1 | A bill to be entitled |
2 | An act relating to the Department of Children and Family |
3 | Services; providing legislative intent with respect to |
4 | establishing a structure by which the department shall |
5 | monitor and manage contracts with external service |
6 | providers; providing definitions; requiring the department |
7 | to competitively procure certain commodities and |
8 | contractual services; requiring the department to allow |
9 | all public postsecondary institutions to bid on contracts |
10 | intended for any public postsecondary institution; |
11 | authorizing the department to competitively procure and |
12 | contract for systems of treatment or service that involve |
13 | multiple providers; providing requirements if other |
14 | governmental entities contribute matching funds; requiring |
15 | that an entity providing matching funds must comply with |
16 | certain procurement procedures; authorizing the department |
17 | to independently procure and contract for treatment |
18 | services; requiring that the department develop a business |
19 | case before outsourcing any service or function; providing |
20 | requirements for the business case; requiring that the |
21 | business case be submitted to the Legislature for |
22 | approval; requiring that a contractual service that has |
23 | previously been outsourced be subject to the requirements |
24 | for a business case; requiring that a procurement of |
25 | contractual services equal to or in excess of the |
26 | threshold amount for CATEGORY FIVE comply with specified |
27 | requirements, including a scope of work and performance |
28 | standards; authorizing the department to adopt incremental |
29 | penalties by rule; authorizing the department to include |
30 | cost-neutral, performance-based incentives in a contract; |
31 | requiring that a contract in excess of $1 million be |
32 | negotiated by a contract negotiator who is certified |
33 | according to standards established by the Department of |
34 | Management Services; limiting circumstances under which |
35 | the department may amend a contract; requiring that a |
36 | proposed contract amendment be submitted to the Executive |
37 | Office of the Governor for approval; requiring approval of |
38 | a contract amendment by the Administration Commission |
39 | under certain circumstances; requiring the department to |
40 | verify that contractual terms have been satisfied before |
41 | renewing a contract; requiring certain documentation; |
42 | requiring the department to develop, in consultation with |
43 | the Department of Management Services, contract templates |
44 | and guidelines; requiring that the department establish a |
45 | contract-management process; specifying the requirements |
46 | for and components of the contract-management process; |
47 | providing requirements for resolving performance |
48 | deficiencies and terminating a contract; requiring a |
49 | corrective-action plan under certain circumstances; |
50 | requiring the department to develop standards of conduct |
51 | and disciplinary actions; requiring that the department |
52 | establish contract-monitoring units and a contract- |
53 | monitoring process; requiring written reports; requiring |
54 | on-site visits for contracts involving the provision of |
55 | direct client services; requiring the department to make |
56 | certain documents available to the Legislature; requiring |
57 | the department to create an electronic database to store |
58 | the documents; amending s. 402.73, F.S.; requiring the |
59 | Agency for Persons with Disabilities to implement systems |
60 | to ensure quality and fiscal integrity of programs in the |
61 | developmental services Medicaid waiver system; providing |
62 | an exemption for health services from competitive bidding |
63 | requirements; amending s. 409.1671, F.S.; conforming |
64 | provisions to changes made by the act; requiring that the |
65 | Office of Program Policy Analysis and Government |
66 | Accountability conduct two reviews of the contract- |
67 | management and accountability structures of the department |
68 | and report to the Legislature and the Auditor General; |
69 | repealing s. 402.72, F.S., relating to contract-management |
70 | requirements for the Department of Children and Family |
71 | Services; providing an effective date. |
72 |
|
73 | Be It Enacted by the Legislature of the State of Florida: |
74 |
|
75 | Section 1. Department of Children and Family Services; |
76 | procurement of contractual services; outsourcing or |
77 | privatization; contract management.-- |
78 | (1) LEGISLATIVE INTENT.--The Legislature intends that the |
79 | Department of Children and Family Services obtain services in |
80 | the manner that is most efficient and cost-effective for the |
81 | state, that provides the greatest long-term benefits to the |
82 | clients receiving services, and that minimizes the disruption of |
83 | client services. In order to meet these legislative goals, the |
84 | department shall comply with legislative policy guidelines that |
85 | require compliance with uniform procedures for procuring |
86 | contractual services, prescribe how the department must |
87 | outsource its programmatic and administrative services to |
88 | external service providers rather than having them provided by |
89 | the department or another state agency, and establish a |
90 | contract-management and contract-monitoring process. |
91 | (2) DEFINITIONS.--As used in this section, the term: |
92 | (a) "Contract manager" means the department employee who |
93 | is responsible for enforcing the compliance with administrative |
94 | and programmatic terms and conditions of a contract. The |
95 | contract manager is the primary point of contact through which |
96 | all contracting information flows between the department and the |
97 | contractor. The contract manager is responsible for day-to-day |
98 | contract oversight, including approval of contract deliverables |
99 | and invoices. All actions related to the contract shall be |
100 | initiated by or coordinated with the contract manager. The |
101 | contract manager maintains the official contract files. |
102 | (b) "Contract monitor" means the department employee who |
103 | is responsible for observing, recording, and reporting to the |
104 | contract manager and other designated entities the information |
105 | necessary to assist the contract manager and program management |
106 | in determining whether the contractor is in compliance with the |
107 | administrative and programmatic terms and conditions of the |
108 | contract. |
109 | (c) "Department" means the Department of Children and |
110 | Family Services. |
111 | (d) "Outsourcing" means the process of contracting with an |
112 | external service provider to provide a service, in whole or in |
113 | part, while the department retains the responsibility and |
114 | accountability for the service. |
115 | (e) "Performance measure" means the quantitative |
116 | indicators used to assess if the service the external provider |
117 | is performing is achieving the desired results. Measures of |
118 | performance include outputs, direct counts of program |
119 | activities, and outcomes or results of program activities in the |
120 | lives of the clients served. |
121 | (f) "Performance standard" means the quantifiable, |
122 | specified, and desired level to be achieved for a particular |
123 | performance measure. |
124 | (g) "Privatize" means any process aimed at transferring |
125 | the responsibility for a service, in whole or in part, from the |
126 | department to the private sector such that the private sector is |
127 | solely and fully responsible for the performance of the specific |
128 | service. |
129 | (h) "Service" means all or any portion of a program or |
130 | program component as defined in section 216.011, Florida |
131 | Statutes. |
132 | (3) PROCUREMENT OF COMMODITIES AND CONTRACTUAL SERVICES.-- |
133 | (a) For the purchase of commodities and contractual |
134 | services in excess of the threshold amount established in |
135 | section 287.017, Florida Statutes, for CATEGORY TWO, the |
136 | department shall comply with the requirements set forth in |
137 | section 287.057, Florida Statutes. |
138 | (b) Notwithstanding section 287.057(5)(f)13., Florida |
139 | Statutes, whenever the department intends to contract with a |
140 | public postsecondary institution to provide a service, the |
141 | department must allow all public postsecondary institutions in |
142 | this state that are accredited by the Southern Association of |
143 | Colleges and Schools to bid on the contract. Thereafter, |
144 | notwithstanding any other provision to the contrary, if a public |
145 | postsecondary institution intends to subcontract for any service |
