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The Florida Senate

1999 Florida Statutes

Chapter 411
HANDICAP OR HIGH-RISK CONDITION PREVENTION AND EARLY CHILDHOOD ASSISTANCE

CHAPTER 411
HANDICAP OR HIGH-RISK CONDITION PREVENTION AND EARLY CHILDHOOD ASSISTANCE

PART I
GENERAL PROVISIONS (ss. 411.01-411.205)

PART II
PREVENTION AND EARLY ASSISTANCE (ss. 411.22-411.224)

PART III
INFANTS AND TODDLERS (ss. 411.23-411.232)

PART IV
CHILDHOOD PREGNANCY PREVENTION PUBLIC EDUCATION PROGRAM
(ss. 411.24-411.243)


PART I
GENERAL PROVISIONS

411.01  Florida Partnership for School Readiness; school readiness coalitions.

411.201  Short title.

411.202  Definitions.

411.203  Continuum of comprehensive services.

411.204  Program evaluation design and conduct; independent third-party evaluation.

411.205  Rules.

1411.01  Florida Partnership for School Readiness; school readiness coalitions.--

(1)  SHORT TITLE.--This section may be cited as the "School Readiness Act."

(2)  LEGISLATIVE INTENT.--

(a)  The Legislature recognizes that school readiness programs increase children's chances of achieving future educational success and becoming productive members of society. It is the intent of the Legislature that such programs be developmentally appropriate, research-based, involve parents as their child's first teacher, serve as preventive measures for children at risk of future school failure, enhance the educational readiness of eligible children, and support family education. Each school readiness program shall provide the elements necessary to prepare at-risk children for school, including health screening and referral and an appropriate educational program.

(b)  It is the intent of the Legislature that school readiness programs be operated on a full-day, year-round basis to the maximum extent possible to enable parents to work and become financially self-sufficient.

(c)  It is the intent of the Legislature that school readiness programs not exist as isolated programs, but build upon existing services and work in cooperation with other programs for young children, and that school readiness programs be coordinated and funding integrated to achieve full effectiveness.

(d)  It is the intent of the Legislature that the administrative staff at the state level for school readiness programs be kept to the minimum necessary to carry out the duties of the Florida Partnership for School Readiness, as the school readiness programs are to be locally designed, operated, and managed, with the Florida Partnership for School Readiness adopting a system for measuring school readiness; developing school readiness program performance standards, outcome measurements, and data design and review; and approving and reviewing local school readiness coalitions and plans.

(e)  It is the intent of the Legislature that appropriations for combined school readiness programs shall not be less than the programs would receive in any fiscal year on an uncombined basis.

(f)  It is the intent of the Legislature that the school readiness program coordinate and operate in conjunction with the district school systems. However, it is also the intent of the Legislature that the school readiness program not be construed as part of the system of free public schools but rather as a separate program for children under the age of kindergarten eligibility, funded separately from the system of free public schools, utilizing a mandatory sliding fee scale, and providing an integrated and seamless system of school readiness services for the state's birth-to-kindergarten population.

(g)  It is the intent of the Legislature that the federal child care income tax credit be preserved for school readiness programs.

(3)  SCHOOL READINESS PROGRAM.--The school readiness program shall be phased in on a coalition-by-coalition basis. Each coalition's school readiness program shall have available to it funding from all the coalition's early education and child care programs that are funded with state, federal, lottery, or local funds, including but not limited to Florida First Start programs, Even-Start literacy programs, prekindergarten early intervention programs, Head Start programs, programs offered by public and private providers of child care, migrant prekindergarten programs, Title I programs, subsidized child care programs, and teen parent programs, together with any additional funds appropriated or obtained for purposes of this section. These programs and their funding streams shall be components of the coalition's integrated school readiness program, with the goal of preparing children for success in school.

(4)  FLORIDA PARTNERSHIP FOR SCHOOL READINESS.--

(a)  There is created the Florida Partnership for School Readiness with responsibility for adopting and maintaining coordinated programmatic, administrative, and fiscal policies and standards for all school readiness programs, while allowing a wide range of programmatic flexibility and differentiation. The partnership is assigned to the Executive Office of the Governor for administrative purposes.

(b)1.  The Florida Partnership for School Readiness shall include the Lieutenant Governor or his or her designee, the Commissioner of Education, the Secretary of Children and Family Services, the Secretary of Health, the chair of the Child Care Executive Partnership Board, and the chairperson of the WAGES Program State Board of Directors.

2.  The partnership shall also include 10 members of the public who shall be business, community, and civic leaders in the state who are not elected to public office. These members and their families must not be providers in the early education and child care industry. The members must be geographically and demographically representative of the state. Each member shall be appointed by the Governor. Eight of the members shall be appointed from a list of 10 nominees, of which five must be submitted by the President of the Senate and five must be submitted by the Speaker of the House of Representatives. Members shall be appointed to 4-year terms of office. However, of the initial appointees, two shall be appointed to 1-year terms, two shall be appointed to 2-year terms, three shall be appointed to 3-year terms, and three shall be appointed to 4-year terms. The members of the partnership shall elect a chairperson annually from the nongovernmental members of the partnership. Any vacancy on the partnership shall be filled in the same manner as the original appointment.

(c)  The partnership shall meet at least quarterly but may meet as often as it deems necessary to carry out its duties and responsibilities. Members of the partnership shall participate without proxy at the quarterly meetings. The partnership may take official action by a majority vote of the members present at any meeting at which a quorum is present. The partnership shall hold its first meeting by October 1, 1999.

(d)  Members of the partnership are subject to the ethics provisions in part III of chapter 112, and no member may derive any financial benefit from the funds administered by the Florida Partnership for School Readiness.

(e)  Members of the partnership shall serve without compensation but are entitled to reimbursement for per diem and travel expenses incurred in the performance of their duties as provided in s. 112.061, and reimbursement for other reasonable, necessary, and actual expenses.

(f)  For the purposes of tort liability, the members of the partnership and its employees shall be governed by s. 768.28.

(g)  The partnership shall appoint an executive director to serve at its pleasure who shall perform the duties assigned to him or her by the partnership. The executive director shall be responsible for hiring, subject to the approval of the partnership, all employees and staff members, who shall serve under his or her direction and control.

(h)  For purposes of administration of the federal Child Care and Development Fund, 45 C.F.R. parts 98 and 99, the partnership may be designated by the Governor as the lead agency, and if so designated shall comply with the lead agency responsibilities pursuant to federal law.

(i)  The Florida Partnership for School Readiness is the principal organization responsible for the enhancement of school readiness for the state's children, and shall:

1.  Be responsible for the prudent use of all public and private funds in accordance with all legal and contractual requirements.

2.  Provide final approval and periodic review of coalitions and plans.

3.  Provide leadership for enhancement of school readiness in this state by aggressively establishing a unified approach to the state's efforts toward enhancement of school readiness. In support of this effort, the partnership may develop and implement specific strategies that address the state's school readiness programs.

4.  Safeguard the effective use of federal, state, local, and private resources to achieve the highest possible level of school readiness for the state's children.

5.  Provide technical assistance to coalitions.

6.  Assess gaps in service.

7.  Provide technical assistance to counties that form a multicounty coalition.

8.a.  By July 1, 2000, adopt a system for measuring school readiness that provides objective data regarding the expectations for school readiness, and establish a method for collecting the data and guidelines for using the data. The measurement, the data collection, and the use of the data must serve the statewide school readiness goal. The criteria for determining which data to collect should be the usefulness of the data to state policymakers and local program administrators in administering programs and allocating state funds, and must include the tracking of school readiness system information back to individual school readiness programs to assist in determining program effectiveness.

b.  By December 31, 2000, the partnership shall also adopt a system for evaluating the performance of students through the third grade to compare the performance of those who participated in school readiness programs with the performance of students who did not participate in school readiness programs in order to identify strategies for continued successful student performance.

9.  By June 1, 2000, develop and adopt performance standards and outcome measures.

10.  In consultation with the Postsecondary Education Planning Commission and the Education Standards Commission, assess the expertise of public and private Florida postsecondary institutions in the areas of infant and toddler developmental research; the related curriculum of training, career, and academic programs; and the status of articulation among those programs. Based on this assessment, the partnership shall provide recommendations to the Governor and the Legislature for postsecondary program improvements to enhance school readiness initiatives.

(j)  The partnership may adopt rules necessary to administer the provisions of this section which relate to preparing and implementing the system for school readiness, collecting data, approving local school readiness coalitions and plans, providing a method whereby a coalition can serve two or more counties, awarding incentives to coalitions, and issuing waivers.

(k)  The Florida Partnership for School Readiness shall have all powers necessary to carry out the purposes of this section, including, but not limited to, the power to receive and accept grants, loans, or advances of funds from any public or private agency and to receive and accept from any source contributions of money, property, labor, or any other thing of value, to be held, used, and applied for the purposes of this section.

(l)  The Florida Partnership for School Readiness shall be an independent, nonpartisan body and shall not be identified or affiliated with any one agency, program, or group.

(m)  The Florida Partnership for School Readiness shall have a budget, shall be financed through an annual appropriation made for this purpose in the General Appropriations Act, and shall be subject to compliance audits and annual financial audits by the Auditor General.

(n)  The partnership shall coordinate the efforts toward school readiness in this state and provide independent policy analyses and recommendations to the Governor, the State Board of Education, and the Legislature.

(o)  By July 1, 2000, the partnership shall prepare and submit to the State Board of Education a system for measuring school readiness. The system must include a uniform screening, which shall provide objective data regarding the following expectations for school readiness which shall include, at a minimum:

1.  The child's immunizations and other health requirements as necessary, including appropriate vision and hearing screening and examinations.

2.  The child's physical development.

3.  The child's compliance with rules, limitations, and routines.

4.  The child's ability to perform tasks.

5.  The child's interactions with adults.

6.  The child's interactions with peers.

7.  The child's ability to cope with challenges.

8.  The child's self-help skills.

9.  The child's ability to express his or her needs.

10.  The child's verbal communication skills.

11.  The child's problem-solving skills.

12.  The child's following of verbal directions.

13.  The child's demonstration of curiosity, persistence, and exploratory behavior.

14.  The child's interest in books and other printed materials.

15.  The child's paying attention to stories.

16.  The child's participation in art and music activities.

17.  The child's ability to identify colors, geometric shapes, letters of the alphabet, numbers, and spatial and temporal relationships.

