 23 |
| the General Assembly shall from time to time appropriate funds | 24 |
| and from which the Comptroller shall pay amounts as authorized | 25 |
| by law. The amount appropriated to this Fund for any State | 26 |
| fiscal year after fiscal year 2004 shall not be less than 27.3% | 27 |
| of the total amount that was appropriated to the Department of | 28 |
| Public Aid for Alzheimer's Disease care in fiscal year 2004.
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| (c) The Alzheimer's Disease Center Independent Clinical | 30 |
| Fund is created as a special fund in the State treasury, to | 31 |
| which the General Assembly shall from time to time appropriate | 32 |
| funds and from which the Comptroller shall pay amounts as | 33 |
| authorized by law. |
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LRB093 19565 RCE 48541 a |
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| Section 25. The Alzheimer's Disease Center Clinical Fund. | 2 |
| (a) Each institution defined as a Qualified Academic | 3 |
| Medical Center Hospital - Pre 1996 Designation shall be | 4 |
| eligible for payments from the Alzheimer's Disease Center | 5 |
| Clinical Fund. | 6 |
| (b) Appropriations allocated to this Fund shall be divided | 7 |
| equally among the qualifying hospitals. | 8 |
| (c) One quarter of the amount payable to each qualified | 9 |
| institution shall be paid on the fifteenth working day after | 10 |
| July 1, October 1, January 1, and March 1.
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| Section 30. The Alzheimer's Disease Center Expanded | 12 |
| Clinical Fund. | 13 |
| (a) Each institution defined as a Qualified Academic | 14 |
| Medical Center Hospital - Pre 1996 Designation or as a | 15 |
| Qualified Academic Medical Center Hospital - Post 1996 | 16 |
| Designation shall be eligible for payments from the Alzheimer's | 17 |
| Disease Center Expanded Clinical Fund. | 18 |
| (b) Appropriations allocated to this Fund shall be divided | 19 |
| equally among the qualifying hospitals. A Qualified Academic | 20 |
| Medical Center Hospital that qualifies under both the Pre and | 21 |
| Post Designation description is counted as one hospital for | 22 |
| payment purposes under this Section. | 23 |
| (c) One quarter of the amount payable to each qualified | 24 |
| institution shall be paid on the fifteenth working day after | 25 |
| July 1, October 1, January 1, and March 1.
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| Section 35. The Alzheimer's Disease Center Independent | 27 |
| Clinical Fund. | 28 |
| (a) Each institution defined as a Qualified Academic | 29 |
| Medical Center Hospital - Pre 1996 Designation or as a | 30 |
| Qualified Academic Medical Center Hospital - Post 1996 | 31 |
| Designation shall be eligible for payments from the Alzheimer's |
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| Disease Center Expanded Clinical Fund. | 2 |
| (b) Appropriations allocated to this Fund shall be | 3 |
| allocated to specific Qualified Academic Medical Center | 4 |
| Hospitals (either Pre 1996 or Post 1996 Designation) for | 5 |
| specific and unique clinical/research projects. The payment | 6 |
| amounts to each qualifying institution shall be determined by | 7 |
| the General Assembly | 8 |
| (c) One quarter of the amount payable to each qualified | 9 |
| institution shall be paid on the fifteenth working day after | 10 |
| July 1, October 1, January 1, and March 1.
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| Section 40. Use of funds. Funds shall be used for the | 12 |
| following 6 general purposes: | 13 |
| (1) Clinical Care. Funds disbursed to each Qualified | 14 |
| Academic Medical Center Hospital (either Pre 1996 or Post | 15 |
| 1996 Designation) must be used to support clinical care for | 16 |
| affected persons and their families. In addition to | 17 |
| providing clinical care, the Qualified Academic Medical | 18 |
| Center Hospitals (either Pre 1996 or Post 1996 Designation) | 19 |
| shall serve as models of multi-disciplinary diagnostic and | 20 |
| treatment facilities for Alzheimer's disease and other | 21 |
| dementias. The clinical activities may include, but are not | 22 |
| limited, to (A) supporting multi-disciplinary clinical | 23 |
| staff (for example, nurses and social workers) for | 24 |
| counseling, family planning, legal advice, and advanced | 25 |
| directives, and (B) community screening and referral | 26 |
| programs. | 27 |
| (2) Underserved Community Outreach. Funds disbursed to | 28 |
| each Qualified Academic Medical Center Hospital (either | 29 |
| Pre 1996 or Post 1996 Designation) must be used to support | 30 |
| some type of outreach program in underserved communities | 31 |
| (for example, racial or ethnic minorities, low income, or | 32 |
| rural whites). The exact nature of the programs should take | 33 |
| advantage of the expertise and location of each Qualified |
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LRB093 19565 RCE 48541 a |
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| Academic Medical Center Hospital (either Pre 1996 or Post | 2 |
| 1996 Designation). | 3 |
| (3) Research. Funds disbursed to each Qualified | 4 |
| Academic Medical Center Hospital (either Pre 1996 or Post | 5 |
| 1996 Designation) must be used to support research on aging | 6 |
| and dementia. The research activities should be aimed | 7 |
| primarily at the treatment and prevention of disease. The | 8 |
| research activities may be clinical or experimental | 9 |
| studies on human subjects or they may be basic science | 10 |
| laboratory projects on animals or cell cultures. The | 11 |
| research activities may include, but are not limited, to | 12 |
| (A) defined projects, (B) obtaining pilot data to support | 13 |
| external funding, (C) matching funds for externally funded | 14 |
| studies, (D) research infrastructure support for clinical | 15 |
