Health; diseases; Michigan arthritis prevention and control

program; create.

HEALTH: Diseases; HEALTH: Disabilities

A bill to amend 1978 PA 368, entitled

"Public health code,"

(MCL 333.1101 to 333.25211) by adding part 55a.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1 PART 55A.

2 ARTHRITIS PREVENTION AND CONTROL

3 SEC. 5551. THIS PART SHALL BE KNOWN AND MAY BE CITED AS THE

4 "ARTHRITIS PREVENTION AND CONTROL ACT".

5 SEC. 5553. THE LEGISLATURE FINDS ALL OF THE FOLLOWING:

6 (A) THAT ARTHRITIS ENCOMPASSES MORE THAN 100 HUMAN DISEASES

7 AND CONDITIONS THAT AFFECT JOINTS, THE SURROUNDING TISSUES, AND

8 OTHER CONNECTIVE TISSUES.

9 (B) THAT, 1 OF THE MOST COMMON FAMILY OF DISEASES IN THE

10 UNITED STATES, ARTHRITIS AFFECTS NEARLY 1 OF EVERY 6 AMERICANS,

11 AND WILL IMPACT AN ESTIMATED 60,000,000 PEOPLE BY THE YEAR 2020.

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1 (C) THAT ARTHRITIS IS THE LEADING CAUSE OF DISABILITY IN THE

2 UNITED STATES, AND LIMITS THE DAILY ACTIVITIES OF MORE THAN

3 7,000,000 PEOPLE IN THIS COUNTRY.