(p)  The partnership shall prepare a plan for implementing the system for measuring school readiness in such a way that all children in this state will undergo the uniform screening established by the partnership when they enter kindergarten. Children who enter public school for the first time in first grade must undergo a uniform screening approved by the partnership for use in first grade. Because children with disabilities may not be able to meet all of the identified expectations for school readiness, the plan for measuring school readiness shall incorporate mechanisms for recognizing the potential variations in expectations for school readiness when serving children with disabilities and shall provide for communities to serve children with disabilities.

(q)  The partnership shall recommend to the Governor, the Commissioner of Education, and the State Board of Education rules, and revisions or repeal of rules, which would increase the effectiveness of programs that prepare children for school.

(r)  The partnership shall conduct studies and planning activities related to the overall improvement and effectiveness of school readiness measures.

(s)  By February 1, 2000, the partnership shall work with the Office of the Comptroller for electronic funds transfer.

(t)  By February 1, 2000, the partnership shall present to the Legislature a plan for combining funding streams for school readiness programs into a School Readiness Trust Fund.

(u)  The partnership shall establish procedures for performance-based budgeting in school readiness programs.

(v)  The partnership shall submit an annual report of its activities to the Governor, the executive director of the Florida Healthy Kids Corporation, the President of the Senate, the Speaker of the House of Representatives, and the minority leaders of both houses of the Legislature. In addition, the partnership's reports and recommendations shall be made available to the State Board of Education, other appropriate state agencies and entities, district school boards, central agencies for child care, and county health departments. The annual report must provide an analysis of school readiness activities across the state, including the number of children who were served in the programs and the number of children who were ready for school.

(w)  The partnership shall work with school readiness coalitions to increase parents' training for and involvement in their children's preschool education and to provide family literacy activities and programs.

To ensure that the system for measuring school readiness is comprehensive and appropriate statewide, as the system is developed and implemented, the partnership must consult with representatives of district school systems, providers of public and private child care, health care providers, large and small employers, experts in education for children with disabilities, and experts in child development.

(5)  CREATION OF SCHOOL READINESS COALITIONS.--

(a)  School readiness coalitions.--

1.  If a coalition's plan would serve less than 400 birth-to-kindergarten age children, the coalition must either join with another county to form a multicounty coalition, enter an agreement with a fiscal agent to serve more than one coalition, or demonstrate to the partnership its ability to effectively and efficiently implement its plan as a single-county coalition and meet all required performance standards and outcome measures.

2.  Each coalition shall have at least 18 but not more than 25 members and such members must include the following:

a.  A Department of Children and Family Services district administrator.

b.  A district superintendent of schools.

c.  A regional workforce development board chair or director, where applicable.

d.  A county health department director or his or her designee.

e.  A children's services council or juvenile welfare board chair or executive director, if applicable.

f.  A child care licensing agency head.

g.  One member appointed by a Department of Children and Family Services district administrator.

h.  One member appointed by a board of county commissioners.

i.  One member appointed by a district school board.

j.  A central child care agency administrator.

k.  A Head Start director.

l.  A representative of private child care providers.

m.  A representative of faith-based child care providers.

More than one-third of the coalition members must be from the private sector, and neither they nor their families may earn an income from the early education and child care industry. To meet this requirement a coalition must appoint additional members from a list of nominees presented to the coalition by a chamber of commerce or economic development council within the geographic area of the coalition.

3.  No member of a coalition may appoint a designee to act in his or her place. A member may send a representative to coalition meetings, but that representative will have no voting privileges.

4.  The school readiness coalition shall replace the district interagency coordinating council required under s. 230.2305.

5.  Members of the coalition are subject to the ethics provisions in part III of chapter 112.

6.  Multicounty coalitions shall include representation from each county.

7.  The terms of all appointed members of the coalition must be staggered.

(b)  Program participation.--The school readiness program shall be established for children from birth to 5 years of age or until the child enters kindergarten. The program shall be administered by the school readiness coalition. Within funding limitations, the school readiness coalition, along with all providers, shall make reasonable efforts to accommodate the needs of children for extended-day and extended-year services without compromising the quality of the program.

(c)  Program expectations.--

1.  The school readiness program must meet the following expectations:

a.  The program must prepare preschool children to enter kindergarten ready to learn, as measured by criteria established by the Florida Partnership for School Readiness.

b.  The program must provide extended-day and extended-year services to the maximum extent possible to meet the needs of parents who work.

c.  There must be coordinated staff development and teaching opportunities.

d.  There must be expanded access to community services and resources for families to help achieve economic self-sufficiency.

e.  There must be a single point of entry and unified waiting list.

f.  As long as funding or eligible populations do not decrease, the program must serve at least as many children as were served prior to implementation of the program.

g.  There must be a community plan to address the needs of all eligible children.

h.  The program must meet all state licensing guidelines, where applicable.

2.  The school readiness coalition must implement a comprehensive program of readiness services that enhance the cognitive, social, and physical development of children to achieve the performance standards and outcome measures specified by the partnership. At a minimum, these programs must contain the following elements:

a.  Developmentally appropriate curriculum.

b.  A character development program to develop basic values.

c.  An age-appropriate assessment of each child's development.

d.  A pretest administered to children when they enter a program and a posttest administered to children when they leave the program.

e.  An appropriate staff-to-child ratio.

f.  A healthful and safe environment.

g.  A resource and referral network to assist parents in making an informed choice.

(d)  Implementation.--

1.  The school readiness program is to be phased in. Until the coalition implements its plan, the county shall continue to receive the services identified in subsection (3) through the various agencies that would be responsible for delivering those services under current law. Plan implementation is subject to approval of the coalition and the plan by the Florida Partnership for School Readiness.

2.  Each school readiness coalition shall develop a plan for implementing the school readiness program to meet the requirements of this section and the performance standards and outcome measures established by the partnership. The plan must include a written description of the role of the program in the coalition's effort to meet the first state education goal, readiness to start school, including a description of the plan to involve the prekindergarten early intervention programs, Head Start Programs, programs offered by public or private providers of child care, preschool programs for children with disabilities, programs for migrant children, Title I programs, subsidized child care programs, and teen parent programs. The plan must also demonstrate how the program will ensure that each 3-year-old and 4-year-old child in a publicly funded school readiness program receives scheduled activities and instruction designed to prepare children to enter kindergarten ready to learn. Prior to implementation of the program, the school readiness coalition must submit the plan to the partnership for approval. The partnership may approve the plan, reject the plan, or approve the plan with conditions. The plan shall be reviewed, revised, and approved biennially.

3.  The plan for the school readiness program must include the following minimum standards and provisions:

a.  A sliding fee scale establishing a copayment for parents based upon their ability to pay, which is the same for all program providers, to be implemented and reflected in each program's budget.

b.  A choice of settings and locations in licensed, registered, religious-exempt, or school-based programs to be provided to parents.

c.  Instructional staff who have completed the training course as required in s. 402.305(2)(d)1., as well as staff who have additional training or credentials as required by the respective program provider. The plan must provide a method for assuring the qualifications of all personnel in all program settings.

d.  Specific eligibility priorities for children within the coalition's county pursuant to subsection (6).

e.  Performance standards and outcome measures established by the partnership or alternatively, standards and outcome measures to be used until such time as the partnership adopts such standards and outcome measures.

f.  Reimbursement rates that have been developed by the coalition.

g.  Systems support services, including a central agency, child care resource and referral, eligibility determinations, training of providers, and parent support and involvement.

h.  Direct enhancement services to families and children. System support and direct enhancement services shall be in addition to payments for the placement of children in school readiness programs.

i.  A business plan, which must include the contract with a school readiness agent if the coalition is not a legally established corporate entity. Coalitions may contract with other coalitions to achieve efficiency in multiple-county services, and such contracts may be part of the coalition's business plan.

j.  Strategies to meet the needs of unique populations, such as migrant workers.

As part of the plan, the coalition may request the Governor to apply for a waiver to allow the coalition to administer the Head Start Program to accomplish the purposes of the school readiness program. If any school readiness plan can demonstrate that specific statutory goals can be achieved more effectively by using procedures that require modification of existing rules, policies, or procedures, a request for a waiver to the partnership may be made as part of the plan. Upon review, the partnership may grant the proposed modification.

4.  Persons with an early childhood teaching certificate may provide support and supervision to other staff in the school readiness program.

5.  The coalition may not implement its plan until it submits the plan to and receives approval from the partnership. Once the plan has been approved, the plan and the services provided under the plan shall be controlled by the coalition rather than by the state agencies or departments. The plan shall be reviewed and revised as necessary, but at least biennially.

6.  The following statutes will not apply to local coalitions with approved plans: ss. 125.901(2)(a)3., 228.061(1) and (2), 230.2306, 411.204, 411.221, 411.222, and 411.232. To facilitate innovative practices and to allow local establishment of school readiness programs, a school readiness coalition may apply to the Governor and Cabinet for a waiver of, and the Governor and Cabinet may waive, any of the provisions of ss. 230.2303, 230.2305, 230.23166, 402.3015, 411.223, and 411.232, if the waiver is necessary for implementation of the coalition's school readiness plan.

7.  Two or more counties may join for the purpose of planning and implementing a school readiness program.

8.  A coalition may, subject to approval of the partnership as part of the coalition's plan, receive subsidized child care funds for all children eligible for any federal subsidized child care program and be the provider of the program services.

9.  Coalitions are authorized to enter into multiparty contracts with multicounty service providers in order to meet the needs of unique populations such as migrant workers.

(e)  Reimbursement rate.--Each coalition shall develop a reimbursement rate schedule that encompasses all programs funded by that coalition. The reimbursement rate schedule must take into consideration the relevant market rate, must include the projected number of children to be served, and must be submitted to the partnership for information. Informal child care arrangements shall be reimbursed at not more than 50 percent of the rate developed for family childcare.

