Florida Senate - 2015                             CS for SB 7070
       
       
        
       By the Committees on Judiciary; and Appropriations
       
       
       
       
       
       590-03671-15                                          20157070c1
    1                        A bill to be entitled                      
    2         An act relating to mental health and substance abuse;
    3         amending s. 381.0056, F.S.; revising the definition of
    4         the term “emergency health needs”; requiring school
    5         health services plans to include notification
    6         requirements when a student is removed from school,
    7         school transportation, or a school-sponsored activity
    8         for involuntary examination; amending s. 394.453,
    9         F.S.; providing legislative intent regarding the
   10         development of programs related to substance abuse
   11         impairment by the Department of Children and Families;
   12         expanding legislative intent related to a guarantee of
   13         dignity and human rights to all individuals who are
   14         admitted to substance abuse treatment facilities;
   15         amending s. 394.455, F.S.; defining and redefining
   16         terms; deleting defined terms; amending s. 394.457,
   17         F.S.; adding substance abuse services as a program
   18         focus for which the Department of Children and
   19         Families is responsible; deleting a requirement that
   20         the department establish minimum standards for
   21         personnel employed in mental health programs and
   22         provide orientation and training materials; amending
   23         s. 394.4573, F.S.; deleting a defined term; adding
   24         substance abuse care as an element of the continuity
   25         of care management system that the department must
   26         establish; deleting duties and measures of performance
   27         of the department regarding the continuity of care
   28         management system; amending s. 394.459, F.S.;
   29         extending a right to dignity to all individuals held
   30         for examination or admitted for mental health or
   31         substance abuse treatment; providing procedural
   32         requirements that must be followed to detain without
   33         consent an individual who has a substance abuse
   34         impairment but who has not been charged with a
   35         criminal offense; providing that individuals held for
   36         examination or admitted for treatment at a facility
   37         have a right to certain evaluation and treatment
   38         procedures; removing provisions regarding express and
   39         informed consent for medical procedures requiring the
   40         use of a general anesthetic or electroconvulsive
   41         treatment; requiring facilities to have written
   42         procedures for reporting events that place individuals
   43         receiving services at risk of harm; requiring service
   44         providers to provide information concerning advance
   45         directives to individuals receiving services; amending
   46         s. 394.4597, F.S.; specifying certain persons who are
   47         prohibited from being selected as an individual’s
   48         representative; providing certain rights to
   49         representatives; amending s. 394.4598, F.S.;
   50         specifying certain persons who are prohibited from
   51         being appointed as an individual’s guardian advocate;
   52         providing guidelines for decisions of guardian
   53         advocates; amending s. 394.4599, F.S.; including
   54         health care surrogates and proxies as individuals who
   55         may act on behalf of an individual involuntarily
   56         admitted to a facility; requiring a receiving facility
   57         to give notice immediately of the whereabouts of a
   58         minor who is being held involuntarily to the minor’s
   59         parent, guardian, caregiver, or guardian advocate;
   60         providing circumstances when notification may be
   61         delayed; requiring the receiving facility to make
   62         continuous attempts to notify; authorizing the
   63         receiving facility to seek assistant from law
   64         enforcement under certain circumstances; requiring the
   65         receiving facility to document notification attempts
   66         in the minor’s clinical record; amending s. 394.4615,
   67         F.S.; adding a condition under which the clinical
   68         record of an individual must be released to the state
   69         attorney; providing for the release of information
   70         from the clinical record to law enforcement agencies
   71         under certain circumstances; amending s. 394.462,
   72         F.S.; providing that a person in custody for a felony
   73         other than a forcible felony must be transported to
   74         the nearest receiving facility for examination;
   75         providing that a law enforcement officer may transport
   76         an individual meeting the criteria for voluntary
   77         admission to a mental health receiving facility,
   78         addictions receiving facility, or detoxification
   79         facility at the individual’s request; amending s.
   80         394.4625, F.S.; providing criteria for the examination
   81         and treatment of an individual who is voluntarily
   82         admitted to a facility; providing criteria for the
   83         release or discharge of the individual; providing that
   84         a voluntarily admitted individual who is released or
   85         discharged and who is currently charged with a crime
   86         shall be returned to the custody of a law enforcement
   87         officer; providing procedures for transferring an
   88         individual to voluntary status and involuntary status;
   89         amending s. 394.463, F.S.; providing for the
   90         involuntary examination of a person for a substance
   91         abuse impairment; providing for the transportation of
   92         an individual for an involuntary examination;
   93         providing that a certificate for an involuntary
   94         examination must contain certain information;
   95         providing criteria and procedures for the release of
   96         an individual held for involuntary examination from
   97         receiving or treatment facilities; amending s.
   98         394.4655, F.S.; adding substance abuse impairment as a
   99         condition to which criteria for involuntary outpatient
  100         placement apply; providing guidelines for an attorney
  101         representing an individual subject to proceedings for
  102         involuntary outpatient placement; providing guidelines
  103         for the state attorney in prosecuting a petition for
  104         involuntary placement; requiring the court to consider
  105         certain information when determining whether to
  106         appoint a guardian advocate for the individual;
  107         requiring the court to inform the individual and his
  108         or her representatives of the individual’s right to an
  109         independent expert examination with regard to
  110         proceedings for involuntary outpatient placement;
  111         amending s. 394.467, F.S.; adding substance abuse
  112         impairment as a condition to which criteria for
  113         involuntary inpatient placement apply; adding
  114         addictions receiving facilities and detoxification
  115         facilities as identified receiving facilities;
  116         providing for first and second medical opinions in
  117         proceedings for placement for treatment of substance
  118         abuse impairment; providing guidelines for attorney
  119         representation of an individual subject to proceedings
  120         for involuntary inpatient placement; providing
  121         guidelines for the state attorney in prosecuting a
  122         petition for involuntary placement; setting standards
  123         for the court to accept a waiver of the individual’s
  124         rights; requiring the court to consider certain
  125         testimony regarding the individual’s prior history in
  126         proceedings; requiring the Division of Administrative
  127         Hearings to inform the individual and his or her
  128         representatives of the right to an independent expert
  129         examination; amending s. 394.4672, F.S.; providing
  130         authority of facilities of the United States
  131         Department of Veterans Affairs to conduct certain
  132         examinations and provide certain treatments; amending
  133         s. 394.875, F.S.; removing a limitation on the number
  134         of beds in crisis stabilization units; transferring
  135         and renumbering s. 765.401, F.S.; transferring and
  136         renumbering s. 765.404, F.S.; providing a directive to
  137         the Division of Law Revision and Information; creating
  138         s. 765.4015, F.S.; providing a short title; creating
  139         s. 765.402, F.S.; providing legislative findings;
  140         creating s. 765.403, F.S.; defining terms; creating s.
  141         765.405, F.S.; authorizing an adult with capacity to
  142         execute a mental health or substance abuse treatment
  143         advance directive; providing a presumption of validity
  144         if certain requirements are met; specifying provisions
  145         that an advance directive may include; creating s.
  146         765.406, F.S.; providing for execution of the mental
  147         health or substance abuse treatment advance directive;
  148         establishing requirements for a valid mental health or
  149         substance abuse treatment advance directive; providing
  150         that a mental health or substance abuse treatment
  151         advance directive is valid upon execution even if a
  152         part of the advance directive takes effect at a later
  153         date; allowing a mental health or substance abuse
  154         treatment advance directive to be revoked, in whole or
  155         in part, or to expire under its own terms; specifying
  156         that a mental health or substance abuse treatment
  157         advance directive does not or may not serve specified
  158         purposes; creating s. 765.407, F.S.; providing
  159         circumstances under which a mental health or substance
  160         abuse treatment advance directive may be revoked;
  161         providing circumstances under which a principal may
  162         waive specific directive provisions without revoking
  163         the advance directive; creating s. 765.410, F.S.;
  164         prohibiting criminal prosecution of a health care
  165         facility, provider, or surrogate who acts pursuant to
  166         a mental health or substance abuse treatment decision;
  167         creating s. 765.411, F.S.; providing for recognition
  168         of a mental health and substance abuse treatment
  169         advance directive executed in another state if it
  170         complies with the laws of this state; creating s.
  171         916.185, F.S.; providing legislative findings and
  172         intent; defining terms; creating the Forensic Hospital
  173         Diversion Pilot Program; requiring the Department of
  174         Children and Families to implement a Forensic Hospital
  175         Diversion Pilot Program in five specified judicial
  176         circuits; providing eligibility criteria for
  177         participation in the pilot program; providing
  178         legislative intent concerning the training of judges;
  179         authorizing the department to adopt rules; directing
  180         the Office of Program Policy Analysis and Government
  181         Accountability to submit a report to the Governor and
  182         the Legislature; creating s. 944.805, F.S.; defining
  183         the terms “department” and “nonviolent offender”;
  184         requiring the Department of Corrections to develop and
  185         administer a reentry program for nonviolent offenders
  186         which is intended to divert nonviolent offenders from
  187         long periods of incarceration; requiring that the
  188         program include intensive substance abuse treatment
  189         and rehabilitation programs; providing for the minimum
  190         length of service in the program; providing that any
  191         portion of a sentence before placement in the program
  192         does not count as progress toward program completion;
  193         identifying permissible locations for the operation of
  194         a reentry program; specifying eligibility criteria for
  195         a nonviolent offender’s participation in the reentry
  196         program; requiring the department to screen and select
  197         eligible offenders for the program based on specified
  198         considerations; requiring the department to notify a
  199         nonviolent offender’s sentencing court to obtain
  200         approval before the nonviolent offender is placed in
  201         the reentry program; requiring the department to
  202         notify the state attorney that an offender is being
  203         considered for placement in the program; authorizing
  204         the state attorney to file objections to placing the
  205         offender in the reentry program within a specified
  206         period; authorizing the sentencing court to consider
  207         certain factors when deciding whether to approve an
  208         offender for placement in a reentry program; requiring
  209         the sentencing court to notify the department of the
  210         court’s decision to approve or disapprove the
  211         requested placement within a specified period;
  212         requiring a nonviolent offender to undergo an
  213         educational assessment and a complete substance abuse
  214         assessment if admitted into the reentry program;
  215         requiring an offender to be enrolled in an adult
  216         education program in specified circumstances;
  217         requiring that assessments of vocational skills and
  218         future career education be provided to an offender;
  219         requiring that certain reevaluation be made
  220         periodically; providing that a participating
  221         nonviolent offender is subject to the disciplinary
  222         rules of the department; specifying the reasons for
  223         which an offender may be terminated from the reentry
  224         program; requiring that the department submit a report
  225         to the sentencing court at least 30 days before a
  226         nonviolent offender is scheduled to complete the
  227         reentry program; specifying the issues to be addressed
  228         in the report; authorizing a court to schedule a
  229         hearing to consider any modification to an imposed
  230         sentence; requiring the sentencing court to issue an
  231         order modifying the sentence imposed and placing a
  232         nonviolent offender on drug offender probation if the
  233         nonviolent offender’s performance is satisfactory;
  234         authorizing the court to revoke probation and impose
  235         the original sentence in specified circumstances;
  236         authorizing the court to require an offender to
  237         complete a postadjudicatory drug court program in
  238         specified circumstances; directing the department to
  239         implement the reentry program using available
  240         resources; authorizing the department to enter into
  241         contracts with qualified individuals, agencies, or
  242         corporations for services for the reentry program;
  243         requiring offenders to abide by department conduct
  244         rules; authorizing the department to impose
  245         administrative or protective confinement as necessary;
  246         providing that the section does not create a right to
  247         placement in the reentry program or any right to
  248         placement or early release under supervision of any
  249         type; providing that the section does not create a
  250         cause of action related to the program; authorizing
  251         the department to establish a system of incentives
  252         within the reentry program which the department may
  253         use to promote participation in rehabilitative
  254         programs and the orderly operation of institutions and
  255         facilities; requiring the department to develop a
  256         system for tracking recidivism, including, but not
  257         limited to, rearrests and recommitment of nonviolent
  258         offenders who successfully complete the reentry
  259         program, and to report on recidivism in an annual
  260         report; requiring the department to submit an annual
  261         report to the Governor and Legislature detailing the
  262         extent of implementation of the reentry program,
  263         specifying requirements for the report; requiring the
  264         department to adopt rules; providing that specified
  265         provisions are not severable; amending ss. 1002.20 and
  266         1002.33, F.S.; requiring public school and charter
  267         school principals or their designees to provide notice
  268         of the whereabouts of a student removed from school,
  269         school transportation, or a school-sponsored activity
  270         for involuntary examination; providing circumstances
  271         under which notification may be delayed; requiring
  272         district school boards and charter school governing
  273         boards to develop notification policies and
  274         procedures; amending ss. 39.407, 394.4612, 394.495,
  275         394.496, 394.499, 394.67, 394.674, 394.9085, 395.0197,
  276         395.1051, 397.311, 397.431, 397.702, 397.94, 402.3057,
  277         409.1757, 409.972, 456.0575, 744.704, 765.101,
  278         765.104, and 790.065, F.S.; conforming cross
  279         references; repealing ss. 397.601, 397.675, 397.6751,
  280         397.6752, 397.6758, 397.6759, 397.677, 397.6771,
  281         397.6772, 397.6773, 397.6774, 397.6775, 397.679,
  282         397.6791, 397.6793, 397.6795, 397.6797, 397.6798,
  283         397.6799, 397.681, 397.6811, 397.6814, 397.6815,
  284         397.6818, 397.6819, 397.6821, 397.6822, 397.693,
  285         397.695, 397.6951, 397.6955, 397.6957, 397.697,
  286         397.6971, 397.6975, and 397.6977, F.S.; reenacting ss.
  287         394.4685(1), and 394.469(2), F.S., to incorporate the
  288         amendment made to s. 394.4599, F.S., in references
  289         thereto; providing an effective date.
  290          
  291  Be It Enacted by the Legislature of the State of Florida:
  292  
  293         Section 1. Subsection (2) and paragraph (a) of subsection
  294  (4) of section 381.0056, Florida Statutes, are amended to read:
  295         381.0056 School health services program.—
  296         (2) As used in this section, the term:
  297         (a) “Emergency health needs” means onsite evaluation,
  298  management, and aid for illness or injury pending the student’s
  299  return to the classroom or release to a parent, guardian,
  300  designated friend, law enforcement officer, or designated health
  301  care provider.
  302         (b) “Entity” or “health care entity” means a unit of local
  303  government or a political subdivision of the state; a hospital
  304  licensed under chapter 395; a health maintenance organization
  305  certified under chapter 641; a health insurer authorized under
  306  the Florida Insurance Code; a community health center; a migrant
  307  health center; a federally qualified health center; an
  308  organization that meets the requirements for nonprofit status
  309  under s. 501(c)(3) of the Internal Revenue Code; a private
  310  industry or business; or a philanthropic foundation that agrees
  311  to participate in a public-private partnership with a county
  312  health department, local school district, or school in the
  313  delivery of school health services, and agrees to the terms and
  314  conditions for the delivery of such services as required by this
  315  section and as documented in the local school health services
  316  plan.
  317         (c) “Invasive screening” means any screening procedure in
  318  which the skin or any body orifice is penetrated.
  319         (d) “Physical examination” means a thorough evaluation of
  320  the health status of an individual.
  321         (e) “School health services plan” means the document that
  322  describes the services to be provided, the responsibility for
  323  provision of the services, the anticipated expenditures to
  324  provide the services, and evidence of cooperative planning by
  325  local school districts and county health departments.
  326         (f) “Screening” means presumptive identification of unknown
  327  or unrecognized diseases or defects by the application of tests
  328  that can be given with ease and rapidity to apparently healthy
  329  persons.
  330         (4)(a) Each county health department shall develop, jointly
  331  with the district school board and the local school health
  332  advisory committee, a school health services plan.; and The plan
  333  must include, at a minimum, provisions for all of the following:
  334         1. Health appraisal;
  335         2. Records review;
  336         3. Nurse assessment;
  337         4. Nutrition assessment;
  338         5. A preventive dental program;
  339         6. Vision screening;
  340         7. Hearing screening;
  341         8. Scoliosis screening;
  342         9. Growth and development screening;
  343         10. Health counseling;
  344         11. Referral and followup of suspected or confirmed health
  345  problems by the local county health department;
  346         12. Meeting emergency health needs in each school;
  347         13. County health department personnel to assist school
  348  personnel in health education curriculum development;
  349         14. Referral of students to appropriate health treatment,
  350  in cooperation with the private health community whenever
  351  possible;
  352         15. Consultation with a student’s parent or guardian
  353  regarding the need for health attention by the family physician,
  354  dentist, or other specialist when definitive diagnosis or
  355  treatment is indicated;
  356         16. Maintenance of records on incidents of health problems,
  357  corrective measures taken, and such other information as may be
  358  needed to plan and evaluate health programs; except, however,
  359  that provisions in the plan for maintenance of health records of
  360  individual students must be in accordance with s. 1002.22;
  361         17. Health information which will be provided by the school
  362  health nurses, when necessary, regarding the placement of
  363  students in exceptional student programs and the reevaluation at
  364  periodic intervals of students placed in such programs; and
  365         18. Notification to the local nonpublic schools of the
  366  school health services program and the opportunity for
  367  representatives of the local nonpublic schools to participate in
  368  the development of the cooperative health services plan.
  369         19. Immediate notification to a student’s parent, guardian,
  370  or caregiver if the student is removed from school, school
  371  transportation, or a school-sponsored activity and taken to a
  372  receiving facility for an involuntary examination pursuant to s.
  373  394.463, including any requirements established under ss.
  374  1002.20(3) and 1002.33(9), as applicable.
  375         Section 2. Section 394.453, Florida Statutes, is amended to
  376  read:
  377         394.453 Legislative intent.—It is the intent of the
  378  Legislature to authorize and direct the Department of Children
  379  and Families to evaluate, research, plan, and recommend to the
  380  Governor and the Legislature programs designed to reduce the
  381  occurrence, severity, duration, and disabling aspects of mental,
  382  emotional, and behavioral disorders, and substance abuse
  383  impairment. It is the intent of the Legislature that treatment
  384  programs for such disorders shall include, but not be limited
  385  to, comprehensive health, social, educational, and
  386  rehabilitative services for individuals to persons requiring
  387  intensive short-term and continued treatment in order to
  388  encourage them to assume responsibility for their treatment and
  389  recovery. It is intended that such individuals persons be
  390  provided with emergency service and temporary detention for
  391  evaluation if when required; that they be admitted to treatment
  392  facilities if on a voluntary basis when extended or continuing
  393  care is needed and unavailable in the community; that
  394  involuntary placement be provided only if when expert evaluation
  395  determines that it is necessary; that any involuntary treatment
  396  or examination be accomplished in a setting that which is
  397  clinically appropriate and most likely to facilitate the
  398  individual’s person’s return to the community as soon as
  399  possible; and that individual dignity and human rights be
  400  guaranteed to all individuals persons who are admitted to mental
  401  health and substance abuse treatment facilities or who are being
  402  held under s. 394.463. It is the further intent of the
  403  Legislature that the least restrictive means of intervention be
  404  employed based on the individual’s individual needs of each
  405  person, within the scope of available services. It is the policy
  406  of this state that the use of restraint and seclusion on clients
  407  is justified only as an emergency safety measure to be used in
  408  response to imminent danger to the individual client or others.
  409  It is, therefore, the intent of the Legislature to achieve an
  410  ongoing reduction in the use of restraint and seclusion in
  411  programs and facilities serving individuals persons with mental
  412  illness or who have a substance abuse impairment.
  413         Section 3. Section 394.455, Florida Statutes, is reordered
  414  and amended to read:
  415         394.455 Definitions.—As used in this part, unless the
  416  context clearly requires otherwise, the term:
  417         (1) “Addictions receiving facility” means a secure, acute
  418  care facility that, at a minimum, provides detoxification and
  419  stabilization services; is operated 24 hours per day, 7 days per
  420  week; and is designated by the department to serve individuals
  421  found to be substance abuse impaired as defined in subsection
  422  (44) who qualify for services under this section.
  423         (2)(1) “Administrator” means the chief administrative
  424  officer of a receiving or treatment facility or his or her
  425  designee.
  426         (3) “Adult” means an individual who is 18 years of age or
  427  older, or who has had the disability of nonage removed pursuant
  428  to s. 743.01 or s. 743.015.
  429         (4) “Advanced registered nurse practitioner” means any
  430  person licensed in this state to practice professional nursing
  431  who is certified in advanced or specialized nursing practice
  432  under s. 464.012.
  433         (36)(2) “Clinical Psychologist” means a psychologist as
  434  defined in s. 490.003(7) with 3 years of postdoctoral experience
  435  in the practice of clinical psychology, inclusive of the
  436  experience required for licensure, or a psychologist employed by
  437  a facility operated by the United States Department of Veterans
  438  Affairs that qualifies as a receiving or treatment facility
  439  under this part.
  440         (5)(3) “Clinical record” means all parts of the record
  441  required to be maintained and includes all medical records,
  442  progress notes, charts, and admission and discharge data, and
  443  all other information recorded by a facility staff which
  444  pertains to an individual’s the patient’s hospitalization or
  445  treatment.
  446         (6)(4) “Clinical social worker” means a person licensed as
  447  a clinical social worker under s. 491.005 or s. 491.006 or a
  448  person employed as a clinical social worker by a facility
  449  operated by the United States Department of Veterans Affairs or
  450  the United States Department of Defense under chapter 491.
  451         (7)(5) “Community facility” means a any community service
  452  provider contracting with the department to furnish substance
  453  abuse or mental health services under part IV of this chapter.
  454         (8)(6) “Community mental health center or clinic” means a
  455  publicly funded, not-for-profit center that which contracts with
  456  the department for the provision of inpatient, outpatient, day
  457  treatment, or emergency services.
  458         (9)(7) “Court,” unless otherwise specified, means the
  459  circuit court.
  460         (10)(8) “Department” means the Department of Children and
  461  Families.
  462         (11) “Detoxification facility” means a facility licensed to
  463  provide detoxification services under chapter 397.
  464         (12) “Electronic means” means a form of telecommunication
  465  that requires all parties to maintain visual as well as audio
  466  communication.
  467         (13)(9) “Express and informed consent” means consent
  468  voluntarily given in writing, by a competent individual person,
  469  after sufficient explanation and disclosure of the subject
  470  matter involved to enable the individual person to make a
  471  knowing and willful decision without any element of force,
  472  fraud, deceit, duress, or other form of constraint or coercion.
  473         (14)(10) “Facility” means any hospital, community facility,
  474  public or private facility, or receiving or treatment facility
  475  providing for the evaluation, diagnosis, care, treatment,
  476  training, or hospitalization of individuals persons who appear
  477  to have a mental illness or who have been diagnosed as having a
  478  mental illness or substance abuse impairment. The term
  479  “Facility” does not include a any program or entity licensed
  480  under pursuant to chapter 400 or chapter 429.
  481         (15) “Governmental facility” means a facility owned,
  482  operated, or administered by the Department of Corrections or
  483  the United States Department of Veterans Affairs.
  484         (16)(11) “Guardian” means the natural guardian of a minor,
  485  or a person appointed by a court to act on behalf of a ward’s
  486  person if the ward is a minor or has been adjudicated
  487  incapacitated.
  488         (17)(12) “Guardian advocate” means a person appointed by a
  489  court to make decisions regarding mental health or substance
  490  abuse treatment on behalf of an individual a patient who has
  491  been found incompetent to consent to treatment pursuant to this
  492  part. The guardian advocate may be granted specific additional
  493  powers by written order of the court, as provided in this part.
  494         (18)(13) “Hospital” means a hospital facility as defined in
  495  s. 395.002 and licensed under chapter 395 and part II of chapter
  496  408.
  497         (19)(14) “Incapacitated” means that an individual a person
  498  has been adjudicated incapacitated pursuant to part V of chapter
  499  744 and a guardian of the person has been appointed.
  500         (20)(15) “Incompetent to consent to treatment” means that
  501  an individual’s a person’s judgment is so affected by his or her
  502  mental illness, substance abuse impairment, or any medical or
  503  organic cause, that he or she the person lacks the capacity to
  504  make a well-reasoned, willful, and knowing decision concerning
  505  his or her medical, or mental health, or substance abuse
  506  treatment.
  507         (21) “Involuntary examination” means an examination
  508  performed under s. 394.463 to determine whether an individual
  509  qualifies for involuntary outpatient placement under s. 394.4655
  510  or involuntary inpatient placement under s. 394.467.
  511         (22) “Involuntary placement” means involuntary outpatient
  512  placement pursuant to s. 394.4655 or involuntary inpatient
  513  placement in a receiving or treatment facility pursuant to s.
  514  394.467.
  515         (23)(16) “Law enforcement officer” means a law enforcement
  516  officer as defined in s. 943.10.
  517         (24) “Marriage and family therapist” means a person
  518  licensed to practice marriage and family therapy under s.
  519  491.005 or s. 491.006 or a person employed as a marriage and
  520  family therapist by a facility operated by the United States
  521  Department of Veterans Affairs or the United States Department
  522  of Defense.
  523         (25) “Mental health counselor” means a person licensed to
  524  practice mental health counseling under s. 491.005 or s. 491.006
  525  or a person employed as a mental health counselor by a facility
  526  operated by the United States Department of Veterans Affairs or
  527  the United States Department of Defense.
  528         (26)(17) “Mental health overlay program” means a mobile
  529  service that which provides an independent examination for
  530  voluntary admission admissions and a range of supplemental
  531  onsite services to an individual who has persons with a mental
  532  illness in a residential setting such as a nursing home,
  533  assisted living facility, adult family-care home, or
  534  nonresidential setting such as an adult day care center.
  535  Independent examinations provided pursuant to this part through
  536  a mental health overlay program must only be provided only under
  537  contract with the department for this service or must be
  538  attached to a public receiving facility that is also a community
  539  mental health center.
  540         (28)(18) “Mental illness” means an impairment of the mental
  541  or emotional processes that exercise conscious control of one’s
  542  actions or of the ability to perceive or understand reality,
  543  which impairment substantially interferes with the individual’s
  544  person’s ability to meet the ordinary demands of living. For the
  545  purposes of this part, the term does not include a developmental
  546  disability as defined in chapter 393, intoxication, brain
  547  injury, dementia, or conditions manifested only by antisocial
  548  behavior or substance abuse impairment.
  549         (29) “Minor” means an individual who is 17 years of age or
  550  younger and who has not had the disabilities of nonage removed
  551  pursuant to s. 743.01 or s. 743.015.
  552         (30)(19) “Mobile crisis response service” means a
  553  nonresidential crisis service attached to a public receiving
  554  facility and available 24 hours a day, 7 days a week, through
  555  which provides immediate intensive assessments and
  556  interventions, including screening for admission into a mental
  557  health receiving facility, addictions receiving facility, or a
  558  detoxification facility, take place for the purpose of
  559  identifying appropriate treatment services.
  560         (20) “Patient” means any person who is held or accepted for
  561  mental health treatment.
  562         (31)(21) “Physician” means a medical practitioner licensed
  563  under chapter 458 or chapter 459 who has experience in the
  564  diagnosis and treatment of mental and nervous disorders or a
  565  physician employed by a facility operated by the United States
  566  Department of Veterans Affairs or the United States Department
  567  of Defense which qualifies as a receiving or treatment facility
  568  under this part.
  569         (32) “Physician assistant” means a person licensed under
  570  chapter 458 or chapter 459 who has experience in the diagnosis
  571  and treatment of mental disorders or a person employed as a
  572  physician assistant by a facility operated by the United States
  573  Department of Veterans Affairs or the United States Department
  574  of Defense.
  575         (33)(22) “Private facility” means any hospital or facility
  576  operated by a for-profit or not-for-profit corporation or
  577  association that provides mental health or substance abuse
  578  services and is not a public facility.