146 | awarded in the contract, the subcontracted service must be |
147 | procured by competitive procedures. |
148 | (c) When it is in the best interest of a defined segment |
149 | of its consumer population, the department may competitively |
150 | procure and contract for systems of treatment or service that |
151 | involve multiple providers, rather than procuring and |
152 | contracting for treatment or services separately from each |
153 | participating provider. The department must ensure that all |
154 | providers that participate in the treatment or service system |
155 | meet all applicable statutory, regulatory, service-quality, and |
156 | cost-control requirements. If other governmental entities or |
157 | units of special purpose government contribute matching funds to |
158 | the support of a given system of treatment or service, the |
159 | department shall formally request information from those funding |
160 | entities in the procurement process and may take the information |
161 | received into account in the selection process. If a local |
162 | government contributes matching funds to support the system of |
163 | treatment or contracted service and if the match constitutes at |
164 | least 25 percent of the value of the contract, the department |
165 | shall afford the governmental match contributor an opportunity |
166 | to name an employee as one of the persons required by section |
167 | 287.057(17), Florida Statutes, to evaluate or negotiate certain |
168 | contracts, unless the department sets forth in writing the |
169 | reason why the inclusion would be contrary to the best interest |
170 | of the state. Any employee so named by the governmental match |
171 | contributor shall qualify as one of the persons required by |
172 | section 287.057(17), Florida Statutes. A governmental entity or |
173 | unit of special purpose government may not name an employee as |
174 | one of the persons required by section 287.057(17), Florida |
175 | Statutes, if it, or any of its political subdivisions, executive |
176 | agencies, or special districts, intends to compete for the |
177 | contract to be awarded. The governmental funding entity or |
178 | contributor of matching funds must comply with all procurement |
179 | procedures set forth in section 287.057, Florida Statutes, when |
180 | appropriate and required. |
181 | (d) The department may procure and contract for or provide |
182 | assessment and case-management services independently from |
183 | treatment services. |
184 | (4) SOURCING STANDARDS AND REQUIREMENTS.--If the |
185 | department proposes to outsource a service, the department must |
186 | comply with the requirements of this section prior to the |
187 | procurement process provided for in section 287.057, Florida |
188 | Statutes. |
189 | (a) The department shall develop a business case |
190 | describing and analyzing the service proposed for outsourcing. A |
191 | business case is part of the solicitation process and is not a |
192 | rule subject to challenge pursuant to section 120.54, Florida |
193 | Statutes. The business case must include, but need not be |
194 | limited to: |
195 | 1. A detailed description of the services to be |
196 | outsourced, a description and analysis of the department's |
197 | current performance of the service, and a rationale documenting |
198 | how outsourcing the service would be in the best interest of the |
199 | state, the department, and its clients. |
200 | 2. A cost-benefit analysis documenting the estimated |
201 | specific direct and indirect costs, savings, performance |
202 | improvements, risks, and qualitative and quantitative benefits |
203 | involved in or resulting from outsourcing the service. The cost- |
204 | benefit analysis must include a detailed plan and timeline |
205 | identifying all actions that must be implemented to realize |
206 | expected benefits. Under section 92.525, Florida Statutes, the |
207 | Secretary of Children and Family Services shall verify that all |
208 | costs, savings, and benefits are valid and achievable. |
209 | 3. A description of the specific performance measures and |
210 | standards that must be achieved through the outsourcing |
211 | proposal. |
212 | 4. A statement of the potential effect on applicable |
213 | federal, state, and local revenues and expenditures. The |
214 | statement must specifically describe the effect on general |
215 | revenue, trust funds, general revenue service charges, and |
216 | interest on trust funds, together with the potential direct or |
217 | indirect effect on federal funding and cost allocations. |
218 | 5. A plan to ensure compliance with public-record laws, |
219 | which must include components that: |
220 | a. Provide public access to public records at a cost that |
221 | does not exceed that provided in chapter 119, Florida Statutes. |
222 | b. Ensure the confidentiality of records that are exempt |
223 | from disclosure or confidential under law. |
224 | c. Meet all legal requirements for record retention. |
225 | d. Allow for transfer to the state, at no cost, all public |
226 | records in possession of the external service provider upon |
227 | termination of the contract. |
228 | 6. A department transition and implementation plan for |
229 | addressing changes in the number of agency personnel, affected |
230 | business processes, and employee-transition issues. Such a plan |
231 | must also specify the mechanism for continuing the operation of |
232 | the service if the contractor fails to perform and comply with |
233 | the performance measures and standards and provisions of the |
234 | contract. Within this plan, the department shall identify all |
235 | resources, including full-time equivalent positions, which are |
236 | subject to outsourcing. All full-time equivalent positions |
237 | identified in the plan shall be placed in reserve by the |
238 | Executive Office of the Governor until the end of the second |
239 | year of the contract. Notwithstanding the provisions of section |
240 | 216.262, Florida Statutes, the Executive Office of the Governor |
241 | shall request authority from the Legislative Budget Commission |
242 | to reestablish full-time positions above the number fixed by the |
243 | Legislature when a contract is terminated and the outsourced |
244 | service must be returned to the department. |
245 | 7. A listing of assets proposed for transfer to or use by |
246 | the external service provider, a description of the proposed |
247 | requirements for maintenance of those assets by the external |
248 | service provider or the department in accordance with chapter |
249 | 273, Florida Statutes, a plan for their disposition upon |
250 | termination of the contract, and a description of how the |
251 | planned asset transfer or use by the contractor is in the best |
252 | interest of the department and the state. |
253 | (b)1. If the department proposes to outsource the service |
254 | in the next fiscal year, the department shall submit the |
255 | business case with the department's final legislative budget |
256 | request, in the manner and form prescribed in the legislative |
257 | budget request instructions under section 216.023, Florida |
258 | Statutes. Upon approval in the General Appropriations Act, the |
259 | department may initiate and complete the procurement process |
260 | under section 287.057, Florida Statutes, and shall have the |
261 | authority to enter into contracts with the external service |
262 | provider. |
263 | 2. If a proposed outsourcing initiative would require |
264 | integration with, or would in any way affect other state |
265 | information technology systems, the department shall submit the |
266 | feasibility study documentation required by the legislative |
267 | budget request instructions under section 216.023, Florida |
268 | Statutes. |
269 | (c) If the department proposes to outsource a service |
270 | during a fiscal year and the outsourcing provision was not |
271 | included in the approved operating budget of the department, the |
272 | department must provide to the Governor, the President of the |
273 | Senate, the Speaker of the House of Representatives, the chairs |
274 | of the legislative appropriations committees, and the chairs of |
275 | the relevant substantive committees the business case that |
276 | complies with the requirements of paragraph (a) at least 45 days |
277 | before the release of any solicitation documents, as provided |
278 | for in section 287.057, Florida Statutes. Any budgetary changes |
279 | that are inconsistent with the department's approved budget may |
280 | not be made to existing programs unless the changes are |
281 | recommended to the Legislative Budget Commission by the Governor |
