Florida Senate - 2006                        SENATOR AMENDMENT
    Bill No. HB 7121, 1st Eng.
                        Barcode 500730
                            CHAMBER ACTION
              Senate                               House
                                   .                    
                                   .                    
 1                                 .                    
                                   .                    
 2                                 .                    
                                   .                    
 3         Floor: 1/RE/2R          .                    
       05/04/2006 08:10 PM         .                    
 4  ______________________________________________________________
 5  
 6  
 7  
 8  
 9  
10  ______________________________________________________________
11  Senator Diaz de la Portilla moved the following amendment:
12  
13         Senate Amendment (with title amendment) 
14         Delete everything after the enacting clause
15  
16  and insert:  
17         Section 1.  The Legislature finds that there is a
18  compelling need for improvements in infrastructure, as
19  identified during the 2004 and 2005 hurricane seasons, in
20  order to better protect the residents of this state. Based on
21  the criteria specified in this section, the Legislature shall
22  make funds available to local and state agencies through
23  appropriations to the Department of Community Affairs for the
24  purpose of enhancing public education and information,
25  constructing or improving county emergency operations centers
26  and designated alternate state emergency operations centers,
27  providing emergency power for public special-needs hurricane
28  evacuation shelters, retrofitting public hurricane evacuation
29  shelters, improving logistical staging and warehouse capacity
30  for commodities, and planning for hurricane evacuations. The
31  criteria in this section shall be considered by the
                                  1
    4:30 PM   05/01/06                           h712104e1d-36-ta1

Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 Legislature in determining eligibility for funding. 2 (1)(a) The Legislature finds that county emergency 3 operations centers and designated alternate state emergency 4 operations centers should meet minimum criteria for structural 5 survivability and sufficiency of operational space, as 6 determined by assessments performed by the Department of 7 Community Affairs using the structural requirements of 8 American Red Cross Standard ARC 4496, "Guidelines for 9 Hurricane Evacuation Shelter Selection," and based on guidance 10 from the Federal Emergency Management Agency. Criteria for 11 prioritizing and recommending the funding for county emergency 12 operations centers and designated alternate state emergency 13 operations centers include, but are not limited to, county 14 population, hurricane evacuation clearance time for the 15 vulnerable population of the county, structural survivability 16 of the existing emergency operations center, and guidance of 17 the Federal Emergency Management Agency for workspace 18 requirements for the emergency operations center. First 19 priority for funding recommendations shall be for county 20 emergency operations centers or designated alternate state 21 emergency operations centers where no survivable facility 22 exists and where workspace deficits exist. Funding 23 recommendations made pursuant to this paragraph may not 24 include land acquisition; the purchase of equipment, 25 furnishings, communications, or operational systems; or 26 recurring expenditures. Funding recommendations must be 27 limited to the construction or structural renovation of the 28 county emergency operations center or designated alternate 29 state emergency operations centers needed to meet the same 30 structural requirements of American Red Cross Standard ARC 31 4496, "Guidelines for Hurricane Evacuation Shelter Selection," 2 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 and national workspace recommendations. The Department of 2 Community Affairs shall establish a statewide competitive 3 grant application process for proposals to construct or 4 improve county emergency operations centers such that those 5 centers would, upon completion of the project, meet minimum 6 criteria as specified in this section. The application may 7 contain one or more independent proposals for: 8 1. A construction or improvement project requesting 9 state financial assistance or having received state financial 10 assistance which also includes facility hardening or 11 mitigation and which qualifies for funding under the federal 12 Hazard Mitigation Grant Program. These proposals must document 13 the commitment of all local funds needed and identify the 14 proposed state and federal funding needed, based on the 15 funding criteria specified in this paragraph, to complete the 16 project for a fully operational county emergency operations 17 center or designated alternate state emergency operations 18 center. 19 2. A construction or improvement project to be funded 20 with local or other nonstate funds which includes facility 21 hardening or mitigation and which qualifies for funding under 22 the federal Hazard Mitigation Grant Program. These proposals 23 must document the commitment of all local funds needed and 24 identify the proposed federal funding needed, based on the 25 funding criteria in this paragraph, to complete the project 26 for a fully operational county emergency operations center or 27 a designated alternate state emergency operations center. 28 (b) The department shall prioritize all properly 29 submitted project applications based on minimum criteria as 30 specified in this section, local government participation, and 31 documented need. In reviewing proposals, the department must 3 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 take into consideration all state funds already provided for 2 the project which have not been expended but which will 3 decrease the project's fiscal need once expended. The amount 4 of a project's cost recommended for funding by the department 5 shall be limited to those costs considered reasonably 6 necessary to meet minimum criteria specified in this section. 7 The release of any funds specifically appropriated to 8 implement this subsection must be approved by the Legislative 9 Budget Commission. Upon completion of the prioritization 10 process, and no later than November 1, 2006, the department 11 shall submit to the Legislative Budget Commission for approval 12 a comprehensive funding proposal for the construction of and 13 improvements to county emergency operations centers and 14 designated alternate state emergency operations centers using 15 appropriated funds. The proposal submitted to the Legislative 16 Budget Commission must include a detailed identification of 17 the project and the corresponding detailed local, state, and 18 federal funding proposed for each project. In order to ensure 19 the maximum use of federal funds that are available for the 20 Hazard Mitigation Grant Program, any federal funds 21 appropriated to implement this subsection which remain after 22 fully allocating those funds to proposals under subparagraphs 23 1. and 2. may be used to fund proposals for retrofitting 24 hurricane evacuation shelters under subsection (3). Any 25 federal funds appropriated to implement this paragraph which 26 remain after fully allocating those funds for proposals under 27 subparagraphs 1. and 2. and subsection (3) shall be 28 appropriated for distribution pursuant to chapter 9G-22, 29 Florida Administrative Code. The Executive Office of the 30 Governor may submit a budget amendment to transfer those funds 31 in accordance with chapter 216, Florida Statutes. 4 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 (2) The Legislature finds that by June 1, 2007, all 2 designated public special-needs hurricane evacuation shelters 3 should be equipped with permanent emergency power generating 4 capacity in order to provide electrical power for necessary 5 medical equipment for persons housed in the shelter and for 6 heating, ventilating, and air-conditioning the facility. An 7 appropriation for equipping a public special-needs hurricane 8 evacuation shelter with permanent emergency power generating 9 capacity may also be used in coordination with local 10 communities in order to increase the number of special-needs 11 shelter spaces that are available and to ensure that a 12 sufficient number of public special-needs shelters are 13 designated to meet the anticipated demand based on the best 14 available data as determined jointly by the Department of 15 Community Affairs and the Department of Health. 16 (3) The Legislature finds that retrofitting public 17 hurricane evacuation shelters is an efficient and economical 18 method of accelerating the state and local efforts to reduce 19 the deficit in shelter space. Criteria for assessing and 20 prioritizing the funding needs for retrofitting public 21 hurricane evacuation shelters include, but are not limited to, 22 the project's ability to meet the structural and siting 23 requirements of American Red Cross Standard ARC 4496, 24 "Guidelines for Hurricane Evacuation Shelter Selection," once 25 completed; the shelter needs of the local government as well 26 as the overall needs of the hurricane evacuation planning 27 region; the cost-effectiveness of the project in terms of the 28 number of public hurricane evacuation spaces; and the priority 29 ranking of the proposed project in the applicable local 30 mitigation strategy. The Department of Community Affairs shall 31 establish a statewide competitive grant application process 5 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 for retrofitting public hurricane evacuation shelters to meet 2 the minimum criteria specified in this section. In reviewing 3 proposals, the department shall consider all state funds 4 already provided for the project which have not been expended 5 but which will decrease the project's fiscal need once 6 expended. The department shall prioritize all properly 7 submitted project applications based on criteria specified in 8 this section and documented need. The release of any funds 9 specifically appropriated to implement this subsection must be 10 approved by the Legislative Budget Commission. Upon completion 11 of the prioritization process, and no later than November 1, 12 2006, the department shall recommend funding for retrofitting 13 public hurricane evacuation shelters to the Legislative Budget 14 Commission for approval. In order to ensure maximum use of 15 federal funds available for the Hazard Mitigation Grant 16 Program, any federal funds appropriated to implement this 17 subsection which are remaining after fully allocating those 18 funds to proposals under this subsection shall be appropriated 19 for distribution pursuant to chapter 9G-22, Florida 20 Administrative Code. The Executive Office of the Governor may 21 submit a budget amendment to transfer those funds in 22 accordance with the provisions of chapter 216, Florida 23 Statutes. 24 (4) The Legislature finds that improved logistical 25 staging and warehouse capacity for commodities will help 26 ensure that adequate supplies, equipment, and commodities are 27 available and accessible for purposes of responding to 28 disasters. Appropriated funds may be used for increasing 29 storage capacity; improving technologies to manage 30 commodities; and enhancing the state's ability to maintain in 31 a safe and secure manner an inventory of supplies, equipment, 6 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 and commodities that would be needed in the immediate 2 aftermath of a disaster. The release of any funds specifically 3 appropriated to implement this subsection must be approved by 4 the Legislative Budget Commission. The department shall submit 5 a funding plan for improved logistical staging and warehouse 6 capacity to the Legislative Budget Commission for approval by 7 September 1, 2006. Procurement of technologies to perform 8 inventory tracking and commodities management must comply with 9 the provisions of s. 287.057, Florida Statutes, requiring 10 competitive bids. 11 (5) The Legislature finds that hurricane evacuation 12 planning is a critical task that must be completed in the most 13 effective and efficient manner possible. Appropriated funds 14 may be used to update current regional evacuation plans and 15 shall incorporate current transportation networks, behavioral 16 studies, and vulnerability studies. In addition, funds may be 17 used to perform computer-modeling analysis on the effects of 18 storm-surge events. Procurement of technologies to perform the 19 updates and computer modeling must comply with the provisions 20 s. 287.057, Florida Statutes, requiring competitive bids. 21 Section 2. The sum of $13.2 million in fixed capital 22 outlay is appropriated from the General Revenue Fund and the 23 sum of $39.6 million is appropriated from the U.S. 24 Contributions Trust Fund to the Department of Community 25 Affairs for the purpose of implementing the provisions of this 26 act relating to providing emergency power generators in 27 special-needs shelters during the 2006-2007 state fiscal year. 28 The Department of Community Affairs may not use more than 5 29 percent of these funds to administer the funding provided. 30 Section 3. The sum of $15 million in fixed capital 31 outlay is appropriated from the U.S. Contributions Trust Fund 7 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 to the Department of Community Affairs for the purpose of 2 implementing the provisions of this act relating to 3 retrofitting public hurricane evacuation shelters during the 4 2006-2007 state fiscal year. The Department of Community 5 Affairs may not use more than 5 percent of these funds to 6 administer the funding provided. 