  579         (34)(23) “Psychiatric nurse” means an advanced a registered
  580  nurse practitioner certified under s. 464.012 licensed under
  581  part I of chapter 464 who has a master’s or doctoral degree or a
  582  doctorate in psychiatric nursing, holds a national advance
  583  practice certification as a psychiatric-mental health advance
  584  practice nurse, and has 2 years of post-master’s clinical
  585  experience under the supervision of a physician or a person
  586  employed as a psychiatric nurse by a facility operated by the
  587  United States Department of Veterans Affairs or the United
  588  States Department of Defense.
  589         (35)(24) “Psychiatrist” means a medical practitioner
  590  licensed under chapter 458 or chapter 459 who has primarily
  591  diagnosed and treated mental and nervous disorders for at least
  592  a period of not less than 3 years, inclusive of psychiatric
  593  residency, or a person employed as a psychiatrist by a facility
  594  operated by the United States Department of Veterans Affairs or
  595  the United States Department of Defense.
  596         (37)(25) “Public facility” means any facility that has
  597  contracted with the department to provide mental health or
  598  substance abuse services to all individuals persons, regardless
  599  of their ability to pay, and is receiving state funds for such
  600  purpose.
  601         (27)(26) “Mental health receiving facility” means any
  602  public or private facility designated by the department to
  603  receive and hold individuals on involuntary status involuntary
  604  patients under emergency conditions or for psychiatric
  605  evaluation and to provide short-term treatment. The term does
  606  not include a county jail.
  607         (38)(27) “Representative” means a person selected pursuant
  608  to s. 394.4597(2) to receive notice of proceedings during the
  609  time a patient is held in or admitted to a receiving or
  610  treatment facility.
  611         (39)(28)(a) “Restraint” means a physical device, method, or
  612  drug used to control behavior.
  613         (a) A physical restraint is any manual method or physical
  614  or mechanical device, material, or equipment attached or
  615  adjacent to an the individual’s body so that he or she cannot
  616  easily remove the restraint and which restricts freedom of
  617  movement or normal access to one’s body.
  618         (b) A drug used as a restraint is a medication used to
  619  control an individual’s the person’s behavior or to restrict his
  620  or her freedom of movement and is not part of the standard
  621  treatment regimen for an individual having of a person with a
  622  diagnosed mental illness who is a client of the department.
  623  Physically holding an individual a person during a procedure to
  624  forcibly administer psychotropic medication is a physical
  625  restraint.
  626         (c) Restraint does not include physical devices, such as
  627  orthopedically prescribed appliances, surgical dressings and
  628  bandages, supportive body bands, or other physical holding when
  629  necessary for routine physical examinations and tests; or for
  630  purposes of orthopedic, surgical, or other similar medical
  631  treatment; when used to provide support for the achievement of
  632  functional body position or proper balance; or when used to
  633  protect an individual a person from falling out of bed.
  634         (40) “School psychologist” has the same meaning as in s.
  635  490.003.
  636         (41)(29) “Seclusion” means the physical segregation of a
  637  person in any fashion or involuntary isolation of an individual
  638  a person in a room or area from which the individual person is
  639  prevented from leaving. The prevention may be by physical
  640  barrier or by a staff member who is acting in a manner, or who
  641  is physically situated, so as to prevent the individual person
  642  from leaving the room or area. For purposes of this chapter, the
  643  term does not mean isolation due to an individual’s a person’s
  644  medical condition or symptoms.
  645         (42)(30) “Secretary” means the Secretary of Children and
  646  Families.
  647         (43) “Service provider” means a mental health receiving
  648  facility, any facility licensed under chapter 397, a treatment
  649  facility, an entity under contract with the department to
  650  provide mental health or substance abuse services, a community
  651  mental health center or clinic, a psychologist, a clinical
  652  social worker, a marriage and family therapist, a mental health
  653  counselor, a physician, a psychiatrist, an advanced registered
  654  nurse practitioner, or a psychiatric nurse.
  655         (44) “Substance abuse impairment” means a condition
  656  involving the use of alcoholic beverages or any psychoactive or
  657  mood-altering substance in such a manner as to induce mental,
  658  emotional, or physical problems and cause socially dysfunctional
  659  behavior.
  660         (45) “Substance abuse qualified professional” has the same
  661  meaning as in s. 397.311(26).
  662         (46)(31) “Transfer evaluation” means the process, as
  663  approved by the appropriate district office of the department,
  664  in which an individual whereby a person who is being considered
  665  for placement in a state treatment facility is first evaluated
  666  for appropriateness of admission to a treatment the facility.
  667  The transfer evaluation shall be conducted by the department, by
  668  a community-based public receiving facility, or by another
  669  service provider as authorized by the department or by a
  670  community mental health center or clinic if the public receiving
  671  facility is not a community mental health center or clinic.
  672         (47)(32) “Treatment facility” means a any state-owned,
  673  state-operated, or state-supported hospital, center, or clinic
  674  designated by the department for extended treatment and
  675  hospitalization of individuals who have a mental illness, beyond
  676  that provided for by a receiving facility or a, of persons who
  677  have a mental illness, including facilities of the United States
  678  Government, and any private facility designated by the
  679  department when rendering such services to a person pursuant to
  680  the provisions of this part. Patients treated in facilities of
  681  the United States Government shall be solely those whose care is
  682  the responsibility of the United States Department of Veterans
  683  Affairs.
  684         (33) “Service provider” means any public or private
  685  receiving facility, an entity under contract with the Department
  686  of Children and Families to provide mental health services, a
  687  clinical psychologist, a clinical social worker, a marriage and
  688  family therapist, a mental health counselor, a physician, a
  689  psychiatric nurse as defined in subsection (23), or a community
  690  mental health center or clinic as defined in this part.
  691         (34) “Involuntary examination” means an examination
  692  performed under s. 394.463 to determine if an individual
  693  qualifies for involuntary inpatient treatment under s.
  694  394.467(1) or involuntary outpatient treatment under s.
  695  394.4655(1).
  696         (35) “Involuntary placement” means either involuntary
  697  outpatient treatment pursuant to s. 394.4655 or involuntary
  698  inpatient treatment pursuant to s. 394.467.
  699         (36) “Marriage and family therapist” means a person
  700  licensed as a marriage and family therapist under chapter 491.
  701         (37) “Mental health counselor” means a person licensed as a
  702  mental health counselor under chapter 491.
  703         (38) “Electronic means” means a form of telecommunication
  704  that requires all parties to maintain visual as well as audio
  705  communication.
  706         Section 4. Section 394.457, Florida Statutes, is amended to
  707  read:
  708         394.457 Operation and administration.—
  709         (1) ADMINISTRATION.—The Department of Children and Families
  710  is designated the “Mental Health Authority” of Florida. The
  711  department and the Agency for Health Care Administration shall
  712  exercise executive and administrative supervision over all
  713  mental health facilities, programs, and services.
  714         (2) RESPONSIBILITIES OF THE DEPARTMENT.—The department is
  715  responsible for:
  716         (a) The planning, evaluation, and implementation of a
  717  complete and comprehensive statewide program of mental health
  718  and substance abuse program, including community services,
  719  receiving and treatment facilities, child services, research,
  720  and training as authorized and approved by the Legislature,
  721  based on the annual program budget of the department. The
  722  department is also responsible for the coordination of efforts
  723  with other departments and divisions of the state government,
  724  county and municipal governments, and private agencies concerned
  725  with and providing mental health and substance abuse services.
  726  It is responsible for establishing standards, providing
  727  technical assistance, and supervising exercising supervision of
  728  mental health and substance abuse programs of, and the treatment
  729  of individuals patients at, community facilities, other
  730  facilities serving individuals for persons who have a mental
  731  illness or substance abuse impairment, and any agency or
  732  facility providing services under to patients pursuant to this
  733  part.
  734         (b) The publication and distribution of an information
  735  handbook to facilitate understanding of this part, the policies
  736  and procedures involved in the implementation of this part, and
  737  the responsibilities of the various providers of services under
  738  this part. It shall stimulate research by public and private
  739  agencies, institutions of higher learning, and hospitals in the
  740  interest of the elimination and amelioration of mental illness.
  741         (3) POWER TO CONTRACT.—The department may contract to
  742  provide, and be provided with, services and facilities in order
  743  to carry out its responsibilities under this part with the
  744  following agencies: public and private hospitals; receiving and
  745  treatment facilities; clinics; laboratories; departments,
  746  divisions, and other units of state government; the state
  747  colleges and universities; the community colleges; private
  748  colleges and universities; counties, municipalities, and any
  749  other governmental unit, including facilities of the United
  750  States Government; and any other public or private entity which
  751  provides or needs facilities or services. Baker Act funds for
  752  community inpatient, crisis stabilization, short-term
  753  residential treatment, and screening services must be allocated
  754  to each county pursuant to the department’s funding allocation
  755  methodology. Notwithstanding s. 287.057(3)(e), contracts for
  756  community-based Baker Act services for inpatient, crisis
  757  stabilization, short-term residential treatment, and screening
  758  provided under this part, other than those with other units of
  759  government, to be provided for the department must be awarded
  760  using competitive sealed bids if the county commission of the
  761  county receiving the services makes a request to the
  762  department’s district office by January 15 of the contracting
  763  year. The district may not enter into a competitively bid
  764  contract under this provision if such action will result in
  765  increases of state or local expenditures for Baker Act services
  766  within the district. Contracts for these Baker Act services
  767  using competitive sealed bids are effective for 3 years. The
  768  department shall adopt rules establishing minimum standards for
  769  such contracted services and facilities and shall make periodic
  770  audits and inspections to assure that the contracted services
  771  are provided and meet the standards of the department.
  772         (4) APPLICATION FOR AND ACCEPTANCE OF GIFTS AND GRANTS.—The
  773  department may apply for and accept any funds, grants, gifts, or
  774  services made available to it by any agency or department of the
  775  Federal Government or any other public or private agency or
  776  person individual in aid of mental health and substance abuse
  777  programs. All such moneys must shall be deposited in the State
  778  Treasury and shall be disbursed as provided by law.
  779         (5) RULES.—The department shall adopt rules:
  780         (a) Establishing The department shall adopt rules
  781  establishing forms and procedures relating to the rights and
  782  privileges of individuals being examined or treated at patients
  783  seeking mental health treatment from facilities under this part.
  784         (b) The department shall adopt rules Necessary for the
  785  implementation and administration of the provisions of this
  786  part., and A program subject to the provisions of this part may
  787  shall not be permitted to operate unless rules designed to
  788  ensure the protection of the health, safety, and welfare of the
  789  individuals examined and patients treated under through such
  790  program have been adopted. Such rules adopted under this
  791  subsection must include provisions governing the use of
  792  restraint and seclusion which are consistent with recognized
  793  best practices and professional judgment; prohibit inherently
  794  dangerous restraint or seclusion procedures; establish
  795  limitations on the use and duration of restraint and seclusion;
  796  establish measures to ensure the safety of program participants
  797  and staff during an incident of restraint or seclusion;
  798  establish procedures for staff to follow before, during, and
  799  after incidents of restraint or seclusion; establish
  800  professional qualifications of and training for staff who may
  801  order or be engaged in the use of restraint or seclusion; and
  802  establish mandatory reporting, data collection, and data
  803  dissemination procedures and requirements. Such rules adopted
  804  under this subsection must require that each instance of the use
  805  of restraint or seclusion be documented in the clinical record
  806  of the individual who has been restrained or secluded patient.
  807         (c) Establishing The department shall adopt rules
  808  establishing minimum standards for services provided by a mental
  809  health overlay program or a mobile crisis response service.
  810         (6) PERSONNEL.—
  811         (a) The department shall, by rule, establish minimum
  812  standards of education and experience for professional and
  813  technical personnel employed in mental health programs,
  814  including members of a mobile crisis response service.
  815         (b) The department shall design and distribute appropriate
  816  materials for the orientation and training of persons actively
  817  engaged in implementing the provisions of this part relating to
  818  the involuntary examination and placement of persons who are
  819  believed to have a mental illness.
  820         (6)(7) PAYMENT FOR CARE OF PATIENTS.—Fees and fee
  821  collections for patients in state-owned, state-operated, or
  822  state-supported treatment facilities shall be according to s.
  823  402.33.
  824         Section 5. Section 394.4573, Florida Statutes, is amended
  825  to read:
  826         394.4573 Continuity of care management system; measures of
  827  performance; reports.—
  828         (1) For the purposes of this section, the term:
  829         (a) “Case management” means those activities aimed at
  830  assessing client needs, planning services, linking the service
  831  system to a client, coordinating the various system components,
  832  monitoring service delivery, and evaluating the effect of
  833  service delivery.
  834         (b) “Case manager” means a person an individual who works
  835  with clients, and their families and significant others, to
  836  provide case management.
  837         (c) “Client manager” means an employee of the department
  838  who is assigned to specific provider agencies and geographic
  839  areas to ensure that the full range of needed services is
  840  available to clients.
  841         (d) “Continuity of care management system” means a system
  842  that assures, within available resources, that clients have
  843  access to the full array of services within the mental health
  844  services delivery system.
  845         (2) The department shall ensure the establishment of is
  846  directed to implement a continuity of care management system for
  847  the provision of mental health and substance abuse care in
  848  keeping with s. 394.9082., through the provision of client and
  849  case management, including clients referred from state treatment
  850  facilities to community mental health facilities. Such system
  851  shall include a network of client managers and case managers
  852  throughout the state designed to:
  853         (a) Reduce the possibility of a client’s admission or
  854  readmission to a state treatment facility.
  855         (b) Provide for the creation or designation of an agency in
  856  each county to provide single intake services for each person
  857  seeking mental health services. Such agency shall provide
  858  information and referral services necessary to ensure that
  859  clients receive the most appropriate and least restrictive form
  860  of care, based on the individual needs of the person seeking
  861  treatment. Such agency shall have a single telephone number,
  862  operating 24 hours per day, 7 days per week, where practicable,
  863  at a central location, where each client will have a central
  864  record.
  865         (c) Advocate on behalf of the client to ensure that all
  866  appropriate services are afforded to the client in a timely and
  867  dignified manner.
  868         (d) Require that any public receiving facility initiating a
  869  patient transfer to a licensed hospital for acute care mental
  870  health services not accessible through the public receiving
  871  facility shall notify the hospital of such transfer and send all
  872  records relating to the emergency psychiatric or medical
  873  condition.
  874         (3) The department is directed to develop and include in
  875  contracts with service providers measures of performance with
  876  regard to goals and objectives as specified in the state plan.
  877  Such measures shall use, to the extent practical, existing data
  878  collection methods and reports and shall not require, as a
  879  result of this subsection, additional reports on the part of
  880  service providers. The department shall plan monitoring visits
  881  of community mental health facilities with other state, federal,
  882  and local governmental and private agencies charged with
  883  monitoring such facilities.
  884         Section 6. Subsection (1), present subsections (2) through
  885  (6), and present subsection (8) of section 394.459, Florida
  886  Statutes, are amended, present subsections (2) through (11) of
  887  that section are redesignated as subsections (3) through (12),
  888  respectively, present subsection (12) of that section is
  889  redesignated as subsection (14), and new subsections (2) and
  890  (13) are added to that section, to read:
  891         394.459 Rights of individuals receiving treatment and
  892  services patients.—
  893         (1) RIGHT TO INDIVIDUAL DIGNITY.—It is the policy of this
  894  state that the individual dignity of all individuals held for
  895  examination or admitted for mental health or substance abuse
  896  treatment the patient shall be respected at all times and upon
  897  all occasions, including any occasion when the individual
  898  patient is taken into custody, held, or transported. Procedures,
  899  facilities, vehicles, and restraining devices used utilized for
  900  criminals or those accused of a crime may shall not be used in
  901  connection with individuals persons who have a mental illness or
  902  substance abuse impairment, except for the protection of that
  903  individual the patient or others. An individual Persons who has
  904  have a mental illness but who has are not been charged with a
  905  criminal offense may shall not be detained or incarcerated in
  906  the jails of this state. An individual A person who is receiving
  907  treatment for mental illness or substance abuse may shall not be
  908  deprived of his or her any constitutional rights. However, if
  909  such individual a person is adjudicated incapacitated, his or
  910  her rights may be limited to the same extent that the rights of
  911  any incapacitated individual person are limited by law.
  912         (2)PROTECTIVE CUSTODY WITHOUT CONSENT FOR SUBSTANCE ABUSE
  913  IMPAIRMENT.—An individual who has a substance abuse impairment
  914  but who has not been charged with a criminal offense may be
  915  placed in protective custody without his or her consent, subject
  916  to the limitations specified in this subsection. If it has been
  917  determined that a hospital, an addictions receiving facility, or
  918  a licensed detoxification facility is the most appropriate
  919  placement for the individual, law enforcement may implement
  920  protective custody measures as specified in this subsection.
  921         (a) An individual meets the criteria for placement in
  922  protective custody if there is a good faith reason to believe
  923  that the individual is impaired by substance abuse, has lost the
  924  power of self-control with respect to substance use because of
  925  such impairment, and:
  926         1. Has inflicted, or threated or attempted to inflict, or
  927  unless admitted is likely to inflict, physical harm on himself
  928  or herself or another; or
  929         2. Is in need of substance abuse services and, by reason of
  930  substance abuse impairment, is incapacitated and unable to make
  931  a rational decision with regard thereto. However, mere refusal
  932  to seek or obtain such services does not constitute evidence of
  933  lack of judgment with respect to his or her need for such
  934  services.
  935         (b)If an individual who is in circumstances that justify
  936  protective custody as described in paragraph (a) fails or
  937  refuses to consent to assistance and a law enforcement officer
  938  has determined that a hospital, an addictions receiving
  939  facility, or a licensed detoxification facility is the most
  940  appropriate place for such individual, the officer may, after
  941  giving due consideration to the expressed wishes of the
  942  individual:
  943         1. Take the individual to a hospital, an addictions
  944  receiving facility, or a licensed detoxification facility
  945  against the individual’s will but without using unreasonable
  946  force; or
  947         2. In the case of an adult, detain the individual for his
  948  or her own protection in any municipal or county jail or other
  949  appropriate detention facility.
  950  
  951  Detention under this paragraph is not to be considered an arrest
  952  for any purpose, and an entry or other record may not be made to
  953  indicate that the individual has been detained or charged with
  954  any crime. The officer in charge of the detention facility must
  955  notify the nearest appropriate licensed service provider within
  956  8 hours after detention that the individual has been detained.
  957  The detention facility must arrange, as necessary, for
  958  transportation of the individual to an appropriate licensed
  959  service provider with an available bed. Individuals detained
  960  under this paragraph must be assessed by an attending physician
  961  without unnecessary delay and within a 72-hour period to
  962  determine the need for further services.
  963         (c) The nearest relative of a minor in protective custody
  964  must be notified by the law enforcement officer, as must the
  965  nearest relative of an adult, unless the adult requests that
  966  there be no notification.
  967         (d) An individual who is in protective custody must be
  968  released by a qualified professional when any of the following
  969  circumstances occur:
  970         1. The individual no longer meets the protective custody
  971  criteria set out in paragraph (a);
  972         2. A 72-hour period has elapsed since the individual was
  973  taken into custody; or
  974         3. The individual has consented voluntarily to readmission
  975  at the facility of the licensed service provider.
  976         (e) An individual may be detained in protective custody
  977  beyond the 72-hour period if a petitioner has initiated
  978  proceedings for involuntary assessment or treatment. The timely
  979  filing of the petition authorizes the service provider to retain
  980  physical custody of the individual pending further order of the
  981  court.
  982         (3)(2) RIGHT TO TREATMENT.—An individual held for
  983  examination or admitted for mental illness or substance abuse
  984  treatment:
  985         (a) May A person shall not be denied treatment for mental
  986  illness or substance abuse impairment, and services may shall
  987  not be delayed at a mental health receiving facility, addictions
  988  receiving facility, detoxification facility, or treatment
  989  facility because of inability to pay. However, every reasonable
  990  effort to collect appropriate reimbursement for the cost of
  991  providing mental health or substance abuse services from
  992  individuals to persons able to pay for services, including
  993  insurance or third-party payments by third-party payers, shall
  994  be made by facilities providing services under pursuant to this
  995  part.
  996         (b) Shall be provided It is further the policy of the state
  997  that the least restrictive appropriate available treatment,
  998  which must be utilized based on the individual’s individual
  999  needs and best interests of the patient and consistent with the
 1000  optimum improvement of the individual’s patient’s condition.
 1001         (c) Shall Each person who remains at a receiving or
 1002  treatment facility for more than 12 hours shall be given a
 1003  physical examination by a health practitioner authorized by law
 1004  to give such examinations, and a mental health or substance
 1005  abuse evaluation, as appropriate, by a psychiatrist,
 1006  psychologist, psychiatric nurse, or qualified substance abuse
 1007  professional, within 24 hours after arrival at such facility if
 1008  the individual has not been released or discharged pursuant to
 1009  s. 394.463(2)(h) or s. 394.469. The physical examination and
 1010  mental health evaluation must be documented in the clinical
 1011  record. The physical and mental health examinations shall
 1012  include efforts to identify indicators of substance abuse
 1013  impairment, substance abuse intoxication, and substance abuse
 1014  withdrawal.
 1015         (d) Shall Every patient in a facility shall be afforded the
 1016  opportunity to participate in activities designed to enhance
 1017  self-image and the beneficial effects of other treatments, as
 1018  determined by the facility.
 1019         (e) Shall, not more than 5 days after admission to a
 1020  facility, each patient shall have and receive an individualized
 1021  treatment plan in writing, which the individual patient has had
 1022  an opportunity to assist in preparing and to review before prior
 1023  to its implementation. The plan must shall include a space for
 1024  the individual’s patient’s comments and signature.
 1025         (4)(3) RIGHT TO EXPRESS AND INFORMED PATIENT CONSENT.—
 1026         (a)1.Each individual patient entering treatment shall be
 1027  asked to give express and informed consent for admission or
 1028  treatment.
 1029         (a)If the individual patient has been adjudicated
 1030  incapacitated or found to be incompetent to consent to
 1031  treatment, express and informed consent must to treatment shall
 1032  be sought from his or her instead from the patient’s guardian,
 1033  or guardian advocate, or health care surrogate or proxy. If the
 1034  individual patient is a minor, express and informed consent for
 1035  admission or treatment must be obtained shall also be requested
 1036  from the patient’s guardian. Express and informed consent for
 1037  admission or treatment of a patient under 18 years of age shall
 1038  be required from the minor’s patient’s guardian, unless the
 1039  minor is seeking outpatient crisis intervention services under
 1040  s. 394.4784. Express and informed consent for admission or
 1041  treatment given by a patient who is under 18 years of age shall
 1042  not be a condition of admission when the patient’s guardian
 1043  gives express and informed consent for the patient’s admission
 1044  pursuant to s. 394.463 or s. 394.467.
 1045         (b)2. Before giving express and informed consent, the
 1046  following information shall be provided and explained in plain
 1047  language to the individual and patient, or to his or her the
 1048  patient’s guardian if the individual patient is an adult 18
 1049  years of age or older and has been adjudicated incapacitated, or
 1050  to his or her the patient’s guardian advocate if the individual
 1051  patient has been found to be incompetent to consent to
 1052  treatment, to the health care surrogate or proxy, or to both the
 1053  individual patient and the guardian if the individual patient is
 1054  a minor: the reason for admission or treatment; the proposed
 1055  treatment and ; the purpose of such the treatment to be
 1056  provided; the common risks, benefits, and side effects of the
 1057  proposed treatment thereof; the specific dosage range of for the
 1058  medication, if when applicable; alternative treatment
 1059  modalities; the approximate length of care; the potential
 1060  effects of stopping treatment; how treatment will be monitored;
 1061  and that any consent given for treatment may be revoked orally
 1062  or in writing before or during the treatment period by the
 1063  individual receiving the treatment patient or by a person who is
 1064  legally authorized to make health care decisions on the
 1065  individual’s behalf of the patient.
 1066         (b) In the case of medical procedures requiring the use of
 1067  a general anesthetic or electroconvulsive treatment, and prior
 1068  to performing the procedure, express and informed consent shall
 1069  be obtained from the patient if the patient is legally
 1070  competent, from the guardian of a minor patient, from the
 1071  guardian of a patient who has been adjudicated incapacitated, or
 1072  from the guardian advocate of the patient if the guardian
 1073  advocate has been given express court authority to consent to
 1074  medical procedures or electroconvulsive treatment as provided
 1075  under s. 394.4598.
 1076         (5)(4) QUALITY OF TREATMENT.—
 1077         (a) Each individual patient shall receive services,
 1078  including, for a patient placed under s. 394.4655 shall receive,
 1079  those services that are included in the court order which are
 1080  suited to his or her needs, and which shall be administered
 1081  skillfully, safely, and humanely with full respect for the
 1082  individual’s patient’s dignity and personal integrity. Each
 1083  individual patient shall receive such medical, vocational,
 1084  social, educational, substance abuse, and rehabilitative
 1085  services as his or her condition requires in order to live
 1086  successfully in the community. In order to achieve this goal,
 1087  the department shall is directed to coordinate its mental health
 1088  and substance abuse programs with all other programs of the
 1089  department and other state agencies.
 1090         (b) Facilities shall develop and maintain, in a form that
 1091  is accessible to and readily understandable by individuals held
 1092  for examination or admitted for mental health or substance abuse
 1093  treatment patients and consistent with rules adopted by the
 1094  department, the following:
 1095         1. Criteria, procedures, and required staff training for
 1096  the any use of close or elevated levels of supervision, of
 1097  restraint, seclusion, or isolation, or of emergency treatment
 1098  orders, and for the use of bodily control and physical
 1099  management techniques.
 1100         2. Procedures for documenting, monitoring, and requiring
 1101  clinical review of all uses of the procedures described in
 1102  subparagraph 1. and for documenting and requiring review of any
 1103  incidents resulting in injury to individuals receiving services
 1104  patients.
 1105         3. A system for investigating, tracking, managing, and
 1106  responding to complaints by individuals persons receiving
 1107  services or persons individuals acting on their behalf.
 1108         (c) Facilities shall have written procedures for reporting
 1109  events that place individuals receiving services at risk of
 1110  harm. Such events must be reported to the managing entity in the
 1111  facility’s region and the department as soon as reasonably
 1112  possible after discovery and include, but are not limited to:
 1113         1. The death, regardless of cause or manner, of an
 1114  individual examined or treated at a facility that occurs while
 1115  the individual is at the facility or that occurs within 72 hours
 1116  after release, if the death is known to the facility
 1117  administrator.
 1118         2. An injury sustained, or allegedly sustained, at a
 1119  facility, by an individual examined or treated at the facility
 1120  and caused by an accident, self-inflicted injury, assault, act
 1121  of abuse, neglect, or suicide attempt, if the injury requires
 1122  medical treatment by a licensed health care practitioner in an
 1123  acute care medical facility.
 1124         3. The unauthorized departure or absence of an individual
 1125  from a facility in which he or she has been held for involuntary
 1126  examination or involuntary placement.
 1127         4. A disaster or crisis situation such as a tornado,
 1128  hurricane, kidnapping, riot, or hostage situation that
 1129  jeopardizes the health, safety, or welfare of individuals
 1130  examined or treated in a facility.
 1131         5. An allegation of sexual battery upon an individual
 1132  examined or treated in a facility.
 1133         (d)(c) A facility may not use seclusion or restraint for
 1134  punishment, to compensate for inadequate staffing, or for the
 1135  convenience of staff. Facilities shall ensure that all staff are
 1136  made aware of these restrictions on the use of seclusion and
 1137  restraint and shall make and maintain records that which
 1138  demonstrate that this information has been conveyed to each
 1139  individual staff member members.
 1140         (6)(5) COMMUNICATION, ABUSE REPORTING, AND VISITS.—
 1141         (a) Each individual person receiving services in a facility
 1142  providing mental health services under this part has the right
 1143  to communicate freely and privately with persons outside the
 1144  facility unless it is determined that such communication is
 1145  likely to be harmful to the individual person or others. Each
 1146  facility shall make available as soon as reasonably possible to
 1147  persons receiving services a telephone that allows for free
 1148  local calls and access to a long-distance service to the
 1149  individual as soon as reasonably possible. A facility is not
 1150  required to pay the costs of the individual’s a patient’s long
 1151  distance calls. The telephone must shall be readily accessible
 1152  to the patient and shall be placed so that the individual
 1153  patient may use it to communicate privately and confidentially.
