CODING: Words stricken are deletions; words underlined are additions.
SENATE AMENDMENT
Bill No. CS for SB 1910
Amendment No.
CHAMBER ACTION
Senate House
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11 Senator Cowin moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 16, line 23, through
15 page 17, line 6, delete those lines
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17 and insert:
18 Section 7. Paragraph (f) of subsection (8) of section
19 39.402, Florida Statutes, is amended, and subsection (16) is
20 added to that section, to read:
21 39.402 Placement in a shelter.--
22 (8)
23 (f) At the shelter hearing, the department shall
24 inform the court of:
25 1. Any identified current or previous case plans
26 negotiated in any district with the parents or caregivers
27 under this chapter and problems associated with compliance;
28 2. Any adjudication of the parents or caregivers of
29 delinquency;
30 3. Any past or current injunction for protection from
31 domestic violence; and
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SENATE AMENDMENT
Bill No. CS for SB 1910
Amendment No.
1 4. All of the child's places of residence during the
2 prior 12 months.
3 (16) If a child is placed in a shelter pursuant to a
4 court order following a shelter hearing, the department shall
5 provide or cause to be provided an assessment of the child's
6 strengths and needs, and shall use the results of the
7 assessment to develop an initial case plan for the child, to
8 determine the child's ongoing placement, and to arrange for
9 services for the child and for support for the child's
10 caregiver. The initial case plan must be discussed with and
11 provided to the child's foster parent or other caregiver. In
12 each district, the department shall assess the feasibility of
13 deploying its child protective investigators in a manner that
14 focuses a portion of that workforce on the initial response to
15 a report, including the initial determination of risk through
16 the shelter hearing, if one is held, and that focuses another
17 portion of that workforce on the ongoing work of the
18 investigation which occurs after the shelter hearing.
19 Section 8. Paragraph (a) of subsection (1) of section
20 39.504, Florida Statutes, is amended to read:
21 39.504 Injunction pending disposition of petition;
22 penalty.--
23 (1)(a) When a petition for shelter placement or a
24 petition for dependency has been filed, or when a child
25 protective investigator has determined that a child can remain
26 safely in the child's own home only after injunctive relief
27 has been granted, or when a child has been taken into custody
28 and reasonable cause, as defined in paragraph (b), exists, the
29 court, upon the request of the department, a law enforcement
30 officer, the state attorney, or other responsible person, or
31 upon its own motion, shall have the authority to issue an
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SENATE AMENDMENT
Bill No. CS for SB 1910
Amendment No.
1 injunction to prevent any act of child abuse or any unlawful
2 sexual offense involving a child.
3 Section 9. Subsection (6) of section 39.507, Florida
4 Statutes, is amended to read:
5 39.507 Adjudicatory hearings; orders of
6 adjudication.--
7 (6) If the court finds that the child named in a
8 petition is dependent, but chooses not to withhold
9 adjudication or is prohibited from withholding adjudication,
10 it shall incorporate that finding in an order of adjudication
11 entered in the case, briefly stating the facts upon which the
12 finding is made, and the court shall thereafter have full
13 authority under this chapter to provide for the child as
14 adjudicated until the child reaches 18 years of age, unless
15 the court, in its discretion, relinquishes jurisdiction upon
16 its own order.
17 Section 10. Paragraph (e) of subsection (1) of section
18 383.011, Florida Statutes, is amended to read:
19 383.011 Administration of maternal and child health
20 programs.--
21 (1) The Department of Health is designated as the
22 state agency for:
23 (e) The department shall establish in each county
24 health department a Healthy Start Care Coordination Program in
25 which a care coordinator is responsible for receiving
26 screening reports and risk assessment reports from the Office
27 of Vital Statistics; conducting assessments as part of a
28 multidisciplinary team, where appropriate; providing technical
29 assistance to the district prenatal and infant care
30 coalitions; directing family outreach efforts; and
31 coordinating the provision of services within and outside the
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SENATE AMENDMENT
Bill No. CS for SB 1910
Amendment No.
