Bill Text: IA SF277 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to palliative care and quality-of-life services and education, and including effective date provisions.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-02-21 - Subcommittee: Segebart, Garrett, and Mathis. S.J. 371. [SF277 Detail]
Download: Iowa-2017-SF277-Introduced.html
Senate File 277 - Introduced SENATE FILE BY SEGEBART A BILL FOR 1 An Act relating to palliative care and quality=of=life services 2 and education, and including effective date provisions. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 1625XS (7) 87 pf/nh PAG LIN 1 1 Section 1. NEW SECTION. 231G.1 Definitions. 1 2 As used in this chapter, unless the context otherwise 1 3 requires: 1 4 1. "Appropriate" means consistent with applicable legal, 1 5 health, and professional standards, the patient's clinical and 1 6 other circumstances, and the patient's reasonably known wishes 1 7 and beliefs. 1 8 2. "Department" means the department on aging. 1 9 3. "Medical care" means services provided, requested, 1 10 or supervised by a physician or advanced registered nurse 1 11 practitioner. 1 12 4. "Palliative care" means patient=centered and 1 13 family?centered medical care that optimizes quality of life by 1 14 anticipating, preventing, and treating the suffering caused by 1 15 serious illness. "Palliative care" includes but is not limited 1 16 to discussion of the patient's goals for treatment; discussion 1 17 of treatment options appropriate to the patient, including, 1 18 where appropriate, hospice care; and comprehensive pain and 1 19 symptom management. "Palliative care" involves, throughout the 1 20 continuum of illness, the addressing of physical, emotional, 1 21 social, and spiritual needs while facilitating patient 1 22 autonomy, access to information, and choice. 1 23 5. "Serious illness" means any medical illness or physical 1 24 injury or condition that substantially impacts a patient's 1 25 quality of life for more than a short period of time. "Serious 1 26 illness" includes but is not limited to cancer, heart, renal, 1 27 or liver failure, lung disease, and Alzheimer's disease and 1 28 related dementias. 1 29 Sec. 2. NEW SECTION. 231G.2 Palliative care and quality of 1 30 life interdisciplinary advisory council established ==== membership 1 31 ==== duties. 1 32 1. By October 1, 2017, the department shall establish 1 33 within the department a palliative care and quality of life 1 34 interdisciplinary advisory council to consult with and advise 1 35 the department on matters related to the establishment, 2 1 maintenance, operation, and evaluation of outcomes of 2 2 palliative care initiatives in the state. The department shall 2 3 partner with a nationally affiliated nonprofit organization 2 4 that strives to eliminate cancer in administering the council. 2 5 2. a. The director of the department shall appoint 2 6 the members of the advisory council which shall include 2 7 representatives with interdisciplinary palliative care medical, 2 8 nursing, social work, pharmacy, or spiritual professional 2 9 expertise; patient and family caregiver advocates; and any 2 10 other members the director determines appropriate. 2 11 b. The membership shall specifically include health 2 12 professionals having palliative care work experience or 2 13 expertise in palliative care delivery models in a variety 2 14 of inpatient, outpatient, and community settings and with a 2 15 variety of populations including pediatric, youth, and adult 2 16 populations. At least two advisory council members shall be 2 17 Medicare=certified hospice and palliative medicine physicians 2 18 or nurses. One member shall be a representative of a health 2 19 insurance carrier. 2 20 3. Advisory council members shall serve for a period of 2 21 three years and shall serve at the pleasure of the director of 2 22 the department. 2 23 4. The members shall elect a chairperson and vice 2 24 chairperson annually. A majority of the members of the 2 25 advisory council shall constitute a quorum. 2 26 5. The advisory council shall meet at least twice annually. 2 27 6. Advisory council members shall not receive compensation 2 28 for their services, but are eligible for reimbursement of 2 29 actual and necessary expenses incurred in the performance of 2 30 their official duties. 2 31 Sec. 3. NEW SECTION. 231G.3 Palliative care consumer and 2 32 professional information and education program. 