 1154  The facility may establish reasonable rules for the use of the
 1155  this telephone which, provided that the rules do not interfere
 1156  with an individual’s a patient’s access to a telephone to report
 1157  abuse pursuant to paragraph (e).
 1158         (b) Each individual patient admitted to a facility under
 1159  the provisions of this part shall be allowed to receive, send,
 1160  and mail sealed, unopened correspondence; and the individual’s
 1161  no patient’s incoming or outgoing correspondence may not shall
 1162  be opened, delayed, held, or censored by the facility unless
 1163  there is reason to believe that it contains items or substances
 1164  that which may be harmful to the individual patient or others,
 1165  in which case the administrator may direct reasonable
 1166  examination of such mail and may regulate the disposition of
 1167  such items or substances.
 1168         (c) Each facility shall allow must permit immediate access
 1169  to an individual any patient, subject to the patient’s right to
 1170  deny or withdraw consent at any time, by the individual, or by
 1171  the individual’s patient’s family members, guardian, guardian
 1172  advocate, health care surrogate or proxy, representative,
 1173  Florida statewide or local advocacy council, or attorneys
 1174  attorney, unless such access would be detrimental to the
 1175  individual patient. If the a patient’s right to communicate or
 1176  to receive visitors is restricted by the facility, written
 1177  notice of such restriction and the reasons for the restriction
 1178  shall be served on the individual and patient, the individual’s
 1179  patient’s attorney, and the patient’s guardian, guardian
 1180  advocate, health care surrogate or proxy, or representative; and
 1181  such restriction, and the reasons for the restriction, must
 1182  shall be recorded in on the patient’s clinical record with the
 1183  reasons therefor. The restriction must of a patient’s right to
 1184  communicate or to receive visitors shall be reviewed at least
 1185  every 7 days. The right to communicate or receive visitors may
 1186  shall not be restricted as a means of punishment. This Nothing
 1187  in this paragraph may not shall be construed to limit the
 1188  provisions of paragraph (d).
 1189         (d) Each facility shall establish reasonable rules, which
 1190  must be the least restrictive possible, governing visitors,
 1191  visiting hours, and the use of telephones by individuals
 1192  patients in the least restrictive possible manner. An individual
 1193  has Patients shall have the right to contact and to receive
 1194  communication from his or her attorney their attorneys at any
 1195  reasonable time.
 1196         (e) Each individual patient receiving mental health or
 1197  substance abuse treatment in any facility shall have ready
 1198  access to a telephone in order to report an alleged abuse. The
 1199  facility staff shall orally and in writing inform each
 1200  individual patient of the procedure for reporting abuse and
 1201  shall make every reasonable effort to present the information in
 1202  a language the individual patient understands. A written copy of
 1203  that procedure, including the telephone number of the central
 1204  abuse hotline and reporting forms, must shall be posted in plain
 1205  view.
 1206         (f) The department shall adopt rules providing a procedure
 1207  for reporting abuse. Facility staff shall be required, As a
 1208  condition of employment, facility staff shall to become familiar
 1209  with the requirements and procedures for the reporting of abuse.
 1210         (7)(6) CARE AND CUSTODY OF PERSONAL EFFECTS OF PATIENTS.—A
 1211  facility shall respect the rights of an individual with regard A
 1212  patient’s right to the possession of his or her clothing and
 1213  personal effects shall be respected. The facility may take
 1214  temporary custody of such effects if when required for medical
 1215  and safety reasons. The A patient’s clothing and personal
 1216  effects shall be inventoried upon their removal into temporary
 1217  custody. Copies of this inventory shall be given to the
 1218  individual patient and to his or her the patient’s guardian,
 1219  guardian advocate, health care surrogate or proxy, or
 1220  representative and shall be recorded in the patient’s clinical
 1221  record. This inventory may be amended upon the request of the
 1222  individual patient or his or her the patient’s guardian,
 1223  guardian advocate, health care surrogate or proxy, or
 1224  representative. The inventory and any amendments to it must be
 1225  witnessed by two members of the facility staff and by the
 1226  individual patient, if he or she is able. All of the a patient’s
 1227  clothing and personal effects held by the facility shall be
 1228  returned to the individual patient immediately upon his or her
 1229  the discharge or transfer of the patient from the facility,
 1230  unless such return would be detrimental to the individual
 1231  patient. If personal effects are not returned to the patient,
 1232  the reason must be documented in the clinical record along with
 1233  the disposition of the clothing and personal effects, which may
 1234  be given instead to the individual’s patient’s guardian,
 1235  guardian advocate, health care surrogate or proxy, or
 1236  representative. As soon as practicable after an emergency
 1237  transfer of a patient, the individual’s patient’s clothing and
 1238  personal effects shall be transferred to the individual’s
 1239  patient’s new location, together with a copy of the inventory
 1240  and any amendments, unless an alternate plan is approved by the
 1241  individual patient, if he or she is able, and by his or her the
 1242  patient’s guardian, guardian advocate, health care surrogate or
 1243  proxy, or representative.
 1244         (8)(7) VOTING IN PUBLIC ELECTIONS.—A patient who is
 1245  eligible to vote according to the laws of the state has the
 1246  right to vote in the primary and general elections. The
 1247  department shall establish rules to enable patients to obtain
 1248  voter registration forms, applications for absentee ballots, and
 1249  absentee ballots.
 1250         (9)(8) HABEAS CORPUS.—
 1251         (a) At any time, and without notice, an individual a person
 1252  held or admitted for mental health or substance abuse
 1253  examination or placement in a receiving or treatment facility,
 1254  or a relative, friend, guardian, guardian advocate, health care
 1255  surrogate or proxy, representative, or attorney, or the
 1256  department, on behalf of such individual person, may petition
 1257  for a writ of habeas corpus to question the cause and legality
 1258  of such detention and request that the court order a return to
 1259  the writ in accordance with chapter 79. Each individual patient
 1260  held in a facility shall receive a written notice of the right
 1261  to petition for a writ of habeas corpus.
 1262         (b) At any time, and without notice, an individual held or
 1263  admitted for mental health or substance abuse examination or
 1264  placement a person who is a patient in a receiving or treatment
 1265  facility, or a relative, friend, guardian, guardian advocate,
 1266  health care surrogate or proxy, representative, or attorney, or
 1267  the department, on behalf of such individual person, may file a
 1268  petition in the circuit court in the county where the individual
 1269  patient is being held alleging that he or she the patient is
 1270  being unjustly denied a right or privilege granted under this
 1271  part herein or that a procedure authorized under this part
 1272  herein is being abused. Upon the filing of such a petition, the
 1273  court may shall have the authority to conduct a judicial inquiry
 1274  and to issue an any order needed to correct an abuse of the
 1275  provisions of this part.
 1276         (c) The administrator of any receiving or treatment
 1277  facility receiving a petition under this subsection shall file
 1278  the petition with the clerk of the court on the next court
 1279  working day.
 1280         (d) A No fee may not shall be charged for the filing of a
 1281  petition under this subsection.
 1282         (10)(9) VIOLATIONS.—The department shall report to the
 1283  Agency for Health Care Administration any violation of the
 1284  rights or privileges of patients, or of any procedures provided
 1285  under this part, by any facility or professional licensed or
 1286  regulated by the agency. The agency is authorized to impose any
 1287  sanction authorized for violation of this part, based solely on
 1288  the investigation and findings of the department.
 1289         (11)(10) LIABILITY FOR VIOLATIONS.—Any person who violates
 1290  or abuses any rights or privileges of patients provided by this
 1291  part is liable for damages as determined by law. Any person who
 1292  acts in good faith in compliance with the provisions of this
 1293  part is immune from civil or criminal liability for his or her
 1294  actions in connection with the admission, diagnosis, treatment,
 1295  or discharge of a patient to or from a facility. However, this
 1296  section does not relieve any person from liability if such
 1297  person commits negligence.
 1298         (12)(11) RIGHT TO PARTICIPATE IN TREATMENT AND DISCHARGE
 1299  PLANNING.—The patient shall have the opportunity to participate
 1300  in treatment and discharge planning and shall be notified in
 1301  writing of his or her right, upon discharge from the facility,
 1302  to seek treatment from the professional or agency of the
 1303  patient’s choice.
 1304         (13) ADVANCE DIRECTIVES.—All service providers under this
 1305  part shall provide information concerning advance directives to
 1306  individuals and assist those who are competent and willing to
 1307  complete an advance directive. The directive may include
 1308  instructions regarding mental health or substance abuse care.
 1309  Service providers under this part shall honor the advance
 1310  directive of individuals they serve, or shall request the
 1311  transfer of the individual as required under s. 765.1105.
 1312         (14)(12) POSTING OF NOTICE OF RIGHTS OF PATIENTS.—Each
 1313  facility shall post a notice listing and describing, in the
 1314  language and terminology that the persons to whom the notice is
 1315  addressed can understand, the rights provided in this section.
 1316  This notice shall include a statement that provisions of the
 1317  federal Americans with Disabilities Act apply and the name and
 1318  telephone number of a person to contact for further information.
 1319  This notice shall be posted in a place readily accessible to
 1320  patients and in a format easily seen by patients. This notice
 1321  shall include the telephone numbers of the Florida local
 1322  advocacy council and Advocacy Center for Persons with
 1323  Disabilities, Inc.
 1324         Section 7. Section 394.4597, Florida Statutes, is amended
 1325  to read:
 1326         394.4597 Persons to be notified; appointment of a patient’s
 1327  representative.—
 1328         (1) VOLUNTARY ADMISSION PATIENTS.—At the time an individual
 1329  a patient is voluntarily admitted to a receiving or treatment
 1330  facility, the individual shall be asked to identify a person to
 1331  be notified in case of an emergency, and the identity and
 1332  contact information of that a person to be notified in case of
 1333  an emergency shall be entered in the individual’s patient’s
 1334  clinical record.
 1335         (2) INVOLUNTARY ADMISSION PATIENTS.—
 1336         (a) At the time an individual a patient is admitted to a
 1337  facility for involuntary examination or placement, or when a
 1338  petition for involuntary placement is filed, the names,
 1339  addresses, and telephone numbers of the individual’s patient’s
 1340  guardian or guardian advocate, health care surrogate, or proxy,
 1341  or representative if he or she the patient has no guardian, and
 1342  the individual’s patient’s attorney shall be entered in the
 1343  patient’s clinical record.
 1344         (b) If the individual patient has no guardian, guardian
 1345  advocate, health care surrogate, or proxy, he or she the patient
 1346  shall be asked to designate a representative. If the individual
 1347  patient is unable or unwilling to designate a representative,
 1348  the facility shall select a representative.
 1349         (c) The individual patient shall be consulted with regard
 1350  to the selection of a representative by the receiving or
 1351  treatment facility and may shall have authority to request that
 1352  the any such representative be replaced.
 1353         (d) If When the receiving or treatment facility selects a
 1354  representative, first preference shall be given to a health care
 1355  surrogate, if one has been previously selected by the patient.
 1356  If the individual patient has not previously selected a health
 1357  care surrogate, the selection, except for good cause documented
 1358  in the individual’s patient’s clinical record, shall be made
 1359  from the following list in the order of listing:
 1360         1. The individual’s patient’s spouse.
 1361         2. An adult child of the individual patient.
 1362         3. A parent of the individual patient.
 1363         4. The adult next of kin of the individual patient.
 1364         5. An adult friend of the individual patient.
 1365         6. The appropriate Florida local advocacy council as
 1366  provided in s. 402.166.
 1367         (e) The following persons are prohibited from selection as
 1368  an individual’s representative:
 1369         1. A professional providing clinical services to the
 1370  individual under this part;
 1371         2. The licensed professional who initiated the involuntary
 1372  examination of the individual, if the examination was initiated
 1373  by professional certificate;
 1374         3. An employee, administrator, or board member of the
 1375  facility providing the examination of the individual;
 1376         4. An employee, administrator, or board member of a
 1377  treatment facility providing treatment of the individual;
 1378         5. A person providing any substantial professional services
 1379  to the individual, including clinical and nonclinical services;
 1380         6. A creditor of the individual;
 1381         7. A person subject to an injunction for protection against
 1382  domestic violence under s. 741.30, whether the order of
 1383  injunction is temporary or final, and for which the individual
 1384  was the petitioner; and
 1385         8. A person subject to an injunction for protection against
 1386  repeat violence, sexual violence, or dating violence under s.
 1387  784.046, whether the order of injunction is temporary or final,
 1388  and for which the individual was the petitioner.
 1389         (e) A licensed professional providing services to the
 1390  patient under this part, an employee of a facility providing
 1391  direct services to the patient under this part, a department
 1392  employee, a person providing other substantial services to the
 1393  patient in a professional or business capacity, or a creditor of
 1394  the patient shall not be appointed as the patient’s
 1395  representative.
 1396         (f) The representative selected by the individual or
 1397  designated by the facility has the right to:
 1398         1. Receive notice of the individual’s admission;
 1399         2. Receive notice of proceedings affecting the individual;
 1400         3. Have immediate access to the individual unless such
 1401  access is documented to be detrimental to the individual;
 1402         4. Receive notice of any restriction of the individual’s
 1403  right to communicate or receive visitors;
 1404         5. Receive a copy of the inventory of personal effects upon
 1405  the individual’s admission and to request an amendment to the
 1406  inventory at any time;
 1407         6. Receive disposition of the individual’s clothing and
 1408  personal effects if not returned to the individual, or to
 1409  approve an alternate plan;
 1410         7. Petition on behalf of the individual for a writ of
 1411  habeas corpus to question the cause and legality of the
 1412  individual’s detention or to allege that the individual is being
 1413  unjustly denied a right or privilege granted under this part, or
 1414  that a procedure authorized under this part is being abused;
 1415         8. Apply for a change of venue for the individual’s
 1416  involuntary placement hearing for the convenience of the parties
 1417  or witnesses or because of the individual’s condition;
 1418         9. Receive written notice of any restriction of the
 1419  individual’s right to inspect his or her clinical record;
 1420         10. Receive notice of the release of the individual from a
 1421  receiving facility where an involuntary examination was
 1422  performed;
 1423         11. Receive a copy of any petition for the individual’s
 1424  involuntary placement filed with the court; and
 1425         12. Be informed by the court of the individual’s right to
 1426  an independent expert evaluation pursuant to involuntary
 1427  placement procedures.
 1428         Section 8. Section 394.4598, Florida Statutes, is amended
 1429  to read:
 1430         394.4598 Guardian advocate.—
 1431         (1) The administrator may petition the court for the
 1432  appointment of a guardian advocate based upon the opinion of a
 1433  psychiatrist that an individual held for examination or admitted
 1434  for mental health or substance abuse treatment the patient is
 1435  incompetent to consent to treatment. If the court finds that the
 1436  individual a patient is incompetent to consent to treatment and
 1437  has not been adjudicated incapacitated and a guardian having
 1438  with the authority to consent to mental health or substance
 1439  abuse treatment has not been appointed, it shall appoint a
 1440  guardian advocate. The individual patient has the right to have
 1441  an attorney represent him or her at the hearing. If the
 1442  individual person is indigent, the court shall appoint the
 1443  office of the public defender to represent him or her at the
 1444  hearing. The individual patient has the right to testify, cross
 1445  examine witnesses, and present witnesses. The proceeding must
 1446  shall be recorded either electronically or stenographically, and
 1447  testimony shall be provided under oath. One of the professionals
 1448  authorized to give an opinion in support of a petition for
 1449  involuntary placement, as described in s. 394.4655 or s.
 1450  394.467, shall must testify. The A guardian advocate shall must
 1451  meet the qualifications of a guardian pursuant to contained in
 1452  part IV of chapter 744, except that a professional referred to
 1453  in this part, an employee of the facility providing direct
 1454  services to the patient under this part, a departmental
 1455  employee, a facility administrator, or member of the Florida
 1456  local advocacy council shall not be appointed. A person who is
 1457  appointed as a guardian advocate must agree to the appointment.
 1458  A person may not be appointed as a guardian advocate unless he
 1459  or she agrees to the appointment.
 1460         (2) The following persons are prohibited from being
 1461  appointed as an individual’s guardian advocate:
 1462         (a) A professional providing clinical services to the
 1463  individual under this part;
 1464         (b) The licensed professional who initiated the involuntary
 1465  examination of the individual, if the examination was initiated
 1466  by professional certificate;
 1467         (c) An employee, administrator, or board member of the
 1468  facility providing the examination of the individual;
 1469         (d) An employee, administrator, or board member of a
 1470  treatment facility providing treatment of the individual;
 1471         (e) A person providing any substantial professional
 1472  services to the individual, including clinical and nonclinical
 1473  services;
 1474         (f) A creditor of the individual;
 1475         (g) A person subject to an injunction for protection
 1476  against domestic violence under s. 741.30, whether the order of
 1477  injunction is temporary or final, and for which the individual
 1478  was the petitioner; and
 1479         (h) A person subject to an injunction for protection
 1480  against repeat violence, sexual violence, or dating violence
 1481  under s. 784.046, whether the order of injunction is temporary
 1482  or final, and for which the individual was the petitioner.
 1483         (3)(2) A facility requesting appointment of a guardian
 1484  advocate must, prior to the appointment, provide the prospective
 1485  guardian advocate with information about the duties and
 1486  responsibilities of guardian advocates, including the
 1487  information about the ethics of medical decisionmaking. Before
 1488  asking a guardian advocate to give consent to treatment for an
 1489  individual held for examination or admitted for mental health or
 1490  substance abuse treatment a patient, the facility shall provide
 1491  to the guardian advocate sufficient information to allow so that
 1492  the guardian advocate to can decide whether to give express and
 1493  informed consent to the treatment, including information that
 1494  the treatment is essential to the care of the individual
 1495  patient, and that the treatment does not present an unreasonable
 1496  risk of serious, hazardous, or irreversible side effects. Before
 1497  giving consent to treatment, the guardian advocate must meet and
 1498  talk with the individual patient and the individual’s patient’s
 1499  physician face to face in person, if at all possible, and by
 1500  telephone, if not. The guardian advocate shall make every effort
 1501  to make decisions regarding treatment that he or she believes
 1502  the individual would have made under the circumstances if the
 1503  individual were capable of making such a decision. The decision
 1504  of the guardian advocate may be reviewed by the court, upon
 1505  petition of the individual’s patient’s attorney, the
 1506  individual’s patient’s family, or the facility administrator.
 1507         (4)(3)Prior to A guardian advocate must attend at least a
 1508  4-hour training course approved by the court before exercising
 1509  his or her authority, the guardian advocate shall attend a
 1510  training course approved by the court. This training course, of
 1511  not less than 4 hours, must include, at minimum, information
 1512  about an the individual’s patient rights, psychotropic
 1513  medications, diagnosis of mental illness or substance abuse
 1514  impairment, the ethics of medical decisionmaking, and the duties
 1515  of guardian advocates. This training course shall take the place
 1516  of the training required for guardians appointed pursuant to
 1517  chapter 744.
 1518         (5)(4) The information to be supplied to prospective
 1519  guardian advocates before prior to their appointment and the
 1520  training course for guardian advocates must be developed and
 1521  completed through a course developed by the department and
 1522  approved by the chief judge of the circuit court and taught by a
 1523  court-approved organization. Court-approved organizations may
 1524  include, but need are not be limited to, community or junior
 1525  colleges, guardianship organizations, and the local bar
 1526  association or The Florida Bar. The court may, in its
 1527  discretion, waive some or all of the training requirements for
 1528  guardian advocates or impose additional requirements. The court
 1529  shall make its decision on a case-by-case basis and, in making
 1530  its decision, shall consider the experience and education of the
 1531  guardian advocate, the duties assigned to the guardian advocate,
 1532  and the needs of the individual subject to involuntary placement
 1533  patient.
 1534         (6)(5) In selecting a guardian advocate, the court shall
 1535  give preference to a health care surrogate, if one has already
 1536  been designated by the individual held for examination or
 1537  admitted for mental health or substance abuse treatment patient.
 1538  If the individual patient has not previously selected a health
 1539  care surrogate, except for good cause documented in the court
 1540  record, the selection shall be made from the following list in
 1541  the order of listing:
 1542         (a) The individual’s patient’s spouse.
 1543         (b) An adult child of the individual patient.
 1544         (c) A parent of the individual patient.
 1545         (d) The adult next of kin of the individual patient.
 1546         (e) An adult friend of the individual patient.
 1547         (f) An adult trained and willing to serve as guardian
 1548  advocate for the individual patient.
 1549         (7)(6) If a guardian with the authority to consent to
 1550  medical treatment has not already been appointed or if the
 1551  individual held for examination or admitted for mental health or
 1552  substance abuse treatment patient has not already designated a
 1553  health care surrogate, the court may authorize the guardian
 1554  advocate to consent to medical treatment, as well as mental
 1555  health and substance abuse treatment. Unless otherwise limited
 1556  by the court, a guardian advocate with authority to consent to
 1557  medical treatment shall have the same authority to make health
 1558  care decisions and be subject to the same restrictions as a
 1559  proxy appointed under part IV of chapter 765. Unless the
 1560  guardian advocate has sought and received express court approval
 1561  in proceeding separate from the proceeding to determine the
 1562  competence of the patient to consent to medical treatment, the
 1563  guardian advocate may not consent to:
 1564         (a) Abortion.
 1565         (b) Sterilization.
 1566         (c) Electroconvulsive treatment.
 1567         (d) Psychosurgery.
 1568         (e) Experimental treatments that have not been approved by
 1569  a federally approved institutional review board in accordance
 1570  with 45 C.F.R. part 46 or 21 C.F.R. part 56.
 1571  
 1572  In making a medical treatment decision under this subsection,
 1573  the court shall must base its decision on evidence that the
 1574  treatment or procedure is essential to the care of the
 1575  individual patient and that the treatment does not present an
 1576  unreasonable risk of serious, hazardous, or irreversible side
 1577  effects. The court shall follow the procedures set forth in
 1578  subsection (1) of this section.
 1579         (8)(7) The guardian advocate shall be discharged when the
 1580  individual for whom he or she is appointed patient is discharged
 1581  from an order for involuntary outpatient placement or
 1582  involuntary inpatient placement or when the individual patient
 1583  is transferred from involuntary to voluntary status. The court
 1584  or a hearing officer shall consider the competence of the
 1585  individual patient pursuant to subsection (1) and may consider
 1586  an involuntarily placed individual’s patient’s competence to
 1587  consent to treatment at any hearing. Upon sufficient evidence,
 1588  the court may restore, or the magistrate or administrative law
 1589  judge hearing officer may recommend that the court restore, the
 1590  individual’s patient’s competence. A copy of the order restoring
 1591  competence or the certificate of discharge containing the
 1592  restoration of competence shall be provided to the individual
 1593  patient and the guardian advocate.
 1594         Section 9. Section 394.4599, Florida Statutes, is amended
 1595  to read:
 1596         394.4599 Notice.—
 1597         (1) VOLUNTARY ADMISSION PATIENTS.—Notice of an individual’s
 1598  a voluntary patient’s admission shall only be given only at the
 1599  request of the individual patient, except that, in an emergency,
 1600  notice shall be given as determined by the facility.
 1601         (2) INVOLUNTARY ADMISSION PATIENTS.—
 1602         (a) Whenever notice is required to be given under this
 1603  part, such notice shall be given to the individual patient and
 1604  the individual’s patient’s guardian, guardian advocate, health
 1605  care surrogate or proxy, attorney, and representative.
 1606         1. When notice is required to be given to an individual a
 1607  patient, it shall be given both orally and in writing, in the
 1608  language and terminology that the individual patient can
 1609  understand, and, if needed, the facility shall provide an
 1610  interpreter for the individual patient.
 1611         2. Notice to an individual’s a patient’s guardian, guardian
 1612  advocate, health care surrogate or proxy, attorney, and
 1613  representative shall be given by United States mail and by
 1614  registered or certified mail with the date, time, and method of
 1615  notice delivery documented in receipts attached to the patient’s
 1616  clinical record. Hand delivery by a facility employee may be
 1617  used as an alternative, with the date and time of delivery
 1618  documented in the clinical record. If notice is given by a state
 1619  attorney or an attorney for the department, a certificate of
 1620  service is shall be sufficient to document service.
 1621         (b) A receiving facility shall give prompt notice of the
 1622  whereabouts of an individual a patient who is being
 1623  involuntarily held for examination to the individual’s guardian,
 1624  guardian advocate, health care surrogate or proxy, attorney or
 1625  representative, by telephone or in person within 24 hours after
 1626  the individual’s patient’s arrival at the facility, unless the
 1627  patient requests that no notification be made. Contact attempts
 1628  shall be documented in the individual’s patient’s clinical
 1629  record and shall begin as soon as reasonably possible after the
 1630  individual’s patient’s arrival. Notice that a patient is being
 1631  admitted as an involuntary patient shall be given to the Florida
 1632  local advocacy council no later than the next working day after
 1633  the patient is admitted.
 1634         (c)1. A receiving facility shall give notice of the
 1635  whereabouts of a minor who is being involuntarily held for
 1636  examination pursuant to s. 394.463 to the minor’s parent,
 1637  guardian, caregiver, or guardian advocate, in person or by
 1638  telephone or other form of electronic communication, immediately
 1639  after the minor’s arrival at the facility. The facility may
 1640  delay notification for no more than 24 hours after the minor’s
 1641  arrival if the facility has submitted a report to the central
 1642  abuse hotline, pursuant to s. 39.201, based upon knowledge or
 1643  suspicion of abuse, abandonment, or neglect and if the facility
 1644  deems a delay in notification to be in the minor’s best
 1645  interest.
 1646         2. The receiving facility shall attempt to notify the
 1647  minor’s parent, guardian, caregiver, or guardian advocate until
 1648  the receiving facility receives confirmation from the parent,
 1649  guardian, caregiver, or guardian advocate, verbally, by
 1650  telephone or other form of electronic communication, or by
 1651  recorded message, that notification has been received. Attempts
 1652  to notify the parent, guardian, caregiver, or guardian advocate
 1653  must be repeated at least once every hour during the first 12
 1654  hours after the minor’s arrival and once every 24 hours
 1655  thereafter and must continue until such confirmation is
 1656  received, unless the minor is released at the end of the 72-hour
 1657  examination period, or until a petition for involuntary
 1658  placement is filed with the court pursuant to s. 394.463(2)(i).
 1659  The receiving facility may seek assistance from a law
 1660  enforcement agency to notify the minor’s parent, guardian,
 1661  caregiver, or guardian advocate if the facility has not received
 1662  within the first 24 hours after the minor’s arrival a
 1663  confirmation by the parent, guardian, caregiver, or guardian
 1664  advocate that notification has been received. The receiving
 1665  facility must document notification attempts in the minor’s
 1666  clinical record.
 1667         (d)(c) The written notice of the filing of the petition for
 1668  involuntary placement of an individual being held must contain
 1669  the following:
 1670         1. Notice that the petition has been filed with the circuit
 1671  court in the county in which the individual patient is
 1672  hospitalized and the address of such court.
 1673         2. Notice that the office of the public defender has been
 1674  appointed to represent the individual patient in the proceeding,
 1675  if the individual patient is not otherwise represented by
 1676  counsel.
 1677         3. The date, time, and place of the hearing and the name of
 1678  each examining expert and every other person expected to testify
 1679  in support of continued detention.
 1680         4. Notice that the individual patient, the individual’s
 1681  patient’s guardian, guardian advocate, health care surrogate or
 1682  proxy, or representative, or the administrator may apply for a
 1683  change of venue for the convenience of the parties or witnesses
 1684  or because of the condition of the individual patient.
 1685         5. Notice that the individual patient is entitled to an
 1686  independent expert examination and, if the individual patient
 1687  cannot afford such an examination, that the court will provide
 1688  for one.
 1689         (e)(d) A treatment facility shall provide notice of an
 1690  individual’s a patient’s involuntary admission on the next
 1691  regular working day after the individual’s patient’s arrival at
 1692  the facility.
 1693         (f)(e) When an individual a patient is to be transferred
 1694  from one facility to another, notice shall be given by the
 1695  facility where the individual patient is located before prior to
 1696  the transfer.
