Senate Bill sb2616c1

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    Florida Senate - 2005                           CS for SB 2616

    By the Committee on Domestic Security; and Senator Clary





    583-2083-05

  1                      A bill to be entitled

  2         An act relating to emergency management;

  3         amending s. 252.355, F.S.; requiring the

  4         Department of Community Affairs to be the

  5         designated lead agency responsible for

  6         community education and outreach to the general

  7         public regarding registration as a person with

  8         special needs, for special needs shelters, and

  9         for general information regarding shelter

10         stays; requiring the department to disseminate

11         educational and outreach information through

12         local emergency management offices; requiring

13         the department to coordinate with other

14         organizations; requiring information about

15         special needs registration to be given to the

16         Department of Health; amending s. 381.0303,

17         F.S.; removing a condition of specified funding

18         as a prerequisite to the assumption of lead

19         responsibility by the Department of Health for

20         specified coordination with respect to the

21         development of a plan for the staffing and

22         medical management of special needs shelters;

23         requiring the local Children's Medical Services

24         offices to assume lead responsibility for

25         specified coordination with respect to the

26         development of a plan for the staffing and

27         medical management of pediatric special needs

28         shelters; requiring such plans to be in

29         conformance with the local comprehensive

30         emergency management plan; requiring county

31         governments to assist in the process of

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    Florida Senate - 2005                           CS for SB 2616
    583-2083-05




 1         coordinating the recruitment of health care

 2         practitioners to staff local special needs

 3         shelters; requiring the appropriate county

 4         health department, Children's Medical Services,

 5         and local emergency management agency to

 6         jointly determine the responsibility for

 7         medical supervision in a special needs shelter;

 8         requiring the Department of Elderly Affairs to

 9         be the lead agency responsible for ensuring the

10         placement of special needs for elderly and

11         Alzheimer's adult special needs residents

12         rendered homeless due to a disaster event and

13         for appropriate discharge planning; requiring

14         the Agency for Persons with Disabilities to be

15         the lead agency responsible for ensuring the

16         placement of developmentally disabled special

17         needs residents rendered homeless by a disaster

18         event; requiring the Department of Children and

19         Family Services to be the lead agency

20         responsible for ensuring the placement of

21         children within the welfare system and

22         individuals receiving mental health services

23         from the department; requiring the appropriate

24         agency to provide necessary discharge planning

25         for their respective clients; providing that

26         state employees having a preestablished role in

27         disaster response may be called upon to serve

28         in times of disaster in specified capacities;

29         requiring hospitals and nursing homes that are

30         used to shelter special needs persons during

31         and after an evacuation to submit invoices for

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    Florida Senate - 2005                           CS for SB 2616
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 1         reimbursement from the state for expenses

 2         incurred for medical care provided at the

 3         request of the Department of Health in special

 4         needs shelters or at other locations during

 5         times of emergency or major disaster; revising

 6         the role of the special needs shelter

 7         interagency committee with respect to the

 8         planning and operation of special needs

 9         shelters; providing required functions of the

10         committee; requiring the Department of Health

11         to establish a statewide database to capture

12         and disseminate special needs registration

13         information; revising the composition of the

14         special needs shelter interagency committee;

15         providing for the inclusion of specified rules

16         with respect to health practitioner recruitment

17         for special needs shelters; providing

18         requirements with respect to emergency

19         management plans submitted by home health

20         agencies, nurse registries, and hospice

21         programs to county health departments for

22         review; removing a condition of specified

23         funding as a prerequisite to the submission of

24         such plans; amending s. 252.385, F.S.;

25         requiring the Department of Community Affairs

26         to include special needs shelters in their

27         biennial plan; requiring inspection of public

28         hurricane evacuation shelter facilities by

29         local emergency management agencies before

30         activation of such facilities; amending s.

