Senate Bill 0340c2

CODING: Words stricken are deletions; words underlined are additions.



    Florida Senate - 2000                     CS for CS for SB 340

    By the Committees on Governmental Oversight and Productivity;
    Children and Families; and Senators Forman, Carlton and Grant




    302-1964-00

  1                      A bill to be entitled

  2         An act relating to human rights; creating s.

  3         402.164, F.S., and amending ss. 402.165,

  4         402.166, 402.167, F.S.; renaming the statewide

  5         and district human rights advocacy committees

  6         as the Florida statewide and local advocacy

  7         councils; providing legislative intent with

  8         respect to the duties and powers of the

  9         councils; defining the terms "client" and

10         "client services" as used in ss.

11         402.164-402.167, F.S.; providing for the duties

12         of the councils with respect to monitoring the

13         activities of, and investigating complaints

14         against, state agencies that provide client

15         services; revising council membership,

16         appointment, officers, and terms of service;

17         providing for revision of local council service

18         areas; providing statewide council staff with

19         select exempt service status; providing for

20         access to records of the state agencies subject

21         to council investigations; providing rulemaking

22         authority to such state agencies; amending ss.

23         39.001, 39.202, 39.302, 393.13, 394.459,

24         394.4595, 394.4597, 394.4598, 394.4599,

25         394.4615, 400.0067, 400.0089, 400.118, 400.141,

26         400.419, 400.428, 415.1034, 415.104, 415.1055,

27         415.106, 415.107, 430.04, F.S.; conforming

28         references; providing an effective date.

29

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

31

                                  1

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         Section 1.  Section 402.164, Florida Statutes, is

  2  created to read:

  3         402.164  Legislative intent; definition.--

  4         (1)(a)  It is the intent of the Legislature to use

  5  citizen volunteers as members of the Florida Statewide

  6  Advocacy Council and the Florida local advocacy councils, and

  7  to have volunteers operate a network of councils that shall,

  8  without interference by an executive agency, undertake to

  9  discover, monitor, investigate, and determine the presence of

10  conditions or individuals that constitute a threat to the

11  rights, health, safety, or welfare of persons who receive

12  services from state agencies.

13         (b)  It is the further intent of the Legislature that

14  the monitoring and investigation shall safeguard the health,

15  safety, and welfare of consumers of services provided by these

16  state agencies.

17         (2)  As used in ss. 402.164-402.167, the term:

18         (a)  "Client" means a client as defined in s. 393.063,

19  s. 394.67, s. 397.311, or s. 400.960, a forensic client or

20  client as defined in s. 916.106, a child or youth as defined

21  in s. 39.01, a child as defined in s. 827.01, a family as

22  defined in s. 414.0252, a participant as defined in s.

23  400.551, a resident as defined in s. 400.402, a Medicaid

24  recipient or recipient as defined in s. 409.901, a child

25  receiving childcare as defined in s. 402.302, a disabled adult

26  as defined in s. 410.032 or s. 410.603, or a victim as defined

27  in s. 39.01 or s. 415.102 as each definition applies within

28  its respective chapter.

29         (b)  "Client services" means services which are

30  provided to a client by a state agency or a service provider

31  operated, funded, or contracted by the state.

                                  2

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         Section 2.  Section 402.165, Florida Statutes, is

  2  amended to read:

  3         402.165  Florida Statewide Advocacy Council Statewide

  4  Human Rights Advocacy Committee; confidential records and

  5  meetings.--

  6         (1)  The There is created within the Department of

  7  Children and Family Services a Statewide Human Rights Advocacy

  8  Committee within the Department of Children and Family

  9  Services is redesignated as the Florida Statewide Advocacy

10  Council. Members of the council shall represent the interests

11  of clients who are served by state agencies that provide

12  client services. The Department of Children and Family

13  Services shall provide administrative support and service to

14  the statewide council committee to the extent requested by the

15  executive director within available resources.  The statewide

16  council is not Human Rights Advocacy Committee shall not be

17  subject to control, supervision, or direction by the

18  Department of Children and Family Services in the performance

19  of its duties.  The council committee shall consist of 15

20  residents of this state citizens, one from each service area

21  designated by the statewide council district of the Department

22  of Children and Family Services, who broadly represent the

23  interests of the public and the clients of the state agencies

24  that provide client services that department.  The members

25  shall be representative of four five groups of state residents

26  citizens as follows:  one provider who delivers elected public

27  official; two providers who deliver client services as defined

28  in s. 402.164(2); two or programs to clients of the Department

29  of Children and Family Services; four nonsalaried

30  representatives of nonprofit agencies or civic groups; four

31  representatives of health and rehabilitative services consumer

                                  3

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  groups who are currently receiving, or have received, client

  2  services from the Department of Children and Family Services

  3  within the past 4 years, at least one of whom must be a

  4  consumer of one or more client services; and two four

  5  residents of the state who do not represent any of the

  6  foregoing groups, one two of whom represents the represent

  7  health-related professions and one two of whom represents

  8  represent the legal profession.  In appointing the

  9  representative representatives of the health-related

10  professions, the appointing authority shall give priority of

11  consideration to a physician licensed under chapter 458 or

12  chapter 459; and, in appointing the representative

13  representatives of the legal profession, the appointing

14  authority shall give priority of consideration to a member in

15  good standing of The Florida Bar. Of the remaining members, no

16  more than one shall be an elected official; no more than one

17  shall be a health professional; no more than one shall be a

18  legal professional; no more than one shall be a provider; no

19  more than two shall be nonsalaried representatives of

20  nonprofit agencies or civic groups; and no more than one shall

21  be an individual whose primary area of interest, experience,

22  or expertise is a major client group of a client services

23  group that is not represented on the council at the time of

24  appointment. Except for the member who is an elected public

25  official, each member of the statewide council Human Rights

26  Advocacy Committee must have served as a member of a Florida

27  advocacy council, with priority consideration given to an

28  applicant who has served a full term on a local council

29  district human rights advocacy committee.  Persons related to

30  each other by consanguinity or affinity within the third

31

                                  4

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  degree may not serve on the statewide council Human Rights

  2  Advocacy Committee at the same time.

  3         (2)  Members of the statewide council Human Rights

  4  Advocacy Committee shall be appointed to serve terms of 4 3

  5  years. A member may not serve more than two full consecutive

  6  terms. The limitation on the number of terms a member may

  7  serve applies without regard to whether a term was served

  8  before or after October 1, 1989.

  9         (3)  If a member of the statewide council Human Rights

10  Advocacy Committee fails to attend two-thirds of the regular

11  council committee meetings during the course of a year, the

12  position held by the such member may be deemed vacant by the

13  council committee.  The Governor shall fill the vacancy

14  pursuant to subsection (4). If a member of the statewide

15  council violates Human Rights Advocacy Committee is in

16  violation of the provisions of this section or procedures

17  adopted under this section thereto, the council committee may

18  recommend to the Governor that the such member be removed.

19         (4)  The Governor shall fill each vacancy on the

20  statewide council Human Rights Advocacy Committee from a list

21  of nominees submitted by the statewide council committee.  A

22  list of candidates may shall be submitted to the statewide

23  council by the local council in the service area committee by

24  the district human rights advocacy committee in the district

25  from which the vacancy occurs.  Priority of consideration

26  shall be given to the appointment of an individual who is

27  receiving one or more client services and whose primary

28  interest, experience, or expertise lies with a major client

29  group that is of the Department of Children and Family

30  Services not represented on the council committee at the time

31  of the appointment.  If an appointment is not made within 60

                                  5

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  days after a vacancy occurs on the statewide council

  2  committee, the vacancy may shall be filled by a majority vote

  3  of the statewide council committee without further action by

  4  the Governor. A No person who is employed by any state agency

  5  in client the Department of Children and Family services may

  6  not be appointed to the statewide council committee.