 1697         Section 10. Subsections (1), (2), (3), and (10) of section
 1698  394.4615, Florida Statutes, are amended to read:
 1699         394.4615 Clinical records; confidentiality.—
 1700         (1) A clinical record shall be maintained for each
 1701  individual held for examination or admitted for treatment under
 1702  this part patient. The record shall include data pertaining to
 1703  admission and such other information as may be required under
 1704  rules of the department. A clinical record is confidential and
 1705  exempt from the provisions of s. 119.07(1). Unless waived by
 1706  express and informed consent of the individual, by the patient
 1707  or his or her the patient’s guardian, or guardian advocate,
 1708  health care surrogate or proxy, or, if the individual patient is
 1709  deceased, by his or her guardian, guardian advocate, health care
 1710  surrogate or proxy, by his or her the patient’s personal
 1711  representative or the family member who stands next in line of
 1712  intestate succession, the confidential status of the clinical
 1713  record shall not be lost by either authorized or unauthorized
 1714  disclosure to any person, organization, or agency.
 1715         (2) The clinical record of an individual held for
 1716  examination or admitted for treatment under this part shall be
 1717  released if when:
 1718         (a) The individual patient or the individual’s patient’s
 1719  guardian, guardian advocate, health care surrogate or proxy, or
 1720  representative authorizes the release. The guardian, or guardian
 1721  advocate, health care surrogate or proxy shall be provided
 1722  access to the appropriate clinical records of the patient. The
 1723  individual patient or the patient’s guardian, or guardian
 1724  advocate, health care surrogate or proxy may authorize the
 1725  release of information and clinical records to appropriate
 1726  persons to ensure the continuity of the individual’s patient’s
 1727  health care or mental health or substance abuse care.
 1728         (b) The individual patient is represented by counsel and
 1729  the records are needed by the individual’s patient’s counsel for
 1730  adequate representation.
 1731         (c) A petition for involuntary inpatient placement is filed
 1732  and the records are needed by the state attorney to evaluate the
 1733  allegations set forth in the petition or to prosecute the
 1734  petition. However, the state attorney may not use clinical
 1735  records obtained under this part for the purpose of criminal
 1736  investigation or prosecution, or for any other purpose not
 1737  authorized by this part.
 1738         (d)(c) The court orders such release. In determining
 1739  whether there is good cause for disclosure, the court shall
 1740  weigh the need for the information to be disclosed against the
 1741  possible harm of disclosure to the individual person to whom
 1742  such information pertains.
 1743         (e)(d) The individual patient is committed to, or is to be
 1744  returned to, the Department of Corrections from the Department
 1745  of Children and Families, and the Department of Corrections
 1746  requests such records. These records shall be furnished without
 1747  charge to the Department of Corrections.
 1748         (3) Information from the clinical record may be released in
 1749  the following circumstances:
 1750         (a) When a patient has declared an intention to harm other
 1751  persons. When such declaration has been made, the administrator
 1752  may authorize the release of sufficient information to provide
 1753  adequate warning to law enforcement agencies and to the person
 1754  threatened with harm by the patient.
 1755         (b) When the administrator of the facility or secretary of
 1756  the department deems release to a qualified researcher as
 1757  defined in administrative rule, an aftercare treatment provider,
 1758  or an employee or agent of the department is necessary for
 1759  treatment of the patient, maintenance of adequate records,
 1760  compilation of treatment data, aftercare planning, or evaluation
 1761  of programs.
 1762  
 1763  For the purpose of determining whether a person meets the
 1764  criteria for involuntary outpatient placement or for preparing
 1765  the proposed treatment plan pursuant to s. 394.4655, the
 1766  clinical record may be released to the state attorney, the
 1767  public defender or the patient’s private legal counsel, the
 1768  court, and to the appropriate mental health professionals,
 1769  including the service provider identified in s. 394.4655(7)(b)
 1770  s. 394.4655(6)(b)2., in accordance with state and federal law.
 1771         (10) An individual held for examination or admitted for
 1772  treatment Patients shall have reasonable access to his or her
 1773  their clinical records, unless such access is determined by the
 1774  individual’s patient’s physician to be harmful to the individual
 1775  patient. If the individual’s patient’s right to inspect his or
 1776  her clinical record is restricted by the facility, written
 1777  notice of such restriction shall be given to the individual
 1778  patient and the individual’s patient’s guardian, guardian
 1779  advocate, health care surrogate or proxy, or attorney, and
 1780  representative. In addition, the restriction shall be recorded
 1781  in the clinical record, together with the reasons for it. The
 1782  restriction of an individual’s a patient’s right to inspect his
 1783  or her clinical record shall expire after 7 days but may be
 1784  renewed, after review, for subsequent 7-day periods.
 1785         Section 11. Paragraphs (a) through (m) of subsection (1) of
 1786  section 394.462, Florida Statutes, are amended, and paragraph
 1787  (n) is added to that subsection, to read:
 1788         394.462 Transportation.—
 1789         (1) TRANSPORTATION TO A RECEIVING OR DETOXIFICATION
 1790  FACILITY.—
 1791         (a) Each county shall designate a single law enforcement
 1792  agency within the county, or portions thereof, to take an
 1793  individual a person into custody upon the entry of an ex parte
 1794  order or the execution of a certificate for involuntary
 1795  examination by an authorized professional and to transport that
 1796  individual person to the nearest receiving facility for
 1797  examination. The designated law enforcement agency may decline
 1798  to transport the individual person to a receiving or
 1799  detoxification facility only if:
 1800         1. The county or jurisdiction designated by the county has
 1801  contracted on an annual basis with an emergency medical
 1802  transport service or private transport company for
 1803  transportation of individuals persons to receiving facilities
 1804  pursuant to this section at the sole cost of the county; and
 1805         2. The law enforcement agency and the emergency medical
 1806  transport service or private transport company agree that the
 1807  continued presence of law enforcement personnel is not necessary
 1808  for the safety of the individuals being transported person or
 1809  others.
 1810         3. The jurisdiction designated by the county may seek
 1811  reimbursement for transportation expenses. The party responsible
 1812  for payment for such transportation is the person receiving the
 1813  transportation. The county shall seek reimbursement from the
 1814  following sources in the following order:
 1815         a. From an insurance company, health care corporation, or
 1816  other source, if the individual being transported person
 1817  receiving the transportation is covered by an insurance policy
 1818  or subscribes to a health care corporation or other source for
 1819  payment of such expenses.
 1820         b. From the individual being transported person receiving
 1821  the transportation.
 1822         c. From a financial settlement for medical care, treatment,
 1823  hospitalization, or transportation payable or accruing to the
 1824  injured party.
 1825         (b) Any company that transports a patient pursuant to this
 1826  subsection is considered an independent contractor and is solely
 1827  liable for the safe and dignified transportation of the patient.
 1828  Such company must be insured and provide no less than $100,000
 1829  in liability insurance with respect to the transportation of
 1830  patients.
 1831         (c) Any company that contracts with a governing board of a
 1832  county to transport patients shall comply with the applicable
 1833  rules of the department to ensure the safety and dignity of the
 1834  patients.
 1835         (d) When a law enforcement officer takes custody of a
 1836  person pursuant to this part, the officer may request assistance
 1837  from emergency medical personnel if such assistance is needed
 1838  for the safety of the officer or the person in custody.
 1839         (e) When a member of a mental health overlay program or a
 1840  mobile crisis response service is a professional authorized to
 1841  initiate an involuntary examination pursuant to s. 394.463 and
 1842  that professional evaluates a person and determines that
 1843  transportation to a receiving facility is needed, the service,
 1844  at its discretion, may transport the person to the facility or
 1845  may call on the law enforcement agency or other transportation
 1846  arrangement best suited to the needs of the patient.
 1847         (f) When a any law enforcement officer has custody of a
 1848  person, based on either noncriminal or minor criminal behavior,
 1849  a misdemeanor, or a felony other than a forcible felony as
 1850  defined in s. 776.08, who that meets the statutory guidelines
 1851  for involuntary examination under this part, the law enforcement
 1852  officer shall transport the individual person to the nearest
 1853  receiving facility for examination.
 1854         (g) When any law enforcement officer has arrested a person
 1855  for a forcible felony as defined in s. 776.08 and it appears
 1856  that the person meets the criteria statutory guidelines for
 1857  involuntary examination or placement under this part, such
 1858  person shall first be processed in the same manner as any other
 1859  criminal suspect. The law enforcement agency shall thereafter
 1860  immediately notify the nearest public receiving facility, which
 1861  shall be responsible for promptly arranging for the examination
 1862  and treatment of the person. A receiving facility may not is not
 1863  required to admit a person charged with a forcible felony as
 1864  defined in s. 776.08 crime for whom the facility determines and
 1865  documents that it is unable to provide adequate security, but
 1866  shall provide mental health examination and treatment to the
 1867  person at the location where he or she is held.
 1868         (h) If the appropriate law enforcement officer believes
 1869  that a person has an emergency medical condition as defined in
 1870  s. 395.002, the person may be first transported to a hospital
 1871  for emergency medical treatment, regardless of whether the
 1872  hospital is a designated receiving facility.
 1873         (i) The costs of transportation, evaluation,
 1874  hospitalization, and treatment incurred under this subsection by
 1875  persons who have been arrested for violations of any state law
 1876  or county or municipal ordinance may be recovered as provided in
 1877  s. 901.35.
 1878         (j) The nearest receiving facility must accept persons
 1879  brought by law enforcement officers for involuntary examination.
 1880         (k) Each law enforcement agency shall develop a memorandum
 1881  of understanding with each receiving facility within the law
 1882  enforcement agency’s jurisdiction which reflects a single set of
 1883  protocols for the safe and secure transportation of the person
 1884  and transfer of custody of the person. These protocols must also
 1885  address crisis intervention measures.
 1886         (l) When a jurisdiction has entered into a contract with an
 1887  emergency medical transport service or a private transport
 1888  company for transportation of persons to receiving facilities,
 1889  such service or company shall be given preference for
 1890  transportation of persons from nursing homes, assisted living
 1891  facilities, adult day care centers, or adult family-care homes,
 1892  unless the behavior of the person being transported is such that
 1893  transportation by a law enforcement officer is necessary.
 1894         (m) Nothing in this section shall be construed to limit
 1895  emergency examination and treatment of incapacitated persons
 1896  provided in accordance with the provisions of s. 401.445.
 1897         (n) Upon the request of an individual who appears to meet
 1898  criteria for voluntary admission under s. 394.4625(1)(a), a law
 1899  enforcement officer may transport him or her to a mental health
 1900  receiving facility, addictions receiving facility, or
 1901  detoxification facility.
 1902         Section 12. Subsections (1), (2), (4), and (5) of section
 1903  394.4625, Florida Statutes, are amended to read:
 1904         394.4625 Voluntary admissions.—
 1905         (1) EXAMINATION AND TREATMENT AUTHORITY TO RECEIVE
 1906  PATIENTS.—
 1907         (a) In order to be voluntarily admitted to a facility A
 1908  facility may receive for observation, diagnosis, or treatment:
 1909  any person 18 years of age or older making application by
 1910  express and informed consent for admission or any person age 17
 1911  or under for whom such application is made by his or her
 1912  guardian. If found to
 1913         1. An individual must show evidence of mental illness or
 1914  substance abuse impairment, to be competent to provide express
 1915  and informed consent, and to be suitable for treatment, such
 1916  person 18 years of age or older may be admitted to the facility.
 1917  A person age 17 or under may be admitted only after a hearing to
 1918  verify the voluntariness of the consent.
 1919         2. An individual must be suitable for treatment by the
 1920  facility.
 1921         3. An adult must provide, and be competent to provide,
 1922  express and informed consent.
 1923         4. A minor’s guardian must provide express and informed
 1924  consent, in conjunction with the consent of the minor. However,
 1925  a minor may be admitted to an addictions receiving facility or
 1926  detoxification facility by his or her own consent without his or
 1927  her guardian’s consent, if a physician documents in the clinical
 1928  record that the minor has a substance abuse impairment. If the
 1929  minor is admitted by his or her own consent and without the
 1930  consent of his or her guardian, the facility must request the
 1931  minor’s permission to notify an adult family member or friend of
 1932  the minor’s voluntary admission into the facility.
 1933         a. The consent of the minor is an affirmative agreement by
 1934  the minor to remain at the facility for examination or
 1935  treatment, and failure to object does not constitute consent.
 1936         b. The minor’s consent must be verified through a clinical
 1937  assessment that is documented in the clinical record and
 1938  conducted within 12 hours after arrival at the facility by a
 1939  licensed professional authorized to initiate an involuntary
 1940  examination pursuant to s. 394.463.
 1941         c. In verifying the minor’s consent, and using language
 1942  that is appropriate to the minor’s age, experience, maturity,
 1943  and condition, the examining professional must provide the minor
 1944  with an explanation as to why the minor will be examined and
 1945  treated, what the minor can expect while in the facility, and
 1946  when the minor may expect to be released. The examining
 1947  professional must determine and document that the minor is able
 1948  to understand the information.
 1949         d. Unless the minor’s consent is verified pursuant to this
 1950  section, a petition for involuntary inpatient placement shall be
 1951  filed with the court within 1 court working day after his or her
 1952  arrival or the minor must be released to his or her guardian.
 1953         (b) A mental health overlay program or a mobile crisis
 1954  response service or a licensed professional who is authorized to
 1955  initiate an involuntary examination pursuant to s. 394.463 and
 1956  is employed by a community mental health center or clinic must,
 1957  pursuant to district procedure approved by the respective
 1958  district administrator, conduct an initial assessment of the
 1959  ability of the following persons to give express and informed
 1960  consent to treatment before such persons may be admitted
 1961  voluntarily:
 1962         1. A person 60 years of age or older for whom transfer is
 1963  being sought from a nursing home, assisted living facility,
 1964  adult day care center, or adult family-care home, when such
 1965  person has been diagnosed as suffering from dementia.
 1966         2. A person 60 years of age or older for whom transfer is
 1967  being sought from a nursing home pursuant to s. 400.0255(12).
 1968         3. A person for whom all decisions concerning medical
 1969  treatment are currently being lawfully made by the health care
 1970  surrogate or proxy designated under chapter 765.
 1971         (c) When an initial assessment of the ability of a person
 1972  to give express and informed consent to treatment is required
 1973  under this section, and a mobile crisis response service does
 1974  not respond to the request for an assessment within 2 hours
 1975  after the request is made or informs the requesting facility
 1976  that it will not be able to respond within 2 hours after the
 1977  request is made, the requesting facility may arrange for
 1978  assessment by any licensed professional authorized to initiate
 1979  an involuntary examination pursuant to s. 394.463 who is not
 1980  employed by or under contract with, and does not have a
 1981  financial interest in, either the facility initiating the
 1982  transfer or the receiving facility to which the transfer may be
 1983  made.
 1984         (d) A facility may not admit as a voluntary patient a
 1985  person who has been adjudicated incapacitated, unless the
 1986  condition of incapacity has been judicially removed. If a
 1987  facility admits as a voluntary patient a person who is later
 1988  determined to have been adjudicated incapacitated, and the
 1989  condition of incapacity had not been removed by the time of the
 1990  admission, the facility must either discharge the patient or
 1991  transfer the patient to involuntary status.
 1992         (e) The health care surrogate or proxy of an individual on
 1993  a voluntary status patient may not consent to the provision of
 1994  mental health treatment or substance abuse treatment for that
 1995  individual the patient. An individual on voluntary status A
 1996  voluntary patient who is unwilling or unable to provide express
 1997  and informed consent to mental health treatment must either be
 1998  discharged or transferred to involuntary status.
 1999         (f) Within 24 hours after admission of a voluntary patient,
 2000  the admitting physician shall document in the patient’s clinical
 2001  record that the patient is able to give express and informed
 2002  consent for admission. If the patient is not able to give
 2003  express and informed consent for admission, the facility shall
 2004  either discharge the patient or transfer the patient to
 2005  involuntary status pursuant to subsection (5).
 2006         (2) RELEASE OR DISCHARGE OF VOLUNTARY PATIENTS.—
 2007         (a) A facility shall discharge a voluntary patient:
 2008         1. Who has sufficiently improved so that retention in the
 2009  facility is no longer desirable. A patient may also be
 2010  discharged to the care of a community facility.
 2011         2. Who revokes consent to admission or requests discharge.
 2012  A voluntary patient or a relative, friend, or attorney of the
 2013  patient may request discharge either orally or in writing at any
 2014  time following admission to the facility. The patient must be
 2015  discharged within 24 hours of the request, unless the request is
 2016  rescinded or the patient is transferred to involuntary status
 2017  pursuant to this section. The 24-hour time period may be
 2018  extended by a treatment facility when necessary for adequate
 2019  discharge planning, but shall not exceed 3 days exclusive of
 2020  weekends and holidays. If the patient, or another on the
 2021  patient’s behalf, makes an oral request for discharge to a staff
 2022  member, such request shall be immediately entered in the
 2023  patient’s clinical record. If the request for discharge is made
 2024  by a person other than the patient, the discharge may be
 2025  conditioned upon the express and informed consent of the
 2026  patient.
 2027         (b) A voluntary patient who has been admitted to a facility
 2028  and who refuses to consent to or revokes consent to treatment
 2029  shall be discharged within 24 hours after such refusal or
 2030  revocation, unless transferred to involuntary status pursuant to
 2031  this section or unless the refusal or revocation is freely and
 2032  voluntarily rescinded by the patient.
 2033         (c) An individual on voluntary status who is currently
 2034  charged with a crime shall be returned to the custody of a law
 2035  enforcement officer upon release or discharge from a facility,
 2036  unless the individual has been released from law enforcement
 2037  custody by posting of a bond, by a pretrial conditional release,
 2038  or by other judicial release.
 2039         (4) TRANSFER TO VOLUNTARY STATUS.—An individual on
 2040  involuntary status patient who has been assessed and certified
 2041  by a physician or psychologist as competent to provide express
 2042  and informed consent and who applies to be transferred to
 2043  voluntary status shall be transferred to voluntary status
 2044  immediately, unless the individual patient has been charged with
 2045  a crime, or has been involuntarily placed for treatment by a
 2046  court pursuant to s. 394.467 and continues to meet the criteria
 2047  for involuntary placement. When transfer to voluntary status
 2048  occurs, notice shall be given as provided in s. 394.4599.
 2049         (5) TRANSFER TO INVOLUNTARY STATUS.—If an individual on
 2050  When a voluntary status patient, or an authorized person on the
 2051  individual’s patient’s behalf, makes a request for discharge,
 2052  the request for discharge, unless freely and voluntarily
 2053  rescinded, must be communicated to a physician, clinical
 2054  psychologist, or psychiatrist as quickly as possible within, but
 2055  not later than 12 hours after the request is made. If the
 2056  individual patient meets the criteria for involuntary placement,
 2057  the individual must be transferred to a designated receiving
 2058  facility and the administrator of the receiving facility where
 2059  the individual is held must file with the court a petition for
 2060  involuntary placement, within 2 court working days after the
 2061  request for discharge is made. If the petition is not filed
 2062  within 2 court working days, the individual must patient shall
 2063  be discharged. Pending the filing of the petition, the
 2064  individual patient may be held and emergency mental health
 2065  treatment rendered in the least restrictive manner, upon the
 2066  written order of a physician, if it is determined that such
 2067  treatment is necessary for the safety of the individual patient
 2068  or others.
 2069         Section 13. Section 394.463, Florida Statutes, is amended
 2070  to read:
 2071         394.463 Involuntary examination.—
 2072         (1) CRITERIA.—A person may be subject to an taken to a
 2073  receiving facility for involuntary examination if there is
 2074  reason to believe that he or she the person has a mental illness
 2075  or substance abuse impairment and because of this his or her
 2076  mental illness or substance abuse impairment:
 2077         (a)1. The person has refused voluntary examination after
 2078  conscientious explanation and disclosure of the purpose of the
 2079  examination; or
 2080         2. The person is unable to determine for himself or herself
 2081  whether examination is necessary; and
 2082         (b)1. Without care or treatment, the person is likely to
 2083  suffer from neglect or refuse to care for himself or herself;
 2084  such neglect or refusal poses a real and present threat of
 2085  substantial harm to his or her well-being; and it is not
 2086  apparent that such harm may be avoided through the help of
 2087  willing family members or friends or the provision of other
 2088  services; or
 2089         2. There is a substantial likelihood that without care or
 2090  treatment the person will cause serious bodily harm to himself
 2091  or herself or others in the near future, as evidenced by recent
 2092  behavior.
 2093         (2) INVOLUNTARY EXAMINATION.—
 2094         (a) An involuntary examination may be initiated by any one
 2095  of the following means:
 2096         1. A court may enter an ex parte order stating that an
 2097  individual a person appears to meet the criteria for involuntary
 2098  examination, giving the findings on which that conclusion is
 2099  based. The ex parte order for involuntary examination must be
 2100  based on sworn testimony, written or oral, which includes
 2101  specific facts that support the finding that the criteria have
 2102  been met. Any behavior relied on for the issuance of an ex parte
 2103  order must have occurred within the preceding 7 calendar days.
 2104  The order must specify whether the individual must be taken to a
 2105  mental health facility, detoxification facility, or addictions
 2106  receiving facility. If other less restrictive means are not
 2107  available, such as voluntary appearance for outpatient
 2108  evaluation, A law enforcement officer, or other designated agent
 2109  of the court, shall take the individual person into custody and
 2110  deliver him or her to the nearest receiving facility of the type
 2111  specified in the order for involuntary examination. However, if
 2112  the county in which the individual is taken into custody has a
 2113  transportation exception plan specifying a central receiving
 2114  facility, the law enforcement officer shall transport the
 2115  individual to the central receiving facility pursuant to the
 2116  plan. The order of the court order must shall be made a part of
 2117  the patient’s clinical record. A No fee may not shall be charged
 2118  for the filing of an order under this subsection. Any receiving
 2119  facility accepting the individual patient based on the court’s
 2120  this order must send a copy of the order to the Agency for
 2121  Health Care Administration on the next working day. The order is
 2122  shall be valid only until executed or, if not executed, for the
 2123  period specified in the order itself. If no time limit is
 2124  specified in the order, the order is shall be valid for 7 days
 2125  after the date it that the order was signed.
 2126         2. A law enforcement officer shall take a person who
 2127  appears to meet the criteria for involuntary examination into
 2128  custody and deliver the person or have him or her delivered to
 2129  the nearest mental health receiving facility, addictions
 2130  receiving facility, or detoxification facility, whichever the
 2131  officer determines is most appropriate for examination. However,
 2132  if the county in which the individual taken into custody has a
 2133  transportation exception plan specifying a central receiving
 2134  facility, the law enforcement officer shall transport the
 2135  individual to the central receiving facility pursuant to the
 2136  plan. The officer shall complete execute a written report
 2137  detailing the circumstances under which the individual person
 2138  was taken into custody., and The report shall be made a part of
 2139  the patient’s clinical record. Any receiving facility or
 2140  detoxification facility accepting the individual patient based
 2141  on the this report must send a copy of the report to the Agency
 2142  for Health Care Administration on the next working day.
 2143         3. A physician, physician assistant, clinical psychologist,
 2144  advanced registered nurse practitioner certified pursuant to s.
 2145  464.012, psychiatric nurse, mental health counselor, marriage
 2146  and family therapist, or clinical social worker may execute a
 2147  certificate stating that he or she has examined the individual a
 2148  person within the preceding 48 hours and finds that the
 2149  individual person appears to meet the criteria for involuntary
 2150  examination and stating the observations upon which that
 2151  conclusion is based. The certificate must specify whether the
 2152  individual is to be taken to a mental health receiving facility,
 2153  an addictions receiving facility, or a detoxification facility,
 2154  and must include specific facts supporting the conclusion that
 2155  the individual would benefit from services provided by the type
 2156  of facility specified. If other less restrictive means are not
 2157  available, such as voluntary appearance for outpatient
 2158  evaluation, A law enforcement officer shall take the individual
 2159  person named in the certificate into custody and deliver him or
 2160  her to the nearest receiving facility of the type specified in
 2161  the certificate for involuntary examination. However, if the
 2162  county in which the individual is taken into custody has a
 2163  transportation exception plan specifying a central receiving
 2164  facility, the law enforcement officer shall transport the
 2165  individual to the central receiving facility pursuant to the
 2166  plan. A law enforcement officer may only take an individual into
 2167  custody on the basis of a certificate within 7 calendar days
 2168  after execution of the certificate. The law enforcement officer
 2169  shall complete execute a written report detailing the
 2170  circumstances under which the individual person was taken into
 2171  custody. The report and certificate shall be made a part of the
 2172  patient’s clinical record. Any receiving facility accepting the
 2173  individual patient based on the this certificate must send a
 2174  copy of the certificate to the Agency for Health Care
 2175  Administration on the next working day.
 2176         (b) An individual may A person shall not be removed from a
 2177  any program or residential placement licensed under chapter 400
 2178  or chapter 429 and transported to a receiving facility for
 2179  involuntary examination unless an ex parte order, a professional
 2180  certificate, or a law enforcement officer’s report is first
 2181  prepared. If the condition of the individual person is such that
 2182  preparation of a law enforcement officer’s report is not
 2183  practicable before removal, the report must shall be completed
 2184  as soon as possible after removal, but in any case before the
 2185  individual person is transported to a receiving facility. A
 2186  receiving facility admitting an individual a person for
 2187  involuntary examination who is not accompanied by the required
 2188  ex parte order, professional certificate, or law enforcement
 2189  officer’s report must shall notify the Agency for Health Care
 2190  Administration of such admission by certified mail by no later
 2191  than the next working day. The provisions of this paragraph do
 2192  not apply when transportation is provided by the patient’s
 2193  family or guardian.
 2194         (c) A law enforcement officer acting in accordance with an
 2195  ex parte order issued pursuant to this subsection may serve and
 2196  execute such order on any day of the week, at any time of the
 2197  day or night.
 2198         (d) A law enforcement officer acting in accordance with an
 2199  ex parte order issued pursuant to this subsection may use such
 2200  reasonable physical force as is necessary to gain entry to the
 2201  premises, and any dwellings, buildings, or other structures
 2202  located on the premises, and to take custody of the person who
 2203  is the subject of the ex parte order.
 2204         (e) Petitions and The Agency for Health Care Administration
 2205  shall receive and maintain the copies of ex parte orders,
 2206  involuntary outpatient placement orders, involuntary outpatient
 2207  placement petitions and orders issued pursuant to s. 394.4655,
 2208  involuntary inpatient placement petitions and orders issued
 2209  pursuant to s. 394.467, professional certificates, and law
 2210  enforcement officers’ reports are. These documents shall be
 2211  considered part of the clinical record, governed by the
 2212  provisions of s. 394.4615. The agency shall prepare annual
 2213  reports analyzing the data obtained from these documents,
 2214  without information identifying individuals held for examination
 2215  or admitted for mental health and substance abuse treatment
 2216  patients, and shall provide copies of reports to the department,
 2217  the President of the Senate, the Speaker of the House of
 2218  Representatives, and the minority leaders of the Senate and the
 2219  House of Representatives.
 2220         (f) An individual held for examination A patient shall be
 2221  examined by a physician, a or clinical psychologist, or a
 2222  psychiatric nurse performing within the framework of an
 2223  established protocol with a psychiatrist at a receiving facility
 2224  without unnecessary delay and may, upon the order of a
 2225  physician, be given emergency mental health or substance abuse
 2226  treatment if it is determined that such treatment is necessary
 2227  for the safety of the individual patient or others. The patient
 2228  may not be released by the receiving facility or its contractor
 2229  without the documented approval of a psychiatrist, a clinical
 2230  psychologist, or, if the receiving facility is a hospital, the
 2231  release may also be approved by an attending emergency
 2232  department physician with experience in the diagnosis and
 2233  treatment of mental and nervous disorders and after completion
 2234  of an involuntary examination pursuant to this subsection.
 2235  However, a patient may not be held in a receiving facility for
 2236  involuntary examination longer than 72 hours.
