Senate Bill 1900c1

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    Florida Senate - 1999                           CS for SB 1900

    By the Committee on Children and Families; and Senator Forman





    300-2052-99

  1                      A bill to be entitled

  2         An act relating to provision of social

  3         services; creating the Office of Disability

  4         Coordination within the Executive Office of the

  5         Governor; providing for an advisory board;

  6         providing for a working group; establishing

  7         terms of office and officers; providing for

  8         staff; allowing the executive director to

  9         employ consultants and enter into contracts;

10         providing for rules, rights, and benefits

11         applicable to office staff; providing duties of

12         the office; requiring entities serving people

13         who have disabilities to give the office access

14         to certain data; requiring the office to make

15         certain data available to interested parties;

16         requiring the office to produce an annual

17         report and transmit it to the Executive Office

18         of the Governor, to legislative leaders, and to

19         entities that deal with people who have

20         disabilities; requiring a review and a report;

21         providing appropriations; amending s. 393.502,

22         F.S.; amending the membership of the family

23         care councils; amending terms of office;

24         amending s. 216.136, F.S.; requiring the Social

25         Services Estimating Conference to develop

26         forecasts of Medicaid caseloads; requiring the

27         Department of Children and Family Services to

28         provide information on caseloads and waiting

29         lists for certain people who have developmental

30         disabilities; requiring that such information

31         include an annual increase based on certain

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    Florida Senate - 1999                           CS for SB 1900
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  1         medical components of the consumer price

  2         index-urban; providing an effective date.

  3

  4  Be It Enacted by the Legislature of the State of Florida:

  5

  6         Section 1.  Effective July 1, 1999, section 14.275,

  7  Florida Statutes, is created to read:

  8         14.275  Office of Disability Coordination.--

  9         (1)  There is created within the Executive Office of

10  the Governor the Office of Disability Coordination.

11         (a)  The office shall have an advisory board that

12  includes the:

13         1.  Commissioner of Education;

14         2.  Secretary of Children and Family Services;

15         3.  Secretary of Juvenile Justice;

16         4.  Secretary of Labor and Employment Security;

17         5.  Director of Health Care Administration;

18         6.  Secretary of Corrections;

19         7.  Secretary of Veterans Affairs;

20         8.  Secretary of Elderly Affairs; and

21         9.  Secretary of Health.

22         (b)  Each member of the advisory board shall appoint

23  members of his or her staff to act as a working group for the

24  advisory board. The working group shall meet at least monthly

25  and comply with paragraphs (c) through (g), with the exception

26  of the requirements pertaining to the number of meetings.

27         (c)  Each member of the advisory board shall perform

28  the duties of a member of the advisory board as additional

29  duties required of that member in his or her other official

30  capacity.

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    Florida Senate - 1999                           CS for SB 1900
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  1         (d)  The term of office of each advisory member

  2  corresponds to the respective member's period of service in

  3  his or her official capacity.

  4         (e)  The members of the advisory board shall elect a

  5  chairperson and a vice-chairperson from the membership of the

  6  advisory board. The chairperson and vice-chairperson shall be

  7  elected to serve 1-year term and may be reelected.

  8         (f)  A majority of the advisory board constitutes a

  9  quorum for the conduct of business. The advisory board shall

10  meet at least four times a year, and the chairperson may call

11  meetings as often as necessary to transact business or as

12  directed by the advisory board.

13         (g)  If a member of the advisory board ceases to be an

14  officer of the agency that he or she represents, the member

15  must resign immediately from the advisory board, and the

16  resulting vacancy must be filled by the deputy or the newly

17  appointed head of the agency.

18         (h)1.  The advisory board shall employ and set the

19  compensation for an executive director. The executive director

20  shall employ and set the compensation for a person who has

21  expertise in information management systems who shall serve at

22  the pleasure of the board. The executive director may employ

23  and set the compensation of additional professional,

24  technical, legal, or clerical staff as needed. With the

25  consent of the advisory board, the executive director may

26  employ consultants and enter into contracts on behalf of the

27  advisory board.

28         2.  The Office of the Governor shall provide staff,

29  which may come from the agencies represented on the advisory

30  board, to provide support and services to the Office of

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    Florida Senate - 1999                           CS for SB 1900
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  1  Disability Coordination full-time or part-time, to the extent

  2  required by the advisory board.

  3         3.  The staff employed by the advisory board or the

  4  executive director shall be governed by the same rules as are

  5  legislative personnel and shall receive the same rights and

  6  benefits, including membership in the Florida Retirement

  7  System. The office shall make employer contributions for this

  8  purpose.

  9         4.  The Department of Management Services shall assist

10  the office in obtaining office space and equipment for office

11  staff.