7 Section 4. The sum of $29 million is appropriated from 8 the U.S. Contributions Trust Fund to the Department of 9 Community Affairs for the purpose of implementing the 10 provisions of this act relating to hurricane evacuation 11 planning during the 2006-2007 state fiscal year. The 12 Department of Community Affairs may not use more than 5 13 percent of these funds to administer the funding provided. 14 Section 5. The sum of $2.1 million in recurring funds 15 is appropriated from the General Revenue Fund and the sum of 16 $4.4 million is appropriated from the Emergency Management 17 Preparedness and Assistance Trust Fund to the Department of 18 Community Affairs for the 2006-2007 state fiscal year. 19 Notwithstanding s. 252.373, Florida Statutes, these funds may 20 be used to implement the provisions of this act relating to 21 improved logistical staging and warehouse capacity for 22 commodities. 23 Section 6. The sum of $20 million in fixed capital 24 outlay is appropriated from the General Revenue Fund and the 25 sum of $25 million is appropriated from the U.S. Contributions 26 Trust Fund to the Department of Community Affairs for the 27 purpose of implementing the provisions of this act relating to 28 county emergency operations centers and designated alternate 29 state emergency operations centers during the 2006-2007 state 30 fiscal year. The Department of Community Affairs may not use 31 more than 5 percent of these funds to administer the funding 8 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 provided. 2 Section 7. The sum of $3.4 million is appropriated 3 from the U.S. Contributions Trust Fund to the Department of 4 Community Affairs for the purpose of implementing the 5 provisions of this act relating to enhanced public education 6 and information on hurricane preparedness during the 2006-2007 7 state fiscal year. 8 Section 8. The Legislature finds that there is a 9 compelling need to better coordinate emergency response 10 capabilities among local, state, federal, nongovernment, and 11 private sector partners to provide the best and most effective 12 postdisaster services to the people of the State of Florida. 13 In order to encourage the rapid recovery of economies in 14 disaster affected areas, the Legislature finds that programs 15 to restore normal commerce in communities should be a part of 16 the State Comprehensive Emergency Management Plan. The 17 Legislature recognizes nongovernment agencies and the private 18 sector as key partners in disaster preparedness, response, and 19 recovery. Further, the Legislature recognizes the demonstrated 20 abilities and contributions of these entities in successfully 21 providing logistical support and commodities through 22 well-proven distribution systems. In order to enhance the 23 State Comprehensive Plan, the Division of Emergency Management 24 within the Department of Community Affairs is directed to 25 conduct a feasibility study on incorporating into the state's 26 emergency management plan the logistical supply and 27 distribution of essential commodities by nongovernment 28 agencies and private entities. In conducting the study, the 29 division shall consult with the Florida Retail Federation, the 30 Florida Petroleum Council, the Florida Petroleum Marketers and 31 Convenience Store Association, the Florida Emergency 9 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 Preparedness Association, the American Red Cross, Volunteer 2 Florida, and other entities as appropriate. As part of the 3 study, the division shall create a set of operational 4 standards that may be adopted by retail establishments to 5 qualify for preemption from local government regulations in 6 response to a disaster. No later than February 1, 2007, the 7 division shall make recommendations based on the study to the 8 Governor, the President of the Senate, and the Speaker of the 9 House of Representatives, and shall provide a set of 10 operational standards for retail establishments which are 11 recognized as part of the state emergency management plan. 12 These standards must be met in order for retail establishments 13 to participate in the state emergency response to a disaster 14 and to qualify for preemption of regulation of such businesses 15 to the state during such a response. 16 Section 9. Effective July 1, 2006, section 526.143, 17 Florida Statutes, is created to read: 18 526.143 Alternate generated power capacity for motor 19 fuel dispensing facilities.-- 20 (1) By June 1, 2007, each motor fuel terminal 21 facility, as defined in s. 526.303(16), and each wholesaler, 22 as defined in s. 526.303(17), which sells motor fuel in this 23 state must be capable of operating its distribution loading 24 racks using an alternate generated power source for a minimum 25 of 72 hours. Pending a postdisaster examination of the 26 equipment by the operator to determine any extenuating damage 27 that would render it unsafe to use, the facility must have 28 such alternate generated power source available for operation 29 no later than 36 hours after a major disaster as defined in s. 30 252.34. Installation of appropriate wiring, including a 31 transfer switch, shall be performed by a certified electrical 10 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 contractor. Each business that is subject to this subsection 2 must keep a copy of the documentation of such installation on 3 site or at its corporate headquarters. In addition, each 4 business must keep a written statement attesting to the 5 periodic testing and ensured operational capacity of the 6 equipment. The required documents must be made available, upon 7 request, to the Division of Emergency Management and the 8 director of the county emergency management agency. 9 (2) Each newly constructed or substantially renovated 10 motor fuel retail outlet, as defined in s. 526.303(14), for 11 which a certificate of occupancy is issued on or after July 1, 12 2006, shall be prewired with an appropriate transfer switch, 13 and capable of operating all fuel pumps, dispensing equipment, 14 life-safety systems, and payment-acceptance equipment using an 15 alternate generated power source. As used in this subsection, 16 the term "substantially renovated" means a renovation that 17 results in an increase of greater than 50 percent in the 18 assessed value of the motor fuel retail outlet. Local building 19 inspectors shall include this equipment and operations check 20 in the normal inspection process before issuing a certificate 21 of occupancy. Each retail outlet that is subject to this 22 subsection must keep a copy of the certificate of occupancy on 23 site or at its corporate headquarters. In addition, each 24 retail outlet must keep a written statement attesting to the 25 periodic testing of and ensured operational capability of the 26 equipment. The required documents must be made available, upon 27 request, to the Division of Emergency Management and the 28 director of the county emergency management agency. 29 (3)(a) No later than June 1, 2007, each motor fuel 30 retail outlet described in subparagraph 1., subparagraph 2., 31 or subparagraph 3., which is located within one-half mile 11 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 proximate to an interstate highway or state or federally 2 designated evacuation route must be prewired with an 3 appropriate transfer switch and be capable of operating all 4 fuel pumps, dispensing equipment, life-safety systems, and 5 payment-acceptance equipment using an alternate generated 6 power source: 7 1. A motor fuel retail outlet located in a county 8 having a population of 300,000 or more which has 16 or more 9 fueling positions. 10 2. A motor fuel retail outlet located in a county 11 having a population of 100,000 or more, but fewer than 12 300,000, which has 12 or more fueling positions. 13 3. A motor fuel retail outlet located in a county 14 having a population of fewer than 100,000 which has eight or 15 more fueling positions. 16 (b) Installation of appropriate wiring and transfer 17 switches must be performed by a certified electrical 18 contractor. Each retail outlet that is subject to this 19 subsection must keep a copy of the documentation of such 20 installation on site or at its corporate headquarters. In 21 addition, each retail outlet must keep a written statement 22 attesting to the periodic testing of and ensured operational 23 capacity of the equipment. The required documents must be made 24 available, upon request, to the Division of Emergency 25 Management and the director of the county emergency management 26 agency. 27 (4)(a) Subsections (2) and (3) apply to any 28 self-service, full-service, or combination self-service and 29 full-service motor fuel retail outlet regardless of whether 30 the retail outlet is located on the grounds of, or is owned 31 by, another retail business establishment that does not engage 12 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 in the business of selling motor fuel. 2 (b) Subsections (2) and (3) do not apply to: 3 1. An automobile dealer; 4 2. A person who operates a fleet of motor vehicles; 5 3. A person who sells motor fuel exclusively to a 6 fleet of motor vehicles; or 7 4. A motor fuel retail outlet that has a written 8 agreement with a public hospital, in a form approved by the 9 Division of Emergency Management, wherein the public hospital 10 agrees to provide the motor fuel retail outlet with an 11 alternative means of power generation onsite so that the 12 outlet's fuel pumps may be operated in the event of a power 13 outage. 14 (5)(a) Each corporation or other entity that owns 10 15 or more motor fuel retail outlets located within a single 16 county shall maintain at least one portable generator that is 17 capable of providing an alternate generated power source as 18 required under subsection (2) for every 10 outlets. If an 19 entity owns more than 10 outlets or a multiple of 10 outlets 20 plus an additional six outlets, the entity must provide one 21 additional generator to accommodate such additional outlets. 22 Each portable generator must be stored within this state, or 23 may be stored in another state if located within 250 miles of 24 this state, and must be available for use in an affected 25 location within 24 hours after a disaster. 26 (b) Each corporation or other entity that owns 10 or 27 more motor fuel retail outlets located within a single 28 domestic security region, as determined pursuant to s. 29 943.0312(1), and that does not own additional outlets located 30 outside the domestic security region shall maintain a written 31 document of agreement with one or more similarly equipped 13 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 entities for the use of portable generators that may be used 2 to meet the requirements of paragraph (a) and that are located 3 within this state but outside the affected domestic security 4 region. The agreement may be reciprocal, may allow for payment 5 for services rendered by the providing entity, and must 6 guarantee the availability of the portable generators to an 7 affected location within 24 hours after a disaster. 8 (c) For purposes of this section, ownership of a motor 9 fuel retail outlet shall be the owner of record of the fuel 10 storage systems operating at the location, as identified in 11 the Department of Environmental Protection underground storage 12 facilities registry pursuant to s. 376.303(1). 13 Section 10. Effective July 1, 2006, section 526.144, 14 Florida Statutes, is created to read: 15 526.144 Florida Disaster Motor Fuel Supplier 16 Program.-- 17 (1)(a) There is created the Florida Disaster Motor 18 Fuel Supplier Program within the Department of Community 19 Affairs. 20 (b) Participation in the program shall be at the 21 option of each county governing body. In counties choosing to 22 participate in the program, the local emergency management 23 agency shall be primarily responsible for administering the 24 program within those counties. Nothing in this section 25 requires participation in the program. 26 (c) In participating counties, the Florida Disaster 27 Motor Fuel Supplier Program shall allow any retail motor fuel 28 outlet doing business in those counties to participate in a 29 network of emergency responders to provide fuel supplies and 30 services to government agencies, medical institutions and 31 facilities, critical infrastructure, and other responders, as 14 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 well as the general public, during a declared disaster as 2 described in s. 252.36(2). 3 (d) Retail motor fuel outlets doing business in 4 participating counties that choose to become members of the 5 Florida Disaster Motor Fuel Supplier Program must be able to 6 demonstrate the capability to provide onsite fuel dispensing 7 services to other members of the State Emergency Response Team 8 within 24 hours after a major disaster has occurred and agree 9 to make such service available as needed. Local emergency 10 management agencies may determine appropriate measures for 11 determining such readiness, including acceptance of a written 12 attestation from the retail motor fuel outlet, a copy of an 13 executed contract for services, or other documents or 14 activities that demonstrate readiness. Participating retail 15 motor fuel outlets may choose to sell motor fuel through a 16 pre-existing contract with local, state, or federal response 17 agencies or may provide point-of-sale service to such 18 agencies. In addition, participating retail motor fuel outlets 19 may choose to sell motor fuel to the general public upon 20 compliance with requirements to provide service under ss. 21 252.35 and 252.38 as directed by county or state emergency 22 management officials. This section does not preclude any 23 retail motor fuel outlet from selling fuel during lawful 24 operating hours. Nonparticipating motor fuel retail outlets 25 may not operate during declared curfew hours. If requested, 26 appropriate law enforcement or security personnel may be 27 provided through emergency management protocol to the 28 participating business for the purpose of maintaining civil 29 order during operating hours. 