 2237         (g) An individual may not be held for involuntary
 2238  examination for more than 72 hours from the time of the
 2239  individual’s arrival at the facility, except that this period
 2240  may be extended by 48 hours if a physician documents in the
 2241  clinical record that the individual has ongoing symptoms of
 2242  substance intoxication or substance withdrawal and the
 2243  individual would likely experience significant clinical benefit
 2244  from detoxification services. This determination must be made
 2245  based on a face-to-face examination conducted by the physician
 2246  no less than 48 hours and not more than 72 hours after the
 2247  individual’s arrival at the facility. Based on the individual’s
 2248  needs, one of the following actions must be taken within the
 2249  involuntary examination period:
 2250         1. The individual shall be released after consultation with
 2251  the admitting professional and the approval of a psychiatrist,
 2252  psychiatric nurse, psychologist, or substance abuse
 2253  professional. However, if the examination is conducted in a
 2254  hospital, an emergency department physician may approve the
 2255  release or a psychiatric nurse performing within the framework
 2256  of an established protocol with a psychiatrist may also approve
 2257  the release, except when the involuntary examination has been
 2258  initiated by a psychiatrist and the release has not also been
 2259  approved by the initiating psychiatrist. If the examination is
 2260  conducted in an addictions receiving facility or detoxification
 2261  facility, a physician or substance abuse professional may
 2262  approve the release. The professional approving the release must
 2263  have personally conducted the involuntary examination;
 2264         2. The individual shall be asked to provide express and
 2265  informed consent for voluntary admission if a physician or
 2266  psychologist has determined that the individual is competent to
 2267  consent to treatment; or
 2268         3. A petition for involuntary placement shall be completed
 2269  and filed in the circuit court by the receiving facility
 2270  administrator if involuntary outpatient or inpatient placement
 2271  is deemed necessary. If the 72-hour period ends on a weekend or
 2272  legal holiday, the petition must be filed by the next working
 2273  day. If inpatient placement is deemed necessary, the least
 2274  restrictive treatment consistent with the optimum improvement of
 2275  the individual’s condition must be made available.
 2276         (h) An individual released from a receiving or treatment
 2277  facility on a voluntary or involuntary basis who is currently
 2278  charged with a crime shall be returned to the custody of law
 2279  enforcement, unless the individual has been released from law
 2280  enforcement custody by posting of a bond, by a pretrial
 2281  conditional release, or by other judicial release.
 2282         (i)If an individual A person for whom an involuntary
 2283  examination has been initiated who is being evaluated or treated
 2284  at a hospital for an emergency medical condition specified in s.
 2285  395.002 the involuntary examination period must be examined by a
 2286  receiving facility within 72 hours. The 72-hour period begins
 2287  when the individual patient arrives at the hospital and ceases
 2288  when a the attending physician documents that the individual
 2289  patient has an emergency medical condition. The 72-hour period
 2290  resumes when the physician documents that the emergency medical
 2291  condition has stabilized or does not exist. If the patient is
 2292  examined at a hospital providing emergency medical services by a
 2293  professional qualified to perform an involuntary examination and
 2294  is found as a result of that examination not to meet the
 2295  criteria for involuntary outpatient placement pursuant to s.
 2296  394.4655(1) or involuntary inpatient placement pursuant to s.
 2297  394.467(1), the patient may be offered voluntary placement, if
 2298  appropriate, or released directly from the hospital providing
 2299  emergency medical services. The finding by the professional that
 2300  the patient has been examined and does not meet the criteria for
 2301  involuntary inpatient placement or involuntary outpatient
 2302  placement must be entered into the patient’s clinical record.
 2303  Nothing in this paragraph is intended to prevent A hospital
 2304  providing emergency medical services may transfer an individual
 2305  from appropriately transferring a patient to another hospital
 2306  before prior to stabilization if, provided the requirements of
 2307  s. 395.1041(3)(c) are have been met. One of the following
 2308  actions must occur within 12 hours after a physician documents
 2309  that the individual’s emergency medical condition has stabilized
 2310  or does not exist:
 2311         (h) One of the following must occur within 12 hours after
 2312  the patient’s attending physician documents that the patient’s
 2313  medical condition has stabilized or that an emergency medical
 2314  condition does not exist:
 2315         1. The individual shall be examined by a physician,
 2316  psychiatric nurse or psychologist and, if found not to meet the
 2317  criteria for involuntary examination pursuant to s. 394.463,
 2318  shall be released directly from the hospital providing the
 2319  emergency medical services. The results of the examination,
 2320  including the final disposition, shall be entered into the
 2321  clinical records; or
 2322         2. The individual shall be transferred to a receiving
 2323  facility for examination if appropriate medical and mental
 2324  health treatment is available. However, the receiving facility
 2325  must be notified of the transfer within 2 hours after the
 2326  individual’s condition has been stabilized or after
 2327  determination that an emergency medical condition does not
 2328  exist. The patient must be examined by a designated receiving
 2329  facility and released; or
 2330         2. The patient must be transferred to a designated
 2331  receiving facility in which appropriate medical treatment is
 2332  available. However, the receiving facility must be notified of
 2333  the transfer within 2 hours after the patient’s condition has
 2334  been stabilized or after determination that an emergency medical
 2335  condition does not exist.
 2336         (i) Within the 72-hour examination period or, if the 72
 2337  hours ends on a weekend or holiday, no later than the next
 2338  working day thereafter, one of the following actions must be
 2339  taken, based on the individual needs of the patient:
 2340         1. The patient shall be released, unless he or she is
 2341  charged with a crime, in which case the patient shall be
 2342  returned to the custody of a law enforcement officer;
 2343         2. The patient shall be released, subject to the provisions
 2344  of subparagraph 1., for voluntary outpatient treatment;
 2345         3. The patient, unless he or she is charged with a crime,
 2346  shall be asked to give express and informed consent to placement
 2347  as a voluntary patient, and, if such consent is given, the
 2348  patient shall be admitted as a voluntary patient; or
 2349         4. A petition for involuntary placement shall be filed in
 2350  the circuit court when outpatient or inpatient treatment is
 2351  deemed necessary. When inpatient treatment is deemed necessary,
 2352  the least restrictive treatment consistent with the optimum
 2353  improvement of the patient’s condition shall be made available.
 2354  When a petition is to be filed for involuntary outpatient
 2355  placement, it shall be filed by one of the petitioners specified
 2356  in s. 394.4655(3)(a). A petition for involuntary inpatient
 2357  placement shall be filed by the facility administrator.
 2358         (3) NOTICE OF RELEASE.—Notice of the release shall be given
 2359  to the individual’s patient’s guardian, health care surrogate or
 2360  proxy, or representative, to any person who executed a
 2361  certificate admitting the individual patient to the receiving
 2362  facility, and to any court that which ordered the individual’s
 2363  examination patient’s evaluation.
 2364         Section 14. Section 394.4655, Florida Statutes, is amended
 2365  to read:
 2366         394.4655 Involuntary outpatient placement.—
 2367         (1) CRITERIA FOR INVOLUNTARY OUTPATIENT PLACEMENT.—An
 2368  individual A person may be ordered to involuntary outpatient
 2369  placement upon a finding of the court that by clear and
 2370  convincing evidence that:
 2371         (a) The individual is an adult person is 18 years of age or
 2372  older;
 2373         (b) The individual person has a mental illness or substance
 2374  abuse impairment;
 2375         (c) The individual person is unlikely to survive safely in
 2376  the community without supervision, based on a clinical
 2377  determination;
 2378         (d) The individual person has a history of lack of
 2379  compliance with treatment for mental illness or substance abuse
 2380  impairment;
 2381         (e) The individual person has:
 2382         1. Within At least twice within the immediately preceding
 2383  36 months, been involuntarily admitted to a receiving or
 2384  treatment facility as defined in s. 394.455, or has received
 2385  mental health or substance abuse services in a forensic or
 2386  correctional facility. The 36-month period does not include any
 2387  period during which the individual person was admitted or
 2388  incarcerated; or
 2389         2. Engaged in one or more acts of serious violent behavior
 2390  toward self or others, or attempts at serious bodily harm to
 2391  himself or herself or others, within the preceding 36 months;
 2392         (f) Due to The person is, as a result of his or her mental
 2393  illness or substance abuse impairment, the individual is,
 2394  unlikely to voluntarily participate in the recommended treatment
 2395  plan and either he or she has refused voluntary placement for
 2396  treatment after sufficient and conscientious explanation and
 2397  disclosure of the purpose of placement for treatment or he or
 2398  she is unable to determine for himself or herself whether
 2399  placement is necessary;
 2400         (g) In view of the individual’s person’s treatment history
 2401  and current behavior, the individual person is in need of
 2402  involuntary outpatient placement in order to prevent a relapse
 2403  or deterioration that would be likely to result in serious
 2404  bodily harm to self himself or herself or others, or a
 2405  substantial harm to his or her well-being as set forth in s.
 2406  394.463(1);
 2407         (h) It is likely that the individual person will benefit
 2408  from involuntary outpatient placement; and
 2409         (i) All available, less restrictive alternatives that would
 2410  offer an opportunity for improvement of his or her condition
 2411  have been judged to be inappropriate or unavailable.
 2412         (2) INVOLUNTARY OUTPATIENT PLACEMENT.—
 2413         (a)1.An individual A patient who is being recommended for
 2414  involuntary outpatient placement by the administrator of the
 2415  receiving facility where he or she the patient has been examined
 2416  may be retained by the facility after adherence to the notice
 2417  procedures provided in s. 394.4599.
 2418         1. The recommendation must be supported by the opinion of a
 2419  psychiatrist and the second opinion of a clinical psychologist
 2420  or another psychiatrist, both of whom have personally examined
 2421  the individual patient within the preceding 72 hours, that the
 2422  criteria for involuntary outpatient placement are met. However,
 2423  in a county having a population of fewer than 50,000, if the
 2424  administrator certifies that a psychiatrist or clinical
 2425  psychologist is not available to provide the second opinion, the
 2426  second opinion may be provided by a licensed physician who has
 2427  postgraduate training and experience in diagnosis and treatment
 2428  of mental and nervous disorders or by a psychiatric nurse. Any
 2429  second opinion authorized in this subparagraph may be conducted
 2430  through a face-to-face examination, in person or by electronic
 2431  means. Such recommendation must be entered on an involuntary
 2432  outpatient placement certificate that authorizes the receiving
 2433  facility to retain the individual patient pending completion of
 2434  a hearing. The certificate shall be made a part of the patient’s
 2435  clinical record.
 2436         2. If the individual patient has been stabilized and no
 2437  longer meets the criteria for involuntary examination pursuant
 2438  to s. 394.463(1), he or she the patient must be released from
 2439  the receiving facility while awaiting the hearing for
 2440  involuntary outpatient placement.
 2441         3. Before filing a petition for involuntary outpatient
 2442  treatment, the administrator of the a receiving facility or a
 2443  designated department representative must identify the service
 2444  provider that will have primary responsibility for service
 2445  provision under an order for involuntary outpatient placement,
 2446  unless the individual person is otherwise participating in
 2447  outpatient psychiatric treatment and is not in need of public
 2448  financing for that treatment, in which case the individual, if
 2449  eligible, may be ordered to involuntary treatment pursuant to
 2450  the existing psychiatric treatment relationship.
 2451         4.3. The service provider shall prepare a written proposed
 2452  treatment plan in consultation with the individual being held
 2453  patient or his or her the patient’s guardian advocate, if
 2454  appointed, for the court’s consideration for inclusion in the
 2455  involuntary outpatient placement order. The service provider
 2456  shall also provide a copy of the proposed treatment plan to the
 2457  individual patient and the administrator of the receiving
 2458  facility. The treatment plan must specify the nature and extent
 2459  of the individual’s patient’s mental illness or substance abuse
 2460  impairment, address the reduction of symptoms that necessitate
 2461  involuntary outpatient placement, and include measurable goals
 2462  and objectives for the services and treatment that are provided
 2463  to treat the individual’s person’s mental illness or substance
 2464  abuse impairment and assist the individual person in living and
 2465  functioning in the community or to prevent a relapse or
 2466  deterioration. Service providers may select and supervise other
 2467  providers individuals to implement specific aspects of the
 2468  treatment plan. The services in the treatment plan must be
 2469  deemed clinically appropriate by a physician, clinical
 2470  psychologist, psychiatric nurse, mental health counselor,
 2471  marriage and family therapist, or clinical social worker who
 2472  consults with, or is employed or contracted by, the service
 2473  provider. The service provider must certify to the court in the
 2474  proposed treatment plan whether sufficient services for
 2475  improvement and stabilization are currently available and
 2476  whether the service provider agrees to provide those services.
 2477  If the service provider certifies that the services in the
 2478  proposed treatment plan are not available, the petitioner may
 2479  not file the petition.
 2480         (b) If an individual a patient in involuntary inpatient
 2481  placement meets the criteria for involuntary outpatient
 2482  placement, the administrator of the treatment facility may,
 2483  before the expiration of the period during which the treatment
 2484  facility is authorized to retain the individual patient,
 2485  recommend involuntary outpatient placement.
 2486         1. The recommendation must be supported by the opinion of a
 2487  psychiatrist and the second opinion of a clinical psychologist
 2488  or another psychiatrist, both of whom have personally examined
 2489  the individual patient within the preceding 72 hours, that the
 2490  criteria for involuntary outpatient placement are met. However,
 2491  in a county having a population of fewer than 50,000, if the
 2492  administrator certifies that a psychiatrist or clinical
 2493  psychologist is not available to provide the second opinion, the
 2494  second opinion may be provided by a licensed physician who has
 2495  postgraduate training and experience in diagnosis and treatment
 2496  of mental and nervous disorders or by a psychiatric nurse. Any
 2497  second opinion authorized in this subparagraph may be conducted
 2498  through a face-to-face examination, in person or by electronic
 2499  means. Such recommendation must be entered on an involuntary
 2500  outpatient placement certificate, and the certificate must be
 2501  made a part of the individual’s patient’s clinical record.
 2502         2.(c)1. The administrator of the treatment facility shall
 2503  provide a copy of the involuntary outpatient placement
 2504  certificate and a copy of the state mental health discharge form
 2505  to a department representative in the county where the
 2506  individual patient will be residing. For persons who are leaving
 2507  a state mental health treatment facility, the petition for
 2508  involuntary outpatient placement must be filed in the county
 2509  where the patient will be residing.
 2510         3.2. The service provider that will have primary
 2511  responsibility for service provision shall be identified by the
 2512  designated department representative prior to the order for
 2513  involuntary outpatient placement and must, before prior to
 2514  filing a petition for involuntary outpatient placement, certify
 2515  to the court whether the services recommended in the
 2516  individual’s patient’s discharge plan are available in the local
 2517  community and whether the service provider agrees to provide
 2518  those services. The service provider must develop with the
 2519  individual patient, or the patient’s guardian advocate, if one
 2520  is appointed, a treatment or service plan that addresses the
 2521  needs identified in the discharge plan. The plan must be deemed
 2522  to be clinically appropriate by a physician, clinical
 2523  psychologist, psychiatric nurse, mental health counselor,
 2524  marriage and family therapist, or clinical social worker, as
 2525  defined in this chapter, who consults with, or is employed or
 2526  contracted by, the service provider.
 2527         3. If the service provider certifies that the services in
 2528  the proposed treatment or service plan are not available, the
 2529  petitioner may not file the petition.
 2530         (3) PETITION FOR INVOLUNTARY OUTPATIENT PLACEMENT.—
 2531         (a) A petition for involuntary outpatient placement may be
 2532  filed by:
 2533         1. The administrator of a mental health receiving facility,
 2534  an addictions receiving facility, or a detoxification facility;
 2535  or
 2536         2. The administrator of a treatment facility.
 2537         (b) Each required criterion for involuntary outpatient
 2538  placement must be alleged and substantiated in the petition for
 2539  involuntary outpatient placement. A copy of the certificate
 2540  recommending involuntary outpatient placement completed by a
 2541  qualified professional specified in subsection (2) must be
 2542  attached to the petition. A copy of the proposed treatment plan
 2543  must be attached to the petition. Before the petition is filed,
 2544  the service provider shall certify that the services in the
 2545  proposed treatment plan are available. If the necessary services
 2546  are not available in the patient’s local community where the
 2547  individual will reside to respond to the person’s individual
 2548  needs, the petition may not be filed.
 2549         (c) A The petition for involuntary outpatient placement
 2550  must be filed in the county where the individual who is the
 2551  subject of the petition patient is located, unless the
 2552  individual patient is being placed from a state treatment
 2553  facility, in which case the petition must be filed in the county
 2554  where the individual patient will reside. When the petition is
 2555  has been filed, the clerk of the court shall provide copies of
 2556  the petition and the proposed treatment plan to the department,
 2557  the individual patient, the individual’s patient’s guardian,
 2558  guardian advocate, health care surrogate or proxy, or
 2559  representative, the state attorney, and the public defender or
 2560  the individual’s patient’s private counsel. A fee may not be
 2561  charged for filing a petition under this subsection.
 2562         (4) APPOINTMENT OF COUNSEL.—Within 1 court working day
 2563  after the filing of a petition for involuntary outpatient
 2564  placement, the court shall appoint the public defender to
 2565  represent the individual person who is the subject of the
 2566  petition, unless the individual person is otherwise represented
 2567  by counsel. The clerk of the court shall immediately notify the
 2568  public defender of the appointment. The public defender shall
 2569  represent the individual person until the petition is dismissed,
 2570  the court order expires, or the individual patient is discharged
 2571  from involuntary outpatient placement. An attorney who
 2572  represents the individual patient shall have access to the
 2573  individual patient, witnesses, and records relevant to the
 2574  presentation of the individual’s patient’s case and shall
 2575  represent the interests of the individual patient, regardless of
 2576  the source of payment to the attorney. An attorney representing
 2577  an individual in proceedings under this part shall advocate the
 2578  individual’s expressed desires and must be present and actively
 2579  participate in all hearings on involuntary placement. If the
 2580  individual is unable or unwilling to express his or her desires
 2581  to the attorney, the attorney shall proceed as though the
 2582  individual expressed a desire for liberty, opposition to
 2583  involuntary placement and, if placement is ordered, a preference
 2584  for the least restrictive treatment possible.
 2585         (5) CONTINUANCE OF HEARING.—The patient is entitled, with
 2586  the concurrence of the patient’s counsel, to at least one
 2587  continuance of the hearing. The continuance shall be for a
 2588  period of up to 4 weeks.
 2589         (6) HEARING ON INVOLUNTARY OUTPATIENT PLACEMENT.—
 2590         (a)1. The court shall hold the hearing on involuntary
 2591  outpatient placement within 5 court working days after the
 2592  filing of the petition, unless a continuance is granted. The
 2593  hearing shall be held in the county where the petition is filed,
 2594  shall be as convenient to the individual who is the subject of
 2595  the petition patient as is consistent with orderly procedure,
 2596  and shall be conducted in physical settings not likely to be
 2597  injurious to the individual’s patient’s condition. If the court
 2598  finds that the individual’s patient’s attendance at the hearing
 2599  is not consistent with the best interests of the individual
 2600  patient and if the individual’s patient’s counsel does not
 2601  object, the court may waive the presence of the individual
 2602  patient from all or any portion of the hearing. The state
 2603  attorney for the circuit in which the individual patient is
 2604  located shall represent the state, rather than the petitioner,
 2605  as the real party in interest in the proceeding. The state
 2606  attorney shall have access to the individual’s clinical record
 2607  and witnesses and shall independently evaluate and confirm the
 2608  allegations set forth in the petition for involuntary placement.
 2609  If the allegations are substantiated, the state attorney shall
 2610  prosecute the petition. If the allegations are not
 2611  substantiated, the state attorney shall withdraw the petition.
 2612         (b)2. The court may appoint a magistrate master to preside
 2613  at the hearing. One of the professionals who executed the
 2614  involuntary outpatient placement certificate shall be a witness.
 2615  The individual who is the subject of the petition patient and
 2616  his or her the patient’s guardian, guardian advocate, health
 2617  care surrogate or proxy, or representative shall be informed by
 2618  the court of the right to an independent expert examination. If
 2619  the individual patient cannot afford such an examination, the
 2620  court shall provide for one. The independent expert’s report is
 2621  shall be confidential and not discoverable, unless the expert is
 2622  to be called as a witness for the individual patient at the
 2623  hearing. The court shall allow testimony from persons
 2624  individuals, including family members, deemed by the court to be
 2625  relevant under state law, regarding the individual’s person’s
 2626  prior history and how that prior history relates to the
 2627  individual’s person’s current condition. The testimony in the
 2628  hearing must be given under oath, and the proceedings must be
 2629  recorded. The individual patient may refuse to testify at the
 2630  hearing.
 2631         (c) The court shall consider testimony and evidence
 2632  regarding the competence of the individual being held to consent
 2633  to treatment. If the court finds that the individual is
 2634  incompetent to consent, it shall appoint a guardian advocate as
 2635  provided in s. 394.4598.
 2636         (7) COURT ORDER.—
 2637         (a)(b)1. If the court concludes that the individual who is
 2638  the subject of the petition patient meets the criteria for
 2639  involuntary outpatient placement under pursuant to subsection
 2640  (1), the court shall issue an order for involuntary outpatient
 2641  placement. The court order may shall be for a period of up to 6
 2642  months. The order must specify the nature and extent of the
 2643  individual’s patient’s mental illness or substance abuse
 2644  impairment. The court order of the court and the treatment plan
 2645  must shall be made part of the individual’s patient’s clinical
 2646  record. The service provider shall discharge an individual a
 2647  patient from involuntary outpatient placement when the order
 2648  expires or any time the individual patient no longer meets the
 2649  criteria for involuntary placement. Upon discharge, the service
 2650  provider shall send a certificate of discharge to the court.
 2651         (b)2. The court may not order the department or the service
 2652  provider to provide services if the program or service is not
 2653  available in the patient’s local community of the individual
 2654  being served, if there is no space available in the program or
 2655  service for the individual patient, or if funding is not
 2656  available for the program or service. A copy of the order must
 2657  be sent to the Agency for Health Care Administration by the
 2658  service provider within 1 working day after it is received from
 2659  the court. After the placement order is issued, the service
 2660  provider and the individual patient may modify provisions of the
 2661  treatment plan. For any material modification of the treatment
 2662  plan to which the individual patient or the individual’s
 2663  patient’s guardian advocate, if appointed, does agree, the
 2664  service provider shall send notice of the modification to the
 2665  court. Any material modifications of the treatment plan which
 2666  are contested by the individual patient or the individual’s
 2667  patient’s guardian advocate, if appointed, must be approved or
 2668  disapproved by the court consistent with the requirements of
 2669  subsection (2).
 2670         (c)3. If, in the clinical judgment of a physician, the
 2671  individual being served patient has failed or has refused to
 2672  comply with the treatment ordered by the court, and, in the
 2673  clinical judgment of the physician, efforts were made to solicit
 2674  compliance and the individual patient may meet the criteria for
 2675  involuntary examination, the individual a person may be brought
 2676  to a receiving facility pursuant to s. 394.463 for involuntary
 2677  examination. If, after examination, the individual patient does
 2678  not meet the criteria for involuntary inpatient placement
 2679  pursuant to s. 394.467, the individual patient must be
 2680  discharged from the receiving facility. The involuntary
 2681  outpatient placement order remains shall remain in effect unless
 2682  the service provider determines that the individual patient no
 2683  longer meets the criteria for involuntary outpatient placement
 2684  or until the order expires. The service provider must determine
 2685  whether modifications should be made to the existing treatment
 2686  plan and must attempt to continue to engage the individual
 2687  patient in treatment. For any material modification of the
 2688  treatment plan to which the individual patient or the
 2689  individual’s patient’s guardian advocate, if appointed, agrees
 2690  does agree, the service provider shall send notice of the
 2691  modification to the court. Any material modifications of the
 2692  treatment plan which are contested by the individual patient or
 2693  the individual’s patient’s guardian advocate, if appointed, must
 2694  be approved or disapproved by the court consistent with the
 2695  requirements of subsection (2).
 2696         (d)(c) If, at any time before the conclusion of the initial
 2697  hearing on involuntary outpatient placement, it appears to the
 2698  court that the individual person does not meet the criteria for
 2699  involuntary outpatient placement under this section but,
 2700  instead, meets the criteria for involuntary inpatient placement,
 2701  the court may order the individual person admitted for
 2702  involuntary inpatient examination under s. 394.463. If the
 2703  person instead meets the criteria for involuntary assessment,
 2704  protective custody, or involuntary admission pursuant to s.
 2705  397.675, the court may order the person to be admitted for
 2706  involuntary assessment for a period of 5 days pursuant to s.
 2707  397.6811. Thereafter, all proceedings shall be governed by
 2708  chapter 397.
 2709         (d) At the hearing on involuntary outpatient placement, the
 2710  court shall consider testimony and evidence regarding the
 2711  patient’s competence to consent to treatment. If the court finds
 2712  that the patient is incompetent to consent to treatment, it
 2713  shall appoint a guardian advocate as provided in s. 394.4598.
 2714  The guardian advocate shall be appointed or discharged in
 2715  accordance with s. 394.4598.
 2716         (e) The administrator of the receiving facility, the
 2717  detoxification facility, or the designated department
 2718  representative shall provide a copy of the court order and
 2719  adequate documentation of an individual’s a patient’s mental
 2720  illness or substance abuse impairment to the service provider
 2721  for involuntary outpatient placement. Such documentation must
 2722  include any advance directives made by the individual patient, a
 2723  psychiatric evaluation of the individual patient, and any
 2724  evaluations of the individual patient performed by a clinical
 2725  psychologist or a clinical social worker.
 2726         (8)(7)PROCEDURE FOR CONTINUED INVOLUNTARY OUTPATIENT
 2727  PLACEMENT.—
 2728         (a)1. If the individual person continues to meet the
 2729  criteria for involuntary outpatient placement, the service
 2730  provider shall, before the expiration of the period during which
 2731  the placement treatment is ordered for the person, file in the
 2732  circuit court a petition for continued involuntary outpatient
 2733  placement.
 2734         1.2. The existing involuntary outpatient placement order
 2735  remains in effect until disposition of on the petition for
 2736  continued involuntary outpatient placement.
 2737         2.3. A certificate must shall be attached to the petition
 2738  which includes a statement from the individual’s person’s
 2739  physician or clinical psychologist justifying the request, a
 2740  brief description of the individual’s patient’s treatment during
 2741  the time he or she was involuntarily placed, and a personalized
 2742  an individualized plan of continued treatment.
 2743         3.4. The service provider shall develop the individualized
 2744  plan of continued treatment in consultation with the individual
 2745  patient or his or her the patient’s guardian advocate, if
 2746  appointed. When the petition has been filed, the clerk of the
 2747  court shall provide copies of the certificate and the
 2748  individualized plan of continued treatment to the department,
 2749  the individual patient, the individual’s patient’s guardian
 2750  advocate, the state attorney, and the individual’s patient’s
 2751  private counsel or the public defender.
 2752         (b) Within 1 court working day after the filing of a
 2753  petition for continued involuntary outpatient placement, the
 2754  court shall appoint the public defender to represent the
 2755  individual person who is the subject of the petition, unless the
 2756  individual person is otherwise represented by counsel. The clerk
 2757  of the court shall immediately notify the public defender of
 2758  such appointment. The public defender shall represent the
 2759  individual person until the petition is dismissed, or the court
 2760  order expires, or the individual patient is discharged from
 2761  involuntary outpatient placement. Any attorney representing the
 2762  individual patient shall have access to the individual patient,
 2763  witnesses, and records relevant to the presentation of the
 2764  individual’s patient’s case and shall represent the interests of
 2765  the individual patient, regardless of the source of payment to
 2766  the attorney.
 2767         (c) The court shall inform the individual who is the
 2768  subject of the petition and his or her guardian, guardian
 2769  advocate, health care surrogate or proxy, or representative of
 2770  the individual’s right to an independent expert examination. If
 2771  the individual cannot afford such an examination, the court
 2772  shall provide one.
 2773         (d)(c) Hearings on petitions for continued involuntary
 2774  outpatient placement are shall be before the circuit court. The
 2775  court may appoint a magistrate master to preside at the hearing.
