1 | The Health & Families Council recommends the following: |
2 |
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3 | Council/Committee Substitute |
4 | Remove the entire bill and insert: |
5 | A bill to be entitled |
6 | An act relating to the Department of Children and Family |
7 | Services; providing legislative intent with respect to |
8 | establishing a structure by which the department shall |
9 | monitor and manage contracts with external service |
10 | providers; providing definitions; requiring the department |
11 | to competitively procure certain commodities and |
12 | contractual services; requiring the department to allow |
13 | all public postsecondary institutions to bid on contracts |
14 | intended for any public postsecondary institution; |
15 | authorizing the department to competitively procure and |
16 | contract for systems of treatment or service that involve |
17 | multiple providers; providing requirements if other |
18 | governmental entities contribute matching funds; requiring |
19 | that an entity providing matching funds must comply with |
20 | certain procurement procedures; authorizing the department |
21 | to independently procure and contract for treatment |
22 | services; requiring that the department develop a business |
23 | case before outsourcing any service or function; providing |
24 | requirements for the business case; requiring that the |
25 | business case be submitted to the Legislature for |
26 | approval; requiring that a contractual service that has |
27 | previously been outsourced be subject to the requirements |
28 | for a business case; requiring that a procurement of |
29 | contractual services equal to or in excess of the |
30 | threshold amount for CATEGORY FIVE comply with specified |
31 | requirements, including a scope of work and performance |
32 | standards; authorizing the department to adopt incremental |
33 | penalties by rule; authorizing the department to include |
34 | cost-neutral, performance-based incentives in a contract; |
35 | requiring multiyear contracts; providing an exception and |
36 | a requirement; requiring that a contract in excess of $1 |
37 | million be negotiated by a contract negotiator who is |
38 | certified according to standards established by the |
39 | Department of Management Services; limiting circumstances |
40 | under which the department may amend a contract; requiring |
41 | that a proposed contract amendment be submitted to the |
42 | Executive Office of the Governor for approval; requiring |
43 | approval of a contract amendment by the Administration |
44 | Commission under certain circumstances; requiring the |
45 | department to verify that contractual terms have been |
46 | satisfied before renewing a contract; requiring certain |
47 | documentation; requiring the department to develop, in |
48 | consultation with the Department of Management Services, |
49 | contract templates and guidelines; requiring that the |
50 | department establish a contract-management process; |
51 | specifying the requirements for and components of the |
52 | contract-management process; providing requirements for |
53 | resolving performance deficiencies and terminating a |
54 | contract; requiring a corrective-action plan under certain |
55 | circumstances; requiring the department to develop |
56 | standards of conduct and disciplinary actions; requiring |
57 | that the department establish contract-monitoring units |
58 | and a contract-monitoring process; requiring written |
59 | reports; requiring on-site visits for contracts involving |
60 | the provision of direct client services; prohibiting |
61 | contractors from engaging in certain activities; requiring |
62 | the department to make certain documents available to the |
63 | Legislature; requiring the department to create an |
64 | electronic database to store the documents; amending s. |
65 | 402.73, F.S.; requiring the Agency for Persons with |
66 | Disabilities to implement systems to ensure quality and |
67 | fiscal integrity of programs in the developmental services |
68 | Medicaid waiver system; providing an exemption for health |
69 | services from competitive bidding requirements; amending |
70 | s. 409.1671, F.S.; conforming provisions to changes made |
71 | by the act; requiring that the Office of Program Policy |
72 | Analysis and Government Accountability conduct two reviews |
73 | of the contract-management and accountability structures |
74 | of the department and report to the Legislature and the |
75 | Auditor General; repealing s. 402.72, F.S., relating to |
76 | contract-management requirements for the Department of |
77 | Children and Family Services; providing an appropriation; |
78 | providing an effective date. |
79 |
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80 | Be It Enacted by the Legislature of the State of Florida: |
81 |
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82 | Section 1. Department of Children and Family Services; |
83 | procurement of contractual services; outsourcing or |
84 | privatization; contract management.-- |
85 | (1) LEGISLATIVE INTENT.--The Legislature intends that the |
86 | Department of Children and Family Services obtain services in |
87 | the manner that is most efficient and cost-effective for the |
88 | state, that provides the greatest long-term benefits to the |
89 | clients receiving services, and that minimizes the disruption of |
90 | client services. In order to meet these legislative goals, the |
91 | department shall comply with legislative policy guidelines that |
92 | require compliance with uniform procedures for procuring |
93 | contractual services, prescribe how the department must |
94 | outsource its programmatic and administrative services to |
95 | external service providers rather than having them provided by |
96 | the department or another state agency, and establish a |
97 | contract-management and contract-monitoring process. |
98 | (2) DEFINITIONS.--As used in this section, the term: |
99 | (a) "Contract manager" means the department employee who |
100 | is responsible for enforcing the compliance with administrative |
101 | and programmatic terms and conditions of a contract. The |
102 | contract manager is the primary point of contact through which |
103 | all contracting information flows between the department and the |
104 | contractor. The contract manager is responsible for day-to-day |
105 | contract oversight, including approval of contract deliverables |
106 | and invoices. All actions related to the contract shall be |
107 | initiated by or coordinated with the contract manager. The |
108 | contract manager maintains the official contract files. |
109 | (b) "Contract monitor" means the department employee who |
110 | is responsible for observing, recording, and reporting to the |
111 | contract manager and other designated entities the information |
112 | necessary to assist the contract manager and program management |
113 | in determining whether the contractor is in compliance with the |
114 | administrative and programmatic terms and conditions of the |
115 | contract. |
116 | (c) "Department" means the Department of Children and |
117 | Family Services. |
118 | (d) "Outsourcing" means the process of contracting with an |
119 | external service provider to provide a service, in whole or in |
120 | part, while the department retains the responsibility and |
121 | accountability for the service. |
122 | (e) "Performance measure" means the quantitative |
123 | indicators used to assess if the service the external provider |
124 | is performing is achieving the desired results. Measures of |
125 | performance include outputs, direct counts of program |
126 | activities, and outcomes or results of program activities in the |
127 | lives of the clients served. |
128 | (f) "Performance standard" means the quantifiable, |
129 | specified, and desired level to be achieved for a particular |
130 | performance measure. |
131 | (g) "Privatize" means any process aimed at transferring |
132 | the responsibility for a service, in whole or in part, from the |
133 | department to the private sector such that the private sector is |
134 | solely and fully responsible for the performance of the specific |
135 | service. |
136 | (h) "Service" means all or any portion of a program or |
137 | program component as defined in section 216.011, Florida |
138 | Statutes. |
139 | (3) PROCUREMENT OF COMMODITIES AND CONTRACTUAL SERVICES.-- |
140 | (a) For the purchase of commodities and contractual |
141 | services in excess of the threshold amount established in |
142 | section 287.017, Florida Statutes, for CATEGORY TWO, the |
143 | department shall comply with the requirements set forth in |
144 | section 287.057, Florida Statutes. |
145 | (b) Notwithstanding section 287.057(5)(f)13., Florida |
146 | Statutes, whenever the department intends to contract with a |
147 | public postsecondary institution to provide a service, the |
148 | department must allow all public postsecondary institutions in |
149 | this state that are accredited by the Southern Association of |
