Florida Senate - 2010                                    SB 1278
       
       
       
       By Senator Wilson
       
       
       
       
       33-00947-10                                           20101278__
    1                        A bill to be entitled                      
    2         An act relating to school health services; providing a
    3         short title; creating s. 381.0058, F.S., relating to
    4         public-private partnerships for the provision of
    5         school nurse services; providing legislative intent
    6         and purpose; providing duties of the State Surgeon
    7         General and the Commissioner of Education in
    8         publicizing the availability of matching funds and
    9         determining eligibility for such funds; providing a
   10         process for a community to submit a proposal to
   11         receive matching funds; providing for the scope of
   12         services to be provided; providing review and
   13         selection criteria; providing legislative intent
   14         relating to funding the act; providing an
   15         appropriation; providing an effective date.
   16  
   17  Be It Enacted by the Legislature of the State of Florida:
   18  
   19         Section 1. This act may be cited as the “One School, One
   20  Nurse Act.”
   21         Section 2. Section 381.0058, Florida Statutes, is created
   22  to read:
   23         381.0058 Matching funds for school nurse services; public
   24  private partnerships.—
   25         (1) It is the intent of the Legislature that matching
   26  funds, in addition to those provided under s. 381.0056 for the
   27  School Health Services Act and s. 381.0057 for school health
   28  services funding, be provided in those communities where
   29  interest in school health services is evidenced by the
   30  participation of public or private entities in the funding or
   31  delivery of school nurse services. The purpose of this funding
   32  is to encourage the development of those programs that offer the
   33  greatest potential for promoting the health of students,
   34  increasing the availability of and access to nurses in the
   35  school setting, and fostering greater community participation in
   36  the delivery of school nurse services. Matching funds shall be
   37  available specifically for implementing the programs described
   38  in ss. 381.0056, 381.0057, and 402.3026 which are designed to
   39  meet the particular needs of the community. Further, it is the
   40  intent of the Legislature that tobacco-settlement revenue be
   41  used to pay for health and human services for children.
   42         (2) The State Surgeon General, or his or her designee, in
   43  cooperation with the Commissioner of Education, or his or her
   44  designee, shall publicize the availability of matching funds for
   45  public and private entities committed to enhancing the
   46  availability of school nurse services, as reflected in formal
   47  agreements that are part of the local school health services
   48  plan.
   49         (3) The State Surgeon General, or his or her designees, in
   50  cooperation with the Commissioner of Education, or his or her
   51  designees, in equal representation, shall form a committee to
   52  determine the eligibility of sites to receive matching funds.
   53         (4) Any community that seeks to receive state matching
   54  funds under this section must submit a proposal to the committee
   55  established in subsection (3). The proposal must state the goals
   56  of the program, provide specific plans for enhancing local
   57  resources available for school nurse services, and describe all
   58  of the health services to be made available to students from
   59  matching funds provided under this section. A county health
   60  department or school district that receives matching funds may
   61  not supplant more than 50 percent of the current local
   62  contributions to school health services funding, as documented
   63  in the local school health services plan.
   64         (5) In addition to the merits of a proposal, the award of
   65  matching funds must be based on those proposals from sites that
   66  include county health departments and school districts that most
   67  closely meet the following criteria:
   68         (a) Have evidence of a comprehensive inservice staff
   69  development plan.
   70         (b) Have evidence of a cooperative working relationship
   71  between the county health department and the school district,
   72  and have community as well as parental support.
   73         (c) Have a high percentage of subsidized school lunches.
   74         (d) Have a high incidence of medically underserved high
   75  risk children, low birthweight babies, infant mortality, or
   76  teenage pregnancy.
   77         (e) Have a high incidence of children who have chronic
   78  health conditions or high-risk behavioral problems.
   79         (f) Have documented in the local school health services
   80  plan a commitment from community entities to fund or provide
   81  other direct resources for the enhanced availability of school
   82  health services.
   83         (g) Have a plan to ensure billing for Medicaid funding for
   84  services rendered under the certified school match program or
   85  the county health department certified match program as
   86  specified in s. 409.9122.
   87  
   88  Although these criteria are part of the review process for
   89  proposals, they are not to be construed as the sole factors to
   90  be considered in the proposal-review process. A site’s ability
   91  to address, and interest in addressing, locally identified needs
   92  and priorities must also be considered. In addition, receipt of
   93  matching funds is not intended to diminish a site’s eligibility
   94  for base funding for school health services.
   95         Section 3. It is the intent of the Legislature that
   96  sufficient resources be made available to fund a nurse in every
   97  public school in the state as provided in this act. The
   98  Legislature recognizes that extensive resources will be
   99  necessary to achieve this intent, and that a portion of these
  100  resources can be found from a variety of existing resources. The
  101  Legislature recognizes that existing funding for basic and
  102  comprehensive school health services and full-service schools,
  103  as created under ss. 381.0056 and 381.0057, Florida Statutes,
  104  can be used as partial funding. The Legislature further
  105  recognizes that funding earned by local school districts and
  106  county health departments from the Agency for Health Care
  107  Administration for the delivery of services to Medicaid-eligible
  108  students can also be used as partial funding. Finally, the
  109  Legislature recognizes that local funds currently being used for
  110  school health services are now eligible for matching funds under
  111  the school nurse services provided through public-private
  112  partnerships as created by this act. It is the intent of the
  113  Legislature that the remainder of resources necessary for
  114  placing a nurse in every school be derived from the state’s
  115  tobacco-settlement revenue.
  116         Section 4. The sum of $75,000 is appropriated from the
  117  General Revenue Fund to the Department of Health for the purpose
  118  of convening a school health summit as recommended by Senate
  119  Interim Project Report 98-30, September 1998.
  120         Section 5. This act shall take effect July 1, 2010.