Senate Bill sb0418c1

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2007                            CS for SB 418

    By the Committee on Health Policy; and Senator Wilson





    587-1910-07

  1                      A bill to be entitled

  2         An act relating to school health services;

  3         creating s. 381.0058, F.S., relating to

  4         public-private partnerships for the provision

  5         of school nurse services; providing legislative

  6         intent and purpose; providing departmental

  7         duties; providing a process for proposal

  8         submission and review; providing for the scope

  9         of services to be provided; providing for

10         review and selection criteria; providing

11         legislative intent relating to funding of the

12         act; providing an appropriation; providing an

13         effective date.

14  

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

16  

17         Section 1.  This act may be cited as the "One School,

18  One Nurse Act."

19         Section 2.  Section 381.0058, Florida Statutes, is

20  created to read:

21         381.0058  Matching funds for school nurse services;

22  public-private partnerships.--

23         (1)  It is the intent of the Legislature that matching

24  funds, in addition to those provided under s. 381.0056 for the

25  School Health Services Act and s. 381.0057 for school health

26  services funding, be provided in those communities where

27  interest in school health services is evidenced by the

28  participation of public or private entities in the funding or

29  delivery of school nurse services. The purpose of this funding

30  is to encourage the development of those programs that offer

31  the greatest potential for promoting the health of students,

                                  1

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2007                            CS for SB 418
    587-1910-07




 1  increasing the availability of and access to nurses in the

 2  school setting, and fostering greater community participation

 3  in the delivery of school nurse services. Matching funds shall

 4  be available specifically for implementing the programs

 5  described in ss. 381.0056, 381.0057, and 402.3026 which are

 6  designed to meet the particular needs of the community.

 7  Further, it is the intent of the Legislature that

 8  tobacco-settlement revenue be used to pay for health and human

 9  services for children.

10         (2)  The Secretary of Health, or his or her designee,

11  in cooperation with the Commissioner of Education, or his or

12  her designee, shall publicize the availability of matching

13  funds for public and private entities committed to enhancing

14  the availability of school nurse services, as reflected in

15  formal agreements that are part of the local school health

16  services plan.

17         (3)  The Secretary of Health, or his or her designees,

18  in cooperation with the Commissioner of Education, or his or

19  her designees, in equal representation, shall form a committee

20  to determine the eligibility of sites to receive matching

21  funds.

22         (4)  Any community that seeks to receive state matching

23  funds under this section must submit a proposal to the

24  committee established in subsection (3). The proposal must

25  state the goals of the program, provide specific plans for

26  enhancing local resources available for school nurse services,

27  and describe all of the health services to be made available

28  to students from matching funds provided under this section. A

29  county health department or school district that receives

30  matching funds may not supplant more than 50 percent of the

31  

                                  2

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2007                            CS for SB 418
    587-1910-07




 1  current local contributions to school health services funding,

 2  as documented in the local school health services plan.

 3         (5)  In addition to the merits of a proposal, the award

 4  of matching funds must be based on those proposals from sites

 5  that include county health departments and school districts

 6  that most closely meet the following criteria:

 7         (a)  Have evidence of a comprehensive inservice staff

 8  development plan.

 9         (b)  Have evidence of a cooperative working

10  relationship between the county health department and the

11  school district and have community, as well as parental,

12  support.

13         (c)  Have a high percentage of subsidized school

14  lunches.

15         (d)  Have a high incidence of medically underserved

16  high-risk children, low-birthweight babies, infant mortality,

17  or teenage pregnancy.

18         (e)  Have a high incidence of children who have chronic

19  health conditions or high-risk behavioral problems.

20         (f)  Have documented in the local school health

21  services plan a commitment from community entities to fund or

22  provide other direct resources for the enhanced availability

23  of school health services.

24         (g)  Have a plan to ensure billing for Medicaid funding

25  for services rendered under the certified school match program

26  or the county health department certified match program as

27  specified in s. 409.9122.

28  

29  Although these criteria are part of the review process for

30  proposals, they are not to be construed as the sole factors to

31  be considered in the proposal-review process. A site's ability

                                  3

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2007                            CS for SB 418
    587-1910-07




 1  to address, and interest in addressing, locally identified

 2  needs and priorities must also be considered. In addition,

 3  receipt of matching funds is not intended to diminish a site's

 4  eligibility for base funding for school health services.

 5         Section 3.  It is the intent of the Legislature that

 6  sufficient resources be made available to fund a nurse in

 7  every public school in the state, pursuant to this act. The

 8  Legislature recognizes that extensive resources will be

 9  necessary to achieve this intent, and that a portion of these

10  resources can be found from a variety of existing resources.

11  The Legislature recognizes that existing funding for basic and

12  comprehensive school health services and full-service schools,

13  as created under ss. 381.0056 and 381.0057, Florida Statutes,

14  can be used as partial funding. The Legislature further

15  recognizes that funding earned by local school districts and

16  county health departments from the Agency for Health Care

17  Administration from the delivery of services to

18  Medicaid-eligible students can also be used as partial

19  funding. Finally, the Legislature recognizes that another

20  source of funding is local funding currently being used for

21  school health services, which can now be eligible for matching

22  funds under school nurse services provided through

23  public-private partnerships as created by this act. It is the

24  intent of the Legislature that the remainder of resources

25  necessary for placing a nurse in every school be derived from

26  the state's tobacco-settlement revenue.

27         Section 4.  The sum of $75,000 is appropriated from the

28  General Revenue Fund to the Department of Health for the

29  purpose of convening a school health summit as recommended by

30  Senate Interim Project Report 98-30, September 1998.

31         Section 5.  This act shall take effect July 1, 2007.

                                  4

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2007                            CS for SB 418
    587-1910-07




 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 418

 3                                 

 4  The bill no longer modifies current sovereign immunity
    provisions of the School Health Services Act or extends the
 5  state's sovereign immunity to certain providers who are
    rendering school health services under specified conditions.
 6  

 7  

 8  

 9  

10  

11  

12  

13  

14  

15  

16  

17  

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

                                  5

CODING: Words stricken are deletions; words underlined are additions.