150 | Colleges and Schools to bid on the contract. Thereafter, |
151 | notwithstanding any other provision to the contrary, if a public |
152 | postsecondary institution intends to subcontract for any service |
153 | awarded in the contract, the subcontracted service must be |
154 | procured by competitive procedures. |
155 | (c) When it is in the best interest of a defined segment |
156 | of its consumer population, the department may competitively |
157 | procure and contract for systems of treatment or service that |
158 | involve multiple providers, rather than procuring and |
159 | contracting for treatment or services separately from each |
160 | participating provider. The department must ensure that all |
161 | providers that participate in the treatment or service system |
162 | meet all applicable statutory, regulatory, service-quality, and |
163 | cost-control requirements. If other governmental entities or |
164 | units of special purpose government contribute matching funds to |
165 | the support of a given system of treatment or service, the |
166 | department shall formally request information from those funding |
167 | entities in the procurement process and may take the information |
168 | received into account in the selection process. If a local |
169 | government contributes matching funds to support the system of |
170 | treatment or contracted service and if the match constitutes at |
171 | least 25 percent of the value of the contract, the department |
172 | shall afford the governmental match contributor an opportunity |
173 | to name an employee as one of the persons required by section |
174 | 287.057(17), Florida Statutes, to evaluate or negotiate certain |
175 | contracts, unless the department sets forth in writing the |
176 | reason why the inclusion would be contrary to the best interest |
177 | of the state. Any employee so named by the governmental match |
178 | contributor shall qualify as one of the persons required by |
179 | section 287.057(17), Florida Statutes. A governmental entity or |
180 | unit of special purpose government may not name an employee as |
181 | one of the persons required by section 287.057(17), Florida |
182 | Statutes, if it, or any of its political subdivisions, executive |
183 | agencies, or special districts, intends to compete for the |
184 | contract to be awarded. The governmental funding entity or |
185 | contributor of matching funds must comply with all procurement |
186 | procedures set forth in section 287.057, Florida Statutes, when |
187 | appropriate and required. |
188 | (d) The department may procure and contract for or provide |
189 | assessment and case-management services independently from |
190 | treatment services. |
191 | (4) SOURCING STANDARDS AND REQUIREMENTS.--If the |
192 | department proposes to outsource a service, the department must |
193 | comply with the requirements of this section prior to the |
194 | procurement process provided for in section 287.057, Florida |
195 | Statutes. |
196 | (a) The department shall develop a business case |
197 | describing and analyzing the service proposed for outsourcing. A |
198 | business case is part of the solicitation process and is not a |
199 | rule subject to challenge pursuant to section 120.54, Florida |
200 | Statutes. The business case submitted by the department pursuant |
201 | to this section for a service shall be sufficient for all |
202 | contracts executed by the department for that service. The |
203 | business case must include, but need not be limited to: |
204 | 1. A detailed description of the services to be |
205 | outsourced, a description and analysis of the department's |
206 | current performance of the service, and a rationale documenting |
207 | how outsourcing the service would be in the best interest of the |
208 | state, the department, and its clients. |
209 | 2. A cost-benefit analysis documenting the estimated |
210 | specific direct and indirect costs, savings, performance |
211 | improvements, risks, and qualitative and quantitative benefits |
212 | involved in or resulting from outsourcing the service. The cost- |
213 | benefit analysis must include a detailed plan and timeline |
214 | identifying all actions that must be implemented to realize |
215 | expected benefits. Under section 92.525, Florida Statutes, the |
216 | Secretary of Children and Family Services shall verify that all |
217 | costs, savings, and benefits are valid and achievable. |
218 | 3. A description of the specific performance measures and |
219 | standards that must be achieved through the outsourcing |
220 | proposal. |
221 | 4. A statement of the potential effect on applicable |
222 | federal, state, and local revenues and expenditures. The |
223 | statement must specifically describe the effect on general |
224 | revenue, trust funds, general revenue service charges, and |
225 | interest on trust funds, together with the potential direct or |
226 | indirect effect on federal funding and cost allocations. |
227 | 5. A plan to ensure compliance with public-record laws, |
228 | which must include components that: |
229 | a. Provide public access to public records at a cost that |
230 | does not exceed that provided in chapter 119, Florida Statutes. |
231 | b. Ensure the confidentiality of records that are exempt |
232 | from disclosure or confidential under law. |
233 | c. Meet all legal requirements for record retention. |
234 | d. Allow for transfer to the state, at no cost, all public |
235 | records in possession of the external service provider upon |
236 | termination of the contract. |
237 | 6. A department transition and implementation plan for |
238 | addressing changes in the number of agency personnel, affected |
239 | business processes, and employee-transition issues. Such a plan |
240 | must also specify the mechanism for continuing the operation of |
241 | the service if the contractor fails to perform and comply with |
242 | the performance measures and standards and provisions of the |
243 | contract. Within this plan, the department shall identify all |
244 | resources, including full-time equivalent positions, which are |
245 | subject to outsourcing. All full-time equivalent positions |
246 | identified in the plan shall be placed in reserve by the |
247 | Executive Office of the Governor until the end of the second |
248 | year of the contract. Notwithstanding the provisions of section |
249 | 216.262, Florida Statutes, the Executive Office of the Governor |
250 | shall request authority from the Legislative Budget Commission |
251 | to reestablish full-time positions above the number fixed by the |
252 | Legislature when a contract is terminated and the outsourced |
253 | service must be returned to the department. |
254 | 7. A listing of assets proposed for transfer to or use by |
255 | the external service provider, a description of the proposed |
256 | requirements for maintenance of those assets by the external |
257 | service provider or the department in accordance with chapter |
258 | 273, Florida Statutes, a plan for their disposition upon |
259 | termination of the contract, and a description of how the |
260 | planned asset transfer or use by the contractor is in the best |
261 | interest of the department and the state. |
262 | (b)1. If the department proposes to outsource the service |
263 | in the next fiscal year, the department shall submit the |
264 | business case with the department's final legislative budget |
265 | request, in the manner and form prescribed in the legislative |
266 | budget request instructions under section 216.023, Florida |
267 | Statutes. Prior to approval in the General Appropriations Act, |
268 | the agency may initiate the procurement process pursuant to |
269 | section 287.057, Florida Statutes. The agency may complete |
270 | contract execution pursuant to section 287.057, Florida |
271 | Statutes, only upon approval in the General Appropriations Act. |
272 | 2. If a proposed outsourcing initiative would require |
273 | integration with, or would in any way affect other state |
274 | information technology systems, the department shall submit the |
275 | feasibility study documentation required by the legislative |
276 | budget request instructions under section 216.023, Florida |
277 | Statutes. |
278 | (c) If the department proposes to outsource a service |
279 | during a fiscal year and the outsourcing provision was not |
280 | included in the approved operating budget of the department, the |
281 | department must provide to the Governor, the President of the |
282 | Senate, the Speaker of the House of Representatives, the chairs |
283 | of the legislative appropriations committees, and the chairs of |
284 | the relevant substantive committees the business case that |
285 | complies with the requirements of paragraph (a) at least 45 days |
286 | before the release of any solicitation documents, as provided |
287 | for in section 287.057, Florida Statutes. Any budgetary changes |
288 | that are inconsistent with the department's approved budget may |