30 (e) Motor fuel outlets that choose to participate in 31 the Florida Disaster Motor Fuel Supplier Program pursuant to 15 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 paragraph (d) may be issued a State Emergency Response Team 2 logo by the participating county emergency management agency 3 for public display to alert emergency responders and the 4 public that the business is capable of assisting in an 5 emergency. 6 (f) Counties that choose to participate in the Florida 7 Disaster Motor Fuel Supplier Program may charge a fee to cover 8 the actual costs of accepting a retail motor fuel outlet into 9 the program, including the cost of performing any required 10 review, filing of necessary forms, and producing logo decals 11 for public display. Additional charges may not be imposed for 12 processing individual documents associated with the program. 13 Funds collected shall be deposited into an appropriate county 14 operating account. 15 (3) Persons who are designated as members of the State 16 Emergency Response Team and who can produce appropriate 17 identification, as determined by state or county emergency 18 management officials, shall be given priority for purchasing 19 fuel at businesses designated as members of the State 20 Emergency Response Team. A business may be directed by county 21 or state emergency management officials to remain open during 22 a declared curfew in order to provide service for emergency 23 personnel. Under such direction, the business is not in 24 violation of the curfew and may not be penalized for such 25 operation and the emergency personnel are not in violation of 26 the curfew. A person traveling during a curfew must be able to 27 produce valid official documentation of his or her position 28 with the State Emergency Response Team or the local emergency 29 management agency. Such documentation may include, but need 30 not be limited to, a current SERT identification badge, 31 current law enforcement or other response agency 16 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 identification or shield, current health care employee 2 identification card, or current government services 3 identification card indicating a critical services position. 4 (4) A business that is designated as a member of the 5 State Emergency Response Team may request priority in 6 receiving a resupply of fuel in order to continue service to 7 emergency responders. Such request is not binding but shall be 8 considered by emergency management officials in determining 9 appropriate response actions. 10 (5)(a) Notwithstanding any other law or local 11 ordinance and for the purpose of ensuring an appropriate 12 emergency management response following major disasters in 13 this state, the regulation, siting, and placement of alternate 14 power source capabilities and equipment at motor fuel terminal 15 facilities, motor fuel wholesalers, and motor fuel retail 16 sales outlets are preempted to the state. 17 (b) Notwithstanding any other law or other ordinance 18 and for the purpose of ensuring an appropriate emergency 19 management response following major disasters in this state, 20 the regulation of all other retail establishments 21 participating in such response shall be as follows: 22 1. Regulation of retail establishments that meet the 23 standards created by the Division of Emergency Management in 24 the report required in section 8 of this act by July 1, 2007, 25 is preempted to the state; 26 2. The division shall provide written certification of 27 such preemption to retail establishments that qualify and 28 shall provide such information to local governments upon 29 request; and 30 3. Regulation of retail establishments that do not 31 meet the operational standards is subject to local government 17 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 laws or ordinances. 2 (6) The Energy Office of the Department of 3 Environmental Protection shall review situational progress in 4 post-disaster motor fuel supply distribution and provide a 5 report to the Legislature by March 1, 2007. The report must 6 include information concerning statewide compliance with s. 7 526.143, Florida Statutes, and an identification of all motor 8 fuel retail outlets that are participating in the Florida 9 Disaster Motor Fuel Supplier Program. 10 Section 11. Effective July 1, 2006, subsection (2) of 11 section 501.160, Florida Statutes, is amended to read: 12 501.160 Rental or sale of essential commodities during 13 a declared state of emergency; prohibition against 14 unconscionable prices.-- 15 (2) Upon a declaration of a state of emergency by the 16 Governor, it is unlawful and a violation of s. 501.204 for a 17 person or her or his agent or employee to rent or sell or 18 offer to rent or sell at an unconscionable price within the 19 area for which the state of emergency is declared, any 20 essential commodity including, but not limited to, supplies, 21 services, provisions, or equipment that is necessary for 22 consumption or use as a direct result of the emergency. This 23 prohibition is effective not to exceed 60 days under the 24 initial declared state of emergency as defined in s. 252.36(2) 25 and shall be renewed by statement in any subsequent renewals 26 of the declared state of emergency by the Governor remains in 27 effect until the declaration expires or is terminated. 28 Section 12. Effective July 1, 2006, section 553.509, 29 Florida Statutes, is amended to read: 30 553.509 Vertical accessibility.-- 31 (1) Nothing in sections 553.501-553.513 or the 18 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 guidelines shall be construed to relieve the owner of any 2 building, structure, or facility governed by those sections 3 from the duty to provide vertical accessibility to all levels 4 above and below the occupiable grade level, regardless of 5 whether the guidelines require an elevator to be installed in 6 such building, structure, or facility, except for: 7 (a)(1) Elevator pits, elevator penthouses, mechanical 8 rooms, piping or equipment catwalks, and automobile 9 lubrication and maintenance pits and platforms; 10 (b)(2) Unoccupiable spaces, such as rooms, enclosed 11 spaces, and storage spaces that are not designed for human 12 occupancy, for public accommodations, or for work areas; and 13 (c)(3) Occupiable spaces and rooms that are not open 14 to the public and that house no more than five persons, 15 including, but not limited to, equipment control rooms and 16 projection booths. 17 (2)(a) Any person, firm, or corporation that owns, 18 manages, or operates a residential multifamily dwelling, 19 including a condominium, that is at least 75 feet high and 20 contains a public elevator, as described in s. 399.035(2) and 21 (3) and rules adopted by the Florida Building Commission, 22 shall have at least one public elevator that is capable of 23 operating on an alternate power source for emergency purposes. 24 Alternate power shall be available for the purpose of allowing 25 all residents access for a specified number of hours each day 26 over a 5-day period following a natural disaster, manmade 27 disaster, emergency, or other civil disturbance that disrupts 28 the normal supply of electricity. The alternate power source 29 that controls elevator operations must also be capable of 30 powering any connected fire alarm system in the building. 31 (b) At a minimum, the elevator must be appropriately 19 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 pre-wired and prepared to accept an alternate power source and 2 must have a connection on the line side of the main 3 disconnect, pursuant to National Electric Code Handbook, 4 Article 700. In addition to the required power source for the 5 elevator and connected fire alarm system in the building, the 6 alternate power supply must be sufficient to provide emergency 7 lighting to the interior lobbies, hallways, and other portions 8 of the building used by the public. Residential multifamily 9 dwellings must have an available generator and fuel source on 10 the property or have proof of a current contract posted in the 11 elevator machine room or other place conspicuous to the 12 elevator inspector affirming a current guaranteed service 13 contract for such equipment and fuel source to operate the 14 elevator on an on-call basis within 24 hours after a request. 15 By December 31, 2006, any person, firm or corporation that 16 owns, manages or operates a residential multifamily dwelling 17 as defined in paragraph (4)(a) must provide to the local 18 building inspection agency verification of engineering plans 19 for residential multifamily dwellings that provide for the 20 capability to generate power by alternate means. Compliance 21 with installation requirements and operational capability 22 requirements must be verified by local building inspectors and 23 reported to the county emergency management agency by December 24 31, 2007. 25 (c) Each newly constructed residential multifamily 26 dwelling, including a condominium, that is at least 75 feet 27 high and contains a public elevator, as described in s. 28 399.035(2) and (3) and rules adopted by the Florida Building 29 Commission, must have at least one public elevator that is 30 capable of operating on an alternate power source for the 31 purpose of allowing all residents access for a specified 20 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 number of hours each day over a 5-day period following a 2 natural disaster, manmade disaster, emergency, or other civil 3 disturbance that disrupts the normal supply of electricity. 4 The alternate power source that controls elevator operations 5 must be capable of powering any connected fire alarm system in 6 the building. In addition to the required power source for the 7 elevator and connected fire alarm system, the alternate power 8 supply must be sufficient to provide emergency lighting to the 9 interior lobbies, hallways, and other portions of the building 10 used by the public. Engineering plans and verification of 11 operational capability must be provided by the local building 12 inspector to the county emergency management agency before 13 occupancy of the newly constructed building. 14 (d) Each person, firm, or corporation that is required 15 to maintain an alternate power source under this subsection 16 shall maintain a written emergency operations plan that 17 details the sequence of operations before, during, and after a 18 natural or manmade disaster or other emergency situation. The 19 plan must include, at a minimum, a life safety plan for 20 evacuation, maintenance of the electrical and lighting supply, 21 and provisions for the health, safety, and welfare of the 22 residents. In addition, the owner, manager, or operator of the 23 residential multifamily dwelling must keep written records of 24 any contracts for alternative power generation equipment. 25 Also, quarterly inspection records of life safety equipment 26 and alternate power generation equipment must be posted in the 27 elevator machine room or other place conspicuous to the 28 elevator inspector, which confirm that such equipment is 29 properly maintained and in good working condition, and copies 30 of contracts for alternate power generation equipment shall be 31 maintained on site for verification. The written emergency 21 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 operations plan and inspection records shall also be open for 2 periodic inspection by local and state government agencies as 3 deemed necessary. The owner or operator must keep a generator 4 key in a lockbox posted at or near any installed generator 5 unit. 6 (e) Multistory affordable residential dwellings for 7 persons age 62 and older that are financed or insured by the 8 United States Department of Housing and Urban Development must 9 make every effort to obtain grant funding from the Federal 10 Government or the Florida Housing Finance Corporation to 11 comply with this subsection. If an owner of such a residential 12 dwelling cannot comply with the requirements of this 13 subsection, the owner must develop a plan with the local 14 emergency management agency to ensure that residents are 15 evacuated to a place of safety in the event of a power outage 16 resulting from a natural or manmade disaster or other 17 emergency situation that disrupts the normal supply of 18 electricity for an extended period of time. A place of safety 19 may include, but is not limited to, relocation to an 20 alternative site within the building or evacuation to a local 21 shelter. 22 (f) As a part of the annual elevator inspection 23 required under s. 399.061, certified elevator inspectors shall 24 confirm that all installed generators required by this chapter 25 are in working order, have current inspection records posted 26 in the elevator machine room or other place conspicuous to the 27 elevator inspector, and that the required generator key is 28 present in the lockbox posted at or near the installed 29 generator. If a building does not have an installed generator, 30 the inspector shall confirm that the appropriate pre-wiring 31 and switching capabilities are present and that a statement is 22 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 posted in the elevator machine room or other place conspicuous 2 to the elevator inspector affirming a current guaranteed 3 contract exists for contingent services for alternate power is 4 current for the operating period. 5 6 However, buildings, structures, and facilities must, as a 7 minimum, comply with the requirements in the Americans with 8 Disabilities Act Accessibility Guidelines. 