  7         (5)(a)  Members of the statewide council Human Rights

  8  Advocacy Committee shall receive no compensation, but are

  9  shall be entitled to be reimbursed for per diem and travel

10  expenses in accordance with s. 112.061.

11         (b)  The council committee shall select an executive

12  director who shall serve at the pleasure of the council

13  committee and shall perform the duties delegated to him or her

14  by the council committee.  The compensation of the executive

15  director and staff shall be established in accordance with the

16  rules of the Selected Exempt Service.

17         (c)  The council committee may apply for, receive, and

18  accept grants, gifts, donations, bequests, and other payments

19  including money or property, real or personal, tangible or

20  intangible, and service from any governmental or other public

21  or private entity or person and make arrangements as to the

22  use of same.

23         (d)  The statewide council Human Rights Advocacy

24  Committee shall annually prepare a budget request that is not

25  to be changed shall not be subject to change by department

26  staff after it is approved by the council committee, but the

27  budget request shall be submitted to the Governor by the

28  department for transmittal to the Legislature.  The budget

29  shall include a request for funds to carry out the activities

30  of the statewide council and the local councils Human Rights

31

                                  6

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  Advocacy Committee and the district human rights advocacy

  2  committees.

  3         (6)  The members of the statewide council Human Rights

  4  Advocacy Committee shall elect a chair and a vice chair to

  5  terms chairperson to a term of 1 year.  A person may not serve

  6  as chair or vice chair chairperson for more than two full

  7  consecutive terms.

  8         (7)  The responsibilities of the statewide council

  9  committee include, but are not limited to:

10         (a)  Serving as an independent third-party mechanism

11  for protecting the constitutional and human rights of clients

12  within programs or facilities any client within a program or

13  facility operated, funded, or contracted licensed, or

14  regulated by any state agency that provides client the

15  Department of Children and Family services.

16         (b)  Monitoring by site visit and inspection of

17  records, the delivery and use of services, programs, or

18  facilities operated, funded, or contracted regulated, or

19  licensed by any state agency that provides client the

20  Department of Children and Family services, for the purpose of

21  preventing abuse or deprivation of the constitutional and

22  human rights of clients.  The statewide council Human Rights

23  Advocacy Committee may conduct an unannounced site visit or

24  monitoring visit that involves the inspection of records if

25  the such visit is conditioned upon a complaint.  A complaint

26  may be generated by the council committee itself if

27  information from any state agency that provides client

28  services or from the Department of Children and Family

29  Services or other sources indicates a situation at the program

30  or facility that indicates possible abuse or neglect or

31  deprivation of the constitutional and human rights of clients.

                                  7

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  The statewide council Human Rights Advocacy Committee shall

  2  establish and follow uniform criteria for the review of

  3  information and generation of complaints.  Routine program

  4  monitoring and reviews that do not require an examination of

  5  records may be made unannounced.

  6         (c)  Receiving, investigating, and resolving reports of

  7  abuse or deprivation of constitutional and human rights

  8  referred to the statewide council by a local council Human

  9  Rights Advocacy Committee by a district human rights advocacy

10  committee.  If a matter constitutes a threat to the life,

11  safety, or health of clients or is multidistrict in scope, the

12  statewide council Human Rights Advocacy Committee may exercise

13  such powers without the necessity of a referral from a local

14  council district committee.

15         (d)  Reviewing existing programs or services and new or

16  revised programs of the state agencies that provide client

17  Department of Children and Family services and making

18  recommendations as to how the rights of clients are affected.

19         (e)  Submitting an annual report to the Legislature, no

20  later than December 30 of each calendar year, concerning

21  activities, recommendations, and complaints reviewed or

22  developed by the council committee during the year.

23         (f)  Conducting meetings at least six times a year at

24  the call of the chair chairperson and at other times at the

25  call of the Governor or by written request of six members of

26  the council committee.

27         (g)  Developing and adopting uniform procedures to be

28  used to carry out the purpose and responsibilities of the

29  statewide council and the local councils human rights advocacy

30  committees, which procedures shall include, but need not be

31  limited to, the following:

                                  8

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         1.  The responsibilities of the statewide council and

  2  the local councils committee;

  3         2.  The organization and operation of the statewide

  4  council and the local councils committee and district

  5  committees, including procedures for replacing a member,

  6  formats for maintaining records of council committee

  7  activities, and criteria for determining what constitutes a

  8  conflict of interest for purposes of assigning and conducting

  9  investigations and monitoring;

10         3.  Uniform procedures for the statewide council and

11  the local councils relating to receiving and investigating

12  committee and district committees to receive and investigate

13  reports of abuse or deprivation of constitutional or human

14  rights;

15         4.  The responsibilities and relationship of the local

16  councils district human rights advocacy committees to the

17  statewide council committee;

18         5.  The relationship of the statewide council to the

19  state agencies that receive and investigate reports of abuse

20  and neglect of clients of state agencies committee to the

21  Department of Children and Family Services, including the way

22  in which reports of findings and recommendations related to

23  reported abuse or neglect are given to the appropriate state

24  agency that provides client Department of Children and Family

25  services;

26         6.  Provision for cooperation with the State Long-Term

27  Care Ombudsman Council;

28         7.  Procedures for appeal.  An appeal to the statewide

29  council state committee is made by a local council district

30  human rights advocacy committee when a valid complaint is not

31  resolved at the local district level.  The statewide council

                                  9

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  committee may appeal an unresolved complaint to the secretary

  2  or director of the appropriate state agency that provides

  3  client of the Department of Children and Family services. If,

  4  after exhausting all remedies, the statewide council committee

  5  is not satisfied that the complaint can be resolved within the

  6  state agency Department of Children and Family Services, the

  7  appeal may be referred to the Governor or the Legislature;

  8         8.  Uniform procedures for gaining access to and

  9  maintaining confidential information; and

10         9.  Definitions of misfeasance and malfeasance for

11  members of the statewide council and local councils committee

12  and district committees.

13         (h)  Monitoring the performance and activities of all

14  local councils district committees and providing technical

15  assistance to members and staff of local councils district

16  committees.

17         (i)  Providing for the development and presentation of

18  a standardized training program for members of local councils

19  district committees.

20         (8)(a)  In the performance of its duties, the statewide

21  council Human Rights Advocacy Committee shall have:

22         1.  Authority to receive, investigate, seek to

23  conciliate, hold hearings on, and act on complaints that which

24  allege any abuse or deprivation of constitutional or human

25  rights of persons who receive client services from any state

26  agency clients.

27         2.  Access to all client records, files, and reports

28  from any program, service, or facility that is operated,

29  funded, or contracted licensed, or regulated by any state

30  agency that provides client the Department of Children and

31  Family services and any records that which are material to its

                                  10

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  investigation and which are in the custody of any other agency

  2  or department of government.  The council's committee's

  3  investigation or monitoring shall not impede or obstruct

  4  matters under investigation by law enforcement agencies or

  5  judicial authorities.  Access shall not be granted if a

  6  specific procedure or prohibition for reviewing records is

  7  required by federal law and regulation that which supersedes

  8  state law. Access shall not be granted to the records of a

  9  private licensed practitioner who is providing services

10  outside the state agency, or outside a state facility,

11  agencies and facilities and whose client is competent and

12  refuses disclosure.

