Senate Bill sb1214c2

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    Florida Senate - 2001                    CS for CS for SB 1214

    By the Committees on Appropriations; Children and Families;
    and Senator Peaden




    309-1606B-01

  1                      A bill to be entitled

  2         An act relating to foster care; amending s.

  3         20.19, F.S.; modifying the authority for lead

  4         agencies to provide services; amending s.

  5         39.521, F.S., relating to disposition hearings;

  6         providing that certain children must be

  7         assessed for placement and placed in licensed

  8         residential group care; requiring results of an

  9         assessment to be reviewed by the court;

10         requiring certain residential group care

11         facilities to establish permanency teams;

12         requiring that the Department of Children and

13         Family Services report to the Legislature each

14         year on the number of children placed in

15         residential group care and the number of

16         children for whom placement was unavailable;

17         amending s. 409.1671, F.S.; redefining the term

18         "related services"; providing for a plan to be

19         used as an alternative to procuring foster care

20         services through an eligible lead

21         community-based provider; creating s. 409.1676,

22         F.S.; providing for comprehensive residential

23         services to children who have extraordinary

24         needs; defining terms; providing for the

25         Department of Children and Family Services to

26         contract with specified entities for such

27         services; specifying duties of the contracting

28         entity; providing legal authority of the

29         contracting entity to authorize specified

30         activities for children served; prescribing

31         departmental duties; creating s. 409.1677,

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  1         F.S.; providing for model comprehensive

  2         residential services programs in specified

  3         counties; defining terms; providing for the

  4         programs to be established through contracts

  5         between the department and specified entities;

  6         prescribing the content of each model program;

  7         establishing responsibilities of the

  8         contracting private entity; providing legal

  9         authority of the contracting private entity to

10         authorize certain activities for children

11         served; prescribing departmental duties;

12         creating s. 409.1679, F.S.; prescribing

13         additional requirements for the programs

14         established under ss. 409.1676, 409.1677, F.S.,

15         including requirements relating to

16         reimbursement methodology and program

17         evaluation; requiring the department to provide

18         progress reports to the Legislature; amending

19         s. 409.175, F.S.; allowing a family foster home

20         license to be valid for an extended period in

21         specified circumstances; amending s. 784.081,

22         F.S., relating to upgrading the seriousness of

23         the offense if a person commits an assault or a

24         battery against specified officials or

25         employees; including on the list of such

26         officials and employees an employee of a lead

27         community-based provider and its direct-service

28         contract providers; providing an effective

29         date.

30

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

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  1         Section 1.  Paragraph (c) of subsection (7) of section

  2  20.19, Florida Statutes, is amended to read:

  3         20.19  Department of Children and Family

  4  Services.--There is created a Department of Children and

  5  Family Services.

  6         (7)  PROTOTYPE REGION.--

  7         (c)  The department is authorized to contract for

  8  children's services with a lead agency in each county of the

  9  prototype area, except that the lead agency contract may cover

10  more than one county when it is determined that such coverage

11  will provide more effective or efficient services. The duties

12  of the lead agency shall include, but not necessarily be

13  limited to:

14         1.  Directing and coordinating the program and

15  children's services within the scope of its contract.

16         2.  Providing or contracting for the provision of core

17  services, including intake and eligibility, assessment,

18  service planning, and case management. However, a lead agency

19  may obtain approval from the department to provide core

20  services, including intake and eligibility, assessment,

21  service planning, and case management, upon a finding by the

22  department that such lead agency is the only appropriate

23  organization within the service district capable of providing

24  such service or services within the department's quality

25  assurance and performance standards.

26         3.  Creating a service provider network capable of

27  delivering the services contained in client service plans,

28  which shall include identifying the necessary services, the

29  necessary volume of services, and possible utilization

30  patterns and negotiating rates and expectations with

31  providers.

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  1         4.  Managing and monitoring of provider contracts and

  2  subcontracts.

  3         5.  Developing and implementing an effective bill

  4  payment mechanism to ensure all providers are paid in a timely

  5  fashion.

  6         6.  Providing or arranging for administrative services

  7  necessary to support service delivery.

  8         7.  Utilizing departmentally approved training and

  9  meeting departmentally defined credentials and standards.

10         8.  Providing for performance measurement in accordance

11  with the department's quality assurance program and providing

12  for quality improvement and performance measurement.

13         9.  Developing and maintaining effective interagency

14  collaboration to optimize service delivery.

15         10.  Ensuring that all federal and state reporting

16  requirements are met.

17         11.  Operating a consumer complaint and grievance

18  process.

