Senate Bill 2120c1
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Florida Senate - 1999 CS for SB 2120
By the Committee on Children and Families; and Senators
Dawson-White and Forman
300-2107A-99
1 A bill to be entitled
2 An act relating to infant and early childhood
3 development; amending s. 230.2305, F.S.;
4 providing for program curriculum under the
5 prekindergarten early intervention program to
6 include music therapy services; amending s.
7 391.305, F.S.; including music therapy services
8 in the developmental evaluation and
9 intervention program for high-risk and disabled
10 infants and toddlers; amending s. 393.064,
11 F.S.; including music therapy services in early
12 intervention services for high-risk and
13 developmentally disabled children under the
14 developmental services program; amending s.
15 393.066, F.S.; requiring community-based
16 services for the developmentally disabled to
17 include music therapy services for infants and
18 toddlers; amending s. 402.25, F.S.; providing
19 for music therapy in the brain development
20 activities for infants and toddlers in
21 state-funded education and care programs;
22 amending s. 411.203, F.S.; requiring the
23 interagency continuum of comprehensive services
24 coordinated by Departments of Education,
25 Health, and Children and Family Services to
26 include music therapy services for high-risk
27 and handicapped infants and children; amending
28 s. 411.232, F.S.; providing that additional
29 services under the Children's Early Investment
30 Program may include music therapy services;
31 providing an effective date.
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Florida Senate - 1999 CS for SB 2120
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1 Be It Enacted by the Legislature of the State of Florida:
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3 Section 1. Present paragraphs (d) through (k) of
4 subsection (3) of section 230.2305, Florida Statutes, are
5 redesignated as paragraphs (e) through (l), respectively, and
6 a new paragraph (d) is added to that section, to read:
7 230.2305 Prekindergarten early intervention program.--
8 (3) STANDARDS.--
9 (d) The program curriculum may include music therapy
10 services for the purpose of maximizing individual potential
11 and preventing developmental delays.
12 Section 2. Subsection (4) of section 391.305, Florida
13 Statutes, 1998 Supplement, is amended to read:
14 391.305 Program standards; rules.--The Department of
15 Health shall adopt rules for the administration of the
16 developmental evaluation and intervention program. The rules
17 shall specify standards for the development and operation of
18 the program, including, but not limited to:
19 (4) Minimum developmental evaluation and intervention
20 and support services, which may include music therapy services
21 for the purpose of maximizing individual potential and
22 preventing further developmental delays.
23 Section 3. Paragraph (a) of subsection (2) of section
24 393.064, Florida Statutes, is amended to read:
25 393.064 Prevention.--
26 (2) Prevention services provided by the developmental
27 services program include services to high-risk and
28 developmentally disabled children from birth to 5 years of
29 age, and their families, to meet the intent of chapter 411.
30 Such services shall include individual evaluations or
31 assessments necessary to diagnose a developmental disability
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1 or high-risk condition and to determine appropriate individual
2 family and support services, unless evaluations or assessments
3 are the responsibility of the children's medical services
4 program for children ages birth to 3 years eligible for
5 services under this chapter or part H of the Individuals with
6 Disabilities Education Act, and may include:
7 (a) Early intervention services, including
8 developmental training, and specialized therapies, and music
9 therapy services for the purpose of maximizing individual
10 potential and preventing further developmental delays. Early
11 intervention services, which are the responsibility of the
12 children's medical services program for children ages birth to
13 3 years who are eligible for services under this chapter or
14 under part H of the Individuals with Disabilities Education
15 Act, shall not be provided through the developmental services
16 program unless funding is specifically appropriated to the
17 developmental services program for this purpose.
