HB 1845

1
A bill to be entitled
2An act relating to the Department of Children and Family
3Services; amending s. 20.04, F.S.; providing the location
4for program offices within the organizational structure of
5certain departments; amending s. 20.19, F.S.; providing
6authority to the Secretary of Children and Family Services
7to ensure the mission of the department is fulfilled;
8removing the requirement that the secretary appoint a
9deputy secretary; removing the requirement that such
10deputy secretary act as secretary in the absence of the
11secretary; providing additional duties for certain
12assistant secretaries; requiring the secretary to appoint
13certain additional assistant secretaries; providing
14responsibilities; establishing additional program offices;
15deleting certain program offices; creating certain zones;
16requiring the secretary to appoint zone directors;
17providing responsibilities; amending ss. 39.01, 216.177,
18394.78, 394.9082, and  409.16745, F.S.; correcting cross
19references; providing an effective date.
20
21Be It Enacted by the Legislature of the State of Florida:
22
23     Section 1.  Subsections (3) and (4), paragraph (b) of
24subsection (7), and subsection (8) of section 20.04, Florida
25Statutes, are amended to read:
26     20.04  Structure of executive branch.--The executive branch
27of state government is structured as follows:
28     (3)  Except as otherwise provided in subsections (4), (5),
29and (6) For their internal structure, all departments, except
30for the Department of Financial Services, the Department of
31Children and Family Services, the Department of Corrections, the
32Department of Management Services, the Department of Revenue,
33and the Department of Transportation, must adhere to the
34following standard terms for their internal structure:
35     (a)  The principal unit of the department is the
36"division." Each division is headed by a "director."
37     (b)  The principal unit of the division is the "bureau."
38Each bureau is headed by a "chief."
39     (c)  The principal unit of the bureau is the "section."
40Each section is headed by an "administrator."
41     (d)  If further subdivision is necessary, sections may be
42divided into "subsections," which are headed by "supervisors."
43     (4)  Within the Department of Children and Family Services
44there are organizational units called "program offices," headed
45by program directors. Program offices shall be below a division
46but above a bureau.
47     (7)
48     (b)  Within the limitations of this subsection, the head of
49the department may recommend the establishment of additional
50divisions, bureaus, sections, and subsections of the department
51to promote efficient and effective operation of the department.
52However, additional divisions, program offices, or offices in
53the Department of Children and Family Services, the Department
54of Corrections, and the Department of Transportation, may be
55established only by specific statutory enactment. New bureaus,
56sections, and subsections of departments may be initiated by a
57department and established as recommended by the Department of
58Management Services and approved by the Executive Office of the
59Governor, or may be established by specific statutory enactment.
60     (8)  The Executive Office of the Governor must maintain a
61current organizational chart of each agency of the executive
62branch, which must identify all divisions, program offices,
63offices, bureaus, units, and subunits of the agency. Agencies
64must submit such organizational charts in accordance with
65guidelines established by the Executive Office of the Governor.
66     Section 2.  Section 20.19, Florida Statutes, is amended to
67read:
68     20.19  Department of Children and Family Services.--There
69is created a Department of Children and Family Services.
70     (1)  MISSION AND PURPOSE.--
71     (a)  The mission of the department of Children and Family
72Services is to work in partnership with local communities to
73ensure the safety, well-being, and self-sufficiency of the
74people served.
75     (b)  The department shall develop a strategic plan for
76fulfilling its mission and establish a set of measurable goals,
77objectives, performance standards, and quality assurance
78requirements to ensure that the department is accountable to the
79people of Florida.
80     (c)  To the extent allowed by law and within specific
81appropriations, the department shall deliver services by
82contract through private providers.
83     (2)  SECRETARY OF CHILDREN AND FAMILY SERVICES; DEPUTY
84SECRETARY.--
85     (a)  The head of the department is the Secretary of
86Children and Family Services. The secretary is appointed by the
87Governor, subject to confirmation by the Senate. The secretary
88serves at the pleasure of the Governor. The secretary has the
89authority and responsibility to ensure that the mission of the
90department is fulfilled in accordance with state and federal
91laws, rules, and regulations.