(f)  Requirements relating to fiscal agents.--If the local coalition is not a legally established corporate entity, the coalition must designate a fiscal agent, which may be a public entity or a private nonprofit organization. The fiscal agent shall be required to provide financial and administrative services pursuant to a contract or agreement with the school readiness coalition. The fiscal agent may not provide direct early education or child care services; however, a fiscal agent may provide such services upon written request of the coalition to the partnership and upon the approval of such request by the partnership. The cost of the financial and administrative services shall be negotiated between the fiscal agent and the school readiness coalition. If the fiscal agent is a provider of early education and care programs, the contract must specify that the fiscal agent will act on policy direction from the coalition and will not receive policy direction from its own corporate board regarding disbursal of coalition funds. The fiscal agent shall disburse funds in accordance with the approved coalition school readiness plan and based on billing and disbursement procedures approved by the partnership. The fiscal agent must conform to all data-reporting requirements established by the partnership.

(g)  Coalition initiation grants; incentive bonuses.--

1.  School readiness coalitions that are approved by the Florida Partnership for School Readiness by January 1, 2000, shall be eligible for a $50,000 initiation grant to support the school readiness coalition in developing its school readiness plan.

2.  School readiness coalitions that are approved by the Florida Partnership for School Readiness by March 1, 2000, shall be eligible for a $25,000 initiation grant to support the school readiness coalition in developing its school readiness plan.

3.  School readiness coalitions that have their plans approved by July 1, 2000, shall receive funding from the Florida Partnership for School Readiness in fiscal year 2000-2001, and each year thereafter.

4.  Upon approval by the Florida Partnership for School Readiness of any coalition's plan that clearly shows enhancement in the quality and standards of the school readiness program without diminishing the number of children served in the program, the partnership shall award the coalition an incentive bonus, subject to appropriation.

5.  In fiscal year 2000-2001, and each year thereafter, any increases in funding for school readiness programs shall be administered through school readiness coalitions.

6.  In fiscal year 2001-2002, the Florida Partnership for School Readiness shall request proposals from government agencies and nonprofit corporations for the development and operation of a school readiness coalition in each county that does not have an approved coalition by March 1, 2001.

(h)  Evaluation and annual report.--Each school readiness coalition shall conduct an evaluation of the effectiveness of the school readiness program, including performance standards and outcome measures, and shall provide an annual report and fiscal statement to the Florida Partnership for School Readiness. This report must conform to the content and format specifications set by the Florida Partnership for School Readiness. The partnership must include an analysis of the coalition reports in its annual report.

(6)  PROGRAM ELIGIBILITY.--The school readiness program shall be established for children under the age of kindergarten eligibility. Priority for participation in the school readiness program shall be given to children who meet one or more of the following criteria:

(a)  Children under the age of kindergarten eligibility who are:

1.  Children determined to be at risk of abuse, neglect, or exploitation and who are currently clients of the Children and Family Services Program Office of the Department of Children and Family Services.

2.  Children at risk of welfare dependency, including economically disadvantaged children, children of participants in the WAGES program, children of migrant farmworkers, and children of teen parents.

3.  Children of working families whose family income does not exceed 150 percent of the federal poverty level.

(b)  Three-year-old children and 4-year-old children who may not be economically disadvantaged but who have disabilities, have been served in a specific part-time or combination of part-time exceptional education programs with required special services, aids, or equipment, and were previously reported for funding part time with the Florida Education Finance Program as exceptional students.

(c)  Economically disadvantaged children, children with disabilities, and children at risk of future school failure, from birth to 4 years of age, who are served at home through home visitor programs and intensive parent education programs such as the Florida First Start Program.

(d)  Children who meet federal and state requirements for eligibility for the migrant preschool program but who do not meet the criteria of economically disadvantaged.

An "economically disadvantaged" child means a child whose family income is below 150 percent of the federal poverty level. Notwithstanding any change in a family's economic status, but subject to additional family contributions in accordance with the sliding fee scale, a child who meets the eligibility requirements upon initial registration for the program shall be considered eligible until the child reaches kindergarten age.

(7)  PARENTAL CHOICE.--

(a)  The school readiness program shall provide parental choice pursuant to a purchase service order that ensures, to the maximum extent possible, flexibility in school readiness programs and payment arrangements. According to federal regulations requiring parental choice, a parent may choose an informal child care arrangement. The purchase order must bear the name of the beneficiary and the program provider and, when redeemed, must bear the signature of both the beneficiary and an authorized representative of the provider.

(b)  If it is determined that a provider has provided any cash to the beneficiary in return for receiving the purchase order, the coalition or its fiscal agent shall refer the matter to the Division of Public Assistance Fraud for investigation.

(c)  The Office of the Comptroller shall establish an electronic transfer system for the disbursement of funds in accordance with this subsection. School readiness coalitions shall fully implement the electronic funds transfer system within 2 years after plan approval unless a waiver is obtained from the partnership.

(8)  STANDARDS; OUTCOME MEASURES.--All publicly funded school readiness programs shall be required to meet the performance standards and outcome measures developed and approved by the partnership. The Office of Program Policy Analysis and Government Accountability shall provide consultation to the partnership in the development of the measures and standards. These performance standards and outcome measures shall be adopted by June 1, 2000, and shall be applicable on a statewide basis.

(9)  FUNDING; SCHOOL READINESS PROGRAM.--

(a)  It is the intent of this section to establish an integrated and quality seamless service delivery system for all publicly funded early education and child care programs operating in this state.

(b)  All state funds budgeted for a county for the programs specified in subsection (3), along with the pro rata share of the state administrative costs of those programs in the amount as determined by the partnership, all federal funds and required local matching funds for a county for programs specified in subsection (3), and any additional funds appropriated or obtained for purposes of this section, shall be transferred for the benefit of the coalition for implementation of its plan, including the hiring of staff to effectively operate the coalition's school readiness program. As part of plan approval and periodic plan review, the partnership shall require that administrative costs be kept to the minimum necessary for efficient and effective administration of the plan, but total administrative expenditures shall not exceed 5 percent unless specifically waived by the partnership. The partnership shall annually report to the Legislature any problems relating to administrative costs.

(c)  By February 15, 2000, the partnership shall present to the Legislature recommendations for combining funding streams for school readiness programs into a School Readiness Trust Fund. These recommendations must include recommendations for the inclusion or noninclusion of prekindergarten disabilities programs and funding.

(d)  The partnership shall annually distribute all eligible funds as block grants to assist coalitions in integrating services and funding to develop a quality service delivery system. Subject to appropriation, the partnership may also provide financial awards to coalitions demonstrating success in merging and integrating funding streams to serve children and school readiness programs.

(e)  State funds appropriated for the school readiness program may not be used for the construction of new facilities or the purchase of buses. By February 15, 2000, the partnership shall present to the Legislature recommendations for providing necessary transportation services for school readiness programs.

(f)  All cost savings and all revenues received through a mandatory sliding fee scale shall be used to help fund the local school readiness program.

(10)  REPORTS.--The Office of Program Policy Analysis and Government Accountability shall assess the implementation, efficiency, and outcomes of the school readiness program and report its findings to the President of the Senate and the Speaker of the House of Representatives by January 1, 2002. Subsequent reviews shall be conducted at the direction of the Joint Legislative Auditing Committee.

(11)  CONFLICTING PROVISIONS.--In the event of a conflict between the provisions of this section and federal requirements, the federal requirements shall control.

History.--s. 1, ch. 99-357.

1Note.--Section 11, ch. 99-357, provides that "[s]ubject to appropriation by the Legislature, the Inter-University Consortium on Child and Family Studies is authorized to design and develop the concept for a child care and development center, which may be used as a model for demonstrating best practices in children's readiness for school."

411.201  Short title.--This chapter may be cited as the "Florida Prevention, Early Assistance, and Early Childhood Act."

History.--s. 1, ch. 89-379.

411.202  Definitions.--As used in this chapter, the term:

(1)  "Assistance services" means those assessments, individualized therapies, and other medical, educational, and social services designed to enhance the environment for the high-risk or handicapped preschool child, in order to achieve optimum growth and development. Provision of such services may include monitoring and modifying the delivery of assistance services.

(2)  "Case management" means those activities aimed at assessing the needs of the high-risk child and his or her family; planning and linking the service system to the child and his or her family, based on child and family outcome objectives; coordinating and monitoring service delivery; and evaluating the effect of the service delivery system.

(3)  "Community-based local contractor" means any unit of county or local government, any for-profit or not-for-profit organization, or a school district.

(4)  "Developmental assistance" means individualized therapies and services needed to enhance both the high-risk child's growth and development and family functioning.

(5)  "Discharge planning" means the modification of the written individual and family service plan at the time of discharge from the hospital, which plan identifies for the family of a high-risk or handicapped infant a prescription of needed medical treatments or medications, specialized evaluation needs, and necessary nonmedical and educational intervention services.

(6)  "Drug-exposed child" means any child from birth to 5 years of age for whom there is documented evidence that the mother used illicit drugs or was a substance abuser, or both, during pregnancy and the child exhibits:

(a)  Abnormal growth;

(b)  Abnormal neurological patterns;

(c)  Abnormal behavior problems; or

(d)  Abnormal cognitive development.

(7)  "Early assistance" means any sustained and systematic effort designed to prevent or reduce the assessed level of health, educational, biological, environmental, or social risk for a high-risk child and his or her family.

(8)  "Handicapped child" means a preschool child who is developmentally disabled, mentally handicapped, speech impaired, language impaired, deaf or hard of hearing, blind or partially sighted, physically handicapped, health impaired, or emotionally handicapped; a preschool child who has a specific learning disability; or any other child who has been classified under rules of the State Board of Education as eligible for preschool special education services, with the exception of those who are classified solely as gifted.

(9)  "High-risk child" or "at-risk child" means a preschool child with one or more of the following characteristics:

(a)  The child is a victim or a sibling of a victim in a confirmed or indicated report of child abuse or neglect.

(b)  The child is a graduate of a perinatal intensive care unit.

(c)  The child's mother is under 18 years of age, unless the mother received necessary comprehensive maternity care and the mother and child currently receive necessary support services.

(d)  The child has a developmental delay of one standard deviation below the mean in cognition, language, or physical development.

(e)  The child has survived a catastrophic infectious or traumatic illness known to be associated with developmental delay.

(f)  The child has survived an accident resulting in a developmental delay.

(g)  The child has a parent or guardian who is developmentally disabled, severely emotionally disturbed, drug or alcohol dependent, or incarcerated and who requires assistance in meeting the child's developmental needs.

(h)  The child has no parent or guardian.

(i)  The child is drug exposed.

(j)  The child's family's income is at or below 100 percent of the federal poverty level or the child's family's income level impairs the development of the child.