31         400.492, F.S.; providing that a home health

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    Florida Senate - 2005                           CS for SB 2616
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 1         agency, a hospice, and a durable medical

 2         equipment provider are not required to continue

 3         to provide care to patients in emergency

 4         situations that are beyond their control and

 5         that make it impossible to provide services;

 6         authorizing home health agencies, nurse

 7         registries, hospices, and durable medical

 8         equipment providers to establish links to local

 9         emergency operations centers to determine a

10         mechanism to approach areas within a disaster

11         area in order for the agency to reach its

12         clients; providing that the presentation of

13         home care clients to the special needs shelter

14         without the home health agency making a

15         good-faith effort to provide services in the

16         shelter setting constitutes abandonment of the

17         client; requiring regulatory review in such

18         cases; amending s. 408.831, F.S.; authorizing

19         entities regulated or licensed by the Agency

20         for Health Care Administration to exceed their

21         licensed capacity to act as a receiving

22         facility under specified circumstances;

23         providing requirements while such entities are

24         in an overcapacity status; providing for

25         issuance of an inactive license to such

26         licensees under specified conditions; providing

27         requirements and procedures with respect to the

28         issuance and reactivation of an inactive

29         license; providing fees; creating s. 252.357,

30         F.S.; requiring the Agency for Health Care

31         Administration to contact nursing homes and

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    Florida Senate - 2005                           CS for SB 2616
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 1         provide emergency contact numbers; providing an

 2         effective date.

 3  

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

 5  

 6         Section 1.  Section 252.355, Florida Statutes, is

 7  amended to read:

 8         252.355  Registry of persons with special needs;

 9  notice.--

10         (1)  In order to meet the special needs of persons who

11  would need assistance during evacuations and sheltering

12  because of physical, mental, cognitive impairment, or sensory

13  disabilities, each local emergency management agency in the

14  state shall maintain a registry of persons with special needs

15  located within the jurisdiction of the local agency. The

16  registration shall identify those persons in need of

17  assistance and plan for resource allocation to meet those

18  identified needs. To assist the local emergency management

19  agency in identifying such persons, the Department of Children

20  and Family Services, Department of Health, Agency for Health

21  Care Administration, Department of Education, the Agency for

22  Persons with Disabilities, Agency for Workforce Innovation,

23  Department of Labor and Employment Security, and Department of

24  Elderly Affairs shall provide registration information to all

25  of their special needs clients and to all people with

26  disabilities or special needs who receive services incoming

27  clients as a part of the intake process. The registry shall be

28  updated annually. The registration program shall give persons

29  with special needs the option of preauthorizing emergency

30  response personnel to enter their homes during search and

31  

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    Florida Senate - 2005                           CS for SB 2616
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 1  rescue operations if necessary to assure their safety and

 2  welfare following disasters.

 3         (2)  The Department of Community Affairs shall be the

 4  designated lead agency responsible for community education and

 5  outreach to the general public, including special needs

 6  clients, regarding registration as a person with special

 7  needs, for special needs shelters, and for general information

 8  regarding shelter stays. The Department of Community Affairs

 9  shall disseminate such educational and outreach information

10  through the local emergency management offices. The Department

11  of Community Affairs shall coordinate the development of

12  curriculum and dissemination of all community education and

13  outreach related to special needs shelters with the

14  Clearinghouse on Disability Information of the Governor's

15  Americans with Disabilities Act Working Group, the Department

16  of Children and Family Services, the Department of Health, the

17  Agency for Health Care Administration, the Department of

18  Education, the Agency for Persons with Disabilities, the

19  Agency for Workforce Development, and the Department of

20  Elderly Affairs.

21         (3)(2)  On or before May 1 of each year each electric

22  utility in the state shall annually notify residential

23  customers in its service area of the availability of the

24  registration program available through their local emergency

25  management agency.

26         (4)(3)  All records, data, information, correspondence,

27  and communications relating to the registration of persons

28  with special needs as provided in subsection (1) are

29  confidential and exempt from the provisions of s. 119.07(1),

30  except that such information shall be available to other

31  emergency response agencies, as determined by the local

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    Florida Senate - 2005                           CS for SB 2616
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 1  emergency management director and shall be provided to the

 2  Department of Health in the furtherance of their duties and

 3  responsibilities.

 4         (5)(4)  All appropriate agencies and community-based

 5  service providers, including home health care providers and

 6  hospices, shall assist emergency management agencies by

 7  collecting registration information for persons with special

 8  needs as part of program intake processes, establishing

 9  programs to increase the awareness of the registration

10  process, and educating clients about the procedures that may

11  be necessary for their safety during disasters. Clients of

12  state or federally funded service programs with physical,

13  mental, cognitive impairment, or sensory disabilities who need

14  assistance in evacuating, or when in shelters, must register

15  as persons with special needs.