92     (b)  The secretary may shall appoint a deputy secretary who
93shall perform act in the absence of the secretary. The deputy
94secretary is directly responsible to the secretary, performs
95such duties as are assigned by the secretary, and shall serve
96serves at the pleasure of the secretary.
97     (3)(c)1.  ASSISTANT SECRETARY FOR SUBSTANCE ABUSE AND
98MENTAL HEALTH.--The secretary shall appoint an Assistant
99Secretary for the Division of Substance Abuse and Mental Health.
100The assistant secretary shall serve at the pleasure of the
101secretary and must have expertise in both areas of
102responsibility and shall head the department's substance abuse
103and mental health programs.
104     2.  The secretary shall appoint a Program Director for
105Substance Abuse and a Program Director for Mental Health who
106have the requisite expertise and experience in their respective
107fields to head the state's substance abuse and mental health
108programs.
109     (a)a.  Each program director shall have line authority over
110all district substance abuse and mental health program
111management staff.
112     (b)b.  The assistant secretary shall enter into a
113memorandum of understanding with each district or region
114administrator, which must be approved by the secretary or the
115secretary's designee, describing the working relationships
116within each geographic area.
117     (c)c.  The mental health institutions shall report to the
118Program Director for Mental Health.
119     (d)d.  Each program director shall be responsible for have
120direct control over the program's budget and contracts for
121services. Support staff necessary to manage budget and
122contracting functions within the department shall be placed
123under the supervision of the program directors.
124     (d)  The secretary has the authority and responsibility to
125ensure that the mission of the department is fulfilled in
126accordance with state and federal laws, rules, and regulations.
127     (3)  PROGRAM DIRECTORS.--The secretary shall appoint
128program directors who serve at the pleasure of the secretary.
129The secretary may delegate to the program directors
130responsibilities for the management, policy, program, and fiscal
131functions of the department.
132     (4)  ASSISTANT SECRETARY FOR THE DIVISION OF PROGRAMS
133PROGRAM OFFICES AND SUPPORT OFFICES.--
134     (a)  The secretary shall appoint an Assistant Secretary for
135the Division of Programs. With the exception of Mental Health
136and Substance Abuse, the assistant secretary shall head all
137department program offices The department is authorized to
138establish program offices and support offices, each of which
139shall be headed by a director or other management position who
140shall be appointed by and serves at the pleasure of the
141secretary.
142     (b)  The following program offices are established:
143     1.  Adult Services.
144     2.  Child Care Services.
145     3.  Developmental Disabilities.
146     4.  Economic Self-Sufficiency Services.
147     5.  Family Safety.
148     6.  Mental Health.
149     6.7.  Refugee Services.
150     8.  Substance Abuse.
151     (c)  Program offices and support offices may be
152consolidated, restructured, or rearranged by the secretary, in
153consultation with the Executive Office of the Governor, provided
154any such consolidation, restructuring, or rearranging is capable
155of meeting functions and activities and achieving outcomes as
156delineated in state and federal laws, rules, and regulations.
157The secretary may appoint additional managers and administrators
158as he or she determines are necessary for the effective
159management of the department.
160     (5)  ASSISTANT SECRETARY FOR THE DIVISION OF
161ADMINISTRATION.--The secretary shall appoint an Assistant
162Secretary for the Division of Administration. The assistant
163secretary shall be responsible for all administrative,
164financial, and budget functions of the department.
165     (6)  ASSISTANT SECRETARY FOR THE DIVISION OF
166OPERATIONS.--The secretary shall appoint an Assistant Secretary
167The secretary shall appoint an Assistant Secretary for the
168Division of Operations. The assistant secretary shall be
169responsible for the management and operation of the department's
170zones and districts.