289 | not be made to existing programs unless the changes are |
290 | recommended to the Legislative Budget Commission by the Governor |
291 | and the Legislative Budget Commission expressly approves the |
292 | program changes. |
293 | (d) The department may not privatize a service without |
294 | specific authority provided in general law, the General |
295 | Appropriations Act, legislation implementing the General |
296 | Appropriations Act, or a special appropriations act. |
297 | (5) CONTRACTING AND PERFORMANCE MEASURES.--In addition to |
298 | the requirements of section 287.058, Florida Statutes, every |
299 | procurement of contractual services by the department which |
300 | meets or is in excess of the threshold amount provided in |
301 | section 287.017, Florida Statutes, for CATEGORY FIVE, must |
302 | comply with the requirements of this subsection. |
303 | (a) The department shall execute a contract containing all |
304 | provisions and conditions, which must include, but need not be |
305 | limited to: |
306 | 1. A detailed scope of work that clearly specifies each |
307 | service and deliverable to be provided, including a description |
308 | of each deliverable or activity that is quantifiable, |
309 | measurable, and verifiable by the department and the contractor. |
310 | 2. Associated costs and savings, specific payment terms |
311 | and payment schedules, including incentive and penalty |
312 | provisions, criteria governing payment, and a clear and specific |
313 | schedule to complete all required activities needed to transfer |
314 | the service from the state to the contractor. |
315 | 3. Clear and specific identification of all required |
316 | performance measures and standards, which must, at a minimum, |
317 | include: |
318 | a. Acceptance criteria for each deliverable and service to |
319 | be provided to the department under the terms of the contract |
320 | which document, to the greatest extent possible, the required |
321 | performance level. Acceptance criteria must be detailed, clear, |
322 | and unambiguous and shall be used to measure deliverables and |
323 | services to be provided under the contract. |
324 | b. A method for monitoring and reporting progress in |
325 | achieving specified performance standards and levels. |
326 | c. The sanctions or penalties that shall be assessed for |
327 | contract or state nonperformance. The department may adopt, by |
328 | rule, provisions for including in its contracts incremental |
329 | penalties to be imposed by its contract managers on a contractor |
330 | due to the contractor's failure to comply with a requirement for |
331 | corrective action. Any financial penalty that is imposed upon a |
332 | contractor may not be paid from funds being used to provide |
333 | services to clients, and the contractor may not reduce the |
334 | amount of services being delivered to clients as a method for |
335 | offsetting the effect of the penalty. If a financial penalty is |
336 | imposed upon a contractor that is a corporation, the department |
337 | shall notify, at a minimum, the board of directors of the |
338 | corporation. The department may notify any additional parties |
339 | that the department believes may be helpful in obtaining the |
340 | corrective action that is being sought. In addition, the rules |
341 | adopted by the department must include provisions that permit |
342 | the department to deduct the financial penalties from funds that |
343 | would otherwise be due to the contractor, not to exceed 10 |
344 | percent of the amount that otherwise would be due to the |
345 | contractor for the period of noncompliance. If the department |
346 | imposes a financial penalty, it shall advise the contractor in |
347 | writing of the cause for the penalty. A failure to include such |
348 | deductions in a request for payment constitutes grounds for the |
349 | department to reject that request for payment. The remedies |
350 | identified in this paragraph do not limit or restrict the |
351 | department's application of any other remedy available to it in |
352 | the contract or under law. The remedies described in this |
353 | paragraph may be cumulative and may be assessed upon each |
354 | separate failure to comply with instructions from the department |
355 | to complete corrective action. |
356 | 4. A requirement that the contractor maintain adequate |
357 | accounting records that comply with all applicable federal and |
358 | state laws and generally accepted accounting principles. |
359 | 5. A requirement authorizing the department and state to |
360 | have access to and conduct audits of all records related to the |
361 | contract and outsourced services. |
362 | 6. A requirement that ownership of any intellectual |
363 | property developed in the course of, or as a result of, work or |
364 | services performed under the contract shall transfer to the |
365 | state if the contractor ceases to provide the outsourced |
366 | service. |
367 | 7. A requirement describing the timing and substance of |
368 | all plans and status or progress reports that are to be |
369 | provided. All plans and status or progress reports must comply |
370 | with any relevant state and federal standards for planning, |
371 | implementation, operations, and oversight. |
372 | 8. A requirement that the contractor shall comply with |
373 | public-record laws. The contractor shall: |
374 | a. Keep and maintain the public records that ordinarily |
375 | and necessarily would be required by the department to perform |
376 | the service. |
377 | b. Provide public access to such public records on the |
378 | same terms and conditions that the department would and at a |
379 | cost that does not exceed that provided in chapter 119, Florida |
380 | Statutes. |
381 | c. Ensure the confidentiality of records that are exempt |
382 | from disclosure or confidential under law. |
383 | d. Meet all legal and auditing requirements for record |
384 | retention, and transfer to the state, at no cost to the state, |
385 | all public records in possession of the contractor upon |
386 | termination of the contract. All records stored electronically |
387 | must be provided to the state in the format compatible with |
388 | state information technology systems. |
389 | 9. A requirement that any state funds provided for the |
390 | purchase of or improvements to real property are contingent upon |
391 | the contractor granting to the state a security interest in the |
392 | property which is at least equal to the amount of the state |
393 | funds provided for at least 5 years following the date of |
394 | purchase or the completion of the improvements or as further |
395 | required by law. The contract must include a provision that, as |
396 | a condition of receipt of state funding for this purpose, the |
397 | contractor agrees that, if it disposes of the property before |
398 | the department's interest is vacated, the contractor must refund |
399 | the proportionate share of the state's initial investment, as |
400 | adjusted by depreciation. |
401 | 10. A provision that the contractor annually submit and |
402 | verify, under section 92.525, Florida Statutes, all required |
403 | financial statements. |
404 | 11. A provision that the contractor will be held |
405 | responsible and accountable for all work covered under the |
406 | contract including any work performed by subcontractors. The |
407 | contract must state that the department may monitor the |
408 | performance of any subcontractor. |
409 | (b) A contract may include cost-neutral, performance-based |
410 | incentives that may vary according to the extent a contractor |
411 | achieves or surpasses the performance standards set forth in the |
412 | contract. The incentives may be weighted proportionally to |
413 | reflect the extent to which the contractor has demonstrated that |
414 | it has consistently met or exceeded the contractual requirements |
415 | and the performance standards. |
416 | (c) The department shall review the time period for which |
417 | it executes contracts and shall execute multiyear contracts to |
418 | make the most efficient use of the resources devoted to contract |
419 | processing and execution. Whenever the department chooses not to |
420 | use a multiyear contract, a justification for that decision must |
421 | be contained in the contract. |
422 | (d) When the annualized value of a contract is in excess |
423 | of $1 million, at least one of the persons conducting |
424 | negotiations must be certified as a contract negotiator based |
425 | upon standards established by the Department of Management |
426 | Services. |
427 | (e) The department may not amend a contract without first |
428 | submitting the proposed contract amendment to the Executive |
429 | Office of the Governor for approval if the effect of the |
430 | amendment would be to increase: |
431 | 1. The value of the contract by $250,000 for those |
432 | contracts with a total value of at least $250,000 but less than |
433 | $1 million; |