282 | and the Legislative Budget Commission expressly approves the |
283 | program changes. |
284 | (d) The department may not privatize a service without |
285 | specific authority provided in general law, the General |
286 | Appropriations Act, legislation implementing the General |
287 | Appropriations Act, or a special appropriations act. |
288 | (5) CONTRACTING AND PERFORMANCE MEASURES.--In addition to |
289 | the requirements of section 287.058, Florida Statutes, every |
290 | procurement of contractual services by the department which |
291 | meets or is in excess of the threshold amount provided in |
292 | section 287.017, Florida Statutes, for CATEGORY FIVE, must |
293 | comply with the requirements of this subsection. |
294 | (a) The department shall execute a contract containing all |
295 | provisions and conditions, which must include, but need not be |
296 | limited to: |
297 | 1. A detailed scope of work that clearly specifies each |
298 | service and deliverable to be provided, including a description |
299 | of each deliverable or activity that is quantifiable, |
300 | measurable, and verifiable by the department and the contractor. |
301 | 2. Associated costs and savings, specific payment terms |
302 | and payment schedules, including incentive and penalty |
303 | provisions, criteria governing payment, and a clear and specific |
304 | schedule to complete all required activities needed to transfer |
305 | the service from the state to the contractor. |
306 | 3. Clear and specific identification of all required |
307 | performance measures and standards, which must, at a minimum, |
308 | include: |
309 | a. Acceptance criteria for each deliverable and service to |
310 | be provided to the department under the terms of the contract |
311 | which document, to the greatest extent possible, the required |
312 | performance level. Acceptance criteria must be detailed, clear, |
313 | and unambiguous and shall be used to measure deliverables and |
314 | services to be provided under the contract. |
315 | b. A method for monitoring and reporting progress in |
316 | achieving specified performance standards and levels. |
317 | c. The sanctions or penalties that shall be assessed for |
318 | contract or state nonperformance. The department may adopt, by |
319 | rule, provisions for including in its contracts incremental |
320 | penalties to be imposed by its contract managers on a contractor |
321 | due to the contractor's failure to comply with a requirement for |
322 | corrective action. Any financial penalty that is imposed upon a |
323 | contractor may not be paid from funds being used to provide |
324 | services to clients, and the contractor may not reduce the |
325 | amount of services being delivered to clients as a method for |
326 | offsetting the effect of the penalty. If a financial penalty is |
327 | imposed upon a contractor that is a corporation, the department |
328 | shall notify, at a minimum, the board of directors of the |
329 | corporation. The department may notify any additional parties |
330 | that the department believes may be helpful in obtaining the |
331 | corrective action that is being sought. In addition, the rules |
332 | adopted by the department must include provisions that permit |
333 | the department to deduct the financial penalties from funds that |
334 | would otherwise be due to the contractor, not to exceed 10 |
335 | percent of the amount that otherwise would be due to the |
336 | contractor for the period of noncompliance. If the department |
337 | imposes a financial penalty, it shall advise the contractor in |
338 | writing of the cause for the penalty. A failure to include such |
339 | deductions in a request for payment constitutes grounds for the |
340 | department to reject that request for payment. The remedies |
341 | identified in this paragraph do not limit or restrict the |
342 | department's application of any other remedy available to it in |
343 | the contract or under law. The remedies described in this |
344 | paragraph may be cumulative and may be assessed upon each |
345 | separate failure to comply with instructions from the department |
346 | to complete corrective action. |
347 | 4. A requirement that the contractor maintain adequate |
348 | accounting records that comply with all applicable federal and |
349 | state laws and generally accepted accounting principles. |
350 | 5. A requirement authorizing the department and state to |
351 | have access to and conduct audits of all records related to the |
352 | contract and outsourced services. |
353 | 6. A requirement that ownership of any intellectual |
354 | property developed in the course of, or as a result of, work or |
355 | services performed under the contract shall transfer to the |
356 | state if the contractor ceases to provide the outsourced |
357 | service. |
358 | 7. A requirement describing the timing and substance of |
359 | all plans and status or progress reports that are to be |
360 | provided. All plans and status or progress reports must comply |
361 | with any relevant state and federal standards for planning, |
362 | implementation, operations, and oversight. |
363 | 8. A requirement that the contractor shall comply with |
364 | public-record laws. The contractor shall: |
365 | a. Keep and maintain the public records that ordinarily |
366 | and necessarily would be required by the department to perform |
367 | the service. |
368 | b. Provide public access to such public records on the |
369 | same terms and conditions that the department would and at a |
370 | cost that does not exceed that provided in chapter 119, Florida |
371 | Statutes. |
372 | c. Ensure the confidentiality of records that are exempt |
373 | from disclosure or confidential under law. |
374 | d. Meet all legal and auditing requirements for record |
375 | retention, and transfer to the state, at no cost to the state, |
376 | all public records in possession of the contractor upon |
377 | termination of the contract. All records stored electronically |
378 | must be provided to the state in the format compatible with |
379 | state information technology systems. |
380 | 9. A requirement that any state funds provided for the |
381 | purchase of or improvements to real property are contingent upon |
382 | the contractor granting to the state a security interest in the |
383 | property which is at least equal to the amount of the state |
384 | funds provided for at least 5 years following the date of |
385 | purchase or the completion of the improvements or as further |
386 | required by law. The contract must include a provision that, as |
387 | a condition of receipt of state funding for this purpose, the |
388 | contractor agrees that, if it disposes of the property before |
389 | the department's interest is vacated, the contractor must refund |
390 | the proportionate share of the state's initial investment, as |
391 | adjusted by depreciation. |
392 | 10. A provision that the contractor annually submit and |
393 | verify, under section 92.525, Florida Statutes, all required |
394 | financial statements. |
395 | 11. A provision that the contractor will be held |
396 | responsible and accountable for all work covered under the |
397 | contract including any work performed by subcontractors. The |
398 | contract must state that the department may monitor the |
399 | performance of any subcontractor. |
400 | (b) A contract may include cost-neutral, performance-based |
401 | incentives that may vary according to the extent a contractor |
402 | achieves or surpasses the performance standards set forth in the |
403 | contract. The incentives may be weighted proportionally to |
404 | reflect the extent to which the contractor has demonstrated that |
405 | it has consistently met or exceeded the contractual requirements |
406 | and the performance standards. |
407 | (c) The department shall review the time period for which |
408 | it executes contracts and, to the greatest extent practicable, |
409 | shall execute multiyear contracts to make the most efficient use |
410 | of the resources devoted to contract processing and execution. |
411 | (d) When the annualized value of a contract is in excess |
412 | of $1 million, at least one of the persons conducting |
413 | negotiations must be certified as a contract negotiator based |
414 | upon standards established by the Department of Management |
415 | Services. |
416 | (e) The department may not amend a contract without first |
417 | submitting the proposed contract amendment to the Executive |
418 | Office of the Governor for approval if the effect of the |
419 | amendment would be to increase: |
420 | 1. The value of the contract by $250,000 for those |
421 | contracts with a total value of at least $250,000 but less than |
422 | $1 million; |