12         (2)  The Office of Disability Coordination shall work

13  with entities that deal with people who have disabilities, who

14  have physical or mental impairments that substantially limit

15  one or more major life activities, who have a record of such

16  impairments, or who are regarded as having such impairments

17  to:

18         (a)  Collect and provide information concerning

19  individuals who are being served and those who are on waiting

20  lists for services and information concerning the demographics

21  of state residents who have disabilities;

22         (b)  Streamline intake for clients;

23         (c)  Consolidate, coordinate, and reduce regulatory

24  functions;

25         (d)  Eliminate duplications in service;

26         (e)  Maximize federal funding;

27         (f)  Collect and disseminate information relating to

28  budget items that are requested by the entities on behalf of

29  people who have disabilities;

30         (g)  Evaluate outcomes and accountability measures and

31  make programmatic recommendations to the member agencies;

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    Florida Senate - 1999                           CS for SB 1900
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  1         (h)  Coordinate the implementation of state and federal

  2  policies;

  3         (i)  Serve as a clearinghouse for legislative requests

  4  for funding and proposed policy changes;

  5         (j)  Periodically convene the agencies identified in

  6  paragraph (a) for the purpose of reviewing the agencies'

  7  missions, services, activities, and funding capabilities;

  8         (k)  Encourage research on the effectiveness of

  9  programs and propose pilot projects aimed at improving the

10  services of all member agencies;

11         (l)  Identify areas in which needed services are not

12  being provided; and

13         (m)  Identify groups of people who have disabilities

14  and are not being served or are not being served adequately.

15         (3)(a)  The Office of Disability Coordination shall

16  develop and maintain a continuing program of information

17  management, the purpose of which is to compile, maintain, and

18  disseminate information concerning met and unmet needs of,

19  providers of services to, and costs and availability of

20  services for, people who have disabilities.

21         (b)  All the member agencies must give direct access to

22  all of the data they maintain on people who have disabilities

23  to the Office of Disability Coordination by October 1, 1999.

24  The Office of Disability Coordination should not maintain or

25  duplicate data currently maintained by any other entity.

26         (c)  The Office of Disability Coordination shall make

27  the information collected under paragraph (b) available to

28  interested parties.

29         (d)  The Office of Disability Coordination must not

30  make public any otherwise confidential information that could

31  identify an individual. The office shall assure that the

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    Florida Senate - 1999                           CS for SB 1900
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  1  purpose of obtaining information is to evaluate and improve

  2  programs in all areas which serve people who have

  3  disabilities.

  4         (e)  The Office of Disability Coordination may notify

  5  the Governor and the Legislature of any agency's noncompliance

  6  with its duties under this section. The Governor may

  7  disqualify or suspend a noncompliant agency's ability to

  8  receive grants, awards, or funding.

  9         (4)(a)  By December 1, 2000, and thereafter by December

10  1 of each year, the Office of Disability Coordination shall

11  produce a report that documents the progress made in the

12  activities described in subsection (2). Each advisory board

13  member shall provide information for the report which relates

14  to his or her agency. The report must also describe the

15  barriers that prevent full collaboration among entities that

16  serve people who have disabilities. Recommendations as to what

17  measures are needed to achieve full coordination of services

18  to people who have disabilities, as well as recommendations

19  concerning how to better serve such people, must be included

20  in the report. Copies of the report must be transmitted

21  electronically or in writing to the Executive Office of the

22  Governor, the President of the Senate, and the Speaker of the

23  House of Representatives, as well as to other interested

24  parties upon request.

25         (b)  Before the 2001 Regular Session of the

26  Legislature, the Office of Program Policy Analysis and

27  Governmental Accountability shall conduct a review of, and

28  prepare a report on, the Office of Disability Coordination.

29  The review must be comprehensive and, at a minimum, must

30  specifically determine:

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    Florida Senate - 1999                           CS for SB 1900
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  1         1.  The progress made toward achieving the established

  2  outcomes;

  3         2.  The circumstances contributing to the Office of

  4  Disability Coordination's ability to achieve, not to achieve,

  5  or to exceed its established outcomes; and

  6         3.  Whether it would be sound public policy to continue

  7  or discontinue the Office of Disability Coordination, and the

  8  consequences of discontinuation.

  9         Section 2.  Effective July 1, 1999, there is

10  appropriated from the General Revenue Fund to the Executive

11  Office of the Governor for fiscal year 1999-2000:

12         (1)  The sum of $250,000, to be used for startup

13  expenses of the Office of Disability Coordination, including,

14  but not limited to, the cost of hardware, software, and office

15  equipment.

16         (2)  The sum of $350,000, to be used for the operating

17  costs of the Office of Disability Coordination, including, but

18  not limited to, salaries, benefits, and travel expenses.