434 | 2. The value of the contract by $1 million for those |
435 | contracts with a total value of at least $1 million but less |
436 | than $10 million; |
437 | 3. The value of the contract by 10 percent for those |
438 | contracts with a total value of $10 million or more; or |
439 | 4. The term of the contract by 1 year or more. |
440 |
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441 | When the department proposes any contract amendment that meets |
442 | the criteria described in this paragraph, it shall submit the |
443 | proposed contract amendment to the Executive Office of the |
444 | Governor for approval and shall immediately notify the chairs of |
445 | the legislative appropriations committees. The Executive Office |
446 | of the Governor may not approve the proposed contract amendment |
447 | until 14 days following receipt of the notification to the |
448 | legislative appropriations chairs. If either chair of the |
449 | legislative appropriations committees objects in writing to a |
450 | proposed contract amendment within 14 days following |
451 | notification and specifies the reasons for the objection, the |
452 | Executive Office of the Governor shall disapprove the proposed |
453 | contract amendment or shall submit the proposed contract |
454 | amendment to the Administration Commission. The proposed |
455 | contract amendment may be approved by the Administration |
456 | Commission by a two-thirds vote of the members present with the |
457 | Governor voting in the affirmative. In the absence of approval |
458 | by the commission, the proposed contract amendment shall be |
459 | automatically disapproved. Otherwise, upon approval by the |
460 | Governor or Administration Commission, the department may |
461 | execute the contract amendment. |
462 | (f) An amendment that is issued under legislative |
463 | direction, including funding adjustments annually provided for |
464 | in the General Appropriations Act or the federal appropriations |
465 | acts, need not be submitted for approval in accordance with |
466 | paragraph (d). |
467 | (g) In addition to the requirements of section 287.057(13) |
468 | and (14), Florida Statutes, the department shall verify, based |
469 | upon the best available data at the point of contract |
470 | renegotiations, that all specific direct and indirect costs, |
471 | savings, performance measures and standards, and qualitative and |
472 | quantitative benefits identified in the original contract have |
473 | been satisfied by a contractor or the department before the |
474 | contract is extended or renewed. The documentation must include |
475 | an explanation of any differences between the required |
476 | performance as identified in the contract and the actual |
477 | performance of the contractor. The documentation must be |
478 | included in the official contract file. |
479 | (h) The department shall, in consultation with the |
480 | Department of Management Services, develop contract templates |
481 | and guidelines that define the mandatory contract provisions and |
482 | other requirements identified in this subsection and that must |
483 | be used for all contractual service contracts meeting the |
484 | requirements of this subsection. All contract templates and |
485 | guidelines shall be developed by September 30, 2005. |
486 | (6) CONTRACT-MANAGEMENT REQUIREMENTS AND |
487 | PROCESS.--Notwithstanding section 287.057(15), Florida Statutes, |
488 | the department is responsible for establishing a contract- |
489 | management process that requires a member of the department's |
490 | Senior Management Service to assign in writing the |
491 | responsibility of a contract to a contract manager. The |
492 | department shall maintain a set of procedures describing its |
493 | contract-management process which must minimally include the |
494 | following requirements: |
495 | (a) The contract manager shall maintain the official |
496 | contract file throughout the duration of the contract and for a |
497 | period not less than 6 years after the termination of the |
498 | contract. |
499 | (b) The contract manager shall review all invoices for |
500 | compliance with the criteria and payment schedule provided for |
501 | in the contract and shall approve payment of all invoices before |
502 | their transmission to the Department of Financial Services for |
503 | payment. Only the contract manager shall approve the invoices |
504 | for a specific contract, unless the contract manager is |
505 | temporarily unavailable to review an invoice. The contract file |
506 | must contain an explanation for any periods of temporary |
507 | unavailability of the assigned contract manager. For any |
508 | individual invoice in excess of $500,000, a member of the |
509 | Selected Exempt Service or Senior Management Service shall also |
510 | sign payment approval of the invoice. For any individual invoice |
511 | in excess of $1 million, a member of the Senior Management |
512 | Service shall also sign payment approval of the invoice. |
513 | (c) The contract manager shall maintain a schedule of |
514 | payments and total amounts disbursed and shall periodically |
515 | reconcile the records with the state's official accounting |
516 | records. |
517 | (d) For contracts involving the provision of direct client |
518 | services, the contract manager shall periodically visit the |
519 | physical location where the services are delivered and speak |
520 | directly to clients receiving the services and the staff |
521 | responsible for delivering the services. |
522 | (e) For contracts for which the contractor is a |
523 | corporation, the contract manager shall attend at least one |
524 | board meeting semiannually, if held and if within 100 miles of |
525 | the contract manager's official headquarters. |
526 | (f) The contract manager shall meet at least once a month |
527 | directly with the contractor's representative and maintain |
528 | records of such meetings. |
529 | (g) The contract manager shall periodically document any |
530 | differences between the required performance measures and the |
531 | actual performance measures. If a contractor fails to meet and |
532 | comply with the performance measures established in the |
533 | contract, the department may allow a reasonable period for the |
534 | contractor to correct performance deficiencies. If performance |
535 | deficiencies are not resolved to the satisfaction of the |
536 | department within the prescribed time, and if no extenuating |
537 | circumstances can be documented by the contractor to the |
538 | department's satisfaction, the department must terminate the |
539 | contract. The department may not enter into a new contract with |
540 | that same contractor for the services for which the contract was |
541 | previously terminated for a period of at least 24 months after |
542 | the date of termination. The contract manager shall obtain and |
543 | enforce corrective-action plans, if appropriate, and maintain |
544 | records regarding the completion or failure to complete |
545 | corrective-action items. |
546 | (h) The contract manager shall document any contract |
547 | modifications, which shall include recording any contract |
548 | amendments as provided for in this section. |
549 | (i) The contract manager shall be properly trained before |
550 | being assigned responsibility for any contract. |
551 |
|
552 | The department shall develop standards of conduct and a range of |
553 | disciplinary actions for its employees which are specifically |
554 | related to carrying out contract-management responsibilities. |
555 | (7) CONTRACT-MONITORING REQUIREMENTS AND PROCESS.--The |
556 | department shall establish contract-monitoring units staffed by |
557 | full-time career service employees who report to a member of the |
558 | Select Exempt Service or Senior Management Service and who have |
559 | been properly trained to perform contract monitoring. A member |
560 | of the Senior Management Service shall assign in writing a |
561 | specific contract to a contract-monitoring unit, with at least |
562 | one member of the contract-monitoring unit possessing specific |
563 | knowledge and experience in the contract's program area. The |
564 | department shall establish a contract-monitoring process that |
565 | must include, but need not be limited to, the following |
566 | requirements: |
567 | (a) Performing a risk assessment at the start of each |
568 | fiscal year and preparing an annual contract-monitoring schedule |
569 | that includes consideration for the level of risk assigned. The |
570 | department may monitor any contract at any time regardless of |
571 | whether such monitoring was originally included in the annual |
572 | contract-monitoring schedule. |
573 | (b) Preparing a contract-monitoring plan, including |
574 | sampling procedures, before performing on-site monitoring at |
575 | external locations of a service provider. The plan must include |
576 | a description of the programmatic, fiscal, and administrative |