13         3.  Standing to petition the circuit court for access

14  to client records that which are confidential as specified by

15  law.  The petition shall state the specific reasons for which

16  the council committee is seeking access and the intended use

17  of such information.  The court may authorize council

18  committee access to such records upon a finding that such

19  access is directly related to an investigation regarding the

20  possible deprivation of constitutional or human rights or the

21  abuse of a client.  Original client files, records, and

22  reports shall not be removed from a state agency the

23  Department of Children and Family Services or agency

24  facilities.  Under no circumstance shall the council committee

25  have access to confidential adoption records once the adoption

26  is finalized by a court in accordance with the provisions of

27  ss. 39.0132, 63.022, and 63.162.  Upon completion of a general

28  investigation of practices and procedures of a state agency,

29  the statewide council the Department of Children and Family

30  Services, the committee shall report its findings to that

31  agency department.

                                  11

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         (b)  All information obtained or produced by the

  2  statewide council that committee which is made confidential by

  3  law, that which relates to the identity of any client or group

  4  of clients subject to the protections of this section, or that

  5  which relates to the identity of an individual who provides

  6  information to the council committee about abuse or about

  7  alleged violations of constitutional or human rights, is

  8  confidential and exempt from the provisions of s. 119.07(1)

  9  and s. 24(a), Art. I of the State Constitution.

10         (c)  Portions of meetings of the statewide council that

11  Human Rights Advocacy Committee which relate to the identity

12  of any client or group of clients subject to the protections

13  of this section, that which relate to the identity of an

14  individual who provides information to the council committee

15  about abuse or about alleged violations of constitutional or

16  human rights, or wherein testimony is provided relating to

17  records otherwise made confidential by law, are exempt from

18  the provisions of s. 286.011 and s. 24(b), Art. I of the State

19  Constitution.

20         (d)  All records prepared by members of the statewide

21  council that committee which reflect a mental impression,

22  investigative strategy, or theory are exempt from the

23  provisions of s. 119.07(1) and s. 24(a), Art. I of the State

24  Constitution until the investigation is completed or until the

25  investigation ceases to be active.  For purposes of this

26  section, an investigation is considered "active" while such

27  investigation is being conducted by the statewide council

28  committee with a reasonable, good faith belief that it may

29  lead to a finding of abuse or of a violation of human rights.

30  An investigation does not cease to be active so long as the

31  statewide council committee is proceeding with reasonable

                                  12

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  dispatch and there is a good faith belief that action may be

  2  initiated by the council committee or other administrative or

  3  law enforcement agency.

  4         (e)  Any person who knowingly and willfully discloses

  5  any such confidential information commits is guilty of a

  6  misdemeanor of the second degree, punishable as provided in s.

  7  775.082 or s. 775.083.

  8         Section 3.  Section 402.166, Florida Statutes, is

  9  amended to read:

10         402.166  Florida local advocacy councils District human

11  rights advocacy committees; confidential records and

12  meetings.--

13         (1)  Each At least one district human rights advocacy

14  committee within is created in each service area district of

15  the Department of Children and Family Services is redesignated

16  as the Florida Local Advocacy Council. The local councils are

17  district human rights advocacy committees shall be subject to

18  direction from and the supervision of the statewide council

19  Human Rights Advocacy Committee.  The Department of Children

20  and Family Services district administrator shall assign staff

21  to provide administrative support to the local councils

22  committees, and staff assigned to these positions shall

23  perform the functions required by the local councils committee

24  without interference from the department.  The local councils

25  district committees shall direct the activities of staff

26  assigned to them to the extent necessary for the local

27  councils committees to carry out their duties.  The number and

28  areas of responsibility of the local councils district human

29  rights advocacy committees, not to exceed 46 councils

30  statewide three in any district, shall be determined by the

31  statewide council and shall be consistent with judicial

                                  13

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  boundaries. Local councils majority vote of district committee

  2  members. However, district II may have four committees.

  3  District committees shall meet at facilities under their

  4  jurisdiction whenever possible.

  5         (2)  Each local council district human rights advocacy

  6  committee shall have no fewer than 7 members and no more than

  7  15 members, no more than 4 25 percent of whom are or have been

  8  recipients of one or more client clients of the Department of

  9  Children and Family services within the last 4 years, except

10  that one member of this group may be an immediate relative or

11  legal representative of a current or former client; two

12  providers, who deliver client services as defined in s.

13  402.164(2) or programs to clients of the Department of

14  Children and Family Services; and two representatives of

15  professional organizations, one of whom represents the

16  health-related professions and one of whom represents the

17  legal profession. Priority of consideration shall be given to

18  the appointment of at least one medical or osteopathic

19  physician, as defined in chapters 458 and 459, and one member

20  in good standing of The Florida Bar. Priority of consideration

21  shall also be given to the appointment of an individual who is

22  receiving client services and whose primary interest,

23  experience, or expertise lies with a major client group of the

24  Department of Children and Family Services not represented on

25  the committee at the time of the appointment.  In no case

26  shall A person who is employed in client services by any state

27  agency may not be appointed to the council. No more than three

28  by the Department of Children and Family Services be selected

29  as a member of a committee.  At no time shall individuals who

30  are providing contracted services for clients to any state

31  agency may serve on the same local council at the same time to

                                  14

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  the Department of Children and Family Services constitute more

  2  than 25 percent of the membership of a district committee.

  3  Persons related to each other by consanguinity or affinity

  4  within the third degree may shall not serve on the same local

  5  council district human rights advocacy committee at the same

  6  time.  All members of local councils district human rights

  7  advocacy committees must successfully complete a standardized

  8  training course for council committee members within 3 months

  9  after their appointment to a local council committee.  A

10  member may not be assigned to an investigation that which

11  requires access to confidential information prior to the

12  completion of the training course.  After he or she completes

13  the required training course, a member of a local council may

14  committee shall not be prevented from participating in any

15  activity of that local council committee, including

16  investigations and monitoring, except due to a conflict of

17  interest as described in the procedures established by the

18  statewide council Human Rights Advocacy Committee pursuant to

19  subsection (7).

20         (3)(a)  With respect to existing local councils

21  committees, each member shall serve a term of 4 years.  Upon

22  expiration of a term and in the case of any other vacancy, the

23  local council district committee shall appoint a replacement

24  by majority vote of the local council committee, subject to

25  the approval of the Governor.  A member may serve no more than

26  two full consecutive terms.

27         (b)1.  The Governor shall appoint the first four 4

28  members of any newly created local council committee; and

29  those four 4 members shall select the remaining 11 members,

30  subject to approval of the Governor.  If any of the first four

31  members are not appointed within 60 days after of a request is

                                  15

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  being submitted to the Governor, those members may shall be

  2  appointed by a majority vote of the statewide council district

  3  committee without further action by the Governor.

  4         2.  Members shall serve for no more than two full

  5  consecutive terms of 4 3 years, except that at the time of

  6  initial appointment, terms shall be staggered so that

  7  approximately one-half of the members first the first six

  8  members appointed shall serve for terms of 4 2 years and the

  9  remaining five members shall serve for terms of 2 3 years.

10  Vacancies shall be filled as provided in subparagraph 1.

11         (c)  If no action is taken by the Governor to approve

12  or disapprove a replacement of a member pursuant to this

13  subsection paragraph within 30 days after the local council

14  district committee has notified the Governor of the

15  appointment, then the appointment of the replacement may shall

16  be considered approved by the statewide council.

17         (d)  The limitation on the number of terms a member may

18  serve applies without regard to whether a term was served

19  before or after October 1, 1989.

20         (4)  Each local council committee shall elect a chair

21  and a vice chair chairperson for a term of 1 year.  A person

22  may not serve as chair or vice chair chairperson for more than

23  two consecutive terms.  The chair's and vice chair's terms

24  expire on September 30 of each year chairperson's term expires

25  on the anniversary of the chairperson's election.

26         (5)  If a local council In the event that a committee

27  member fails to attend two-thirds of the regular council

28  committee meetings during the course of a year, the local

29  council may it shall be the responsibility of the committee to

30  replace the such member.  If a member of a local council

31  violates this section district committee member is in

                                  16

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  violation of the provisions of this subsection or procedures

  2  adopted under this section, the local council thereto, a

  3  district committee may recommend to the Governor that the such

  4  member be removed.

