Senate Bill sb1646
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Florida Senate - 2005 SB 1646
By Senator Wilson
33-657-05
1 A bill to be entitled
2 An act relating to school health services;
3 providing a short title; amending ss. 381.0056
4 and 768.28, F.S.; specifying that certain
5 persons be considered agents of the state for
6 purposes of sovereign immunity when rendering
7 specified services; creating s. 381.0058, F.S.,
8 relating to public-private partnerships for the
9 provision of school nurse services; providing
10 legislative intent and purpose; providing
11 departmental duties; providing a process for
12 proposal submission and review; providing for
13 the scope of services to be provided; providing
14 for review and selection criteria; providing
15 legislative intent relating to funding of the
16 act; providing an appropriation; providing an
17 effective date.
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19 Be It Enacted by the Legislature of the State of Florida:
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21 Section 1. This act may be cited as the "One School,
22 One Nurse Act."
23 Section 2. Subsection (10) of section 381.0056,
24 Florida Statutes, is amended to read:
25 381.0056 School health services program.--
26 (10) Any person who health care entity that provides
27 school health services under contract with the department
28 pursuant to a school health services plan developed under this
29 section and who is the employee or agent of a health care
30 entity that has agreed, in writing, to act on behalf of the
31 state as an agent of the Department of Health to provide
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Florida Senate - 2005 SB 1646
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1 school health services, with or without compensation, is,
2 solely with respect to such services, an agent of the state
3 for purposes of s. 768.28., and as part of a school nurse
4 services public-private partnership, is deemed to be a
5 corporation acting primarily as an instrumentality of the
6 state solely for the purpose of limiting liability pursuant to
7 s. 768.28(5). The limitations on tort actions contained in s.
8 768.28(5) shall apply to any action against the entity with
9 respect to the provision of school health services, if the
10 entity is acting within the scope of and pursuant to
11 guidelines established in the contract or by rule of the
12 department. The contract must require the entity, or the
13 partnership on behalf of the entity, to obtain general
14 liability insurance coverage, with any additional endorsement
15 necessary to insure the entity for liability assumed by its
16 contract with the department. The Legislature intends that
17 insurance be purchased by entities, or by partnerships on
18 behalf of the entity, to cover all liability claims, and under
19 no circumstances shall the state or the department be
20 responsible for payment of any claims or defense costs for
21 claims brought against the entity or its subcontractor for
22 services performed under the contract with the department.
23 This subsection does not preclude consideration by the
24 Legislature for payment by the state of any claims bill
25 involving an entity contracting with the department pursuant
26 to this section.
27 Section 3. Section 381.0058, Florida Statutes, is
28 created to read:
29 381.0058 Matching funds for school nurse services
30 public-private partnerships.--
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Florida Senate - 2005 SB 1646
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1 (1) It is the intent of the Legislature that matching
2 funds, in addition to those provided under s. 381.0056 for the
3 School Health Services Act and s. 381.0057 for school health
4 services funding, be provided in those communities where
5 interest in school health services is evidenced by the
6 participation of public or private entities in the funding or
7 delivery of school nurse services. The purpose of this funding
8 is to encourage the development of those programs that offer
9 the greatest potential for promoting the health of students,
10 increasing the availability of and access to nurses in the
11 school setting, and fostering greater community participation
12 in the delivery of school nurse services. Matching funds shall
13 be available specifically for implementation of programs as
14 described in ss. 381.0056, 381.0057, and 402.3026, and that
15 are designed to meet the particular needs of the community.
16 Further, it is the intent of the Legislature that
17 tobacco-settlement revenue be used to pay for health and human
18 services for children.
19 (2) The Secretary of Health, or his or her designee,
20 in cooperation with the Commissioner of Education, or his or
21 her designee, shall publicize the availability of matching
22 funds for public and private entities committed to enhancing
23 the availability of school nurse services, as reflected in
24 formal agreements that are part of the local school health
25 services plan.
26 (3) The Secretary of Health, or his or her designees,
27 in cooperation with the Commissioner of Education, or his or
28 her designees, in equal representation, shall form a committee
29 to determine the eligibility of sites to receive matching
30 funds.
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1 (4) Any community that seeks to receive state matching
2 funds under this section must submit a proposal to the
3 committee established in subsection (3). The proposal must
4 state the goals of the program, provide specific plans for
5 enhancing local resources available for school nurse services,
6 and describe all of the health services to be made available
7 to students from matching funds provided under this section. A
8 county health department or school district receiving matching
9 funds may not supplant more than 50 percent of the current
10 local contributions to school health services funding, as
11 documented in the local school health services plan.