(k)  The child is a handicapped child as defined in 1subsection (7).

(l)  The child has been placed in residential care under the custody of the state through dependency proceedings pursuant to chapter 39.

(m)  The child is a member of a migrant farmworker family.

(10)  "Impact evaluation" means the provision of evaluation information to the department on the impact of the components of the childhood pregnancy prevention public education program and an assessment of the impact of the program on a child's related sexual knowledge, attitudes, and risk-taking behavior.

(11)  "Individual and family service plan" means a written individualized plan describing the developmental status of the high-risk child and the therapies and services needed to enhance both the high-risk child's growth and development and family functioning, and shall include the contents of the written individualized family service plan as defined in part H of Pub. L. No. 99-457.

(12)  "Infant" or "toddler" means any child from birth to 3 years of age.

(13)  "Interdisciplinary team" means a team that may include the physician, psychologist, educator, social worker, nursing staff, physical or occupational therapist, speech pathologist, parents, developmental intervention and parent support and training program director, case manager for the child and family, and others who are involved with the individual and family service plan.

(14)  "Parent support and training" means a range of services for families of high-risk or handicapped preschool children, including family counseling; financial planning; agency referral; development of parent-to-parent support groups; education relating to growth and development, developmental assistance, and objective measurable skills, including abuse avoidance skills; training of parents to advocate for their child; and bereavement counseling.

(15)  "Posthospital assistance services" means assessment, individual and family service planning, developmental assistance, counseling, parent education, and referrals which are delivered as needed in a home or nonhome setting, upon discharge, by a professional or paraprofessional trained for this purpose.

(16)  "Prenatal" means the time period from pregnancy to delivery.

(17)  "Preschool child" means a child from birth to 5 years of age, including a child who attains 5 years of age before September 1.

(18)  "Prevention" means any program, service, or sustained activity designed to eliminate or reduce high-risk conditions in pregnant women, to eliminate or ameliorate handicapping or high-risk conditions in infants, toddlers, or preschool children, or to reduce sexual activity or the risk of unwanted pregnancy in teenagers.

(19)  "Preventive health care" means periodic physical examinations, immunizations, and assessments for hearing, vision, nutritional deficiencies, development of language, physical growth, small and large muscle skills, and emotional behavior, as well as age-appropriate laboratory tests.

(20)  "Process evaluation" means the provision of information to the department on the breadth and scope of the childhood pregnancy prevention public education program. The evaluation must identify program areas that need modification and identify community-based local contractor strategies and procedures which are particularly effective.

(21)  "Strategic plan" means a report that analyzes existing programs, services, resources, policy, and needs and sets clear and consistent direction for programs and services for high-risk pregnant women and for preschool children, with emphasis on high-risk and handicapped children, by establishing goals and child and family outcomes, and strategies to meet them.

(22)  "Teen parent" means a person under 18 years of age or enrolled in school in grade 12 or below, who is pregnant, who is the father of an unborn child, or who is the parent of a child.

History.--s. 1, ch. 89-379; s. 7, ch. 90-358; s. 2, ch. 91-229; s. 1, ch. 95-321; s. 51, ch. 97-103.

1Note.--Redesignated as subsection (8) by s. 1, ch. 95-321.

411.203  Continuum of comprehensive services.--The Department of Education and the 1Department of Health and Rehabilitative Services shall utilize the continuum of prevention and early assistance services for high-risk pregnant women and for high-risk and handicapped children and their families, as outlined in this section, as a basis for the intraagency and interagency program coordination, monitoring, and analysis required in this chapter. The continuum shall be the guide for the comprehensive statewide approach for services for high-risk pregnant women and for high-risk and handicapped children and their families, and may be expanded or reduced as necessary for the enhancement of those services. Expansion or reduction of the continuum shall be determined by intraagency or interagency findings and agreement, whichever is applicable. Implementation of the continuum shall be based upon applicable eligibility criteria, availability of resources, and interagency prioritization when programs impact both agencies, or upon single agency prioritization when programs impact only one agency. The continuum shall include, but not be limited to:

(1)  EDUCATION AND AWARENESS.--

(a)  Education of the public concerning, but not limited to, the causes of handicapping conditions, normal and abnormal child development, the benefits of abstinence from sexual activity, and the consequences of teenage pregnancy.

(b)  Education of professionals and paraprofessionals concerning, but not limited to, the causes of handicapping conditions, normal and abnormal child development, parenting skills, the benefits of abstinence from sexual activity, and the consequences of teenage pregnancy, through preservice and inservice training, continuing education, and required postsecondary coursework.

(2)  INFORMATION AND REFERRAL.--

(a)  Providing information about available services and programs to families of high-risk and handicapped children.

(b)  Providing information about service options and providing technical assistance to aid families in the decisionmaking process.

(c)  Directing the family to appropriate services and programs to meet identified needs.

(3)  CASE MANAGEMENT.--

(a)  Arranging and coordinating services and activities for high-risk pregnant women, and for high-risk children and their families, with identified service providers.

(b)  Providing appropriate casework services to pregnant women and to high-risk children and their families.

(c)  Advocating for pregnant women and for children and their families.

(4)  SUPPORT SERVICES PRIOR TO PREGNANCY.--

(a)  Basic needs, such as food, clothing, and shelter.

(b)  Health education.

(c)  Family planning services, on a voluntary basis.

(d)  Counseling to promote a healthy, stable, and supportive family unit, to include, but not be limited to, financial planning, stress management, and educational planning.

(5)  MATERNITY AND NEWBORN SERVICES.--

(a)  Comprehensive prenatal care, accessible to all pregnant women and provided for high-risk pregnant women.

(b)  Adoption counseling for unmarried pregnant teenagers.

(c)  Nutrition services for high-risk pregnant women.

(d)  Perinatal intensive care.

(e)  Delivery services for high-risk pregnant women.

(f)  Postpartum care.

(g)  Nutrition services for lactating mothers of high-risk children.

(h)  A new mother information program at the birth site, to provide an informational brochure about immunizations, normal child development, abuse avoidance and appropriate parenting strategies, family planning, and community resources and support services for all parents of newborns and to schedule Medicaid-eligible infants for a health checkup.

(i)  Appropriate screenings, to include, but not be limited to, metabolic screening, sickle-cell screening, hearing screening, developmental screening, and categorical screening.

(j)  Followup family planning services for high-risk mothers and mothers of high-risk infants.

(6)  HEALTH AND NUTRITION SERVICES FOR PRESCHOOL CHILDREN.--

(a)  Preventive health services for all preschool children.

(b)  Nutrition services for all preschool children, including, but not limited to, the Child Care Food Program and the Special Supplemental Food Program for Women, Infants, and Children.

(c)  Medical care for seriously medically impaired preschool children.

(d)  Cost-effective quality health care alternatives for medically involved preschool children, in or near their homes.

(7)  EDUCATION, EARLY ASSISTANCE, AND RELATED SERVICES FOR HIGH-RISK CHILDREN AND THEIR FAMILIES.--

(a)  Early assistance, including, but not limited to, developmental assistance programs, parent support and training programs, and appropriate followup assistance services, for handicapped and high-risk infants and their families.

(b)  Special education and related services for handicapped children.

(c)  Education, early assistance, and related services for high-risk children.

(8)  SUPPORT SERVICES FOR ALL EXPECTANT PARENTS AND PARENTS OF HIGH-RISK CHILDREN.--

(a)  Nonmedical prenatal and support services for pregnant teenagers and other high-risk pregnant women.

(b)  Child care and early childhood programs, including, but not limited to, subsidized child care, licensed nonsubsidized child care, family day care homes, therapeutic child care, Head Start, and preschool programs in public and private schools.

(c)  Parent education and counseling.

(d)  Transportation.

(e)  Respite care, homemaker care, crisis management, and other services that allow families of high-risk children to maintain and provide quality care to their children at home.

(f)  Parent support groups, such as the community resource mother or father program as established in s. 402.45, the Florida First Start Program as established in s. 230.2303, or parents as first teachers, to strengthen families and to enable families of high-risk children to better meet their needs.

(g)  Utilization of the elderly, either as volunteers or paid employees, to work with high-risk children.

(h)  Utilization of high school and postsecondary students as volunteers to work with high-risk children.

(9)  MANAGEMENT SYSTEMS AND PROCEDURES.--

(a)  Resource information systems on services and programs available for families.

(b)  Registry of high-risk newborns and newborns with birth defects, which utilizes privacy safeguards for children and parents who are subjects of the registry.

(c)  Local registry of preschoolers with high-risk or handicapping conditions, which utilizes privacy safeguards for children and parents who are subjects of the registry.

(d)  Information sharing system among the 1Department of Health and Rehabilitative Services, the Department of Education, local education agencies, and other appropriate entities, on children eligible for services. Information may be shared when parental or guardian permission has been given for release.

(e)  Well-baby insurance for preschoolers included in the family policy coverage.

(f)  Evaluation, to include:

1.  Establishing child-centered and family-focused goals and objectives for each element of the continuum.

2.  Developing a system to report child and family outcomes and program effectiveness for each element of the continuum.

(g)  Planning for continuation of services, to include:

1.  Individual and family service plan by an interdisciplinary team, for the transition from birth or the earliest point of identification of a high-risk infant or toddler into an early assistance, preschool program for 3-year-olds or 4-year-olds, or other appropriate programs.

2.  Individual and family service plan by an interdisciplinary team, for the transition of a high-risk preschool child into a public or private school system.

History.--s. 1, ch. 89-379.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

411.204  Program evaluation design and conduct; independent third-party evaluation.--

(1)(a)  The Legislature finds that:

1.  In order to identify and eliminate any ineffective, unintended, and harmful effects of program implementation; to identify and sustain or enhance the effects of legislated change; and to justify the continuation or discontinuation of public funds for programs, it is desirable to have comprehensive, unbiased, and timely decision-oriented evaluation.

2.  Without a uniform evaluation design system, it would be impossible to permit the collection, aggregation, and analysis of data within, across, and among agencies, advisory structures, and field-oriented prototypes and related programs, in order to meaningfully evaluate program implementation. The uniform evaluation design system should also help ensure that pressures to prematurely measure project effects do not lead to goals, objectives, and strategies which may damage the sound development of prevention and early assistance strategies and programs most likely to help high-risk families.

