CS for SB 330                                   Second Engrossed
       
       
       
       
       
       
       
       
       2024330e2
       
    1                        A bill to be entitled                      
    2         An act relating to behavioral health teaching
    3         hospitals; creating part VI of ch. 395, F.S., entitled
    4         “Behavioral Health Teaching Hospitals”; creating s.
    5         395.901, F.S.; defining terms; providing legislative
    6         findings and intent; creating s. 395.902, F.S.;
    7         authorizing hospitals to apply for a behavioral health
    8         teaching hospital designation beginning on a specified
    9         date; specifying criteria a hospital must meet to
   10         receive such designation; notwithstanding such
   11         criteria, requiring the Agency for Health Care
   12         Administration to designate specified existing
   13         hospitals as behavioral health teaching hospitals;
   14         requiring such hospitals to meet the designation
   15         criteria within a specified timeframe; authorizing the
   16         agency to designate additional behavioral health
   17         teaching hospitals that meet the designation criteria;
   18         requiring the agency to award behavioral health
   19         teaching hospitals certain funds upon their
   20         designation; requiring designated behavioral health
   21         teaching hospitals to submit an annual report to the
   22         agency and the Department of Children and Families;
   23         specifying requirements for the report; providing for
   24         expiration and renewal of behavioral health teaching
   25         hospital designations; authorizing the agency to deny,
   26         revoke, or suspend a designation at any time under
   27         certain circumstances; authorizing the agency to adopt
   28         rules; creating s. 395.903, F.S.; establishing a grant
   29         program within the agency for the purpose of funding
   30         designated behavioral health teaching hospitals;
   31         providing an administrative process to receive,
   32         evaluate, and rank applications that request grant
   33         funds; authorizing the agency to submit a budget
   34         amendment to the Legislature requesting the release of
   35         grant funds to make awards; providing a carry forward
   36         for a specified period for obligated funds not
   37         disbursed in the same year in which the funds were
   38         appropriated; authorizing the agency to adopt rules;
   39         amending s. 409.909, F.S.; authorizing certain
   40         residency positions to be allocated for designated
   41         behavioral health teaching hospitals; amending s.
   42         1004.44, F.S.; establishing the Florida Center for
   43         Behavioral Health Workforce within the Louis de la
   44         Parte Florida Mental Health Institute for a specified
   45         purpose; specifying the goals and duties of the
   46         center; authorizing the center to convene groups to
   47         assist in its work; authorizing the center to request,
   48         and requiring certain boards to provide, certain
   49         information regarding behavioral health professionals
   50         licensed or practicing in this state; requiring the
   51         center to submit an annual report of certain
   52         information to the Governor and the Legislature;
   53         requiring the Board of Governors of the State
   54         University System and the State Board of Education, in
   55         consultation with the center, to adopt certain
   56         regulations and rules, as applicable; requiring the
   57         Department of Children and Families to contract for a
   58         specified study of the state’s forensic, voluntary and
   59         involuntary civil commitment, and statewide inpatient
   60         psychiatric programs; requiring that the study be
   61         completed by a specified date and include specified
   62         information and recommendations; providing
   63         appropriations; providing effective dates.
   64          
   65  Be It Enacted by the Legislature of the State of Florida:
   66  
   67         Section 1. Part VI of chapter 395, Florida Statutes,
   68  consisting of ss. 395.901, 395.902, and 395.903, Florida
   69  Statutes, is created and entitled Behavioral Health Teaching
   70  Hospitals.
   71         Section 2. Section 395.901, Florida Statutes, is created to
   72  read:
   73         395.901 Definitions; legislative findings and intent.—
   74         (1)DEFINITIONS.—As used in this part, the term:
   75         (a) “Agency” means the Agency for Health Care
   76  Administration.
   77         (b) “Behavioral health” means the prevention and treatment
   78  of, and recovery from, any substance use disorder, mental health
   79  disorder, or co-occurring disorder.
   80         (c) “Behavioral health professions” means licensed or
   81  certified professionals serving the needs of patients with
   82  behavioral health disorders, including, but not limited to,
   83  psychiatrists licensed under chapter 458 or chapter 459,
   84  psychologists licensed under chapter 490, psychiatric nurses
   85  licensed under chapter 464, and social workers, marriage and
   86  family therapists, and mental health counselors licensed under
   87  chapter 491.