16         Section 2.  Section 381.0303, Florida Statutes, is

17  amended to read:

18         381.0303  Health practitioner recruitment for special

19  needs shelters.--

20         (1)  PURPOSE.--The purpose of this section is to

21  designate the Department of Health, through its county health

22  departments, as the lead agency for coordination of the

23  recruitment of health care practitioners, as defined in s.

24  456.001(4), to staff special needs shelters in times of

25  emergency or disaster and to provide resources to the

26  department to carry out this responsibility. However, nothing

27  in this section prohibits a county health department from

28  entering into an agreement with a local emergency management

29  agency to assume the lead responsibility for recruiting health

30  care practitioners.

31  

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    Florida Senate - 2005                           CS for SB 2616
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 1         (2)  SPECIAL NEEDS SHELTER PLAN AND STAFFING.--Provided

 2  funds have been appropriated to support medical services

 3  disaster coordinator positions in county health departments,

 4  The department shall assume lead responsibility for the local

 5  coordination of local medical and health care providers, the

 6  American Red Cross, and other interested parties in developing

 7  a plan for the staffing and medical management of special

 8  needs shelters. The local Children's Medical Services offices

 9  shall assume lead responsibility for the local coordination of

10  local medical and health care providers, the American Red

11  Cross, and other interested parties in developing a plan for

12  the staffing and medical management of pediatric special needs

13  shelters. Plans The plan shall be in conformance with the

14  local comprehensive emergency management plan.

15         (a)  County health departments shall, in conjunction

16  with the local emergency management agencies, have the lead

17  responsibility for coordination of the recruitment of health

18  care practitioners to staff local special needs shelters.

19  County health departments shall assign their employees to work

20  in special needs shelters when needed to protect the health of

21  patients. County governments shall assist in this process.

22         (b)  The appropriate county health department,

23  Children's Medical Services, and local emergency management

24  agency shall jointly determine who has responsibility for

25  medical supervision in a special needs shelter.

26         (c)  The Department of Elderly Affairs shall be the

27  lead agency responsible for ensuring the placement of special

28  needs elderly residents and Alzheimer adult special needs

29  residents rendered homeless due to a disaster event and for

30  appropriate and necessary discharge planning for special needs

31  shelter residents. Other elder service agencies and

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    Florida Senate - 2005                           CS for SB 2616
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 1  organizations shall assist Department of Elderly Affairs in

 2  this effort.

 3         (d)1.  The Department of Children and Family Services

 4  shall be the lead agency responsible for ensuring the

 5  placement of mental health special needs residents rendered

 6  homeless due to a disaster event and the appropriate and

 7  necessary discharge planning for special needs shelter

 8  residents. Other social service agencies or organizations

 9  shall assist the Department of Children and Family Services in

10  this effort. The Agency for Persons with Disabilities shall be

11  the lead agency responsible for ensuring the placement and

12  appropriate, necessary discharge planning for special needs

13  shelter residents with developmental disabilities rendered

14  homeless by a disaster event.

15         2.  The Department of Children and Families shall be

16  the lead agency responsible for ensuring the placement of

17  children within the welfare system.

18  

19  In all cases, the appropriate agency shall provide the

20  appropriate and necessary discharge planning for their

21  respective clients. Other social service agencies or

22  organizations shall assist the aforementioned agencies in this

23  effort.

24         (e)  State employees with a preestablished role in

25  disaster response may be called upon to serve in times of

26  disaster commensurate with their knowledge, skills, and

27  abilities and any needed activities related to the situation.

28         (f)(c)  Local emergency management agencies shall be

29  responsible for the designation and operation of special needs

30  shelters during times of emergency or disaster. County health

31  departments shall assist the local emergency management agency

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    Florida Senate - 2005                           CS for SB 2616
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 1  with regard to the management of medical services in special

 2  needs shelters.