 2776  The procedures for obtaining an order pursuant to this paragraph
 2777  must shall be in accordance with subsection (6), except that the
 2778  time period included in paragraph (1)(e) is not applicable in
 2779  determining the appropriateness of additional periods of
 2780  involuntary outpatient placement.
 2781         (e)(d) Notice of the hearing shall be provided in
 2782  accordance with as set forth in s. 394.4599. The individual
 2783  being served patient and the individual’s patient’s attorney may
 2784  agree to a period of continued outpatient placement without a
 2785  court hearing.
 2786         (f)(e) The same procedure shall be repeated before the
 2787  expiration of each additional period the individual being served
 2788  patient is placed in treatment.
 2789         (g)(f) If the individual in involuntary outpatient
 2790  placement patient has previously been found incompetent to
 2791  consent to treatment, the court shall consider testimony and
 2792  evidence regarding the individual’s patient’s competence.
 2793  Section 394.4598 governs the discharge of the guardian advocate
 2794  if the individual’s patient’s competency to consent to treatment
 2795  has been restored.
 2796         Section 15. Section 394.467, Florida Statutes, is amended
 2797  to read:
 2798         394.467 Involuntary inpatient placement.—
 2799         (1) CRITERIA.—An individual A person may be placed in
 2800  involuntary inpatient placement for treatment upon a finding of
 2801  the court by clear and convincing evidence that:
 2802         (a) He or she has a mental illness or substance abuse
 2803  impairment is mentally ill and because of his or her mental
 2804  illness or substance abuse impairment:
 2805         1.a. He or she has refused voluntary placement for
 2806  treatment after sufficient and conscientious explanation and
 2807  disclosure of the purpose of placement for treatment; or
 2808         b. He or she is unable to determine for himself or herself
 2809  whether placement is necessary; and
 2810         2.a. He or she is manifestly incapable of surviving alone
 2811  or with the help of willing and responsible family or friends,
 2812  including available alternative services, and, without
 2813  treatment, is likely to suffer from neglect or refuse to care
 2814  for himself or herself, and such neglect or refusal poses a real
 2815  and present threat of substantial harm to his or her well-being;
 2816  or
 2817         b. There is substantial likelihood that in the near future
 2818  he or she will inflict serious bodily harm on self or others
 2819  himself or herself or another person, as evidenced by recent
 2820  behavior causing, attempting, or threatening such harm; and
 2821         (b) All available less restrictive treatment alternatives
 2822  that which would offer an opportunity for improvement of his or
 2823  her condition have been judged to be inappropriate.
 2824         (2) ADMISSION TO A TREATMENT FACILITY.—An individual A
 2825  patient may be retained by a mental health receiving facility,
 2826  an addictions receiving facility, or a detoxification facility,
 2827  or involuntarily placed in a treatment facility upon the
 2828  recommendation of the administrator of the receiving facility
 2829  where the individual patient has been examined and after
 2830  adherence to the notice and hearing procedures provided in s.
 2831  394.4599. The recommendation must be supported by the opinion of
 2832  a psychiatrist and the second opinion of a clinical psychologist
 2833  or another psychiatrist, both of whom have personally examined
 2834  the individual patient within the preceding 72 hours, that the
 2835  criteria for involuntary inpatient placement are met. However,
 2836  in a county that has a population of fewer than 50,000, if the
 2837  administrator certifies that a psychiatrist or clinical
 2838  psychologist is not available to provide the second opinion, the
 2839  second opinion may be provided by a licensed physician who has
 2840  postgraduate training and experience in diagnosis and treatment
 2841  of mental and nervous disorders or by a psychiatric nurse. If
 2842  the petition seeks placement for treatment of substance abuse
 2843  impairment only, and the individual is examined by an addictions
 2844  receiving facility or detoxification facility, the first opinion
 2845  may be provided by a physician and the second opinion may be
 2846  provided by a substance abuse qualified professional. Any second
 2847  opinion authorized in this subsection may be conducted through a
 2848  face-to-face examination, in person or by electronic means. Such
 2849  recommendation must shall be entered on an involuntary inpatient
 2850  placement certificate that authorizes the receiving facility to
 2851  retain the individual being held patient pending transfer to a
 2852  treatment facility or completion of a hearing.
 2853         (3) PETITION FOR INVOLUNTARY INPATIENT PLACEMENT.—The
 2854  administrator of the mental health facility, addictions
 2855  receiving facility, or detoxification facility shall file a
 2856  petition for involuntary inpatient placement in the court in the
 2857  county where the individual patient is located. Upon filing, the
 2858  clerk of the court shall provide copies to the department, the
 2859  individual patient, the individual’s patient’s guardian,
 2860  guardian advocate, health care surrogate or proxy, or
 2861  representative, and the state attorney and public defender of
 2862  the judicial circuit in which the individual patient is located.
 2863  A No fee may not shall be charged for the filing of a petition
 2864  under this subsection.
 2865         (4) APPOINTMENT OF COUNSEL.—Within 1 court working day
 2866  after the filing of a petition for involuntary inpatient
 2867  placement, the court shall appoint the public defender to
 2868  represent the individual person who is the subject of the
 2869  petition, unless the individual person is otherwise represented
 2870  by counsel. The clerk of the court shall immediately notify the
 2871  public defender of such appointment. Any attorney representing
 2872  the individual patient shall have access to the individual
 2873  patient, witnesses, and records relevant to the presentation of
 2874  the individual’s patient’s case and shall represent the
 2875  interests of the individual patient, regardless of the source of
 2876  payment to the attorney.
 2877         (a) An attorney representing an individual in proceedings
 2878  under this part shall advocate the individual’s expressed
 2879  desires and must be present and actively participate in all
 2880  hearings on involuntary placement. If the individual is unable
 2881  or unwilling to express his or her desires to the attorney, the
 2882  attorney shall proceed as though the individual expressed a
 2883  desire for liberty, opposition to involuntary placement, and, if
 2884  placement is ordered, a preference for the least restrictive
 2885  treatment possible.
 2886         (b) The state attorney for the circuit in which the
 2887  individual is located shall represent the state rather than the
 2888  petitioning facility administrator as the real party in interest
 2889  in the proceeding. The state attorney shall have access to the
 2890  individual’s clinical record and witnesses and shall
 2891  independently evaluate and confirm the allegations set forth in
 2892  the petition for involuntary placement. If the allegations are
 2893  substantiated, the state attorney shall prosecute the petition.
 2894  If the allegations are not substantiated, the state attorney
 2895  shall withdraw the petition.
 2896         (5) CONTINUANCE OF HEARING.—The individual patient is
 2897  entitled, with the concurrence of the individual’s patient’s
 2898  counsel, to at least one continuance of the hearing. The
 2899  continuance shall be for a period of up to 4 weeks.
 2900         (6) HEARING ON INVOLUNTARY INPATIENT PLACEMENT.—
 2901         (a)1. The court shall hold the hearing on involuntary
 2902  inpatient placement within 5 court working days after the
 2903  petition is filed, unless a continuance is granted.
 2904         1. The hearing shall be held in the county where the
 2905  individual patient is located and shall be as convenient to the
 2906  individual patient as may be consistent with orderly procedure
 2907  and shall be conducted in physical settings not likely to be
 2908  injurious to the individual’s patient’s condition. If the
 2909  individual wishes to waive his or her court finds that the
 2910  patient’s attendance at the hearing, the court must determine
 2911  that the waiver is knowingly, intelligently, and voluntarily
 2912  being waived and is not consistent with the best interests of
 2913  the patient, and the patient’s counsel does not object, the
 2914  court may waive the presence of the individual patient from all
 2915  or any portion of the hearing. The state attorney for the
 2916  circuit in which the patient is located shall represent the
 2917  state, rather than the petitioning facility administrator, as
 2918  the real party in interest in the proceeding.
 2919         2. The court may appoint a general or special magistrate to
 2920  preside at the hearing. One of the two professionals who
 2921  executed the involuntary inpatient placement certificate shall
 2922  be a witness. The individual patient and the individual’s
 2923  patient’s guardian, guardian advocate, health care surrogate or
 2924  proxy, or representative shall be informed by the court of the
 2925  right to an independent expert examination. If the individual
 2926  patient cannot afford such an examination, the court shall
 2927  provide for one. The independent expert’s report is shall be
 2928  confidential and not discoverable, unless the expert is to be
 2929  called as a witness for the individual patient at the hearing.
 2930  The testimony in the hearing must be given under oath, and the
 2931  proceedings must be recorded. The individual patient may refuse
 2932  to testify at the hearing.
 2933         3. The court shall allow testimony from persons, including
 2934  family members, deemed by the court to be relevant regarding the
 2935  individual’s prior history and how that prior history relates to
 2936  the individual’s current condition.
 2937         (b) If the court concludes that the individual patient
 2938  meets the criteria for involuntary inpatient placement, it shall
 2939  order that the individual patient be transferred to a treatment
 2940  facility or, if the individual patient is at a treatment
 2941  facility, that the individual patient be retained there or be
 2942  treated at any other appropriate mental health receiving
 2943  facility, addictions receiving facility, detoxification
 2944  facility, or treatment facility, or that the individual patient
 2945  receive services from such a facility a receiving or treatment
 2946  facility, on an involuntary basis, for up to 90 days a period of
 2947  up to 6 months. The order shall specify the nature and extent of
 2948  the individual’s patient’s mental illness or substance abuse
 2949  impairment. The facility shall discharge the individual at a
 2950  patient any time the individual patient no longer meets the
 2951  criteria for involuntary inpatient placement, unless the
 2952  individual patient has transferred to voluntary status.
 2953         (c) If at any time before prior to the conclusion of the
 2954  hearing on involuntary inpatient placement it appears to the
 2955  court that the individual person does not meet the criteria for
 2956  involuntary inpatient placement under this section, but instead
 2957  meets the criteria for involuntary outpatient placement, the
 2958  court may order the individual person evaluated for involuntary
 2959  outpatient placement pursuant to s. 394.4655, and. the petition
 2960  and hearing procedures set forth in s. 394.4655 shall apply. If
 2961  the person instead meets the criteria for involuntary
 2962  assessment, protective custody, or involuntary admission
 2963  pursuant to s. 397.675, then the court may order the person to
 2964  be admitted for involuntary assessment for a period of 5 days
 2965  pursuant to s. 397.6811. Thereafter, all proceedings shall be
 2966  governed by chapter 397.
 2967         (d) At the hearing on involuntary inpatient placement, the
 2968  court shall consider testimony and evidence regarding the
 2969  individual’s patient’s competence to consent to treatment. If
 2970  the court finds that the individual patient is incompetent to
 2971  consent to treatment, it shall appoint a guardian advocate as
 2972  provided in s. 394.4598.
 2973         (e) The administrator of the petitioning receiving facility
 2974  shall provide a copy of the court order and adequate
 2975  documentation of the individual’s a patient’s mental illness or
 2976  substance abuse impairment to the administrator of a treatment
 2977  facility if the individual whenever a patient is ordered for
 2978  involuntary inpatient placement, whether by civil or criminal
 2979  court. The documentation must shall include any advance
 2980  directives made by the individual patient, a psychiatric
 2981  evaluation of the individual patient, and any evaluations of the
 2982  individual patient performed by a clinical psychologist, a
 2983  marriage and family therapist, a mental health counselor, a
 2984  substance abuse qualified professional or a clinical social
 2985  worker. The administrator of a treatment facility may refuse
 2986  admission to an individual any patient directed to its
 2987  facilities on an involuntary basis, whether by civil or criminal
 2988  court order, who is not accompanied at the same time by adequate
 2989  orders and documentation.
 2990         (7) PROCEDURE FOR CONTINUED INVOLUNTARY INPATIENT
 2991  PLACEMENT.—
 2992         (a) Hearings on petitions for continued involuntary
 2993  inpatient placement shall be administrative hearings and shall
 2994  be conducted in accordance with the provisions of s. 120.57(1),
 2995  except that an any order entered by an the administrative law
 2996  judge is shall be final and subject to judicial review in
 2997  accordance with s. 120.68. Orders concerning an individual
 2998  patients committed after successfully pleading not guilty by
 2999  reason of insanity are shall be governed by the provisions of s.
 3000  916.15.
 3001         (b) If the individual patient continues to meet the
 3002  criteria for involuntary inpatient placement, the administrator
 3003  shall, before prior to the expiration of the period during which
 3004  the treatment facility is authorized to retain the individual
 3005  patient, file a petition requesting authorization for continued
 3006  involuntary inpatient placement. The request must shall be
 3007  accompanied by a statement from the individual’s patient’s
 3008  physician or clinical psychologist justifying the request, a
 3009  brief description of the individual’s patient’s treatment during
 3010  the time he or she was involuntarily placed, and a personalized
 3011  an individualized plan of continued treatment. Notice of the
 3012  hearing must shall be provided as set forth in s. 394.4599. If
 3013  at the hearing the administrative law judge finds that
 3014  attendance at the hearing is not consistent with the
 3015  individual’s best interests of the patient, the administrative
 3016  law judge may waive the presence of the individual patient from
 3017  all or any portion of the hearing, unless the individual
 3018  patient, through counsel, objects to the waiver of presence. The
 3019  testimony in the hearing must be under oath, and the proceedings
 3020  must be recorded.
 3021         (c) Unless the individual patient is otherwise represented
 3022  or is ineligible, he or she shall be represented at the hearing
 3023  on the petition for continued involuntary inpatient placement by
 3024  the public defender of the circuit in which the facility is
 3025  located.
 3026         (d) The Division of Administrative Hearings shall inform
 3027  the individual and his or her guardian, guardian advocate,
 3028  health care surrogate or proxy, or representative of the right
 3029  to an independent expert examination. If the individual cannot
 3030  afford such an examination, the court shall provide one.
 3031         (e)(d) If at a hearing it is shown that the individual
 3032  patient continues to meet the criteria for involuntary inpatient
 3033  placement, the administrative law judge shall sign the order for
 3034  continued involuntary inpatient placement for a period of up to
 3035  90 days not to exceed 6 months. The same procedure must shall be
 3036  repeated prior to the expiration of each additional period the
 3037  individual patient is retained.
 3038         (f)(e) If continued involuntary inpatient placement is
 3039  necessary for an individual a patient admitted while serving a
 3040  criminal sentence, but whose sentence is about to expire, or for
 3041  a minor patient involuntarily placed while a minor but who is
 3042  about to reach the age of 18, the administrator shall petition
 3043  the administrative law judge for an order authorizing continued
 3044  involuntary inpatient placement.
 3045         (g)(f) If the individual previously patient has been
 3046  previously found incompetent to consent to treatment, the
 3047  administrative law judge shall consider testimony and evidence
 3048  regarding the individual’s patient’s competence. If the
 3049  administrative law judge finds evidence that the individual
 3050  patient is now competent to consent to treatment, the
 3051  administrative law judge may issue a recommended order to the
 3052  court that found the individual patient incompetent to consent
 3053  to treatment that the individual’s patient’s competence be
 3054  restored and that any guardian advocate previously appointed be
 3055  discharged.
 3056         (8) RETURN TO FACILITY OF PATIENTS.—If an individual held
 3057  When a patient at a treatment facility involuntarily under this
 3058  part leaves the facility without the administrator’s
 3059  authorization, the administrator may authorize a search for, the
 3060  patient and the return of, the individual patient to the
 3061  facility. The administrator may request the assistance of a law
 3062  enforcement agency in the search for and return of the patient.
 3063         Section 16. Section 394.4672, Florida Statutes, is amended
 3064  to read:
 3065         394.4672 Procedure for placement of veteran with federal
 3066  agency.—
 3067         (1) A facility owned, operated, or administered by the
 3068  United States Department of Veterans Affairs which provides
 3069  mental health services has authority as granted by the
 3070  Department of Veterans’ Affairs to:
 3071         (a) Initiate and conduct involuntary examinations pursuant
 3072  to s. 394.463.
 3073         (b) Provide voluntary treatment pursuant to s. 394.4625.
 3074         (c) Petition for involuntary inpatient placement pursuant
 3075  to s. 394.467.
 3076         (d) Provide involuntary inpatient placement pursuant to
 3077  this part.
 3078         (2)(1)If a Whenever it is determined by the court
 3079  determines that an individual a person meets the criteria for
 3080  involuntary placement and he or she it appears that such person
 3081  is eligible for care or treatment by the United States
 3082  Department of Veterans Affairs or another other agency of the
 3083  United States Government, the court, upon receipt of a
 3084  certificate from the United States Department of Veterans
 3085  Affairs or such other agency showing that facilities are
 3086  available and that the individual person is eligible for care or
 3087  treatment therein, may place that individual person with the
 3088  United States Department of Veterans Affairs or other federal
 3089  agency. The individual person whose placement is sought shall be
 3090  personally served with notice of the pending placement
 3091  proceeding in the manner as provided in this part., and nothing
 3092  in This section does not shall affect the individual’s his or
 3093  her right to appear and be heard in the proceeding. Upon
 3094  placement, the individual is person shall be subject to the
 3095  rules and regulations of the United States Department of
 3096  Veterans Affairs or other federal agency.
 3097         (3)(2) The judgment or order of placement issued by a court
 3098  of competent jurisdiction of another state or of the District of
 3099  Columbia which places an individual, placing a person with the
 3100  United States Department of Veterans Affairs or other federal
 3101  agency for care or treatment has, shall have the same force and
 3102  effect in this state as in the jurisdiction of the court
 3103  entering the judgment or making the order.; and The courts of
 3104  the placing state or of the District of Columbia shall retain be
 3105  deemed to have retained jurisdiction of the individual person so
 3106  placed. Consent is hereby given to the application of the law of
 3107  the placing state or district with respect to the authority of
 3108  the chief officer of any facility of the United States
 3109  Department of Veterans Affairs or other federal agency operated
 3110  in this state to retain custody or to transfer, parole, or
 3111  discharge the individual person.
 3112         (4)(3) Upon receipt of a certificate of the United States
 3113  Department of Veterans Affairs or another such other federal
 3114  agency that facilities are available for the care or treatment
 3115  of individuals who have mental illness or substance abuse
 3116  impairment mentally ill persons and that an individual the
 3117  person is eligible for that care or treatment, the administrator
 3118  of the receiving or treatment facility may cause the transfer of
 3119  that individual person to the United States Department of
 3120  Veterans Affairs or other federal agency. Upon effecting such
 3121  transfer, the committing court shall be notified by the
 3122  transferring agency. An individual may not No person shall be
 3123  transferred to the United States Department of Veterans Affairs
 3124  or other federal agency if he or she is confined pursuant to the
 3125  conviction of any felony or misdemeanor or if he or she has been
 3126  acquitted of the charge solely on the ground of insanity, unless
 3127  prior to transfer the court placing the individual such person
 3128  enters an order for the transfer after appropriate motion and
 3129  hearing and without objection by the United States Department of
 3130  Veterans Affairs.
 3131         (5)(4)An individual Any person transferred as provided in
 3132  this section is shall be deemed to be placed with the United
 3133  States Department of Veterans Affairs or other federal agency
 3134  pursuant to the original placement.
 3135         Section 17. Paragraph (a) of subsection (1) of section
 3136  394.875, Florida Statutes, is amended to read:
 3137         394.875 Crisis stabilization units, residential treatment
 3138  facilities, and residential treatment centers for children and
 3139  adolescents; authorized services; license required.—
 3140         (1)(a) The purpose of a crisis stabilization unit is to
 3141  stabilize and redirect a client to the most appropriate and
 3142  least restrictive community setting available, consistent with
 3143  the client’s needs. Crisis stabilization units may screen,
 3144  assess, and admit for stabilization persons who present
 3145  themselves to the unit and persons who are brought to the unit
 3146  under s. 394.463. Clients may be provided 24-hour observation,
 3147  medication prescribed by a physician or psychiatrist, and other
 3148  appropriate services. Crisis stabilization units shall provide
 3149  services regardless of the client’s ability to pay and shall be
 3150  limited in size to a maximum of 30 beds.
 3151         Section 18. Section 765.401, Florida Statutes, is
 3152  transferred and renumbered as section 765.311, Florida Statutes.
 3153         Section 19. Section 765.404, Florida Statutes, is
 3154  transferred and renumbered as section 765.312, Florida Statutes.
 3155         Section 20. The Division of Law Revision and Information is
 3156  directed to rename part IV of chapter 765, Florida Statutes, as
 3157  “Mental Health and Substance Abuse Advance Directives.”
 3158         Section 21. Section 765.4015, Florida Statutes, is created
 3159  to read:
 3160         765.4015 Short title.—Sections 765.402-765.411 may be cited
 3161  as the “Jennifer Act.”
 3162         Section 22. Section 765.402, Florida Statutes, is created
 3163  to read:
 3164         765.402Legislative findings.
 3165         (1) The Legislature recognizes that an individual with
 3166  capacity has the ability to control decisions relating to his or
 3167  her own mental health care or substance abuse treatment. The
 3168  Legislature finds that:
 3169         (a) Substance abuse and some mental illnesses cause
 3170  individuals to fluctuate between capacity and incapacity;
 3171         (b) During periods when an individual’s capacity is
 3172  unclear, the individual may be unable to provide informed
 3173  consent necessary to access needed treatment;
 3174         (c) Early treatment may prevent an individual from becoming
 3175  so ill that involuntary treatment is necessary; and
 3176         (d) Individuals with substance abuse impairment or mental
 3177  illness need an established procedure to express their
 3178  instructions and preferences for treatment and provide advance
 3179  consent to or refusal of treatment. This procedure should be
 3180  less expensive and less restrictive than guardianship.
 3181         (2) The Legislature further recognizes that:
 3182         (a) A mental health or substance abuse treatment advance
 3183  directive must provide the individual with a full range of
 3184  choices.
 3185         (b) For a mental health or substance abuse directive to be
 3186  an effective tool, individuals must be able to choose how they
 3187  want their directives to be applied, including the right of
 3188  revocation, during periods when they are incompetent to consent
 3189  to treatment.
 3190         (c) There must be a clear process so that treatment
 3191  providers can abide by an individual’s treatment choices.
 3192         Section 23. Section 765.403, Florida Statutes, is created
 3193  to read:
 3194         765.403 Definitions.As used in this part, the term:
 3195         (1) “Adult” means any individual who has attained the age
 3196  of majority or is an emancipated minor.
 3197         (2) “Capacity” means that an adult has not been found to be
 3198  incapacitated pursuant to s. 394.463.
 3199         (3) “Health care facility” means a hospital, nursing home,
 3200  hospice, home health agency, or health maintenance organization
 3201  licensed in this state, or any facility subject to part I of
 3202  chapter 394.
 3203         (4) “Incapacity” or “incompetent” means an adult who is:
 3204         (a)Unable to understand the nature, character, and
 3205  anticipated results of proposed treatment or alternatives or the
 3206  recognized serious possible risks, complications, and
 3207  anticipated benefits of treatments and alternatives, including
 3208  nontreatment;
 3209         (b)Physically or mentally unable to communicate a willful
 3210  and knowing decision about mental health care or substance abuse
 3211  treatment;
 3212         (c)Unable to communicate his or her understanding or
 3213  treatment decisions; or
 3214         (d)Determined incompetent pursuant to s. 394.463.
 3215         (5) “Informed consent” means consent voluntarily given by a
 3216  person after a sufficient explanation and disclosure of the
 3217  subject matter involved to enable that person to have a general
 3218  understanding of the treatment or procedure and the medically
 3219  acceptable alternatives, including the substantial risks and
 3220  hazards inherent in the proposed treatment or procedures or
 3221  nontreatment, and to make knowing mental health care or
 3222  substance abuse treatment decisions without coercion or undue
 3223  influence.
 3224         (6) “Interested person” means, for the purposes of this
 3225  chapter, any person who may reasonably be expected to be
 3226  affected by the outcome of the particular proceeding involved,
 3227  including anyone interested in the welfare of an incapacitated
 3228  person.
 3229         (7) “Mental health or substance abuse treatment advance
 3230  directive” means a written document in which the principal makes
 3231  a declaration of instructions or preferences or appoints a
 3232  surrogate to make decisions on behalf of the principal regarding
 3233  the principal’s mental health or substance abuse treatment, or
 3234  both.
 3235         (8) “Mental health professional” means a psychiatrist,
 3236  psychologist, psychiatric nurse, or social worker, and such
 3237  other mental health professionals licensed pursuant to chapter
 3238  458, chapter 459, chapter 464, chapter 490, or chapter 491.
 3239         (9) “Principal” means a competent adult who executes a
 3240  mental health or substance abuse treatment advance directive and
 3241  on whose behalf mental health care or substance abuse treatment
 3242  decisions are to be made.
 3243         (10) “Surrogate” means any competent adult expressly
 3244  designated by a principal to make mental health care or
 3245  substance abuse treatment decisions on behalf of the principal
 3246  as set forth in the principal’s mental health or substance abuse
 3247  treatment advance directive or self-binding arrangement as those
 3248  terms are defined in this part.
 3249         Section 24. Section 765.405, Florida Statutes, is created
 3250  to read:
 3251         765.405 Mental health or substance abuse treatment advance
 3252  directive; execution; allowable provisions.
 3253         (1) An adult with capacity may execute a mental health or
 3254  substance abuse treatment advance directive.
 3255         (2) A directive executed in accordance with this section is
 3256  presumed to be valid. The inability to honor one or more
 3257  provisions of a directive does not affect the validity of the
 3258  remaining provisions.
 3259         (3) A directive may include any provision relating to
 3260  mental health or substance abuse treatment or the care of the
 3261  principal. Without limitation, a directive may include:
 3262         (a) The principal’s preferences and instructions for mental
 3263  health or substance abuse treatment.
 3264         (b) Consent to specific types of mental health or substance
 3265  abuse treatment.
 3266         (c) Refusal to consent to specific types of mental health
 3267  or substance abuse treatment.
 3268         (d) Descriptions of situations that may cause the principal
 3269  to experience a mental health or substance abuse crisis.
 3270         (e) Suggested alternative responses that may supplement or
 3271  be in lieu of direct mental health or substance abuse treatment,
 3272  such as treatment approaches from other providers.
 3273         (f) The principal’s nomination of a guardian, limited
 3274  guardian, or guardian advocate as provided chapter 744.
 3275         (4) A directive may be combined with or be independent of a
 3276  nomination of a guardian, other durable power of attorney, or
 3277  other advance directive.
 3278         Section 25. Section 765.406, Florida Statutes, is created
 3279  to read:
 3280         765.406 Execution of a mental health or substance abuse
 3281  advance directive; effective date; expiration.
 3282         (1) A directive must:
 3283         (a) Be in writing.
 3284         (b) Contain language that clearly indicates that the
 3285  principal intends to create a directive.
 3286         (c) Be dated and signed by the principal or, if the
 3287  principal is unable to sign, at the principal’s direction in the
 3288  principal’s presence.
 3289         (d) Be witnessed by two adults, each of whom must declare
 3290  that he or she personally knows the principal and was present
 3291  when the principal dated and signed the directive, and that the
 3292  principal did not appear to be incapacitated or acting under
 3293  fraud, undue influence, or duress. The person designated as the
 3294  surrogate may not act as a witness to the execution of the
 3295  document designating the mental health or substance abuse care
 3296  treatment surrogate. At least one person who acts as a witness
 3297  must be neither the principal’s spouse nor his or her blood
 3298  relative.
 3299         (2) A directive is valid upon execution, but all or part of
 3300  the directive may take effect at a later date as designated by
 3301  the principal in the directive.
 3302         (3) A directive may:
 3303         (a) Be revoked, in whole or in part, pursuant to s.
 3304  765.407; or
 3305         (b) Expire under its own terms.
 3306         (4) A directive does not or may not:
 3307         (a) Create an entitlement to mental health, substance
 3308  abuse, or medical treatment or supersede a determination of
 3309  medical necessity.
 3310         (b) Obligate any health care provider, professional person,
 3311  or health care facility to pay the costs associated with the
 3312  treatment requested.