(b)  The Legislature intends that:

1.  A uniform evaluation design system shall be jointly utilized by intraagency evaluators, prototype evaluators, project evaluators, and independent third-party evaluators to guide and coordinate the conduct of evaluations and technical assistance activities.

2.  Formative data collected from evaluations shall be available on a regular basis to program managers, agencies, relevant state and local advisory entities, field-based prototypes and projects, and third-party evaluators to help ensure the timely removal of bureaucratic and programmatic barriers and to empower state and local advisory panels, in order that they may review and advise on corrective actions and make judgments regarding how successfully identified problems are resolved.

3.  The design and conduct of such evaluations shall be consistent with national and state professional evaluation standards and with the intent expressed in this section.

4.  The design and conduct of such evaluations shall use existing data bases and information systems to the maximum extent possible.

(2)(a)  Intraagency and interagency evaluation activities shall be performed by internal evaluators within the Offices of Prevention, Early Assistance, and Child Development of the Department of Education and the 1Department of Health and Rehabilitative Services as created by s. 411.222.

(b)  Major responsibilities for the evaluator in each such office shall include, but not be limited to, the following activities:

1.  Coordinating with other intraagency and interagency evaluators, evaluators of prototypes established pursuant to part III, and other related project evaluators, the State Coordinating Council for Early Childhood Services established pursuant to s. 411.222(4), and independent third-party evaluators.

2.  Facilitating and documenting intradepartmental and interdepartmental decisions and accomplishments, including, but not limited to, strategic planning, memoranda of interagency agreement, and the continuum of services.

3.  Assisting in the development of processes and criteria for decisionmaking and conflict resolution.

4.  Identifying and documenting problems which inhibit program implementation, and screening alternative solutions to those problems.

5.  Identifying and documenting unanticipated program benefits and problems.

6.  Providing technical assistance to related intraheadquarters and interheadquarters programs and field-based prototypes and related programs.

7.  Assisting in the design and implementation of timely, unbiased, decision-oriented mechanisms for identifying and bridging jurisdictional lines within and across agencies to address the needs of high-risk children and their families.

8.  Developing processes for the clearinghouses established pursuant to s. 411.222, to ensure that judgments and decisions regarding exemplary, effective programs and services are based upon an accumulation and analysis of available quantitative and qualitative evaluation evidence, the experience of practitioners, input from families of high-risk children, and consistency of such findings with other research and knowledge.

9.  Identifying processes for the clearinghouses to develop and utilize dissemination and diffusion mechanisms which ensure the exportability of exemplary and effective programs to new sites.

During the initial year of implementation, evaluation shall focus upon needs assessment and planning. During subsequent years, evaluation shall focus upon the development of solution alternatives, implementation of plans, and summative evaluation.

(3)  Prototypes established pursuant to part III shall utilize an internal evaluator to conduct evaluation activities to implement subparagraphs (2)(b)1.-7. and part III.

(4)  Other field-based programs for high-risk children and their families established either pursuant to this chapter or s. 230.2303, s. 402.27, s. 402.28, s. 402.45, or s. 402.47, or participating in the continuum, shall utilize the uniform evaluation design system specified in paragraph (1)(b) and in subsection (5).

(5)(a)  Consistent with the intent specified in subsection (1), by September 1, 1989, the Department of Education in cooperation with the 1Department of Health and Rehabilitative Services shall contract for the development and implementation of an independent third-party uniform evaluation design system and for evaluation of program implementation which shall be consistent with the uniform evaluation design system.

(b)  The Department of Education in cooperation with the 1Department of Health and Rehabilitative Services shall contract with one or more entities to develop the uniform evaluation design system and conduct the evaluation. Contract decisions shall be determined at the earliest possible time to ensure the integrity and utility of evaluation-related data.

(c)  The uniform evaluation design system shall include, but not be limited to, the following:

1.  Activities and programs related to intraagency and interagency coordination and to the State Coordinating Council for Early Childhood Services established pursuant to s. 411.222.

2.  Evaluation of the management systems and procedures for the continuum as set forth in s. 411.203(9)(f).

3.  Activities and prototypes related to comprehensive services for high-risk infants and toddlers and their families as specified in part III.

4.  Program evaluation of ss. 230.2303, 402.27, 402.28, 402.45, and 402.47 and other programs directly related to the intent of this chapter.

Such evaluation design system shall be based upon the achievement of desired outcomes resulting from prevention or early intervention efforts.

(d)  The independent third-party evaluators shall utilize data and evaluation findings provided through intraagency, interagency, prototype, and field-based project evaluations, in addition to other data which they shall independently collect. Evaluation reports shall include, but not be limited to, the following:

1.  Analyses of the nature and effectiveness of intraagency and interagency activities required by this chapter, of the State Coordinating Council for Early Childhood Services, of prototypes established pursuant to part III and of other field-based programs and operations as specified in subparagraph (c)4.

2.  Analyses of the nature and effectiveness of the development, revisions, and use of the continuum of comprehensive services, of strategic planning, of clearinghouse operations, and of the memorandum of interagency agreement.

3.  Formative and summative evaluations which shall ensure that the Legislature and agency heads make decisions consistent with the provisions of paragraph (1)(a). Such evaluations shall include, but not be limited to, design effectiveness; effectiveness of each delivery system; participant outcomes as specified in the evaluation design; cost-effectiveness and estimates of future savings; assessments of the use of resources; of administrative and governance structures; of policies and procedures; of staff qualifications; of programmatic methodologies; of evaluation methodologies; and of the quality and effectiveness of the programs delivered to high-risk children and their families.

History.--s. 1, ch. 89-379; s. 82, ch. 92-142.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

411.205  Rules.--The 1Department of Health and Rehabilitative Services and the State Board of Education shall adopt rules necessary for the implementation of this chapter.

History.--s. 1, ch. 89-379.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

PART II
PREVENTION AND EARLY ASSISTANCE

411.22  Legislative intent.

411.221  Prevention and early assistance strategic plan; agency responsibilities.

411.222  Intraagency and interagency coordination; creation of offices; responsibilities; memorandum of agreement; creation of coordinating council; responsibilities.

411.223  Uniform standards.

411.224  Family support planning process.

411.22  Legislative intent.--The Legislature finds and declares that 50 percent of handicapping conditions in young children can be prevented, and such conditions which are not prevented can be minimized by focusing prevention efforts on high-risk pregnant women and on high-risk and handicapped preschool children and their families. The Legislature further finds that by preventing handicaps in preschool children, infant mortality and child abuse can be reduced and this state can reap substantial savings in both human potential and state funds. The Legislature finds that infant mortality, handicapping conditions in young children, and other health problems for infants and mothers are associated with teenage pregnancy and that the prevention of sexual activity and unwanted teenage pregnancy can reduce the number of at-risk children, while increasing human potential and reducing the cost of health care. The Legislature further finds that a continuum of integrated services is needed to identify, diagnose, and treat high-risk conditions in pregnant women and in preschool children. The Legislature finds that intraagency and interagency coordination can enhance the framework of a continuum that is already in existence and that coordination of public sector and private sector prevention services can reduce infant mortality and handicapping conditions in preschool children and minimize the effects of handicapping conditions. It is the intent of the Legislature, therefore, that a continuum of efficient and cost-effective prevention and early assistance services be identified, that a plan for intraagency and interagency coordination be developed for the purpose of implementing such a continuum, and that the continuum of services be implemented as resources are made available for such implementation.

History.--s. 2, ch. 89-379; s. 8, ch. 90-358.

411.221  Prevention and early assistance strategic plan; agency responsibilities.--

(1)  The 1Department of Health and Rehabilitative Services and the Department of Education shall prepare a joint strategic plan relating to prevention and early assistance, which shall include, but not be limited to, the following:

(a)  Identification of the department which has the responsibility for each program area described in the continuum.

(b)  Identification of the unit within each department which has responsibility for each program area described in the continuum.

(c)  Identification of the unit which has responsibility for coordination, monitoring, and implementation, as described in subsection (4).

(d)  Identification of existing continuum programs on an intraagency and interagency basis.

(e)  Identification of strategies for coordination of services on both an intraagency and interagency basis and a description of the progress of implementation of strategies.

(f)  Identification of strategies for reducing duplication of services on both an intraagency and interagency basis and a description of progress of those strategies in reduction of duplication.

(g)  Identification of activities for coordination and integration of prevention and early assistance services with state agencies other than the Department of Education or the 1Department of Health and Rehabilitative Services.

(h)  Identification of activities for coordination and integration of prevention and early assistance services at the district and local levels and strategies for public and private partnerships in the provision of the continuum of services.

(i)  Recommendations for implementation of the continuum of comprehensive services, including, but not limited to, the schedule for implementation of components.

(j)  Identification of barriers impacting implementation of components of the continuum of services.

(k)  Proposed changes to the continuum of services.

(l)  Identification of methods of comparing program and child and family outcomes and identification of standardized reporting procedures to enhance data collection and analysis on an intraagency and interagency basis.

(m)  Recommendations, if any, for legislative, administrative, or budgetary changes. Budgetary changes shall include recommendations regarding the development by the 1Department of Health and Rehabilitative Services and the Department of Education of a unified program budget for all prevention and early assistance services to high-risk pregnant women and to high-risk preschool children and their families. Such budget recommendations shall be consistent with the goals of the joint strategic plan and with the continuum of comprehensive services.

(2)  The strategic plan and subsequent plan revisions shall incorporate and otherwise utilize, to the fullest extent possible, the evaluation findings and recommendations from intraagency, independent third-party, field projects, and auditor general evaluations, as well as the recommendations of the State Coordinating Council for Early Childhood Services.

(3)  The 1Department of Health and Rehabilitative Services and the Department of Education shall present the joint strategic plan as described in this section to the President of the Senate, the Speaker of the House of Representatives, and the Governor by January 1, 1991. At least biennially, the 1Department of Health and Rehabilitative Services and the Department of Education shall readdress the joint strategic plan submitted pursuant to this section and make necessary revisions. The revised plan shall be submitted to the Governor, the Speaker of the House of Representatives, and the President of the Senate no later than January 1, 1993, and by January 1 of alternate years thereafter.

(4)  The 1Department of Health and Rehabilitative Services and the Department of Education shall establish an Office of Prevention, Early Assistance, and Child Development, pursuant to s. 411.222, within each respective department. Each office shall have intraagency responsibilities for developing the strategic plan and for coordinating and ongoing monitoring of the implementation of the continuum. Interagency responsibilities shall include coordination in the analysis and implementation of the continuum.