 3         (3)  REIMBURSEMENT TO HEALTH CARE PRACTITIONERS.--The

 4  Department of Health shall reimburse, subject to the

 5  availability of funds for this purpose, health care

 6  practitioners, as defined in s. 456.001, provided the

 7  practitioner is not providing care to a patient under an

 8  existing contract, and emergency medical technicians and

 9  paramedics licensed pursuant to chapter 401 for medical care

10  provided at the request of the department in special needs

11  shelters or at other locations during times of emergency or

12  major disaster. Reimbursement for health care practitioners,

13  except for physicians licensed pursuant to chapter 458 or

14  chapter 459, shall be based on the average hourly rate that

15  such practitioners were paid according to the most recent

16  survey of Florida hospitals conducted by the Florida Hospital

17  Association. Reimbursement shall be requested on forms

18  prepared by the Department of Health. If a Presidential

19  Disaster Declaration has been made, and the Federal Government

20  makes funds available, the department shall use such funds for

21  reimbursement of eligible expenditures. In other situations,

22  or if federal funds do not fully compensate the department for

23  reimbursement made pursuant to this section, the department

24  shall submit to the Cabinet or Legislature, as appropriate, a

25  budget amendment to obtain reimbursement from the working

26  capital fund. Hospitals and nursing homes that are used to

27  shelter special needs persons during and after an evacuation

28  shall submit invoices for reimbursement from the state for

29  expenses incurred in this effort. Travel expense and per diem

30  costs shall be reimbursed pursuant to s. 112.061.

31  

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    Florida Senate - 2005                           CS for SB 2616
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 1         (4)  HEALTH CARE PRACTITIONER REGISTRY.--The department

 2  may use the registries established in ss. 401.273 and 456.38

 3  when health care practitioners are needed to staff special

 4  needs shelters or to staff disaster medical assistance teams.

 5         (5)  SPECIAL NEEDS SHELTER INTERAGENCY COMMITTEE.--The

 6  Department of Health may establish a special needs shelter

 7  interagency committee, to be chaired and staffed by the

 8  department. The committee shall resolve problems related to

 9  special needs shelters not addressed in the state

10  comprehensive emergency medical plan and shall serve in a

11  consultative role in as an oversight committee to monitor  the

12  planning and operation of special needs shelters.

13         (a)  The committee shall may:

14         1.  Develop and negotiate any necessary interagency

15  agreements.

16         2.  Undertake other such activities as the department

17  deems necessary to facilitate the implementation of this

18  section.

19         3.  Submit recommendations to the Legislature as

20  necessary. Such recommendations shall include, but not be

21  limited to, the following:

22         a.  Defining "special needs shelter."

23         b.  Defining "special needs person."

24         c.  Development of a uniform registration form.

25         d.  The improvement of public awareness regarding the

26  registration process.

27         e.  The improvement of overall communications with

28  special needs persons both before and after a disaster.

29         f.  The establishment of special needs shelter

30  guidelines for staffing, supplies, including durable medical,

31  emergency power, and transportation.

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    Florida Senate - 2005                           CS for SB 2616
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 1  

 2  The Department of Health shall establish a statewide database

 3  designed to collect and disseminate timely and appropriate

 4  special needs registration information.

 5         (b)  The special needs shelter interagency committee

 6  shall be composed of representatives of emergency management,

 7  health, medical, and social services organizations. Membership

 8  shall include, but shall not be limited to, the Departments of

 9  Community Affairs, Children and Family Services, Elderly

10  Affairs, Labor and Employment Security, and Education; the

11  Agency for Health Care Administration; the Agency for

12  Workforce Innovation; the Florida Medical Association; the

13  Florida Osteopathic Medical Association; Associated Home

14  Health Industries of Florida, Inc.; the Florida Nurses

15  Association; the Florida Health Care Association; the Florida

16  Assisted Living Association; the Florida Hospital Association;

17  the Florida Statutory Teaching Hospital Council; the Florida

18  Association of Homes for the Aging; the Florida Emergency

19  Preparedness Association; the American Red Cross; Florida

20  Hospices, Inc.; the Association of Community Hospitals and

21  Health Systems; the Florida Association of Health Maintenance

22  Organizations; the Florida League of Health Systems; Private

23  Care Association; and the Salvation Army; the Florida

24  Association of Aging Services Providers; and the AARP.

25         (c)  Meetings of the committee shall be held in

26  Tallahassee, and members of the committee shall serve at the

27  expense of the agencies or organizations they represent. The

28  committee shall make every effort to use teleconference or

29  video conference capabilities in order to ensure widespread

30  input and to accommodate persons from other areas of the

31  state.

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    Florida Senate - 2005                           CS for SB 2616
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 1         (6)  RULES.--The department has the authority to adopt

 2  rules necessary to implement this section. Rules shall may

 3  include a definition of a special needs patient, specification

 4  with respect to specify physician reimbursement, and the

 5  designation of designate which county health departments which

 6  will have responsibility for the implementation of subsections

 7  (2) and (3). Special needs shelters shall include minimum

 8  standards relating to:

 9         (a)  The provision of electricity.