   88         (d) “Behavioral health teaching hospital” means a hospital
   89  licensed under this chapter and designated as a behavioral
   90  health teaching hospital by the agency under s. 395.902.
   91         (e) “Department” means the Department of Children and
   92  Families.
   93         (2)LEGISLATIVE FINDINGS AND INTENT.—
   94         (a)The Legislature finds that there is a critical shortage
   95  of behavioral health professionals and recognizes the urgent
   96  need to expand the existing behavioral health workforce, prepare
   97  for an aging workforce, incentivize entry into behavioral health
   98  professions, and train a modernized workforce in innovative
   99  integrated care.
  100         (b)The Legislature finds that there is a specific need to
  101  support a behavioral health education system that not only
  102  trains the next generation of professionals in innovative and
  103  integrated care for those with behavioral health needs, but also
  104  works to modernize the state’s overall behavioral health system
  105  of care.
  106         (c)The Legislature intends to identify and designate
  107  multiple behavioral health teaching hospitals that work to
  108  provide the necessary research, education, and services to
  109  enhance the state’s behavioral health workforce and make that
  110  workforce and system of care the national standard.
  111         (d)The Legislature intends to create the Florida Center
  112  for Behavioral Health Workforce within the Louis de la Parte
  113  Florida Mental Health Institute at the University of South
  114  Florida to address issues of workforce supply and demand in
  115  behavioral health professions, including issues of recruitment,
  116  retention, and workforce resources.
  117         (e)The Legislature intends for designated behavioral
  118  health teaching hospitals to:
  119         1.Conduct state-of-the-art behavioral health research.
  120         2.Provide leading-edge education and training in
  121  innovative and integrated care for the state’s behavioral health
  122  workforce.
  123         3.Collaborate with other university colleges and schools
  124  of medicine, nursing, psychology, social work, public health,
  125  and other relevant disciplines to promote and enhance a
  126  modernized behavioral health system of care.
  127         4.Develop, implement, and promote public-private
  128  partnerships throughout this state to support and enhance the
  129  intent of this part.
  130         5.Partner with the state to provide behavioral health
  131  care, address regional and systemwide behavioral health needs,
  132  and support the state in providing treatment and care for those
  133  whose need and acuity has resulted in the need for long-term
  134  voluntary services or involuntary civil commitment.
  135         Section 3. Section 395.902, Florida Statutes, is created to
  136  read:
  137         395.902Behavioral health teaching hospitals.—
  138         (1) Beginning July 1, 2025, a licensed hospital may apply
  139  to the agency for designation as a behavioral health teaching
  140  hospital by submitting a form furnished by the agency and
  141  providing documentation establishing eligibility.
  142         (2) To be designated as a behavioral health teaching
  143  hospital, a hospital must meet all of the following criteria:
  144         (a) Operate as a teaching hospital as defined in s. 408.07.
  145         (b) Offer a psychiatric residency program accredited
  146  through the Residency Review Committee of the Accreditation
  147  Council of Graduate Medical Education and offer, or have filed
  148  an application for approval to establish, an accredited
  149  postdoctoral clinical psychology fellowship program.
  150         (c) Provide behavioral health services.
  151         (d) Establish and maintain an affiliation with a university
  152  in this state with one of the accredited Florida-based medical
  153  schools listed under s. 458.3145(1)(i)1.-6., 8., or 10., to
  154  create and maintain integrated workforce development programs
  155  for students of the university’s colleges or schools of
  156  medicine, nursing, psychology, social work, or public health
  157  related to the entire continuum of behavioral health care,
  158  including, at a minimum, screening, therapeutic and supportive
  159  services, community outpatient care, crisis stabilization,
  160  short-term residential treatment, and long-term care.
  161  Notwithstanding paragraphs (4)(b) and (c), a university may
  162  affiliate with only one hospital.
  163         (e) Develop a plan to create and maintain integrated
  164  workforce development programs with the affiliated university’s
  165  colleges or schools and to supervise clinical care provided by
  166  students participating in such programs.
  167         (3) A designated behavioral health teaching hospital must:
  168         (a) Within 90 days after receiving the designation, develop
  169  and maintain a consultation agreement with the Florida Center
  170  for Behavioral Health Workforce within the Louis de la Parte
  171  Florida Mental Health Institute to establish best practices
  172  related to integrated workforce development programs for the
  173  behavioral health professions.