19         12.  Ensuring that services are coordinated and not

20  duplicated with other major payors, such as the local schools

21  and Medicaid.

22         13.  Any other duties or responsibilities defined in s.

23  409.1671 related to community-based care.

24         Section 2.  Present subsections (5), (6), and (7) of

25  section 39.521, Florida Statutes, are redesignated as

26  subsections (6), (7), and (8), respectively, and a new

27  subsection (5) is added to that section, to read:

28         39.521  Disposition hearings; powers of disposition.--

29         (5)(a)  In districts 4, 11, and 12 and in the Suncoast

30  Region of the department and, except as provided in s. 39.407,

31  any child 10 years of age or older who has been in licensed

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  1  family foster care for 6 months or longer and who is then

  2  moved more than once must be assessed for placement in

  3  licensed residential group care. The assessment procedures

  4  shall be conducted by the department or its agent and shall

  5  incorporate and address current and historical information

  6  from any psychological testing or evaluation that has

  7  occurred; current and historical information from the guardian

  8  ad litem, if one has been assigned; current and historical

  9  information from any current therapist, teacher, or other

10  professional who has knowledge of the child and has worked

11  with the child; information regarding the placement of any

12  siblings of the child and the impact of the child's placement

13  in residential group care on the child's siblings; the

14  circumstances necessitating the moves of the child while in

15  family foster care and the recommendations of the former

16  foster families, if available; the status of the child's case

17  plan and a determination as to the impact of placing the child

18  in residential group care on the goals of the case plan; the

19  age, maturity, and desires of the child concerning placement;

20  the availability of any less restrictive, more family-like

21  setting for the child in which the foster parents have the

22  necessary training and skills for providing a suitable

23  placement for the child; and any other information concerning

24  the availability of suitable residential group care. If such

25  placement is determined to be appropriate as a result of this

26  procedure, the child must be placed in residential group care,

27  if available.

28         (b)  The results of the assessment described in

29  paragraph (a) and the actions taken as a result of the

30  assessment must be included in the next judicial review of the

31  child. At each subsequent judicial review, the court must be

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  1  advised in writing of the status of the child's placement,

  2  with special reference regarding the stability of the

  3  placement and the permanency planning for the child.

  4         (c)  Any residential group care facility that receives

  5  children under the provisions of this subsection shall

  6  establish special permanency teams dedicated to overcoming the

  7  special permanency challenges presented by this population of

  8  children. Each facility shall report to the department its

  9  success in achieving permanency for children placed by the

10  department in its care at intervals that allow the current

11  information to be provided to the court at each judicial

12  review for the child.

13         (d)  This subsection does not prohibit the department

14  from assessing and placing children who do not meet the

15  criteria in paragraph (a) in residential group care if such

16  placement is the most appropriate placement for such children.

17         (e)  By December 1 of each year beginning in 2001, the

18  department shall report to the Legislature on the placement of

19  children in licensed residential group care during the year,

20  including the criteria used to determine the placement of

21  children, the number of children who were evaluated for

22  placement, the number of children who were placed based upon

23  the evaluation, and the number of children who were not

24  placed. The department shall maintain data specifying the

25  number of children who were referred to licensed residential

26  child care for whom placement was unavailable and the counties

27  in which such placement was unavailable. The department shall

28  include this data in its report to the Legislature due on

29  December 1, so that the Legislature may consider this

30  information in developing the General Appropriations Act.

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  1         Section 3.  Subsection (1) of section 409.1671, Florida

  2  Statutes, is amended to read:

  3         409.1671  Foster care and related services;

  4  privatization.--

  5         (1)(a)  It is the intent of the Legislature that the

  6  Department of Children and Family Services shall privatize the

  7  provision of foster care and related services statewide. It is

  8  further the Legislature's intent to encourage communities and

  9  other stakeholders in the well-being of children to

10  participate in assuring that children are safe and

11  well-nurtured. However, while recognizing that some local

12  governments are presently funding portions of certain foster

13  care and related services programs and may choose to expand

14  such funding in the future, the Legislature does not intend by

15  its privatization of foster care and related services that any

16  county, municipality, or special district be required to

17  assist in funding programs that previously have been funded by

18  the state. Nothing in this paragraph prohibits any county,

19  municipality, or special district from future voluntary

20  funding participation in foster care and related services. As

21  used in this section, the term "privatize" means to contract

22  with competent, community-based agencies. The department shall

23  submit a plan to accomplish privatization statewide, through a

24  competitive process, phased in over a 3-year period beginning

25  January 1, 2000. This plan must be developed with local

26  community participation, including, but not limited to, input

27  from community-based providers that are currently under

28  contract with the department to furnish community-based foster

29  care and related services, and must include a methodology for

30  determining and transferring all available funds, including

31  federal funds that the provider is eligible for and agrees to

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  1  earn and that portion of general revenue funds which is

