Senate Bill sb7084pb
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
FOR CONSIDERATION By the Committee on Children, Families, and
Elder Affairs
586-1468A-07
1 A bill to be entitled
2 An act relating to mental health and substance
3 abuse services; creating s. 394.4996, F.S.;
4 authorizing the Department of Children and
5 Family Services to establish facilities that
6 provide services as an integrated adult mental
7 health crisis stabilization unit and substance
8 abuse addiction receiving facility; requiring
9 licensure; providing eligibility criteria for
10 treatment services; requiring the department to
11 adopt rules; amending s. 409.906, F.S.;
12 eliminating the requirement that providers of
13 mental health or substance abuse services must
14 be under contract with the department; amending
15 s. 766.101, F.S.; adding the department as a
16 medical review committee to evaluate the
17 provision of mental health services provided in
18 certain facilities; providing an effective
19 date.
20
21 Be It Enacted by the Legislature of the State of Florida:
22
23 Section 1. Section 394.4996, Florida Statutes, is
24 created to read:
25 394.4996 Integrated adult mental health crisis
26 stabilization and substance abuse addiction receiving
27 facilities.--
28 (1) Beginning July 1, 2007, the Department of Children
29 and Family Services, in consultation with the Agency for
30 Health Care Administration, is authorized to establish
31 facilities that integrate services provided in an adult mental
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
586-1468A-07
1 health crisis stabilization unit with services provided in a
2 substance abuse addiction receiving facility. The facilities
3 providing such integrated services shall be licensed as an
4 adult crisis stabilization unit as provided under part IV, and
5 shall meet all licensure requirements for such units.
6 (2) An integrated mental health crisis stabilization
7 unit and substance abuse addiction receiving facility may
8 provide services under this section to adults, 18 years of age
9 or older, who fall into one or more of the following
10 categories:
11 (a) An adult meeting the requirements for voluntary
12 admission for mental health treatment under s. 394.4625.
13 (b) An adult meeting the criteria for involuntary
14 examination for mental illness under s. 394.463.
15 (c) An adult qualifying for voluntary admission for
16 substance abuse treatment under s. 397.601.
17 (d) An adult meeting the criteria for involuntary
18 admission for substance abuse impairment under s. 397.675.
19 (3) The department, in consultation with the agency,
20 shall adopt by rule standards that address eligibility
21 criteria; clinical procedures; staffing requirements;
22 operational, administrative, and financing requirements; and
23 the investigation of complaints. Standards that are
24 implemented specific to substance abuse treatment services
25 shall meet or exceed existing standards for addiction
26 receiving facilities.
27 Section 2. Paragraph (a) of subsection (8) of section
28 409.906, Florida Statutes, is amended to read:
29 409.906 Optional Medicaid services.--Subject to
30 specific appropriations, the agency may make payments for
31 services which are optional to the state under Title XIX of
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
586-1468A-07
1 the Social Security Act and are furnished by Medicaid
2 providers to recipients who are determined to be eligible on
3 the dates on which the services were provided. Any optional
4 service that is provided shall be provided only when medically
5 necessary and in accordance with state and federal law.
6 Optional services rendered by providers in mobile units to
7 Medicaid recipients may be restricted or prohibited by the
8 agency. Nothing in this section shall be construed to prevent
9 or limit the agency from adjusting fees, reimbursement rates,
10 lengths of stay, number of visits, or number of services, or
11 making any other adjustments necessary to comply with the
12 availability of moneys and any limitations or directions
13 provided for in the General Appropriations Act or chapter 216.
14 If necessary to safeguard the state's systems of providing
15 services to elderly and disabled persons and subject to the
16 notice and review provisions of s. 216.177, the Governor may
17 direct the Agency for Health Care Administration to amend the
18 Medicaid state plan to delete the optional Medicaid service
19 known as "Intermediate Care Facilities for the Developmentally
20 Disabled." Optional services may include:
21 (8) COMMUNITY MENTAL HEALTH SERVICES.--
22 (a) The agency may pay for rehabilitative services
23 provided to a recipient by a mental health or substance abuse
24 provider under contract with the agency or the Department of
25 Children and Family Services to provide such services. Those
26 services which are psychiatric in nature shall be rendered or
27 recommended by a psychiatrist, and those services which are
28 medical in nature shall be rendered or recommended by a
29 physician or psychiatrist. The agency must develop a provider
30 enrollment process for community mental health providers which
31 bases provider enrollment on an assessment of service need.
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
586-1468A-07
1 The provider enrollment process shall be designed to control
2 costs, prevent fraud and abuse, consider provider expertise
3 and capacity, and assess provider success in managing
4 utilization of care and measuring treatment outcomes.