10         (b)  Staffing levels for provision of services to

11  assist individuals with activities of daily living.

12         (c)  The provision of transportation services.

13         (d)  Compliance with applicable service animal laws.

14         (e)  Eligibility criteria that includes individuals

15  with physical, cognitive, and psychiatric disabilities.

16         (f)  The provision of supports and services for

17  individuals with physical, cognitive, and psychiatric

18  disabilities.

19         (g)  Standardized applications that include specific

20  eligibility criteria and the services an individual with

21  special needs can expect.

22         (h)  Procedures for addressing the needs of

23  unregistered individuals in need of shelter.

24         (i)  Requirements that the special needs shelter

25  location meets the Florida Accessibility Code. If the location

26  fails to meet the standards, a plan must be provided

27  describing how compliance will be achieved.

28         (j)  Procedures for addressing the needs of families

29  who are eligible for special needs shelter services. Specific

30  procedures shall be developed to address the needs of families

31  with multiple dependents where only one dependent is eligible

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    Florida Senate - 2005                           CS for SB 2616
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 1  for the special needs shelter. Specific procedures shall be

 2  developed to address the needs of adults with special needs

 3  who are caregivers for individuals without special needs.

 4         (7)  REVIEW OF EMERGENCY MANAGEMENT PLANS.--The

 5  submission of Emergency management plans submitted to county

 6  health departments by home health agencies pursuant to s.

 7  400.497(8)(c) and (d) and by nurse registries pursuant to s.

 8  400.506(16)(e) and by hospice programs pursuant to s.

 9  400.610(1)(b) shall specifically address an agency's

10  functional staffing plan for the shelters to ensure continuity

11  of care and services for clients registered pursuant to s.

12  252.355. Staffing plans for a nurse registry shall be

13  consistent with s. 400.506(16)(a). is conditional upon the

14  receipt of an appropriation by the department to establish

15  medical services disaster coordinator positions in county

16  health departments unless the secretary of the department and

17  a local county commission jointly determine to require such

18  plans to be submitted based on a determination that there is a

19  special need to protect public health in the local area during

20  an emergency.

21         Section 3.  Subsections (2) and (4) of section 252.385,

22  Florida Statutes, are amended to read:

23         252.385  Public shelter space.--

24         (2)(a)  The division shall administer a program to

25  survey existing schools, universities, community colleges, and

26  other state-owned, municipally owned, and county-owned public

27  buildings and any private facility that the owner, in writing,

28  agrees to provide for use as a public hurricane evacuation

29  shelter to identify those that are appropriately designed and

30  located to serve as such shelters.  The owners of the

31  facilities must be given the opportunity to participate in the

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    Florida Senate - 2005                           CS for SB 2616
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 1  surveys.  The Board of Regents, district school boards,

 2  community college boards of trustees, and the Department of

 3  Education are responsible for coordinating and implementing

 4  the survey of public schools, universities, and community

 5  colleges with the division or the local emergency management

 6  agency.

 7         (b)  By January 31 of each even-numbered year, the

 8  Division of Emergency Management within the Department of

 9  Community Affairs shall prepare and submit a statewide

10  emergency shelter plan to the Governor and the Cabinet for

11  approval as provided in s. 1013.37(2). The plan must also

12  identify the general location and square footage of special

13  needs shelters, by planning council region, during the next 5

14  years. The Department of Health shall assist the division in

15  determining the estimated need for special needs shelter space

16  based on information from the special needs registration

17  database and other factors.

18         (4)(a)  Public facilities, including schools,

19  postsecondary education facilities, and other facilities owned

20  or leased by the state or local governments, but excluding

21  hospitals or nursing homes, which are suitable for use as

22  public hurricane evacuation shelters shall be made available

23  at the request of the local emergency management agencies. The

24  local emergency management agency shall inspect a designated

25  facility to determine its readiness before activating such

26  facility for a specific hurricane or disaster. Such agencies

27  shall coordinate with the appropriate school board,

28  university, community college, or local governing board when

29  requesting the use of such facilities as public hurricane

30  evacuation shelters.