(5)  There is established an interagency coordinating council to advise the 1Department of Health and Rehabilitative Services, the Department of Education, and other state agencies in the development of the joint strategic plan and to monitor the development of the plan. For the purpose of carrying out its responsibilities, the interagency coordinating council shall have access to statistical information, budget documents, and workpapers developed by the 1Department of Health and Rehabilitative Services and the Department of Education in preparing the joint strategic plan. The interagency coordinating council shall advise the appropriate substantive committees of the Senate and House of Representatives, and the Office of the Governor, on the progress of activities required in this chapter.

History.--s. 2, ch. 89-379; s. 17, ch. 94-154; s. 6, ch. 97-98.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

411.222  Intraagency and interagency coordination; creation of offices; responsibilities; memorandum of agreement; creation of coordinating council; responsibilities.--

(1)  DEPARTMENT OF EDUCATION.--There is created within the Department of Education an Office of Prevention, Early Assistance, and Child Development for the purpose of intraagency and interagency planning, policy, and program development and coordination to enhance existing programs and services and to develop new programs and services for high-risk children and their families. The Department of Education, as the designated lead agency for administration of part H of Pub. L. No. 99-457, shall assign primary responsibility for implementation of part H to the Office of Prevention, Early Assistance, and Child Development.

(a)  Intraagency responsibilities.--

1.  Assure planning, policy, and program coordination in programs serving high-risk children and their families, including, but not limited to:

a.  Preschool programs for children of migrant farm workers.

b.  Preschool programs for handicapped children.

c.  Prekindergarten Early Intervention Program.

d.  Florida First Start Program.

e.  Preschool programs for educationally disadvantaged children funded through federal funds, such as Head Start and chapter I of Pub. L. No. 97-35, when applicable.

f.  Programs for teen parents and their children.

g.  Programs for preventing sexual activity and teenage pregnancy.

h.  Food services for preschool and child care programs.

i.  Transportation for programs serving preschool children.

j.  Facilities for programs serving preschool children.

k.  School volunteer programs serving preschool children.

l.  Support services, including social work and school health services for preschool children.

m.  Parent education, child care courses, and child care laboratories in high schools and vocational-technical centers.

2.  Serve as clearinghouse for the collection and dissemination of information relating to programs and services for high-risk children and their families, including model and exemplary programs that have demonstrated effectiveness and beneficial outcomes.

3.  Develop publications, including, but not limited to, directories, newsletters, public awareness documents, and other resource materials which assist agencies, programs, and families in meeting the needs of the high-risk population.

4.  Provide technical assistance at the request of agencies, programs, and services.

5.  Disseminate information regarding the availability of federal, state, and private grants which target high-risk children and their families.

6.  Perform duties relating to the joint strategic plan as specified in s. 411.221.

(b)  Interagency responsibilities.--

1.  Perform the joint functions related to the joint strategic plan as specified in s. 411.221.

2.  Prepare jointly with the 1Department of Health and Rehabilitative Services a memorandum of agreement pursuant to this section, or other cooperative agreements necessary to implement the requirements of this chapter.

3.  Develop, in collaboration with the 1Department of Health and Rehabilitative Services, and recommend to the State Board of Education, rules necessary to implement this chapter.

4.  Perform the responsibilities enumerated in subparagraphs (a)2.-5. on a statewide basis in conjunction with the Office of Prevention, Early Assistance, and Child Development within the 1Department of Health and Rehabilitative Services.

(2)  1DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES.--There is created within the 1Department of Health and Rehabilitative Services an Office of Prevention, Early Assistance, and Child Development for the purpose of intraagency and interagency planning, policy, and program development and coordination to enhance existing programs and services and to develop new programs and services for high-risk pregnant women and for high-risk preschool children and their families.

(a)  Intraagency responsibilities.--

1.  Assure planning, policy, and program coordination in programs serving high-risk pregnant women and high-risk preschool children and their families, within the following offices of the 1Department of Health and Rehabilitative Services:

a.  Alcohol, Drug Abuse, and Mental Health.

b.  Children's Medical Services.

c.  Children, Youth, and Families.

d.  Developmental Services.

e.  Economic Services.

f.  Health.

g.  Medicaid.

2.  Assure planning, policy, and program coordination in the following interprogram areas:

a.  Transportation.

b.  Migrant and refugee services.

c.  Volunteer services.

d.  Child abuse and neglect prevention, early intervention, and treatment.

e.  Chapter I of Pub. L. No. 97-35.

3.  Ensure, within available resources, the implementation of the continuum of comprehensive services in the service districts.

4.  Serve as clearinghouse for the collection and dissemination of information relating to programs and services for high-risk pregnant women and for high-risk preschool children and their families, and programs aimed at preventing sexual activity and teenage pregnancy, including model and exemplary programs that have demonstrated effectiveness and beneficial outcomes.

5.  Develop publications, including, but not limited to, directories, newsletters, public awareness documents, and other resource materials which assist agencies, programs, and families in meeting the needs of the high-risk population.

6.  Provide technical assistance at the request of program offices, service districts, providers, advisory councils, and advocacy groups, and other agencies or entities with which the 1Department of Health and Rehabilitative Services has contracts or cooperative agreements.

7.  Disseminate information regarding the availability of federal, state, and private grants which target teenagers at risk of pregnancy, high-risk pregnant women, and high-risk preschool children and their families.

8.  Perform duties relating to the joint strategic plan as specified in s. 411.221.

(b)  Interagency responsibilities.--

1.  Perform the joint functions related to the joint strategic plan as specified in s. 411.221.

2.  Prepare jointly with the Department of Education a memorandum of agreement pursuant to this section, or other cooperative agreements necessary to implement the requirements of this chapter.

3.  Develop, in collaboration with the Department of Education, rules necessary to implement this chapter.

4.  Perform the responsibilities enumerated in subparagraphs (a)4.-7. on a statewide basis in conjunction with the Office of Prevention, Early Assistance, and Child Development within the Department of Education.

5.  Subject to appropriation, develop and implement a program of parenting workshops to assist and counsel the parents or guardians of students having disciplinary problems. These workshops should be made available to all families of students who have disciplinary problems. The department may provide these services directly or may enter into contracts with school districts for the provision of these services.

(3)  MEMORANDUM OF INTERAGENCY AGREEMENT.--The Commissioner of Education and the Secretary of 1Health and Rehabilitative Services shall prepare a joint memorandum of interagency agreement to implement the provisions of this chapter, which shall include, but not be limited to, the following:

(a)  Designation of staff responsible for interagency and intraagency planning and coordination.

(b)  Description of staff roles and responsibilities regarding interagency coordination.

(c)  Delineation of the relationships between the departments' respective advisory councils, commissions, committees, and task forces addressing the needs of high-risk children and their families.

(d)  Procedures for conflict resolution.

(e)  Procedures for reviewing, amending, and renewing the memorandum of interagency agreement.

(f)  Procedures for interagency evaluation coordination.

2(4)  STATE COORDINATING COUNCIL FOR SCHOOL READINESS PROGRAMS.--

(a)  Creation; intent.--The State Coordinating Council for School Readiness Programs is established to ensure coordination among the programs that serve preschool children in order to support the first state education goal, readiness to start school; to facilitate communication, cooperation, and the maximum use of resources; and to promote high standards for all programs that serve preschool children in this state. It is the intent of the Legislature that the coordinating council be an independent nonpartisan body and not be identified or affiliated with any one agency, program, or group.

(b)  Membership.--The council shall be composed of the following 15 members:

1.  The seven current members of the 1998-1999 State Coordinating Council Executive Committee.

2.  Eight additional members, appointed by the executive committee, including a representative of each of the following: subsidized child care programs; prekindergarten early intervention programs; Head Start programs; health care programs; private providers; faith-based providers; programs for children with disabilities; and parents of preschool children.

(c)  Term.--The State Coordinating Council for School Readiness Programs shall terminate on July 1, 2002.

(d)  Organization.--

1.  The council shall adopt internal organizational procedures or bylaws necessary for the efficient operation of the council. The council may establish committees that are responsible for conducting specific council programs and activities.

2.  The council shall have a budget and be financed through an annual appropriation made for this purpose in the General Appropriations Act. Council members are entitled to reimbursement for per diem and travel expenses as provided in s. 112.061 while carrying out official business of the council. When appropriate, parent representatives shall receive a stipend for child care costs incurred while attending council meetings. For administrative purposes only, the council is assigned to the Florida Partnership for School Readiness.

3.  The coordinating council shall hold quarterly meetings that are open to the public, and the public shall be given the opportunity to comment at each such meeting. The coordinating council shall notify persons of the date, time, and place of each quarterly meeting upon request.

(e)  Duties.--The coordinating council shall recommend to the Florida Partnership for School Readiness methods for coordinating public and private school readiness programs and procedures to facilitate communication, cooperation, and the maximum use of resources to achieve the first state education goal, readiness to start school. In addition, the council shall:

1.  Advise the Florida Partnership for School Readiness concerning criteria for grant proposal guidelines, the review of plans and proposals, and eligibility for services of school readiness programs.

2.  Recommend to the Florida Partnership for School Readiness methods to increase the involvement of public and private partnerships in school readiness programs in order to maximize the availability of federal funds and to effectively use available resources through cooperative funding and coordinated services.

(f)  Reporting requirements.--The coordinating council shall submit its final report to the Florida Partnership for School Readiness by July 1, 2002.

History.--ss. 2, 14, ch. 89-379; s. 9, ch. 90-358; s. 5, ch. 91-429; s. 14, ch. 94-124; s. 121, ch. 94-209; s. 7, ch. 97-98; s. 49, ch. 99-5; ss. 6, 7, ch. 99-357.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

2Note.--Repealed effective July 1, 2002, by s. 7, ch. 99-357.

411.223  Uniform standards.--

(1)  The 1Department of Health and Rehabilitative Services, in consultation with the Department of Education, shall establish a minimum set of procedures for each preschool child who receives preventive health care with state funds. Preventive health care services shall meet the minimum standards established by federal law for the Early Periodic Screening, Diagnosis, and Treatment Program and shall provide guidance on screening instruments which are appropriate for identifying health risks and handicapping conditions in preschool children.