  174         (b) Collaborate with the department and managing entities
  175  as defined in s. 394.9082(2) to identify gaps in the regional
  176  continuum of behavioral health care which are appropriate for
  177  the behavioral health teaching hospital to address, either
  178  independently or in collaboration with other organizations
  179  providing behavioral health services, and which will facilitate
  180  implementation of the plan developed under paragraph (2)(e).
  181         (c) Within 90 days after receiving the designation, enter
  182  into an agreement with the department to provide state treatment
  183  facility beds when determined necessary by the department.
  184         (d) Provide data related to the hospital’s integrated
  185  workforce development programs and the services provided by the
  186  hospital to the agency, the department, and the Office of
  187  Reimagining Education and Career Help created under s. 14.36, as
  188  determined by the agency, department, or the office.
  189         (4) Notwithstanding subsections (1) and (2), within 30 days
  190  after this act becomes a law, the agency shall designate the
  191  following hospitals as behavioral health teaching hospitals:
  192         (a) Tampa General Hospital, in affiliation with the
  193  University of South Florida.
  194         (b) UF Health Shands Hospital, in affiliation with the
  195  University of Florida.
  196         (c) UF Health Jacksonville, in affiliation with the
  197  University of Florida.
  198         (d) Jackson Memorial Hospital, in affiliation with the
  199  University of Miami.
  200  
  201  Within 90 days after receiving the designation, each behavioral
  202  health teaching hospital designated under this subsection shall
  203  submit documentation to the agency establishing compliance with
  204  the requirements of paragraphs (2)(a)-(d) and submit the plan
  205  required by paragraph (2)(e).
  206         (5) Beginning July 1, 2025, the agency may designate
  207  additional behavioral health teaching hospitals which meet the
  208  criteria of subsection (2).
  209         (6) Upon designating a behavioral health teaching hospital
  210  under this section, the agency shall award the hospital funds as
  211  follows:
  212         (a) For up to 10 resident positions through the Slots for
  213  Doctors Program established in s. 409.909. Notwithstanding that
  214  section, the agency shall allocate $150,000 for each such
  215  position.
  216         (b) Through the Training, Education, and Clinicals in
  217  Health Funding Program established in s. 409.91256 to offset a
  218  portion of the costs of maintaining integrated workforce
  219  development programs.
  220         (7) By December 1 of each year, a designated behavioral
  221  health teaching hospital must submit a report to the agency and
  222  the department on the designated behavioral health teaching
  223  hospital program, including, but not limited to, all of the
  224  following:
  225         (a) The number of psychiatric residents.
  226         (b) The number of postdoctoral clinical psychology fellows.
  227         (c) The status and details of the consultation agreement
  228  with the Florida Center for Behavioral Health Workforce within
  229  the Louis de la Parte Florida Mental Health Institute.
  230         (d) The implementation status of the plan required by
  231  paragraph (2)(e).
  232         (e) Activities, agreements, and accomplishments of the
  233  collaboration required by paragraph (3)(b).
  234         (f) The number of any facility beds and patients served
  235  under paragraph (3)(c).
  236         (8) A behavioral health teaching hospital designation is
  237  valid for 2 years. To renew the designation, a hospital must
  238  submit an application for renewal to the agency on a form
  239  established by the agency at least 90 days before the expiration
  240  of the designation. The renewal process is subject to the time
  241  periods and tolling provisions of s. 120.60. The agency may
  242  deny, revoke, or suspend a designation at any time if a
  243  behavioral health teaching hospital is not in compliance with
  244  the requirements of this section.
  245         (9) The agency may adopt rules necessary to implement this
  246  section.
  247         Section 4. Section 395.903, Florida Statutes, is created to
  248  read:
  249         395.903 Behavioral Health Teaching Hospital grant program.—
  250         (1) There is established within the agency a grant program
  251  for the purpose of funding designated behavioral health teaching
  252  hospitals, subject to legislative appropriation. Grant funding
  253  may be used for operations and expenses and for fixed capital
  254  outlay, including, but not limited to, facility renovation and
  255  upgrades.
  256         (a)1. For the 2024-2025 fiscal year, the agency shall hold
  257  a 30-day, open application period beginning November 1, 2024, to
  258  accept applications from the behavioral health teaching
  259  hospitals designated under s. 395.902(4), in a manner determined
  260  by the agency. Applicants must include a detailed spending plan
  261  with the application.