19         Section 3.  Subsection (1) of section 393.502, Florida

20  Statutes, is amended to read:

21         393.502  Family care councils.--

22         (1)  CREATION; APPOINTMENT.--There shall be established

23  and located within each service district of the Department of

24  Children and Family Health and Rehabilitative Services a

25  family care council.  The council shall consist of nine

26  persons recommended and appointed by the district health and

27  human services board. The councils shall consist of persons

28  who meet the definition of developmental disabled or who

29  receive services in chapter 393 who receive services from the

30  department and family members or legal guardians of those

31  persons. Each council shall have a minimum of 8 members,

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    Florida Senate - 1999                           CS for SB 1900
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  1  including at least 3 members who have developmental

  2  disabilities. Alternate members may be appointed by the

  3  district health and human services board from a list of names

  4  submitted by the family care council. Alternate members have

  5  full rights of membership except that they may not vote, nor

  6  does their presence count towards a quorum. A member who

  7  cannot attend a meeting must give his or her written proxy

  8  vote to an alternate member. One-half of the members of the

  9  council must be consumers who are family members or legal

10  guardians of persons with developmental disabilities.  At

11  least one-half of the members of the council shall be current

12  consumers of developmental services.  A chairperson for the

13  council must be chosen by the members to serve for 2 years 1

14  year.  Members shall be appointed for a 3-year 2-year term and

15  may be reappointed for two additional terms to not more than

16  one additional term. A person who is currently serving on

17  another board or council of the department may not be

18  appointed to a family care council. Each family care council

19  shall submit an annual report of its activities, expenditures

20  of any state funds, and recommendations to the Health and

21  Human Services Board in the district and to the Assistant

22  Secretary for Developmental Services by September 1. The

23  report for activities in 1999 shall be due December 1, 1999.

24         Section 4.  Effective July 1, 1999, paragraph (a) of

25  subsection (6) of section 216.136, Florida Statutes, 1998

26  Supplement, is amended to read:

27         216.136  Consensus estimating conferences; duties and

28  principals.--

29         (6)  SOCIAL SERVICES ESTIMATING CONFERENCE.--

30         (a)  Duties.--

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    Florida Senate - 1999                           CS for SB 1900
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  1         1.  The Social Services Estimating Conference shall

  2  develop such official information relating to the social

  3  services system of the state, including forecasts of social

  4  services and Medicaid caseloads, as the conference determines

  5  is needed for the state planning and budgeting system.  Such

  6  official information shall include, but not be limited to,

  7  subsidized child care caseloads mandated by the Family Support

  8  Act of 1988.

  9         2.  In addition, the Social Services Estimating

10  Conference shall develop estimates and forecasts of the

11  unduplicated count of children eligible for subsidized child

12  care as defined in s. 402.3015(1).  These estimates and

13  forecasts shall not include children enrolled in the

14  prekindergarten early intervention program established in s.

15  230.2305.

16         3.  The Department of Children and Family Health and

17  Rehabilitative Services and the Department of Education shall

18  provide information on caseloads and waiting lists for the

19  subsidized child care and prekindergarten early intervention

20  programs requested by the Social Services Estimating

21  Conference or individual conference principals, in a timely

22  manner.

23         4.  The Department of Children and Family Services and

24  the Department of Education shall provide information on

25  caseloads and waiting lists for people who have developmental

26  disabilities as they relate to individuals eligible for or

27  receiving services under the developmental services home and

28  community-based waiver program. The Social Services Estimating

29  Conference shall use this and other pertinent data to estimate

30  the annual cost of providing home and community-based

31  services. This estimate shall be included in the official

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    Florida Senate - 1999                           CS for SB 1900
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  1  estimate produced by the conference. An annual increase based

  2  on the medical component of the consumer price index-urban

  3  shall also be included in the conference estimates.

  4         Section 5.  Except as otherwise provided in this act,

  5  this act shall take effect upon becoming a law.

  6

  7          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  8                         Senate Bill 1900

  9

10  States that the Department of Management Services, rather than
    the Office of Legislative Services, will assist the Office of
11  Disability Coordination in obtaining office space and
    equipment for staff.
12
    Specifies that the Office of Disability Coordination
13  evaluates, rather than coordinates, outcomes and
    accountability measures and makes programmatic recommendations
14  to the member agencies.

15  Specifies the composition of each district family care council
    including alternate members and appointment and reappointment
16  terms.

17  Requires that each family care council submit an annual report
    to the district health and human services board and the
18  Assistant Secretary for Developmental Services beginning
    December 1, 1999.
19
    Adds a new duty to the Social Services Estimating Conference
20  of estimating the annual cost of providing home and
    community-based services for persons with developmental
21  disabilities and the estimates must include an annual increase
    based on the medical component of the consumer price
22  index-urban.

23  Specifies that Medicaid caseloads will be included in the
    forecasts made by the Social Services Estimating Conference.
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