1 department using the plan developed by the coalition. The care
2 coordination process must include, at a minimum, family
3 outreach workers and health paraprofessionals who will assist
4 in providing the following enhanced services to pregnant
5 women, infants, and their families that are determined to be
6 at potential risk by the department's screening instrument:
7 case finding or outreach; assessment of health, social,
8 environmental, and behavioral risk factors; case management
9 utilizing the family support plan; home visiting to support
10 the delivery of and participation in prenatal and infant
11 primary care services; childbirth and parenting education,
12 including encouragement of breastfeeding; counseling; and
13 social services, as appropriate. Family outreach workers may
14 include social work professionals or nurses with public health
15 education and counseling experience. Paraprofessionals may
16 include resource mothers and fathers, trained health aides,
17 and parent educators. The care coordination program shall be
18 developed in a coordinated, nonduplicative manner with the
19 Developmental Evaluation and Intervention Program of
20 Children's Medical Services, using the local assessment
21 findings and plans of the prenatal and infant care coalitions
22 and the programs and services established in chapter 411, Pub.
23 L. No. 99-457, and this chapter.
24 1. Families determined to be at potential risk based
25 on the thresholds established in the department's screening
26 instrument must be notified by the department of the
27 determination and recommendations for followup services. All
28 Medicaid-eligible families shall receive Early Periodic
29 Screening, Diagnosis and Treatment (EPSDT) Services of the
30 Florida Medicaid Program to help ensure continuity of care.
31 All other families identified at potential risk shall be
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SENATE AMENDMENT
Bill No. CS for SB 1910
Amendment No.
1 directed to seek additional health care followup visits as
2 provided under s. 627.6579. A family identified as a family at
3 potential risk is eligible for enhanced services under the
4 care coordination process within the resources allocated, if
5 it is not already receiving services from the Developmental
6 Evaluation and Intervention Program. The department shall
7 adopt rules regulating the assignment of family outreach
8 workers and paraprofessionals based on the thresholds
9 established in the department's risk assessment tool.
10 2. As part of the care coordination process, the
11 department must ensure that subsequent screenings are
12 conducted for those families identified as families at
13 potential risk. Procedures for subsequent screenings of all
14 infants and toddlers must be consistent with the established
15 periodicity schedule and the level of risk. Screening programs
16 must be conducted in accessible locations, such as child care
17 centers, local schools, teenage pregnancy programs, community
18 centers, and county health departments. Care coordination must
19 also include initiatives to provide immunizations in
20 accessible locations. Such initiatives must seek ways to
21 ensure that children not currently being served by
22 immunization efforts are reached.
23 3. The provision of services under this section must
24 be consistent with the provisions and plans established under
25 chapter 411, Pub. L. No. 99-457, and this chapter.
26 4. Contingent upon provision of a specific
27 appropriation, the department shall make funding available to
28 Healthy Start Coalitions for the development and
29 implementation of a Pregnant-And-In-Need (PAIN) public
30 awareness campaign targeting pregnant teens who are not
31 seeking prenatal care and may be at high risk of abandoning
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SENATE AMENDMENT
Bill No. CS for SB 1910
Amendment No.
1 their babies. The purpose of this campaign is to get prenatal
2 care and care coordination services to pregnant teens to
3 promote healthy newborns and to prevent the abandoning of
4 babies. The department will make funds available to the
5 Healthy Start Coalitions through a grant process. The
6 department will establish a statewide 1-800-PAIN hotline that
7 uses the current hotline for Healthy Start Coalition services.
8 The public awareness campaign funded through these grant funds
9 must include information on the PAIN hotline that pregnant
10 teens can use to receive counseling and access prenatal care
11 while remaining anonymous. The provision of funding for this
12 campaign must include an evaluation component on the impact of
13 each of the campaigns.
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15 (Redesignate subsequent sections.)
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19 And the title is amended as follows:
20 On page 2, line 11, after the first semicolon,
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22 insert:
23 providing for initial assessment after a
24 shelter hearing; amending s. 39.504, F.S.;
25 adding a condition for issuing an injunction;
26 amending s. 39.507, F.S.; revising provisions
27 governing the authority of courts to provide
28 for the child as adjudicated; amending s.
29 383.011, F.S.; providing for a campaign to help
30 certain pregnant teenagers;
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