  262         2. For the 2025-2026 and 2026-2027 fiscal years, the agency
  263  shall hold a 30-day, open application period beginning October 1
  264  of each year to accept applications from behavioral health
  265  teaching hospitals designated under s. 395.902, in a manner
  266  determined by the agency. Applicants must include a detailed
  267  spending plan with the application. On or before January 1,
  268  2025, and January 1, 2026, hospitals desiring to apply for
  269  designation in the next fiscal year shall submit letters of
  270  intent to the agency.
  271         (b) The agency, in consultation with the department, shall
  272  evaluate and rank grant applications based on compliance with s.
  273  395.902(2) and the quality of the plan submitted under s.
  274  395.902(2)(e) or plan implementation, as applicable, related to
  275  achieving the purposes of the behavioral health teaching
  276  hospital program. The agency, in consultation with the
  277  department, shall make recommendations for grant awards and
  278  distribution of available funding for such awards. The agency
  279  shall submit the evaluation and grant award recommendations to
  280  the President of the Senate and the Speaker of the House of
  281  Representatives within 90 days after the open application period
  282  closes.
  283         (c) Notwithstanding ss. 216.181 and 216.292, the agency may
  284  submit budget amendments, subject to the notice, review, and
  285  objection procedures under s. 216.177, requesting the release of
  286  the funds to make awards. The agency is authorized to submit
  287  budget amendments relating to expenses under subsection (1)
  288  under the grant program only within the 90 days after the open
  289  application period closes.
  290         (2) Notwithstanding s. 216.301 and pursuant to s. 216.351,
  291  the balance of any appropriation from the General Revenue Fund
  292  for the program which is not disbursed but which is obligated
  293  pursuant to contract or committed to be expended by June 30 of
  294  the fiscal year for which the funds are appropriated may be
  295  carried forward for up to 8 years after the effective date of
  296  the original appropriation.
  297         (3) The agency may adopt rules necessary to implement this
  298  section.
  299         Section 5. Effective July 1, 2025, subsection (6) of
  300  section 409.909, Florida Statutes, is amended to read:
  301         409.909 Statewide Medicaid Residency Program.—
  302         (6) The Slots for Doctors Program is established to address
  303  the physician workforce shortage by increasing the supply of
  304  highly trained physicians through the creation of new resident
  305  positions, which will increase access to care and improve health
  306  outcomes for Medicaid recipients.
  307         (a) Notwithstanding subsection (4), the agency shall
  308  annually allocate $100,000 to hospitals, and qualifying
  309  institutions, and behavioral health teaching hospitals
  310  designated under s. 395.902, for each newly created resident
  311  position that is first filled on or after June 1, 2023, and
  312  filled thereafter, and that is accredited by the Accreditation
  313  Council for Graduate Medical Education or the Osteopathic
  314  Postdoctoral Training Institution in an initial or established
  315  accredited training program which is in a physician specialty or
  316  subspecialty in a statewide supply-and-demand deficit.
  317         (b) This program is designed to generate matching funds
  318  under Medicaid and distribute such funds to participating
  319  hospitals, and qualifying institutions, and behavioral health
  320  teaching hospitals designated under s. 395.902, on a quarterly
  321  basis in each fiscal year for which an appropriation is made.
  322  Resident positions created under this subsection are not
  323  eligible for concurrent funding pursuant to subsection (1).
  324         (c) For purposes of this subsection, physician specialties
  325  and subspecialties, both adult and pediatric, in statewide
  326  supply-and-demand deficit are those identified as such in the
  327  General Appropriations Act.
  328         (d) Funds allocated pursuant to this subsection may not be
  329  used for resident positions that have previously received
  330  funding pursuant to subsection (1).
  331         Section 6. Subsections (6) and (7) are added to section
  332  1004.44, Florida Statutes, to read:
  333         1004.44 Louis de la Parte Florida Mental Health Institute.
  334  There is established the Louis de la Parte Florida Mental Health
  335  Institute within the University of South Florida.
  336         (6)(a) There is established within the institute the
  337  Florida Center for Behavioral Health Workforce. The purpose of
  338  the center is to support an adequate, highly skilled, resilient,
  339  and innovative workforce that meets the current and future human
  340  resources needs of the state’s behavioral health system in order
  341  to provide high-quality care, services, and supports to
  342  Floridians with, or at risk of developing, behavioral health
  343  conditions through original research, policy analysis,
  344  evaluation, and development and dissemination of best practices.