  2  currently associated with the services that are being

  3  furnished under contract. The methodology must provide for the

  4  transfer of funds appropriated and budgeted for all services

  5  and programs that have been incorporated into the project,

  6  including all management, capital (including current furniture

  7  and equipment), and administrative funds to accomplish the

  8  transfer of these programs. This methodology must address

  9  expected workload and at least the 3 previous years'

10  experience in expenses and workload. With respect to any

11  district or portion of a district in which privatization

12  cannot be accomplished within the 3-year timeframe, the

13  department must clearly state in its plan the reasons the

14  timeframe cannot be met and the efforts that should be made to

15  remediate the obstacles, which may include alternatives to

16  total privatization, such as public-private partnerships. As

17  used in this section, the term "related services" includes,

18  but is not limited to, means family preservation, independent

19  living, emergency shelter, residential group care, foster

20  care, therapeutic foster care, intensive residential

21  treatment, foster care supervision, case management,

22  postplacement supervision, permanent foster care, and family

23  reunification. Unless otherwise provided for, beginning in

24  fiscal year 1999-2000, either the state attorney or the Office

25  of the Attorney General shall provide child welfare legal

26  services, pursuant to chapter 39 and other relevant

27  provisions, in Sarasota, Pinellas, Pasco, Broward, and Manatee

28  Counties.  Such legal services shall commence and be

29  effective, as soon as determined reasonably feasible by the

30  respective state attorney or the Office of the Attorney

31  General, after the privatization of associated programs and

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  1  child protective investigations has occurred.  When a private

  2  nonprofit agency has received case management

  3  responsibilities, transferred from the state under this

  4  section, for a child who is sheltered or found to be dependent

  5  and who is assigned to the care of the privatization project,

  6  the agency may act as the child's guardian for the purpose of

  7  registering the child in school if a parent or guardian of the

  8  child is unavailable and his or her whereabouts cannot

  9  reasonably be ascertained. The private nonprofit agency may

10  also seek emergency medical attention for such a child, but

11  only if a parent or guardian of the child is unavailable, his

12  or her whereabouts cannot reasonably be ascertained, and a

13  court order for such emergency medical services cannot be

14  obtained because of the severity of the emergency or because

15  it is after normal working hours. However, the provider may

16  not consent to sterilization, abortion, or termination of life

17  support. If a child's parents' rights have been terminated,

18  the nonprofit agency shall act as guardian of the child in all

19  circumstances.

20         (b)  As used in this section, the term "eligible lead

21  community-based provider" means a single agency with which the

22  department shall contract for the provision of child

23  protective services in a community that is no smaller than a

24  county. The secretary of the department may authorize more

25  than one eligible lead community-based provider within a

26  single county when to do so will result in more effective

27  delivery of foster care and related services. To compete for a

28  privatization project, such agency must have:

29         1.  The ability to coordinate, integrate, and manage

30  all child protective services in the designated community in

31  cooperation with child protective investigations.

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  1         2.  The ability to ensure continuity of care from entry

  2  to exit for all children referred from the protective

  3  investigation and court systems.

  4         3.  The ability to provide directly, or contract for

  5  through a local network of providers, all necessary child

  6  protective services.

  7         4.  The willingness to accept accountability for

  8  meeting the outcomes and performance standards related to

  9  child protective services established by the Legislature and

10  the Federal Government.

11         5.  The capability and the willingness to serve all

12  children referred to it from the protective investigation and

13  court systems, regardless of the level of funding allocated to

14  the community by the state, provided all related funding is

15  transferred.

16         6.  The willingness to ensure that each individual who

17  provides child protective services completes the training

18  required of child protective service workers by the Department

19  of Children and Family Services.