171     (7)(5)  ZONES AND SERVICE DISTRICTS.--
172     (a)  The department shall plan and administer its programs
173of family services through zones composed of the following
174service districts, and subdistricts, composed of the following
175and counties:
176     1.  Panhandle Zone.--
177     a.1.  District 1.--Escambia, Santa Rosa, Okaloosa, and
178Walton Counties.
179     b.2.  District 2, Subdistrict A.--Holmes, Washington, Bay,
180Jackson, Calhoun, and Gulf Counties.
181     c.3.  District 2, Subdistrict B.--Gadsden, Liberty,
182Franklin, Leon, Wakulla, Jefferson, Madison, and Taylor
183Counties.
184     2.  Northeast Zone.--
185     a.4.  District 3.--Hamilton, Suwannee, Lafayette, Dixie,
186Columbia, Gilchrist, Levy, Union, Bradford, Putnam, and Alachua
187Counties.
188     b.5.  District 4.--Baker, Nassau, Duval, Clay, and St.
189Johns Counties.
190     c.  District 12.--Flagler and Volusia Counties.
191     3.  Suncoast Zone.--
192     a.6.  District 5.--Pasco and Pinellas Counties.
193     b.7.  District 6.--Hillsborough and Manatee Counties.
194     4.  Central Zone.--
195     a.8.  District 7, Subdistrict A.--Seminole, Orange, and
196Osceola Counties.
197     b.9.  District 7, Subdistrict B.--Brevard County.
198     c.  District 13.--Marion, Citrus, Hernando, Sumter, and
199Lake Counties.
200     d.  District 14.--Polk, Hardee, and Highlands Counties.
201     5.  Southern Zone.--
202     a.10.  District 8, Subdistrict A.--Sarasota and DeSoto
203Counties.
204     b.11.  District 8, Subdistrict B.--Charlotte, Lee, Glades,
205Hendry, and Collier Counties.
206     c.12.  District 9.--Palm Beach County.
207     d.13.  District 10.--Broward County.
208     e.  District 15.--Indian River, Okeechobee, St. Lucie, and
209Martin Counties.
210     6.  District 11 Zone.--
211     a.14.  District 11, Subdistrict A.--Miami-Dade County.
212     b.15.  District 11, Subdistrict B.--Monroe County.
213     16.  District 12.--Flagler and Volusia Counties.
214     17.  District 13.--Marion, Citrus, Hernando, Sumter, and
215Lake Counties.
216     18.  District 14.--Polk, Hardee, and Highlands Counties.
217     19.  District 15.--Indian River, Okeechobee, St. Lucie, and
218Martin Counties.
219     (b)  The secretary shall appoint zone directors for each
220zone. The zone directors shall serve at the pleasure of the
221secretary and shall be responsible for providing administrative
222support, including programmatic technical assistance, budget and
223financial services, data collection and information technology
224services, and such other duties as assigned by the secretary.
225     (c)(b)1.  The secretary shall appoint a district
226administrator for each of the service districts. The district
227administrator shall serve at the pleasure of the secretary and
228shall be responsible for the provision of program services and
229such other shall perform such duties as assigned by the
230secretary. Subject to the approval of the secretary, such duties
231shall include transferring up to 10 percent of the total
232district budget, the provisions of ss. 216.292 and 216.351
233notwithstanding.
234     2.  Any district For the 2003-2004 fiscal year only, the
235transfer authority related to the budget that is beyond the
236provisions of chapter 216 provided in this subsection must be
237specifically identified appropriated in the 2003-2004 General
238Appropriations Act and its implementing bill shall be pursuant
239to the requirements of s. 216.292. This subparagraph expires
240July 1, 2004.