423 | 2. The value of the contract by $1 million for those |
424 | contracts with a total value of at least $1 million but less |
425 | than $10 million; |
426 | 3. The value of the contract by 10 percent for those |
427 | contracts with a total value of $10 million or more; or |
428 | 4. The term of the contract by 1 year or more. |
429 |
|
430 | When the department proposes any contract amendment that meets |
431 | the criteria described in this paragraph, it shall submit the |
432 | proposed contract amendment to the Executive Office of the |
433 | Governor for approval and shall immediately notify the chairs of |
434 | the legislative appropriations committees. The Executive Office |
435 | of the Governor may not approve the proposed contract amendment |
436 | until 14 days following receipt of the notification to the |
437 | legislative appropriations chairs. If either chair of the |
438 | legislative appropriations committees objects in writing to a |
439 | proposed contract amendment within 14 days following |
440 | notification and specifies the reasons for the objection, the |
441 | Executive Office of the Governor shall disapprove the proposed |
442 | contract amendment or shall submit the proposed contract |
443 | amendment to the Administration Commission. The proposed |
444 | contract amendment may be approved by the Administration |
445 | Commission by a two-thirds vote of the members present with the |
446 | Governor voting in the affirmative. In the absence of approval |
447 | by the commission, the proposed contract amendment shall be |
448 | automatically disapproved. Otherwise, upon approval by the |
449 | Governor or Administration Commission, the department may |
450 | execute the contract amendment. |
451 | (f) An amendment that is issued under legislative |
452 | direction, including funding adjustments annually provided for |
453 | in the General Appropriations Act or the federal appropriations |
454 | acts, need not be submitted for approval in accordance with |
455 | paragraph (d). |
456 | (g) In addition to the requirements of section 287.057(13) |
457 | and (14), Florida Statutes, the department shall verify that all |
458 | specific direct and indirect costs, savings, performance |
459 | measures and standards, and qualitative and quantitative |
460 | benefits identified in the original contract have been satisfied |
461 | by a contractor or the department before the contract is |
462 | extended or renewed. The documentation must include an |
463 | explanation of any differences between the required performance |
464 | as identified in the contract and the actual performance of the |
465 | contractor. The documentation must be included in the official |
466 | contract file. |
467 | (h) The department shall, in consultation with the |
468 | Department of Management Services, develop contract templates |
469 | and guidelines that define the mandatory contract provisions and |
470 | other requirements identified in this subsection and that must |
471 | be used for all contractual service contracts meeting the |
472 | requirements of this subsection. All contract templates and |
473 | guidelines shall be developed by September 30, 2005. |
474 | (6) CONTRACT-MANAGEMENT REQUIREMENTS AND |
475 | PROCESS.--Notwithstanding section 287.057(15), Florida Statutes, |
476 | the department is responsible for establishing a contract- |
477 | management process that requires a member of the department's |
478 | Senior Management Service to assign in writing the |
479 | responsibility of a contract to a contract manager. The |
480 | department shall maintain a set of procedures describing its |
481 | contract-management process which must minimally include the |
482 | following requirements: |
483 | (a) The contract manager shall maintain the official |
484 | contract file throughout the duration of the contract and for a |
485 | period not less than 6 years after the termination of the |
486 | contract. |
487 | (b) The contract manager shall review all invoices for |
488 | compliance with the criteria and payment schedule provided for |
489 | in the contract and shall approve payment of all invoices before |
490 | their transmission to the Department of Financial Services for |
491 | payment. Only the contract manager shall approve the invoices |
492 | for a specific contract, unless the contract manager is |
493 | temporarily unavailable to review an invoice. The contract file |
494 | must contain an explanation for any periods of temporary |
495 | unavailability of the assigned contract manager. For any |
496 | individual invoice in excess of $500,000, a member of the |
497 | Selected Exempt Service or Senior Management Service shall also |
498 | sign payment approval of the invoice. For any individual invoice |
499 | in excess of $1 million, a member of the Senior Management |
500 | Service shall also sign payment approval of the invoice. |
501 | (c) The contract manager shall maintain a schedule of |
502 | payments and total amounts disbursed and shall periodically |
503 | reconcile the records with the state's official accounting |
504 | records. |
505 | (d) For contracts involving the provision of direct client |
506 | services, the contract manager shall periodically visit the |
507 | physical location where the services are delivered and speak |
508 | directly to clients receiving the services and the staff |
509 | responsible for delivering the services. |
510 | (e) For contracts for which the contractor is a |
511 | corporation, the contract manager shall attend at least one |
512 | board meeting semiannually, if held and if within 100 miles of |
513 | the contract manager's official headquarters. |
514 | (f) The contract manager shall meet at least once a month |
515 | directly with the contractor's representative and maintain |
516 | records of such meetings. |
517 | (g) The contract manager shall periodically document any |
518 | differences between the required performance measures and the |
519 | actual performance measures. If a contractor fails to meet and |
520 | comply with the performance measures established in the |
521 | contract, the department may allow a reasonable period for the |
522 | contractor to correct performance deficiencies. If performance |
523 | deficiencies are not resolved to the satisfaction of the |
524 | department within the prescribed time, and if no extenuating |
525 | circumstances can be documented by the contractor to the |
526 | department's satisfaction, the department must terminate the |
527 | contract. The department may not enter into a new contract with |
528 | that same contractor for the services for which the contract was |
529 | previously terminated for a period of at least 24 months after |
530 | the date of termination. The contract manager shall obtain and |
531 | enforce corrective-action plans, if appropriate, and maintain |
532 | records regarding the completion or failure to complete |
533 | corrective-action items. |
534 | (h) The contract manager shall document any contract |
535 | modifications, which shall include recording any contract |
536 | amendments as provided for in this section. |
537 | (i) The contract manager shall be properly trained before |
538 | being assigned responsibility for any contract. |
539 |
|
540 | The department shall develop standards of conduct and a range of |
541 | disciplinary actions for its employees which are specifically |
542 | related to carrying out contract-management responsibilities. |
543 | (7) CONTRACT-MONITORING REQUIREMENTS AND PROCESS.--The |
544 | department shall establish contract-monitoring units staffed by |
545 | full-time career service employees who report to a member of the |
546 | Select Exempt Service or Senior Management Service and who have |
547 | been properly trained to perform contract monitoring. A member |
548 | of the Senior Management Service shall assign in writing a |
549 | specific contract to a contract-monitoring unit, with at least |
550 | one member of the contract-monitoring unit possessing specific |
551 | knowledge and experience in the contract's program area. The |
552 | department shall establish a contract-monitoring process that |
553 | must include, but need not be limited to, the following |
554 | requirements: |
555 | (a) Performing a risk assessment at the start of each |
556 | fiscal year and preparing an annual contract-monitoring schedule |
557 | that includes consideration for the level of risk assigned. The |
558 | department may monitor any contract at any time regardless of |
559 | whether such monitoring was originally included in the annual |
560 | contract-monitoring schedule. |
561 | (b) Preparing a contract-monitoring plan, including |
562 | sampling procedures, before performing on-site monitoring at |