4 (D) THAT ALTHOUGH PREVAILING MYTHS INACCURATELY PORTRAY

5 ARTHRITIS AS A SENIOR CITIZEN'S DISEASE, ARTHRITIS IS A MULTIGEN-

6 ERATIONAL DISEASE THAT HAS BECOME 1 OF THE COUNTRY'S MOST PRESS-

7 ING PUBLIC HEALTH PROBLEMS.

8 (E) THAT ARTHRITIS HAS A SIGNIFICANT IMPACT ON QUALITY OF

9 LIFE, NOT ONLY FOR THE INDIVIDUAL WHO EXPERIENCES ITS PAINFUL

10 SYMPTOMS AND RESULTING DISABILITY, BUT ALSO FOR FAMILY MEMBERS

11 AND CAREGIVERS.

12 (F) THAT ENORMOUS ECONOMIC AND SOCIAL COSTS ARE ASSOCIATED

13 WITH TREATING ARTHRITIS AND ITS COMPLICATIONS, ESTIMATED AT

14 ALMOST $80,000,000,000.00 ANNUALLY.

15 (G) THAT CURRENTLY, THE CHALLENGE EXISTS TO ENSURE DELIVERY

16 OF EFFECTIVE, BUT OFTEN UNDERUTILIZED, INTERVENTIONS THAT ARE

17 NECESSARY IN THE PREVENTION OR REDUCTION OF ARTHRITIS-RELATED

18 PAIN AND DISABILITY.

19 (H) THAT ALTHOUGH THERE EXISTS A LARGE QUANTITY OF PUBLIC

20 INFORMATION AND PROGRAMS ABOUT ARTHRITIS, THE INFORMATION AND

21 PROGRAMS REMAIN INADEQUATELY DISSEMINATED AND INSUFFICIENT IN

22 ADDRESSING THE NEEDS OF SPECIFIC DIVERSE POPULATIONS AND OTHER

23 UNDERSERVED GROUPS.

24 (I) THAT THE ARTHRITIS FOUNDATION, THE CENTERS FOR DISEASE

25 CONTROL AND PREVENTION, AND THE ASSOCIATION OF STATE AND TERRITO-

26 RIAL HEALTH OFFICIALS HAVE LED THE DEVELOPMENT OF A PUBLIC HEALTH

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1 STRATEGY, KNOWN AS THE NATIONAL ARTHRITIS ACTION PLAN, TO RESPOND

2 TO THIS CHALLENGE.

3 (J) THAT EDUCATING THE PUBLIC AND THE HEALTH CARE COMMUNITY

4 THROUGHOUT THE STATE ABOUT THIS DEVASTATING DISEASE IS OF PARA-

5 MOUNT IMPORTANCE AND IS IN EVERY RESPECT IN THE PUBLIC INTEREST

6 AND TO THE BENEFIT OF ALL RESIDENTS OF THIS STATE.

7 SEC. 5555. THE PURPOSES OF THIS PART ARE AS FOLLOWS:

8 (A) TO CREATE AND FOSTER A STATEWIDE PROGRAM THAT PROMOTES

9 PUBLIC AWARENESS AND INCREASES KNOWLEDGE ABOUT THE CAUSES OF

10 ARTHRITIS, THE IMPORTANCE OF EARLY DIAGNOSIS AND APPROPRIATE MAN-

11 AGEMENT, EFFECTIVE PREVENTION STRATEGIES, AND PAIN PREVENTION AND

12 MANAGEMENT.

13 (B) TO DEVELOP KNOWLEDGE AND ENHANCE UNDERSTANDING OF

14 ARTHRITIS BY DISSEMINATING EDUCATIONAL MATERIALS, INFORMATION ON

15 RESEARCH RESULTS, SERVICES PROVIDED, AND STRATEGIES FOR PREVEN-

16 TION AND CONTROL TO PATIENTS, HEALTH PROFESSIONALS, AND THE

17 PUBLIC.

18 (C) TO ESTABLISH A SOLID SCIENTIFIC BASE OF KNOWLEDGE ON THE

19 PREVENTION OF ARTHRITIS AND RELATED DISABILITY THROUGH SURVEIL-

20 LANCE, EPIDEMIOLOGY, AND PREVENTION RESEARCH.

21 (D) TO UTILIZE EDUCATIONAL AND TRAINING RESOURCES AND SERV-

22 ICES DEVELOPED BY ORGANIZATIONS WITH APPROPRIATE EXPERTISE AND

23 KNOWLEDGE OF ARTHRITIS AND TO USE AVAILABLE TECHNICAL

24 ASSISTANCE.

25 (E) TO EVALUATE THE NEED FOR IMPROVING THE QUALITY AND

26 ACCESSIBILITY OF EXISTING COMMUNITY-BASED ARTHRITIS SERVICES.

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1 (F) TO HEIGHTEN AWARENESS ABOUT THE PREVENTION, DETECTION,

2 AND TREATMENT OF ARTHRITIS AMONG STATE AND LOCAL HEALTH

3 OFFICIALS, HEALTH PROFESSIONALS AND OTHER HEALTH CARE PROVIDERS,

4 AND POLICY MAKERS.

5 (G) TO IMPLEMENT AND COORDINATE STATE AND LOCAL PROGRAMS AND

6 SERVICES TO REDUCE THE PUBLIC HEALTH BURDEN OF ARTHRITIS.

7 (H) TO ADEQUATELY FUND THE PROGRAMS DESCRIBED IN

8 SUBDIVISION (G) ON A STATE LEVEL.

9 (I) TO PROVIDE LASTING IMPROVEMENTS IN THE DELIVERY OF

10 HEALTH CARE FOR INDIVIDUALS WITH ARTHRITIS AND THEIR FAMILIES,

11 THUS IMPROVING THEIR QUALITY OF LIFE WHILE ALSO CONTAINING HEALTH

12 CARE COSTS.

13 SEC. 5557. THE DIRECTOR OF THE DEPARTMENT SHALL DO ALL OF

14 THE FOLLOWING:

15 (A) PROVIDE SUFFICIENT STAFF TO IMPLEMENT THE ARTHRITIS PRE-

16 VENTION AND CONTROL PROGRAM.

17 (B) PROVIDE APPROPRIATE TRAINING FOR THE STAFF OF THE

18 ARTHRITIS PREVENTION AND CONTROL PROGRAM.

19 (C) IDENTIFY THE APPROPRIATE ORGANIZATIONS TO CARRY OUT THE

20 PROGRAM.

21 (D) BASE THE PROGRAM ON THE MOST CURRENT SCIENTIFIC INFORMA-

22 TION AND FINDINGS.

23 (E) WORK TO INCREASE AND IMPROVE COMMUNITY-BASED SERVICES