9 Section 13. Effective July 1, 2006, paragraph (i) of 10 subsection (2) of section 252.35, Florida Statutes, is 11 amended, present paragraphs (j) through (q) of that subsection 12 are redesignated as paragraphs (k) through (r), respectively, 13 present paragraphs (r) through (v) of that subsection are 14 redesignated as paragraphs (u) through (y), respectively, and 15 new paragraphs (j), (s), and (t) are added to that subsection 16 to read: 17 252.35 Emergency management powers; Division of 18 Emergency Management.-- 19 (2) The division is responsible for carrying out the 20 provisions of ss. 252.31-252.90. In performing its duties 21 under ss. 252.31-252.90, the division shall: 22 (i) Institute statewide public awareness programs. 23 This shall include an intensive public educational campaign on 24 emergency preparedness issues, including, but not limited to, 25 the personal responsibility of individual citizens to be 26 self-sufficient for up to 72 hours following a natural or 27 manmade disaster. The public educational campaign shall 28 include relevant information on statewide disaster plans, 29 evacuation routes, fuel suppliers, and shelters. All 30 educational materials must be available in alternative formats 31 and mediums to ensure that they are available to persons with 23 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 disabilities. 2 (j) The Division of Emergency Management and the 3 Department of Education shall coordinate with the Agency For 4 Persons with Disabilities to provide an educational outreach 5 program on disaster preparedness and readiness to individuals 6 who have limited English skills and identify persons who are 7 in need of assistance but are not defined under special-needs 8 criteria. 9 (s) By January 1, 2007, the Division of Emergency 10 Management shall complete an inventory of portable generators 11 owned by the state and local governments which are capable of 12 operating during a major disaster. The inventory must 13 identify, at a minimum, the location of each generator, the 14 number of generators stored at each specific location, the 15 agency to which each the generator belongs, the primary use of 16 the generator by the owner agency, and the names, addresses, 17 and telephone numbers of persons having the authority to loan 18 the stored generators as authorized by the Division of 19 Emergency Management during a declared emergency. 20 (t) The division shall maintain an inventory list of 21 generators owned by the state and local governments. In 22 addition, the division may keep a list of private entities, 23 along with appropriate contact information, which offer 24 generators for sale or lease. The list of private entities 25 shall be available to the public for inspection in written and 26 electronic formats. 27 Section 14. There is appropriated $76,150 in 28 nonrecurring general revenue funds to the Department of 29 Community Affairs for a study on the feasibility of 30 incorporating nongovernment agencies and private entities into 31 the logistical supply and distribution system for essential 24 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 commodities. This section takes effect July 1, 2006. 2 Section 15. If any provision of this act or its 3 application to any person or circumstance is held invalid, the 4 invalidity does not affect other provisions or applications of 5 the act which can be given effect without the invalid 6 provision or application, and to this end the provisions of 7 this act are severable. 8 Section 16. Effective July 1, 2006, section 252.355, 9 Florida Statutes, is amended to read: 10 252.355 Registry of persons with special needs; 11 notice.-- 12 (1) In order to meet the special needs of persons who 13 would need assistance during evacuations and sheltering 14 because of physical, mental, cognitive impairment, or sensory 15 disabilities, each local emergency management agency in the 16 state shall maintain a registry of persons with special needs 17 located within the jurisdiction of the local agency. The 18 registration shall identify those persons in need of 19 assistance and plan for resource allocation to meet those 20 identified needs. To assist the local emergency management 21 agency in identifying such persons, home health agencies, 22 hospices, nurse registries, home medical equipment providers, 23 the Department of Children and Family Services, Department of 24 Health, Agency for Health Care Administration, Department of 25 Education, Agency for Persons with Disabilities, Labor and 26 Employment Security, and Department of Elderly Affairs shall 27 provide registration information to all of their special needs 28 clients and to all persons with special needs who receive 29 services incoming clients as a part of the intake process. The 30 registry shall be updated annually. The registration program 31 shall give persons with special needs the option of 25 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 preauthorizing emergency response personnel to enter their 2 homes during search and rescue operations if necessary to 3 assure their safety and welfare following disasters. 4 (2) The Department of Community Affairs shall be the 5 designated lead agency responsible for community education and 6 outreach to the public, including special needs clients, 7 regarding registration and special needs shelters and general 8 information regarding shelter stays. 9 (3) A person with special needs must be allowed to 10 bring his or her service animal into a special needs shelter 11 in accordance with s. 413.08. 12 (4)(a)(2) On or before May 31 May 1 of each year each 13 electric utility in the state shall annually notify 14 residential customers in its service area of the availability 15 of the registration program available through their local 16 emergency management agency by:. 17 1. An initial notification upon the activation of new 18 residential service with the electric utility, followed by one 19 annual notification between January 1 and May 31; or 20 2. Two separate annual notifications between January 1 21 and May 31. 22 (b) The notification may be made by any available 23 means, including, but not limited to, written, electronic, or 24 verbal notification, and may be made concurrently with any 25 other notification to residential customers required by law or 26 rule. 27 (5)(3) All records, data, information, correspondence, 28 and communications relating to the registration of persons 29 with special needs as provided in subsection (1) are 30 confidential and exempt from the provisions of s. 119.07(1), 31 except that such information shall be available to other 26 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 emergency response agencies, as determined by the local 2 emergency management director. Local law enforcement agencies 3 shall be given complete shelter roster information upon 4 request. 5 (6)(4) All appropriate agencies and community-based 6 service providers, including home health care providers, 7 hospices, nurse registries, and home medical equipment 8 providers, shall assist emergency management agencies by 9 collecting registration information for persons with special 10 needs as part of program intake processes, establishing 11 programs to increase the awareness of the registration 12 process, and educating clients about the procedures that may 13 be necessary for their safety during disasters. Clients of 14 state or federally funded service programs with physical, 15 mental, cognitive impairment, or sensory disabilities who need 16 assistance in evacuating, or when in shelters, must register 17 as persons with special needs. 18 Section 17. Effective July 1, 2006, section 252.3568, 19 Florida Statutes, is created to read: 20 252.3568 Emergency sheltering of persons with 21 pets.--In accordance with s. 252.35, the division shall 22 address strategies for the evacuation of persons with pets in 23 the shelter component of the state comprehensive emergency 24 management plan and shall include the requirement for similar 25 strategies in its standards and requirements for local 26 comprehensive emergency management plans. The Department of 27 Agriculture and Consumer Services shall assist the division in 28 determining strategies regarding this activity. 29 Section 18. Effective July 1, 2006, section 252.357, 30 Florida Statutes, is created to read: 31 252.357 Monitoring of nursing homes and assisted 27 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 living facilities during disaster.--The Florida Comprehensive 2 Emergency Management Plan shall permit the Agency for Health 3 Care Administration, working from the agency's offices or in 4 the Emergency Operations Center, ESF-8, to make initial 5 contact with each nursing home and assisted living facility in 6 the disaster area. The agency, by July 15, 2006, and annually 7 thereafter, shall publish on the Internet an emergency 8 telephone number that may be used by nursing homes and 9 assisted living facilities to contact the agency on a schedule 10 established by the agency to report requests for assistance. 11 The agency may also provide the telephone number to each 12 facility when it makes the initial facility call. 13 Section 19. Effective July 1, 2006, subsections (2) 14 and (4) of section 252.385, Florida Statutes, are amended to 15 read: 16 252.385 Public shelter space.-- 17 (2)(a) The division shall administer a program to 18 survey existing schools, universities, community colleges, and 19 other state-owned, municipally owned, and county-owned public 20 buildings and any private facility that the owner, in writing, 21 agrees to provide for use as a public hurricane evacuation 22 shelter to identify those that are appropriately designed and 23 located to serve as such shelters. The owners of the 24 facilities must be given the opportunity to participate in the 25 surveys. The state university boards of trustees Board of 26 Regents, district school boards, community college boards of 27 trustees, and the Department of Education are responsible for 28 coordinating and implementing the survey of public schools, 29 universities, and community colleges with the division or the 30 local emergency management agency. 31 (b) By January 31 of each even-numbered year, the 28 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 division shall prepare and submit a statewide emergency 2 shelter plan to the Governor and Cabinet for approval, subject 3 to the requirements for approval in s. 1013.37(2). The plan 4 shall identify the general location and square footage of 5 special needs shelters, by regional planning council region, 6 during the next 5 years. The plan shall also include 7 information on the availability of shelters that accept pets. 8 The Department of Health shall assist the division in 9 determining the estimated need for special needs shelter 10 space and the adequacy of facilities to meet the needs of 11 persons with special needs based on information from the 12 registries of persons with special needs and other 13 information. 14 (4)(a) Public facilities, including schools, 15 postsecondary education facilities, and other facilities owned 16 or leased by the state or local governments, but excluding 17 hospitals, hospice care facilities, assisted living 18 facilities, and or nursing homes, which are suitable for use 19 as public hurricane evacuation shelters shall be made 20 available at the request of the local emergency management 21 agencies. The local emergency management agency shall 22 coordinate with these entities to ensure that designated 23 facilities are ready to activate prior to a specific hurricane 24 or disaster. Such agencies shall coordinate with the 25 appropriate school board, university, community college, or 26 local governing board when requesting the use of such 27 facilities as public hurricane evacuation shelters. 28 (b) The Department of Management Services shall 29 incorporate provisions for the use of suitable leased public 30 facilities as public hurricane evacuation shelters into lease 31 agreements for state agencies. Suitable leased public 29 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 facilities include leased public facilities that are solely 2 occupied by state agencies and have at least 2,000 square feet 3 of net floor area in a single room or in a combination of 4 rooms having a minimum of 400 square feet in each room. The 5 net square footage of floor area shall must be determined by 6 subtracting from the gross square footage the square footage 7 of spaces such as mechanical and electrical rooms, storage 8 rooms, open corridors, restrooms, kitchens, science or 9 computer laboratories, shop or mechanical areas, 10 administrative offices, records vaults, and crawl spaces. 11 (c) The Department of Management Services shall, in 12 consultation with local and state emergency management 13 agencies, assess Department of Management Services facilities 14 to identify the extent to which each facility has public 15 hurricane evacuation shelter space. The Department of 16 Management Services shall submit proposed facility retrofit 17 projects that incorporate hurricane protection enhancements to 18 the department for assessment and inclusion in the annual 19 report prepared in accordance with subsection (3). 20 Section 20. Effective July 1, 2006, section 381.0303, 21 Florida Statutes, is amended to read: 22 (Substantial rewording of section. See 23 s. 381.0303, F.S., for present text.) 24 381.0303 Special needs shelters.-- 25 (1) PURPOSE.