563 | external locations of a service provider. The plan must include |
564 | a description of the programmatic, fiscal, and administrative |
565 | components that will be monitored on-site. If appropriate, |
566 | clinical and therapeutic components may be included. |
567 | (c) Conducting analyses of the performance and compliance |
568 | of an external service provider by means of desk reviews if the |
569 | external service provider will not be monitored on-site during a |
570 | fiscal year. |
571 | (d) Unless the department sets forth in writing the need |
572 | for an extension, providing a written report presenting the |
573 | results of the monitoring within 30 days after the completion of |
574 | the on-site monitoring or desk review. Report extensions may not |
575 | exceed 30 days after the original completion date. The |
576 | department shall develop and use a standard contract-monitoring |
577 | report format and shall provide access to the reports by means |
578 | of a website that is available to the Legislature. |
579 | (e) For contracts involving the provision of direct client |
580 | services, requiring the contract monitor to visit the physical |
581 | location where the services are being delivered and to speak |
582 | directly to the clients receiving the services and with the |
583 | staff responsible for delivering the services. |
584 | (f) Developing and maintaining a set of procedures |
585 | describing the contract-monitoring process. |
586 |
|
587 | The department shall develop standards of conduct and a range of |
588 | disciplinary actions for its employees which are specifically |
589 | related to carrying out contract-monitoring responsibilities. |
590 | (8) REPORTS TO THE LEGISLATURE.--Beginning October 1, |
591 | 2005, the department shall make available to the Legislature |
592 | electronically all documents associated with the procurement and |
593 | contracting functions of the department. The documents in the |
594 | database must include, but are not limited to, all: |
595 | (a) Business cases; |
596 | (b) Procurement documents; |
597 | (c) Contracts and any related files, attachments, or |
598 | amendments; |
599 | (d) Contract monitoring reports; |
600 | (e) Corrective action plans and reports of corrective |
601 | actions taken when contractor performance deficiencies are |
602 | identified; and |
603 | (f) Status reports on all outsourcing initiatives |
604 | describing the progress by the department towards achieving the |
605 | business objectives, costs, savings, and quantifiable benefits |
606 | identified in the business case. |
607 | Section 2. Section 402.73, Florida Statutes, is amended to |
608 | read: |
609 | 402.73 Contracting and performance standards.-- |
610 | (1) The Department of Children and Family Services shall |
611 | establish performance standards for all contracted client |
612 | services. Notwithstanding s. 287.057(5)(f), the department must |
613 | competitively procure any contract for client services when any |
614 | of the following occurs: |
615 | (a) The provider fails to meet appropriate performance |
616 | standards established by the department after the provider has |
617 | been given a reasonable opportunity to achieve the established |
618 | standards. |
619 | (b) A new program or service has been authorized and |
620 | funded by the Legislature and the annual value of the contract |
621 | for such program or service is $300,000 or more. |
622 | (c) The department has concluded, after reviewing market |
623 | prices and available treatment options, that there is evidence |
624 | that the department can improve the performance outcomes |
625 | produced by its contract resources. At a minimum, the department |
626 | shall review market prices and available treatment options |
627 | biennially. The department shall compile the results of the |
628 | biennial review and include the results in its annual |
629 | performance report to the Legislature pursuant to chapter 94- |
630 | 249, Laws of Florida. The department shall provide notice and an |
631 | opportunity for public comment on its review of market prices |
632 | and available treatment options. |
633 | (2) The competitive requirements of subsection (1) must be |
634 | initiated for each contract that meets the criteria of this |
635 | subsection, unless the secretary makes a written determination |
636 | that particular facts and circumstances require deferral of the |
637 | competitive process. Facts and circumstances must be |
638 | specifically described for each individual contract proposed for |
639 | deferral and must include one or more of the following: |
640 | (a) An immediate threat to the health, safety, or welfare |
641 | of the department's clients. |
642 | (b) A threat to appropriate use or disposition of |
643 | facilities that have been financed in whole, or in substantial |
644 | part, through contracts or agreements with a state agency. |
645 | (c) A threat to the service infrastructure of a community |
646 | which could endanger the well-being of the department's clients. |
647 |
|
648 | Competitive procurement of client services contracts that meet |
649 | the criteria in subsection (1) may not be deferred for longer |
650 | than 1 year. |
651 | (3) The Legislature intends that the department obtain |
652 | services in the manner that is most cost-effective for the |
653 | state, that provides the greatest long-term benefits to the |
654 | clients receiving services, and that minimizes the disruption of |
655 | client services. In order to meet these legislative goals, the |
656 | department may adopt rules providing procedures for the |
657 | competitive procurement of contracted client services which |
658 | represent an alternative to the request-for-proposal or |
659 | invitation-to-bid process. The alternative competitive |
660 | procedures shall permit the department to solicit professional |
661 | qualifications from prospective providers and to evaluate such |
662 | statements of qualification before requesting service proposals. |
663 | The department may limit the firms invited to submit service |
664 | proposals to only those firms that have demonstrated the highest |
665 | level of professional capability to provide the services under |
666 | consideration, but may not invite fewer than three firms to |
667 | submit service proposals, unless fewer than three firms |
668 | submitted satisfactory statements of qualification. The |
669 | alternative procedures must, at a minimum, allow the department |
670 | to evaluate competing proposals and select the proposal that |
671 | provides the greatest benefit to the state while considering the |
672 | quality of the services, dependability, and integrity of the |
673 | provider, the dependability of the provider's services, the |
674 | experience of the provider in serving target populations or |
675 | client groups substantially identical to members of the target |
676 | population for the contract in question, and the ability of the |
677 | provider to secure local funds to support the delivery of |
678 | services, including, but not limited to, funds derived from |
679 | local governments. These alternative procedures need not conform |
680 | to the requirements of s. 287.042 or s. 287.057(1) or (2). |
681 | (4) The department shall review the period for which it |
682 | executes contracts and, to the greatest extent practicable, |
683 | shall execute multiyear contracts to make the most efficient use |
684 | of the resources devoted to contract processing and execution. |
685 | (5) When it is in the best interest of a defined segment |
686 | of its consumer population, the department may competitively |
687 | procure and contract for systems of treatment or service that |
688 | involve multiple providers, rather than procuring and |
689 | contracting for treatment or services separately from each |
690 | participating provider. The department must ensure that all |
691 | providers that participate in the treatment or service system |
692 | meet all applicable statutory, regulatory, service-quality, and |
693 | cost-control requirements. If other governmental entities or |
694 | units of special purpose government contribute matching funds to |
695 | the support of a given system of treatment or service, the |
696 | department shall formally request information from those funding |
697 | entities in the procurement process and may take the information |
698 | received into account in the selection process. If a local |
699 | government contributes match to support the system of treatment |
700 | or contracted service and if the match constitutes at least 25 |
701 | percent of the value of the contract, the department shall |
702 | afford the governmental match contributor an opportunity to name |