5 Providers will be selected through a competitive procurement
6 or selective contracting process. In addition to other
7 community mental health providers, the agency shall consider
8 for enrollment of mental health programs licensed under
9 chapter 395 and group practices licensed under chapter 458,
10 chapter 459, chapter 490, or chapter 491. The agency is also
11 authorized to continue operation of its behavioral health
12 utilization management program and may develop new services if
13 these actions are necessary to ensure savings from the
14 implementation of the utilization management system. The
15 agency shall coordinate the implementation of this enrollment
16 process with the Department of Children and Family Services
17 and the Department of Juvenile Justice. The agency is
18 authorized to utilize diagnostic criteria in setting
19 reimbursement rates, to preauthorize certain high-cost or
20 highly utilized services, to limit or eliminate coverage for
21 certain services, or to make any other adjustments necessary
22 to comply with any limitations or directions provided for in
23 the General Appropriations Act.
24 Section 3. Subsection (1) of section 766.101, Florida
25 Statutes, is amended to read:
26 766.101 Medical review committee, immunity from
27 liability.--
28 (1) As used in this section:
29 (a) The term "medical review committee" or "committee"
30 means:
31
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
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1 1.a. A committee of a hospital or ambulatory surgical
2 center licensed under chapter 395 or a health maintenance
3 organization certificated under part I of chapter 641;,
4 b. A committee of a physician-hospital organization, a
5 provider-sponsored organization, or an integrated delivery
6 system;,
7 c. A committee of a state or local professional
8 society of health care providers;,
9 d. A committee of a medical staff of a licensed
10 hospital or nursing home, provided the medical staff operates
11 pursuant to written bylaws that have been approved by the
12 governing board of the hospital or nursing home;,
13 e. A committee of the Department of Corrections or the
14 Correctional Medical Authority as created under s. 945.602, or
15 employees, agents, or consultants of either the department or
16 the authority or both;,
17 f. A committee of a professional service corporation
18 formed under chapter 621 or a corporation organized under
19 chapter 607 or chapter 617, which is formed and operated for
20 the practice of medicine as defined in s. 458.305(3), and
21 which has at least 25 health care providers who routinely
22 provide health care services directly to patients;,
23 g. A committee of employees, agents, or consultants of
24 the Department of Children and Family Services conducting peer
25 review, utilization review, and mortality review of mental
26 health treatment services provided to persons served under
27 chapter 394;
28 h.g. A committee of a mental health treatment facility
29 licensed under chapter 394 or a community mental health center
30 as defined in s. 394.907, provided the quality assurance
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
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1 program operates pursuant to the guidelines which have been
2 approved by the governing board of the agency;,
3 i.h. A committee of a substance abuse treatment and
4 education prevention program licensed under chapter 397
5 provided the quality assurance program operates pursuant to
6 the guidelines which have been approved by the governing board
7 of the agency;,
8 j.i. A peer review or utilization review committee
9 organized under chapter 440;,
10 k.j. A committee of the Department of Health, a county
11 health department, healthy start coalition, or certified rural
12 health network, when reviewing quality of care, or employees
13 of these entities when reviewing mortality records;, or
14 l.k. A continuous quality improvement committee of a
15 pharmacy licensed pursuant to chapter 465,
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17 which committee is formed to evaluate and improve the quality
18 of health care rendered by providers of health service or to
19 determine that health services rendered were professionally
20 indicated or were performed in compliance with the applicable
21 standard of care or that the cost of health care rendered was
22 considered reasonable by the providers of professional health
23 services in the area; or
24 2. A committee of an insurer, self-insurer, or joint
25 underwriting association of medical malpractice insurance, or
26 other persons conducting review under s. 766.106.
27 (b) The term "health care providers" means physicians
28 licensed under chapter 458, osteopathic physicians licensed
29 under chapter 459, podiatric physicians licensed under chapter
30 461, optometrists licensed under chapter 463, dentists
31 licensed under chapter 466, chiropractic physicians licensed
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Florida Senate - 2007 (PROPOSED COMMITTEE BILL) SPB 7084
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1 under chapter 460, pharmacists licensed under chapter 465, or
2 hospitals or ambulatory surgical centers licensed under
3 chapter 395, community mental health center as defined in s.
4 394.455, or a facility licensed under s. 394.875.
5 Section 4. This act shall take effect upon becoming a
6 law.
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9 SENATE SUMMARY
10 The bill addresses the provision of mental health and
substance abuse services by the Department of Children
11 and Family Services. Provides for the establishment of
facilities that provide integrated adult mental health
12 crisis stabilization and substance abuse addiction
receiving facility services. Requires the licensure of
13 such facilities by the Agency for Health Care
Administration. Provides eligibility criteria for persons
14 served by the facilities. Requires the department to
adopt rules establishing standards and procedures to
15 regulate such facilities. Eliminates the requirement that
mental health or substance abuse providers be under
16 contract with the department. Adds the department as a
medical review committee to evaluate the provision of
17 mental health services provided in certain facilities.
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