  345  The goals of the center are, at a minimum, to research the
  346  state’s current behavioral health workforce and future needs;
  347  expand the number of clinicians, professionals, and other
  348  workers involved in the behavioral health workforce; and enhance
  349  the skill level and innovativeness of the workforce. The center
  350  shall, at a minimum, do all of the following:
  351         1. Describe and analyze the current workforce and project
  352  possible future workforce demand, especially in critical roles,
  353  and develop strategies for addressing any gaps. The center’s
  354  efforts may include, but need not be limited to, producing a
  355  statistically valid biennial analysis of the supply and demand
  356  of the behavioral health workforce.
  357         2. Expand pathways to behavioral health professions through
  358  enhanced educational opportunities and improved faculty
  359  development and retention. The center’s efforts may include, but
  360  need not be limited to:
  361         a. Identifying best practices in the academic preparation
  362  and continuing education of behavioral health professionals.
  363         b. Facilitating and coordinating the development of
  364  academic-practice partnerships that support behavioral health
  365  faculty employment and advancement.
  366         c. Developing and implementing innovative projects to
  367  support the recruitment, development, and retention of
  368  behavioral health educators, faculty, and clinical preceptors.
  369         d. Developing distance learning infrastructure for
  370  behavioral health education and the evidence-based use of
  371  technology, simulation, and distance learning techniques.
  372         3. Promote behavioral health professions. The center’s
  373  efforts may include, but need not be limited to:
  374         a. Conducting original research on the factors affecting
  375  recruitment, retention, and advancement of the behavioral health
  376  workforce, such as designing and implementing a longitudinal
  377  study of the state’s behavioral health workforce.
  378         b. Developing and implementing innovative projects to
  379  support the recruitment, development, and retention of
  380  behavioral health workers.
  381         (b) The center may:
  382         1. Convene groups, including, but not limited to,
  383  behavioral health clinicians, professionals, and workers, and
  384  employers of such individuals; other health care providers;
  385  individuals with behavioral health conditions and their
  386  families; business and industry leaders, policymakers, and
  387  educators to assist the center in its work; and
  388         2. Request from any board as defined in s. 456.001 any
  389  information held by the board regarding a behavioral health
  390  professional licensed in this state or holding a multistate
  391  license pursuant to a professional multistate licensure compact
  392  or information reported to the board by employers of such
  393  behavioral health professionals, other than personal identifying
  394  information. The boards must provide such information to the
  395  center upon request.
  396         (c) By January 10 of each year, the center shall submit a
  397  report to the Governor, the President of the Senate, and the
  398  Speaker of the House of Representatives providing details of its
  399  activities during the preceding calendar year in pursuit of its
  400  goals and in the execution of its duties under paragraph (a).
  401  The report submitted in 2025 must include an initial statewide
  402  strategic plan for meeting the goals in subsection (6), which
  403  must be updated in each subsequent report.
  404         (7) The Board of Governors and the State Board of
  405  Education, in consultation with the center, shall expeditiously
  406  adopt any necessary regulations and rules, as applicable, to
  407  allow the center to perform its responsibilities under
  408  subsection (6) as soon as practicable.
  409         Section 7. Effective upon this act becoming a law, the
  410  Department of Children and Families must contract for a detailed
  411  study of capacity for inpatient treatment services for adults
  412  with serious mental illness and children with serious emotional
  413  disturbance or psychosis in this state’s forensic inpatient,
  414  safety-net voluntary and involuntary civil inpatient placement,
  415  and Medicaid statewide inpatient psychiatric programs. The study
  416  must include analyses of current capacity, current and projected
  417  future demand, and the state’s current and projected future
  418  ability to meet that demand, and must include recommendations
  419  for enhancing the availability of inpatient treatment services
  420  and for providing alternatives to such services. The study must
  421  be completed by January 31, 2025, and must include, at a
  422  minimum, all of the following:
  423         (1) By facility and by program type, the current number and
  424  allocation of beds for inpatient treatment, the number of
  425  individuals admitted and discharged annually, and the lengths of
  426  stays.
  427         (2) By department region, the current number and allocation
  428  of beds in receiving, treatment, and state treatment facilities
  429  and residential treatment centers for children and adolescents
  430  for inpatient treatment between forensic and civil placements,
  431  the number of individuals admitted and discharged annually, the
  432  types and frequency of diagnoses, and the lengths of stays.
