Florida Senate - 2016                          SENATOR AMENDMENT
       Bill No. CS for SB 12
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                Floor: 8/AD/2R         .                                
             02/23/2016 10:43 AM       .                                

       Senator Garcia moved the following:
    1         Senate Amendment 
    3         Between lines 2464 and 2465
    4  insert:
    7         (a)1. The department shall identify acceptable
    8  accreditations which address coordination within a network and,
    9  if possible, between the network and major systems and programs
   10  with which the network interacts, such as the child welfare
   11  system, state courts system, and the Medicaid program. In
   12  identifying acceptable accreditations, the department shall
   13  consider whether the accreditation facilitates integrated
   14  strategic planning, resource coordination, technology
   15  integration, performance measurement, and increased value to
   16  consumers through choice of access to services, improved
   17  coordination of services, and effectiveness and efficiency of
   18  service delivery.
   19         2. All managing entities under contract as of July 1, 2016,
   20  shall earn accreditation deemed acceptable by the department
   21  pursuant to paragraph (a) by June 30, 2019. Managing entities
   22  whose initial contract with the state is executed after July 1,
   23  2016, shall earn network accreditation within 3 years after the
   24  contract execution date. Pursuant to paragraph (4)(j) above, the
   25  department may continue the contract of a managing entity that
   26  earns the network accreditation within the required timeframe
   27  and maintains it throughout the contract term.
   28         (b) If no accreditations are available or deemed acceptable
   29  which address coordination between the network and other major
   30  systems and programs, by July 1, 2017, for managing entities
   31  under contract as of July 1, 2016, and within one year after the
   32  contract execution date for managing entities initially under
   33  contract after that date, each managing entity shall enter into
   34  a memorandum of understanding detailing mechanisms for
   35  communication and coordination with any community-based care
   36  lead agencies, state court system, sheriff's offices, public
   37  defenders, offices of regional conflict counsel Medicaid managed
   38  medical assistance plans, and homeless coalitions in its service
   39  area. Such entities shall cooperate with the managing entities
   40  in entering into such memoranda.
   41         (c) By February 1 of each year, beginning in 2018, each
   42  managing entity shall develop and submit to the department a
   43  plan for the enhancement of the behavioral health system of care
   44  of the managing entity's service area, if appropriate, based on
   45  the assessed behavioral health care needs of the service area.
   46  Individual sections of the plan shall address:
   47         1. The designated receiving systems developed pursuant to
   48  s. 394.4573, and shall give consideration to evidence-based,
   49  evidence-informed, and innovative practices for diverting
   50  individuals from the acute behavioral health care system and
   51  addressing their needs once they are in the system in the most
   52  efficient and cost-effective manner.
   53         2. Treatment and recovery services, and shall emphasize the
   54  provision of care coordination and the use of recovery-oriented,
   55  peer-involved approaches.
   56         3. Coordination between the behavioral health system of
   57  care and other systems such as the child welfare system, state
   58  courts system and Medicaid program.
   59         (d) If the plan recommends additional funding, the plan
   60  shall describe, at a minimum, the specific needs that would be
   61  met, the specific services that would be purchased, the
   62  estimated benefits of the services, the projected costs, the
   63  projected number of individuals that would be served, and any
   64  other information indicating the estimated benefit to the
   65  community. The managing entity shall include consumers and their
   66  family members, local governments, law enforcement agencies,
   67  providers, community partners, and other stakeholders when
   68  developing the plan.
   69         (e) Subject to a specific appropriation by the Legislature,
   70  the department may award system improvement grants to managing
   71  entities based on the submission of the plans as described and
   72  required in paragraphs (c) and (d).
   74         (a) Managing entities shall collect and submit data to the
   75  department regarding persons served, outcomes of persons served,
   76  costs of services provided through the department's contract,
   77  and other data as required by the department.
   78         (b) The department shall evaluate the managing entity's
   79  performance and the overall progress made by the managing
   80  entity, together with other systems, in meeting the community's
   81  behavioral health needs, based on consumer-centered outcome
   82  measures that reflect national standards, if possible, and that
   83  can dependably be measured. The department shall work with
   84  managing entities to establish performance standards related at
   85  a minimum to:
   86         1. The extent to which individuals in the community receive
   87  services.
   88         2. The improvement in the overall behavioral health of a
   89  community.
   90         3. The improvement in functioning or progress in the
   91  recovery of individuals served by the managing entity, as
   92  determine using person-centered measures tailored to the
   93  population.
   94         4. The success of strategies to divert admissions to acute
   95  levels of care, jails, prisons, and forensic facilities as
   96  measured by, at a minimum, the total number of percentage of
   97  clients who, during a specified period, experience multiple
   98  admissions to acute levels of care, jails, prisons, or forensic
   99  facilities.
  100         5. Consumer and family satisfaction.
  101         6. The satisfaction of key community constituencies such as
  102  law enforcement agencies, juvenile justice agencies, the state
  103  courts system, school districts, local government entities,
  104  hospitals, and others as appropriate for the geographical area
  105  of the managing entity.