241     (d)(c)  Each fiscal year the secretary shall, in
242consultation with the relevant employee representatives, develop
243projections of the number of child abuse and neglect cases and
244shall include in the department's legislative budget request a
245specific appropriation for funds and positions for the next
246fiscal year in order to provide an adequate number of full-time
247equivalent:
248     1.  Child protection investigation workers so that
249caseloads do not exceed the Child Welfare League Standards by
250more than two cases.; and
251     2.  Child protection case workers so that caseloads do not
252exceed the Child Welfare League Standards by more than two
253cases.
254     (8)(6)  COMMUNITY ALLIANCES.--
255     (a)  The department shall, in consultation with local
256communities, establish a community alliance of the stakeholders,
257community leaders, client representatives and funders of human
258services in each county to provide a focal point for community
259participation and governance of community-based services. An
260alliance may cover more than one county when such arrangement is
261determined to provide for more effective representation. The
262community alliance shall represent the diversity of the
263community.
264     (b)  The duties of the community alliance shall include,
265but not necessarily be limited to:
266     1.  Joint planning for resource utilization in the
267community, including resources appropriated to the department
268and any funds that local funding sources choose to provide.
269     2.  Needs assessment and establishment of community
270priorities for service delivery.
271     3.  Determining community outcome goals to supplement
272state-required outcomes.
273     4.  Serving as a catalyst for community resource
274development.
275     5.  Providing for community education and advocacy on
276issues related to delivery of services.
277     6.  Promoting prevention and early intervention services.
278     (c)  The department shall ensure, to the greatest extent
279possible, that the formation of each community alliance builds
280on the strengths of the existing community human services
281infrastructure.
282     (d)  The initial membership of the community alliance in a
283county shall be composed of the following:
284     1.  The district administrator.
285     2.  A representative from county government.
286     3.  A representative from the school district.
287     4.  A representative from the county United Way.
288     5.  A representative from the county sheriff's office.
289     6.  A representative from the circuit court corresponding
290to the county.
291     7.  A representative from the county children's board, if
292one exists.
293     (e)  At any time after the initial meeting of the community
294alliance, the community alliance shall adopt bylaws and may
295increase the membership of the alliance to include the state
296attorney for the judicial circuit in which the community
297alliance is located, or his or her designee, the public defender
298for the judicial circuit in which the community alliance is
299located, or his or her designee, and other individuals and
300organizations who represent funding organizations, are community
301leaders, have knowledge of community-based service issues, or
302otherwise represent perspectives that will enable them to
303accomplish the duties listed in paragraph (b), if, in the
304judgment of the alliance, such change is necessary to adequately
305represent the diversity of the population within the community
306alliance service districts.
307     (f)  Members of the community alliances shall serve without
308compensation, but are entitled to receive reimbursement for per
309diem and travel expenses, as provided in s. 112.061. Payment may
310also be authorized for preapproved child care expenses or lost
311wages for members who are consumers of the department's services
312and for preapproved child care expenses for other members who
313demonstrate hardship.
314     (g)  Members of a community alliance are subject to the
315provisions of part III of chapter 112, the Code of Ethics for
316Public Officers and Employees.
317     (h)  Actions taken by a community alliance must be
318consistent with department policy and state and federal laws,
319rules, and regulations.
320     (i)  Alliance members shall annually submit a disclosure
321statement of services interests to the department's inspector
322general. Any member who has an interest in a matter under
323consideration by the alliance must abstain from voting on that
324matter.
325     (j)  All alliance meetings are open to the public pursuant
326to s. 286.011 and the public records provision of s. 119.07(1).
327     (9)(7)  PROTOTYPE REGION.--
328     (a)  Notwithstanding the provisions of this section, the
329department may consolidate the management and administrative
330structure or function of the geographic area that includes the
331counties in the sixth, twelfth, and thirteenth judicial circuits
332as defined in s. 26.021. The department shall evaluate the
333efficiency and effectiveness of the operation of the prototype
334region and upon a determination that there has been a
335demonstrated improvement in management and oversight of services
336or cost savings from more efficient administration of services,
337the secretary may consolidate management and administration of
338additional areas of the state. Any such additional consolidation
339shall comply with the provisions of subsection (7) (5) unless
340legislative authorization to the contrary is provided.