(2)  Duplicative diagnostic and planning practices shall be eliminated to the extent possible. Diagnostic and other information necessary to provide quality services to high-risk or handicapped children shall be shared among the program offices of the 1Department of Health and Rehabilitative Services, pursuant to the provisions of s. 228.093.

History.--s. 2, ch. 89-379.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

411.224  Family support planning process.--The Legislature establishes a family support planning process to be used by the Department of Children and Family Services as the service planning process for targeted individuals, children, and families under its purview.

(1)  The Department of Education shall take all appropriate and necessary steps to encourage and facilitate the implementation of the family support planning process for individuals, children, and families within its purview.

(2)  To the extent possible within existing resources, the following populations must be included in the family support planning process:

(a)  Children from birth to age 5 who are served by the clinic and programs of the Division of Children's Medical Services of the Department of Health.

(b)  Children participating in the developmental evaluation and intervention program of the Division of Children's Medical Services of the Department of Health.

(c)  Children from birth through age 5 who are served by the Developmental Services Program Office of the Department of Children and Family Services.

(d)  Children from birth through age 5 who are served by the Alcohol, Drug Abuse, and Mental Health Program Office of the Department of Children and Family Services.

(e)  Participants who are served by the Children's Early Investment Program established in s. 411.232.

(f)  Healthy Start participants in need of ongoing service coordination.

(g)  Children from birth through age 5 who are served by the voluntary family services, protective supervision, foster care, or adoption and related services programs of the Children and Families Program Office of the Department of Children and Family Services, and who are eligible for ongoing services from one or more other programs or agencies that participate in family support planning; however, children served by the voluntary family services program, where the planned length of intervention is 30 days or less, are excluded from this population.

(3)  When individuals included in the target population are served by Head Start, local education agencies, or other prevention and early intervention programs, providers must be notified and efforts made to facilitate the concerned agency's participation in family support planning.

(4)  Local education agencies are encouraged to use a family support planning process for children from birth through 5 years of age who are served by the prekindergarten program for children with disabilities, in lieu of the Individual Education Plan.

(5)  There must be only a single-family support plan to address the problems of the various family members unless the family requests that an individual family support plan be developed for different members of that family. The family support plan must replace individual habilitation plans for children from birth through 5 years old who are served by the Developmental Services Program Office of the Department of Children and Family Services. To the extent possible, the family support plan must replace other case-planning forms used by the Department of Children and Family Services.

(6)  The family support plan at a minimum must include the following information:

(a)  The family's statement of family concerns, priorities, and resources.

(b)  Information related to the health, educational, economic and social needs, and overall development of the individual and the family.

(c)  The outcomes that the plan is intended to achieve.

(d)  Identification of the resources and services to achieve each outcome projected in the plan. These resources and services are to be provided based on availability and funding.

(7)  A family support plan meeting must be held with the family to initially develop the family support plan and annually thereafter to update the plan as necessary. The family includes anyone who has an integral role in the life of the individual or child as identified by the individual or family. The family support plan must be reviewed periodically during the year, at least at 6-month intervals, to modify and update the plan as needed. Such periodic reviews do not require a family support plan team meeting but may be accomplished through other means such as a case file review and telephone conference with the family.

(8)  The initial family support plan must be developed within a 90-day period. If exceptional circumstances make it impossible to complete the evaluation activities and to hold the initial family support plan team meeting within a reasonable time period, these circumstances must be documented, and the individual or family must be notified of the reason for the delay. With the agreement of the family and the provider, services for which either the individual or the family is eligible may be initiated before the completion of the evaluation activities and the family support plan.

(9)  The Department of Children and Family Services, the Department of Health, and the Department of Education, to the extent that funds are available, must offer technical assistance to communities to facilitate the implementation of the family support plan.

(10)  The Department of Children and Family Services and the Department of Health must implement the family support planning process for all individuals, children, and their families in the target population no later than September 30, 1995.

(11)  The Department of Children and Family Services, the Department of Health, and the Department of Education shall adopt rules necessary to implement this act.

History.--s. 7, ch. 93-143; s. 196, ch. 99-8.

PART III
INFANTS AND TODDLERS

411.23  Short title.

411.231  Legislative intent; purpose.

411.232  Children's Early Investment Program.

411.23  Short title.--Sections 411.23-411.232 may be cited as the "Children's Early Investment Act."

History.--s. 3, ch. 89-379.

411.231  Legislative intent; purpose.--The Legislature recognizes the need for and value of intensive, comprehensive, integrated, and continuous services statewide for young children who are at risk of developmental dysfunction or delay. For the purposes of the Children's Early Investment Program, the term "young children" includes infants, 1-year-olds, and 2-year-olds. The Legislature supports intensive and comprehensive supportive programs and services being directed to expectant mothers and young children who, because of economic, social, environmental, or health factors need such services to enhance their development. The Legislature recognizes that children are part of families and that lasting effects on children can occur most productively when there is investment in and with families. The participants in the Children's Early Investment Program shall receive priority consideration for needed services, including prenatal care; health services to mothers and their young children; child care; alcohol and drug abuse treatment services; and economic support and training services. It is the intent of the Legislature that programs and services that will enhance a child's physical, social, emotional, and intellectual development and provide support to parents and other family members be provided initially to geographic areas where the expectant mothers and young children are at great risk and that these programs and services ultimately be available statewide to all children and families who need them. These programs and services must be offered and coordinated by persons who have adequate time, skill, and resources to work with participants in a meaningful and effective manner.

History.--s. 3, ch. 89-379.

411.232  Children's Early Investment Program.--

(1)  CREATION.--There is hereby created the Children's Early Investment Program for young children who are at risk of developmental dysfunction or delay and for their families. This program shall coordinate a variety of resources to program participants through a responsible agent for the child and the child's family. The services and assistance provided shall focus on the family and shall be comprehensive. The programs and services offered shall enhance family independence and shall provide social and educational resources needed for healthy child development.

(2)  GOALS.--The goal of the Children's Early Investment Program is to encourage and assist an effective investment strategy for the at-risk young children in this state and their families so that they will develop into healthy and productive members of society. The Children's Early Investment Program is designed to provide intensive early intervention to at-risk expectant mothers, young children, and their families in order that this state will invest now for a future in which the workforce is skilled and stable; in which crime rates are reduced; and in which the social and economic costs of high-risk pregnancies and low birthweight babies are reduced. The objectives of the Children's Early Investment Program are to increase the percentage of children entering the school system who are ready and able to learn; to reduce teenage pregnancies among this at-risk population; to reduce the numbers of cocaine babies born in this state; to reduce the crime rate among these children as they grow up; to reduce the rate of school dropouts in this state and to increase the basic skills and ability of the future workforce. It is anticipated the efforts targeted now to expectant mothers and young children will show their greatest results in the years when these at-risk children enter school and when they are teenagers and young adults. Benefits are also anticipated, however, as the families of these children are assisted in addressing their own needs, and corresponding reductions in foster care placements, low birthweight babies, teen pregnancy, economic instability and dependence, and other signs of dysfunction are anticipated.

(3)  ESSENTIAL ELEMENTS.--

(a)  Initially, the program shall be directed to geographic areas where at-risk young children and their families are in greatest need because of an unfavorable combination of economic, social, environmental, and health factors, including, without limitation, extensive poverty, high crime rate, great incidence of low birthweight babies, high incidence of alcohol and drug abuse, and high rates of teenage pregnancy. The selection of a geographic site shall also consider the incidence of young children within these at-risk geographic areas who are cocaine babies, children of mothers who participate in the WAGES Program, children of teenage parents, low birthweight babies, and very young foster children. To receive funding under this section, an agency, board, council, or provider must demonstrate:

1.  Its capacity to administer and coordinate the programs and services in a comprehensive manner and provide a flexible range of services;

2.  Its capacity to identify and serve those children least able to access existing programs and case management services;

3.  Its capacity to administer and coordinate the programs and services in an intensive and continuous manner;

4.  The proximity of its facilities to young children, parents, and other family members to be served by the program, or its ability to provide offsite services;

5.  Its ability to use existing federal, state, and local governmental programs and services in implementing the investment program;

6.  Its ability to coordinate activities and services with existing public and private, state and local agencies and programs such as those responsible for health, education, social support, mental health, child care, respite care, housing, transportation, alcohol and drug abuse treatment and prevention, income assistance, employment training and placement, nutrition, and other relevant services, all the foregoing intended to assist children and families at risk;

7.  How its plan will involve project participants and community representatives in the planning and operation of the investment program;

8.  Its ability to participate in the evaluation component required in this section; and

9.  Its consistency with the strategic plan pursuant to s. 411.221.

(b)  While a flexible range of services is essential in the implementation of this act, the following services shall be considered the core group of services:

1.  Adequate prenatal care;

2.  Health services to the at-risk young children and their families;

3.  Infant and child care services;

4.  Parenting skills training;

5.  Education or training opportunities appropriate for the family; and

6.  Economic support.

Additional services may include, without limitation, alcohol and drug abuse treatment, mental health services, housing assistance, transportation, and nutrition services.

(4)  IMPLEMENTATION.--

(a)  The 1Department of Health and Rehabilitative Services or its designee shall implement the Children's Early Investment Program using the criteria provided in this section. The department or its designee shall evaluate and select the programs and sites to be funded initially. The initial contract awards must be made no later than January 15, 1990. No more than one of each of the following prototypes may be selected among the first sites to be funded:

1.  A program based in a county health department;

2.  A program based in an office of the 1Department of Health and Rehabilitative Services;

3.  A program based in a local school district;

4.  A program based in a local board or council that is responsible for coordinating and managing community resources from revenue sources earmarked for helping children and meeting their needs;

5.  A program based in a local, public or private, not-for-profit provider of services to children and their families; and

6.  A program based in a local government.

(b)  By January 1, 1993, the Children's Early Investment Program shall be available in all communities meeting the criteria in paragraph (3)(a) of this section. While the program will serve at-risk children at various ages, it is intended that the program will identify and expand to infants and their families as new participants and assist them in an intensive and continuous manner until age 3.