703 | an employee as one of the persons required by s. 287.057(17) to |
704 | evaluate or negotiate certain contracts, unless the department |
705 | sets forth in writing the reason why such inclusion would be |
706 | contrary to the best interest of the state. Any employee so |
707 | named by the governmental match contributor shall qualify as one |
708 | of the persons required by s. 287.057(17). No governmental |
709 | entity or unit of special purpose government may name an |
710 | employee as one of the persons required by s. 287.057(17) if it, |
711 | or any of its political subdivisions, executive agencies, or |
712 | special districts, intends to compete for the contract to be |
713 | awarded. The governmental funding entity or match contributor |
714 | shall comply with any deadlines and procurement procedures |
715 | established by the department. The department may also involve |
716 | nongovernmental funding entities in the procurement process when |
717 | appropriate. |
718 | (6) The department may contract for or provide assessment |
719 | and case management services independently from treatment |
720 | services. |
721 | (7) The department shall adopt, by rule, provisions for |
722 | including in its contracts incremental penalties to be imposed |
723 | by its contract managers on a service provider due to the |
724 | provider's failure to comply with a requirement for corrective |
725 | action. Any financial penalty that is imposed upon a provider |
726 | may not be paid from funds being used to provide services to |
727 | clients, and the provider may not reduce the amount of services |
728 | being delivered to clients as a method for offsetting the impact |
729 | of the penalty. If a financial penalty is imposed upon a |
730 | provider that is a corporation, the department shall notify, at |
731 | a minimum, the board of directors of the corporation. The |
732 | department may notify, at its discretion, any additional parties |
733 | that the department believes may be helpful in obtaining the |
734 | corrective action that is being sought. Further, the rules |
735 | adopted by the department must include provisions that permit |
736 | the department to deduct the financial penalties from funds that |
737 | would otherwise be due to the provider, not to exceed 10 percent |
738 | of the amount that otherwise would be due to the provider for |
739 | the period of noncompliance. If the department imposes a |
740 | financial penalty, it shall advise the provider in writing of |
741 | the cause for the penalty. A failure to include such deductions |
742 | in a request for payment constitutes a ground for the department |
743 | to reject that request for payment. The remedies identified in |
744 | this subsection do not limit or restrict the department's |
745 | application of any other remedy available to it in the contract |
746 | or under law. The remedies described in this subsection may be |
747 | cumulative and may be assessed upon each separate failure to |
748 | comply with instructions from the department to complete |
749 | corrective action. |
750 | (8) The department shall develop standards of conduct and |
751 | a range of disciplinary actions for its employees which are |
752 | specifically related to carrying out contracting |
753 | responsibilities. |
754 | (1)(9) The Agency for Persons with Disabilities department |
755 | must implement systems and controls to ensure financial |
756 | integrity and service provision quality in the developmental |
757 | services Medicaid waiver service system. |
758 | (10) If a provider fails to meet the performance standards |
759 | established in the contract, the department may allow a |
760 | reasonable period for the provider to correct performance |
761 | deficiencies. If performance deficiencies are not resolved to |
762 | the satisfaction of the department within the prescribed time, |
763 | and if no extenuating circumstances can be documented by the |
764 | provider to the department's satisfaction, the department must |
765 | cancel the contract with the provider. The department may not |
766 | enter into a new contract with that same provider for the |
767 | services for which the contract was previously canceled for a |
768 | period of at least 24 months after the date of cancellation. If |
769 | an adult substance abuse services provider fails to meet the |
770 | performance standards established in the contract, the |
771 | department may allow a reasonable period, not to exceed 6 |
772 | months, for the provider to correct performance deficiencies. If |
773 | the performance deficiencies are not resolved to the |
774 | satisfaction of the department within 6 months, the department |
775 | must cancel the contract with the adult substance abuse |
776 | provider, unless there is no other qualified provider in the |
777 | service district. |
778 | (11) The department shall include in its standard contract |
779 | document a requirement that any state funds provided for the |
780 | purchase of or improvements to real property are contingent upon |
781 | the contractor or political subdivision granting to the state a |
782 | security interest in the property at least to the amount of the |
783 | state funds provided for at least 5 years from the date of |
784 | purchase or the completion of the improvements or as further |
785 | required by law. The contract must include a provision that, as |
786 | a condition of receipt of state funding for this purpose, the |
787 | provider agrees that, if it disposes of the property before the |
788 | department's interest is vacated, the provider will refund the |
789 | proportionate share of the state's initial investment, as |
790 | adjusted by depreciation. |
791 | (12) The department shall develop and refine contracting |
792 | and accountability methods that are administratively efficient |
793 | and that provide for optimal provider performance. |
794 | (13) The department may competitively procure any contract |
795 | when it deems it is in the best interest of the state to do so. |
796 | The requirements described in subsection (1) do not, and may not |
797 | be construed to, limit in any way the department's ability to |
798 | competitively procure any contract it executes, and the absence |
799 | of any or all of the criteria described in subsection (1) may |
800 | not be used as the basis for an administrative or judicial |
801 | protest of the department's determination to conduct |
802 | competition, make an award, or execute any contract. |
803 | (14) A contract may include cost-neutral, performance- |
804 | based incentives that may vary according to the extent a |
805 | provider achieves or surpasses the performance standards set |
806 | forth in the contract. Such incentives may be weighted |
807 | proportionally to reflect the extent to which the provider has |
808 | demonstrated that it has consistently met or exceeded the |
809 | contractual requirements and the department's performance |
810 | standards. |
811 | (2)(15) Nothing contained in chapter 287 shall require |
812 | competitive bids for health services involving examination, |
813 | diagnosis, or treatment. |
814 | Section 3. Paragraphs (a), (b), (e), (f), and (g) of |
815 | subsection (1), paragraph (b) of subsection (2), paragraph (a) |
816 | of subsection (4), and subsections (6) and (9) of section |
817 | 409.1671, Florida Statutes, are amended to read: |
818 | 409.1671 Foster care and related services; outsourcing |
819 | privatization.-- |
820 | (1)(a) It is the intent of the Legislature that the |
821 | Department of Children and Family Services shall outsource |
822 | privatize the provision of foster care and related services |
823 | statewide. It is further the Legislature's intent to encourage |
824 | communities and other stakeholders in the well-being of children |
825 | to participate in assuring that children are safe and well- |
826 | nurtured. However, while recognizing that some local governments |
827 | are presently funding portions of certain foster care and |
828 | related services programs and may choose to expand such funding |
829 | in the future, the Legislature does not intend by its |
830 | outsourcing privatization of foster care and related services |
831 | that any county, municipality, or special district be required |
832 | to assist in funding programs that previously have been funded |
833 | by the state. Counties that provide children and family services |
834 | with at least 40 licensed residential group care beds by July 1, |
835 | 2003, and provide at least $2 million annually in county general |
836 | revenue funds to supplement foster and family care services |
837 | shall continue to contract directly with the state and shall be |