  5         (6)  A member of a local council district committee

  6  shall receive no compensation but is shall receive per diem

  7  and shall be entitled to be reimbursed for per diem and travel

  8  expenses as provided in s. 112.061.  Members may be provided

  9  reimbursement for long-distance telephone calls if such calls

10  were necessary to an investigation of an abuse or deprivation

11  of constitutional or human rights.

12         (7)  A local council district human rights advocacy

13  committee shall first seek to resolve a complaint with the

14  appropriate local administration, agency, or program; any

15  matter not resolved by the local council district committee

16  shall be referred to the statewide council Human Rights

17  Advocacy Committee.  A local council district human rights

18  advocacy committee shall comply with appeal procedures

19  established by the statewide council Human Rights Advocacy

20  Committee.  The duties, actions, and procedures of both new

21  and existing local councils district human rights advocacy

22  committees shall conform to ss. 402.164-402.167 the provisions

23  of this act.  The duties of each local council district human

24  rights advocacy committee shall include, but are not limited

25  to:

26         (a)  Serving as an independent third-party mechanism

27  for protecting the constitutional and human rights of any

28  client within a program or facility operated, funded, or

29  contracted licensed, or regulated by a state agency providing

30  client the Department of Children and Family services.

31

                                  17

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         (b)  Monitoring by site visit and inspection of

  2  records, the delivery and use of services, programs, or

  3  facilities operated, funded, or contracted regulated or

  4  licensed by a state agency that provides client the Department

  5  of Children and Family services, for the purpose of preventing

  6  abuse or deprivation of the constitutional and human rights of

  7  clients.  A local council district human rights advocacy

  8  committee may conduct an unannounced site visit or monitoring

  9  visit that involves the inspection of records if the such

10  visit is conditioned upon a complaint.  A complaint may be

11  generated by the council committee itself if information from

12  a state agency that provides client the Department of Children

13  and Family services or from other sources indicates a

14  situation at the program or facility that indicates possible

15  abuse or neglect or deprivation of constitutional and human

16  rights of clients.  The local council district human rights

17  advocacy committees shall follow uniform criteria established

18  by the statewide council Human Rights Advocacy Committee for

19  the review of information and generation of complaints.

20  Routine program monitoring and reviews that do not require an

21  examination of records may be made unannounced.

22         (c)  Receiving, investigating, and resolving reports of

23  abuse or deprivation of constitutional and human rights.

24         (d)  Reviewing and making recommendations regarding how

25  a client's constitutional or human rights might be affected by

26  the client's participation in a proposed research project,

27  prior to implementation of the project recommendation with

28  respect to the involvement by clients of the Department of

29  Children and Family Services as subjects for research

30  projects, prior to implementation, insofar as their human

31  rights are affected.

                                  18

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         (e)  Reviewing existing programs or services and

  2  proposed new or revised programs of client the Department of

  3  Children and Family services and making recommendations as to

  4  how these programs and services affect or might affect the

  5  constitutional or human rights of clients are affected.

  6         (f)  Appealing to the statewide council state committee

  7  any complaint unresolved at the local district level.  Any

  8  matter that constitutes a threat to the life, safety, or

  9  health of a client or is multidistrict in scope shall

10  automatically be referred to the statewide council Human

11  Rights Advocacy Committee.

12         (g)  Submitting an annual report by September 30 to the

13  statewide council Human Rights Advocacy Committee concerning

14  activities, recommendations, and complaints reviewed or

15  developed by the council committee during the year.

16         (h)  Conducting meetings at least six times a year at

17  the call of the chair chairperson and at other times at the

18  call of the Governor, at the call of the statewide council

19  Human Rights Advocacy Committee, or by written request of a

20  majority of the members of the council committee.

21         (8)(a)  In the performance of its duties, a local

22  council district human rights advocacy committee shall have:

23         1.  Access to all client records, files, and reports

24  from any program, service, or facility that is operated,

25  funded, or contracted licensed, or regulated by any state

26  agency that provides client the Department of Children and

27  Family services and any records that which are material to its

28  investigation and which are in the custody of any other agency

29  or department of government.  The council's committee's

30  investigation or monitoring shall not impede or obstruct

31  matters under investigation by law enforcement agencies or

                                  19

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  judicial authorities. Access shall not be granted if a

  2  specific procedure or prohibition for reviewing records is

  3  required by federal law and regulation that which supersedes

  4  state law.  Access shall not be granted to the records of a

  5  private licensed practitioner who is providing services

  6  outside state agencies and facilities and whose client is

  7  competent and refuses disclosure.

  8         2.  Standing to petition the circuit court for access

  9  to client records that which are confidential as specified by

10  law.  The petition shall state the specific reasons for which

11  the council committee is seeking access and the intended use

12  of such information.  The court may authorize committee access

13  to such records upon a finding that such access is directly

14  related to an investigation regarding the possible deprivation

15  of constitutional or human rights or the abuse of a client.

16  Original client files, records, and reports shall not be

17  removed from a state agency Department of Children and Family

18  Services or agency facilities.  Upon no circumstances shall

19  the council committee have access to confidential adoption

20  records once the adoption is finalized in court in accordance

21  with the provisions of ss. 39.0132, 63.022, and 63.162. Upon

22  completion of a general investigation of practices and

23  procedures followed by a state agency in providing client of

24  the Department of Children and Family services, the council

25  committee shall report its findings to the appropriate state

26  agency that department.

27         (b)  All information obtained or produced by a local

28  council that the committee which is made confidential by law,

29  that which relates to the identity of any client or group of

30  clients subject to the protection of this section, or that

31  which relates to the identity of an individual who provides

                                  20

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  information to the council committee about abuse or about

  2  alleged violations of constitutional or human rights, is

  3  confidential and exempt from the provisions of s. 119.07(1)

  4  and s. 24(a), Art. I of the State Constitution.

  5         (c)  Portions of meetings of a local council that

  6  district human rights advocacy committee which relate to the

  7  identity of any client or group of clients subject to the

  8  protections of this section, that which relate to the identity

  9  of an individual who provides information to the council

10  committee about abuse or about alleged violations of

11  constitutional or human rights, or wherein testimony is

12  provided relating to records otherwise made confidential by

13  law, are exempt from the provisions of s. 286.011 and s.

14  24(b), Art. I of the State Constitution.

15         (d)  All records prepared by members of a local council

16  that the committee which reflect a mental impression,

17  investigative strategy, or theory are exempt from the

18  provisions of s. 119.07(1) and s. 24(a), Art. I of the State

19  Constitution until the investigation is completed or until the

20  investigation ceases to be active.  For purposes of this

21  section, an investigation is considered "active" while such

22  investigation is being conducted by a local council the

23  committee with a reasonable, good faith belief that it may

24  lead to a finding of abuse or of a violation of constitutional

25  or human rights.  An investigation does not cease to be active

26  so long as the council committee is proceeding with reasonable

27  dispatch and there is a good faith belief that action may be

28  initiated by the council committee or other administrative or

29  law enforcement agency.

30         (e)  Any person who knowingly and willfully discloses

31  any such confidential information commits is guilty of a

                                  21

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  misdemeanor of the second degree, punishable as provided in s.

  2  775.082 or s. 775.083.