31  

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    Florida Senate - 2005                           CS for SB 2616
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 1         (b)  The Department of Management Services shall

 2  incorporate provisions for the use of suitable leased public

 3  facilities as public hurricane evacuation shelters into lease

 4  agreements for state agencies. Suitable leased public

 5  facilities include leased public facilities that are solely

 6  occupied by state agencies and have at least 2,000 square feet

 7  of net floor area in a single room or in a combination of

 8  rooms having a minimum of 400 square feet in each room. The

 9  net square footage of floor area must be determined by

10  subtracting from the gross square footage the square footage

11  of spaces such as mechanical and electrical rooms, storage

12  rooms, open corridors, restrooms, kitchens, science or

13  computer laboratories, shop or mechanical areas,

14  administrative offices, records vaults, and crawl spaces.

15         (c)  The Department of Management Services shall, in

16  consultation with local and state emergency management

17  agencies, assess Department of Management Services facilities

18  to identify the extent to which each facility has public

19  hurricane evacuation shelter space. The Department of

20  Management Services shall submit proposed facility retrofit

21  projects that incorporate hurricane protection enhancements to

22  the department for assessment and inclusion in the annual

23  report prepared in accordance with subsection (3).

24         Section 4.  Subsection (3) of section 400.492, Florida

25  Statutes, is amended to read:

26         400.492  Provision of services during an

27  emergency.--Each home health agency, nurse registry, hospice,

28  or durable medical equipment provider shall prepare and

29  maintain a comprehensive emergency management plan that is

30  consistent with the standards adopted by national

31  accreditation organizations and consistent with the local

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    Florida Senate - 2005                           CS for SB 2616
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 1  special needs plan. The plan shall be updated annually and

 2  shall provide for continuing home health, nurse registry,

 3  hospice, or durable medical equipment provider services during

 4  an emergency that interrupts patient care or services in the

 5  patient's home. The plan shall describe how the home health

 6  agency, nurse registry, hospice, or durable medical equipment

 7  provider establishes and maintains an effective response to

 8  emergencies and disasters, including: notifying staff when

 9  emergency response measures are initiated; providing for

10  communication between staff members, county health

11  departments, and local emergency management agencies,

12  including a backup system; identifying resources necessary to

13  continue essential care or services or referrals to other

14  organizations subject to written agreement; and prioritizing

15  and contacting patients who need continued care or services.

16         (3)  Home health, hospice, and durable medical

17  equipment provider agencies are shall not be required to

18  continue to provide care to patients in emergency situations

19  that are beyond their control and that make it impossible to

20  provide services, such as when roads are impassable or when

21  patients do not go to the location specified in their patient

22  records. Home health agencies, nurse registries, hospices, and

23  durable medical equipment providers may establish links to

24  local emergency operations centers to determine a mechanism to

25  approach areas within the disaster area in order for the

26  agency to reach its clients. The presentation of home care or

27  hospice clients to a special needs shelter without the home

28  health agency or hospice making a good-faith effort to provide

29  services in the shelter setting will constitute abandonment of

30  the client and will result in regulatory review.

31  

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    Florida Senate - 2005                           CS for SB 2616
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 1         Section 5.  Section 408.831, Florida Statutes, is

 2  amended to read:

 3         408.831  Denial, suspension, or revocation of a

 4  license, registration, certificate, or application.--

 5         (1)  In addition to any other remedies provided by law,

 6  the agency may deny each application or suspend or revoke each

 7  license, registration, or certificate of entities regulated or

 8  licensed by it:

 9         (a)  If the applicant, licensee, registrant, or

10  certificateholder, or, in the case of a corporation,

11  partnership, or other business entity, if any officer,

12  director, agent, or managing employee of that business entity

13  or any affiliated person, partner, or shareholder having an

14  ownership interest equal to 5 percent or greater in that

15  business entity, has failed to pay all outstanding fines,

16  liens, or overpayments assessed by final order of the agency

17  or final order of the Centers for Medicare and Medicaid

18  Services, not subject to further appeal, unless a repayment

19  plan is approved by the agency; or

20         (b)  For failure to comply with any repayment plan.

21         (2)  In reviewing any application requesting a change

22  of ownership or change of the licensee, registrant, or

23  certificateholder, the transferor shall, prior to agency

24  approval of the change, repay or make arrangements to repay

25  any amounts owed to the agency. Should the transferor fail to

26  repay or make arrangements to repay the amounts owed to the

27  agency, the issuance of a license, registration, or

28  certificate to the transferee shall be delayed until repayment

29  or until arrangements for repayment are made.

