Senate Bill sb1686c1

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    Florida Senate - 2002                           CS for SB 1686

    By the Committee on Children and Families; and Senator Cowin





    300-2245-02

  1                      A bill to be entitled

  2         An act relating to substance abuse and mental

  3         health programs; amending s. 394.4574, F.S.;

  4         requiring districts within the Department of

  5         Children and Family Services to hold publicly

  6         announced meetings to solicit input from

  7         assisted living facilities; specifying

  8         additional requirements for district plans;

  9         amending s. 394.74, F.S.; authorizing the

10         department to use case rates or per capita

11         contracts in contracting for the provision of

12         services for local substance abuse and mental

13         health programs; specifying additional

14         requirements relating to such contracts;

15         providing an effective date.

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

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19         Section 1.  Subsection (3) of section 394.4574, Florida

20  Statutes, is amended to read:

21         394.4574  Department responsibilities for a mental

22  health resident who resides in an assisted living facility

23  that holds a limited mental health license.--

24         (3)  The Secretary of Children and Family Services, in

25  consultation with the Agency for Health Care Administration,

26  shall annually require each district administrator to develop,

27  with community input, detailed plans that demonstrate how the

28  district will ensure the provision of state-funded mental

29  health and substance abuse treatment services to residents of

30  assisted living facilities that hold a limited mental health

31  license. Each district shall hold a publicly announced meeting

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    Florida Senate - 2002                           CS for SB 1686
    300-2245-02




  1  for input from assisted living facilities that hold a limited

  2  mental health license. The district shall record minutes of

  3  the meeting. These plans must be consistent with the substance

  4  abuse and mental health district plan developed pursuant to s.

  5  394.75 and must address case management services; access to

  6  consumer-operated drop-in centers; access to services during

  7  evenings, weekends, and holidays; supervision of the clinical

  8  needs of the residents; and access to emergency psychiatric

  9  care. The state headquarters office shall hold an annual

10  meeting to review the district plans and shall invite the

11  Florida Assisted Living Association, the Florida Council for

12  Behavioral Health Care, the Florida Mental Health Counselor's

13  Association, the Florida Psychiatric Society, and the Alliance

14  for the Mentally Ill, and may also invite other similar

15  organizations.

16         Section 2.  Subsection (2) of section 394.74, Florida

17  Statutes, is amended, present subsections (4) and (5) of that

18  section are renumbered as subsections (5) and (6),

19  respectively, and a new subsection (4) is added to that

20  section, to read:

21         394.74  Contracts for provision of local substance

22  abuse and mental health programs.--

23         (2)(a)  Contracts for service shall be consistent with

24  the approved district plan.

25         (b)  Notwithstanding s. 394.76(3)(a) and (c), the

26  department may use unit cost methods of payment in contracts

27  for purchasing mental health and substance abuse services. The

28  unit cost contracting system must account for those patient

29  fees that are paid on behalf of a specific client and those

30  that are earned and used by the provider for those services

31  funded in whole or in part by the department.

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    Florida Senate - 2002                           CS for SB 1686
    300-2245-02




  1         (c)  The department may reimburse actual expenditures

  2  for startup contracts and fixed capital outlay contracts in

  3  accordance with contract specifications. The department may

  4  use case rates or per-capita contracts. The contract provider

  5  must report persons served and services provided.

  6         (4)  Within existing statewide or district resources,

  7  the department shall:

  8         (a)  Require that contract funds support individual

  9  client treatment or service plans and clinical status.

10         (b)  Develop proposed eligibility criteria and

11  associated benefits packages as a part of the 2004 state

12  master plan submitted pursuant to s. 394.75.

13         (c)  Promote the use of electronic formats for contract

14  materials, including electronic signatures.

15         (d)  Promote the use of web-enabled application

16  software products to simplify and expedite contract data

17  collection and billing.

18         (e)  Ensure consumer choice among providers within

19  provider networks as created pursuant to s. 394.9082.

20         Section 3.  This act shall take effect July 1, 2002.

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    Florida Senate - 2002                           CS for SB 1686
    300-2245-02




  1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  2                         Senate Bill 1686

  3

  4  Requires that each district administrator of the Department of
    Children and Family Services hold a public meeting each year,
  5  as part of the district planning process for mental health and
    substance abuse services, to receive input from assisted
  6  living facilities that hold a limited mental health license.

  7  Requires that the state headquarters of the Department of
    Children and Family Services invite the Florida Assisted
  8  Living Association, the Florida Council for Behavioral
    Healthcare, the Florida Mental Health Counselor's Association,
  9  the Florida Psychiatric Society, the Alliance for the Mentally
    Ill, and other similar organizations to attend a meeting each
10  year to review the district plans for mental health and
    substance abuse services.
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    Restores the statutory provisions for unit cost methods of
12  payments in contracts for mental health and substance abuse
    services.
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    Specifies that the Department of Children and Family Services
14  may use case rates or per-capita contracts.

15  States that within existing statewide or district resources,
    the Department of Children and Family Services must:
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         require that contract funds support individual client
17       treatment or service plans;

18       develop proposed eligibility criteria and associated
         benefits as a part of the 2004 state master plan for
19       mental health and substance abuse services;

20       promote the use of electronic formats for contract
         materials;
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         promote the use of web-enabled application software for
22       data collection and billing; and

23       ensure consumer choice among providers within provider
         networks.
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