BILL REQ. #:  S-0849.1 



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SENATE BILL 5495
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State of Washington58th Legislature2003 Regular Session

By Senators Keiser, Fraser and Kline

Read first time 01/28/2003.   Referred to Committee on Health & Long-Term Care.



     AN ACT Relating to creating the environmental health tracking system; and adding a new chapter to Title 70 RCW.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

NEW SECTION.  Sec. 1   The legislature finds and declares that:
     (1) There currently exist several health and environmental data bases maintained by the state. However, there is little or no coordination between the use and analysis of these data as they pertain to environmental health issues or accessibility of this information by interested parties and researchers. In its fight against chronic diseases, including birth defects, that are related to the environment, the state must give communities and public health professionals solid, reliable information, which is the most basic tool with which to undertake the prevention of these diseases.
     (2) Analysis of available data used to track and monitor chronic diseases is critical to all of the following:
     (a) Knowing where and how to put in place the most effective strategies to prevent diseases;
     (b) Assessing the contribution of diseases to disabilities and premature mortality;
     (c) Measuring the effectiveness of prevention strategies; and
     (d) Generating hypotheses that may lead to new scientific knowledge about the causes of, and most effective ways to fight, chronic diseases.
     (3) State government agencies and universities are the appropriate and necessary institutions to examine whether or not, and, if so, the extent to which, past environmental exposures might increase the risk of chronic diseases, including, but not limited to, birth defects, diabetes, heart disease, thyroid disease, reproductive disorders, cancer, asthma and other respiratory conditions, Parkinson's disease, Alzheimer's disease, and other neurologically degenerative diseases.
     (4) The initial investment to establish the environmental health tracking system, including an analysis of infrastructure to develop preventive strategies, would constitute a small fraction of the annual costs of controlling chronic diseases in the state.

NEW SECTION.  Sec. 2   It is the intent of the legislature in creating the environmental health tracking system to form a partnership to do all of the following:
     (1) Provide a continually updated data base, with linkages to the survey, biomonitoring, and disease data collected under section 3 of this act, in order to assess the impact of environmental contaminants on the human body;
     (2) On an ongoing basis, track and evaluate a variety of chronic diseases in relation to environmental exposures, including state and local data on actual incidences of chronic disease;
     (3) Make the data available to the public in an accessible and useful format; and
     (4) Ultimately provide the data to the relevant board, division, or office within the department of health, the department of ecology, the department of labor and industries, and the University of Washington school of public health for the development of appropriate preventive strategies.

NEW SECTION.  Sec. 3   (1) The environmental health tracking system is established in the department of health. The purpose of the environmental health tracking system is to monitor environmental exposures and chronic diseases affecting residents of the state. The department of health is directed to cooperate with the department of ecology, the department of labor and industries, and the University of Washington school of public health in establishing the environmental health tracking system.
     (2) The objectives of the environmental health tracking system are as follows:
     (a) To track and evaluate a variety of chronic diseases in relation to environmental exposures;
     (b) To allow both government and university investigators and public health officials to assess the impact of environmental contaminants on the human body; and
     (c) To provide information to the department of health, the department of ecology, the department of labor and industries, and the University of Washington school of public health for the development of appropriate preventive strategies.
     (3) To examine the relationships between chronic diseases and the environment, using, to the maximum extent possible, existing health and environmental data, the department of health, based upon the recommendations of the working group established under subsection (4) of this section, shall:
     (a) On an ongoing basis, survey a cross section of the overall population of the state, including, to the extent possible, regional data to assess geographic variation, including chronically ill patients, and their environmental exposures;
     (b) On a continuing and periodic basis, conduct biomonitoring for a cross section of the population, including, to the extent possible, regional data to assess geographic variation; and
     (c) On an ongoing basis, link data created by the surveys and biomonitoring activities to other health and environmental data bases, such as birth certificates, neonatal blood tests, records of hospital admissions, records of emergency room visits, and mortality data.
     (4) On or before September 1, 2004, the department of health, in consultation with the department of ecology, the department of labor and industries, and the University of Washington school of public health, shall create a working group of technical experts, including experts who have knowledge of the sensitivity and exposure of children, women of child-bearing age, seniors, and disparately affected populations to environmental hazards, to do all of the following:
     (a) Develop possible approaches to implementing the environmental health tracking system, including an estimated cost for each approach;
     (b) On or before September 1, 2005, prepare and submit a report to the department of health, the department of ecology, the department of labor and industries, the University of Washington school of public health, and the legislative committees with jurisdiction on the possible approaches to implementing an environmental health tracking system for the state; and
     (c) Determine the health and environmental criteria needed to examine the relationship between chronic diseases, including birth defects, and the environment.
     (5) On or before January 1, 2006, the department of health shall adopt and implement the approach recommended by the working group that it determines most closely meets the purpose, objectives, and requirements of this section, after opportunity for public comment.

NEW SECTION.  Sec. 4   The department of ecology shall cooperate with state agencies and universities to provide all information and other relevant and necessary expertise to meet the requirements of section 3 of this act.

NEW SECTION.  Sec. 5   The department of labor and industries shall cooperate with state agencies and universities to provide all information and other relevant and necessary expertise to meet the requirements of section 3 of this act.

NEW SECTION.  Sec. 6   The University of Washington school of public health shall participate in the creation of the environmental health tracking system working group under section 3 of this act.

NEW SECTION.  Sec. 7   Nothing contained in this chapter may be construed to supersede any confidentiality provisions of any law.

NEW SECTION.  Sec. 8   Sections 1 through 7 of this act constitute a new chapter in Title 70 RCW.

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