18 Section 4. Subsection (1) of section 393.066, Florida
19 Statutes, 1998 Supplement, is amended, and paragraph (p) is
20 added to subsection (4) of that section, to read:
21 393.066 Community services and treatment for persons
22 who are developmentally disabled.--
23 (1) The Department of Children and Family Health and
24 Rehabilitative Services shall plan, develop, organize, and
25 implement its programs of services and treatment for persons
26 who are developmentally disabled along district lines. The
27 goal of such programs shall be to allow clients to live as
28 independently as possible in their own homes or communities
29 and to achieve productive lives as close to normal as
30 possible.
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Florida Senate - 1999 CS for SB 2120
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1 (4) Community-based services shall, to the extent of
2 available resources, include:
3 (p) Music therapy services for infants and toddlers,
4 for the purpose of maximizing individual potential and
5 preventing further developmental delays.
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7 Services to clients with spina bifida shall not include
8 medical services except as appropriated by the Legislature.
9 Section 5. Section 402.25, Florida Statutes, 1998
10 Supplement, is amended to read:
11 402.25 Infants and toddlers in state-funded education
12 and care programs; brain development activities.--Each
13 state-funded education and care program for children from
14 birth to 5 years of age must provide activities to foster
15 brain development in infants and toddlers. A program must
16 provide an environment rich in language and music and filled
17 with objects of various colors, shapes, textures, and sizes to
18 stimulate visual, tactile, auditory, and linguistic senses in
19 the children and must include classical music and may include
20 music therapy for the purpose of maximizing individual
21 potential and preventing developmental delays, and at least 30
22 minutes of reading to the children each day. A program may be
23 offered through an existing early childhood program such as
24 Healthy Start, the Title I program, contracted or directly
25 operated subsidized child care, the prekindergarten early
26 intervention program, Florida First Start, the Head Start
27 program, or a private child care program. A program must
28 provide training for the infants' and toddlers' parents
29 including direct dialogue and interaction between teachers and
30 parents demonstrating the urgency of brain development in the
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1 first year of a child's life. Family day care centers are
2 encouraged, but not required, to comply with this section.
3 Section 6. Section 411.203, Florida Statutes, is
4 amended to read:
5 411.203 Continuum of comprehensive services.--The
6 Department of Education, the Department of Health, and the
7 Department of Children and Family Health and Rehabilitative
8 Services shall utilize the continuum of prevention and early
9 assistance services for high-risk pregnant women and for
10 high-risk and handicapped children and their families, as
11 outlined in this section, as a basis for the intraagency and
12 interagency program coordination, monitoring, and analysis
13 required in this chapter. The continuum shall be the guide
14 for the comprehensive statewide approach for services for
15 high-risk pregnant women and for high-risk and handicapped
16 children and their families, and may be expanded or reduced as
17 necessary for the enhancement of those services. Expansion or
18 reduction of the continuum shall be determined by intraagency
19 or interagency findings and agreement, whichever is
20 applicable. Implementation of the continuum shall be based
21 upon applicable eligibility criteria, availability of
22 resources, and interagency prioritization when programs impact
23 both agencies, or upon single agency prioritization when
24 programs impact only one agency. The continuum shall include,
25 but not be limited to:
26 (1) EDUCATION AND AWARENESS.--
27 (a) Education of the public concerning, but not
28 limited to, the causes of handicapping conditions, normal and
29 abnormal child development, the benefits of abstinence from
30 sexual activity, and the consequences of teenage pregnancy.
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1 (b) Education of professionals and paraprofessionals
2 concerning, but not limited to, the causes of handicapping
3 conditions, normal and abnormal child development, parenting
4 skills, the benefits of abstinence from sexual activity, and
5 the consequences of teenage pregnancy, through preservice and
6 inservice training, continuing education, and required
7 postsecondary coursework.
8 (2) INFORMATION AND REFERRAL.--
9 (a) Providing information about available services and
10 programs to families of high-risk and handicapped children.
11 (b) Providing information about service options and
12 providing technical assistance to aid families in the
13 decisionmaking process.
14 (c) Directing the family to appropriate services and
15 programs to meet identified needs.