577 | components that will be monitored on-site. If appropriate, |
578 | clinical and therapeutic components may be included. |
579 | (c) Conducting analyses of the performance and compliance |
580 | of an external service provider by means of desk reviews if the |
581 | external service provider will not be monitored on-site during a |
582 | fiscal year. |
583 | (d) Unless the department sets forth in writing the need |
584 | for an extension, providing a written report presenting the |
585 | results of the monitoring within 30 days after the completion of |
586 | the on-site monitoring or desk review. Report extensions may not |
587 | exceed 30 days after the original completion date. The |
588 | department shall develop and use a standard contract-monitoring |
589 | report format and shall provide access to the reports by means |
590 | of a website that is available to the Legislature. |
591 | (e) For contracts involving the provision of direct client |
592 | services, requiring the contract monitor to visit the physical |
593 | location where the services are being delivered and to speak |
594 | directly to the clients receiving the services and with the |
595 | staff responsible for delivering the services. |
596 | (f) Developing and maintaining a set of procedures |
597 | describing the contract-monitoring process. |
598 |
|
599 | The department shall develop standards of conduct and a range of |
600 | disciplinary actions for its employees which are specifically |
601 | related to carrying out contract-monitoring responsibilities. |
602 | (8) CONTRACTOR PROHIBITIONS.--A contractor, as defined in |
603 | chapter 287, Florida Statutes, or the employees, agents, or |
604 | subcontractors of the contractor, may not: |
605 | (a) Directly or indirectly supervise, direct, or act as an |
606 | approving authority over any state employee or the action |
607 | committed to the responsibility of state employees. |
608 | (b) Knowingly participate through decision, approval, |
609 | disapproval, recommendation, preparation of any part of a |
610 | purchase request, influencing the content of any specification |
611 | or procurement standard, rendering of advice, investigation, or |
612 | auditing, or in any other advisory capacity, in the procurement |
613 | of contractual services from an entity of which the contractor, |
614 | or the employees, agents, or subcontractors of the contractor, |
615 | has a material interest. |
616 | (9) REPORTS TO THE LEGISLATURE.--Beginning October 1, |
617 | 2005, the department shall make available to the Legislature |
618 | electronically all documents associated with the procurement and |
619 | contracting functions of the department. The documents in the |
620 | database must include, but are not limited to, all: |
621 | (a) Business cases; |
622 | (b) Procurement documents; |
623 | (c) Contracts and any related files, attachments, or |
624 | amendments; |
625 | (d) Contract monitoring reports; |
626 | (e) Corrective action plans and reports of corrective |
627 | actions taken when contractor performance deficiencies are |
628 | identified; and |
629 | (f) Status reports on all outsourcing initiatives |
630 | describing the progress by the department towards achieving the |
631 | business objectives, costs, savings, and quantifiable benefits |
632 | identified in the business case. |
633 | Section 2. Section 402.73, Florida Statutes, is amended to |
634 | read: |
635 | 402.73 Contracting and performance standards.-- |
636 | (1) The Department of Children and Family Services shall |
637 | establish performance standards for all contracted client |
638 | services. Notwithstanding s. 287.057(5)(f), the department must |
639 | competitively procure any contract for client services when any |
640 | of the following occurs: |
641 | (a) The provider fails to meet appropriate performance |
642 | standards established by the department after the provider has |
643 | been given a reasonable opportunity to achieve the established |
644 | standards. |
645 | (b) A new program or service has been authorized and |
646 | funded by the Legislature and the annual value of the contract |
647 | for such program or service is $300,000 or more. |
648 | (c) The department has concluded, after reviewing market |
649 | prices and available treatment options, that there is evidence |
650 | that the department can improve the performance outcomes |
651 | produced by its contract resources. At a minimum, the department |
652 | shall review market prices and available treatment options |
653 | biennially. The department shall compile the results of the |
654 | biennial review and include the results in its annual |
655 | performance report to the Legislature pursuant to chapter 94- |
656 | 249, Laws of Florida. The department shall provide notice and an |
657 | opportunity for public comment on its review of market prices |
658 | and available treatment options. |
659 | (2) The competitive requirements of subsection (1) must be |
660 | initiated for each contract that meets the criteria of this |
661 | subsection, unless the secretary makes a written determination |
662 | that particular facts and circumstances require deferral of the |
663 | competitive process. Facts and circumstances must be |
664 | specifically described for each individual contract proposed for |
665 | deferral and must include one or more of the following: |
666 | (a) An immediate threat to the health, safety, or welfare |
667 | of the department's clients. |
668 | (b) A threat to appropriate use or disposition of |
669 | facilities that have been financed in whole, or in substantial |
670 | part, through contracts or agreements with a state agency. |
671 | (c) A threat to the service infrastructure of a community |
672 | which could endanger the well-being of the department's clients. |
673 |
|
674 | Competitive procurement of client services contracts that meet |
675 | the criteria in subsection (1) may not be deferred for longer |
676 | than 1 year. |
677 | (3) The Legislature intends that the department obtain |
678 | services in the manner that is most cost-effective for the |
679 | state, that provides the greatest long-term benefits to the |
680 | clients receiving services, and that minimizes the disruption of |
681 | client services. In order to meet these legislative goals, the |
682 | department may adopt rules providing procedures for the |
683 | competitive procurement of contracted client services which |
684 | represent an alternative to the request-for-proposal or |
685 | invitation-to-bid process. The alternative competitive |
686 | procedures shall permit the department to solicit professional |
687 | qualifications from prospective providers and to evaluate such |
688 | statements of qualification before requesting service proposals. |
689 | The department may limit the firms invited to submit service |
690 | proposals to only those firms that have demonstrated the highest |
691 | level of professional capability to provide the services under |
692 | consideration, but may not invite fewer than three firms to |
693 | submit service proposals, unless fewer than three firms |
694 | submitted satisfactory statements of qualification. The |
695 | alternative procedures must, at a minimum, allow the department |
696 | to evaluate competing proposals and select the proposal that |
697 | provides the greatest benefit to the state while considering the |
698 | quality of the services, dependability, and integrity of the |
699 | provider, the dependability of the provider's services, the |
700 | experience of the provider in serving target populations or |
701 | client groups substantially identical to members of the target |
702 | population for the contract in question, and the ability of the |
703 | provider to secure local funds to support the delivery of |
704 | services, including, but not limited to, funds derived from |
705 | local governments. These alternative procedures need not conform |
706 | to the requirements of s. 287.042 or s. 287.057(1) or (2). |
707 | (4) The department shall review the period for which it |
708 | executes contracts and, to the greatest extent practicable, |
709 | shall execute multiyear contracts to make the most efficient use |
710 | of the resources devoted to contract processing and execution. |
711 | (5) When it is in the best interest of a defined segment |
712 | of its consumer population, the department may competitively |
713 | procure and contract for systems of treatment or service that |
714 | involve multiple providers, rather than procuring and |
715 | contracting for treatment or services separately from each |
716 | participating provider. The department must ensure that all |
717 | providers that participate in the treatment or service system |
718 | meet all applicable statutory, regulatory, service-quality, and |
719 | cost-control requirements. If other governmental entities or |
720 | units of special purpose government contribute matching funds to |
721 | the support of a given system of treatment or service, the |