 3313         (c) Obligate a health care provider, professional person,
 3314  or health care facility to be responsible for the nontreatment
 3315  or personal care of the principal or the principal’s personal
 3316  affairs outside the scope of services the facility normally
 3317  provides.
 3318         (d) Replace or supersede any will or testamentary document
 3319  or supersede the provision of intestate succession.
 3320         (e) Be revoked by an incapacitated principal unless that
 3321  principal selected the option to permit revocation while
 3322  incapacitated at the time his or her directive was executed.
 3323         Section 26. Section 765.407, Florida Statutes, is created
 3324  to read:
 3325         765.407 Revocation; waiver.
 3326         (1) A principal with capacity may, by written statement of
 3327  the principal or at the principal’s direction in the principal’s
 3328  presence, revoke a directive in whole or in part.
 3329         (2) The principal shall provide a copy of his or her
 3330  written statement of revocation to his or her agent, if any, and
 3331  to each health care provider, professional person, or health
 3332  care facility that received a copy of the directive from the
 3333  principal.
 3334         (3) The written statement of revocation is effective as to
 3335  a health care provider, professional person, or health care
 3336  facility upon receipt. The professional person, health care
 3337  provider, or health care facility, or persons acting under their
 3338  direction, shall make the statement of revocation part of the
 3339  principal’s medical record.
 3340         (4) A directive also may:
 3341         (a) Be revoked, in whole or in part, expressly or to the
 3342  extent of any inconsistency, by a subsequent directive; or
 3343         (b) Be superseded or revoked by a court order, including
 3344  any order entered in a criminal matter. The individual’s family,
 3345  the health care facility, the attending physician, or any other
 3346  interested person who may be directly affected by the
 3347  surrogate’s decision concerning any health care may seek
 3348  expedited judicial intervention pursuant to rule 5.900 of the
 3349  Florida Probate Rules, if that person believes:
 3350         1. The surrogate’s decision is not in accord with the
 3351  individual’s known desires;
 3352         2. The advance directive is ambiguous, or the individual
 3353  has changed his or her mind after execution of the advance
 3354  directive;
 3355         3. The surrogate was improperly designated or appointed, or
 3356  the designation of the surrogate is no longer effective or has
 3357  been revoked;
 3358         4. The surrogate has failed to discharge duties, or
 3359  incapacity or illness renders the surrogate incapable of
 3360  discharging duties;
 3361         5. The surrogate has abused powers; or
 3362         6. The individual has sufficient capacity to make his or
 3363  her own health care decisions.
 3364         (5) A directive that would have otherwise expired but is
 3365  effective because the principal is incapacitated remains
 3366  effective until the principal is no longer incapacitated unless
 3367  the principal elected to be able to revoke while incapacitated
 3368  and has revoked the directive.
 3369         (6) When a principal with capacity consents to treatment
 3370  that differs from, or refuses treatment consented to in, his or
 3371  her directive, the consent or refusal constitutes a waiver of a
 3372  particular provision and does not constitute a revocation of the
 3373  provision or the directive unless that principal also revokes
 3374  the provision or directive.
 3375         Section 27. Section 765.410, Florida Statutes, is created
 3376  to read:
 3377         765.410 Immunity from liability; weight of proof;
 3378  presumption.—
 3379         (1) A health care facility, provider, or other person who
 3380  acts under the direction of a health care facility or provider
 3381  is not subject to criminal prosecution or civil liability, and
 3382  may not be deemed to have engaged in unprofessional conduct, as
 3383  a result of carrying out a mental health care or substance abuse
 3384  treatment decision made in accordance with this section. The
 3385  surrogate who makes a mental health care or substance abuse
 3386  treatment decision on a principal’s behalf, pursuant to this
 3387  section, is not subject to criminal prosecution or civil
 3388  liability for such action.
 3389         (2) This section applies unless it is shown by a
 3390  preponderance of the evidence that the person authorizing or
 3391  carrying out a mental health or substance abuse treatment
 3392  decision did not, in good faith, comply with this section.
 3393         Section 28. Section 765.411, Florida Statutes, is created
 3394  to read:
 3395         765.411Recognition of mental health and substance abuse
 3396  treatment advance directive executed in another state.—A mental
 3397  health or substance abuse treatment advance directive executed
 3398  in another state in compliance with the law of that state is
 3399  validly executed for the purposes of this chapter.
 3400         Section 29. Section 916.185, Florida Statutes, is created
 3401  to read:
 3402         916.185Forensic Hospital Diversion Pilot Program.—
 3403         (1) LEGISLATIVE FINDINGS AND INTENT.—The Legislature finds
 3404  that many jail inmates who have serious mental illnesses and who
 3405  are committed to state forensic mental health treatment
 3406  facilities for restoration of competency to proceed could be
 3407  served more effectively and at less cost in community-based
 3408  alternative programs. The Legislature further finds that many
 3409  individuals who have serious mental illnesses and who have been
 3410  discharged from state forensic mental health treatment
 3411  facilities could avoid recidivism in the criminal justice and
 3412  forensic mental health systems if they received specialized
 3413  treatment in the community. Therefore, it is the intent of the
 3414  Legislature to create the Forensic Hospital Diversion Pilot
 3415  Program to serve individuals who have mental illnesses or co
 3416  occurring mental illnesses and substance use disorders and who
 3417  are admitted to or are at risk of entering state forensic mental
 3418  health treatment facilities, prisons, jails, or state civil
 3419  mental health treatment facilities.
 3420         (2) DEFINITIONS.—As used in this section, the term:
 3421         (a) “Best practices” means treatment services that
 3422  incorporate the most effective and acceptable interventions
 3423  available in the care and treatment of individuals who are
 3424  diagnosed as having mental illnesses or co-occurring mental
 3425  illnesses and substance use disorders.
 3426         (b) “Community forensic system” means the community mental
 3427  health and substance use forensic treatment system, including
 3428  the comprehensive set of services and supports provided to
 3429  individuals involved in or at risk of becoming involved in the
 3430  criminal justice system.
 3431         (c) “Evidence-based practices” means interventions and
 3432  strategies that, based on the best available empirical research,
 3433  demonstrate effective and efficient outcomes in the care and
 3434  treatment of individuals who are diagnosed as having mental
 3435  illnesses or co-occurring mental illnesses and substance use
 3436  disorders.
 3437         (3) CREATION.—There is created a Forensic Hospital
 3438  Diversion Pilot Program to provide, when appropriate,
 3439  competency-restoration and community-reintegration services in
 3440  locked residential treatment facilities, based on considerations
 3441  of public safety, the needs of the individual, and available
 3442  resources.
 3443         (a) The department shall implement a Forensic Hospital
 3444  Diversion Pilot Program in Alachua, Broward, Escambia,
 3445  Hillsborough, and Miami-Dade Counties, in conjunction with the
 3446  Eighth Judicial Circuit, the Seventeenth Judicial Circuit, the
 3447  First Judicial Circuit, the Thirteenth Judicial Circuit, and the
 3448  Eleventh Judicial Circuit, respectively, which shall be modeled
 3449  after the Miami-Dade Forensic Alternative Center, taking into
 3450  account local needs and subject to the availability of local
 3451  resources.
 3452         (b) In creating and implementing the program, the
 3453  department shall include a comprehensive continuum of care and
 3454  services which uses evidence-based practices and best practices
 3455  to treat individuals who have mental health and co-occurring
 3456  substance use disorders.
 3457         (c) The department and the respective judicial circuits
 3458  shall implement this section within available resources. State
 3459  funding may be made available through a specific appropriation.
 3460         (4) ELIGIBILITY.—Participation in the Forensic Hospital
 3461  Diversion Pilot Program is limited to individuals who:
 3462         (a) Are 18 years of age or older;
 3463         (b) Are charged with a felony of the second degree or a
 3464  felony of the third degree;
 3465         (c) Do not have a significant history of violent criminal
 3466  offenses;
 3467         (d) Have been adjudicated incompetent to proceed to trial
 3468  or not guilty by reason of insanity under this part;
 3469         (e) Meet public safety and treatment criteria established
 3470  by the department for placement in a community setting; and
 3471         (f) Would be admitted to a state mental health treatment
 3472  facility if not for the availability of the Forensic Hospital
 3473  Diversion Pilot Program.
 3474         (5) TRAINING.—The Legislature encourages the Florida
 3475  Supreme Court, in consultation and cooperation with the Task
 3476  Force on Substance Abuse and Mental Health Issues in the Courts,
 3477  to develop educational training on the community forensic system
 3478  for judges in the pilot program areas.
 3479         (6) RULEMAKING.—The department may adopt rules to
 3480  administer this section.
 3481         (7) REPORT.—The Office of Program Policy Analysis and
 3482  Government Accountability shall review and evaluate the Forensic
 3483  Hospital Diversion Pilot Program and submit a report to the
 3484  Governor, the President of the Senate, and the Speaker of the
 3485  House of Representatives by December 31, 2016. The report shall
 3486  examine the efficiency and cost-effectiveness of providing
 3487  forensic mental health services in secure, outpatient,
 3488  community-based settings. In addition, the report shall examine
 3489  the impact of the Forensic Hospital Diversion Pilot Program on
 3490  public health and safety.
 3491         Section 30. Section 944.805, Florida Statutes, is created
 3492  to read:
 3493         944.805Nonviolent offender reentry program.—
 3494         (1) As used in this section, the term:
 3495         (a) “Department” means the Department of Corrections.
 3496         (b) “Nonviolent offender” means an offender whose primary
 3497  offense is a felony of the third degree, who is not the subject
 3498  of a domestic violence injunction currently in force, and who
 3499  has never been convicted of:
 3500         1. A forcible felony as defined in s. 776.08;
 3501         2. An offense specified in s. 775.082(9)(a)1.r., regardless
 3502  of prior incarceration or release;
 3503         3. An offense described in chapter 847;
 3504         4. An offense under chapter 827;
 3505         5. Any offense specified in s. 784.07, s. 784.074, s.
 3506  784.075, s. 784.076, s. 784.08, s. 784.083, or s. 784.085;
 3507         6. Any offense involving the possession or use of a
 3508  firearm;
 3509         7. A capital felony or a felony of the first or second
 3510  degree;
 3511         8. Any offense that requires a person to register as a
 3512  sexual offender pursuant to s. 943.0435.
 3513         (2)(a) The department shall develop and administer a
 3514  reentry program for nonviolent offenders. The reentry program
 3515  must include prison-based substance abuse treatment, general
 3516  education development and adult basic education courses,
 3517  vocational training, training in decisionmaking and personal
 3518  development, and other rehabilitation programs.
 3519         (b) The reentry program is intended to divert nonviolent
 3520  offenders from long periods of incarceration when a reduced
 3521  period of incarceration supplemented by participation in
 3522  intensive substance abuse treatment and rehabilitative
 3523  programming could produce the same deterrent effect, protect the
 3524  public, rehabilitate the offender, and reduce recidivism.
 3525         (c) The nonviolent offender must serve at least 6 months in
 3526  the reentry program. The offender may not count any portion of
 3527  his or her sentence served before placement in the reentry
 3528  program as progress toward program completion.
 3529         (d) A reentry program may be operated in a secure area in
 3530  or adjacent to a correctional institution.
 3531         (3) The department shall screen offenders committed to the
 3532  department for eligibility to participate in the reentry program
 3533  using the criteria in this section. To be eligible, an offender
 3534  must be a nonviolent offender, must have served at least one
 3535  half of his or her original sentence, and must have been
 3536  identified as needing substance abuse treatment.
 3537         (4) In addition, the department must consider the following
 3538  factors when selecting participants for the reentry program:
 3539         (a) The offender’s history of disciplinary reports.
 3540         (b) The offender’s criminal history.
 3541         (c) The severity of the offender’s addiction.
 3542         (d) The offender’s history of criminal behavior related to
 3543  substance abuse.
 3544         (e) Whether the offender has participated or requested to
 3545  participate in any general educational development certificate
 3546  program or other educational, technical, work, vocational, or
 3547  self-rehabilitation program.
 3548         (f) The results of any risk assessment of the offender.
 3549         (g) The outcome of all past participation of the offender
 3550  in substance abuse treatment programs.
 3551         (h) The possible rehabilitative benefits that substance
 3552  abuse treatment, educational programming, vocational training,
 3553  and other rehabilitative programming might have on the offender.
 3554         (i) The likelihood that the offender’s participation in the
 3555  program will produce the same deterrent effect, protect the
 3556  public, save taxpayer dollars, and prevent or delay recidivism
 3557  to an equal or greater extent than completion of the sentence
 3558  previously imposed.
 3559         (5)(a) If an offender volunteers to participate in the
 3560  reentry program, meets the eligibility criteria, and is selected
 3561  by the department based on the considerations in subsection (4)
 3562  and if space is available in the reentry program, the department
 3563  may request the sentencing court to approve the offender’s
 3564  participation in the reentry program. The request must be made
 3565  in writing, must include a brief summation of the department’s
 3566  evaluation under subsection (4), and must identify the documents
 3567  or other information upon which the evaluation is based. The
 3568  request and all accompanying documents may be delivered to the
 3569  sentencing court electronically.
 3570         (b)1. The department shall notify the state attorney that
 3571  the offender is being considered for placement in the reentry
 3572  program. The notice must include a copy of all documents
 3573  provided with the request to the court. The notice and all
 3574  accompanying documents may be delivered to the state attorney
 3575  electronically and may take the form of a copy of an electronic
 3576  delivery made to the sentencing court.
 3577         2. The notice must also state that the state attorney may
 3578  notify the sentencing court in writing of any objection he or
 3579  she may have to placement of the nonviolent offender in the
 3580  reentry program. Such notification must be made within 15 days
 3581  after receipt of the notice by the state attorney from the
 3582  department. Regardless of whether an objection is raised, the
 3583  state attorney may provide the sentencing court with any
 3584  information supplemental or contrary to the information provided
 3585  by the department which may assist the court in its
 3586  determination.
 3587         (c) In determining whether to approve a nonviolent offender
 3588  for participation in the reentry program, the sentencing court
 3589  may consider any facts that the court considers relevant,
 3590  including, but not limited to, the criteria listed in subsection
 3591  (4); the original sentencing report and any evidence admitted in
 3592  a previous sentencing proceeding; the offender’s record of
 3593  arrests without conviction for crimes; any other evidence of
 3594  allegations of unlawful conduct or the use of violence by the
 3595  offender; the offender’s family ties, length of residence in the
 3596  community, employment history, and mental condition; the
 3597  likelihood that participation in the program will produce the
 3598  same deterrent effect, rehabilitate the offender, and prevent or
 3599  delay recidivism to an equal or greater extent than completion
 3600  of the sentence previously imposed; and the likelihood that the
 3601  offender will engage again in criminal conduct.
 3602         (d) The sentencing court shall notify the department in
 3603  writing of the court’s decision to approve or disapprove the
 3604  requested placement of the nonviolent offender no later than 30
 3605  days after the court receives the department’s request to place
 3606  the offender in the reentry program. If the court approves the
 3607  placement, the notification must list the factors upon which the
 3608  court relied in making its determination.
 3609         (6) After the nonviolent offender is admitted to the
 3610  reentry program, he or she shall undergo a complete substance
 3611  abuse assessment to determine his or her substance abuse
 3612  treatment needs. The offender shall also receive an educational
 3613  assessment, which must be accomplished using the Test of Adult
 3614  Basic Education or any other testing instrument approved by the
 3615  Department of Education. Each offender who has not obtained a
 3616  high school diploma shall be enrolled in an adult education
 3617  program designed to aid the offender in improving his or her
 3618  academic skills and earning a high school diploma. Additional
 3619  assessments of the offender’s vocational skills and future
 3620  career education shall be provided to the offender as needed. A
 3621  periodic reevaluation shall be made to assess the progress of
 3622  each offender.
 3623         (7)(a) If a nonviolent offender in the reentry program
 3624  becomes unmanageable, the department may revoke the offender’s
 3625  gain-time and place the offender in disciplinary confinement in
 3626  accordance with department rule. Except as provided in paragraph
 3627  (b), the offender shall be readmitted to the reentry program
 3628  after completing the ordered discipline. Any period during which
 3629  the offender cannot participate in the reentry program must be
 3630  excluded from the specified time requirements in the reentry
 3631  program.
 3632         (b) The department may terminate an offender from the
 3633  reentry program if:
 3634         1. The offender commits or threatens to commit a violent
 3635  act;
 3636         2. The department determines that the offender cannot
 3637  participate in the reentry program because of the offender’s
 3638  medical condition;
 3639         3. The offender’s sentence is modified or expires;
 3640         4. The department reassigns the offender’s classification
 3641  status; or
 3642         5. The department determines that removing the offender
 3643  from the reentry program is in the best interest of the offender
 3644  or the security of the reentry program facility.
 3645         (8)(a) The department shall submit a report to the
 3646  sentencing court at least 30 days before the nonviolent offender
 3647  is scheduled to complete the reentry program. The report must
 3648  describe the offender’s performance in the reentry program and
 3649  certify whether the performance is satisfactory. The court may
 3650  schedule a hearing to consider any modification to the imposed
 3651  sentence. Notwithstanding the eligibility criteria contained in
 3652  s. 948.20, if the offender’s performance is satisfactory to the
 3653  department and the court, the court shall issue an order
 3654  modifying the sentence imposed and placing the offender on drug
 3655  offender probation, as described in s. 948.20(2), subject to the
 3656  department’s certification of the offender’s successful
 3657  completion of the remainder of the reentry program. The term of
 3658  drug offender probation must not be less than the remaining time
 3659  the offender would have served in prison had he or she not
 3660  participated in the program. A condition of drug offender
 3661  probation may include electronic monitoring or placement in a
 3662  community residential or nonresidential licensed substance abuse
 3663  treatment facility under the jurisdiction of the department or
 3664  the Department of Children and Families or any public or private
 3665  entity providing such services. The order must include findings
 3666  that the offender’s performance is satisfactory, that the
 3667  requirements for resentencing under this section are satisfied,
 3668  and that public safety will not be compromised. If the
 3669  nonviolent offender violates the conditions of drug offender
 3670  probation, the court may revoke probation and impose any
 3671  sentence that it might have originally imposed. An offender may
 3672  not be released from the custody of the department under this
 3673  section except pursuant to a judicial order modifying his or her
 3674  sentence.
 3675         (b) If an offender released pursuant to paragraph (a)
 3676  intends to reside in a county that has established a
 3677  postadjudicatory drug court program as described in s. 397.334,
 3678  the sentencing court may require the offender to successfully
 3679  complete the postadjudicatory drug court program as a condition
 3680  of drug offender probation. The original sentencing court shall
 3681  relinquish jurisdiction of the offender’s case to the
 3682  postadjudicatory drug court program until the offender is no
 3683  longer active in the program, the case is returned to the
 3684  sentencing court due to the offender’s termination from the
 3685  program for failure to comply with the terms of the program, or
 3686  the offender’s sentence is completed. An offender who is
 3687  transferred to a postadjudicatory drug court program shall
 3688  comply with all conditions and orders of the program.
 3689         (9) The department shall implement the reentry program to
 3690  the fullest extent feasible within available resources.
 3691         (10) The department may enter into performance-based
 3692  contracts with qualified individuals, agencies, or corporations
 3693  for the provision of any or all of the services for the reentry
 3694  program. However, an offender may not be released from the
 3695  custody of the department under this section except pursuant to
 3696  a judicial order modifying a sentence.
 3697         (11) A nonviolent offender in the reentry program is
 3698  subject to rules of conduct established by the department and
 3699  may have sanctions imposed, including loss of privileges,
 3700  restrictions, disciplinary confinement, alteration of release
 3701  plans, or other program modifications in keeping with the nature
 3702  and gravity of the program violation. Administrative or
 3703  protective confinement, as necessary, may be imposed.
 3704         (12) This section does not create or confer any right to
 3705  any offender to placement in the reentry program or any right to
 3706  placement or early release under supervision of any type. An
 3707  inmate does not have a cause of action under this section
 3708  against the department, a court, or the state attorney related
 3709  to the reentry program.
 3710         (13) The department may establish a system of incentives
 3711  within the reentry program which the department may use to
 3712  promote participation in rehabilitative programs and the orderly
 3713  operation of institutions and facilities.
 3714         (14) The department shall develop a system for tracking
 3715  recidivism, including, but not limited to, rearrests and
 3716  recommitment of nonviolent offenders who successfully complete
 3717  the reentry program, and shall report the recidivism rate in the
 3718  annual report required under this section.
 3719         (15) The department shall submit an annual report to the
 3720  Governor, the President of the Senate, and the Speaker of the
 3721  House of Representatives detailing the extent of implementation
 3722  of the reentry program and the number of participants who are
 3723  selected by the department, the number of participants who are
 3724  approved by the court, and the number of participants who
 3725  successfully complete the program. The report must include a
 3726  reasonable estimate or description of the additional public
 3727  costs incurred and any public funds saved with respect to each
 3728  participant, a brief description of each sentence modification,
 3729  and a brief description of the subsequent criminal history, if
 3730  any, of each participant following any modification of sentence
 3731  under this section. The report must also include future goals
 3732  and any recommendations that the department has for future
 3733  legislative action.
 3734         (16) The department shall adopt rules as necessary to
 3735  administer the reentry program.
 3736         (17) Nothing in this section is severable from the
 3737  remaining provisions of this section. If any subsection of this
 3738  section is determined by any state or federal court to be not
 3739  fully enforceable, this section shall stand repealed in its
 3740  entirety.
 3741         Section 31. Paragraph (l) is added to subsection (3) of
 3742  section 1002.20, Florida Statutes, to read:
 3743         1002.20 K-12 student and parent rights.—Parents of public
 3744  school students must receive accurate and timely information
 3745  regarding their child’s academic progress and must be informed
 3746  of ways they can help their child to succeed in school. K-12
 3747  students and their parents are afforded numerous statutory
 3748  rights including, but not limited to, the following:
 3749         (3) HEALTH ISSUES.—
 3750         (l) Notification of involuntary examinations.—The public
 3751  school principal or the principal’s designee shall immediately
 3752  notify the parent of a student who is removed from school,
 3753  school transportation, or a school-sponsored activity and taken
 3754  to a receiving facility for an involuntary examination pursuant
 3755  to s. 394.463. The principal or the principal’s designee may
 3756  delay notification for no more than 24 hours after the student
 3757  is removed from school if the principal or designee deems the
 3758  delay to be in the student’s best interest and if a report has
 3759  been submitted to the central abuse hotline, pursuant to s.
 3760  39.201, based upon knowledge or suspicion of abuse, abandonment,
 3761  or neglect. Each district school board shall develop a policy
 3762  and procedures for notification under this paragraph.
 3763         Section 32. Paragraph (q) is added to subsection (9) of
 3764  section 1002.33, Florida Statutes, to read:
 3765         1002.33 Charter schools.—
 3766         (9) CHARTER SCHOOL REQUIREMENTS.—
 3767         (q) The charter school principal or the principal’s
 3768  designee shall immediately notify the parent of a student who is
 3769  removed from school, school transportation, or a school
 3770  sponsored activity and taken to a receiving facility for an
 3771  involuntary examination pursuant to s. 394.463. The principal or
 3772  the principal’s designee may delay notification for no more than
 3773  24 hours after the student is removed from school if the
 3774  principal or designee deems the delay to be in the student’s
 3775  best interest and if a report has been submitted to the central
 3776  abuse hotline, pursuant to s. 39.201, based upon knowledge or
 3777  suspicion of abuse, abandonment, or neglect. Each charter school
 3778  governing board shall develop a policy and procedures for
 3779  notification under this paragraph.
 3780         Section 33. Paragraph (a) of subsection (3) of section
 3781  39.407, Florida Statutes, is amended to read:
 3782         39.407 Medical, psychiatric, and psychological examination
 3783  and treatment of child; physical, mental, or substance abuse
 3784  examination of person with or requesting child custody.—
 3785         (3)(a)1. Except as otherwise provided in subparagraph (b)1.
 3786  or paragraph (e), before the department provides psychotropic
 3787  medications to a child in its custody, the prescribing physician
 3788  shall attempt to obtain express and informed consent, as defined
 3789  in s. 394.455(13) s. 394.455(9) and as described in s.
 3790  394.459(4)(a) s. 394.459(3)(a), from the child’s parent or legal
 3791  guardian. The department must take steps necessary to facilitate
 3792  the inclusion of the parent in the child’s consultation with the
 3793  physician. However, if the parental rights of the parent have
 3794  been terminated, the parent’s location or identity is unknown or
 3795  cannot reasonably be ascertained, or the parent declines to give
 3796  express and informed consent, the department may, after
 3797  consultation with the prescribing physician, seek court
 3798  authorization to provide the psychotropic medications to the
 3799  child. Unless parental rights have been terminated and if it is
 3800  possible to do so, the department shall continue to involve the
 3801  parent in the decisionmaking process regarding the provision of
 3802  psychotropic medications. If, at any time, a parent whose
 3803  parental rights have not been terminated provides express and
 3804  informed consent to the provision of a psychotropic medication,
 3805  the requirements of this section that the department seek court
 3806  authorization do not apply to that medication until such time as
 3807  the parent no longer consents.
 3808         2. Any time the department seeks a medical evaluation to
 3809  determine the need to initiate or continue a psychotropic
 3810  medication for a child, the department must provide to the
 3811  evaluating physician all pertinent medical information known to
 3812  the department concerning that child.
 3813         Section 34. Subsection (2) of section 394.4612, Florida
 3814  Statutes, is amended to read:
 3815         394.4612 Integrated adult mental health crisis
 3816  stabilization and addictions receiving facilities.—
 3817         (2) An integrated mental health crisis stabilization unit
 3818  and addictions receiving facility may provide services under
 3819  this section to adults who are 18 years of age or older and who
 3820  fall into one or more of the following categories:
 3821         (a) An adult meeting the requirements for voluntary
 3822  admission for mental health treatment under s. 394.4625.
 3823         (b) An adult meeting the criteria for involuntary
 3824  examination for mental illness under s. 394.463.
 3825         (c) An adult qualifying for voluntary admission for
 3826  substance abuse treatment under s. 397.601.
 3827         (d) An adult meeting the criteria for involuntary admission
 3828  for substance abuse impairment under s. 397.675.
 3829         Section 35. Paragraphs (a) and (c) of subsection (3) of
 3830  section 394.495, Florida Statutes, are amended to read:
 3831         394.495 Child and adolescent mental health system of care;
 3832  programs and services.—
 3833         (3) Assessments must be performed by:
 3834         (a) A professional as defined in s. 394.455(6), (31), (34),
 3835  (35), or (36) s. 394.455(2), (4), (21), (23), or (24);
 3836         (c) A person who is under the direct supervision of a
 3837  professional as defined in s. 394.455(6), (31), (34), (35), or
 3838  (36) s. 394.455(2), (4), (21), (23), or (24) or a professional
 3839  licensed under chapter 491.
 3840  
 3841  The department shall adopt by rule statewide standards for
 3842  mental health assessments, which must be based on current
 3843  relevant professional and accreditation standards.
 3844         Section 36. Subsection (6) of section 394.496, Florida
 3845  Statutes, is amended to read:
 3846         394.496 Service planning.—
 3847         (6) A professional as defined in s. 394.455(6), (31), (34),
 3848  (35), or (36) s. 394.455(2), (4), (21), (23), or (24) or a
 3849  professional licensed under chapter 491 must be included among
 3850  those persons developing the services plan.
 3851         Section 37. Subsection (2) of section 394.499, Florida
 3852  Statutes, is amended to read:
 3853         394.499 Integrated children’s crisis stabilization
 3854  unit/juvenile addictions receiving facility services.—
 3855         (2) Children eligible to receive integrated children’s
 3856  crisis stabilization unit/juvenile addictions receiving facility
 3857  services include:
 3858         (a) A person under 18 years of age for whom voluntary
 3859  application is made by his or her guardian, if such person is
 3860  found to show evidence of mental illness and to be suitable for
 3861  treatment pursuant to s. 394.4625. A person under 18 years of
 3862  age may be admitted for integrated facility services only after
 3863  a hearing to verify that the consent to admission is voluntary.
