CS/HB 51

A bill to be entitled
2An act relating to transitional services for young adults
3with disabilities; creating the Health and Transition
4Services Program; assigning the program for administrative
5purposes to Children's Medical Services in the Department
6of Health; authorizing the department to enter into
7certain contracts, contingent upon an appropriation;
8providing purposes of the program; delineating the target
9population; describing participating service providers and
10the services that they are to provide; creating an
11operational site in a designated locality in the state;
12providing for expansion of program sites; providing for an
13evaluation of the program; providing an effective date.
15Be It Enacted by the Legislature of the State of Florida:
17     Section 1.  Health and Transition Services Program;
18creation; purposes; participating agencies and services
19provided; evaluation.--
20     (1)  A Health and Transition Services Program is created
21for the purpose of assisting adolescents and young adults who
22have chronic special health care needs in making a smooth
23transition from the child health care and educational systems to
24the adult health care system and to employment.
25     (2)  For administrative purposes, the program is located in
26Children's Medical Services in the Department of Health. The
27department may enter into contracts, contingent upon a specific
28appropriation provided in the General Appropriations Act for
29this purpose, with local health and transition services programs
30that meet the requirements of this act.
31     (3)  The target population for the program consists of
32persons who are 14 through 26 years of age and who have chronic
33special health care needs.
34     (4)  The program structure and design must be adapted to
35the needs of the local community and health services delivery
36system; however, the following elements should be in place in
37order to ensure the success of a local health and transition
38services program:
39     (a)  A consultative partnership between adult and pediatric
40health care providers in a major medical health care
41organization or academic medical setting for the purpose of
42training and transferring adolescents and young adults to adult
43health care services.
44     (b)  A primary care clinic established in a major medical
45health care organization for the purpose of fostering a
46partnership between adult and pediatric health care providers.
47     (c)  Community-based health care services that are provided
48under agreements with major health care organizations or
49academic medical centers for the purpose of providing
50consultation concerning the management of special health care
52     (d)  Community-based support organizations that can provide
53assistance with services such as supported living and
54employment, health insurance, and support services to maintain
55the young adult in the community.
56     (5)  The following services may be offered by the local
57health and transition services program to individuals who are
58served in the local health and transition services program:
59     (a)  An assessment of health needs, educational and
60vocational status and needs, and health insurance status.
61     (b)  In coordination with the educational system,
62community-based organizations, and the vocational system, a plan
63for transition which includes adult health care services,
64education, habilitative services, independent living, adult
65employment, and health insurance.
66     (c)  A medical home that provides for coordinated and
67multidisciplinary care and focuses on engaging adult health care
68providers in the care and treatment of adolescents or young
70     (d)  Disease self-management programs.
71     (6)  The local health and transition services program must
72be directed by a medical director having experience in
73adolescent health. A project coordinator shall assist the
74medical director in developing and implementing the program.
75Other staff may be included in order to provide a full range of
76health and transition services.
77     (7)  There may be up to 11 sites statewide, with the
78Jacksonville program (JaxHATS) being the first site. Each
79additional site must be organized in a substantially similar
80manner as the JaxHATS program and have flexibility with regard
81to staffing and costs in rural areas of the state.
82     (8)  The local health and transition services program must
83be evaluated by an organization or university that has expertise
84and experience in evaluating health care programs. The
85evaluation must be formative and cumulative and must include
86program process and outcome measures as well as client outcomes.
87The results of the evaluation may be used to improve and develop
88other local health and transition services programs.
89     Section 2.  This act shall take effect July 1, 2007.

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