--The purpose of this section is to 26 provide for the operation and closure of special needs 27 shelters and to designate the Department of Health, through 28 its county health departments, as the lead agency for 29 coordination of the recruitment of health care practitioners, 30 as defined in s. 456.001(4), to staff special needs shelters 31 in times of emergency or disaster and to provide resources to 30 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 the department to carry out this responsibility. However, 2 nothing in this section prohibits a county health department 3 from entering into an agreement with a local emergency 4 management agency to assume the lead responsibility for 5 recruiting health care practitioners. 6 (2) SPECIAL NEEDS SHELTER PLAN; STAFFING; STATE AGENCY 7 ASSISTANCE.--If funds have been appropriated to support 8 disaster coordinator positions in county health departments: 9 (a) The department shall assume lead responsibility 10 for the coordination of local medical and health care 11 providers, the American Red Cross, and other interested 12 parties in developing a plan for the staffing and medical 13 management of special needs shelters. The local Children's 14 Medical Services offices shall assume lead responsibility for 15 the coordination of local medical and health care providers, 16 the American Red Cross, and other interested parties in 17 developing a plan for the staffing and medical management of 18 pediatric special needs shelters. Plans must conform to the 19 local comprehensive emergency management plan. 20 (b) County health departments shall, in conjunction 21 with the local emergency management agencies, have the lead 22 responsibility for coordination of the recruitment of health 23 care practitioners to staff local special needs shelters. 24 County health departments shall assign their employees to work 25 in special needs shelters when those employees are needed to 26 protect the health and safety of persons with special needs. 27 County governments shall assist the department with nonmedical 28 staffing and the operation of special needs shelters. The 29 local health department and emergency management agency shall 30 coordinate these efforts to ensure appropriate staffing in 31 special needs shelters. 31 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 (c) The appropriate county health department, 2 Children's Medical Services office, and local emergency 3 management agency shall jointly decide who has responsibility 4 for medical supervision in each special needs shelter. 5 (d) Local emergency management agencies shall be 6 responsible for the designation and operation of special needs 7 shelters during times of emergency or disaster and the closure 8 of the facilities following an emergency or disaster. The 9 local health department and emergency management agency shall 10 coordinate these efforts to ensure the appropriate designation 11 and operation of special needs shelters. County health 12 departments shall assist the local emergency management agency 13 with regard to the management of medical services in special 14 needs shelters. 15 (e) The Secretary of Elderly Affairs, or his or her 16 designee, shall convene, at any time that he or she deems 17 appropriate and necessary, a multiagency special needs shelter 18 discharge planning team to assist local areas that are 19 severely impacted by a natural or manmade disaster that 20 requires the use of special needs shelters. Multiagency 21 special needs shelter discharge planning teams shall provide 22 assistance to local emergency management agencies with the 23 continued operation or closure of the shelters, as well as 24 with the discharge of special needs clients to alternate 25 facilities if necessary. Local emergency management agencies 26 may request the assistance of a multiagency special needs 27 shelter discharge planning team by alerting statewide 28 emergency management officials of the necessity for additional 29 assistance in their area. The Secretary of Elderly Affairs is 30 encouraged to proactively work with other state agencies prior 31 to any natural disasters for which warnings are provided to 32 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 ensure that multiagency special needs shelter discharge 2 planning teams are ready to assemble and deploy rapidly upon a 3 determination by state emergency management officials that a 4 disaster area requires additional assistance. The Secretary of 5 Elderly Affairs may call upon any state agency or office to 6 provide staff to assist a multiagency special needs shelter 7 discharge planning team. Unless the secretary determines that 8 the nature or circumstances surrounding the disaster do not 9 warrant participation from a particular agency's staff, each 10 multiagency special needs shelter discharge planning team 11 shall include at least one representative from each of the 12 following state agencies: 13 1. Department of Elderly Affairs. 14 2. Department of Health. 15 3. Department of Children and Family Services. 16 4. Department of Veterans' Affairs. 17 5. Department of Community Affairs. 18 6. Agency for Health Care Administration. 19 7. Agency for Persons with Disabilities. 20 (3) REIMBURSEMENT TO HEALTH CARE PRACTITIONERS AND 21 FACILITIES.-- 22 (a) The department shall, upon request, reimburse in 23 accordance with paragraph (b): 24 1. Health care practitioners, as defined in s. 25 456.001, provided the practitioner is not providing care to a 26 patient under an existing contract, and emergency medical 27 technicians and paramedics licensed under chapter 401 for 28 medical care provided at the request of the department in 29 special needs shelters or at other locations during times of 30 emergency or a declared disaster. Reimbursement for health 31 care practitioners, except for physicians licensed under 33 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 chapter 458 or chapter 459, shall be based on the average 2 hourly rate that such practitioners were paid according to the 3 most recent survey of Florida hospitals conducted by the 4 Florida Hospital Association or other nationally recognized or 5 state-recognized data source. 6 2. Health care facilities, such as hospitals, nursing 7 homes, assisted living facilities, and community residential 8 homes, if, upon closure of a special needs shelter, a 9 multiagency special needs shelter discharge planning team 10 determines that it is necessary to discharge persons with 11 special needs to other health care facilities. The receiving 12 facilities are eligible for reimbursement for services 13 provided to the individuals for up to 90 days. A facility must 14 show proof of a written request from a representative of an 15 agency serving on the multiagency special needs shelter 16 discharge planning team that the individual for whom the 17 facility is seeking reimbursement for services rendered was 18 referred to that facility from a special needs shelter. The 19 department shall specify by rule which expenses are 20 reimbursable and the rate of reimbursement for each service. 21 (b) Reimbursement is subject to the availability of 22 federal funds and shall be requested on forms prepared by the 23 department. If a Presidential Disaster Declaration has been 24 issued, the department shall request federal reimbursement of 25 eligible expenditures. The department may not provide 26 reimbursement to facilities under this subsection for services 27 provided to a person with special needs if, during the period 28 of time in which the services were provided, the individual 29 was enrolled in another state-funded program, such as Medicaid 30 or another similar program, was covered under a policy of 31 health insurance as defined in s. 624.603, or was a member of 34 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 a health maintenance organization or prepaid health clinic as 2 defined in chapter 641, which would otherwise pay for the same 3 services. Travel expense and per diem costs shall be 4 reimbursed pursuant to s. 112.061. 5 (4) HEALTH CARE PRACTITIONER REGISTRY.--The department 6 may use the registries established in ss. 401.273 and 456.38 7 when health care practitioners are needed to staff special 8 needs shelters or to assist with other disaster-related 9 activities. 10 (5) SPECIAL NEEDS SHELTER INTERAGENCY COMMITTEE.--The 11 Secretary of Health may establish a special needs shelter 12 interagency committee and serve as, or appoint a designee to 13 serve as, the committee's chair. The department shall provide 14 any necessary staff and resources to support the committee in 15 the performance of its duties. The committee shall address and 16 resolve problems related to special needs shelters not 17 addressed in the state comprehensive emergency medical plan 18 and shall consult on the planning and operation of special 19 needs shelters. 20 (a) The committee shall: 21 1. Develop, negotiate, and regularly review any 22 necessary interagency agreements. 23 2. Undertake other such activities as the department 24 deems necessary to facilitate the implementation of this 25 section. 26 3. Submit recommendations to the Legislature as 27 necessary. 28 (b) The special needs shelter interagency committee 29 shall be composed of representatives of emergency management, 30 health, medical, and social services organizations. Membership 31 shall include, but shall not be limited to, representatives of 35 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 the Departments of Health, Community Affairs, Children and 2 Family Services, Elderly Affairs, and Education; the Agency 3 for Health Care Administration; the Florida Medical 4 Association; the Florida Osteopathic Medical Association; 5 Associated Home Health Industries of Florida, Inc.; the 6 Florida Nurses Association; the Florida Health Care 7 Association; the Florida Assisted Living Affiliation; the 8 Florida Hospital Association; the Florida Statutory Teaching 9 Hospital Council; the Florida Association of Homes for the 10 Aging; the Florida Emergency Preparedness Association; the 11 American Red Cross; Florida Hospices and Palliative Care, 12 Inc.; the Association of Community Hospitals and Health 13 Systems; the Florida Association of Health Maintenance 14 Organizations; the Florida League of Health Systems; the 15 Private Care Association; the Salvation Army; the Florida 16 Association of Aging Services Providers; the AARP; and the 17 Florida Renal Coalition. 18 (c) Meetings of the committee shall be held in 19 Tallahassee, and members of the committee shall serve at the 20 expense of the agencies or organizations they represent. The 21 committee shall make every effort to use teleconference or 22 video conference capabilities in order to ensure statewide 23 input and participation. 24 (6) RULES.--The department has the authority to adopt 25 rules necessary to implement this section. Rules shall 26 include: 27 (a) The definition of a "person with special needs," 28 including eligibility criteria for individuals with physical, 29 mental, cognitive impairment, or sensory disabilities and the 30 services a person with special needs can expect to receive in 31 a special needs shelter. 36 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 (b) The process for special needs shelter health care 2 practitioners and facility reimbursement for services provided 3 in a disaster. 4 (c) Guidelines for special needs shelter staffing 5 levels to provide services. 6 (d) The definition of and standards for special needs 7 shelter supplies and equipment, including durable medical 8 equipment. 9 (e) Standards for the special needs shelter 10 registration process, including guidelines for addressing the 11 needs of unregistered persons in need of a special needs 12 shelter. 13 (f) Standards for addressing the needs of families 14 where only one dependent is eligible for admission to a 15 special needs shelter and the needs of adults with special 16 needs who are caregivers for individuals without special 17 needs. 18 (g) The requirement of the county health departments 19 to seek the participation of hospitals, nursing homes, 20 assisted living facilities, home health agencies, hospice 21 providers, nurse registries, home medical equipment providers, 22 dialysis centers, and other health and medical emergency 23 preparedness stakeholders in pre-event planning activities. 24 (7) EMERGENCY MANAGEMENT PLANS.--The submission of 25 emergency management plans to county health departments by 26 home health agencies, nurse registries, hospice programs, and 27 home medical equipment providers is conditional upon receipt 28 of an appropriation by the department to establish disaster 29 coordinator positions in county health departments unless the 30 secretary of the department and a local county commission 31 jointly determine to require that such plans be submitted 37 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 based on a determination that there is a special need to 2 protect public health in the local area during an emergency. 3 Section 21. Effective July 1, 2006, section 400.492, 4 Florida Statutes, is amended to read: 5 400.492 Provision of services during an 6 emergency.--Each home health agency shall prepare and maintain 7 a comprehensive emergency management plan that is consistent 8 with the standards adopted by national or state accreditation 9 organizations and consistent with the local special needs 10 plan. The plan shall be updated annually and shall provide for 11 continuing home health services during an emergency that 12 interrupts patient care or services in the patient's home. The 13 plan shall include the means by which the home health agency 14 will continue to provide staff to perform the same type and 15 quantity of services to their patients who evacuate to special 16 needs shelters that were being provided to those patients 17 prior to evacuation. The plan shall describe how the home 18 health agency establishes and maintains an effective response 19 to emergencies and disasters, including: notifying staff when 20 emergency response measures are initiated; providing for 21 communication between staff members, county health 22 departments, and local emergency management agencies, 23 including a backup system; identifying resources necessary to 24 continue essential care or services or referrals to other 25 organizations subject to written agreement; and prioritizing 26 and contacting patients who need continued care or services. 