Florida Senate - 2014                          SENATOR AMENDMENT
       Bill No. CS for SB 1666
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                 Floor: WD/2R          .                                
             04/25/2014 10:48 AM       .                                

       Senator Abruzzo moved the following:
    1         Senate Amendment (with title amendment)
    3         Between lines 3727 and 3728
    4  insert:
    5         Section 49. Work group to improve operational effectiveness
    6  of the Baker Act.—The Department of Children and Families shall
    7  create a work group to evaluate methods to improve the
    8  operational effectiveness of the Baker Act and recommend changes
    9  to existing laws, rules, and agency policies needed to implement
   10  the work group’s recommendations.
   11         (1) At a minimum, the work group shall evaluate and make
   12  recommendations on the following:
   13         (a) The timeframe for initial assessment, including whether
   14  the timeframe should be lengthened.
   15         (b) The use of advanced registered nurse practitioners to
   16  rescind Baker Act commitments.
   17         (c) The use of telemedicine for patient evaluation, case
   18  management, and ongoing care and the recommendation by the
   19  courts on the use of telemedicine to improve management of
   20  patient care and to reduce costs of transportation and public
   21  safety.
   22         (d) The 7-day requirement for followup care and its
   23  applicability to outpatient providers.
   24         (e) Other areas deemed by the work group to improve the
   25  operational effectiveness of the act.
   26         (2) The work group shall consist of the following
   27  stakeholders:
   28         (a) A representative of the Department of Children and
   29  Families, appointed by the department, who shall serve as chair.
   30         (b) Two representatives of public receiving facilities,
   31  including one that provides treatment for substance abuse
   32  disorders, and two representatives of specialty hospitals,
   33  appointed by the Florida Hospital Association.
   34         (c) Two representatives of crisis stabilization units,
   35  appointed by the Department of Children and Families.
   36         (d) A representative of law enforcement agencies, appointed
   37  by the Florida Sheriffs Association.
   38         (e) A member of the judiciary who regularly evaluates Baker
   39  Act cases, appointed by the Florida Supreme Court.
   40         (f) A public defender, appointed by the Florida Public
   41  Defender Association.
   42         (g) A state attorney, appointed by the Florida Prosecuting
   43  Attorneys Association.
   44         (h) A physician who provides care in a Baker Act receiving
   45  facility, appointed by the Florida Medical Association.
   46         (i) A physician who regularly screens patients who meet the
   47  Baker Act criteria, appointed by the Florida College of
   48  Emergency Physicians.
   49         (j) A representative from a managing entity, appointed by
   50  the Department of Children and Families.
   51         (k) A representative of the Agency for Health Care
   52  Administration, appointed by the agency.
   53         (l) Two representatives of the Florida Council for
   54  Community Mental Health, appointed by the council.
   55         (m) An advanced registered nurse practitioner who works in
   56  a Baker Act receiving facility and who treats patients who meet
   57  the Baker Act criteria, appointed by the Florida Nurses
   58  Association.
   59         (n) Two advanced registered nurse practitioners who are
   60  nationally certified in mental health, one appointed by the
   61  Florida Association of Nurse Practitioners and one appointed by
   62  the Florida Nurse Practitioner Network.
   63         (o) A psychologist licensed under chapter 490, Florida
   64  Statutes, appointed by the Florida Psychological Association.
   65         (p) A psychiatrist with experience in the Baker Act,
   66  appointed by the Florida Psychiatric Society.
   67         (3) The work group shall meet in Tallahassee and shall
   68  determine the frequency of its meetings. Individual work group
   69  members are responsible for their travel expenses.
   70         (4) Members of the work group shall be appointed by June 1,
   71  2014, and the first meeting of the work group shall take place
   72  before July 1, 2014. The work group shall review a draft of its
   73  recommendations before September 1, 2014. By November 1, 2014,
   74  the work group shall provide a final report to the Secretary of
   75  Children and Families, the Secretary of the Agency for Health
   76  Care Administration, the President of the Senate, and the
   77  Speaker of the House of Representatives. The report must include
   78  the work group’s findings and recommended statutory and
   79  administrative rule changes.
   81  ================= T I T L E  A M E N D M E N T ================
   82  And the title is amended as follows:
   83         Delete line 186
   84  and insert:
   85         state universities; requiring the Department of
   86         Children and Families to create a work group to
   87         provide recommendations relating to revision of the
   88         Baker Act; requiring the work group to make
   89         recommendations on specified topics; providing for
   90         membership of the work group; providing for meetings;
   91         requiring the work group to meet by a specified date;
   92         requiring a review of draft recommendations by a
   93         specified date; requiring the work group to submit a
   94         report to specified entities and the Legislature by a
   95         specified date; amending ss. 39.201, 39.302,