Florida Senate - 2009 SB 330 By Senator Wilson 33-00065-09 2009330__ 1 A bill to be entitled 2 An act relating to school health services; creating s. 3 381.0058, F.S., relating to public-private 4 partnerships for the provision of school nurse 5 services; providing legislative intent and purpose; 6 providing duties of the Department of Health and the 7 Department of Education; providing a process for a 8 community to submit a proposal to receive matching 9 funds; providing for the scope of services to be 10 provided; providing review and selection criteria; 11 providing legislative intent relating to funding 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, One 18 Nurse Act.” 19 Section 2. Section 381.0058, Florida Statutes, is created 20 to read: 21 381.0058 Matching funds for school nurse services; public 22 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 the 31 greatest potential for promoting the health of students, 32 increasing the availability of and access to nurses in the 33 school setting, and fostering greater community participation in 34 the delivery of school nurse services. Matching funds shall be 35 available specifically for implementing the programs described 36 in ss. 381.0056, 381.0057, and 402.3026 which are designed to 37 meet the particular needs of the community. Further, it is the 38 intent of the Legislature that tobacco-settlement revenue be 39 used to pay for health and human services for children. 40 (2) The State Surgeon General, or his or her designee, in 41 cooperation with the Commissioner of Education, or his or her 42 designee, shall publicize the availability of matching funds for 43 public and private entities committed to enhancing the 44 availability of school nurse services, as reflected in formal 45 agreements that are part of the local school health services 46 plan. 47 (3) The State Surgeon General, or his or her designees, in 48 cooperation with the Commissioner of Education, or his or her 49 designees, in equal representation, shall form a committee to 50 determine the eligibility of sites to receive matching funds. 51 (4) Any community that seeks to receive state matching 52 funds under this section must submit a proposal to the committee 53 established in subsection (3). The proposal must state the goals 54 of the program, provide specific plans for enhancing local 55 resources available for school nurse services, and describe all 56 of the health services to be made available to students from 57 matching funds provided under this section. A county health 58 department or school district that receives matching funds may 59 not supplant more than 50 percent of the current local 60 contributions to school health services funding, as documented 61 in the local school health services plan. 62 (5) In addition to the merits of a proposal, the award of 63 matching funds must be based on those proposals from sites that 64 include county health departments and school districts that most 65 closely meet the following criteria: 66 (a) Have evidence of a comprehensive inservice staff 67 development plan. 68 (b) Have evidence of a cooperative working relationship 69 between the county health department and the school district, 70 and have community as well as parental support. 71 (c) Have a high percentage of subsidized school lunches. 72 (d) Have a high incidence of medically underserved high 73 risk children, low-birthweight babies, infant mortality, or 74 teenage pregnancy. 75 (e) Have a high incidence of children who have chronic 76 health conditions or high-risk behavioral problems. 77 (f) Have documented in the local school health services 78 plan a commitment from community entities to fund or provide 79 other direct resources for the enhanced availability of school 80 health services. 81 (g) Have a plan to ensure billing for Medicaid funding for 82 services rendered under the certified school match program or 83 the county health department certified match program as 84 specified in s. 409.9122. 85 Although these criteria are part of the review process for 86 proposals, they are not to be construed as the sole factors to 87 be considered in the proposal-review process. A site's ability 88 to address, and interest in addressing, locally identified needs 89 and priorities must also be considered. In addition, receipt of 90 matching funds is not intended to diminish a site's eligibility 91 for base funding for school health services. 92 Section 3. It is the intent of the Legislature that 93 sufficient resources be made available to fund a nurse in every 94 public school in the state as provided in this act. The 95 Legislature recognizes that extensive resources will be 96 necessary to achieve this intent, and that a portion of these 97 resources can be found from a variety of existing resources. The 98 Legislature recognizes that existing funding for basic and 99 comprehensive school health services and full-service schools, 100 as created under ss. 381.0056 and 381.0057, Florida Statutes, 101 can be used as partial funding. The Legislature further 102 recognizes that funding earned by local school districts and 103 county health departments from the Agency for Health Care 104 Administration for the delivery of services to Medicaid-eligible 105 students can also be used as partial funding. Finally, the 106 Legislature recognizes that local funds currently being used for 107 school health services are now eligible for matching funds under 108 the school nurse services provided through public-private 109 partnerships as created by this act. It is the intent of the 110 Legislature that the remainder of resources necessary for 111 placing a nurse in every school be derived from the state's 112 tobacco-settlement revenue. 113 Section 4. The sum of $75,000 is appropriated from the 114 General Revenue Fund to the Department of Health for the purpose 115 of convening a school health summit as recommended by Senate 116 Interim Project Report 98-30, September 1998. 117 Section 5. This act shall take effect July 1, 2009.