  3         Section 4.  Section 402.167, Florida Statutes, is

  4  amended to read:

  5         402.167  Duties of state agencies that provide client

  6  services relating to the Florida Statewide Advocacy Council

  7  and the Florida local advocacy councils Department duties

  8  relating to the Statewide Human Rights Advocacy Committee and

  9  the District Human Rights Advocacy Committees.--

10         (1)  Each state agency that provides client The

11  Department of Children and Family services shall adopt rules

12  that which are consistent with law, amended to reflect any

13  statutory changes, and that which rules address at least the

14  following:

15         (a)  Procedures by which Department of Children and

16  Family Services district staff of state agencies refer reports

17  of abuse of clients to the Florida local advocacy councils

18  district human rights advocacy committees.

19         (b)  Procedures by which client information is made

20  available to members of the Florida Statewide Advocacy Council

21  and the Florida local advocacy councils Human Rights Advocacy

22  Committee and the district human rights advocacy committees.

23         (c)  Procedures by which recommendations made by the

24  statewide and local councils human rights advocacy committees

25  will be incorporated into Department of Children and Family

26  Services policies and procedures of the state agencies.

27         (d)  Procedures by which committee members are

28  reimbursed for authorized expenditures.

29         (2)  The Department of Children and Family Services

30  shall provide for the location of local councils in area

31  district human rights advocacy committees in district

                                  22

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  headquarters offices and shall provide necessary equipment and

  2  office supplies, including, but not limited to, clerical and

  3  word processing services, photocopiers, telephone services,

  4  and stationery and other necessary supplies, and shall

  5  establish the procedures by which council members are

  6  reimbursed for authorized expenditures.

  7         (3)  The secretaries or directors of the state agencies

  8  secretary shall ensure the full cooperation and assistance of

  9  employees of their respective state agencies the Department of

10  Children and Family Services with members and staff of the

11  statewide and local councils human rights advocacy committees.

12  Further, the Secretary of Children and Family Services shall

13  ensure that, to the extent possible, staff assigned to the

14  statewide council and local councils Human Rights Advocacy

15  Committees and District Human Rights Advocacy Committees are

16  free of interference from or control by the department in

17  performing their duties relative to those councils committees.

18         Section 5.  Paragraph (a) of subsection (7) of section

19  39.001, Florida Statutes, is amended to read:

20         39.001  Purposes and intent; personnel standards and

21  screening.--

22         (7)  PLAN FOR COMPREHENSIVE APPROACH.--

23         (a)  The department shall develop a state plan for the

24  prevention of abuse, abandonment, and neglect of children and

25  shall submit the plan to the Speaker of the House of

26  Representatives, the President of the Senate, and the Governor

27  no later than January 1, 1983. The Department of Education and

28  the Division of Children's Medical Services of the Department

29  of Health shall participate and fully cooperate in the

30  development of the state plan at both the state and local

31  levels. Furthermore, appropriate local agencies and

                                  23

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  organizations shall be provided an opportunity to participate

  2  in the development of the state plan at the local level.

  3  Appropriate local groups and organizations shall include, but

  4  not be limited to, community mental health centers; guardian

  5  ad litem programs for children under the circuit court; the

  6  school boards of the local school districts; the Florida local

  7  advocacy councils the district human rights advocacy

  8  committees; private or public organizations or programs with

  9  recognized expertise in working with children who are sexually

10  abused, physically abused, emotionally abused, abandoned, or

11  neglected and with expertise in working with the families of

12  such children; private or public programs or organizations

13  with expertise in maternal and infant health care;

14  multidisciplinary child protection teams; child day care

15  centers; law enforcement agencies, and the circuit courts,

16  when guardian ad litem programs are not available in the local

17  area.  The state plan to be provided to the Legislature and

18  the Governor shall include, as a minimum, the information

19  required of the various groups in paragraph (b).

20         Section 6.  Paragraph (k) of subsection (2) of section

21  39.202, Florida Statutes, is amended to read:

22         39.202  Confidentiality of reports and records in cases

23  of child abuse or neglect.--

24         (2)  Access to such records, excluding the name of the

25  reporter which shall be released only as provided in

26  subsection (4), shall be granted only to the following

27  persons, officials, and agencies:

28         (k)  Any appropriate official of a Florida advocacy

29  council the human rights advocacy committee investigating a

30  report of known or suspected child abuse, abandonment, or

31  neglect, the Auditor General for the purpose of conducting

                                  24

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  preliminary or compliance reviews pursuant to s. 11.45, or the

  2  guardian ad litem for the child.

  3         Section 7.  Subsection (4) of section 39.302, Florida

  4  Statutes, is amended to read:

  5         39.302  Protective investigations of institutional

  6  child abuse, abandonment, or neglect.--

  7         (4)  The department shall notify the Florida local

  8  advocacy council human rights advocacy committee in the

  9  appropriate district of the department as to every report of

10  institutional child abuse, abandonment, or neglect in the

11  district in which a client of the department is alleged or

12  shown to have been abused, abandoned, or neglected, which

13  notification shall be made within 48 hours after the

14  department commences its investigation.

15         Section 8.  Paragraphs (g) and (i) of subsection (4)

16  and subsection (7) of section 393.13, Florida Statutes, are

17  amended to read:

18         393.13  Personal treatment of persons who are

19  developmentally disabled.--

20         (4)  CLIENT RIGHTS.--For purposes of this subsection,

21  the term "client," as defined in s. 393.063, shall also

22  include any person served in a facility licensed pursuant to

23  s. 393.067.

24         (g)  No client shall be subjected to a treatment

25  program to eliminate bizarre or unusual behaviors without

26  first being examined by a physician who in his or her best

27  judgment determines that such behaviors are not organically

28  caused.

29         1.  Treatment programs involving the use of noxious or

30  painful stimuli shall be prohibited.

31

                                  25

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         2.  All alleged violations of this paragraph shall be

  2  reported immediately to the chief administrative officer of

  3  the facility or the district administrator, the department

  4  head, and the Florida local advocacy council district human

  5  rights advocacy committee.  A thorough investigation of each

  6  incident shall be conducted and a written report of the

  7  finding and results of such investigation shall be submitted

  8  to the chief administrative officer of the facility or the

  9  district administrator and to the department head within 24

10  hours of the occurrence or discovery of the incident.

11         3.  The department shall promulgate by rule a system

12  for the oversight of behavioral programs.  Such system shall

13  establish guidelines and procedures governing the design,

14  approval, implementation, and monitoring of all behavioral

15  programs involving clients.  The system shall ensure statewide

16  and local review by committees of professionals certified as

17  behavior analysts pursuant to s. 393.17.  No behavioral

18  program shall be implemented unless reviewed according to the

19  rules established by the department under this section.

20  Nothing stated in this section shall prohibit the review of

21  programs by the Florida statewide or local advocacy councils

22  district human rights advocacy committee.

23         (i)  Clients shall have the right to be free from

24  unnecessary physical, chemical, or mechanical restraint.

25  Restraints shall be employed only in emergencies or to protect

26  the client from imminent injury to himself or herself or

27  others.  Restraints shall not be employed as punishment, for

28  the convenience of staff, or as a substitute for a

29  habilitative plan.  Restraints shall impose the least possible

30  restrictions consistent with their purpose and shall be

31  removed when the emergency ends.  Restraints shall not cause

                                  26

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  physical injury to the client and shall be designed to allow

  2  the greatest possible comfort.

  3         1.  Mechanical supports used in normative situations to

  4  achieve proper body position and balance shall not be

  5  considered restraints, but shall be prescriptively designed

  6  and applied under the supervision of a qualified professional

  7  with concern for principles of good body alignment,

  8  circulation, and allowance for change of position.

  9         2.  Totally enclosed cribs and barred enclosures shall

10  be considered restraints.