20         7.  The ability to maintain eligibility to receive all

21  federal child welfare funds, including Title IV-E and IV-A

22  funds, currently being used by the Department of Children and

23  Family Services.

24         (c)1.  If attempts to competitively procure services

25  through an eligible lead community-based provider as defined

26  in paragraph (b) do not produce a capable and willing agency,

27  the department shall develop a plan in collaboration with the

28  local community alliance. The plan must detail how the

29  community will continue to implement privatization through

30  competitively procuring either the specific components of

31  foster care and related services or comprehensive services for

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  1  defined eligible populations of children and families from

  2  qualified licensed agencies as part of its efforts to develop

  3  the local capacity for a community-based system of coordinated

  4  care. The plan must ensure local control over the management

  5  and administration of the service provision in accordance with

  6  the intent of this section and may include recognized best

  7  business practices, including some form of public or private

  8  partnerships. In the absence of a community alliance, the plan

  9  must be submitted to the President of the Senate and the

10  Speaker of the House of Representatives for their comments.

11         2.1.  The Legislature finds that the state has

12  traditionally provided foster care services to children who

13  have been the responsibility of the state. As such, foster

14  children have not had the right to recover for injuries beyond

15  the limitations specified in s. 768.28. The Legislature has

16  determined that foster care and related services need to be

17  privatized pursuant to this section and that the provision of

18  such services is of paramount importance to the state. The

19  purpose for such privatization is to increase the level of

20  safety, security, and stability of children who are or become

21  the responsibility of the state. One of the components

22  necessary to secure a safe and stable environment for such

23  children is that private providers maintain liability

24  insurance. As such, insurance needs to be available and remain

25  available to nongovernmental foster care and related services

26  providers without the resources of such providers being

27  significantly reduced by the cost of maintaining such

28  insurance.

29         3.2.  The Legislature further finds that, by requiring

30  the following minimum levels of insurance, children in

31  privatized foster care and related services will gain

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  1  increased protection and rights of recovery in the event of

  2  injury than provided for in s. 768.28.

  3         (d)  Other than an entity to which s. 768.28 applies,

  4  any eligible lead community-based provider, as defined in

  5  paragraph (b), or its employees or officers, except as

  6  otherwise provided in paragraph (e), must, as a part of its

  7  contract, obtain a minimum of $1 million per claim/$3 million

  8  per incident in general liability insurance coverage. In any

  9  tort action brought against such an eligible lead

10  community-based provider, net economic damages shall be

11  limited to $1 million per claim, including, but not limited

12  to, past and future medical expenses, wage loss, and loss of

13  earning capacity, offset by any collateral source payment paid

14  or payable. In any tort action brought against such an

15  eligible lead community-based provider, noneconomic damages

16  shall be limited to $200,000 per claim. A claims bill may be

17  brought on behalf of a claimant pursuant to s. 768.28 for any

18  amount exceeding the limits specified in this paragraph. Any

19  offset of collateral source payments made as of the date of

20  the settlement or judgment shall be in accordance with s.

21  768.76. The lead community-based provider shall not be liable

22  in tort for the acts or omissions of its subcontractors or the

23  officers, agents, or employees of its subcontractors.

24         (e)  The liability of an eligible lead community-based

25  provider described in this section shall be exclusive and in

26  place of all other liability of such provider. The same

27  immunities from liability enjoyed by such providers shall

28  extend as well to each employee of the provider when such

29  employee is acting in furtherance of the provider's business.

30  Such immunities shall not be applicable to a provider or an

31  employee who acts in a culpably negligent manner or with

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  1  willful and wanton disregard or unprovoked physical aggression

  2  when such acts result in injury or death or such acts

  3  proximately cause such injury or death; nor shall such

  4  immunities be applicable to employees of the same provider

  5  when each is operating in the furtherance of the provider's

  6  business, but they are assigned primarily to unrelated works

  7  within private or public employment. The same immunity

  8  provisions enjoyed by a provider shall also apply to any sole

  9  proprietor, partner, corporate officer or director,

10  supervisor, or other person who in the course and scope of his

11  or her duties acts in a managerial or policymaking capacity

12  and the conduct that caused the alleged injury arose within

13  the course and scope of those managerial or policymaking

14  duties. Culpable negligence is defined as reckless

15  indifference or grossly careless disregard of human life.

16         (f)  Any subcontractor of an eligible lead

17  community-based provider, as defined in paragraph (b), which

18  is a direct provider of foster care and related services to

19  children and families, and its employees or officers, except

20  as otherwise provided in paragraph (e), must, as a part of its

21  contract, obtain a minimum of $1 million per claim $3 million

22  per incident in general liability insurance coverage. In any

23  tort action brought against such subcontractor, net economic

24  damages shall be limited to $1 million per claim, including,

25  but not limited to, past and future medical expenses, wage

26  loss, and loss of earning capacity, offset by any collateral

27  source payment paid or payable. In any tort action brought

28  against such subcontractor, noneconomic damages shall be

29  limited to $200,000 per claim. A claims bill may be brought on

30  behalf of a claimant pursuant to s. 768.28 for any amount

31  exceeding the limits specified in this paragraph. Any offset

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  1  of collateral source payments made as of the date of the

  2  settlement or judgment shall be in accordance with s. 768.76.

