Senate Bill sb0700c1

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    Florida Senate - 2003                            CS for SB 700

    By the Committee on Children and Families; and Senator Lynn





    300-2052-03

  1                      A bill to be entitled

  2         An act relating to substance abuse and mental

  3         health; creating s. 394.655, F.S.; providing

  4         legislative intent; creating the Florida

  5         Substance Abuse and Mental Health Board, Inc.,

  6         which shall be administratively housed within

  7         the Department of Children and Family Services;

  8         providing for the board's independence;

  9         providing the duties, responsibilities, and

10         authority of the board; requiring a contract

11         between the board and the department; providing

12         for the appointment of members and specifying

13         qualifications for membership; authorizing the

14         board to employ staff members; requiring an

15         annual evaluation and report to the Legislature

16         and Governor; directing other agencies to

17         cooperate in the development of the evaluation

18         and report; providing for future repeal;

19         directing the Executive Office of the Governor

20         to procure an evaluation; providing for a

21         report to the Legislature; amending s. 20.19,

22         F.S.; requiring the Secretary of Children and

23         Family Services to appoint certain staff;

24         providing responsibilities; transferring the

25         children-in-need-of-services program and the

26         families-in-need-of-services program from the

27         Department of Juvenile Justice to the

28         Department of Children and Family Services;

29         providing an effective date.

30  

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

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    Florida Senate - 2003                            CS for SB 700
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 1         Section 1.  Section 394.655, Florida Statutes, is

 2  created to read:

 3         394.655  The Substance Abuse and Mental Health Board;

 4  powers and duties; composition; evaluation and reporting

 5  requirements.--

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

 7  substance abuse and mental health services that are

 8  coordinated and consistent throughout the state, that reflect

 9  the current state of knowledge regarding quality and

10  effectiveness, and that are responsive to service recipients

11  and the needs of communities in this state. In order to

12  accomplish this intent, there is created a not-for-profit

13  corporation, to be known as the "Florida Substance Abuse and

14  Mental Health Board, Inc.," which shall be registered,

15  incorporated, organized, and operated in compliance with

16  chapter 617 and which shall not be a unit or entity of state

17  government. The Florida Substance Abuse and Mental Health

18  Board, hereafter referred to as "the board," shall be

19  administratively housed within the Department of Children and

20  Family Services; however, the board shall not be subject to

21  control, supervision, or direction by the department or by any

22  other executive agency in any manner. As used in this section,

23  the term "department" means the Department of Children and

24  Family Services.

25         (2)  The Legislature finds that public policy and the

26  State Constitution require that the board and any committees

27  it forms be subject to the provisions of chapter 119 relating

28  to public records and the provisions of chapter 286 relating

29  to public meetings.

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    Florida Senate - 2003                            CS for SB 700
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 1         (3)(a)  Subject to and consistent with direction set by

 2  the Legislature, the board shall exercise the following

 3  responsibilities:

 4         1.  Require the collection and analysis of needs

 5  assessment data as described in s. 394.82.

 6         2.  Monitor the status of the publicly funded mental

 7  health and substance abuse systems and establish policy

 8  designed to improve coordination and effectiveness.

 9         3.  Provide mechanisms for substance abuse and mental

10  health stakeholders, including consumers, family members,

11  providers, and advocates to provide input concerning the

12  management of the system.

13         4.  Recommend priorities for service expansion to the

14  department and the Agency for Health Care Administration.

15         5.  Prepare legislative budget requests that the

16  secretary shall submit to the Governor.

17         6.  Review performance data prepared by the department

18  and the Agency for Health Care Administration.

19         7.  Make recommendations to the secretary concerning

20  strategies for improving the performance of the system.

21         8.  Monitor and forecast substance abuse and mental

22  health manpower needs and work with the department and the

23  educational system to establish policies, consistent with the

24  direction of the Legislature, which will ensure that the state

25  has the personnel it needs to continuously implement and

26  improve its services.

27         (b)  The board shall work with the department and the

28  Agency for Health Care Administration to assure, to the

29  maximum extent possible, that Medicaid and department-funded

30  services are delivered in a coordinated manner, using common

31  service definitions, standards, and accountability mechanisms.

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    Florida Senate - 2003                            CS for SB 700
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 1         (c)  The board shall also work with other agencies of

 2  state government which provide, purchase, or fund substance

 3  abuse and mental health programs and services in order to work

 4  toward fully developed and integrated, when appropriate,

 5  substance abuse and mental health systems that reflect current

 6  knowledge regarding efficacy and efficiency and use best

 7  practices identified within this state or other states.

 8         (d)  The board shall develop memoranda of understanding

 9  that describe how it will coordinate with other programmatic

10  areas within the department and with other state agencies that

11  deliver or purchase substance abuse or mental health services.

12         (4)  The secretary of the department shall provide or

13  direct that any information requested by the board be provided

14  in a timely manner that allows for a reasonable review and

15  approval period by the board for items as set forth in

16  subsection (3) and specified in the contract provided for in

17  subsection (5).