11         3.  Daily reports on the employment of physical,

12  chemical, or mechanical restraints by those specialists

13  authorized in the use of such restraints shall be made to the

14  appropriate chief administrator of the facility, and a monthly

15  summary of such reports shall be relayed to the district

16  administrator and the Florida local advocacy council district

17  human rights advocacy committee.  The reports shall summarize

18  all such cases of restraints, the type used, the duration of

19  usage, and the reasons therefor.  Districts shall submit

20  districtwide quarterly reports of these summaries to the state

21  Developmental Services Program Office.

22         4.  The department shall post a copy of the rules

23  promulgated under this section in each living unit of

24  residential facilities.  A copy of the rules promulgated under

25  this section shall be given to all staff members of licensed

26  facilities and made a part of all preservice and inservice

27  training programs.

28         (7)  RESIDENT GOVERNMENT.--Each residential facility

29  providing services to clients who are desirous and capable of

30  participating shall initiate and develop a program of resident

31  government to hear the views and represent the interests of

                                  27

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  all clients served by the facility.  The resident government

  2  shall be composed of residents elected by other residents,

  3  staff advisers skilled in the administration of community

  4  organizations, and a representative of the Florida local

  5  advocacy council district human rights advocacy committee. The

  6  resident government shall work closely with the Florida local

  7  advocacy council district human rights advocacy committee and

  8  the district administrator to promote the interests and

  9  welfare of all residents in the facility.

10         Section 9.  Paragraph (c) of subsection (5) and

11  subsection (12) of section 394.459, Florida Statutes, are

12  amended to read:

13         394.459  Rights of patients.--

14         (5)  COMMUNICATION, ABUSE REPORTING, AND VISITS.--

15         (c)  Each facility must permit immediate access to any

16  patient, subject to the patient's right to deny or withdraw

17  consent at any time, by the patient's family members,

18  guardian, guardian advocate, representative, Florida statewide

19  or local advocacy council human rights advocacy committee, or

20  attorney, unless such access would be detrimental to the

21  patient.  If a patient's right to communicate or to receive

22  visitors is restricted by the facility, written notice of such

23  restriction and the reasons for the restriction shall be

24  served on the patient, the patient's attorney, and the

25  patient's guardian, guardian advocate, or representative; and

26  such restriction shall be recorded on the patient's clinical

27  record with the reasons therefor.  The restriction of a

28  patient's right to communicate or to receive visitors shall be

29  reviewed at least every 7 days.  The right to communicate or

30  receive visitors shall not be restricted as a means of

31

                                  28

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  punishment.  Nothing in this paragraph shall be construed to

  2  limit the provisions of paragraph (d).

  3         (12)  POSTING OF NOTICE OF RIGHTS OF PATIENTS.--Each

  4  facility shall post a notice listing and describing, in the

  5  language and terminology that the persons to whom the notice

  6  is addressed can understand, the rights provided in this

  7  section.  This notice shall include a statement that

  8  provisions of the federal Americans with Disabilities Act

  9  apply and the name and telephone number of a person to contact

10  for further information.  This notice shall be posted in a

11  place readily accessible to patients and in a format easily

12  seen by patients.  This notice shall include the telephone

13  numbers of the Florida local advocacy council local human

14  rights advocacy committee and Advocacy Center for Persons with

15  Disabilities, Inc.

16         Section 10.  Section 394.4595, Florida Statutes, is

17  amended to read:

18         394.4595  Florida statewide and local advocacy

19  councils; Human Rights Advocacy Committee access to patients

20  and records.--Any facility designated by the department as a

21  receiving or treatment facility must allow access to any

22  patient and the clinical and legal records of any patient

23  admitted pursuant to the provisions of this act by members of

24  the Florida statewide and local advocacy councils Human Rights

25  Advocacy Committee.

26         Section 11.  Paragraph (d) of subsection (2) of section

27  394.4597, Florida Statutes, is amended to read:

28         394.4597  Persons to be notified; patient's

29  representative.--

30         (2)  INVOLUNTARY PATIENTS.--

31

                                  29

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         (d)  When the receiving or treatment facility selects a

  2  representative, first preference shall be given to a health

  3  care surrogate, if one has been previously selected by the

  4  patient.  If the patient has not previously selected a health

  5  care surrogate, the selection, except for good cause

  6  documented in the patient's clinical record, shall be made

  7  from the following list in the order of listing:

  8         1.  The patient's spouse.

  9         2.  An adult child of the patient.

10         3.  A parent of the patient.

11         4.  The adult next of kin of the patient.

12         5.  An adult friend of the patient.

13         6.  The appropriate Florida local advocacy council

14  human rights advocacy committee as provided in s. 402.166.

15         Section 12.  Subsection (1) of section 394.4598,

16  Florida Statutes, is amended to read:

17         394.4598  Guardian advocate.--

18         (1)  The administrator may petition the court for the

19  appointment of a guardian advocate based upon the opinion of a

20  psychiatrist that the patient is incompetent to consent to

21  treatment. If the court finds that a patient is incompetent to

22  consent to treatment and has not been adjudicated

23  incapacitated and a guardian with the authority to consent to

24  mental health treatment appointed, it shall appoint a guardian

25  advocate. The patient has the right to have an attorney

26  represent him or her at the hearing. If the person is

27  indigent, the court shall appoint the office of the public

28  defender to represent him or her at the hearing. The patient

29  has the right to testify, cross-examine witnesses, and present

30  witnesses. The proceeding shall be recorded either

31  electronically or stenographically, and testimony shall be

                                  30

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  provided under oath. One of the professionals authorized to

  2  give an opinion in support of a petition for involuntary

  3  placement, as described in s. 394.467(2), must testify. A

  4  guardian advocate must meet the qualifications of a guardian

  5  contained in part IV of chapter 744, except that a

  6  professional referred to in this part, an employee of the

  7  facility providing direct services to the patient under this

  8  part, a departmental employee, a  facility administrator, or

  9  member of the Florida local advocacy council district human

10  rights advocacy committee shall not be appointed. A person who

11  is appointed as a guardian advocate must agree to the

12  appointment.

13         Section 13.  Paragraph (b) of subsection (2) of section

14  394.4599, Florida Statutes, is amended to read:

15         394.4599  Notice.--

16         (2)  INVOLUNTARY PATIENTS.--

17         (b)  A receiving facility shall give prompt notice of

18  the whereabouts of a patient who is being involuntarily held

19  for examination, by telephone or in person within 24 hours

20  after the patient's arrival at the facility, unless the

21  patient requests that no notification be made.  Contact

22  attempts shall be documented in the patient's clinical record

23  and shall begin as soon as reasonably possible after the

24  patient's arrival.  Notice that a patient is being admitted as

25  an involuntary patient shall be given to the Florida local

26  advocacy council local human rights advocacy committee no

27  later than the next working day after the patient is admitted.

28         Section 14.  Subsection (5) of section 394.4615,

29  Florida Statutes, is amended to read:

30         394.4615  Clinical records; confidentiality.--

31

                                  31

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         (5)  Information from clinical records may be used by

  2  the Agency for Health Care Administration, the department, and

  3  the Florida advocacy councils human rights advocacy committees

  4  for the purpose of monitoring facility activity and complaints

  5  concerning facilities.

  6         Section 15.  Paragraph (g) of subsection (2) of section

  7  400.0067, Florida Statutes, is amended to read:

  8         400.0067  Establishment of State Long-Term Care

  9  Ombudsman Council; duties; membership.--

10         (2)  The State Long-Term Care Ombudsman Council shall:

11         (g)  Enter into a cooperative agreement with the

12  Florida statewide and local advocacy councils district human

13  rights advocacy committees for the purpose of coordinating

14  advocacy services provided to residents of long-term care

15  facilities.

16         Section 16.  Section 400.0089, Florida Statutes, is

17  amended to read:

18         400.0089  Agency reports.--The State Long-Term Care

19  Ombudsman Council, shall, in cooperation with the Department

20  of Elderly Affairs, maintain a statewide uniform reporting

21  system to collect and analyze data relating to complaints and

22  conditions in long-term care facilities and to residents, for

23  the purpose of identifying and resolving significant problems.