722 | department shall formally request information from those funding |
723 | entities in the procurement process and may take the information |
724 | received into account in the selection process. If a local |
725 | government contributes match to support the system of treatment |
726 | or contracted service and if the match constitutes at least 25 |
727 | percent of the value of the contract, the department shall |
728 | afford the governmental match contributor an opportunity to name |
729 | an employee as one of the persons required by s. 287.057(17) to |
730 | evaluate or negotiate certain contracts, unless the department |
731 | sets forth in writing the reason why such inclusion would be |
732 | contrary to the best interest of the state. Any employee so |
733 | named by the governmental match contributor shall qualify as one |
734 | of the persons required by s. 287.057(17). No governmental |
735 | entity or unit of special purpose government may name an |
736 | employee as one of the persons required by s. 287.057(17) if it, |
737 | or any of its political subdivisions, executive agencies, or |
738 | special districts, intends to compete for the contract to be |
739 | awarded. The governmental funding entity or match contributor |
740 | shall comply with any deadlines and procurement procedures |
741 | established by the department. The department may also involve |
742 | nongovernmental funding entities in the procurement process when |
743 | appropriate. |
744 | (6) The department may contract for or provide assessment |
745 | and case management services independently from treatment |
746 | services. |
747 | (7) The department shall adopt, by rule, provisions for |
748 | including in its contracts incremental penalties to be imposed |
749 | by its contract managers on a service provider due to the |
750 | provider's failure to comply with a requirement for corrective |
751 | action. Any financial penalty that is imposed upon a provider |
752 | may not be paid from funds being used to provide services to |
753 | clients, and the provider may not reduce the amount of services |
754 | being delivered to clients as a method for offsetting the impact |
755 | of the penalty. If a financial penalty is imposed upon a |
756 | provider that is a corporation, the department shall notify, at |
757 | a minimum, the board of directors of the corporation. The |
758 | department may notify, at its discretion, any additional parties |
759 | that the department believes may be helpful in obtaining the |
760 | corrective action that is being sought. Further, the rules |
761 | adopted by the department must include provisions that permit |
762 | the department to deduct the financial penalties from funds that |
763 | would otherwise be due to the provider, not to exceed 10 percent |
764 | of the amount that otherwise would be due to the provider for |
765 | the period of noncompliance. If the department imposes a |
766 | financial penalty, it shall advise the provider in writing of |
767 | the cause for the penalty. A failure to include such deductions |
768 | in a request for payment constitutes a ground for the department |
769 | to reject that request for payment. The remedies identified in |
770 | this subsection do not limit or restrict the department's |
771 | application of any other remedy available to it in the contract |
772 | or under law. The remedies described in this subsection may be |
773 | cumulative and may be assessed upon each separate failure to |
774 | comply with instructions from the department to complete |
775 | corrective action. |
776 | (8) The department shall develop standards of conduct and |
777 | a range of disciplinary actions for its employees which are |
778 | specifically related to carrying out contracting |
779 | responsibilities. |
780 | (1)(9) The Agency for Persons with Disabilities department |
781 | must implement systems and controls to ensure financial |
782 | integrity and service provision quality in the developmental |
783 | services Medicaid waiver service system. |
784 | (10) If a provider fails to meet the performance standards |
785 | established in the contract, the department may allow a |
786 | reasonable period for the provider to correct performance |
787 | deficiencies. If performance deficiencies are not resolved to |
788 | the satisfaction of the department within the prescribed time, |
789 | and if no extenuating circumstances can be documented by the |
790 | provider to the department's satisfaction, the department must |
791 | cancel the contract with the provider. The department may not |
792 | enter into a new contract with that same provider for the |
793 | services for which the contract was previously canceled for a |
794 | period of at least 24 months after the date of cancellation. If |
795 | an adult substance abuse services provider fails to meet the |
796 | performance standards established in the contract, the |
797 | department may allow a reasonable period, not to exceed 6 |
798 | months, for the provider to correct performance deficiencies. If |
799 | the performance deficiencies are not resolved to the |
800 | satisfaction of the department within 6 months, the department |
801 | must cancel the contract with the adult substance abuse |
802 | provider, unless there is no other qualified provider in the |
803 | service district. |
804 | (11) The department shall include in its standard contract |
805 | document a requirement that any state funds provided for the |
806 | purchase of or improvements to real property are contingent upon |
807 | the contractor or political subdivision granting to the state a |
808 | security interest in the property at least to the amount of the |
809 | state funds provided for at least 5 years from the date of |
810 | purchase or the completion of the improvements or as further |
811 | required by law. The contract must include a provision that, as |
812 | a condition of receipt of state funding for this purpose, the |
813 | provider agrees that, if it disposes of the property before the |
814 | department's interest is vacated, the provider will refund the |
815 | proportionate share of the state's initial investment, as |
816 | adjusted by depreciation. |
817 | (12) The department shall develop and refine contracting |
818 | and accountability methods that are administratively efficient |
819 | and that provide for optimal provider performance. |
820 | (13) The department may competitively procure any contract |
821 | when it deems it is in the best interest of the state to do so. |
822 | The requirements described in subsection (1) do not, and may not |
823 | be construed to, limit in any way the department's ability to |
824 | competitively procure any contract it executes, and the absence |
825 | of any or all of the criteria described in subsection (1) may |
826 | not be used as the basis for an administrative or judicial |
827 | protest of the department's determination to conduct |
828 | competition, make an award, or execute any contract. |
829 | (14) A contract may include cost-neutral, performance- |
830 | based incentives that may vary according to the extent a |
831 | provider achieves or surpasses the performance standards set |
832 | forth in the contract. Such incentives may be weighted |
833 | proportionally to reflect the extent to which the provider has |
834 | demonstrated that it has consistently met or exceeded the |
835 | contractual requirements and the department's performance |
836 | standards. |
837 | (2)(15) Nothing contained in chapter 287 shall require |
838 | competitive bids for health services involving examination, |
839 | diagnosis, or treatment. |
840 | Section 3. Paragraphs (a), (b), (e), (f), and (g) of |
841 | subsection (1), paragraph (b) of subsection (2), paragraph (a) |
842 | of subsection (4), and subsections (6) and (9) of section |
843 | 409.1671, Florida Statutes, are amended to read: |
844 | 409.1671 Foster care and related services; outsourcing |
845 | privatization.-- |
846 | (1)(a) It is the intent of the Legislature that the |
847 | Department of Children and Family Services shall outsource |
848 | privatize the provision of foster care and related services |
849 | statewide. It is further the Legislature's intent to encourage |
850 | communities and other stakeholders in the well-being of children |
851 | to participate in assuring that children are safe and well- |
852 | nurtured. However, while recognizing that some local governments |
853 | are presently funding portions of certain foster care and |
854 | related services programs and may choose to expand such funding |
855 | in the future, the Legislature does not intend by its |
856 | outsourcing privatization of foster care and related services |
857 | that any county, municipality, or special district be required |
858 | to assist in funding programs that previously have been funded |
859 | by the state. Counties that provide children and family services |
860 | with at least 40 licensed residential group care beds by July 1, |
861 | 2003, and provide at least $2 million annually in county general |