838 | exempt from the provisions of this section. Nothing in this |
839 | paragraph prohibits any county, municipality, or special |
840 | district from future voluntary funding participation in foster |
841 | care and related services. As used in this section, the term |
842 | "outsource" "privatize" means to contract with competent, |
843 | community-based agencies. The department shall submit a plan to |
844 | accomplish outsourcing privatization statewide, through a |
845 | competitive process, phased in over a 3-year period beginning |
846 | January 1, 2000. This plan must be developed with local |
847 | community participation, including, but not limited to, input |
848 | from community-based providers that are currently under contract |
849 | with the department to furnish community-based foster care and |
850 | related services, and must include a methodology for determining |
851 | and transferring all available funds, including federal funds |
852 | that the provider is eligible for and agrees to earn and that |
853 | portion of general revenue funds which is currently associated |
854 | with the services that are being furnished under contract. The |
855 | methodology must provide for the transfer of funds appropriated |
856 | and budgeted for all services and programs that have been |
857 | incorporated into the project, including all management, capital |
858 | (including current furniture and equipment), and administrative |
859 | funds to accomplish the transfer of these programs. This |
860 | methodology must address expected workload and at least the 3 |
861 | previous years' experience in expenses and workload. With |
862 | respect to any district or portion of a district in which |
863 | outsourcing privatization cannot be accomplished within the 3- |
864 | year timeframe, the department must clearly state in its plan |
865 | the reasons the timeframe cannot be met and the efforts that |
866 | should be made to remediate the obstacles, which may include |
867 | alternatives to total outsourcing privatization, such as public- |
868 | private partnerships. As used in this section, the term "related |
869 | services" includes, but is not limited to, family preservation, |
870 | independent living, emergency shelter, residential group care, |
871 | foster care, therapeutic foster care, intensive residential |
872 | treatment, foster care supervision, case management, |
873 | postplacement supervision, permanent foster care, and family |
874 | reunification. Unless otherwise provided for, the state attorney |
875 | shall provide child welfare legal services, pursuant to chapter |
876 | 39 and other relevant provisions, in Pinellas and Pasco |
877 | Counties. When a private nonprofit agency has received case |
878 | management responsibilities, transferred from the state under |
879 | this section, for a child who is sheltered or found to be |
880 | dependent and who is assigned to the care of the outsourcing |
881 | privatization project, the agency may act as the child's |
882 | guardian for the purpose of registering the child in school if a |
883 | parent or guardian of the child is unavailable and his or her |
884 | whereabouts cannot reasonably be ascertained. The private |
885 | nonprofit agency may also seek emergency medical attention for |
886 | such a child, but only if a parent or guardian of the child is |
887 | unavailable, his or her whereabouts cannot reasonably be |
888 | ascertained, and a court order for such emergency medical |
889 | services cannot be obtained because of the severity of the |
890 | emergency or because it is after normal working hours. However, |
891 | the provider may not consent to sterilization, abortion, or |
892 | termination of life support. If a child's parents' rights have |
893 | been terminated, the nonprofit agency shall act as guardian of |
894 | the child in all circumstances. |
895 | (b) It is the intent of the Legislature that the |
896 | department will continue to work towards full outsourcing |
897 | privatization in a manner that assures the viability of the |
898 | community-based system of care and best provides for the safety |
899 | of children in the child protection system. To this end, the |
900 | department is directed to continue the process of outsourcing |
901 | privatizing services in those counties in which signed startup |
902 | contracts have been executed. The department may also continue |
903 | to enter into startup contracts with additional counties. |
904 | However, no services shall be transferred to a community-based |
905 | care lead agency until the department, in consultation with the |
906 | local community alliance, has determined and certified in |
907 | writing to the Governor and the Legislature that the district is |
908 | prepared to transition the provision of services to the lead |
909 | agency and that the lead agency is ready to deliver and be |
910 | accountable for such service provision. In making this |
911 | determination, the department shall conduct a readiness |
912 | assessment of the district and the lead agency. |
913 | 1. The assessment shall evaluate the operational readiness |
914 | of the district and the lead agency based on: |
915 | a. A set of uniform criteria, developed in consultation |
916 | with currently operating community-based care lead agencies and |
917 | reflecting national accreditation standards, that evaluate |
918 | programmatic, financial, technical assistance, training and |
919 | organizational competencies; and |
920 | b. Local criteria reflective of the local community-based |
921 | care design and the community alliance priorities. |
922 | 2. The readiness assessment shall be conducted by a joint |
923 | team of district and lead agency staff with direct experience |
924 | with the start up and operation of a community-based care |
925 | service program and representatives from the appropriate |
926 | community alliance. Within resources available for this purpose, |
927 | the department may secure outside audit expertise when necessary |
928 | to assist a readiness assessment team. |
929 | 3. Upon completion of a readiness assessment, the |
930 | assessment team shall conduct an exit conference with the |
931 | district and lead agency staff responsible for the transition. |
932 | 4. Within 30 days following the exit conference with staff |
933 | of each district and lead agency, the secretary shall certify in |
934 | writing to the Governor and the Legislature that both the |
935 | district and the lead agency are prepared to begin the |
936 | transition of service provision based on the results of the |
937 | readiness assessment and the exit conference. The document of |
938 | certification must include specific evidence of readiness on |
939 | each element of the readiness instrument utilized by the |
940 | assessment team as well as a description of each element of |
941 | readiness needing improvement and strategies being implemented |
942 | to address each one. |
943 | (e) As used in this section, the term "eligible lead |
944 | community-based provider" means a single agency with which the |
945 | department shall contract for the provision of child protective |
946 | services in a community that is no smaller than a county. The |
947 | secretary of the department may authorize more than one eligible |
948 | lead community-based provider within a single county when to do |
949 | so will result in more effective delivery of foster care and |
950 | related services. To compete for an outsourcing a privatization |
951 | project, such agency must have: |
952 | 1. The ability to coordinate, integrate, and manage all |
953 | child protective services in the designated community in |
954 | cooperation with child protective investigations. |
955 | 2. The ability to ensure continuity of care from entry to |
956 | exit for all children referred from the protective investigation |
957 | and court systems. |
958 | 3. The ability to provide directly, or contract for |
959 | through a local network of providers, all necessary child |
960 | protective services. Such agencies should directly provide no |
961 | more than 35 percent of all child protective services provided. |
962 | 4. The willingness to accept accountability for meeting |
963 | the outcomes and performance standards related to child |
964 | protective services established by the Legislature and the |
965 | Federal Government. |
966 | 5. The capability and the willingness to serve all |
967 | children referred to it from the protective investigation and |
968 | court systems, regardless of the level of funding allocated to |
969 | the community by the state, provided all related funding is |
970 | transferred. |
971 | 6. The willingness to ensure that each individual who |
972 | provides child protective services completes the training |