| trials, epidemiologic studies, experimental studies, or | 16 |
| wet laboratory studies. | 17 |
| (4) Education. Funds disbursed to each Qualified | 18 |
| Academic Medical Center Hospital (either Pre 1996 or Post | 19 |
| 1996 Designation) must be used to support education | 20 |
| regarding aging and dementia. These centers must address | 21 |
| the problems posed by aging and dementia. The educational | 22 |
| activities may include, but are not limited, to (A) | 23 |
| programs for physicians, nurses, and social workers (for | 24 |
| example, primary provider program), (B) programs for | 25 |
| administrators, activity directors, nurses and nurses | 26 |
| assistants in nursing homes, retirement facilities, senior | 27 |
| housing, and social service agencies (for example, ASSIST | 28 |
| Networks), (C) training physicians and allied health | 29 |
| professional of the future (for example, fellowships, | 30 |
| residency, medical students, nursing students, and social | 31 |
| work students), (D) newsletters, Websites, manuals, and | 32 |
| other written and electronic educational materials, and | 33 |
| (E) conferences and lectures for professionals and | 34 |
| non-professionals. |
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| (5) Brain Bank. Funds should be used by each Qualified | 2 |
| Academic Medical Center Hospital (either Pre 1996 or Post | 3 |
| 1996 Designation) to support a brain banking program. The | 4 |
| exact nature of the programs should take advantage of the | 5 |
| expertise, interests, and needs of investigators at each | 6 |
| Qualified Academic Medical Center Hospital (either Pre | 7 |
| 1996 or Post 1996 Designation). The program could be for | 8 |
| research purposes, post-mortem diagnostic services, or | 9 |
| some combination. | 10 |
| (6) Administration. Funds, as needed, may be used to | 11 |
| cover administrative costs, facility costs (for example, | 12 |
| rent), and other costs commonly incurred by clinical, | 13 |
| research, and educational programs according to the local | 14 |
| rules governing each Qualified Academic Medical Center | 15 |
| Hospital (either Pre 1996 or Post 1996 Designation). | 16 |
| Section 45. Payment of funds. The Comptroller shall | 17 |
| disburse all funds appropriated to the Alzheimer's Disease | 18 |
| Center Clinical Fund, the Alzheimer's Disease Center Expanded | 19 |
| Clinical Fund, and the Alzheimer's Disease Center Independent | 20 |
| Clinical Fund to the appropriate Qualified Academic Medical | 21 |
| Center Hospitals (either Pre 1996 or Post 1996 Designation) as | 22 |
| the funds are appropriated by the General Assembly and come due | 23 |
| under this Act. The payment of these funds shall be made | 24 |
| directly to the Qualified Academic Medical Center Hospital | 25 |
| (either Pre 1996 or Post 1996 Designation) due the funds. | 26 |
| Section 50. Reporting requirements. Qualified Academic | 27 |
| Medical Center Hospitals (either Pre 1996 or Post 1996 | 28 |
| Designation) receiving payments from the Alzheimer's Disease | 29 |
| Center Clinical Fund, the Alzheimer's Disease Center Expanded | 30 |
| Clinical Fund, or the Alzheimer's Disease Center Independent | 31 |
| Clinical Fund shall submit reports to the Department of Public | 32 |
| Health and the ADA Advisory Committee. The ADA Advisory |
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LRB093 19565 RCE 48541 a |
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| Committee, in consultation with the Qualified Academic Medical | 2 |
| Center Hospitals (either Pre 1996 or Post 1996 Designation), | 3 |
| shall determine the report contents and the date when it shall | 4 |
| be submitted. | 5 |
| Section 55. Payment methodology. The Department of Public | 6 |
| Aid, in consultation with the Alzheimer's Disease Advisory | 7 |
| Committee and the Department of Public Health, shall develop a | 8 |
| reimbursement methodology consistent with this Act for | 9 |
| distribution of all moneys from the funds in a manner that | 10 |
| would help ensure these funds could be matchable under Title | 11 |
| XIX of the Social Security Act. The Department of Public Aid | 12 |
| shall promulgate rules necessary to make payments to the | 13 |
| Qualifying Academic Medical Center Hospitals (either Pre 1996 | 14 |
| or Post 1996 Designation). | 15 |
| Section 60. Reimbursements of payments by the State. | 16 |
| Nothing in this Act may be used to reduce reimbursements or | 17 |
| payments by the State to a Qualifying Academic Medical Center | 18 |
| Hospital (either Pre 1996 or Post 1996 Designation) under any | 19 |
| other Act. | 20 |
| Section 65. Contravention of law. Funds received under this | 21 |
| Act shall not be used in contravention of any law of this | 22 |
| State. | 23 |
| Section 90. The State Finance Act is amended by adding | 24 |
| Sections
5.625, 5.626, and 5.627 as follows:
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| (30 ILCS 105/5.625 new)
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| Sec. 5.625. The Alzheimer's Disease Center Clinical Fund. | 27 |
| (30 ILCS 105/5.626 new)
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| Sec. 5.626. The Alzheimer's Disease Center Expanded |
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LRB093 19565 RCE 48541 a |
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| Clinical Fund. | 2 |
| (30 ILCS 105/5.627 new)
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| Sec. 5.627. The Alzheimer's Disease Center Independent | 4 |
| Clinical Fund. "; and | 5 |
| on page 2, line 26 by changing "15" to "91"; and | 6 |
| on page 5, line 14 by changing " Academic Medicine " to | 7 |
| " Alzheimer's Disease Center Treatment "; and | 8 |
| on page 5, by inserting after line 21 the following:
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| "Section 99. Effective date. This Act takes effect upon | 10 |
| becoming law.".
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