Senate Bill sb1248

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    Florida Senate - 2005                                  SB 1248

    By Senator Wilson





    33-891A-05

  1                      A bill to be entitled

  2         An act relating to the school health services

  3         program; amending s. 381.0056, F.S.; defining

  4         the term "school-based health center" for

  5         purposes of the School Health Services Act;

  6         providing that such a center is a health care

  7         entity acting as an instrumentality of the

  8         state for purposes of certain limitations on

  9         liability; providing an effective date.

10  

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

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13         Section 1.  Subsection (3) of section 381.0056, Florida

14  Statutes, is amended to read:

15         381.0056  School health services program.--

16         (3)  When used in or for purposes of this section:

17         (a)  "Emergency health needs" means onsite management

18  and aid for illness or injury pending the student's return to

19  the classroom or release to a parent, guardian, designated

20  friend, or designated health care provider.

21         (b)  "Entity" or "health care entity" means a unit of

22  local government or a political subdivision of the state; a

23  hospital licensed under chapter 395; a health maintenance

24  organization certified under chapter 641; a health insurer

25  authorized under the Florida Insurance Code; a community

26  health center; a migrant health center; a federally qualified

27  health center; an organization that meets the requirements for

28  nonprofit status under s. 501(c)(3) of the Internal Revenue

29  Code; a private industry or business; a school-based health

30  center; or a philanthropic foundation that agrees to

31  participate in a public-private partnership with a county

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    Florida Senate - 2005                                  SB 1248
    33-891A-05




 1  health department, local school district, or school in the

 2  delivery of school health services, and agrees to the terms

 3  and conditions for the delivery of such services as required

 4  by this section and as documented in the local school health

 5  services plan.

 6         (c)  "Invasive screening" means any screening procedure

 7  in which the skin or any body orifice is penetrated.

 8         (d)  "Physical examination" means a thorough evaluation

 9  of the health status of an individual.

10         (e)  "School-based health center" means an entity that:

11         1.  Provides a minimum of 25 hours per week of primary

12  care services to adolescents or other school-age children in

13  accordance with state law for the majority of the year;

14         2.  Primarily provides services onsite at the school,

15  but may also offer linkages and referrals to primary care

16  providers if confidentiality is maintained;

17         3.  Provides comprehensive services that include, but

18  are not limited to, the following:

19         a.  Acute management and ongoing monitoring of chronic

20  conditions, such as asthma, diabetes, and seizure disorder, in

21  conjunction with a student's regular doctor.

22         b.  Well-child or adolescent examinations consisting of

23  a comprehensive health history, including an assessment of

24  high-risk behavior for adolescents, complete physical

25  assessment, screening procedures, and anticipatory guidance

26  appropriate to age.

27         c.  Immunizations.

28         d.  Diagnosis and treatment of acute illnesses and

29  injuries.

30         e.  Basic diagnostic laboratory tests.

31  

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    Florida Senate - 2005                                  SB 1248
    33-891A-05




 1         f.  Prescriptions or dispensing of commonly used

 2  medications for identified health conditions, in accordance

 3  with medical practice and pharmacy practice statutes.

 4         g.  Individual health education and anticipatory

 5  guidance for students and parents.

 6         4.  Provides comprehensive services that may include,

 7  but need not be limited to, the following:

 8         a.  Age-appropriate reproductive health services,

 9  including health education; pelvic examinations; diagnosis and

10  treatment of sexually transmitted diseases; testing and

11  counseling for human immunodeficiency virus (HIV) or acquired

12  immune deficiency syndrome (AIDS); and prescribing,

13  dispensing, or referring for birth control, including condoms.

14         b.  Basic mental health services, including assessment;

15  individual, group, and family counseling; consultation with

16  school administrators, parents, teachers, and students; and

17  crisis intervention.

18         5.  Maintains health records in a manner that is

19  current, detailed, confidential, organized, and permits

20  effective student care and quality review; and

21         6.  Does not deny access to health care services to

22  students based upon insurance status or ability to pay, or

23  discriminate with regard to race or ethnicity, religion,

24  national origin, age, disability, gender, or sexual

25  orientation.

26         (f)(e)  "School health services plan" means the

27  document that describes the services to be provided, the

28  responsibility for provision of the services, the anticipated

29  expenditures to provide the services, and evidence of

30  cooperative planning by local school districts and county

31  health departments.

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    Florida Senate - 2005                                  SB 1248
    33-891A-05




 1         (g)(f)  "Screening" means presumptive identification of

 2  unknown or unrecognized diseases or defects by the application

 3  of tests that can be given with ease and rapidity to

 4  apparently healthy persons.

 5         Section 2.  This act shall take effect upon becoming a

 6  law.

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 8            *****************************************

 9                          SENATE SUMMARY

10    Defines the term "school-based health center" as a health
      care entity within the School Health Services Act. (See
11    bill for details.)

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