862 | revenue funds to supplement foster and family care services |
863 | shall continue to contract directly with the state and shall be |
864 | exempt from the provisions of this section. Nothing in this |
865 | paragraph prohibits any county, municipality, or special |
866 | district from future voluntary funding participation in foster |
867 | care and related services. As used in this section, the term |
868 | "outsource" "privatize" means to contract with competent, |
869 | community-based agencies. The department shall submit a plan to |
870 | accomplish outsourcing privatization statewide, through a |
871 | competitive process, phased in over a 3-year period beginning |
872 | January 1, 2000. This plan must be developed with local |
873 | community participation, including, but not limited to, input |
874 | from community-based providers that are currently under contract |
875 | with the department to furnish community-based foster care and |
876 | related services, and must include a methodology for determining |
877 | and transferring all available funds, including federal funds |
878 | that the provider is eligible for and agrees to earn and that |
879 | portion of general revenue funds which is currently associated |
880 | with the services that are being furnished under contract. The |
881 | methodology must provide for the transfer of funds appropriated |
882 | and budgeted for all services and programs that have been |
883 | incorporated into the project, including all management, capital |
884 | (including current furniture and equipment), and administrative |
885 | funds to accomplish the transfer of these programs. This |
886 | methodology must address expected workload and at least the 3 |
887 | previous years' experience in expenses and workload. With |
888 | respect to any district or portion of a district in which |
889 | outsourcing privatization cannot be accomplished within the 3- |
890 | year timeframe, the department must clearly state in its plan |
891 | the reasons the timeframe cannot be met and the efforts that |
892 | should be made to remediate the obstacles, which may include |
893 | alternatives to total outsourcing privatization, such as public- |
894 | private partnerships. As used in this section, the term "related |
895 | services" includes, but is not limited to, family preservation, |
896 | independent living, emergency shelter, residential group care, |
897 | foster care, therapeutic foster care, intensive residential |
898 | treatment, foster care supervision, case management, |
899 | postplacement supervision, permanent foster care, and family |
900 | reunification. Unless otherwise provided for, the state attorney |
901 | shall provide child welfare legal services, pursuant to chapter |
902 | 39 and other relevant provisions, in Pinellas and Pasco |
903 | Counties. When a private nonprofit agency has received case |
904 | management responsibilities, transferred from the state under |
905 | this section, for a child who is sheltered or found to be |
906 | dependent and who is assigned to the care of the outsourcing |
907 | privatization project, the agency may act as the child's |
908 | guardian for the purpose of registering the child in school if a |
909 | parent or guardian of the child is unavailable and his or her |
910 | whereabouts cannot reasonably be ascertained. The private |
911 | nonprofit agency may also seek emergency medical attention for |
912 | such a child, but only if a parent or guardian of the child is |
913 | unavailable, his or her whereabouts cannot reasonably be |
914 | ascertained, and a court order for such emergency medical |
915 | services cannot be obtained because of the severity of the |
916 | emergency or because it is after normal working hours. However, |
917 | the provider may not consent to sterilization, abortion, or |
918 | termination of life support. If a child's parents' rights have |
919 | been terminated, the nonprofit agency shall act as guardian of |
920 | the child in all circumstances. |
921 | (b) It is the intent of the Legislature that the |
922 | department will continue to work towards full outsourcing |
923 | privatization in a manner that assures the viability of the |
924 | community-based system of care and best provides for the safety |
925 | of children in the child protection system. To this end, the |
926 | department is directed to continue the process of outsourcing |
927 | privatizing services in those counties in which signed startup |
928 | contracts have been executed. The department may also continue |
929 | to enter into startup contracts with additional counties. |
930 | However, no services shall be transferred to a community-based |
931 | care lead agency until the department, in consultation with the |
932 | local community alliance, has determined and certified in |
933 | writing to the Governor and the Legislature that the district is |
934 | prepared to transition the provision of services to the lead |
935 | agency and that the lead agency is ready to deliver and be |
936 | accountable for such service provision. In making this |
937 | determination, the department shall conduct a readiness |
938 | assessment of the district and the lead agency. |
939 | 1. The assessment shall evaluate the operational readiness |
940 | of the district and the lead agency based on: |
941 | a. A set of uniform criteria, developed in consultation |
942 | with currently operating community-based care lead agencies and |
943 | reflecting national accreditation standards, that evaluate |
944 | programmatic, financial, technical assistance, training and |
945 | organizational competencies; and |
946 | b. Local criteria reflective of the local community-based |
947 | care design and the community alliance priorities. |
948 | 2. The readiness assessment shall be conducted by a joint |
949 | team of district and lead agency staff with direct experience |
950 | with the start up and operation of a community-based care |
951 | service program and representatives from the appropriate |
952 | community alliance. Within resources available for this purpose, |
953 | the department may secure outside audit expertise when necessary |
954 | to assist a readiness assessment team. |
955 | 3. Upon completion of a readiness assessment, the |
956 | assessment team shall conduct an exit conference with the |
957 | district and lead agency staff responsible for the transition. |
958 | 4. Within 30 days following the exit conference with staff |
959 | of each district and lead agency, the secretary shall certify in |
960 | writing to the Governor and the Legislature that both the |
961 | district and the lead agency are prepared to begin the |
962 | transition of service provision based on the results of the |
963 | readiness assessment and the exit conference. The document of |
964 | certification must include specific evidence of readiness on |
965 | each element of the readiness instrument utilized by the |
966 | assessment team as well as a description of each element of |
967 | readiness needing improvement and strategies being implemented |
968 | to address each one. |
969 | (e) As used in this section, the term "eligible lead |
970 | community-based provider" means a single agency with which the |
971 | department shall contract for the provision of child protective |
972 | services in a community that is no smaller than a county. The |
973 | secretary of the department may authorize more than one eligible |
974 | lead community-based provider within a single county when to do |
975 | so will result in more effective delivery of foster care and |
976 | related services. To compete for an outsourcing a privatization |
977 | project, such agency must have: |
978 | 1. The ability to coordinate, integrate, and manage all |
979 | child protective services in the designated community in |
980 | cooperation with child protective investigations. |
981 | 2. The ability to ensure continuity of care from entry to |
982 | exit for all children referred from the protective investigation |
983 | and court systems. |
984 | 3. The ability to provide directly, or contract for |
985 | through a local network of providers, all necessary child |
986 | protective services. Such agencies should directly provide no |
987 | more than 35 percent of all child protective services provided. |
988 | 4. The willingness to accept accountability for meeting |
989 | the outcomes and performance standards related to child |
990 | protective services established by the Legislature and the |
991 | Federal Government. |
992 | 5. The capability and the willingness to serve all |
993 | children referred to it from the protective investigation and |
994 | court systems, regardless of the level of funding allocated to |
995 | the community by the state, provided all related funding is |
996 | transferred. |
997 | 6. The willingness to ensure that each individual who |
998 | provides child protective services completes the training |
999 | required of child protective service workers by the Department |
