House Bill 1525
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Florida House of Representatives - 1999 HB 1525
By Representatives Bronson, Futch, Posey, Peaden, Casey,
Eggelletion and Dennis
1 A bill to be entitled
2 An act relating to social services funding;
3 amending s. 394.908, F.S., relating to alcohol,
4 drug abuse, and mental health funding equity;
5 providing that any service district of the
6 Department of Children and Family Services that
7 receives less than the statewide average
8 funding level per person on an annual basis
9 shall not have funds deducted during any
10 reduction in the level of recurring
11 appropriations until such district's funding
12 level is equal to the statewide average funding
13 level; amending s. 409.915, F.S., relating to
14 county contributions to Medicaid; providing for
15 credits against funds owed for certain items of
16 care and service, based on the recurring
17 funding per person of such service districts
18 for alcohol, drug abuse, and mental health
19 services; providing an effective date.
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21 Be It Enacted by the Legislature of the State of Florida:
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23 Section 1. Section 394.908, Florida Statutes, is
24 amended to read:
25 394.908 Alcohol, drug abuse, and mental health funding
26 equity; distribution of appropriations; distribution of
27 appropriation reductions.--In recognition of the historical
28 inequity among service districts of the former Department of
29 Health and Rehabilitative Services in the funding of alcohol,
30 drug abuse, and mental health services, and in order to
31 rectify this inequity and provide for equitable funding in the
1
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Florida House of Representatives - 1999 HB 1525
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1 future throughout the state, the following funding process
2 shall be adhered to, beginning with the 1997-1998 fiscal year:
3 (1) Funding thresholds for alcohol, drug abuse, and
4 mental health services in each of the current districts,
5 statewide, shall be established based on the current number of
6 persons in need per district for alcohol and drug abuse, and
7 for mental health services, respectively.
8 (2) "Persons in need" means those persons who fit the
9 profile of the respective target populations and require
10 mental health or substance abuse services.
11 (3) Beginning July 1, 1997, 75 percent of any
12 additional funding beyond the 1996-1997 fiscal year base
13 appropriation for alcohol, drug abuse, and mental health
14 services shall be allocated to districts based on:
15 (a) Epidemiological estimates of disabilities which
16 apply to the respective target populations.
17 (b) A pro rata share distribution that ensures
18 districts below the statewide average funding level per person
19 in each target population of "persons in need" receive funding
20 necessary to achieve equity.
21 (4) The remaining 25 percent shall be allocated based
22 on the number of persons in need of alcohol, drug abuse, and
23 mental health services per district without regard to current
24 funding levels.
25 (5) If a reduction to the level of recurring
26 appropriations under this section is made, it shall first be
27 distributed among districts with a funding level per person in
28 excess of the statewide average funding level per person until
29 such district's funding level per person is equal to the
30 current statewide average funding level per person.
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Florida House of Representatives - 1999 HB 1525
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1 Thereafter, any remaining reduction shall be distributed on a
2 per person basis among all districts.
3 (6)(5) Target populations for persons in need shall be
4 displayed for each district and distributed concurrently with
5 the approved operating budget. The display by target
6 population shall show: The annual number of persons served
7 based on prior year actual numbers, the annual cost per person
8 served, the number of persons served by service cost center,
9 and the estimated number of the total target population for
10 persons in need.
11 (7)(6) The annual cost per person served shall be
12 defined as the total actual funding for each target population
13 divided by the number of persons served in the target
14 population for that year.
15 (8)(7) Commencing on July 1, 1998, all additional
16 funding pursuant to this section shall be performance-based.
17 Section 2. Subsection (7) is added to section 409.915,
18 Florida Statutes, to read:
19 409.915 County contributions to Medicaid.--Although
20 the state is responsible for the full portion of the state
21 share of the matching funds required for the Medicaid program,
22 in order to acquire a certain portion of these funds, the
23 state shall charge the counties for certain items of care and
24 service as provided in this section.
25 (7) Each county located in a service district of the
26 Department of Children and Family Services as set forth in s.
27 20.19(7) shall be eligible for credit against moneys owed
28 under this section for its share of the difference that the
29 district's recurring funding level per person is below the
30 statewide average recurring funding level per person for
31 appropriations for services described in s. 394.675 and
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Florida House of Representatives - 1999 HB 1525
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1 provided through the state plan established under s. 394.79.
2 However, such credit shall not exceed $3 per person. The
3 Department of Children and Family Services shall be
4 responsible for calculating such credits, using the recurring
5 appropriation level for the last completed fiscal year and the
6 latest official estimate of county population as certified by
7 the Demographic Estimating Conference. Credits shall be
8 certified by the Department of Children and Family Services
9 and provided to the counties by December 31 each year.
10 Section 3. This act shall take effect July 1, 1999.
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13 HOUSE SUMMARY
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With respect to funding for community alcohol, drug
15 abuse, and mental health services, provides that any
service district of the Department of Children and Family
16 Services that receives less than the statewide average
funding level per person on an annual basis shall not
17 have funds deducted during any reduction in the level of
recurring appropriations until such district's funding
18 level is equal to the statewide average funding level.
With respect to counties located in such service
19 districts, provides for credits against funds owed by
such counties under the Medicaid program for certain
20 items of care and service, based on each county's share
of the difference that the recurring funding level per
21 person of its service district for alcohol, drug abuse,
and mental health services is below the statewide average
22 recurring funding level per person for such services. See
bill for details.
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