  3         (g)  The liability of a subcontractor of an eligible

  4  lead community-based provider that is a direct provider of

  5  foster care and related services as described in this section

  6  shall be exclusive and in place of all other liability of such

  7  provider. The same immunities from liability enjoyed by such

  8  subcontractor provider shall extend as well to each employee

  9  of the subcontractor when such employee is acting in

10  furtherance of the subcontractor's business. Such immunities

11  shall not be applicable to a subcontractor or an employee who

12  acts in a culpably negligent manner or with willful and wanton

13  disregard or unprovoked physical aggression when such acts

14  result in injury or death or such acts proximately cause such

15  injury or death; nor shall such immunities be applicable to

16  employees of the same subcontractor when each is operating in

17  the furtherance of the subcontractor's business, but they are

18  assigned primarily to unrelated works within private or public

19  employment. The same immunity provisions enjoyed by a

20  subcontractor shall also apply to any sole proprietor,

21  partner, corporate officer or director, supervisor, or other

22  person who in the course and scope of his or her duties acts

23  in a managerial or policymaking capacity and the conduct that

24  caused the alleged injury arose within the course and scope of

25  those managerial or policymaking duties. Culpable negligence

26  is defined as reckless indifference or grossly careless

27  disregard of human life.

28         (h)  The Legislature is cognizant of the increasing

29  costs of goods and services each year and recognizes that

30  fixing a set amount of compensation actually has the effect of

31  a reduction in compensation each year. Accordingly, the

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  1  conditional limitations on damages in this section shall be

  2  increased at the rate of 5 percent each year, prorated from

  3  the effective date of this paragraph to the date at which

  4  damages subject to such limitations are awarded by final

  5  judgment or settlement.

  6         Section 4.  Section 409.1676, Florida Statutes, is

  7  created to read:

  8         409.1676  Comprehensive residential services to

  9  children who have extraordinary needs.--

10         (1)  It is the intent of the Legislature to provide

11  comprehensive residential services, including residential

12  care, case management, and other services, to children in the

13  child protection system who have extraordinary needs, such as

14  serious behavioral problems or having been determined to be

15  without the options of either reunification with family or

16  adoption. These services are to be provided in a residential

17  group care setting by a not-for-profit corporation or a local

18  government entity under a contract with the Department of

19  Children and Family Services or by a lead agency as described

20  in s. 409.1671. These contracts should be designed to provide

21  an identified number of children with access to a full array

22  of services for a fixed price.

23         (2)  As used in this section, the term:

24         (a)  "Residential group care" means a living

25  environment for children who have been adjudicated dependent

26  and are expected to be in foster care for at least 6 months

27  with 24-hour-awake staff or live-in group home parents or

28  staff. Beginning July 1, 2001, all facilities must be

29  appropriately licensed in this state, and they must be

30  accredited by July 1, 2005.

31

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  1         (b)  "Serious behavioral problems" means behaviors of

  2  children who have been assessed by a licensed master's-level

  3  human-services professional to need at a minimum intensive

  4  services but who do not meet the criteria of s. 394.492(6) or

  5  s. 394.492(7). A child with an emotional disturbance as

  6  defined in s. 394.492(5) may be served in residential group

  7  care unless a determination is made by a mental health

  8  professional that such a setting is inappropriate.

  9         (3)  The department, in accordance with a specific

10  appropriation for this program, shall contract with a

11  not-for-profit corporation, a local government entity, or the

12  lead agency that has been established in accordance with s.

13  409.1671 for the performance of residential group care

14  services described in this section in, at a minimum, districts

15  4, 11, 12, and the Suncoast Region of the Department of

16  Children and Family Services and with a not-for-profit entity

17  serving children from multiple districts. A lead agency that

18  is currently providing residential care may provide this

19  service directly with the approval of the local community

20  alliance. The department or a lead agency may contract for

21  more than one site in a county if that is determined to be the

22  most effective way to achieve the goals set forth in this

23  section.

24         (4)  The lead agency, the contracted not-for-profit

25  corporation, or the local government entity is responsible for

26  a comprehensive assessment, residential care, transportation,

27  behavioral health services, recreational activities, clothing,

28  supplies and miscellaneous expenses associated with caring for

29  these children, for necessary arrangement for or provision of

30  educational services, and for assuring necessary and

31  appropriate health and dental care.