1000 | of Children and Family Services. |
1001 | 7. The ability to maintain eligibility to receive all |
1002 | federal child welfare funds, including Title IV-E and IV-A |
1003 | funds, currently being used by the Department of Children and |
1004 | Family Services. |
1005 | 8. Written agreements with Healthy Families Florida lead |
1006 | entities in their community, pursuant to s. 409.153, to promote |
1007 | cooperative planning for the provision of prevention and |
1008 | intervention services. |
1009 | 9. A board of directors, of which at least 51 percent of |
1010 | the membership is comprised of persons residing in this state. |
1011 | Of the state residents, at least 51 percent must also reside |
1012 | within the service area of the lead community-based provider. |
1013 | (f)1. The Legislature finds that the state has |
1014 | traditionally provided foster care services to children who have |
1015 | been the responsibility of the state. As such, foster children |
1016 | have not had the right to recover for injuries beyond the |
1017 | limitations specified in s. 768.28. The Legislature has |
1018 | determined that foster care and related services need to be |
1019 | outsourced privatized pursuant to this section and that the |
1020 | provision of such services is of paramount importance to the |
1021 | state. The purpose for such outsourcing privatization is to |
1022 | increase the level of safety, security, and stability of |
1023 | children who are or become the responsibility of the state. One |
1024 | of the components necessary to secure a safe and stable |
1025 | environment for such children is that private providers maintain |
1026 | liability insurance. As such, insurance needs to be available |
1027 | and remain available to nongovernmental foster care and related |
1028 | services providers without the resources of such providers being |
1029 | significantly reduced by the cost of maintaining such insurance. |
1030 | 2. The Legislature further finds that, by requiring the |
1031 | following minimum levels of insurance, children in outsourced |
1032 | privatized foster care and related services will gain increased |
1033 | protection and rights of recovery in the event of injury than |
1034 | provided for in s. 768.28. |
1035 | (g) In any county in which a service contract has not been |
1036 | executed by December 31, 2004, the department shall ensure |
1037 | access to a model comprehensive residential services program as |
1038 | described in s. 409.1677 which, without imposing undue |
1039 | financial, geographic, or other barriers, ensures reasonable and |
1040 | appropriate participation by the family in the child's program. |
1041 | 1. In order to ensure that the program is operational by |
1042 | December 31, 2004, the department must, by December 31, 2003, |
1043 | begin the process of establishing access to a program in any |
1044 | county in which the department has not either entered into a |
1045 | transition contract or approved a community plan, as described |
1046 | in paragraph (d), which ensures full outsourcing privatization |
1047 | by the statutory deadline. |
1048 | 2. The program must be procured through a competitive |
1049 | process. |
1050 | 3. The Legislature does not intend for the provisions of |
1051 | this paragraph to substitute for the requirement that full |
1052 | conversion to community-based care be accomplished. |
1053 | (2) |
1054 | (b) Persons employed by the department in the provision of |
1055 | foster care and related services whose positions are being |
1056 | outsourced under privatized pursuant to this statute shall be |
1057 | given hiring preference by the provider, if provider |
1058 | qualifications are met. |
1059 | (4)(a) The department, in consultation with the community- |
1060 | based agencies that are undertaking the outsourced privatized |
1061 | projects, shall establish a quality assurance program for |
1062 | privatized services. The quality assurance program shall be |
1063 | based on standards established by the Adoption and Safe Families |
1064 | Act as well as by a national accrediting organization such as |
1065 | the Council on Accreditation of Services for Families and |
1066 | Children, Inc. (COA) or CARF--the Rehabilitation Accreditation |
1067 | Commission. Each program operated under contract with a |
1068 | community-based agency must be evaluated annually by the |
1069 | department. The department shall, to the extent possible, use |
1070 | independent financial audits provided by the community-based |
1071 | care agency to eliminate or reduce the ongoing contract and |
1072 | administrative reviews conducted by the department. The |
1073 | department may suggest additional items to be included in such |
1074 | independent financial audits to meet the department's needs. |
1075 | Should the department determine that such independent financial |
1076 | audits are inadequate, then other audits, as necessary, may be |
1077 | conducted by the department. Nothing herein shall abrogate the |
1078 | requirements of s. 215.97. The department shall submit an annual |
1079 | report regarding quality performance, outcome measure |
1080 | attainment, and cost efficiency to the President of the Senate, |
1081 | the Speaker of the House of Representatives, the minority leader |
1082 | of each house of the Legislature, and the Governor no later than |
1083 | January 31 of each year for each project in operation during the |
1084 | preceding fiscal year. |
1085 | (6) Beginning January 1, 1999, and continuing at least |
1086 | through June 30, 2000, the Department of Children and Family |
1087 | Services shall outsource privatize all foster care and related |
1088 | services in district 5 while continuing to contract with the |
1089 | current model programs in districts 1, 4, and 13, and in |
1090 | subdistrict 8A, and shall expand the subdistrict 8A pilot |
1091 | program to incorporate Manatee County. Planning for the district |
1092 | 5 outsourcing privatization shall be done by providers that are |
1093 | currently under contract with the department for foster care and |
1094 | related services and shall be done in consultation with the |
1095 | department. A lead provider of the district 5 program shall be |
1096 | competitively selected, must demonstrate the ability to provide |
1097 | necessary comprehensive services through a local network of |
1098 | providers, and must meet criteria established in this section. |
1099 | Contracts with organizations responsible for the model programs |
1100 | must include the management and administration of all outsourced |
1101 | privatized services specified in subsection (1). However, the |
1102 | department may use funds for contract management only after |
1103 | obtaining written approval from the Executive Office of the |
1104 | Governor. The request for such approval must include, but is not |
1105 | limited to, a statement of the proposed amount of such funds and |
1106 | a description of the manner in which such funds will be used. If |
1107 | the community-based organization selected for a model program |
1108 | under this subsection is not a Medicaid provider, the |
1109 | organization shall be issued a Medicaid provider number pursuant |
1110 | to s. 409.907 for the provision of services currently authorized |
1111 | under the state Medicaid plan to those children encompassed in |
1112 | this model and in a manner not to exceed the current level of |
1113 | state expenditure. |
1114 | (9) Each district and subdistrict that participates in the |
1115 | model program effort or any future outsourcing privatization |
1116 | effort as described in this section must thoroughly analyze and |
1117 | report the complete direct and indirect costs of delivering |
1118 | these services through the department and the full cost of |
1119 | outsourcing privatization, including the cost of monitoring and |
1120 | evaluating the contracted services. |
1121 | Section 4. The Office of Program Policy Analysis and |
1122 | Government Accountability shall conduct two reviews of the |
1123 | contract-management and accountability structures of the |
1124 | Department of Children and Family Services, including, but not |
1125 | limited to, whether the department is adequately monitoring and |
1126 | managing its outsourced or privatized functions and services. |
1127 | The office shall report its findings and recommendations to the |
1128 | President of the Senate, the Speaker of the House of |
1129 | Representatives, and the Auditor General by February 1 of 2006 |
1130 | and 2007, respectively. |
1131 | Section 5. Section 402.72, Florida Statutes, is repealed. |
1132 | Section 6. For fiscal year 2005-2006, there is hereby |
1133 | appropriated the sum of $102,232 in nonrecurring General Revenue |
1134 | funds to the Department of Children and Family Services to |
1135 | enable the department to comply with the electronic reporting |
1136 | requirements of section 1 of this act. |
1137 | Section 7. This act shall take effect July 1, 2005. |