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



                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1761

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  The Fiscal Responsibility Council offered the following:

12

13         Amendment (with title amendment) 

14         On page 11, between lines 4 & 5,

15

16  insert:

17         Section 8.  Section 430.041, Florida Statutes, is

18  created to read:

19         430.041  Office of Long-Term-Care Policy.--

20         (1)  There is established in the Department of Elderly

21  Affairs the Office of Long-Term-Care Policy to evaluate the

22  state's long-term care service delivery system and make

23  recommendations to increase the availability and the use of

24  noninstitutional settings to provide care to the elderly and

25  ensure coordination among the agencies responsible for the

26  long-term-care continuum.

27         (2)  The purpose of the Office of Long-Term-Care Policy

28  is to:

29         (a)  Ensure close communication and coordination among

30  state agencies involved in developing and administering a more

31  efficient and coordinated long-term care service delivery

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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1761

    Amendment No. ___ (for drafter's use only)





  1  system in this state;

  2         (b)  Identify duplication and unnecessary service

  3  provision in the long-term care system and make

  4  recommendations to decrease inappropriate service provision;

  5         (c)  Review current programs providing long-term care

  6  services to determine whether the programs are cost effective,

  7  of high quality, and operating efficiently and make

  8  recommendations to increase consistency and effectiveness in

  9  the state's long-term care programs;

10         (d)  Develop strategies for promoting and implementing

11  cost-effective home and community-based services as an

12  alternative to institutional care which coordinate and

13  integrate the continuum of care needs of the elderly; and

14         (e)  Assist the Office of Long-Term-Care-Policy

15  Advisory Council as necessary to help implement this section.

16         (3)  The Director of the Office of Long-Term-Care

17  Policy shall be appointed by, and serve at the pleasure of,

18  the Governor. The Director shall report to, and be under the

19  general supervision of, the Secretary of Elder Affairs and

20  shall not be subject to supervision by any other employee of

21  the department.

22         (4)  The Office of Long-Term-Care Policy shall have an

23  advisory council, whose chair shall be the Director of the

24  Office of Long-Term-Care Policy. The purposes of the advisory

25  council are to provide assistance and direction to the office

26  and to ensure that the appropriate state agencies are properly

27  implementing recommendations from the office.

28         (a)  The advisory council shall consist of:

29         1.  A member of the Senate, appointed by the President

30  of the Senate;

31         2.  A member of the House of Representatives, appointed

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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1761

    Amendment No. ___ (for drafter's use only)





  1  by the Speaker of the House of Representatives;

  2         3.  The Director of the Office of Long-Term-Care

  3  Policy;

  4         4.  The Secretary of Health Care Administration;

  5         5.  The Secretary of Elderly Affairs;

  6         6.  The Secretary of Children and Families;

  7         7.  The Secretary of Health;

  8         8.  The Secretary of Veterans Affairs;

  9         9.  A representative of the Florida Association of Area

10  Agencies on Aging, appointed by the Governor;

11         10.  A representative of the Florida Association of

12  Aging Service Providers, appointed by the Governor;

13         11.  A representative of the Florida Association of

14  Homes for the Aging, appointed by the Governor; and

15         12.  Two representatives of people using long-term-care

16  services, appointed by the Governor from groups representing

17  elderly persons.

18         (b)  No member of the advisory council shall appoint a

19  designee to appear in his or her place.

20         (c)  Members shall serve without compensation, but are

21  entitled to receive reimbursement for travel and per diem as

22  provided in s. 112.061.

23         (d)  The advisory council shall meet at the call of its

24  chair or at the request of a majority of its members. During

25  its first year of existence, the advisory council shall meet

26  at least monthly.

27         (e)  Members of the advisory council appointed by the

28  Governor shall serve at the pleasure of the Governor and shall

29  be appointed to 4-year staggered terms in accordance with s.

30  20.052.

31         (5)(a)  The Department of Elderly Affairs shall provide

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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1761

    Amendment No. ___ (for drafter's use only)





  1  administrative support and services to the Office of

  2  Long-Term-Care Policy.

  3         (b)  The office shall call upon appropriate agencies of

  4  state government, including the centers on aging in the State

  5  University System, for assistance needed in discharging its

  6  duties.

  7         (c)  Each state agency represented on the Office of

  8  Long-Term-Care Policy Advisory Council shall make at least one

  9  employee available to work with the Office of Long-Term-Care

10  Policy. All state agencies and universities shall assist the

11  office in carrying out its responsibilities prescribed by this

12  section.

13         (d)  Each state agency shall pay from its own funds any

14  expenses related to its support of the Office of

15  Long-Term-Care Policy and its participation on the advisory

16  council. The Department of Elderly Affairs shall be

17  responsible for expenses related to participation on the

18  advisory council by members appointed by the Governor.

19         (6)(a)  By December 1, 2002, the office shall submit to

20  the advisory council a preliminary report of its findings and

21  recommendations on improving the long-term care continuum in

22  this state. The report shall contain recommendations and

23  implementation proposals for policy changes, as well as

24  legislative and funding recommendations that will make the

25  system more effective and efficient. The report shall contain

26  a specific plan for accomplishing the recommendations and

27  proposals. Thereafter, the office shall revise and update the

28  report annually and resubmit it to the advisory council for

29  review and comments by November 1 of each year.

30         (b)  The advisory council shall review and recommend

31  any suggested changes to the preliminary report, and each

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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1761

    Amendment No. ___ (for drafter's use only)





  1  subsequent annual update of the report, within 30 days from

  2  the receipt of the preliminary report. Suggested revisions,

  3  additions, or deletions shall be made to the Director of the

  4  Office of Long-Term-Care Policy.

  5         (c)  The office shall submit its final report, and each

  6  subsequent annual update of the report, to the Governor and

  7  the Legislature within 30 days from the receipt of any

  8  revisions, additions, or deletions suggested by the advisory

  9  council, or from the time such comments are due to the office.

10

11

12  ================ T I T L E   A M E N D M E N T ===============

13  And the title is amended as follows:

14         On page 2, line 19, after the semicolon

15

16  insert:

17         creating s. 430.041, F.S.; establishing the

18         Office of Long-Term-Care Policy within the

19         Department of Elderly Affairs; requiring the

20         office to make recommendations for coordinating

21         the services provided by state agencies;

22         providing for the appointment of an advisory

23         board to the Office of Long-Term-Care Policy;

24         specifying membership in the advisory board;

25         providing for reimbursement of per diem and

26         travel expenses for members of the advisory

27         board; requiring that the office submit an

28         annual report to the Governor and Legislature;

29         requiring assistance to the office by state

30         agencies and universities;

31

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