27 (1) Each patient record for patients who are listed in 28 the registry established pursuant to s. 252.355 shall include 29 a description of how care or services will be continued in the 30 event of an emergency or disaster. The home health agency 31 shall discuss the emergency provisions with the patient and 38 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 the patient's caregivers, including where and how the patient 2 is to evacuate, procedures for notifying the home health 3 agency in the event that the patient evacuates to a location 4 other than the shelter identified in the patient record, and a 5 list of medications and equipment which must either accompany 6 the patient or will be needed by the patient in the event of 7 an evacuation. 8 (2) Each home health agency shall maintain a current 9 prioritized list of patients who need continued services 10 during an emergency. The list shall indicate how services 11 shall be continued in the event of an emergency or disaster 12 for each patient and if the patient is to be transported to a 13 special needs shelter, and shall indicate if the patient is 14 receiving skilled nursing services and the patient's 15 medication and equipment needs. The list shall be furnished to 16 county health departments and to local emergency management 17 agencies, upon request. 18 (3) Home health agencies shall not be required to 19 continue to provide care to patients in emergency situations 20 that are beyond their control and that make it impossible to 21 provide services, such as when roads are impassable or when 22 patients do not go to the location specified in their patient 23 records. Home health agencies may establish links to local 24 emergency operations centers to determine a mechanism by which 25 to approach specific areas within a disaster area in order for 26 the agency to reach its clients. Home health agencies shall 27 demonstrate a good faith effort to comply with the 28 requirements of this subsection by documenting attempts of 29 staff to follow procedures outlined in the home health 30 agency's comprehensive emergency management plan, and by the 31 patient's record, which support a finding that the provision 39 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 of continuing care has been attempted for those patients who 2 have been identified as needing care by the home health agency 3 and registered under s. 252.355, in the event of an emergency 4 or disaster under subsection (1). 5 (4) Notwithstanding the provisions of s. 400.464(2) or 6 any other provision of law to the contrary, a home health 7 agency may provide services in a special needs shelter located 8 in any county. 9 Section 22. Effective July 1, 2006, subsection (8) of 10 section 400.497, Florida Statutes, is amended to read: 11 400.497 Rules establishing minimum standards.--The 12 agency shall adopt, publish, and enforce rules to implement 13 this part, including, as applicable, ss. 400.506 and 400.509, 14 which must provide reasonable and fair minimum standards 15 relating to: 16 (8) Preparation of a comprehensive emergency 17 management plan pursuant to s. 400.492. 18 (a) The Agency for Health Care Administration shall 19 adopt rules establishing minimum criteria for the plan and 20 plan updates, with the concurrence of the Department of Health 21 and in consultation with the Department of Community Affairs. 22 (b) The rules must address the requirements in s. 23 400.492. In addition, the rules shall provide for the 24 maintenance of patient-specific medication lists that can 25 accompany patients who are transported from their homes. 26 (c) The plan is subject to review and approval by the 27 county health department. During its review, the county health 28 department shall contact state and local health and medical 29 stakeholder when necessary. ensure that the following 30 agencies, at a minimum, are given the opportunity to review 31 the plan: 40 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 1. The local emergency management agency. 2 2. The Agency for Health Care Administration. 3 3. The local chapter of the American Red Cross or 4 other lead sheltering agency. 5 4. The district office of the Department of Children 6 and Family Services. 7 8 The county health department shall complete its review to 9 ensure that the plan is in accordance with the criteria in the 10 Agency for Health Care Administration rules within 90 60 days 11 after receipt of the plan and shall either approve the plan or 12 advise the home health agency of necessary revisions. If the 13 home health agency fails to submit a plan or fails to submit 14 the requested information or revisions to the county health 15 department within 30 days after written notification from the 16 county health department, the county health department shall 17 notify the Agency for Health Care Administration. The agency 18 shall notify the home health agency that its failure 19 constitutes a deficiency, subject to a fine of $5,000 per 20 occurrence. If the plan is not submitted, information is not 21 provided, or revisions are not made as requested, the agency 22 may impose the fine. 23 (d) For any home health agency that operates in more 24 than one county, the Department of Health shall review the 25 plan, after consulting with state and local health and medical 26 stakeholders when necessary all of the county health 27 departments, the agency, and all the local chapters of the 28 American Red Cross or other lead sheltering agencies in the 29 areas of operation for that particular home health agency. The 30 department of Health shall complete its review within 90 days 31 after receipt of the plan and shall either approve the plan or 41 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 advise the home health agency of necessary revisions. The 2 department of Health shall make every effort to avoid imposing 3 differing requirements on a home health agency that operates 4 in more than one county as a result of differing or 5 conflicting comprehensive plan requirements of the based on 6 differences between counties in which on the home health 7 agency operates. 8 (e) The requirements in this subsection do not apply 9 to: 10 1. A facility that is certified under chapter 651 and 11 has a licensed home health agency used exclusively by 12 residents of the facility; or 13 2. A retirement community that consists of residential 14 units for independent living and either a licensed nursing 15 home or an assisted living facility, and has a licensed home 16 health agency used exclusively by the residents of the 17 retirement community, provided the comprehensive emergency 18 management plan for the facility or retirement community 19 provides for continuous care of all residents with special 20 needs during an emergency. 21 Section 23. Effective July 1, 2006, subsection (16) of 22 section 400.506, Florida Statutes, is amended to read: 23 400.506 Licensure of nurse registries; requirements; 24 penalties.-- 25 (16) Each nurse registry shall prepare and maintain a 26 comprehensive emergency management plan that is consistent 27 with the criteria in this subsection and with the local 28 special needs plan. The plan shall be updated annually. The 29 plan shall include the means by which the nurse registry will 30 continue to provide the same type and quantity of services to 31 its patients who evacuate to special needs shelters which were 42 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 being provided to those patients prior to evacuation. The plan 2 shall specify how the nurse registry shall facilitate the 3 provision of continuous care by persons referred for contract 4 to persons who are registered pursuant to s. 252.355 during an 5 emergency that interrupts the provision of care or services in 6 private residencies. Nurse registries may establish links to 7 local emergency operations centers to determine a mechanism by 8 which to approach specific areas within a disaster area in 9 order for a provider to reach its clients. Nurse registries 10 shall demonstrate a good-faith effort to comply with the 11 requirements of this subsection by documenting attempts of 12 staff to follow procedures outlined in the nurse registry's 13 comprehensive emergency management plan which support a 14 finding that the provision of continuing care has been 15 attempted for patients identified as needing care by the nurse 16 registry and registered under s. 252.355 in the event of an 17 emergency under s. 400.506(1). 18 (a) All persons referred for contract who care for 19 persons registered pursuant to s. 252.355 must include in the 20 patient record a description of how care will be continued 21 during a disaster or emergency that interrupts the provision 22 of care in the patient's home. It shall be the responsibility 23 of the person referred for contract to ensure that continuous 24 care is provided. 25 (b) Each nurse registry shall maintain a current 26 prioritized list of patients in private residences who are 27 registered pursuant to s. 252.355 and are under the care of 28 persons referred for contract and who need continued services 29 during an emergency. This list shall indicate, for each 30 patient, if the client is to be transported to a special needs 31 shelter and if the patient is receiving skilled nursing 43 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 services. Nurse registries shall make this list available to 2 county health departments and to local emergency management 3 agencies upon request. 4 (c) Each person referred for contract who is caring 5 for a patient who is registered pursuant to s. 252.355 shall 6 provide a list of the patient's medication and equipment needs 7 to the nurse registry. Each person referred for contract shall 8 make this information available to county health departments 9 and to local emergency management agencies upon request. 10 (d) Each person referred for contract shall not be 11 required to continue to provide care to patients in emergency 12 situations that are beyond the person's control and that make 13 it impossible to provide services, such as when roads are 14 impassable or when patients do not go to the location 15 specified in their patient records. 16 (e) The comprehensive emergency management plan 17 required by this subsection is subject to review and approval 18 by the county health department. During its review, the county 19 health department shall contact state and local health and 20 medical stakeholders when necessary ensure that, at a minimum, 21 the local emergency management agency, the Agency for Health 22 Care Administration, and the local chapter of the American Red 23 Cross or other lead sheltering agency are given the 24 opportunity to review the plan. The county health department 25 shall complete its review to ensure that the plan complies 26 with the criteria in the Agency for Health Care Administration 27 rules within 90 60 days after receipt of the plan and shall 28 either approve the plan or advise the nurse registry of 29 necessary revisions. If a nurse registry fails to submit a 30 plan or fails to submit requested information or revisions to 31 the county health department within 30 days after written 44 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 notification from the county health department, the county 2 health department shall notify the Agency for Health Care 3 Administration. The agency shall notify the nurse registry 4 that its failure constitutes a deficiency, subject to a fine 5 of $5,000 per occurrence. If the plan is not submitted, 6 information is not provided, or revisions are not made as 7 requested, the agency may impose the fine. 8 (f) The Agency for Health Care Administration shall 9 adopt rules establishing minimum criteria for the 10 comprehensive emergency management plan and plan updates 11 required by this subsection, with the concurrence of the 12 Department of Health and in consultation with the Department 13 of Community Affairs. 14 Section 24. Effective July 1, 2006, subsection (1) of 15 section 400.610, Florida Statutes, is amended to read: 16 400.610 Administration and management of a hospice.-- 17 (1) A hospice shall have a clearly defined organized 18 governing body, consisting of a minimum of seven persons who 19 are representative of the general population of the community 20 served. The governing body shall have autonomous authority and 21 responsibility for the operation of the hospice and shall meet 22 at least quarterly. The governing body shall: 23 (a) Adopt an annual plan for the operation of the 24 hospice, which shall include a plan for providing for 25 uncompensated care and philanthropic community activities. 