24  The council shall submit such data as part of its annual

25  report required pursuant to s. 400.0067(2)(h) to the Agency

26  for Health Care Administration, the Department of Children and

27  Family Services, the Florida Statewide Advocacy Council

28  Statewide Human Rights Advocacy Committee, the Advocacy Center

29  for Persons with Disabilities, the Commissioner for the United

30  States Administration on Aging, the National Ombudsman

31

                                  32

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  Resource Center, and any other state or federal entities that

  2  the ombudsman determines appropriate.

  3         Section 17.  Paragraph (a) of subsection (2) of section

  4  400.118, Florida Statutes, is amended to read:

  5         400.118  Quality assurance; early warning system;

  6  monitoring; rapid response teams.--

  7         (2)(a)  The agency shall establish within each district

  8  office one or more quality-of-care monitors, based on the

  9  number of nursing facilities in the district, to monitor all

10  nursing facilities in the district on a regular, unannounced,

11  aperiodic basis, including nights, evenings, weekends, and

12  holidays. Priority for monitoring visits shall be given to

13  nursing facilities with a history of patient care

14  deficiencies. Quality-of-care monitors shall be registered

15  nurses who are trained and experienced in nursing facility

16  regulation, standards of practice in long-term care, and

17  evaluation of patient care. Individuals in these positions

18  shall not be deployed by the agency as a part of the district

19  survey team in the conduct of routine, scheduled surveys, but

20  shall function solely and independently as quality-of-care

21  monitors. Quality-of-care monitors shall assess the overall

22  quality of life in the nursing facility and shall assess

23  specific conditions in the facility directly related to

24  patient care. The quality-of-care monitor shall include in an

25  assessment visit observation of the care and services rendered

26  to residents and formal and informal interviews with

27  residents, family members, facility staff, resident guests,

28  volunteers, other regulatory staff, and representatives of a

29  long-term care ombudsman council or Florida advocacy council

30  human rights advocacy committee.

31

                                  33

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         Section 18.  Subsection (13) of section 400.141,

  2  Florida Statutes, is amended to read:

  3         400.141  Administration and management of nursing home

  4  facilities.--Every licensed facility shall comply with all

  5  applicable standards and rules of the agency and shall:

  6         (13)  Publicly display a poster provided by the agency

  7  containing the names, addresses, and telephone numbers for the

  8  state's abuse hotline, the State Long-Term Care Ombudsman, the

  9  Agency for Health Care Administration consumer hotline, the

10  Advocacy Center for Persons with Disabilities, the Florida

11  Statewide Advocacy Council Statewide Human Rights Advocacy

12  Committee, and the Medicaid Fraud Control Unit, with a clear

13  description of the assistance to be expected from each.

14

15  Facilities that have been awarded a Gold Seal under the

16  program established in s. 400.235 may develop a plan to

17  provide certified nursing assistant training as prescribed by

18  federal regulations and state rules and may apply to the

19  agency for approval of its program.

20         Section 19.  Subsection (13) of section 400.419,

21  Florida Statutes, is amended to read:

22         400.419  Violations; administrative fines.--

23         (13)  The agency shall develop and disseminate an

24  annual list of all facilities sanctioned or fined $5,000 or

25  more for violations of state standards, the number and class

26  of violations involved, the penalties imposed, and the current

27  status of cases. The list shall be disseminated, at no charge,

28  to the Department of Elderly Affairs, the Department of

29  Health, the Department of Children and Family Services, the

30  area agencies on aging, the Florida Statewide Advocacy Council

31  Statewide Human Rights Advocacy Committee, and the state and

                                  34

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  district nursing home ombudsman councils. The Department of

  2  Children and Family Services shall disseminate the list to

  3  service providers under contract to the department who are

  4  responsible for referring persons to a facility for residency.

  5  The agency may charge a fee commensurate with the cost of

  6  printing and postage to other interested parties requesting a

  7  copy of this list.

  8         Section 20.  Subsection (2) of section 400.428, Florida

  9  Statutes, is amended to read:

10         400.428  Resident bill of rights.--

11         (2)  The administrator of a facility shall ensure that

12  a written notice of the rights, obligations, and prohibitions

13  set forth in this part is posted in a prominent place in each

14  facility and read or explained to residents who cannot read.

15  This notice shall include the name, address, and telephone

16  numbers of the district ombudsman council and adult abuse

17  registry and, when applicable, the Advocacy Center for Persons

18  with Disabilities, Inc., and the Florida local advocacy

19  council district human rights advocacy committee, where

20  complaints may be lodged.  The facility must ensure a

21  resident's access to a telephone to call the district

22  ombudsman council, adult abuse registry, Advocacy Center for

23  Persons with Disabilities, Inc., and the Florida local

24  advocacy council district human rights advocacy committee.

25         Section 21.  Paragraph (a) of subsection (1) of section

26  415.1034, Florida Statutes, is amended to read:

27         415.1034  Mandatory reporting of abuse, neglect, or

28  exploitation of disabled adults or elderly persons; mandatory

29  reports of death.--

30         (1)  MANDATORY REPORTING.--

31         (a)  Any person, including, but not limited to, any:

                                  35

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         1.  Physician, osteopathic physician, medical examiner,

  2  chiropractic physician, nurse, or hospital personnel engaged

  3  in the admission, examination, care, or treatment of disabled

  4  adults or elderly persons;

  5         2.  Health professional or mental health professional

  6  other than one listed in subparagraph 1.;

  7         3.  Practitioner who relies solely on spiritual means

  8  for healing;

  9         4.  Nursing home staff; assisted living facility staff;

10  adult day care center staff; adult family-care home staff;

11  social worker; or other professional adult care, residential,

12  or institutional staff;

13         5.  State, county, or municipal criminal justice

14  employee or law enforcement officer;

15         6.  Florida advocacy council member Human rights

16  advocacy committee or long-term care ombudsman council member;

17  or

18         7.  Bank, savings and loan, or credit union officer,

19  trustee, or employee,

20

21  who knows, or has reasonable cause to suspect, that a disabled

22  adult or an elderly person has been or is being abused,

23  neglected, or exploited shall immediately report such

24  knowledge or suspicion to the central abuse registry and

25  tracking system on the single statewide toll-free telephone

26  number.

27         Section 22.  Subsection (1) of section 415.104, Florida

28  Statutes, is amended to read:

29         415.104  Protective services investigations of cases of

30  abuse, neglect, or exploitation of aged persons or disabled

31  adults; transmittal of records to state attorney.--

                                  36

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         (1)  The department shall, upon receipt of a report

  2  alleging abuse, neglect, or exploitation of an aged person or

  3  disabled adult, commence, or cause to be commenced within 24

  4  hours, a protective services investigation of the facts

  5  alleged therein. If, upon arrival of the protective

  6  investigator at the scene of the incident, a caregiver refuses

  7  to allow the department to begin a protective services

  8  investigation or interferes with the department's ability to

  9  conduct such an investigation, the appropriate law enforcement

10  agency shall be contacted to assist the department in

11  commencing the protective services investigation. If, during

12  the course of the investigation, the department has reason to

13  believe that the abuse, neglect, or exploitation is

14  perpetrated by a second party, the appropriate criminal

15  justice agency and state attorney shall be orally notified in

16  order that such agencies may begin a criminal investigation

17  concurrent with the protective services investigation of the

18  department.  In an institutional investigation, the alleged

19  perpetrator may be represented by an attorney, at his or her

20  own expense, or accompanied by another person, if the person

21  or the attorney executes an affidavit of understanding with

22  the department and agrees to comply with the confidentiality

23  provisions of s. 415.107. The absence of an attorney or other

24  person does not prevent the department from proceeding with

25  other aspects of the investigation, including interviews with

26  other persons.  The department shall make a preliminary

27  written report to the criminal justice agencies within 5

28  working days after the oral report.  The department shall,

29  within 24 hours after receipt of the report, notify the

30  appropriate Florida local advocacy council human rights

31  advocacy committee, or long-term care ombudsman council, when

                                  37

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  appropriate, that an alleged abuse, neglect, or exploitation

  2  perpetrated by a second party has occurred.  Notice to the

  3  Florida local advocacy council human rights advocacy committee

  4  or long-term care ombudsman council may be accomplished orally

  5  or in writing and shall include the name and location of the

  6  aged person or disabled adult alleged to have been abused,

  7  neglected, or exploited and the nature of the report.  For

  8  each report it receives, the department shall perform an

  9  onsite investigation to:

10         (a)  Determine that the person is an aged person or

11  disabled adult as defined in s. 415.102.