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  1         (5)  The department may transfer all casework

  2  responsibilities for children served under this program to the

  3  entity that provides this service, including case management

  4  and development and implementation of a case plan in

  5  accordance with current standards for child protection

  6  services. When the department establishes this program in a

  7  community that has a lead agency as described in s. 409.1671,

  8  the casework responsibilities must be transferred to the lead

  9  agency.

10         (6)  This section does not prohibit any provider of

11  these services from appropriately billing Medicaid for

12  services rendered, from contracting with a local school

13  district for educational services, or from earning federal or

14  local funding for services provided, as long as two or more

15  funding sources do not pay for the same specific service that

16  has been provided to a child.

17         (7)  The lead agency, not-for-profit corporation, or

18  local government entity has the legal authority for children

19  served under this program, as provided in chapter 39 or this

20  chapter, as appropriate, to enroll the child in school, to

21  sign for a driver's license for the child, to co-sign loans

22  and insurance for the child, to sign for medical treatment,

23  and to authorize other such activities.

24         (8)  The department shall provide technical assistance

25  as requested and contract-management services.

26         Section 5.  Section 409.1677, Florida Statutes, is

27  created to read:

28         409.1677  Model comprehensive residential services

29  programs.--

30         (1)  As used in this section, the term:

31

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  1         (a)  "Residential group care" means a living

  2  environment for children who have been adjudicated dependent

  3  and are expected to be in foster care for a minimum of 6

  4  months with 24-hour-awake staff or live-in group home parents

  5  or staff. Beginning July 1, 2001, all facilities must be

  6  appropriately licensed in this state, and they must be

  7  accredited by July 1, 2005.

  8         (b)  "Serious behavioral problems" means behaviors of

  9  children who have been assessed by a licensed master's-level

10  human services professional to need at a minimum intensive

11  services but who do not meet the criteria of s. 394.492(6) or

12  s. 394.492(7). A child with an emotional disturbance as

13  defined in s. 394.492(5) may be served in residential group

14  care unless a determination is made by a mental health

15  professional that such a setting is inappropriate.

16         (2)  The department shall establish a model

17  comprehensive residential services program in Dade County and

18  in Manatee County through a contract with the designated lead

19  agency established in accordance with s. 409.1671 or with a

20  private entity capable of providing residential group care and

21  home-based care and experienced in the delivery of a range of

22  services to foster children, if no lead agency exists. These

23  model programs are to serve that portion of eligible children

24  within each county which is specified in the contract, based

25  on funds appropriated, to include a full array of services for

26  a fixed price. The private entity or lead agency is

27  responsible for all programmatic functions necessary to carry

28  out the intent of this section.

29         (3)  Each model must include:

30         (a)  A focus on serving the full range of children in

31  foster care, including those who have specialized needs, such

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  1  as children who are unlikely to be reunited with their

  2  families or placed in adoptive homes; sibling groups; children

  3  who have serious behavioral problems; and children who are

  4  victims of sexual abuse.

  5         (b)  For each child who is in care, the provision of or

  6  arrangements for a comprehensive assessment; residential care;

  7  transportation; behavioral health services; recreational

  8  activities; clothing, supplies, and miscellaneous expenses

  9  associated with caring for these children; educational

10  services; necessary and appropriate health and dental care;

11  legal services; and aftercare services.

12         (c)  A commitment and ability to find and use

13  innovative approaches to address the problems in the

14  traditional foster care system, such as high caregiver

15  turnover, disrupted and multiple placements, runaway behavior,

16  and abusive or nontherapeutic care.

17         (d)  The provision of a full range of residential

18  services tailored to the individual needs of each child in

19  care, including group homes for initial assessment and for

20  stabilization; professional and traditional foster homes;

21  residential group care provided in a setting that is homelike

22  and provides care in residences housing no more than 12

23  children and staffed with full-time, appropriately trained

24  house parents; and independent living apartments. The programs

25  are designed for children who must enter the foster care

26  system, but the use of placement with relatives as part of a

27  child's care is encouraged.

28         (e)  The provision of the full range of administrative

29  services necessary to operate the program.

30         (f)  Specific eligibility criteria established in the

31  contract, including a "no-reject-no-eject" commitment with the

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  1  described eligible children, unless the court determines that

  2  the placement is not in a child's best interest.

  3         (g)  An ability, through its trained, multidisciplinary

  4  staff, to facilitate the achievement of the permanency goals

  5  of the children who are in care.

  6         (h)  The design and utilization of a retired-volunteer

  7  mentor program that would make use of the skills of retired

  8  individuals in helping to meet the needs of both the children

  9  in care and their caregivers.

10         (i)  The willingness and ability to assume financial

11  risk for the care of children referred to the program under

12  the contract.

