Cardiovascular disease and diabetes initiative.

WORKING DRAFT
2009
STATE OF
WYOMING
09LSO-0467

HOUSE BILL
NO.
HB0266

C
ardiovascular disease
and diabetes
initiative.

Sponsored by:
Representative(s) Zwonitzer, Dn.

A BILL

for

AN ACT relating to
public health; creating the
cardiovascular
education and outreach initiative
program
; providing for a comprehensive diabetes and diabetes related cardiovascular disease education and control program; providing for screening and preventive treatment for diabetes and diabetes related cardiovascular disease as necessary support of the poor; authorizing positions;
providing for the repeal of the program;
requiring reports;
providing an appropriation;
and providing for an effective date.

Be It Enacted by the Legislature of the State of
Wyoming
:

Section 1.

W.S. 35
‑
25
‑
301 through 35
‑
25
‑
304 are created to read:

ARTICLE 3
CARDIOVASCULAR DISEASE
EDUCATION AND OUTREACH INITIATIVE

35
‑
25
‑
301.

Short title.

This
article
shall be known and may be cited as the "
Cardiovascular Disease
Education and Outreach Initiative Act
"
.

35
‑
25
‑
302.

Cardiovascular
d
isease
education
and outreach
program
.

(a)

The department
of health
shall develop a comprehensive
cardiovascular
education and outreach

program
. The goal
of the
program

shall be to reduce
, through education, prevention and behavior change,
the number of people
with diabetes who are at risk for developing cardiovascular disease.

F
or those individuals who are diagnosed with
diabetes
, the goal shall be to provide diagnostic, therapeutic and
behavioral
interventions that are evidence based
and
scientifically proven. The comprehensive
cardiovascular disease
education and outreach

program

shall include
the following features
:

(i)

An education
and outreach
component to demonstrate the interaction of heart disease
and diabetes
and steps a person
can take to prevent both conditions;

(ii)

Evidence based early detection, screening, diagnosis and treatment
of diabetes related cardiovascular disease
;

(
iii)

Research and data collection
, including the development and use of a computer software based quality care monitoring system that is made available to health care providers, diabetes educators and cardiac rehabilitation facilities for the monitoring of diabetes patient care and collection of data related to blood pressure, blood lipids and glucosylated hemoglobin levels
;

(iv)

Intervention using a team approach with a team comprised of a registered nurse, registered dietician and a specialist in data collection and analysis
;

(v)

Use of Internet based or closed circuit video systems to disseminate informa
tion regarding new, scientifically based methods of
diabetes management and cardiovascular disease prevention
;

(vi)

To the extent appropriate, coordinat
ion
with and use
of
any educational or other supportive programs of
nationally recognized heart
and diabetes
associations
.

(b)

In financing and implementing the program established pursuant to subsection (a) of this section the department shall
coordinate with and
consider the use of the Medicaid program
, the child health insurance program and any other state funded program providing health care or health education
. This section does not constitute authorization to expand the services and eligibilities of the Medicaid program which requires specific legislative authorization. The department may recommend such authorization where appropriate.

(c)

The department may contract with one (1) or more third parties to develop and implement the
program
authorized by this section. Any contract awarded under this section shall be awarded on the basis of competitive bids and shall include specific requirements relating to outcome based evaluation.

(d)

Subject to the restriction of subsection (b) of this section, the department may accept state, federal, local and nongovernmental funds for developing and implementing the
program
established pursuant to this section.

35
‑
25
‑
303.

Rulemaking authority
; legislative report.

(a)

The department shall, in accordance with the Wyoming Administrative Procedure Act, promulgate rules and regulations as appropriate to implement this
article
.

(
b
)

The department shall
annually
report on its activities, program outcomes, conclusions and goals under this
article
to the joint labor, health and social services interim committee and the joint appropriations interim committee. The report shall be due
by
October 1 of
each
year.

35
‑
25
‑
304.

Repeal.

This article is repealed effective July 1, 201
2
.

Section
2
.

(a)

There is appropriated
two hundred seventy
-
five thousand dollars ($275,000.00)
from the
tobacco settlement income account
to the department
of health
. This appropriation shall be for the period beginning with the effective date of this act and ending June 30, 2010. This appropriation shall only be expended for the purpose of
the
cardiovascular
education and outreach initiative created by this act
. Notwithstanding any other provision of law, this appropriation shall not be transferred or expended for any other purpose and any unexpended, unobligated funds remaining from this appropriation shall revert as provided by law on June 30, 2010.
An amount equal to two (2)

times t
his appropriation shall be included in the department's 2011-2012 standard biennial budget request.

(b)

The department of health is authorized three (3)
at-will
contract positions for the purposes of this act.

Section
3
.

This act is effective July 1, 2009.

(END)

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HB0266