341     (b)  Within the prototype region, the budget transfer
342authority defined in paragraph (7)(c) (5)(b) shall apply to the
343consolidated geographic area.
344     (c)  The department is authorized to contract for
345children's services with a lead agency in each county of the
346prototype area, except that the lead agency contract may cover
347more than one county when it is determined that such coverage
348will provide more effective or efficient services. The duties of
349the lead agency shall include, but not necessarily be limited
350to:
351     1.  Directing and coordinating the program and children's
352services within the scope of its contract.
353     2.  Providing or contracting for the provision of core
354services, including intake and eligibility, assessment, service
355planning, and case management.
356     3.  Creating a service provider network capable of
357delivering the services contained in client service plans, which
358shall include identifying the necessary services, the necessary
359volume of services, and possible utilization patterns and
360negotiating rates and expectations with providers.
361     4.  Managing and monitoring of provider contracts and
362subcontracts.
363     5.  Developing and implementing an effective bill payment
364mechanism to ensure all providers are paid in a timely fashion.
365     6.  Providing or arranging for administrative services
366necessary to support service delivery.
367     7.  Utilizing departmentally approved training and meeting
368departmentally defined credentials and standards.
369     8.  Providing for performance measurement in accordance
370with the department's quality assurance program and providing
371for quality improvement and performance measurement.
372     9.  Developing and maintaining effective interagency
373collaboration to optimize service delivery.
374     10.  Ensuring that all federal and state reporting
375requirements are met.
376     11.  Operating a consumer complaint and grievance process.
377     12.  Ensuring that services are coordinated and not
378duplicated with other major payors, such as the local schools
379and Medicaid.
380     13.  Any other duties or responsibilities defined in s.
381409.1671 related to community-based care.
382     (10)(8)  CONSULTATION WITH COUNTIES ON MANDATED
383PROGRAMS.--It is the intent of the Legislature that when county
384It is the intent of the Legislature that when county governments
385are required by law to participate in the funding of programs,
386the department shall consult with designated representatives of
387county governments in developing policies and service delivery
388plans for those programs.
389     (11)(9)  PROCUREMENT OF HEALTH SERVICES.--Nothing contained
390in chapter 287 shall require competitive bids for health
391services involving examination, diagnosis, or treatment.
392     Section 3.  Subsection (25) of section 39.01, Florida
393Statutes, is amended to read:
394     39.01  Definitions.--When used in this chapter, unless the
395context otherwise requires:
396     (25)  "District administrator" means the chief operating
397officer of each service district of the department as defined in
398s. 20.19(7)(5) and, where appropriate, includes any district
399administrator whose service district falls within the boundaries
400of a judicial circuit.
401     Section 4.  Subsection (4) of section 216.177, Florida
402Statutes, is amended to read:
403     216.177  Appropriations acts, statement of intent,
404violation, notice, review and objection procedures.--
405     (4)  Notwithstanding the 14-day notice requirements of this
406section, the Department of Children and Family Services is
407required to provide notice of proposed transfers submitted
408pursuant to s. 20.19(7)(c)(5)(b) to the Executive Office of the
409Governor and the chairs of the legislative appropriations
410committees at least 3 working days prior to their
411implementation.
412     Section 5.  Subsection (6) of section 394.78, Florida
413Statutes, is renumbered as subsection (5), and current
414subsection (5) of said section is amended to read:
415     394.78  Operation and administration; personnel standards;
416procedures for audit and monitoring of service providers;
417resolution of disputes.--
418     (5)  In unresolved disputes regarding this part or rules
419established pursuant to this part, providers and district health
420and human services boards shall adhere to formal procedures
421specified under s. 20.19(8)(n).