24 AVAILABLE TO PEOPLE WITH ARTHRITIS AND THEIR FAMILY MEMBERS.

25 (F) WORK WITH GOVERNMENTAL OFFICES, NATIONAL VOLUNTARY

26 HEALTH ORGANIZATIONS AND THEIR LOCAL CHAPTERS, COMMUNITY AND

27 BUSINESS LEADERS, COMMUNITY ORGANIZATIONS, AND HEALTH CARE AND

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1 HUMAN SERVICE PROVIDERS TO COORDINATE EFFORTS AND MAXIMIZE STATE

2 RESOURCES IN THE AREAS OF PREVENTION, EDUCATION, DETECTION, PAIN

3 MANAGEMENT, AND TREATMENT OF ARTHRITIS.

4 (G) IDENTIFY AND, WHEN APPROPRIATE, USE EVIDENCE-BASED

5 ARTHRITIS PROGRAMS AND OBTAIN RELATED MATERIALS AND SERVICES FROM

6 ORGANIZATIONS WITH APPROPRIATE EXPERTISE AND KNOWLEDGE OF

7 ARTHRITIS.

8 SEC. 5559. (1) THE DEPARTMENT SHALL ESTABLISH, PROMOTE, AND

9 MAINTAIN AN ARTHRITIS PREVENTION AND CONTROL PROGRAM IN ORDER TO

10 RAISE PUBLIC AWARENESS, EDUCATE CONSUMERS, EDUCATE AND TRAIN

11 HEALTH PROFESSIONALS, TEACHERS, AND HUMAN SERVICES PROVIDERS, AND

12 FOR OTHER PURPOSES.

13 (2) THE DEPARTMENT SHALL CONDUCT A NEEDS ASSESSMENT TO IDEN-

14 TIFY ALL OF THE FOLLOWING, AS IT RELATES TO ARTHRITIS:

15 (A) EPIDEMIOLOGICAL AND OTHER PUBLIC HEALTH RESEARCH BEING

16 CONDUCTED WITHIN THE STATE.

17 (B) AVAILABLE TECHNICAL ASSISTANCE AND EDUCATIONAL MATERIALS

18 AND PROGRAMS NATIONWIDE AND WITHIN THE STATE.

19 (C) THE LEVEL OF PUBLIC AND PROFESSIONAL ARTHRITIS

20 AWARENESS.

21 (D) THE NEEDS OF PEOPLE IN THIS STATE WITH ARTHRITIS, THEIR

22 FAMILIES, AND CAREGIVERS.

23 (E) EDUCATIONAL AND SUPPORT SERVICE NEEDS OF HEALTH CARE

24 PROVIDERS, INCLUDING, BUT NOT LIMITED TO, PHYSICIANS, NURSES, AND

25 MANAGED CARE ORGANIZATIONS.

26 (F) THE SERVICES AVAILABLE TO A PERSON WITH ARTHRITIS.

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1 (G) THE EXISTENCE OF ARTHRITIS TREATMENT, SELF-MANAGEMENT,

2 PHYSICAL ACTIVITY, AND OTHER EDUCATION PROGRAMS.

3 (H) THE EXISTENCE OF REHABILITATION SERVICES.

4 (3) THE DEPARTMENT SHALL ESTABLISH AND COORDINATE AN

5 ADVISORY PANEL ON ARTHRITIS THAT WILL PROVIDE NONGOVERNMENTAL

6 INPUT REGARDING THE ARTHRITIS PREVENTION AND CONTROL PROGRAM.

7 MEMBERSHIP SHALL INCLUDE, BUT IS NOT LIMITED TO, PERSONS WITH

8 ARTHRITIS, PUBLIC HEALTH EDUCATORS, MEDICAL EXPERTS ON ARTHRITIS,

9 PROVIDERS OF ARTHRITIS HEALTH CARE, PERSONS KNOWLEDGEABLE IN

10 HEALTH PROMOTION AND EDUCATION, AND REPRESENTATIVES OF NATIONAL

11 ARTHRITIS ORGANIZATIONS AND THEIR LOCAL CHAPTERS.

12 (4) THE DEPARTMENT SHALL USE, BUT IS NOT LIMITED TO, STRATE-

13 GIES CONSISTENT WITH THE NATIONAL ARTHRITIS ACTION PLAN, THE

14 MICHIGAN ARTHRITIS ACTION PLAN, AND OTHER EXISTING STATE PLANNING

15 EFFORTS TO RAISE PUBLIC AWARENESS AND KNOWLEDGE ON THE CAUSES AND

16 NATURE OF ARTHRITIS, PERSONAL RISK FACTORS, VALUE OF PREVENTION

17 AND EARLY DETECTION, WAYS TO MINIMIZE PREVENTABLE PAIN, AND

18 OPTIONS FOR DIAGNOSING AND TREATING THE DISEASE.

19 (5) THE DEPARTMENT MAY REPLICATE AND USE SUCCESSFUL ARTHRI-

20 TIS PROGRAMS AND ENTER INTO CONTRACTS AND/OR PURCHASE MATERIALS

21 OR SERVICES FROM ENTITIES WITH APPROPRIATE EXPERTISE FOR SUCH

22 SERVICES AND MATERIALS AS ARE NECESSARY TO CARRY OUT THE GOALS OF

23 THE ARTHRITIS PREVENTION AND CONTROL PROGRAM.

24 (6) THE DEPARTMENT MAY ENTER INTO AN AGREEMENT WITH 1 OR

25 MORE NATIONAL ORGANIZATIONS WITH EXPERTISE IN ARTHRITIS TO IMPLE-

26 MENT PARTS OF THE ARTHRITIS PREVENTION AND CONTROL PROGRAM.

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1 SEC. 5561. (1) THE DIRECTOR MAY ACCEPT GRANTS, SERVICES,

2 AND PROPERTY FROM THE FEDERAL GOVERNMENT AND FROM PRIVATE

3 FOUNDATIONS, ORGANIZATIONS, MEDICAL SCHOOLS, AND OTHER ENTITIES

4 AS MAY BE AVAILABLE FOR THE PURPOSES OF FULFILLING THE OBLIGA-

5 TIONS OF THE ARTHRITIS PREVENTION AND CONTROL PROGRAM.

6 (2) THE DIRECTOR SHALL SEEK A FEDERAL WAIVER OR WAIVERS THAT

7 MAY BE NECESSARY TO MAXIMIZE FUNDS RECEIVED FROM THE FEDERAL GOV-

8 ERNMENT TO IMPLEMENT THE ARTHRITIS PREVENTION AND CONTROL

9 PROGRAM.

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