  433         (3) By department region, the current and projected future
  434  demand for civil and forensic inpatient placements at receiving,
  435  treatment, and state treatment facilities and residential
  436  treatment centers for children and adolescents, any gaps in
  437  current and projected future availability of these services
  438  compared to current and projected future service demand, and the
  439  number of inpatient beds needed by facility type and placement
  440  type to meet current and projected future demand.
  441         (4) By agency region, the number of individuals admitted
  442  and discharged annually, the types and frequency of diagnoses,
  443  and the lengths of stays for Medicaid statewide inpatient
  444  psychiatric program services, the current and projected future
  445  demand for these services, any gaps in current and projected
  446  future availability of these services compared to current and
  447  projected future service demand, and the number of inpatient
  448  beds needed by facility type to meet current and projected
  449  future demand.
  450         (5) Policy recommendations for ensuring sufficient bed
  451  capacity for inpatient treatment at treatment facilities, state
  452  treatment facilities, or receiving facilities, or at residential
  453  treatment centers for children and adolescents, and for
  454  enhancing services that could prevent the need for involuntary
  455  inpatient placements.
  456         (6) A gap analysis as recommended by the Commission on
  457  Mental Health and Substance Use Disorder in the annual interim
  458  report dated January 1, 2024.
  459         Section 8. For the 2024-2025 fiscal year, the sum of $5
  460  million in recurring funds from the General Revenue Fund is
  461  appropriated to the Louis de la Parte Florida Mental Health
  462  Institute for the operation of the Florida Center for Behavioral
  463  Health Workforce as created by this act.
  464         Section 9. For the 2024-2025 fiscal year, the sums of
  465  $2,557,800 in recurring funds from the General Revenue Fund and
  466  $3,442,200 in recurring funds from the Medical Care Trust Fund
  467  are appropriated to the Agency for Health Care Administration
  468  for the Slots for Doctors Program established in s. 409.909,
  469  Florida Statutes, for up to 10 newly created resident positions
  470  for each designated behavioral health teaching hospital
  471  designated under s. 395.902(4), Florida Statutes, as created by
  472  this act. Notwithstanding s. 409.909, Florida Statutes, the
  473  agency shall allocate $150,000 for each newly created position.
  474         Section 10. For the 2024-2025 fiscal year, the sum of $2
  475  million in recurring funds from the General Revenue Fund is
  476  appropriated to the Agency for Health Care Administration to
  477  implement the Training, Education, and Clinicals in Health
  478  (TEACH) Funding Program established in s. 409.91256, Florida
  479  Statutes, as created by SB 7016, 2024 Regular Session.
  480  Notwithstanding s. 409.91256(5)(b), Florida Statutes, as created
  481  by SB 7016, 2024 Regular Session, the funds appropriated under
  482  this section shall be equally distributed to the behavioral
  483  health teaching hospitals designated under s. 395.902(4),
  484  Florida Statutes, as created by this act.
  485         Section 11. For the 2024-2025 fiscal year, the nonrecurring
  486  sum of $300 million from the General Revenue Fund is
  487  appropriated to the Agency for Health Care Administration for
  488  the behavioral health teaching hospital grant program as created
  489  in s. 395.903, Florida Statutes. Grant funds shall be awarded
  490  over a 3-year period. Notwithstanding s. 216.301, Florida
  491  Statutes, and pursuant to s. 216.351, Florida Statutes, funds
  492  appropriated for this purpose which are not disbursed by June 30
  493  shall be carried forward for up to 8 years after the effective
  494  date of the original appropriation.
  495         (1)For the 2024-2025 fiscal year, the Agency for Health
  496  Care Administration is authorized to award grants in an amount
  497  not to exceed $100 million to the behavioral health teaching
  498  hospitals designated under s. 395.902(4), Florida Statutes, as
  499  created by this act.
  500         (2)For the 2025-2026 fiscal year, the Agency for Health
  501  Care Administration is authorized to award grants in an amount
  502  not to exceed $100 million to behavioral health teaching
  503  hospitals designated under s. 395.902, Florida Statutes, as
  504  created by this act.
  505         (3)For the 2026-2027 fiscal year, the Agency for Health
  506  Care Administration is authorized to award grants up to the
  507  amount of the original appropriation which has not yet been
  508  awarded as of June 30, 2026, to behavioral health teaching
  509  hospitals designated under s. 395.902, Florida Statutes, as
  510  created by this act.
  511         Section 12. Except as otherwise expressly provided in this
  512  act and except for this section, which shall take effect upon
  513  this act becoming a law, this act shall take effect July 1,
  514  2024.