13         (j)  The willingness and ability to serve as a research

14  and teaching laboratory for departmental and community-based

15  care programs throughout the state in an effort to improve the

16  quality of foster care.

17         (4)  This section does not prohibit any provider of

18  these services from appropriately billing Medicaid for

19  services rendered, from contracting with a local school

20  district for educational services, or from earning federal or

21  local funding for services provided, as long as two or more

22  funding sources do not pay for the same specific service that

23  has been provided to a child.

24         (5)  The lead agency, not-for-profit corporation, or

25  local government entity has the legal authority for children

26  served under this program, as provided in chapter 39 or this

27  chapter, as appropriate, to enroll the child in school, to

28  sign for a driver's license for the child, to co-sign loans

29  and insurance for the child, to sign for medical treatment,

30  and to authorize other such activities.

31

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  1         (6)  The department shall provide technical assistance

  2  as requested and contract-management services.

  3         Section 6.  Section 409.1679, Florida Statutes, is

  4  created to read:

  5         409.1679  Additional requirements, effective date,

  6  reimbursement methodology, and evaluation.--

  7         (1)  The programs established under ss. 409.1676 and

  8  409.1677 are to be operational within 6 months after those

  9  sections take effect, and, beginning 1 month after this

10  section takes effect and continuing until full operation of

11  those programs is realized, the department shall provide to

12  the Legislature monthly written status reports on the progress

13  toward implementing those programs.

14         (2)  The programs established under ss. 409.1676 and

15  409.1677 must be included as part of the annual evaluation

16  currently required under s. 409.1671. With respect to these

17  specific programs and models, the annual evaluation must be

18  conducted by an independent third party and must include, by

19  specific site, the level of attainment of the targeted

20  outcomes listed in subsection (3). The evaluation of the model

21  programs must include, at a minimum, an assessment of their

22  cost-effectiveness, of their ability to successfully implement

23  the assigned program elements, and of their attainment of

24  performance standards that include legislatively established

25  standards for similar programs and other standards determined

26  jointly by the department and the providers and stated in a

27  contract.

28         (3)  Each program established under ss. 409.1676 and

29  409.1677 must meet the following expectations, which must be

30  included in its contracts with the department or lead agency:

31

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  1         (a)  No more than 10 percent of the children served may

  2  move from one living environment to another, unless the child

  3  is returned to family members or is moved, in accordance with

  4  the treatment plan, to a less-restrictive setting. Each child

  5  must have a comprehensive transitional plan that identifies

  6  the child's living arrangement upon leaving the program and

  7  specific steps and services that are being provided to prepare

  8  for that arrangement. Specific expectations as to the time

  9  period necessary for the achievement of these permanency goals

10  must be included in the contract.

11         (b)  Each child must receive a full academic year of

12  appropriate educational instruction. No more than 10 percent

13  of the children may be in more than one academic setting in an

14  academic year, unless the child is being moved, in accordance

15  with an educational plan, to a less-restrictive setting. Each

16  child must demonstrate academic progress and must be

17  performing at grade level or at a level commensurate with a

18  valid academic assessment.

19         (c)  Siblings must be kept together in the same living

20  environment 100 percent of the time, unless that is determined

21  by the provider not to be in the children's best interest.

22  When siblings are separated in placement, the decision must be

23  reviewed and approved by the court within 30 days.

24         (d)  The program must experience a caregiver turnover

25  rate and an incidence of child runaway episodes which are at

26  least 50 percent below the rates experienced in the rest of

27  the state.

28         (e)  In addition to providing a comprehensive

29  assessment, the program must provide, 100 percent of the time,

30  any or all of the following services that are indicated

31  through the assessment: residential care; transportation;

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  1  behavioral health services; recreational activities; clothing,

  2  supplies, and miscellaneous expenses associated with caring

  3  for these children; necessary arrangements for or provision of

  4  educational services; and necessary and appropriate health and

  5  dental care.

  6         (f)  The children who are served in this program must

  7  be satisfied with the services and living environment.

  8         (g)  The caregivers must be satisfied with the program.

  9         (4)  Notwithstanding the provisions of s. 409.141, the

10  Department of Children and Family Services shall fairly and

11  reasonably reimburse the programs established under ss.

