HB 0411 2003
1	CHAMBER ACTION
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6	The Committee on Future of Florida's Families recommends the
7	following:
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9	Committee Substitute
10	Remove the entire bill and insert:
11	A bill to be entitled
12	An act relating to mental health; amending s. 1 of ch.
13	2001-152, Laws of Florida; directing the Department of
14	Children and Family Services to expand the district 4
15	mental health pilot project; providing for a client-
16	directed and recovery-based mental health program;
17	allowing for expansion of the program to provide services
18	to children; providing that the department shall contract
19	for administration of the program; providing for funding;
20	providing an effective date.
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22	Be It Enacted by the Legislature of the State of Florida:
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24	Section 1. Section 1 of chapter 2001-152, Laws of Florida,
25	is amended to read:
26	Section 1. (1) The Department of Children and Family
27	Services may expand theshall develop a client-directed and
28	recovery-based program known as Florida Self-Directed Care
29	choice-based pilot projectin district 4 to provide mental
30	health treatment and support services to adults who have a
31	serious mental illness. After the program has enrolled all of
32	the eligible adults, the department may expand the self-directed
33	care mental health and support services program to children with
34	serious mental disturbance, children with emotional disturbance,
35	and children at risk of emotional disturbance. Participation in
36	the program shall continue to be voluntary and the programThe
37	project shall continue totest a payment model in which each
38	client controls the money that is available for that client's
39	mental health treatment and support services. The program
40	project shall be evaluated by an independent entity whose
41	evaluation must include an assessment of:
42	(a) The criteria for selecting adult mental health clients
43	with serious mental illness eligible for participation in the
44	programproject.
45	(b) The criteria for selecting child mental health clients
46	with serious mental disturbance, child mental health clients
47	with emotional disturbance, and child mental health clients at
48	risk of emotional disturbance for participation in the program.
49	(c)(b) The duties and responsibilities of the system
50	guidescare coordinator.
51	(d)(c)The accessibility and quality of services provided
52	under the programprojectby available community-based providers
53	selected by the client, compared to those services that are
54	available without the programproject.
55	(e)(d) The input by the clients in the development of
56	service andtreatment plans compared to other clients not
57	participating in the programproject.
58	(f)(e)The achievement of individual treatment goals or
59	outcome measures established for each client participating in
60	the programproject compared to other mental healthclients.
61	(g)(f)Any demonstrated improvements or cost savings in
62	the delivery of community-based mental health treatment and
63	support services, including an explanation of the analyses used
64	in determining cost savings.
65	(h)(g)All monitoring and oversight conducted by the
66	Department of Children and Family Services or the Agency for
67	Health Care Administration.
68	(i)(h)Any existing or appointed local advisory group
69	assisting in the design and implementation of the program
70	project.
71	(2) The department shall contract for the administration
72	of the program. The contract shall specify that the program
73	director is authorized to expend the funds as necessary to
74	maintain the established integrity and intent of the program, to
75	include the purchase of services for clients and program staff
76	employment and retention. The purchase of services for clients
77	shall be conducted in accordance with the self-identified needs
78	of each client as those needs specifically relate to recovery
79	from mental illness for adults and recovery from behavioral and
80	emotional disturbances for children. The services shall include,
81	but not be limited to, those services defined by the Department
82	of Children and Family Services Mental Health and Substance
83	Abuse Program Central Offices.
84	(3)(2)The Department of Children and Family Services
85	shall submit a report concerning the progress of the program
86	project to the appropriate legislative committees annually on
87	December 1by December 1, 2002, and December 1, 2003. This
88	report shall contain a detailed strategic plan for statewide
89	implementation of client-directed, recovery-based services.
90	(3) This section expires July 1, 2004.
91	Section 2. The Department of Children and Family Services
92	district 4 shall make available no more than $500,000 of general
93	revenue funds allocated to district 4 for fiscal year 2003-2004
94	for the purchase of client services.
95	Section 3. This act shall take effect July 1, 2003.