(5)  EVALUATION.--There shall be an independent third-party evaluation of the prototypes as specified in s. 411.204. The contract for the third-party evaluation shall be entered into pursuant to s. 411.204 prior to the prototype selection to ensure integrity of the evaluation design, ongoing monitoring and periodic review of progress, and a timely, comprehensive evaluation report. The evaluation shall be submitted to the Governor, the President of the Senate, the Speaker of the House of Representatives, and appropriate substantive committees and subcommittees of the Legislature by January 1, 1991, and biennially thereafter. The first longitudinal report on participant outcomes shall be due by January 1, 1995, or 5 years after the startup of the prototypes, whichever is later.

(6)  RULES FOR IMPLEMENTATION.--The 1Department of Health and Rehabilitative Services shall adopt rules necessary to implement this section.

History.--s. 3, ch. 89-379; s. 100, ch. 96-175; s. 204, ch. 97-101.

1Note.--The Department of Health and Rehabilitative Services was redesignated as the Department of Children and Family Services by s. 5, ch. 96-403, and the Department of Health was created by s. 8, ch. 96-403.

PART IV
CHILDHOOD PREGNANCY PREVENTION
PUBLIC EDUCATION PROGRAM

411.24  Short title.

411.241  Legislative intent.

411.242  Florida Education Now and Babies Later (ENABL) program.

411.243  Teen Pregnancy Prevention Community Initiative.

411.24  Short title.--This part may be cited as the "Florida Education Now and Babies Later (ENABL) Act."

History.--s. 2, ch. 95-321.

411.241  Legislative intent.--The Legislature finds and declares that childhood pregnancies continue to be a serious problem in the state. Therefore, the Legislature intends to establish, through a public-private partnership, a program to encourage children to abstain from sexual activity.

History.--s. 2, ch. 95-321.

411.242  Florida Education Now and Babies Later (ENABL) program.--

(1)  CREATION.--There is hereby created the Florida Education Now and Babies Later (ENABL) program for children and their families, with the goal of reducing the incidence of childhood pregnancies in this state by encouraging children to abstain from sexual activities. This program must provide a multifaceted, primary prevention, community health promotion approach to educating and supporting children in the decision to abstain from sexual involvement. The Department of Health, in consultation with the Department of Education, Florida State University, and other appropriate agencies or associations, shall develop, implement, and administer the ENABL program.

(2)  GOALS.--The goal of the ENABL program is to encourage and assist boys and girls in this state to decide to abstain from engaging in sexual activity. The ENABL program is designed to reduce the incidence of childhood pregnancies; to increase the percentage of children graduating from school and becoming more productive citizens; to reduce the numbers of cocaine babies born in this state; to reduce the crime rate among these children as they grow up; to reduce the rate of school dropouts in this state; and to increase the basic skills and ability of the future workforce.

(3)  ESSENTIAL ELEMENTS.--

(a)  The ENABL program should be directed to geographic areas in the state where the childhood birth rate is higher than the state average and where the children and their families are in greatest need because of an unfavorable combination of economic, social, environmental, and health factors, including, without limitation, extensive poverty, high crime rate, great incidence of low birthweight babies, high incidence of alcohol and drug abuse, and high rates of childhood pregnancy. The selection of a geographic site shall also consider the incidence of young children within these at-risk geographic areas who are cocaine babies, children of mothers who participate in the WAGES Program, children of teenage parents, low birthweight babies, and very young foster children. To receive funding under this section, a community-based local contractor must demonstrate:

1.  Its capacity to administer and coordinate the ENABL pregnancy prevention public education program and services for children and their families in a comprehensive manner and to provide a flexible range of age-appropriate educational services.

2.  Its capacity to identify and serve those children least able to access existing pregnancy prevention public education programs.

3.  Its capacity to administer and coordinate the ENABL programs and services in an intensive and continuous manner.

4.  The proximity of its program to young children, parents, and other family members to be served by the ENABL program, or its ability to provide offsite educational services.

5.  Its ability to incorporate existing federal, state, and local governmental educational programs and services in implementing the ENABL program.

6.  Its ability to coordinate its activities and educational services with existing public and private state and local agencies and programs, such as those responsible for health, education, social support, mental health, child care, respite care, housing, transportation, alcohol and drug abuse treatment and prevention, income assistance, employment training and placement, nutrition, and other relevant services, all of the foregoing intended to assist children and families at risk.

7.  How its plan will involve project participants and community representatives in the planning and operation of the ENABL program.

8.  Its ability to participate in the evaluation component required in this section.

9.  Its consistency with the strategic plan pursuant to s. 411.221.

10.  Its capacity to match state funding for the ENABL program at the rate of $1 in cash or in matching services for each dollar funded by the state.

(b)  Any child whose parent or guardian presents to the community-based local contractor a signed statement that the child's participation in the ENABL program conflicts with the parent's or guardian's religious beliefs shall be exempt from such instruction. No child so exempt shall be penalized by reason of such exemption.

(c)  While a flexible range of pregnancy prevention public education services is essential in the implementation of the ENABL program, the following educational services and activities must be considered essential core services to be offered by each community-based local contractor:

1.  Use of the postponing sexual involvement age-appropriate education curriculum targeted to boys and girls in schools or other community settings.

2.  Strategies to convey and reinforce the ENABL message of postponing childhood sexual involvement to the affected community, including activities promoting awareness and involvement of parents, schools, churches, and other community groups or organizations.

3.  Developing media linkages to publicize the purposes and goals of the ENABL program.

4.  A referral mechanism for children or their families who request or need other health or social services, which may include, without limitation, referral for alcohol and drug abuse treatment, mental health services, housing assistance, transportation, and nutrition services.

(4)  IMPLEMENTATION.--The department must:

(a)  Implement the ENABL program using the criteria provided in this section. The department must evaluate, select, and monitor the two pilot projects to be funded initially. The initial contract awards must be made no later than August 1, 1995. The following community-based local contractors may be selected among the first sites to be funded:

1.  A program based in a local school district, a county health department, or another unit of local government.

2.  A program based in a local, public or private, not-for-profit provider of services to children and their families.

(b)  Provide technical assistance to each community-based local contractor, as necessary.

(c)  Develop and implement the evaluation process.

(d)  Explore and pursue federal and foundation funding possibilities, and specifically request the United States Department of Health and Human Services to supplement the development and implementation of the ENABL program.

(5)  PUBLIC RELATIONS.--The department shall develop a statewide comprehensive media and public relations campaign to promote changes in sexual attitudes and behaviors among children and reinforce the message of abstaining from sexual activity.

(6)  TRAINING.--The department shall be responsible for developing a uniform training program for the community-based local contractors selected to implement the ENABL program.

(7)  EVALUATION.--There shall be an independent third-party evaluation of the initial grants. The contract for the evaluation shall be entered into prior to the selection of the community-based local contractor, to ensure integrity of the evaluation design, ongoing monitoring and periodic review of progress, and a timely, comprehensive evaluation report. The evaluation report shall be submitted to the Governor, the President of the Senate, the Speaker of the House of Representatives, and appropriate substantive committees and subcommittees of the Legislature by January 1, 1999, and biennially thereafter. The report due by January 1, 2001, or 5 years after the startup of the initial prototype programs, whichever is later, shall include the first longitudinal report on participant outcomes.

History.--s. 2, ch. 95-321; s. 101, ch. 96-175; s. 205, ch. 97-101; s. 197, ch. 99-8.

411.243  Teen Pregnancy Prevention Community Initiative.--Subject to the availability of funds, the Department of Health shall create a Teen Pregnancy Prevention Community Initiative. The purpose of this initiative is to create collaborative community partnerships to reduce teen pregnancy. Participating communities shall examine their needs and resources relative to teen pregnancy prevention and develop plans which provide for a collaborative approach to how existing, enhanced, and new initiatives together will reduce teen pregnancy in a community. Community incentive grants shall provide funds for communities to implement plans which provide for a collaborative, comprehensive, outcome-focused approach to reducing teen pregnancy.

(1)  The requirements of the community incentive grants are as follows:

(a)  The goal required of all grants is to reduce the incidence of teen pregnancy. All grants must be designed and required to maintain the data to substantiate reducing the incidence of teen pregnancy in the targeted area in their community.

(b)  The target population is teens through 19 years of age, including both males and females and mothers and fathers.

(c)  Grants must target a specified geographic area or region, for which data can be maintained to substantiate the teen pregnancy rate.

(d)  In order to receive funding, communities must demonstrate collaboration in the provision of existing and new teen pregnancy prevention initiatives. This collaboration shall include developing linkages to the health care, social services, and education systems.

(e)  Plans must be developed for how a community will reduce the incidence of teen pregnancy in a specified geographic area or region. These plans must include:

1.  Provision for collaboration between existing and new initiatives for a comprehensive, well-planned, outcome-focused approach. All organizations involved in teen pregnancy prevention in the community must be involved in the planning and implementation of the community incentive grant initiative.

2.  Provision in the targeted area or region for all of the components identified below. These components may be addressed through a collaboration of existing initiatives, enhancements, or new initiatives. Community incentive grant funds must address current gaps in the comprehensive teen pregnancy prevention plan for communities.

a.  Primary prevention components are:

(I)  Prevention strategies targeting males.

(II)  Role modeling and monitoring.

(III)  Intervention strategies targeting abused or neglected children.

(IV)  Human sexuality education.

(V)  Sexual advances protection education.

(VI)  Reproductive health care.

(VII)  Intervention strategies targeting younger siblings of teen mothers.

(VIII)  Community and public awareness.

(IX)  Innovative programs to facilitate prosecutions under s. 794.011, s. 794.05, or s. 800.04.

b.  Secondary prevention components are:

(I)  Home visiting.

(II)  Parent education, skill building, and supports.

(III)  Care coordination and case management.

(IV)  Career development.

(V)  Goal setting and achievement.

Community plans must provide for initiatives which are culturally competent and relevant to the families' values.

(2)  The state shall conduct an independent process and outcome evaluation of all the community incentive grant initiatives. The evaluation shall be conducted in three phases: The first phase shall focus on process, including implementation and operation, to be reported on after the first year of operation; the second phase shall be an interim evaluation of the outcome, to be completed after the third year of operation; the third phase shall be a final evaluation of process, outcome, and achievement of the overall goal of reducing the incidence of teen pregnancy, to be completed at the end of the fifth year of operation.

(3)  The state shall provide technical assistance, training, and quality assurance to assist the initiative in achieving its goals.

History.--s. 102, ch. 96-175; s. 198, ch. 99-8.