16 (3) CASE MANAGEMENT.--
17 (a) Arranging and coordinating services and activities
18 for high-risk pregnant women, and for high-risk children and
19 their families, with identified service providers.
20 (b) Providing appropriate casework services to
21 pregnant women and to high-risk children and their families.
22 (c) Advocating for pregnant women and for children and
23 their families.
24 (4) SUPPORT SERVICES PRIOR TO PREGNANCY.--
25 (a) Basic needs, such as food, clothing, and shelter.
26 (b) Health education.
27 (c) Family planning services, on a voluntary basis.
28 (d) Counseling to promote a healthy, stable, and
29 supportive family unit, to include, but not be limited to,
30 financial planning, stress management, and educational
31 planning.
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1 (5) MATERNITY AND NEWBORN SERVICES.--
2 (a) Comprehensive prenatal care, accessible to all
3 pregnant women and provided for high-risk pregnant women.
4 (b) Adoption counseling for unmarried pregnant
5 teenagers.
6 (c) Nutrition services for high-risk pregnant women.
7 (d) Perinatal intensive care.
8 (e) Delivery services for high-risk pregnant women.
9 (f) Postpartum care.
10 (g) Nutrition services for lactating mothers of
11 high-risk children.
12 (h) A new mother information program at the birth
13 site, to provide an informational brochure about
14 immunizations, normal child development, abuse avoidance and
15 appropriate parenting strategies, family planning, and
16 community resources and support services for all parents of
17 newborns and to schedule Medicaid-eligible infants for a
18 health checkup.
19 (i) Appropriate screenings, to include, but not be
20 limited to, metabolic screening, sickle-cell screening,
21 hearing screening, developmental screening, and categorical
22 screening.
23 (j) Followup family planning services for high-risk
24 mothers and mothers of high-risk infants.
25 (6) HEALTH AND NUTRITION SERVICES FOR PRESCHOOL
26 CHILDREN.--
27 (a) Preventive health services for all preschool
28 children.
29 (b) Nutrition services for all preschool children,
30 including, but not limited to, the Child Care Food Program and
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1 the Special Supplemental Food Program for Women, Infants, and
2 Children.
3 (c) Medical care for seriously medically impaired
4 preschool children.
5 (d) Cost-effective quality health care alternatives
6 for medically involved preschool children, in or near their
7 homes.
8 (7) EDUCATION, EARLY ASSISTANCE, AND RELATED SERVICES
9 FOR HIGH-RISK CHILDREN AND THEIR FAMILIES.--
10 (a) Early assistance, including, but not limited to,
11 developmental assistance programs, parent support and training
12 programs, and appropriate followup assistance services, for
13 handicapped and high-risk infants and their families.
14 (b) Special education and related services for
15 handicapped children.
16 (c) Education, early assistance, and related services
17 for high-risk children.
18 (d) Music therapy services for the purpose of
19 maximizing individual potential and preventing further
20 developmental delays for handicapped and high-risk infants and
21 children.
22 (8) SUPPORT SERVICES FOR ALL EXPECTANT PARENTS AND
23 PARENTS OF HIGH-RISK CHILDREN.--
24 (a) Nonmedical prenatal and support services for
25 pregnant teenagers and other high-risk pregnant women.
26 (b) Child care and early childhood programs,
27 including, but not limited to, subsidized child care, licensed
28 nonsubsidized child care, family day care homes, therapeutic
29 child care, Head Start, and preschool programs in public and
30 private schools.
31 (c) Parent education and counseling.
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1 (d) Transportation.
2 (e) Respite care, homemaker care, crisis management,
3 and other services that allow families of high-risk children
4 to maintain and provide quality care to their children at
5 home.
6 (f) Parent support groups, such as the community
7 resource mother or father program as established in s. 402.45,
8 the Florida First Start Program as established in s. 230.2303,
9 or parents as first teachers, to strengthen families and to
10 enable families of high-risk children to better meet their
11 needs.
12 (g) Utilization of the elderly, either as volunteers
13 or paid employees, to work with high-risk children.