12         (b)  Determine the composition of the family or

13  household, including the name, address, date of birth, social

14  security number, sex, and race of each aged person or disabled

15  adult named in the report; any others in the household or in

16  the care of the caregiver, or any other persons responsible

17  for the aged person's or disabled adult's welfare; and any

18  other adults in the same household.

19         (c)  Determine whether there is an indication that any

20  aged person or disabled adult is abused, neglected, or

21  exploited, including a determination of harm or threatened

22  harm to any aged person or disabled adult; the nature and

23  extent of present or prior injuries, abuse, or neglect, and

24  any evidence thereof; and a determination as to the person or

25  persons apparently responsible for the abuse, neglect, or

26  exploitation, including the name, address, date of birth,

27  social security number, sex, and race of each person to be

28  classified as an alleged perpetrator in a proposed confirmed

29  report.  An alleged perpetrator named in a proposed confirmed

30  report of abuse, neglect, or exploitation shall cooperate in

31

                                  38

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  the provision of the required data for the central abuse

  2  registry and tracking system to the fullest extent possible.

  3         (d)  Determine the immediate and long-term risk to each

  4  aged person or disabled adult through utilization of

  5  standardized risk assessment instruments.

  6         (e)  Determine the protective, treatment, and

  7  ameliorative services necessary to safeguard and ensure the

  8  aged person's or disabled adult's well-being and cause the

  9  delivery of those services through the early intervention of

10  the departmental worker responsible for service provision and

11  management of identified services.

12         Section 23.  Paragraphs (a) and (i) of subsection (1)

13  of section 415.1055, Florida Statutes, are amended to read:

14         415.1055  Notification to administrative entities,

15  subjects, and reporters; notification to law enforcement and

16  state attorneys.--

17         (1)  NOTIFICATION TO ADMINISTRATIVE ENTITIES.--

18         (a)  The department shall, within 24 hours after

19  receipt of a report of abuse, neglect, or exploitation of a

20  disabled adult or an elderly person within a facility,

21  excluding Saturdays, Sundays, and legal holidays, notify the

22  appropriate Florida local advocacy council human rights

23  advocacy committee and the long-term care ombudsman council,

24  in writing, that the department has reasonable cause to

25  believe that a disabled adult or an elderly person has been

26  abused, neglected, or exploited at the facility.

27         (i)  At the conclusion of a protective investigation at

28  a facility, the department shall notify either the Florida

29  local advocacy council human rights advocacy committee or

30  long-term care ombudsman council of the results of the

31  investigation.  This notification must be in writing.

                                  39

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         Section 24.  Subsection (2) of section 415.106, Florida

  2  Statutes, is amended to read:

  3         415.106  Cooperation by the department and criminal

  4  justice and other agencies.--

  5         (2)  To ensure coordination, communication, and

  6  cooperation with the investigation of abuse, neglect, or

  7  exploitation of disabled adults or elderly persons, the

  8  department shall develop and maintain interprogram agreements

  9  or operational procedures among appropriate departmental

10  programs and the State Long-Term Care Ombudsman Council, the

11  Florida Statewide Advocacy Council Statewide Human Rights

12  Advocacy Committee, and other agencies that provide services

13  to disabled adults or elderly persons. These agreements or

14  procedures must cover such subjects as the appropriate roles

15  and responsibilities of the department in identifying and

16  responding to reports of abuse, neglect, or exploitation of

17  disabled adults or elderly persons; the provision of services;

18  and related coordinated activities.

19         Section 25.  Paragraph (g) of subsection (2) of section

20  415.107, Florida Statutes, is amended to read:

21         415.107  Confidentiality of reports and records.--

22         (2)  Access to all records, excluding the name of the

23  reporter which shall be released only as provided in

24  subsection (6), shall be granted only to the following

25  persons, officials, and agencies:

26         (g)  Any appropriate official of the Florida advocacy

27  council human rights advocacy committee or long-term care

28  ombudsman council investigating a report of known or suspected

29  abuse, neglect, or exploitation of a disabled adult or an

30  elderly person.

31

                                  40

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1         Section 26.  Subsection (3) of section 430.04, Florida

  2  Statutes, is amended to read:

  3         430.04  Duties and responsibilities of the Department

  4  of Elderly Affairs.--The Department of Elderly Affairs shall:

  5         (3)  Prepare and submit to the Governor, each Cabinet

  6  member, the President of the Senate, the Speaker of the House

  7  of Representatives, the minority leaders of the House and

  8  Senate, and chairpersons of appropriate House and Senate

  9  committees a master plan for policies and programs in the

10  state related to aging.  The plan must identify and assess the

11  needs of the elderly population in the areas of housing,

12  employment, education and training, medical care, long-term

13  care, preventive care, protective services, social services,

14  mental health, transportation, and long-term care insurance,

15  and other areas considered appropriate by the department.  The

16  plan must assess the needs of particular subgroups of the

17  population and evaluate the capacity of existing programs,

18  both public and private and in state and local agencies, to

19  respond effectively to identified needs.  If the plan

20  recommends the transfer of any program or service from the

21  Department of Children and Family Services to another state

22  department, the plan must also include recommendations that

23  provide for an independent third-party mechanism, as currently

24  exists in the Florida advocacy councils human rights advocacy

25  committees established in ss. 402.165 and 402.166, for

26  protecting the constitutional and human rights of recipients

27  of departmental services. The plan must include policy goals

28  and program strategies designed to respond efficiently to

29  current and projected needs. The plan must also include policy

30  goals and program strategies to promote intergenerational

31  relationships and activities.  Public hearings and other

                                  41

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2000                     CS for CS for SB 340
    302-1964-00




  1  appropriate processes shall be utilized by the department to

  2  solicit input for the development and updating of the master

  3  plan from parties including, but not limited to, the

  4  following:

  5         (a)  Elderly citizens and their families and

  6  caregivers.

  7         (b)  Local-level public and private service providers,

  8  advocacy organizations, and other organizations relating to

  9  the elderly.

10         (c)  Local governments.

11         (d)  All state agencies that provide services to the

12  elderly.

13         (e)  University centers on aging.

14         (f)  Area agency on aging and community care for the

15  elderly lead agencies.

16         Section 27.  This act shall take effect July 1, 2000.

17

18          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
19                          CS for SB 340

20

21  Deletes the terms "licensed" and "regulated" used throughout
    the bill; thereby, limiting the councils' jurisdiction to only
22  those service providers which are operated, funded, or
    contracted by the state.
23
    Provides that the councils are renamed, rather than recreated.
24
    Deletes bill's provision that stated changes in the length of
25  term limits for statewide council members were retroactive to
    members currently in office.
26
    Adds that statewide council staff are to be classified as
27  select exempt employees.

28

29

30

31

                                  42