 3864         (b) A person under 18 years of age who may be taken to a
 3865  receiving facility for involuntary examination, if there is
 3866  reason to believe that he or she is mentally ill and because of
 3867  his or her mental illness, pursuant to s. 394.463:
 3868         1. Has refused voluntary examination after conscientious
 3869  explanation and disclosure of the purpose of the examination; or
 3870         2. Is unable to determine for himself or herself whether
 3871  examination is necessary; and
 3872         a. Without care or treatment is likely to suffer from
 3873  neglect or refuse to care for himself or herself; such neglect
 3874  or refusal poses a real and present threat of substantial harm
 3875  to his or her well-being; and it is not apparent that such harm
 3876  may be avoided through the help of willing family members or
 3877  friends or the provision of other services; or
 3878         b. There is a substantial likelihood that without care or
 3879  treatment he or she will cause serious bodily harm to himself or
 3880  herself or others in the near future, as evidenced by recent
 3881  behavior.
 3882         (c) A person under 18 years of age who wishes to enter
 3883  treatment for substance abuse and applies to a service provider
 3884  for voluntary admission, pursuant to s. 397.601.
 3885         (d) A person under 18 years of age who meets the criteria
 3886  for involuntary admission because there is good faith reason to
 3887  believe the person is substance abuse impaired pursuant to s.
 3888  397.675 and, because of such impairment:
 3889         1. Has lost the power of self-control with respect to
 3890  substance use; and
 3891         2.a. Has inflicted, or threatened or attempted to inflict,
 3892  or unless admitted is likely to inflict, physical harm on
 3893  himself or herself or another; or
 3894         b. Is in need of substance abuse services and, by reason of
 3895  substance abuse impairment, his or her judgment has been so
 3896  impaired that the person is incapable of appreciating his or her
 3897  need for such services and of making a rational decision in
 3898  regard thereto; however, mere refusal to receive such services
 3899  does not constitute evidence of lack of judgment with respect to
 3900  his or her need for such services.
 3901         (c)(e) A person under 18 years of age who meets the
 3902  criteria for examination or admission under paragraph (b) or
 3903  paragraph (d) and has a coexisting mental health and substance
 3904  abuse disorder.
 3905         Section 38. Subsection (18) of section 394.67, Florida
 3906  Statutes, is amended to read:
 3907         394.67 Definitions.—As used in this part, the term:
 3908         (18) “Person who is experiencing an acute substance abuse
 3909  crisis” means a child, adolescent, or adult who is experiencing
 3910  a medical or emotional crisis because of the use of alcoholic
 3911  beverages or any psychoactive or mood-altering substance. The
 3912  term includes an individual who meets the criteria for
 3913  involuntary admission specified in s. 397.675.
 3914         Section 39. Subsection (2) of section 394.674, Florida
 3915  Statutes, is amended to read:
 3916         394.674 Eligibility for publicly funded substance abuse and
 3917  mental health services; fee collection requirements.—
 3918         (2) Crisis services, as defined in s. 394.67, must, within
 3919  the limitations of available state and local matching resources,
 3920  be available to each person who is eligible for services under
 3921  subsection (1), regardless of the person’s ability to pay for
 3922  such services. A person who is experiencing a mental health
 3923  crisis and who does not meet the criteria for involuntary
 3924  examination under s. 394.463(1), or a person who is experiencing
 3925  a substance abuse crisis and who does not meet the involuntary
 3926  admission criteria in s. 397.675, must contribute to the cost of
 3927  his or her care and treatment pursuant to the sliding fee scale
 3928  developed under subsection (4), unless charging a fee is
 3929  contraindicated because of the crisis situation.
 3930         Section 40. Subsection (6) of section 394.9085, Florida
 3931  Statutes, is amended to read:
 3932         394.9085 Behavioral provider liability.—
 3933         (6) For purposes of this section, the terms “detoxification
 3934  services,” “addictions receiving facility,” and “receiving
 3935  facility” have the same meanings as those provided in ss.
 3936  397.311(18)(a)4., 397.311(18)(a)1., and 394.455(27) 394.455(26),
 3937  respectively.
 3938         Section 41. Paragraph (d) of subsection (1) of section
 3939  395.0197, Florida Statutes, is amended to read:
 3940         395.0197 Internal risk management program.—
 3941         (1) Every licensed facility shall, as a part of its
 3942  administrative functions, establish an internal risk management
 3943  program that includes all of the following components:
 3944         (d) A system for informing a patient or an individual
 3945  identified pursuant to s. 765.311(1) s. 765.401(1) that the
 3946  patient was the subject of an adverse incident, as defined in
 3947  subsection (5). Such notice shall be given by an appropriately
 3948  trained person designated by the licensed facility as soon as
 3949  practicable to allow the patient an opportunity to minimize
 3950  damage or injury.
 3951         Section 42. Section 395.1051, Florida Statutes, is amended
 3952  to read:
 3953         395.1051 Duty to notify patients.—An appropriately trained
 3954  person designated by each licensed facility shall inform each
 3955  patient, or an individual identified pursuant to s. 765.311(1)
 3956  s. 765.401(1), in person about adverse incidents that result in
 3957  serious harm to the patient. Notification of outcomes of care
 3958  that result in harm to the patient under this section shall not
 3959  constitute an acknowledgment or admission of liability, nor can
 3960  it be introduced as evidence.
 3961         Section 43. Subsection (11) and paragraph (a) of subsection
 3962  (18) of section 397.311, Florida Statutes, are amended to read:
 3963         397.311 Definitions.—As used in this chapter, except part
 3964  VIII, the term:
 3965         (11) “Habitual abuser” means a person who is brought to the
 3966  attention of law enforcement for being substance impaired, who
 3967  meets the criteria for involuntary admission in s. 397.675, and
 3968  who has been taken into custody for such impairment three or
 3969  more times during the preceding 12 months.
 3970         (18) Licensed service components include a comprehensive
 3971  continuum of accessible and quality substance abuse prevention,
 3972  intervention, and clinical treatment services, including the
 3973  following services:
 3974         (a) “Clinical treatment” means a professionally directed,
 3975  deliberate, and planned regimen of services and interventions
 3976  that are designed to reduce or eliminate the misuse of drugs and
 3977  alcohol and promote a healthy, drug-free lifestyle. As defined
 3978  by rule, “clinical treatment services” include, but are not
 3979  limited to, the following licensable service components:
 3980         1. “Addictions receiving facility” is a secure, acute care
 3981  facility that provides, at a minimum, detoxification and
 3982  stabilization services and; is operated 24 hours per day, 7 days
 3983  per week; and is designated by the department to serve
 3984  individuals found to be substance use impaired as described in
 3985  s. 397.675 who meet the placement criteria for this component.
 3986         2. “Day or night treatment” is a service provided in a
 3987  nonresidential environment, with a structured schedule of
 3988  treatment and rehabilitative services.
 3989         3. “Day or night treatment with community housing” means a
 3990  program intended for individuals who can benefit from living
 3991  independently in peer community housing while participating in
 3992  treatment services for a minimum of 5 hours a day for a minimum
 3993  of 25 hours per week.
 3994         4. “Detoxification” is a service involving subacute care
 3995  that is provided on an inpatient or an outpatient basis to
 3996  assist individuals to withdraw from the physiological and
 3997  psychological effects of substance abuse and who meet the
 3998  placement criteria for this component.
 3999         5. “Intensive inpatient treatment” includes a planned
 4000  regimen of evaluation, observation, medical monitoring, and
 4001  clinical protocols delivered through an interdisciplinary team
 4002  approach provided 24-hours-per-day 24 hours per day, 7-days-per
 4003  week 7 days per week, in a highly structured, live-in
 4004  environment.
 4005         6. “Intensive outpatient treatment” is a service that
 4006  provides individual or group counseling in a more structured
 4007  environment, is of higher intensity and duration than outpatient
 4008  treatment, and is provided to individuals who meet the placement
 4009  criteria for this component.
 4010         7. “Medication-assisted treatment for opiate addiction” is
 4011  a service that uses methadone or other medication as authorized
 4012  by state and federal law, in combination with medical,
 4013  rehabilitative, and counseling services in the treatment of
 4014  individuals who are dependent on opioid drugs.
 4015         8. “Outpatient treatment” is a service that provides
 4016  individual, group, or family counseling by appointment during
 4017  scheduled operating hours for individuals who meet the placement
 4018  criteria for this component.
 4019         9. “Residential treatment” is a service provided in a
 4020  structured live-in environment within a nonhospital setting on a
 4021  24-hours-per-day, 7-days-per-week basis, and is intended for
 4022  individuals who meet the placement criteria for this component.
 4023         Section 44. Subsection (3) of section 397.431, Florida
 4024  Statutes, is amended to read:
 4025         397.431 Individual responsibility for cost of substance
 4026  abuse impairment services.—
 4027         (3) The parent, legal guardian, or legal custodian of a
 4028  minor is not liable for payment for any substance abuse services
 4029  provided to the minor without parental consent pursuant to s.
 4030  397.601(4), unless the parent, legal guardian, or legal
 4031  custodian participates or is ordered to participate in the
 4032  services, and only for the substance abuse services rendered. If
 4033  the minor is receiving services as a juvenile offender, the
 4034  obligation to pay is governed by the law relating to juvenile
 4035  offenders.
 4036         Section 45. Paragraph (b) of subsection (2) of section
 4037  397.702, Florida Statutes, is amended to read:
 4038         397.702 Authorization of local ordinances for treatment of
 4039  habitual abusers in licensed secure facilities.—
 4040         (2) Ordinances for the treatment of habitual abusers must
 4041  provide:
 4042         (b) That when seeking treatment of a habitual abuser, the
 4043  county or municipality, through an officer or agent specified in
 4044  the ordinance, must file with the court a petition which alleges
 4045  the following information about the alleged habitual abuser (the
 4046  respondent):
 4047         1. The name, address, age, and gender of the respondent.
 4048         2. The name of any spouse, adult child, other relative, or
 4049  guardian of the respondent, if known to the petitioner, and the
 4050  efforts, if any, by the petitioner, if any, to ascertain this
 4051  information.
 4052         3. The name of the petitioner, the name of the person who
 4053  has physical custody of the respondent, and the current location
 4054  of the respondent.
 4055         4. That the respondent has been taken into custody for
 4056  impairment in a public place, or has been arrested for an
 4057  offense committed while impaired, three or more times during the
 4058  preceding 12 months.
 4059         5. Specific facts indicating that the respondent meets the
 4060  criteria for involuntary admission in s. 397.675.
 4061         5.6. Whether the respondent was advised of his or her right
 4062  to be represented by counsel and to request that the court
 4063  appoint an attorney if he or she is unable to afford one, and
 4064  whether the respondent indicated to petitioner his or her desire
 4065  to have an attorney appointed.
 4066         Section 46. Paragraph (a) of subsection (1) of section
 4067  397.94, Florida Statutes, is amended to read:
 4068         397.94 Children’s substance abuse services; information and
 4069  referral network.—
 4070         (1) The substate entity shall determine the most cost
 4071  effective method for delivering this service and may select a
 4072  new provider or utilize an existing provider or providers with a
 4073  record of success in providing information and referral
 4074  services.
 4075         (a) The plan must provide assurances that the information
 4076  and referral network will include a resource directory that
 4077  contains information regarding the children’s substance abuse
 4078  services available, including, but not limited to:
 4079         1. Public and private resources by service component,
 4080  including resources for involuntary admissions under s. 397.675.
 4081         1.2. Hours of operation and hours during which services are
 4082  provided.
 4083         2.3. Ages of persons served.
 4084         3.4. Description of services.
 4085         4.5. Eligibility requirements.
 4086         5.6. Fee schedules.
 4087         Section 47. Section 402.3057, Florida Statutes, is amended
 4088  to read:
 4089         402.3057 Persons not required to be refingerprinted or
 4090  rescreened.—Any provision of law to the contrary
 4091  notwithstanding, human resource personnel who have been
 4092  fingerprinted or screened pursuant to chapters 393, 394, 397,
 4093  402, and 409, and teachers and noninstructional personnel who
 4094  have been fingerprinted pursuant to chapter 1012, who have not
 4095  been unemployed for more than 90 days thereafter, and who under
 4096  the penalty of perjury attest to the completion of such
 4097  fingerprinting or screening and to compliance with the
 4098  provisions of this section and the standards for good moral
 4099  character as contained in such provisions as ss. 110.1127(2)(c),
 4100  393.0655(1), 394.457(6), 397.451, 402.305(2), and 409.175(6),
 4101  shall not be required to be refingerprinted or rescreened in
 4102  order to comply with any caretaker screening or fingerprinting
 4103  requirements.
 4104         Section 48. Section 409.1757, Florida Statutes, is amended
 4105  to read:
 4106         409.1757 Persons not required to be refingerprinted or
 4107  rescreened.—Any law to the contrary notwithstanding, human
 4108  resource personnel who have been fingerprinted or screened
 4109  pursuant to chapters 393, 394, 397, 402, and this chapter,
 4110  teachers who have been fingerprinted pursuant to chapter 1012,
 4111  and law enforcement officers who meet the requirements of s.
 4112  943.13, who have not been unemployed for more than 90 days
 4113  thereafter, and who under the penalty of perjury attest to the
 4114  completion of such fingerprinting or screening and to compliance
 4115  with this section and the standards for good moral character as
 4116  contained in such provisions as ss. 110.1127(2)(c), 393.0655(1),
 4117  394.457(6), 397.451, 402.305(2), 409.175(6), and 943.13(7), are
 4118  not required to be refingerprinted or rescreened in order to
 4119  comply with any caretaker screening or fingerprinting
 4120  requirements.
 4121         Section 49. Paragraph (b) of subsection (1) of section
 4122  409.972, Florida Statutes, is amended to read:
 4123         409.972 Mandatory and voluntary enrollment.—
 4124         (1) The following Medicaid-eligible persons are exempt from
 4125  mandatory managed care enrollment required by s. 409.965, and
 4126  may voluntarily choose to participate in the managed medical
 4127  assistance program:
 4128         (b) Medicaid recipients residing in residential commitment
 4129  facilities operated through the Department of Juvenile Justice
 4130  or mental health treatment facilities as defined by s.
 4131  394.455(47) s. 394.455(32).
 4132         Section 50. Section 456.0575, Florida Statutes, is amended
 4133  to read:
 4134         456.0575 Duty to notify patients.—Every licensed health
 4135  care practitioner shall inform each patient, or an individual
 4136  identified pursuant to s. 765.311(1) s. 765.401(1), in person
 4137  about adverse incidents that result in serious harm to the
 4138  patient. Notification of outcomes of care that result in harm to
 4139  the patient under this section shall not constitute an
 4140  acknowledgment of admission of liability, nor can such
 4141  notifications be introduced as evidence.
 4142         Section 51. Subsection (7) of section 744.704, Florida
 4143  Statutes, is amended to read:
 4144         744.704 Powers and duties.—
 4145         (7) A public guardian shall not commit a ward to a mental
 4146  health treatment facility, as defined in s. 394.455(47) s.
 4147  394.455(32), without an involuntary placement proceeding as
 4148  provided by law.
 4149         Section 52. Subsection (15) of section 765.101, Florida
 4150  Statutes, is amended to read:
 4151         765.101 Definitions.—As used in this chapter:
 4152         (15) “Proxy” means a competent adult who has not been
 4153  expressly designated to make health care decisions for a
 4154  particular incapacitated individual, but who, nevertheless, is
 4155  authorized pursuant to s. 765.311 s. 765.401 to make health care
 4156  decisions for such individual.
 4157         Section 53. Subsection (4) of section 765.104, Florida
 4158  Statutes, is amended to read:
 4159         765.104 Amendment or revocation.—
 4160         (4) Any patient for whom a medical proxy has been
 4161  recognized under s. 765.311 s. 765.401 and for whom any previous
 4162  legal disability that precluded the patient’s ability to consent
 4163  is removed may amend or revoke the recognition of the medical
 4164  proxy and any uncompleted decision made by that proxy. The
 4165  amendment or revocation takes effect when it is communicated to
 4166  the proxy, the health care provider, or the health care facility
 4167  in writing or, if communicated orally, in the presence of a
 4168  third person.
 4169         Section 54.  Paragraph (a) of subsection (2) of section
 4170  790.065, Florida Statutes, is amended to read:
 4171         790.065 Sale and delivery of firearms.—
 4172         (2) Upon receipt of a request for a criminal history record
 4173  check, the Department of Law Enforcement shall, during the
 4174  licensee’s call or by return call, forthwith:
 4175         (a) Review any records available to determine if the
 4176  potential buyer or transferee:
 4177         1. Has been convicted of a felony and is prohibited from
 4178  receipt or possession of a firearm pursuant to s. 790.23;
 4179         2. Has been convicted of a misdemeanor crime of domestic
 4180  violence, and therefore is prohibited from purchasing a firearm;
 4181         3. Has had adjudication of guilt withheld or imposition of
 4182  sentence suspended on any felony or misdemeanor crime of
 4183  domestic violence unless 3 years have elapsed since probation or
 4184  any other conditions set by the court have been fulfilled or
 4185  expunction has occurred; or
 4186         4. Has been adjudicated mentally defective or has been
 4187  committed to a mental institution by a court or as provided in
 4188  sub-sub-subparagraph b.(II), and as a result is prohibited by
 4189  state or federal law from purchasing a firearm.
 4190         a. As used in this subparagraph, “adjudicated mentally
 4191  defective” means a determination by a court that a person, as a
 4192  result of marked subnormal intelligence, or mental illness,
 4193  incompetency, condition, or disease, is a danger to himself or
 4194  herself or to others or lacks the mental capacity to contract or
 4195  manage his or her own affairs. The phrase includes a judicial
 4196  finding of incapacity under s. 744.331(6)(a), an acquittal by
 4197  reason of insanity of a person charged with a criminal offense,
 4198  and a judicial finding that a criminal defendant is not
 4199  competent to stand trial.
 4200         b. As used in this subparagraph, “committed to a mental
 4201  institution” means:
 4202         (I) Involuntary commitment, commitment for mental
 4203  defectiveness or mental illness, and commitment for substance
 4204  abuse. The phrase includes involuntary inpatient placement as
 4205  defined in s. 394.467, or involuntary outpatient placement as
 4206  defined in s. 394.4655, involuntary assessment and stabilization
 4207  under s. 397.6818, and involuntary substance abuse treatment
 4208  under s. 397.6957, but does not include a person in a mental
 4209  institution for observation or discharged from a mental
 4210  institution based upon the initial review by the physician or a
 4211  voluntary admission to a mental institution; or
 4212         (II) Notwithstanding sub-sub-subparagraph (I), voluntary
 4213  admission to a mental institution for outpatient or inpatient
 4214  treatment of a person who had an involuntary examination under
 4215  s. 394.463, where each of the following conditions have been
 4216  met:
 4217         (A) An examining physician found that the person is an
 4218  imminent danger to himself or herself or others.
 4219         (B) The examining physician certified that if the person
 4220  did not agree to voluntary treatment, a petition for involuntary
 4221  outpatient or inpatient treatment would have been filed under s.
 4222  394.463(2)(g) s. 394.463(2)(i)4., or the examining physician
 4223  certified that a petition was filed and the person subsequently
 4224  agreed to voluntary treatment prior to a court hearing on the
 4225  petition.
 4226         (C) Before agreeing to voluntary treatment, the person
 4227  received written notice of that finding and certification, and
 4228  written notice that as a result of such finding, he or she may
 4229  be prohibited from purchasing a firearm, and may not be eligible
 4230  to apply for or retain a concealed weapon or firearms license
 4231  under s. 790.06 and the person acknowledged such notice in
 4232  writing, in substantially the following form:
 4233  
 4234         “I understand that the doctor who examined me believes I am
 4235  a danger to myself or to others. I understand that if I do not
 4236  agree to voluntary treatment, a petition will be filed in court
 4237  to require me to receive involuntary treatment. I understand
 4238  that if that petition is filed, I have the right to contest it.
 4239  In the event a petition has been filed, I understand that I can
 4240  subsequently agree to voluntary treatment prior to a court
 4241  hearing. I understand that by agreeing to voluntary treatment in
 4242  either of these situations, I may be prohibited from buying
 4243  firearms and from applying for or retaining a concealed weapons
 4244  or firearms license until I apply for and receive relief from
 4245  that restriction under Florida law.”
 4246  
 4247         (D) A judge or a magistrate has, pursuant to sub-sub
 4248  subparagraph c.(II), reviewed the record of the finding,
 4249  certification, notice, and written acknowledgment classifying
 4250  the person as an imminent danger to himself or herself or
 4251  others, and ordered that such record be submitted to the
 4252  department.
 4253         c. In order to check for these conditions, the department
 4254  shall compile and maintain an automated database of persons who
 4255  are prohibited from purchasing a firearm based on court records
 4256  of adjudications of mental defectiveness or commitments to
 4257  mental institutions.
 4258         (I) Except as provided in sub-sub-subparagraph (II), clerks
 4259  of court shall submit these records to the department within 1
 4260  month after the rendition of the adjudication or commitment.
 4261  Reports shall be submitted in an automated format. The reports
 4262  must, at a minimum, include the name, along with any known alias
 4263  or former name, the sex, and the date of birth of the subject.
 4264         (II) For persons committed to a mental institution pursuant
 4265  to sub-sub-subparagraph b.(II), within 24 hours after the
 4266  person’s agreement to voluntary admission, a record of the
 4267  finding, certification, notice, and written acknowledgment must
 4268  be filed by the administrator of the receiving or treatment
 4269  facility, as defined in s. 394.455, with the clerk of the court
 4270  for the county in which the involuntary examination under s.
 4271  394.463 occurred. No fee shall be charged for the filing under
 4272  this sub-sub-subparagraph. The clerk must present the records to
 4273  a judge or magistrate within 24 hours after receipt of the
 4274  records. A judge or magistrate is required and has the lawful
 4275  authority to review the records ex parte and, if the judge or
 4276  magistrate determines that the record supports the classifying
 4277  of the person as an imminent danger to himself or herself or
 4278  others, to order that the record be submitted to the department.
 4279  If a judge or magistrate orders the submittal of the record to
 4280  the department, the record must be submitted to the department
 4281  within 24 hours.
 4282         d. A person who has been adjudicated mentally defective or
 4283  committed to a mental institution, as those terms are defined in
 4284  this paragraph, may petition the circuit court that made the
 4285  adjudication or commitment, or the court that ordered that the
 4286  record be submitted to the department pursuant to sub-sub
 4287  subparagraph c.(II), for relief from the firearm disabilities
 4288  imposed by such adjudication or commitment. A copy of the
 4289  petition shall be served on the state attorney for the county in
 4290  which the person was adjudicated or committed. The state
 4291  attorney may object to and present evidence relevant to the
 4292  relief sought by the petition. The hearing on the petition may
 4293  be open or closed as the petitioner may choose. The petitioner
 4294  may present evidence and subpoena witnesses to appear at the
 4295  hearing on the petition. The petitioner may confront and cross
 4296  examine witnesses called by the state attorney. A record of the
 4297  hearing shall be made by a certified court reporter or by court
 4298  approved electronic means. The court shall make written findings
 4299  of fact and conclusions of law on the issues before it and issue
 4300  a final order. The court shall grant the relief requested in the
 4301  petition if the court finds, based on the evidence presented
 4302  with respect to the petitioner’s reputation, the petitioner’s
 4303  mental health record and, if applicable, criminal history
 4304  record, the circumstances surrounding the firearm disability,
 4305  and any other evidence in the record, that the petitioner will
 4306  not be likely to act in a manner that is dangerous to public
 4307  safety and that granting the relief would not be contrary to the
 4308  public interest. If the final order denies relief, the
 4309  petitioner may not petition again for relief from firearm
 4310  disabilities until 1 year after the date of the final order. The
 4311  petitioner may seek judicial review of a final order denying
 4312  relief in the district court of appeal having jurisdiction over
 4313  the court that issued the order. The review shall be conducted
 4314  de novo. Relief from a firearm disability granted under this
 4315  sub-subparagraph has no effect on the loss of civil rights,
 4316  including firearm rights, for any reason other than the
 4317  particular adjudication of mental defectiveness or commitment to
 4318  a mental institution from which relief is granted.
 4319         e. Upon receipt of proper notice of relief from firearm
 4320  disabilities granted under sub-subparagraph d., the department
 4321  shall delete any mental health record of the person granted
 4322  relief from the automated database of persons who are prohibited
 4323  from purchasing a firearm based on court records of
 4324  adjudications of mental defectiveness or commitments to mental
 4325  institutions.
 4326         f. The department is authorized to disclose data collected
 4327  pursuant to this subparagraph to agencies of the Federal
 4328  Government and other states for use exclusively in determining
 4329  the lawfulness of a firearm sale or transfer. The department is
 4330  also authorized to disclose this data to the Department of
 4331  Agriculture and Consumer Services for purposes of determining
 4332  eligibility for issuance of a concealed weapons or concealed
 4333  firearms license and for determining whether a basis exists for
 4334  revoking or suspending a previously issued license pursuant to
 4335  s. 790.06(10). When a potential buyer or transferee appeals a
 4336  nonapproval based on these records, the clerks of court and
 4337  mental institutions shall, upon request by the department,
 4338  provide information to help determine whether the potential
 4339  buyer or transferee is the same person as the subject of the
 4340  record. Photographs and any other data that could confirm or
 4341  negate identity must be made available to the department for
 4342  such purposes, notwithstanding any other provision of state law
 4343  to the contrary. Any such information that is made confidential
 4344  or exempt from disclosure by law shall retain such confidential
 4345  or exempt status when transferred to the department.
 4346         Section 55. Part IV of chapter 397, Florida Statutes,
 4347  consisting of s. 397.601, Florida Statutes, is repealed.
 4348         Section 56. Part V of chapter 397, Florida Statutes,
 4349  consisting of ss. 397.675-397.6977, Florida Statutes, is
 4350  repealed.
 4351         Section 57. For the purpose of incorporating the amendment
 4352  made by this act to section 394.4599, Florida Statutes, in a
 4353  reference thereto, subsection (1) of section 394.4685, Florida
 4354  Statutes, is reenacted to read:
 4355         394.4685 Transfer of patients among facilities.—
 4356         (1) TRANSFER BETWEEN PUBLIC FACILITIES.—
 4357         (a) A patient who has been admitted to a public receiving
 4358  facility, or the family member, guardian, or guardian advocate
 4359  of such patient, may request the transfer of the patient to
 4360  another public receiving facility. A patient who has been
 4361  admitted to a public treatment facility, or the family member,
 4362  guardian, or guardian advocate of such patient, may request the
 4363  transfer of the patient to another public treatment facility.
 4364  Depending on the medical treatment or mental health treatment
 4365  needs of the patient and the availability of appropriate
 4366  facility resources, the patient may be transferred at the
 4367  discretion of the department. If the department approves the
 4368  transfer of an involuntary patient, notice according to the
 4369  provisions of s. 394.4599 shall be given prior to the transfer
 4370  by the transferring facility. The department shall respond to
 4371  the request for transfer within 2 working days after receipt of
 4372  the request by the facility administrator.
 4373         (b) When required by the medical treatment or mental health
 4374  treatment needs of the patient or the efficient utilization of a
 4375  public receiving or public treatment facility, a patient may be
 4376  transferred from one receiving facility to another, or one
 4377  treatment facility to another, at the department’s discretion,
 4378  or, with the express and informed consent of the patient or the
 4379  patient’s guardian or guardian advocate, to a facility in
 4380  another state. Notice according to the provisions of s. 394.4599
 4381  shall be given prior to the transfer by the transferring
 4382  facility. If prior notice is not possible, notice of the
 4383  transfer shall be provided as soon as practicable after the
 4384  transfer.
 4385         Section 58. For the purpose of incorporating the amendment
 4386  made by this act to section 394.4599, Florida Statutes, in a
 4387  reference thereto, subsection (2) of section 394.469, Florida
 4388  Statutes, is reenacted to read:
 4389         394.469 Discharge of involuntary patients.—
 4390         (2) NOTICE.—Notice of discharge or transfer of a patient
 4391  shall be given as provided in s. 394.4599.
 4392         Section 59. This act shall take effect July 1, 2015.