26 (b)1. Prepare and maintain a comprehensive emergency 27 management plan that provides for continuing hospice services 28 in the event of an emergency that is consistent with local 29 special needs plans. The plan shall include provisions for 30 ensuring continuing care to hospice patients who go to special 31 needs shelters. The plan shall include the means by which the 45 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 hospice provider will continue to provide staff to provide the 2 same type and quantity of services to their patients who 3 evacuate to special needs shelters which were being provided 4 to those patients prior to evacuation. The plan is subject to 5 review and approval by the county health department, except as 6 provided in subparagraph 2. During its review, the county 7 health department shall contact state and local health and 8 medical stakeholders when necessary ensure that the 9 department, the agency, and the local chapter of the American 10 Red Cross or other lead sheltering agency have an opportunity 11 to review and comment on the plan. The county health 12 department shall complete its review to ensure that the plan 13 complies with criteria in rules of the Department of Elderly 14 Affairs within 90 60 days after receipt of the plan and shall 15 either approve the plan or advise the hospice of necessary 16 revisions. Hospice providers may establish links to local 17 emergency operations centers to determine a mechanism by which 18 to approach specific areas within a disaster area in order for 19 the provider to reach its clients. A hospice shall demonstrate 20 a good-faith effort to comply with the requirements of this 21 paragraph by documenting attempts of staff to follow 22 procedures as outlined in the hospice's comprehensive 23 emergency management plan and to provide continuing care for 24 those hospice clients who have been identified as needing 25 alternative caregiver services in the event of an emergency. 26 2. For any hospice that operates in more than one 27 county, the Department of Health during its review shall 28 contact state and local health and medical stakeholders when 29 necessary review the plan, after consulting with all of the 30 county health departments, the agency, and all the local 31 chapters of the American Red Cross or other lead sheltering 46 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 agency in the areas of operation for that particular hospice. 2 The Department of Health shall complete its review to ensure 3 that the plan complies with criteria in rules of the 4 Department of Elderly Affairs within 90 days after receipt of 5 the plan and shall either approve the plan or advise the 6 hospice of necessary revisions. The Department of Health shall 7 make every effort to avoid imposing on the hospice differing 8 requirements on a hospice that operates in more than one 9 county as a result of differing or conflicting comprehensive 10 plan requirements of the based on differences between counties 11 in which the hospice operates. 12 (c) Adopt an annual budget. 13 (d) Appoint a director who shall be responsible for 14 the day-to-day management and operation of the hospice and who 15 shall serve as the liaison between the governing body and the 16 hospice staff. 17 (e) Undertake such additional activities as necessary 18 to ensure that the hospice is complying with the requirements 19 for hospice services as set forth in this part. 20 Section 25. Effective July 1, 2006, present 21 subsections (13) through (16) of section 400.925, Florida 22 Statutes, are redesignated as subsections (14) through (17) 23 respectively, and a new subsection (13) is added to that 24 section, to read: 25 400.925 Definitions.--As used in this part, the term: 26 (13) "Life-supporting or life-sustaining equipment" 27 means a device that is essential to, or that yields 28 information that is essential to, the restoration or 29 continuation of a bodily function important to the 30 continuation of human life. Life- supporting or 31 life-sustaining equipment includes apnea monitors, enteral 47 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 feeding pumps, infusion pumps, portable home dialysis 2 equipment, and ventilator equipment and supplies for all 3 related equipment, including oxygen equipment and related 4 respiratory equipment. 5 Section 26. Effective July 1, 2006, subsections (20), 6 (21), and (22) are added to section 400.934, Florida Statutes, 7 to read: 8 400.934 Minimum standards.--As a requirement of 9 licensure, home medical equipment providers shall: 10 (20)(a) Prepare and maintain a comprehensive emergency 11 management plan that meets minimum criteria established by 12 agency rule under s. 400.935. The plan shall be updated 13 annually and shall provide for continuing home medical 14 equipment services for life-supporting or life-sustaining 15 equipment, as defined in s. 400.925, during an emergency that 16 interrupts home medical equipment services in a patient's 17 home. The plan shall include: 18 1. The means by which the home medical equipment 19 provider will continue to provide equipment to perform the 20 same type and quantity of services to its patients who 21 evacuate to special needs shelters which were being provided 22 to those patients prior to evacuation. 23 2. The means by which the home medical equipment 24 provider establishes and maintains an effective response to 25 emergencies and disasters, including plans for: 26 a. Notification of staff when emergency response 27 measures are initiated. 28 b. Communication between staff members, county health 29 departments, and local emergency management agencies, which 30 includes provisions for a backup communications system. 31 c. Identification of resources necessary to continue 48 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 essential care or services or referrals to other organizations 2 subject to written agreement. 3 d. Contacting and prioritizing patients in need of 4 continued medical equipment services and supplies. 5 (b) The plan is subject to review and approval by the 6 county health department. During its review, the county health 7 department shall contact state and local health and medical 8 stakeholders when necessary. The county health department 9 shall complete its review to ensure that the plan is in 10 accordance with the criteria in the Agency for Health Care 11 Administration rules within 90 days after receipt of the plan. 12 If a home medical equipment provider fails to submit a plan or 13 fails to submit requested information or revisions to the 14 county health department within 30 days after written 15 notification from the county health department, the county 16 health department shall notify the Agency for Health Care 17 Administration. The agency shall notify the home medical 18 equipment provider that such failure constitutes a deficiency, 19 subject to a fine of $5,000 per occurrence. If the plan is not 20 submitted, information is not provided, or revisions are not 21 made as requested, the agency may impose the fine. 22 (21) Each home medical equipment provider shall 23 maintain a current prioritized list of patients who need 24 continued services during an emergency. The list shall 25 indicate the means by which services shall be continued for 26 each patient in the event of an emergency or disaster, whether 27 the patient is to be transported to a special needs shelter, 28 and whether the patient has life-supporting or life-sustaining 29 equipment, including the specific type of equipment and 30 related supplies. The list shall be furnished to county health 31 departments and local emergency management agencies upon 49 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 request. 2 (22) Home medical equipment providers may establish 3 links to local emergency operations centers to determine a 4 mechanism by which to approach specific areas within a 5 disaster area in order for the provider to reach its patients. 6 Section 27. Effective July 1, 2006, subsection (11) is 7 added to section 400.935, Florida Statutes, to read: 8 400.935 Rules establishing minimum standards.--The 9 agency shall adopt, publish, and enforce rules to implement 10 this part, which must provide reasonable and fair minimum 11 standards relating to: 12 (11) Preparation of the comprehensive emergency 13 management plan under s. 400.934 and the establishment of 14 minimum criteria for the plan, including the maintenance of 15 patient equipment and supply lists that can accompany patients 16 who are transported from their homes. Such rules shall be 17 formulated in consultation with the Department of Health and 18 the Department of Community Affairs. 19 Section 28. Effective July 1, 2006, section 408.831, 20 Florida Statutes, is amended to read: 21 408.831 Denial, suspension, or revocation of a 22 license, registration, certificate, or application.-- 23 (1) In addition to any other remedies provided by law, 24 the agency may deny each application or suspend or revoke each 25 license, registration, or certificate of entities regulated or 26 licensed by it: 27 (a) If the applicant, licensee, registrant, or 28 certificateholder, or, in the case of a corporation, 29 partnership, or other business entity, if any officer, 30 director, agent, or managing employee of that business entity 31 or any affiliated person, partner, or shareholder having an 50 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 ownership interest equal to 5 percent or greater in that 2 business entity, has failed to pay all outstanding fines, 3 liens, or overpayments assessed by final order of the agency 4 or final order of the Centers for Medicare and Medicaid 5 Services, not subject to further appeal, unless a repayment 6 plan is approved by the agency; or 7 (b) For failure to comply with any repayment plan. 8 (2) In reviewing any application requesting a change 9 of ownership or change of the licensee, registrant, or 10 certificateholder, the transferor shall, prior to agency 11 approval of the change, repay or make arrangements to repay 12 any amounts owed to the agency. Should the transferor fail to 13 repay or make arrangements to repay the amounts owed to the 14 agency, the issuance of a license, registration, or 15 certificate to the transferee shall be delayed until repayment 16 or until arrangements for repayment are made. 17 (3) An entity subject to this section may exceed its 18 licensed capacity to act as a receiving facility in accordance 19 with an emergency operations plan for clients of evacuating 20 providers from a geographic area where an evacuation order has 21 been issued by a local authority having jurisdiction. While in 22 an overcapacity status, each provider must furnish or arrange 23 for appropriate care and services to all clients. In addition, 24 the agency may approve requests for overcapacity beyond 15 25 days, which approvals may be based upon satisfactory 26 justification and need as provided by the receiving and 27 sending facilities. 28 (4)(a) An inactive license may be issued to a licensee 29 subject to this section when the provider is located in a 30 geographic area where a state of emergency was declared by the 31 Governor if the provider: 51 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 1. Suffered damage to its operation during that state 2 of emergency. 3 2. Is currently licensed. 4 3. Does not have a provisional license. 5 4. Will be temporarily unable to provide services but 6 is reasonably expected to resume services within 12 months. 7 (b) An inactive license may be issued for a period not 8 to exceed 12 months but may be renewed by the agency for up to 9 12 additional months upon demonstration to the agency of 10 progress toward reopening. A request by a licensee for an 11 inactive license or to extend the previously approved inactive 12 period must be submitted in writing to the agency, accompanied 13 by written justification for the inactive license, which 14 states the beginning and ending dates of inactivity and 15 includes a plan for the transfer of any clients to other 16 providers and appropriate licensure fees. Upon agency 17 approval, the licensee shall notify clients of any necessary 18 discharge or transfer as required by authorizing statutes or 19 applicable rules. The beginning of the inactive licensure 20 period shall be the date the provider ceases operations. The 21 end of the inactive period shall become the licensee 22 expiration date, and all licensure fees must be current, paid 23 in full, and may be prorated. Reactivation of an inactive 24 license requires the prior approval by the agency of a renewal 25 application, including payment of licensure fees and agency 26 inspections indicating compliance with all requirements of 27 this part and applicable rules and statutes. 28 (5)(3) This section provides standards of enforcement 29 applicable to all entities licensed or regulated by the Agency 30 for Health Care Administration. This section controls over any 31 conflicting provisions of chapters 39, 381, 383, 390, 391, 52 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 393, 394, 395, 400, 408, 468, 483, and 641 or rules adopted 2 pursuant to those chapters. 3 Section 29. Emergency preparedness-prescription 4 medication refills.--All health insurers, managed care 5 organizations, and other entities that are licensed by the 6 Office of Insurance Regulation and provide prescription 7 medication coverage as part of a policy or contract shall 8 waive time restrictions on prescription medication refills, 9 which includes suspension of electronic "refill too soon" 10 edits to pharmacies, to enable insureds or subscribers to 11 refill prescriptions in advance, if there are authorized 12 refills remaining, and shall authorize payment to pharmacies 13 for at least a thirty day supply of any prescription 14 medication, regardless of the date upon which the prescription 15 had most recently been filled by a pharmacist, when the 16 following conditions occur: 17 (1) The person seeking the prescription medication 18 refill resides in a county that: 19 (a) Is under a hurricane warning issued by the 20 National Weather Service; 21 (b) Is declared to be under a state of emergency in an 22 executive order issued by the Governor; or 23 (c) Has activated its emergency operations center and 24 its emergency management plan. 25 (2) The prescription medication refill is requested 26 within 30 days after the origination date of the conditions 27 stated in this section or until such conditions are terminated 28 by the issuing authority or no longer exists. The time period 29 for the waiver of prescription medication refills may be 30 extended in 15- or 30-day increments by emergency orders 31 issued by the Office of Insurance Regulation. 