18         (5)  The board and the department must enter into a

19  contract that requires the department to implement the

20  policies of the board and describes how the department will

21  respond to the board's requests for documents, reports, and

22  proposals needed by the board in order for it to carry out its

23  duties as described in paragraph (3)(a).

24         (6)(a)  The board shall be comprised of 15 members,

25  each appointed to a 2-year term, with not more than three

26  subsequent reappointments, except that initial legislative

27  appointments shall be for 3-year terms. Five members shall be

28  appointed by the Governor, five members shall be appointed by

29  the President of the Senate, and five members shall be

30  appointed by the Speaker of the House of Representatives.

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    Florida Senate - 2003                            CS for SB 700
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 1         1.  Of the five members appointed by the Governor, one

 2  member must represent the perspective of community-based care

 3  under chapter 409 and four members must be prominent community

 4  or business leaders, two of whom must have experience and

 5  interest in substance abuse and two of whom must have

 6  experience and interest in mental health.

 7         2.  Of the five members appointed by the President of

 8  the Senate, one member must be an expert in the field of

 9  substance abuse, one member must be a former client or family

10  member of a client of a publicly funded mental health program,

11  one member must represent the perspective of the state's

12  senior population, and two members must be prominent community

13  or business leaders, one of whom must have experience and

14  interest in substance abuse and one of whom must have

15  experience and interest in mental health.

16         3.  Of the five members appointed by the Speaker of the

17  House of Representatives, one member must be an expert in the

18  field of mental health, one member must be a former client or

19  family member of a client of a publicly funded substance abuse

20  program, one member must represent the perspective of the

21  criminal justice system, and two members must be prominent

22  community or business leaders, one of whom must have

23  experience and interest in substance abuse and one of whom

24  must have experience and interest in mental health.

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26  The Secretary of Children and Family Services, or his or her

27  designee, shall serve as an ex officio member of the board.

28         (b)  The board shall be chaired by a member designated

29  by the Governor who may not be a public sector employee.

30         (c)  Persons who derive their income from resources

31  controlled by the Department of Children and Family Services

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    Florida Senate - 2003                            CS for SB 700
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 1  or the Agency for Health Care Administration may not be

 2  members of the board.

 3         (d)  The Governor, the President of the Senate, and the

 4  Speaker of the House of Representatives shall make their

 5  respective appointments within 60 days after the effective

 6  date of this act.

 7         (e)  A member of the board may be removed by the

 8  appointing party for cause. Absence from three consecutive

 9  meetings shall result in automatic removal. The chairperson of

10  the board shall notify the appointing party of such absences.

11         (f)  The board shall develop by-laws that describe how

12  it will conduct its work.

13         (g)  The board shall meet at least quarterly and at

14  other times upon the call of its chair. Board meetings may be

15  held via teleconference or other electronic means.

16         (h)  A majority of the total current membership of the

17  board constitutes a quorum of the board. The board may only

18  meet and take action when a quorum is present.

19         (i)  Within resources appropriated by the Legislature

20  and other funds available to the corporation, the chairperson

21  of the board may appoint advisory committees to address and

22  advise the board on particular issues within its scope of

23  responsibility. Members of advisory committees are not subject

24  to the prohibition in paragraph (c).

25         (j)  Members of the board and its committees shall

26  serve without compensation, but are entitled to reimbursement

27  for travel and per diem expenses pursuant to s. 112.061.

28         (k)  Each member of the board who is not otherwise

29  required to file a financial disclosure statement pursuant to

30  s. 8, Art. II of the State Constitution or s. 112.3144 must

31  

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    Florida Senate - 2003                            CS for SB 700
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 1  file disclosure of financial interests pursuant to s.

 2  112.3145.

 3         (7)  The board may appoint four staff members,

 4  including a programmatic analyst, a budget analyst, a contract

 5  manager, and an administrative assistant. One staff member

 6  shall be designated as staff supervisor. The staff members

 7  shall be appointed by and serve at the pleasure of the board

 8  and are employees of the corporation, not employees of the

 9  state. Provision of other staff support required by the board

10  shall be provided by the department as negotiated in the

11  contract developed pursuant to subsection (5).

12         (8)  The board must develop a budget request for its

13  operation and must submit the request to the Governor and the

14  Legislature pursuant to chapter 216 through the secretary of

15  the department, who may not modify the budget request before

16  it is submitted or after the board's funding is appropriated

17  by the Legislature.

18         (9)  The board shall provide for an annual financial

19  audit of its financial accounts and records by an independent

20  certified public accountant. The annual audit report shall

21  include a management letter in accordance with s. 11.45 and a

22  detailed supplemental schedule of expenditures for each

23  expenditure category. The annual audit report must be

24  submitted to the Governor, the department, and the Auditor

25  General for review.

26         (10)  The board must annually evaluate and, in December

27  of each year, report to the Legislature and the Governor on

28  the status of the state's publicly funded substance abuse and

29  mental health systems. The board's first report must be

30  submitted in December, 2004. Each public sector agency that

31  delivers, or contracts for the provision of, substance abuse

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 1  or mental health services must cooperate with the board in the

 2  development of this annual evaluation and report. As part of

 3  the annual report, the board and department shall certify as

 4  to whether the board and the department are complying with the

 5  terms of the contract required in subsection (5) in a manner

 6  that is consistent with the goals and purposes of the board

 7  and in the best interest of the state.

