Florida Senate - 2022                        COMMITTEE AMENDMENT
       Bill No. SB 478
       
       
       
       
       
       
                                Ì396566RÎ396566                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  01/12/2022           .                                
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       The Committee on Children, Families, and Elder Affairs (Brodeur)
       recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Subsection (2) and paragraph (a) of subsection
    6  (4) of section 394.9086, Florida Statutes, are amended to read:
    7         394.9086 Commission on Mental Health and Substance Abuse.—
    8         (2) PURPOSES.—The purposes of the commission are to examine
    9  the current methods of providing mental health and substance
   10  abuse services in the state and to improve the effectiveness of
   11  current practices, procedures, programs, and initiatives in
   12  providing such services; identify any barriers or deficiencies
   13  in the delivery of such services; assess the adequacy of the
   14  current infrastructure of Florida’s National Suicide Prevention
   15  Lifeline (NSPL) system and other components of the state’s
   16  behavioral health crisis system; and recommend changes to
   17  existing laws, rules, and policies necessary to implement the
   18  commission’s recommendations.
   19         (4) DUTIES.—
   20         (a) The duties of the Commission on Mental Health and
   21  Substance Abuse include the following:
   22         1. Conducting a review and evaluation of the management and
   23  functioning of the existing publicly supported mental health and
   24  substance abuse systems and services in the department, the
   25  Agency for Health Care Administration, and all other departments
   26  which administer mental health and substance abuse services.
   27  Such review shall include, at a minimum, a review of current
   28  goals and objectives, current planning, services strategies,
   29  coordination management, purchasing, contracting, financing,
   30  local government funding responsibility, and accountability
   31  mechanisms.
   32         2. Considering the unique needs of persons who are dually
   33  diagnosed.
   34         3. Addressing access to, financing of, and scope of
   35  responsibility in the delivery of emergency behavioral health
   36  care services.
   37         4. Addressing the quality and effectiveness of current
   38  mental health and substance abuse services delivery systems, and
   39  professional staffing and clinical structure of services, roles,
   40  and responsibilities of public and private providers, such as
   41  community mental health centers; community substance abuse
   42  agencies; hospitals, including emergency services departments;
   43  law enforcement agencies; and the judicial system.
   44         5. Addressing priority population groups for publicly
   45  funded mental health and substance abuse services, identifying
   46  the comprehensive mental health and substance abuse services
   47  delivery systems, mental health and substance abuse needs
   48  assessment and planning activities, and local government funding
   49  responsibilities for mental health and substance abuse services.
   50         6. Reviewing the implementation of chapter 2020-107, Laws
   51  of Florida.
   52         7. Identifying any gaps in the provision of mental health
   53  and substance use disorder services.
   54         8. Providing recommendations on how behavioral health
   55  managing entities may fulfill their purpose of promoting service
   56  continuity and work with community stakeholders throughout the
   57  state in furtherance of supporting the NSPL system and other
   58  crisis response services.
   59         9. Conducting an overview of the current infrastructure of
   60  Florida's NSPL system.
   61         10. Analyzing the current capacity of crisis response
   62  services available throughout the state, including services
   63  provided by mobile response teams and centralized receiving
   64  facilities. The analysis must include information on the
   65  geographic area and the total population served by each mobile
   66  response team along with the average response time to each call
   67  made to a mobile response team; the number of calls that a
   68  mobile response team was unable to respond to due to staff
   69  limitations, travel distance, or other factors; and the veteran
   70  status and age groups of individuals served by mobile response
   71  teams.
   72         11. Evaluating and making recommendations to improve
   73  linkages between the NSPL infrastructure and crisis response
   74  services throughout the state.
   75         12. Identifying available mental health block grant funds
   76  that can be used to support the NSPL and crisis response
   77  infrastructure within this state, including any available
   78  funding through opioid settlements or through the American
   79  Rescue Plan Act, Pub. L. No. 117-2, the Coronavirus Aid, Relief,
   80  and Economic Security (CARES) Act, Pub. L. No. 116-136, or other
   81  federal legislation.
   82         13. In consultation with the Agency for Health Care
   83  Administration, identifying sources of funding available through
   84  the Medicaid program specifically for crisis response services,
   85  including funding that may be available through seeking approval
   86  of a section 1115 waiver submitted to the Centers for Medicare
   87  and Medicaid Services.
   88         14.9. Making recommendations regarding the mission and
   89  objectives of state-supported mental health and substance abuse
   90  services and the planning, management, staffing, financing,
   91  contracting, coordination, and accountability mechanisms which
   92  will best foster the recommended mission and objectives.
   93         15.10. Evaluating and making recommendations regarding the
   94  establishment of a permanent, agency-level entity to manage
   95  mental health, substance abuse, and related services statewide.
   96  At a minimum, the evaluation must consider and describe the:
   97         a. Specific duties and organizational structure proposed
   98  for the entity;
   99         b. Resource needs of the entity and possible sources of
  100  funding;
  101         c. Estimated impact on access to and quality of services;
  102         d. Impact on individuals with behavioral health needs and
  103  their families, both those currently served through the affected
  104  systems providing behavioral health services and those in need
  105  of services; and
  106         e. Relation to, integration with, and impact on providers,
  107  managing entities, communities, state agencies, and systems
  108  which provide mental health and substance abuse services in this
  109  state. Such recommendations must ensure that the ability of such
  110  other agencies and systems to carry out their missions and
  111  responsibilities is not impaired.
  112         Section 2. This act shall take effect July 1, 2022.
  113  ================= T I T L E  A M E N D M E N T ================
  114  And the title is amended as follows:
  115         Delete everything before the enacting clause
  116  and insert:
  117                        A bill to be entitled                      
  118         An act relating to suicide prevention; amending s.
  119         394.9086; modifying the purposes of the Commission on
  120         Mental Health and Substance Abuse; directing the
  121         Commission to assess the adequacy of the state's
  122         suicide prevention infrastructure; modifying the
  123         duties of the Commission; directing the Commission to
  124         examine certain elements of the state's suicide
  125         prevention infrastructure; providing an effective
  126         date.