2 33 1. By October 1, 2017, the department shall establish 2 34 within the department a palliative care consumer and 2 35 professional information and education program to maximize 3 1 the effectiveness of palliative care initiatives in the state 3 2 by ensuring that comprehensive and accurate information and 3 3 education about palliative care is available to the public, 3 4 health care providers, and health care facilities. The 3 5 department shall consult with the palliative care and quality 3 6 of life interdisciplinary advisory council in developing and 3 7 administering the program. 3 8 2. The department shall publish on its internet site 3 9 information about and resources for palliative care for the 3 10 public, health care providers, and health care facilities, 3 11 including links to external resources. Such information 3 12 shall include but is not limited to continuing education 3 13 opportunities for health care providers; information about 3 14 palliative care delivery in the home, and in primary, 3 15 secondary, and tertiary environments; best practices for 3 16 palliative care delivery; and consumer educational materials 3 17 and referral information for palliative care, including 3 18 hospice. 3 19 3. The department may develop and implement any other 3 20 initiatives regarding palliative care services and education 3 21 the department determines would further the purposes of the 3 22 program. 3 23 Sec. 4. EFFECTIVE UPON ENACTMENT. This Act, being deemed of 3 24 immediate importance, takes effect upon enactment. 3 25 EXPLANATION 3 26 The inclusion of this explanation does not constitute agreement with 3 27 the explanation's substance by the members of the general assembly. 3 28 This bill relates to palliative care and quality of life 3 29 services and education, and establishes a palliative care 3 30 and quality of life interdisciplinary advisory council and 3 31 a palliative care consumer and professional information and 3 32 education program within the department on aging (IDA). 3 33 The bill provides definitions including "medical care", 3 34 "palliative care", and "serious illness" for the purposes of 3 35 the bill. 4 1 The bill directs IDA to establish a palliative care and 4 2 quality of life interdisciplinary advisory council by October 4 3 1, 2017, to consult with and advise the department on matters 4 4 related to the establishment, maintenance, operation, and 4 5 evaluation of outcomes of palliative care initiatives in 4 6 the state. The department is to partner with a nationally 4 7 affiliated nonprofit organization that strives to eliminate 4 8 cancer in administering the council. The bill directs the 4 9 director of IDA to appoint the members of the council which 4 10 shall include representatives with interdisciplinary palliative 4 11 care medical, nursing, social work, pharmacy, or spiritual 4 12 professional expertise; patient and family caregiver advocates; 4 13 and any other members the director determines appropriate. The 4 14 membership shall specifically include health professionals 4 15 having palliative care work experience or expertise in 4 16 palliative care delivery models in a variety of inpatient, 4 17 outpatient, and community settings and with a variety of 4 18 populations including pediatric, youth, and adult populations, 4 19 at least two Medicare=certified hospice and palliative medicine 4 20 physicians or nurses, and one member who represents health 4 21 insurance carriers. 4 22 The bill also directs IDA to establish a palliative 4 23 care consumer and professional information and education 4 24 program in the department by October 1, 2017, to maximize the 4 25 effectiveness of palliative care initiatives in the state 4 26 to ensure that comprehensive and accurate information and 4 27 education about palliative care is available to the public, 4 28 health care providers, and health care facilities. IDA is 4 29 directed to consult with the palliative care and quality 4 30 of life interdisciplinary advisory council in developing 4 31 and administering the program. IDA shall publish on its 4 32 internet site information about and resources for palliative 4 33 care for the public, health care providers, and health care 4 34 facilities, including links to external resources. The bill 4 35 authorizes IDA to develop and implement any other initiatives 5 1 regarding palliative care services and education the department 5 2 determines would further the purposes of the program. 5 3 The bill takes effect upon enactment. LSB 1625XS (7) 87 pf/nh