 8         (11)  This section expires on October 1, 2006, unless

 9  reviewed and reenacted by the Legislature before that date.

10  The Executive Office of the Governor shall procure an

11  independent evaluation of the effectiveness of the substance

12  abuse and mental health programs. The evaluation must include,

13  but need not be limited to, the operation of the board, the

14  organization of programs within the department, and the

15  contractual arrangement between parties in order to determine

16  whether each program has been effective in carrying out its

17  mission, as defined in law, including how well the needs of

18  children and families in the child protection system have been

19  met, and in order to determine the cost effectiveness of or

20  any cost issues relating to the board and each program office.

21  A report that includes recommendations relating to the

22  continuation of the board and the organizational arrangement

23  of the programs must be submitted by the Executive Office of

24  the Governor, the President of the Senate, and the Speaker of

25  the House of Representatives by January 1, 2006.

26         Section 2.  Present paragraph (c) of subsection (2) of

27  section 20.19, Florida Statutes, is redesignated as paragraph

28  (d), and a new paragraph (c) is added to that subsection, to

29  read:

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    Florida Senate - 2003                            CS for SB 700
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 1         20.19  Department of Children and Family

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

 3  Family Services.

 4         (2)  SECRETARY OF CHILDREN AND FAMILY SERVICES; DEPUTY

 5  SECRETARY.--

 6         (c)1.  The secretary shall appoint an Assistant

 7  Secretary for Substance Abuse and Mental Health from a list of

 8  three recommendations submitted by the board established in s.

 9  394.655. The assistant secretary shall serve at the pleasure

10  of the secretary with the concurrence of the board and must

11  have expertise in both areas of responsibility.

12         2.  The secretary shall appoint a Program Director for

13  Substance Abuse and a Program Director for Mental Health who

14  have the requisite expertise and experience in their

15  respective fields to head the state's substance abuse and

16  mental health programs.

17         a.  Each program director shall have line authority

18  over all district substance abuse and mental health program

19  management staff.

20         b.  The assistant secretary shall enter into a

21  memorandum of understanding with each district or region

22  administrator, which must be approved by the secretary or the

23  secretary's designee, describing the working relationships

24  within each geographic area.

25         c.  The mental health institutions shall report to the

26  Program Director for Mental Health.

27         d.  Each program director shall have direct control

28  over the program's budget and contracts for services. Support

29  staff necessary to manage budget and contracting functions

30  within the department shall be placed under the supervision of

31  the program directors.

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    Florida Senate - 2003                            CS for SB 700
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 1         Section 3.  The children-in-need-of-services program

 2  and the families-in-need-of-services program are transferred

 3  by a type 2 transfer from the Department of Juvenile Justice

 4  to the Department of Children and Family Services, effective

 5  July 1, 2003.

 6         Section 4.  Except as otherwise provided in this act,

 7  this act shall take effect upon becoming a law.

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    Florida Senate - 2003                            CS for SB 700
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 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 700

 3                                 

 4  Deletes the intent to transfer the Mental Health Program
    within the Department of Children and Families to the
 5  Department of Health including the direction to the Office of
    Program Policy Analysis and Government Accountability to
 6  evaluate the transfer of the Developmental Disabilities and
    other programs to the Department of Health.
 7  
    Directs the transfer of the children in need of services and
 8  families in need of services (CINS/FINS) program from the
    Department of Juvenile Justice to the Department of Children
 9  and Families.

10  Creates a not-for-profit corporation to be known as the
    Florida Substance Abuse and Mental Health Board, Inc., that is
11  to set direction and policy for the substance abuse and mental
    health programs in order to provide services that are
12  coordinated and consistent throughout the state; provides for
    staff.
13  
    Modifies responsibilities of the Board to include the
14  collection of a needs assessment, monitoring the status of the
    publicly funded mental health and substance abuse systems,
15  providing mechanisms for stakeholder input, developing
    recommended priorities for service expansion, preparing
16  legislative budget requests, reviewing performance data,
    monitoring staffing needs, and making recommendations to the
17  Secretary on performance improvement.

18  Provides direction for board members to be appointed by the
    President of the Senate, Speaker of the House of
19  Representatives and the Governor.

20  Specifies an organizational structure for the substance abuse
    and mental health program offices that have line of authority
21  over district program staff.

22  Requires the completion of reports by the board and an
    evaluation directed by the Executive Office of the Governor;
23  reports are to be submitted to the Legislature and Governor.

24  Specifies that the section created is to expire on October 6,
    2006, unless it is reviewed and re-enacted by the Legislature
25  prior to that date.

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