30         (3)  Entities subject to this section may exceed their

31  licensed capacity to act as a receiving facility in accordance

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    Florida Senate - 2005                           CS for SB 2616
    583-2083-05




 1  with an emergency operations plan for clients of evacuating

 2  providers from a geographic area where an evacuation order has

 3  been issued by a local authority having jurisdiction. While in

 4  an overcapacity status, each provider must furnish or arrange

 5  for appropriate care and services to all clients. Overcapacity

 6  status in excess of 15 days must comply with all fire safety

 7  requirements or their equivalency as approved by state and

 8  local authorities, as applicable. In addition, the agency

 9  shall approve requests for overcapacity beyond 15 days, which

10  shall be based upon satisfactory justification and need as

11  provided by the receiving and sending facility.

12         (4)  An inactive license may be issued to a licensee

13  subject to this section when the provider is located in a

14  geographic area where a state of emergency was declared by the

15  Governor of Florida if the provider:

16         (a)  Suffered damage to the provider's operation during

17  that state of emergency.

18         (b)  Is currently licensed.

19         (c)  Does not have a provisional license.

20         (d)  Will be temporarily unable to provide services but

21  is reasonably expected to resume services within 12 months.

22  

23  An inactive license may be issued for a period not to exceed

24  12 months but may be renewed by the agency for up to 6

25  additional months upon demonstration to the agency of progress

26  toward reopening. A request by a licensee for an inactive

27  license or to extend the previously approved inactive period

28  must be submitted in writing to the agency, accompanied by

29  written justification for the inactive license which states

30  the beginning and ending dates of inactivity and includes a

31  plan for the transfer of any clients to other providers and

                                  19

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    Florida Senate - 2005                           CS for SB 2616
    583-2083-05




 1  appropriate licensure fees. Upon agency approval, the licensee

 2  shall notify clients of any necessary discharge or transfer as

 3  required by authorizing statutes or applicable rules. The

 4  beginning of the inactive licensure period shall be the date

 5  the provider ceases operations. The end of the inactive period

 6  shall become the licensee expiration date and all licensure

 7  fees must be current, paid in full, and may be prorated.

 8  Reactivation of an inactive license requires the prior

 9  approval by the agency of a renewal application, including

10  payment of licensure fees and agency inspections indicating

11  compliance with all requirements of this part and applicable

12  rules and statutes.

13         (5)(3)  This section provides standards of enforcement

14  applicable to all entities licensed or regulated by the Agency

15  for Health Care Administration. This section controls over any

16  conflicting provisions of chapters 39, 381, 383, 390, 391,

17  393, 394, 395, 400, 408, 468, 483, and 641 or rules adopted

18  pursuant to those chapters.

19         Section 6.  Section 252.357, Florida Statutes, is

20  created to read:

21         252.357  Nursing homes provisions.--The Florida

22  Comprehensive Emergency Management Plan shall require that the

23  Agency for Health Care Administration working in the State

24  Emergency Operations Center, ESF-8, shall make contact with

25  each nursing home in the disaster area on a daily basis to

26  determine if the nursing home is in need of services or

27  supplies to adequately care for residents. By June 1, 2005,

28  and annually thereafter, the Agency for Health Care

29  Administration shall publish an emergency telephone number

30  that can be used by nursing homes to contact the agency at the

31  

                                  20

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    Florida Senate - 2005                           CS for SB 2616
    583-2083-05




 1  State Emergency Operation center on a 24-hour basis to report

 2  requests for assistance.

 3         Section 7.  This act shall take effect July 1, 2005.

 4  

 5          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUE FOR
 6                         Senate Bill 2616

 7                                 

 8  The committee substitute codifies specified reorganization of
    certain state departments and agencies and assigns lead agency
 9  responsibilities regarding planning and operation of Special
    Needs Shelters, provides specific directions to the Special
10  Needs Shelter Interagency Committee regarding required
    recommendations to the Legislature, directs the Department of
11  Health to establish a statewide database for Special Needs
    Shelters registrants, requires the Department of Health to
12  provide rules to include certain minimum standards for Special
    Needs Shelters, requires the Division of Emergency Management
13  to prepare and submit a biennial statewide emergency shelter
    plan including specific requirements for Special Needs
14  Shelter, reduces allowed overcapacity time for facilities
    receiving special needs patients from 30 days to 15 days
15  during a disaster, and requires the Agency for Health Care
    Administration to make daily contact with nursing homes in a
16  disaster area and provide for a 24-hour emergency telephone
    contact number to be made available to nursing homes.
17  

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

                                  21

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