53 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 2 This section does not excuse or exempt an insured or 3 subscriber from compliance with all other terms of the policy 4 or contract providing prescription medication coverage. This 5 section takes effect July 1, 2006. 6 Section 30. Except as otherwise expressly provided in 7 this act, this act shall take effect upon becoming a law. 8 9 10 ================ T I T L E A M E N D M E N T =============== 11 And the title is amended as follows: 12 Delete everything before the enacting clause 13 14 and insert: 15 A bill to be entitled 16 An act relating to emergency management; 17 providing legislative findings with respect to 18 the need for improvements in the state's 19 infrastructure in response to the hurricane 20 seasons of 2004 and 2005; providing for the 21 Legislature to make funds available to local 22 and state agencies through appropriations to 23 the Department of Community Affairs; requiring 24 the department to establish a statewide grant 25 application process; providing criteria for an 26 appropriation to fund the construction or 27 renovation of county emergency operations 28 centers and designated alternate state 29 emergency operations centers; providing 30 limitations on the use of such funds; requiring 31 that the release of funds be approved by the 54 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 Legislative Budget Commission; providing 2 criteria for an appropriation to fund equipping 3 public special-needs hurricane evacuation 4 shelters with the permanent capacity to 5 generate emergency power; providing criteria 6 for an appropriation for retrofitting public 7 hurricane evacuation shelters; requiring that 8 the release of funds be approved by the 9 Legislative Budget Commission; providing for 10 funds to be appropriated to improve the 11 logistical staging and warehouse capacity of 12 commodities used following a disaster; 13 providing for funds to be appropriated for the 14 purpose of hurricane evacuation planning; 15 providing appropriations; directing the 16 Division of Emergency Management to conduct a 17 feasibility study relating to the supply and 18 distribution of essential commodities by 19 nongovernment and private entities; creating s. 20 526.143, F.S.; providing that each motor fuel 21 terminal facility and wholesaler that sells 22 motor fuel in the state must be capable of 23 operating its distribution loading racks using 24 an alternate power source for a specified 25 period by a certain date; providing 26 requirements with respect to the operation of 27 such equipment following a major disaster; 28 providing requirements with respect to 29 inspection of such equipment; requiring newly 30 constructed or substantially renovated motor 31 fuel retail outlets to be capable of operation 55 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 using an alternate power source; defining 2 "substantially renovated"; requiring certain 3 motor fuel retail outlets located within a 4 specified distance from an interstate highway 5 or state or federally designated evacuation 6 route to be capable of operation using an 7 alternate power source by a specified date; 8 providing inspection and recordkeeping 9 requirements; providing applicability; creating 10 s. 526.144, F.S.; creating the Florida Disaster 11 Motor Fuel Supplier Program within the 12 Department of Community Affairs; providing 13 requirements for participation in the program; 14 providing that participation in the program 15 shall be at the option of each county; 16 providing for administration of the program; 17 providing requirements of businesses certified 18 as State Emergency Response Team members; 19 providing for preemption to the state of the 20 regulation of and requirements for siting and 21 placement of an alternate power source and any 22 related equipment at motor fuel terminal 23 facilities, wholesalers, and retail sales 24 outlets; providing for preemption to the state 25 of the regulation of certain retail 26 establishments; providing for review of the 27 program; providing a report; amending s. 28 501.160, F.S., providing limiting price gouge 29 prohibition periods; providing prohibition 30 period renewal; amending s. 553.509, F.S., 31 relating to requirements with respect to 56 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 vertical accessibility under part II of ch. 2 553, F.S., the "Florida Americans With 3 Disabilities Accessibility Implementation Act"; 4 requiring specified existing and newly 5 constructed residential multifamily dwellings 6 to have at least one public elevator that is 7 capable of operating on an alternate power 8 source for emergency purposes; providing 9 requirements with respect to the alternate 10 power source; providing for verification of 11 compliance by specified dates; providing 12 requirements with respect to emergency 13 operations plans and inspection records; 14 requiring any person, firm, or corporation that 15 owns, manages or operates specified multistory 16 affordable residential dwellings to attempt to 17 obtain grant funding to comply with the act; 18 requiring an owner, manager or operator of such 19 a dwelling to develop an evacuation plan in the 20 absence of compliance with the act; providing 21 additional inspection requirements under ch. 22 399, F.S., the "Elevator Safety Act"; amending 23 s. 252.35, F.S.; expanding the duty of the 24 Division of Emergency Management to conduct a 25 public educational campaign on emergency 26 preparedness issues; expanding the duty of the 27 Division of Emergency Management to create and 28 maintain lists of emergency generators; 29 providing an additional duty of the division 30 with respect to educational outreach concerning 31 disaster preparedness; providing an 57 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 appropriation to the Department of Community 2 Affairs to conduct a feasibility study; 3 providing severability; amending s. 252.355, 4 F.S.; specifying additional entities and 5 agencies that are required to provide 6 registration information to persons with 7 disabilities or special needs for purposes of 8 inclusion within the registry of persons with 9 special needs maintained by local emergency 10 management agencies; providing that the 11 Department of Community Affairs is the 12 designated lead agency responsible for 13 community education and outreach to the general 14 public, including persons with special needs, 15 regarding registration as a person with special 16 needs, special needs shelters, and general 17 information regarding shelter stays; providing 18 that special needs shelters must allow persons 19 with special needs to bring service animals 20 into special needs shelters; revising 21 provisions with respect to the required 22 notification of residential utility customers 23 of the availability of the special needs 24 registration program; providing that specified 25 confidential and exempt information relating to 26 the roster of persons with special needs in 27 special needs shelters be provided to local law 28 enforcement; creating s. 252.3568, F.S.; 29 requiring the Division of Emergency Management 30 to address strategies for the evacuation of 31 persons with pets in the shelter component of 58 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 the state comprehensive emergency management 2 plan; creating s. 252.357, F.S.; requiring the 3 Florida Comprehensive Emergency Management Plan 4 to permit the Agency for Health Care 5 Administration to make initial contact with 6 each nursing home and assisted living facility 7 in a disaster area; requiring the agency to 8 annually publish an emergency telephone number 9 that may be used by nursing homes and assisted 10 living facilities to contact the agency; 11 amending s. 252.385, F.S., relating to public 12 shelter space; requiring the Division of 13 Emergency Management of the Department of 14 Community Affairs to biennially prepare and 15 submit a statewide emergency shelter plan to 16 the Governor and the Cabinet for approval; 17 providing plan requirements; requiring the 18 Department of Health to provide specified 19 assistance to the division; revising the list 20 of those facilities that are excluded as being 21 suitable for use as public hurricane evacuation 22 shelters; requiring local emergency management 23 agencies to coordinate with public facilities 24 to determine readiness prior to activation; 25 amending s. 381.0303, F.S.; providing for the 26 operation of special needs shelters; providing 27 that local Children's Medical Services offices 28 shall assume lead responsibility for specified 29 coordination with respect to the development of 30 a plan for the staffing and medical management 31 of pediatric special needs shelters; requiring 59 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 that such plans conform to the local 2 comprehensive emergency management plan; 3 requiring county governments to assist the 4 Department of Health with nonmedical staffing 5 and operation of special needs shelters; 6 requiring county health departments and 7 emergency management agencies to coordinate 8 such efforts to ensure appropriate staffing; 9 providing that the appropriate county health 10 department, Children's Medical Services office, 11 and local emergency management agency shall 12 jointly determine the responsibility for 13 medical supervision in a special needs shelter; 14 providing notification requirements; requiring 15 the emergency management agency and the local 16 health department to coordinate efforts to 17 ensure appropriate designation, operation, and 18 closure of special needs shelters; requiring 19 the Secretary of Elderly Affairs to convene 20 multiagency special needs shelter discharge 21 planning teams to assist local areas that are 22 severely impacted by a natural or manmade 23 disaster that requires the use of special needs 24 shelters; providing duties and responsibilities 25 of such discharge planning teams; providing for 26 the inclusion of specified state agency 27 representatives on each discharge planning 28 team; revising provisions relating to 29 reimbursement of health care practitioners; 30 providing for eligibility of specified health 31 care facilities for reimbursement when a 60 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 multiagency special needs shelter discharge 2 planning team discharges persons with special 3 needs to such receiving facilities; providing 4 procedures and requirements with respect to 5 such reimbursement; requiring the department to 6 specify by rule expenses that are reimbursable 7 and the rate of reimbursement for services; 8 revising provisions that prescribe means of and 9 procedures for reimbursement; disallowing 10 specified reimbursements; revising provisions 11 with respect to the organization, role, duties, 12 and composition of the special needs shelter 13 interagency committee; requiring the department 14 to adopt specified rules with respect to 15 special needs shelters; amending ss. 400.492, 16 400.497, 400.506, 400.610, and 400.934, F.S.; 17 revising requirements with respect to the 18 comprehensive emergency management plans of 19 home health agencies, nurse registries, and 20 hospices, and providing requirements with 21 respect to home medical equipment providers, to 22 include the means by which continuing services 23 will be provided to patients who evacuate to 24 special needs shelters; authorizing the 25 establishment of links to local emergency 26 operations centers for specified purposes; 27 revising requirements of a county health 28 department with respect to review of a 29 comprehensive emergency management plan 30 submitted by a home health agency, nurse 31 registry, or hospice; providing requirements 61 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 upon failure to submit a plan or requested 2 information to the department; providing for 3 imposition of a fine; revising requirements of 4 the Department of Health with respect to review 5 of the plan of a home health agency or hospice 6 that operates in more than one county; 7 providing that the preparation and maintenance 8 of a comprehensive emergency management plan by 9 a home medical equipment provider is a 10 requirement for licensure and must meet minimum 11 criteria established by the Agency for Health 12 Care Administration; providing plan 13 requirements; providing that the plan is 14 subject to review and approval by the county 15 health department; requiring each home medical 16 equipment provider to maintain a current 17 prioritized list of patients who need continued 18 services during an emergency; amending s. 19 400.925, F.S.; defining "life-supporting or 20 life-sustaining equipment" for purposes of part 21 X of ch. 400, F.S., relating to home medical 22 equipment providers; amending s. 400.935, F.S.; 23 requiring the Agency for Health Care 24 Administration to adopt rules with respect to 25 the comprehensive emergency management plan 26 prepared by a home medical equipment services 27 provider; amending s. 408.831, F.S.; providing 28 that entities regulated or licensed by the 29 Agency for Health Care Administration may 30 exceed their licensed capacity to act as 31 receiving facilities under specified 62 4:30 PM 05/01/06 h712104e1d-36-ta1
Florida Senate - 2006 SENATOR AMENDMENT Bill No. HB 7121, 1st Eng. Barcode 500730 1 circumstances; providing requirements while 2 such entities are in an overcapacity status; 3 providing for issuance of an inactive license 4 to such licensees under specified conditions; 5 providing requirements and procedures with 6 respect to the issuance and reactivation of an 7 inactive license; providing fees; requiring 8 certain health insurance companies to waive 9 restrictions on filling prescriptions during a 10 declared State of Emergency; providing 11 effective dates. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 63 4:30 PM 05/01/06 h712104e1d-36-ta1