12  409.1676 and 409.1677 based on a prospective per-diem rate,

13  which must be specified annually in the General Appropriations

14  Act. Funding for these programs shall be made available from

15  resources appropriated and identified in the General

16  Appropriations Act.

17         Section 7.  Present paragraph (j) of subsection (5) of

18  section 409.175, Florida Statutes, is redesignated as

19  paragraph (k), paragraphs (h) and (i) of that subsection are

20  amended, and a new paragraph (j) is added to that subsection,

21  to read:

22         409.175  Licensure of family foster homes, residential

23  child-caring agencies, and child-placing agencies.--

24         (5)

25         (h)  Upon determination that the applicant meets the

26  state minimum licensing requirements, the department shall

27  issue a license without charge to a specific person or agency

28  at a specific location. A license may be issued if all the

29  screening materials have been timely submitted; however, a

30  license may not be issued or renewed if any person at the home

31  or agency has failed the required screening. The license is

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  1  nontransferable. A copy of the license shall be displayed in a

  2  conspicuous place. Except as provided in paragraph (j), the

  3  license is valid for 1 year from the date of issuance, unless

  4  the license is suspended or revoked by the department or is

  5  voluntarily surrendered by the licensee. The license is the

  6  property of the department.

  7         (i)  A license issued for the operation of a family

  8  foster home or agency, unless sooner suspended, revoked, or

  9  voluntarily returned, will expire automatically 1 year from

10  the date of issuance except as provided in paragraph (j).

11  Ninety days prior to the expiration date, an application for

12  renewal shall be submitted to the department by a licensee who

13  wishes to have the license renewed.  A license shall be

14  renewed upon the filing of an application on forms furnished

15  by the department if the applicant has first met the

16  requirements established under this section and the rules

17  promulgated hereunder.

18         (j)  The department may issue a license that is valid

19  for longer than 1 year but no longer than 3 years to a family

20  foster home that:

21         1.  Has maintained a license with the department as a

22  family foster home for at least the 3 previous consecutive

23  years;

24         2.  Remains in good standing with the department; and

25         3.  Has not been the subject of a report of child abuse

26  or neglect with any findings of maltreatment.

27

28  A family foster home that has been issued a license valid for

29  longer than 1 year must be monitored and visited as frequently

30  as one that has been issued a 1-year license. The department

31

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  1  reserves the right to reduce a licensure period to 1 year at

  2  any time.

  3         (k)(j)  The department may not license summer day camps

  4  or summer 24-hour camps.  However, the department shall have

  5  access to the personnel records of such facilities to ensure

  6  compliance with the screening requirements.

  7         Section 8.  Section 784.081, Florida Statutes, is

  8  amended to read:

  9         784.081  Assault or battery on specified officials or

10  employees; reclassification of offenses.--Whenever a person is

11  charged with committing an assault or aggravated assault or a

12  battery or aggravated battery upon any elected official or

13  employee of: a school district; a private school; the Florida

14  School for the Deaf and the Blind; a university developmental

15  research school; a state university or any other entity of the

16  state system of public education, as defined in s. 228.041; or

17  an employee or protective investigator of the Department of

18  Children and Family Services; or an employee of a lead

19  community-based provider and its direct service contract

20  providers, when the person committing the offense knows or has

21  reason to know the identity or position or employment of the

22  victim, the offense for which the person is charged shall be

23  reclassified as follows:

24         (1)  In the case of aggravated battery, from a felony

25  of the second degree to a felony of the first degree.

26         (2)  In the case of aggravated assault, from a felony

27  of the third degree to a felony of the second degree.

28         (3)  In the case of battery, from a misdemeanor of the

29  first degree to a felony of the third degree.

30         (4)  In the case of assault, from a misdemeanor of the

31  second degree to a misdemeanor of the first degree.

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  1         Section 9.  This act shall take effect July 1, 2001.

  2

  3          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  4                            CS/SB 1214

  5

  6  Limits the newly required assessment and placement of certain
    children in licensed residential child care to districts 4,
  7  11, 12 and the Suncoast Region of the Department of Children
    and Family Services.
  8
    Revises the age of a child, from 8 years to 10 years of age or
  9  older, that the department is required to assess for placement
    into licensed residential group care.
10
    Adds to the list of components which must be included in the
11  assessment procedure.

12  Provides for judicial review of the assessment results and
    actions taken.
13
    Directs residential group care facilities that receive
14  children as a result of the new assessment requirements to
    establish special permanency teams dedicated to overcoming the
15  permanency challenges presented by this group of children and
    requires regular reporting to the department on the success in
16  achieving permanency.

17  Modifies the definition of residential group care by striking
    reference to an age limit.
18
    Requires all residential group care facilities to be
19  appropriately licensed by July 1, 2001 and to be accredited by
    July 1,2005.
20
    Strikes the provision that gives responsibility for court work
21  to the residential group care providers.

22

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