973 | required of child protective service workers by the Department |
974 | of Children and Family Services. |
975 | 7. The ability to maintain eligibility to receive all |
976 | federal child welfare funds, including Title IV-E and IV-A |
977 | funds, currently being used by the Department of Children and |
978 | Family Services. |
979 | 8. Written agreements with Healthy Families Florida lead |
980 | entities in their community, pursuant to s. 409.153, to promote |
981 | cooperative planning for the provision of prevention and |
982 | intervention services. |
983 | 9. A board of directors, of which at least 51 percent of |
984 | the membership is comprised of persons residing in this state. |
985 | Of the state residents, at least 51 percent must also reside |
986 | within the service area of the lead community-based provider. |
987 | (f)1. The Legislature finds that the state has |
988 | traditionally provided foster care services to children who have |
989 | been the responsibility of the state. As such, foster children |
990 | have not had the right to recover for injuries beyond the |
991 | limitations specified in s. 768.28. The Legislature has |
992 | determined that foster care and related services need to be |
993 | outsourced privatized pursuant to this section and that the |
994 | provision of such services is of paramount importance to the |
995 | state. The purpose for such outsourcing privatization is to |
996 | increase the level of safety, security, and stability of |
997 | children who are or become the responsibility of the state. One |
998 | of the components necessary to secure a safe and stable |
999 | environment for such children is that private providers maintain |
1000 | liability insurance. As such, insurance needs to be available |
1001 | and remain available to nongovernmental foster care and related |
1002 | services providers without the resources of such providers being |
1003 | significantly reduced by the cost of maintaining such insurance. |
1004 | 2. The Legislature further finds that, by requiring the |
1005 | following minimum levels of insurance, children in outsourced |
1006 | privatized foster care and related services will gain increased |
1007 | protection and rights of recovery in the event of injury than |
1008 | provided for in s. 768.28. |
1009 | (g) In any county in which a service contract has not been |
1010 | executed by December 31, 2004, the department shall ensure |
1011 | access to a model comprehensive residential services program as |
1012 | described in s. 409.1677 which, without imposing undue |
1013 | financial, geographic, or other barriers, ensures reasonable and |
1014 | appropriate participation by the family in the child's program. |
1015 | 1. In order to ensure that the program is operational by |
1016 | December 31, 2004, the department must, by December 31, 2003, |
1017 | begin the process of establishing access to a program in any |
1018 | county in which the department has not either entered into a |
1019 | transition contract or approved a community plan, as described |
1020 | in paragraph (d), which ensures full outsourcing privatization |
1021 | by the statutory deadline. |
1022 | 2. The program must be procured through a competitive |
1023 | process. |
1024 | 3. The Legislature does not intend for the provisions of |
1025 | this paragraph to substitute for the requirement that full |
1026 | conversion to community-based care be accomplished. |
1027 | (2) |
1028 | (b) Persons employed by the department in the provision of |
1029 | foster care and related services whose positions are being |
1030 | outsourced under privatized pursuant to this statute shall be |
1031 | given hiring preference by the provider, if provider |
1032 | qualifications are met. |
1033 | (4)(a) The department, in consultation with the community- |
1034 | based agencies that are undertaking the outsourced privatized |
1035 | projects, shall establish a quality assurance program for |
1036 | privatized services. The quality assurance program shall be |
1037 | based on standards established by the Adoption and Safe Families |
1038 | Act as well as by a national accrediting organization such as |
1039 | the Council on Accreditation of Services for Families and |
1040 | Children, Inc. (COA) or CARF--the Rehabilitation Accreditation |
1041 | Commission. Each program operated under contract with a |
1042 | community-based agency must be evaluated annually by the |
1043 | department. The department shall, to the extent possible, use |
1044 | independent financial audits provided by the community-based |
1045 | care agency to eliminate or reduce the ongoing contract and |
1046 | administrative reviews conducted by the department. The |
1047 | department may suggest additional items to be included in such |
1048 | independent financial audits to meet the department's needs. |
1049 | Should the department determine that such independent financial |
1050 | audits are inadequate, then other audits, as necessary, may be |
1051 | conducted by the department. Nothing herein shall abrogate the |
1052 | requirements of s. 215.97. The department shall submit an annual |
1053 | report regarding quality performance, outcome measure |
1054 | attainment, and cost efficiency to the President of the Senate, |
1055 | the Speaker of the House of Representatives, the minority leader |
1056 | of each house of the Legislature, and the Governor no later than |
1057 | January 31 of each year for each project in operation during the |
1058 | preceding fiscal year. |
1059 | (6) Beginning January 1, 1999, and continuing at least |
1060 | through June 30, 2000, the Department of Children and Family |
1061 | Services shall outsource privatize all foster care and related |
1062 | services in district 5 while continuing to contract with the |
1063 | current model programs in districts 1, 4, and 13, and in |
1064 | subdistrict 8A, and shall expand the subdistrict 8A pilot |
1065 | program to incorporate Manatee County. Planning for the district |
1066 | 5 outsourcing privatization shall be done by providers that are |
1067 | currently under contract with the department for foster care and |
1068 | related services and shall be done in consultation with the |
1069 | department. A lead provider of the district 5 program shall be |
1070 | competitively selected, must demonstrate the ability to provide |
1071 | necessary comprehensive services through a local network of |
1072 | providers, and must meet criteria established in this section. |
1073 | Contracts with organizations responsible for the model programs |
1074 | must include the management and administration of all outsourced |
1075 | privatized services specified in subsection (1). However, the |
1076 | department may use funds for contract management only after |
1077 | obtaining written approval from the Executive Office of the |
1078 | Governor. The request for such approval must include, but is not |
1079 | limited to, a statement of the proposed amount of such funds and |
1080 | a description of the manner in which such funds will be used. If |
1081 | the community-based organization selected for a model program |
1082 | under this subsection is not a Medicaid provider, the |
1083 | organization shall be issued a Medicaid provider number pursuant |
1084 | to s. 409.907 for the provision of services currently authorized |
1085 | under the state Medicaid plan to those children encompassed in |
1086 | this model and in a manner not to exceed the current level of |
1087 | state expenditure. |
1088 | (9) Each district and subdistrict that participates in the |
1089 | model program effort or any future outsourcing privatization |
1090 | effort as described in this section must thoroughly analyze and |
1091 | report the complete direct and indirect costs of delivering |
1092 | these services through the department and the full cost of |
1093 | outsourcing privatization, including the cost of monitoring and |
1094 | evaluating the contracted services. |
1095 | Section 4. The Office of Program Policy Analysis and |
1096 | Government Accountability shall conduct two reviews of the |
1097 | contract-management and accountability structures of the |
1098 | Department of Children and Family Services, including, but not |
1099 | limited to, whether the department is adequately monitoring and |
1100 | managing its outsourced or privatized functions and services. |
1101 | The office shall report its findings and recommendations to the |
1102 | President of the Senate, the Speaker of the House of |
1103 | Representatives, and the Auditor General by February 1 of 2006 |
1104 | and 2007, respectively. |
1105 | Section 5. Section 402.72, Florida Statutes, is repealed. |
1106 | Section 6. This act shall take effect July 1, 2005. |