Aging Committee
Filed: 03/04/04
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1 | AMENDMENT TO HOUSE BILL 4475
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2 | 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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5 | "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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1 | "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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21 | (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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29 | (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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1 | 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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11 | 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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26 | 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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1 | 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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11 | 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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1 | 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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1 | (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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1 | 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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25 | (30 ILCS 105/5.625 new)
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26 | Sec. 5.625. The Alzheimer's Disease Center Clinical Fund. | ||||||
27 | (30 ILCS 105/5.626 new)
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28 | Sec. 5.626. The Alzheimer's Disease Center Expanded |
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1 | Clinical Fund. | ||||||
2 | (30 ILCS 105/5.627 new)
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3 | 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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9 | "Section 99. Effective date. This Act takes effect upon | ||||||
10 | becoming law.".
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