12 (5) In addition to the merits of a proposal, the award
13 of matching funds must be based on those proposals from sites
14 that include county health departments and school districts
15 that most closely meet the following criteria:
16 (a) Have evidence of a comprehensive inservice staff
17 development plan.
18 (b) Have evidence of a cooperative working
19 relationship between the county health department and the
20 school district and have community as well as parental
21 support.
22 (c) Have a high percentage of subsidized school
23 lunches.
24 (d) Have a high incidence of medically underserved
25 high-risk children, low-birthweight babies, infant mortality,
26 or teenage pregnancy.
27 (e) Have a high incidence of children with chronic
28 health conditions or high-risk behavioral problems.
29 (f) Have documented in the local school health
30 services plan a commitment from community entities to fund or
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1 provide other direct resources for the enhanced availability
2 of school health services.
3 (g) Have a plan to ensure billing for Medicaid funding
4 for services rendered under the certified school match program
5 or the county health department certified match program as
6 specified in s. 409.9122.
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8 While these criteria are part of the proposal review process,
9 these criteria are not to be construed as the sole factors to
10 be considered in the proposal review process. The ability and
11 interest of a site in addressing locally identified needs and
12 priorities must also be considered. In addition, receipt of
13 matching funds is not intended to diminish a site's
14 eligibility for base funding for school health services.
15 Section 4. Subsection (21) is added to section 768.28,
16 Florida Statutes, to read:
17 768.28 Waiver of sovereign immunity in tort actions;
18 recovery limits; limitation on attorney fees; statute of
19 limitations; exclusions; indemnification; risk management
20 programs.--
21 (21)(a) A health care provider, or any employee or
22 agent of a health care entity, who has contractually agreed to
23 act on behalf of the state as an agent of the Department of
24 Health to provide school health services as specified in a
25 school health services plan developed under s. 381.0056, with
26 or without compensation, is, solely with respect to such
27 services, an agent of the state for purposes of this section
28 while acting within the scope of his or her license, acting
29 under the supervision of the county health department, and
30 acting pursuant to guidelines established in the school health
31 services plan. For purposes of this subsection, the
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1 partnership agreements documented in the school health
2 services plan developed by the county health department and
3 district school board under s. 381.0056, including related
4 contracts and memoranda of agreement, constitute a contract.
5 Such contract must provide for the indemnification of the
6 state by the agent for any liabilities incurred, up to the
7 limits specified in this chapter.
8 (b) This subsection does not designate a person who is
9 not an employee of a unit of government and who provides
10 school health services as an employee or agent of the state
11 for purposes of chapter 440.
12 Section 5. It is the intent of the Legislature that
13 sufficient resources be made available to fund a nurse in
14 every public school in the state, pursuant to this act. The
15 Legislature recognizes that extensive resources will be
16 necessary to achieve this intent, and that a portion of these
17 resources can be found from a variety of existing resources.
18 The Legislature recognizes that existing funding for basic and
19 comprehensive school health services and full service schools,
20 as created under sections 381.0056 and 381.0057, Florida
21 Statutes, can be used as partial funding. The Legislature
22 further recognizes that funding earned by local school
23 districts and county health departments from the Agency for
24 Health Care Administration from the delivery of services to
25 Medicaid-eligible students can also be used as partial
26 funding. Finally, the Legislature recognizes that another
27 source of funding is local funding currently being used for
28 school health services, which can now be eligible for matching
29 funds under school nurse services public-private partnerships
30 as created by this act. It is the intent of the Legislature
31 that the remainder of resources necessary for placing a nurse
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1 in every school shall be derived from the state's
2 tobacco-settlement revenue.
3 Section 6. The sum of $75,000 is appropriated from the
4 General Revenue Fund to the Department of Health for the
5 purpose of convening a school health summit as recommended by
6 Senate Interim Project Report 98-30, September 1998.
7 Section 7. This act shall take effect July 1, 2005.
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10 SENATE SUMMARY
11 Revises provisions related to school health services
programs. Provides legislative intent and guidelines to
12 publicize and make available matching funds for school
nurse services public-private partnerships. Provides a
13 waiver of sovereign immunity relating to tort actions
relating to certain health care providers or entities
14 that are acting on behalf of the state in providing
school health services. Provides for funding such
15 programs and provides an appropriation. (See bill for
details.)
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