422     Section 6.  Paragraph (b) of subsection (4) and paragraph
423(d) of subsection (7) of section 394.9082, Florida Statutes, are
424amended to read:
425     394.9082  Behavioral health service delivery strategies.--
426     (4)  CONTRACT FOR SERVICES.--
427     (b)  Under one of the service delivery strategies, the
428Department of Children and Family Services may contract with a
429prepaid mental health plan that operates under s. 409.912 to be
430the managing entity. Under this strategy, the Department of
431Children and Family Services is not required to competitively
432procure those services and, notwithstanding other provisions of
433law, may employ prospective payment methodologies that the
434department finds are necessary to improve client care or
435institute more efficient practices. The Department of Children
436and Family Services may employ in its contract any provision of
437the current prepaid behavioral health care plan authorized under
438s. 409.912(3)(a) and (b), or any other provision necessary to
439improve quality, access, continuity, and price. Any contracts
440under this strategy in Area 6 of the Agency for Health Care
441Administration or in the prototype region under s. 20.19(9)(7)
442of the Department of Children and Family Services may be entered
443with the existing substance abuse treatment provider network if
444an administrative services organization is part of its network.
445In Area 6 of the Agency for Health Care Administration or in the
446prototype region of the Department of Children and Family
447Services, the Department of Children and Family Services and the
448Agency for Health Care Administration may employ alternative
449service delivery and financing methodologies, which may include
450prospective payment for certain population groups. The
451population groups that are to be provided these substance abuse
452services would include at a minimum: individuals and families
453receiving family safety services; Medicaid-eligible children,
454adolescents, and adults who are substance-abuse-impaired; or
455current recipients and persons at risk of needing cash
456assistance under Florida's welfare reform initiatives.
457     (7)  ESSENTIAL ELEMENTS.--
458     (d)  A local body or group must be identified by the
459district administrator of the Department of Children and Family
460Services to serve in an advisory capacity to the behavioral
461health service delivery strategy and must include
462representatives of the local school system, the judicial system,
463county government, public and private Baker Act receiving
464facilities, and law enforcement agencies; a consumer of the
465public behavioral health system; and a family member of a
466consumer of the publicly funded system. This advisory body may
467be the community alliance established under s. 20.19(8)(6) or
468any other suitable established local group.
469     Section 7.  Section 409.16745, Florida Statutes, is amended
470to read:
471     409.16745  Community partnership matching grant
472program.--It is the intent of the Legislature to improve
473It is the intent of the Legislature to improve services and
474local participation in community-based care initiatives by
475fostering community support and providing enhanced prevention
476and in-home services, thereby reducing the risk otherwise faced
477by lead agencies. There is established a community partnership
478matching grant program to be operated by the Department of
479Children and Family Services for the purpose of encouraging
480local participation in community-based care for child welfare.
481Any children's services council or other local government entity
482that makes a financial commitment to a community-based care lead
483agency is eligible for a grant upon proof that the children's
484services council or local government entity has provided the
485selected lead agency at least $250,000 from any local resources
486otherwise available to it. The total amount of local
487contribution may be matched on a two-for-one basis up to a
488maximum amount of $2 million per council or local government
489entity. Awarded matching grant funds may be used for any
490prevention or in-home services provided by the children's
491services council or other local government entity that meets
492temporary-assistance-for-needy-families' eligibility
493requirements and can be reasonably expected to reduce the number
494of children entering the child welfare system. To ensure
495necessary flexibility for the development, start up, and ongoing
496operation of community-based care initiatives, the notice period
497required for any budget action authorized by the provisions of
498s. 20.19(7)(c)(5)(b), is waived for the family safety program;
499however, the Department of Children and Family Services must
500provide copies of all such actions to the Executive Office of
501the Governor and Legislature within 72 hours of their
502occurrence. Funding available for the matching grant program is
503subject to legislative appropriation of nonrecurring funds
504provided for the purpose.
505     Section 8.  This act shall take effect July 1, 2004.


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