Senate Bill sb1760c1

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    Florida Senate - 2002                           CS for SB 1760

    By the Committee on Health, Aging and Long-Term Care; and
    Senator Sullivan




    317-2119-02

  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 publicly announced meetings;

  5         specifying additional requirements for district

  6         plans; amending s. 394.74, F.S.; authorizing

  7         the Department of Children and Family Services

  8         to use case rates or per capita contracts in

  9         contracting for the provision of services for

10         local substance abuse and mental health

11         programs; specifying additional requirements

12         relating to such contracts; providing an

13         effective date.

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

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

18  Statutes, is amended to read:

19         394.4574  Department responsibilities for a mental

20  health resident who resides in an assisted living facility

21  that holds a limited mental health license.--

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

23  consultation with the Agency for Health Care Administration,

24  shall annually require each district administrator to develop

25  and implement, with community input, detailed plans that

26  demonstrate how the district will ensure the provision of

27  state-funded mental health and substance abuse treatment

28  services to residents of assisted living facilities that hold

29  a limited mental health license. Each district will hold a

30  publicly announced meeting for input from assisted living

31  facilities that hold a limited mental health license.  The

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    Florida Senate - 2002                           CS for SB 1760
    317-2119-02




  1  district will record minutes of the meeting. These plans must

  2  be consistent with the substance abuse and mental health

  3  district plan developed pursuant to s. 394.75 and must address

  4  case management services; access to consumer-operated drop-in

  5  centers; access to services during evenings, weekends, and

  6  holidays; supervision of the clinical needs of the residents;

  7  and access to emergency psychiatric care. The state

  8  headquarters office will hold an annual meeting to review the

  9  district plans and will invite the Florida Assisted Living

10  Association, the Florida Council for Behavioral Healthcare,

11  the Florida Psychiatric Society, and the Alliance for the

12  Mentally Ill.

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

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

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

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

17  section to read:

18         394.74  Contracts for provision of local substance

19  abuse and mental health programs.--

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

21  the approved district plan.

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

23  department may use unit cost methods of payment in contracts

24  for purchasing mental health and substance abuse services. The

25  unit cost contracting system must account for those patient

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

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

28  funded in whole or in part by the department.

29         (c)  The department may reimburse actual expenditures

30  for startup contracts and fixed capital outlay contracts in

31  accordance with contract specifications. The department is

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    Florida Senate - 2002                           CS for SB 1760
    317-2119-02




  1  authorized to use case rates or per-capita contracts. The

  2  contract provider must report persons served and services

  3  provided.

  4         (4)  Within existing statewide or district resources,

  5  the department shall:

  6         (a)  Require that contract funds support individual

  7  client treatment or service plans and clinical status.

  8         (b)  Develop proposed eligibility criteria and

  9  associated benefits packages as a part of the 2004 state

10  master plan submitted pursuant to s. 394.75.

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

12  materials, including electronic signatures.

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

14  software products to simplify and expedite contract data

15  collection and billing.

16         (e)  Ensure consumer choice among providers as provider

17  networks are created pursuant to s. 394.9082.

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

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    Florida Senate - 2002                           CS for SB 1760
    317-2119-02




  1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  2                             SB 1760

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  4  The Committee Substitute requires each Department of Children
    and Family Services district administrator to implement a plan
  5  to ensure how the district will ensure the provision of
    state-funded mental health and substance abuse treatment
  6  services to residents of assisted living facilities that hold
    a limited mental health license. Each district administrator
  7  must hold a public meeting to receive input from assisted
    living facilities that hold a limited mental health license,
  8  and the state headquarters of the Department of Children and
    Family Services must hold an annual meeting to review district
  9  plans.

10  The Department of Children and Family Services is authorized
    to use case rates or per capita contracts for the provision of
11  local substance abuse and mental health services. The bill
    establishes goals and criteria for the use of contract funds
12  that support individual client treatment.

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