Florida Senate - 2008 (Reformatted) SB 176

By Senator Wilson

33-00080-08 2008176__

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A bill to be entitled

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An act relating to school health services; creating s.

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381.0058, F.S., relating to public-private partnerships

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for the provision of school nurse services; providing

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legislative intent and purpose; providing duties of the

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Department of Health and the Department of Education;

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providing a process for proposal submission and review;

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providing for the scope of services to be provided;

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providing for review and selection criteria; providing

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legislative intent relating to funding of the act;

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providing an appropriation; providing an effective date.

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

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

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Nurse Act."

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     Section 2.  Section 381.0058, Florida Statutes, is created

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to read:

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     381.0058 Matching funds for school nurse services; public-

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private partnerships.--

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

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

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School Health Services Act and s. 381.0057 for school health

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services funding, be provided in those communities where interest

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in school health services is evidenced by the participation of

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public or private entities in the funding or delivery of school

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nurse services. The purpose of this funding is to encourage the

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development of those programs that offer the greatest potential

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for promoting the health of students, increasing the availability

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of and access to nurses in the school setting, and fostering

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greater community participation in the delivery of school nurse

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services. Matching funds shall be available specifically for

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implementing the programs described in ss. 381.0056, 381.0057,

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and 402.3026 which are designed to meet the particular needs of

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the community. Further, it is the intent of the Legislature that

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

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services for children.

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

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cooperation with the Commissioner of Education, or his or her

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designee, shall publicize the availability of matching funds for

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public and private entities committed to enhancing the

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availability of school nurse services, as reflected in formal

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agreements that are part of the local school health services

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plan.

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

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cooperation with the Commissioner of Education, or his or her

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designees, in equal representation, shall form a committee to

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determine the eligibility of sites to receive matching funds.

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     (4) Any community that seeks to receive state matching

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funds under this section must submit a proposal to the committee

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established in subsection (3). The proposal must state the goals

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of the program, provide specific plans for enhancing local

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resources available for school nurse services, and describe all

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of the health services to be made available to students from

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matching funds provided under this section. A county health

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department or school district that receives matching funds may

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not supplant more than 50 percent of the current local

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contributions to school health services funding, as documented in

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the local school health services plan.

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

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matching funds must be based on those proposals from sites that

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include county health departments and school districts that most

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closely meet the following criteria:

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     (a) Have evidence of a comprehensive inservice staff

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development plan.

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     (b) Have evidence of a cooperative working relationship

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between the county health department and the school district and

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have community, as well as parental, support.

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     (c) Have a high percentage of subsidized school lunches.

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     (d) Have a high incidence of medically underserved high-

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risk children, low-birthweight babies, infant mortality, or

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teenage pregnancy.

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

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health conditions or high-risk behavioral problems.

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     (f) Have documented in the local school health services

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plan a commitment from community entities to fund or provide

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other direct resources for the enhanced availability of school

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health services.

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

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services rendered under the certified school match program or the

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county health department certified match program as specified in

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s. 409.9122.

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Although these criteria are part of the review process for

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

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

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address, and interest in addressing, locally identified needs and

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priorities must also be considered. In addition, receipt of

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matching funds is not intended to diminish a site's eligibility

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for base funding for school health services.

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     Section 3. It is the intent of the Legislature that

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sufficient resources be made available to fund a nurse in every

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public school in the state as provided in this act. The

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Legislature recognizes that extensive resources will be necessary

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to achieve this intent, and that a portion of these resources can

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be found from a variety of existing resources. The Legislature

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recognizes that existing funding for basic and comprehensive

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school health services and full-service schools, as created under

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ss. 381.0056 and 381.0057, Florida Statutes, can be used as

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partial funding. The Legislature further recognizes that funding

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earned by local school districts and county health departments

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from the Agency for Health Care Administration from the delivery

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of services to Medicaid-eligible students can also be used as

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partial funding. Finally, the Legislature recognizes that another

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source of funding is local funding currently being used for

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school health services, which can now be eligible for matching

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funds under school nurse services provided through public-private

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partnerships as created by this act. It is the intent of the

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Legislature that the remainder of resources necessary for placing

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a nurse in every school be derived from the state's tobacco-

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settlement revenue.

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

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General Revenue Fund to the Department of Health for the purpose

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of convening a school health summit as recommended by Senate

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Interim Project Report 98-30, September 1998.

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     Section 5.  This act shall take effect July 1, 2008.

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