14 (h) Utilization of high school and postsecondary
15 students as volunteers to work with high-risk children.
16 (9) MANAGEMENT SYSTEMS AND PROCEDURES.--
17 (a) Resource information systems on services and
18 programs available for families.
19 (b) Registry of high-risk newborns and newborns with
20 birth defects, which utilizes privacy safeguards for children
21 and parents who are subjects of the registry.
22 (c) Local registry of preschoolers with high-risk or
23 handicapping conditions, which utilizes privacy safeguards for
24 children and parents who are subjects of the registry.
25 (d) Information sharing system among the Department of
26 Children and Family Health and Rehabilitative Services, the
27 Department of Education, local education agencies, and other
28 appropriate entities, on children eligible for services.
29 Information may be shared when parental or guardian permission
30 has been given for release.
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1 (e) Well-baby insurance for preschoolers included in
2 the family policy coverage.
3 (f) Evaluation, to include:
4 1. Establishing child-centered and family-focused
5 goals and objectives for each element of the continuum.
6 2. Developing a system to report child and family
7 outcomes and program effectiveness for each element of the
8 continuum.
9 (g) Planning for continuation of services, to include:
10 1. Individual and family service plan by an
11 interdisciplinary team, for the transition from birth or the
12 earliest point of identification of a high-risk infant or
13 toddler into an early assistance, preschool program for
14 3-year-olds or 4-year-olds, or other appropriate programs.
15 2. Individual and family service plan by an
16 interdisciplinary team, for the transition of a high-risk
17 preschool child into a public or private school system.
18 Section 7. Paragraph (b) of subsection (3), paragraph
19 (a) of subsection (4), and subsection (6) of section 411.232,
20 Florida Statutes, are amended to read:
21 411.232 Children's Early Investment Program.--
22 (3) ESSENTIAL ELEMENTS.--
23 (b) While a flexible range of services is essential in
24 the implementation of this act, the following services shall
25 be considered the core group of services:
26 1. Adequate prenatal care;
27 2. Health services to the at-risk young children and
28 their families;
29 3. Infant and child care services;
30 4. Parenting skills training;
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1 5. Education or training opportunities appropriate for
2 the family; and
3 6. Economic support.
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5 Additional services may include, without limitation, alcohol
6 and drug abuse treatment, mental health services, music
7 therapy services for the purpose of maximizing individual
8 potential and preventing developmental delays, housing
9 assistance, transportation, and nutrition services.
10 (4) IMPLEMENTATION.--
11 (a) The Department of Children and Family Health and
12 Rehabilitative Services or its designee shall implement the
13 Children's Early Investment Program using the criteria
14 provided in this section. The department or its designee
15 shall evaluate and select the programs and sites to be funded
16 initially. The initial contract awards must be made no later
17 than January 15, 1990. No more than one of each of the
18 following prototypes may be selected among the first sites to
19 be funded:
20 1. A program based in a county health department;
21 2. A program based in an office of the Department of
22 Health and Rehabilitative Services;
23 3. A program based in a local school district;
24 4. A program based in a local board or council that is
25 responsible for coordinating and managing community resources
26 from revenue sources earmarked for helping children and
27 meeting their needs;
28 5. A program based in a local, public or private,
29 not-for-profit provider of services to children and their
30 families; and
31 6. A program based in a local government.
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1 (6) RULES FOR IMPLEMENTATION.--The Department of
2 Children and Family Health and Rehabilitative Services shall
3 adopt rules necessary to implement this section.
4 Section 8. This act shall take effect October 1, 1999.
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6 STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
COMMITTEE SUBSTITUTE FOR
7 Senate Bill 2120
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9 Allowing, rather than requiring, music therapy in the
prekindergarten early intervention program and in the brain
10 development activities for infants and toddlers.
11 Requires the interagency continuum of comprehensive services
be coordinated by the Departments of Education, Health, and
12 Children and Family Services.
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