Florida Senate - 2019                          SENATOR AMENDMENT
       Bill No. HB 1045
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                Floor: 1/AD/2R         .                                
             05/01/2019 12:01 PM       .                                

       Senator Gibson moved the following:
    1         Senate Amendment (with title amendment)
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 381.7354, Florida Statutes, is amended
    6  to read:
    7         381.7354 Eligibility.—
    8         (1) Any person, entity, or organization within a county may
    9  apply for a Closing the Gap grant and may serve as the lead
   10  agency to administer and coordinate project activities within
   11  the county and develop community partnerships necessary to
   12  implement the grant.
   13         (2) Persons, entities, or organizations within adjoining
   14  counties with populations of less than 100,000, based on the
   15  annual estimates produced by the Population Program of the
   16  University of Florida Bureau of Economic and Business Research,
   17  may jointly submit a multicounty Closing the Gap grant proposal.
   18  However, the proposal must clearly identify a single lead agency
   19  with respect to program accountability and administration.
   20         (3) In addition to the grants awarded under subsections (1)
   21  and (2), up to 20 percent of the funding for the Reducing Racial
   22  and Ethnic Health Disparities: Closing the Gap grant program
   23  shall be dedicated to projects that address improving racial and
   24  ethnic health status within specific Front Porch Florida
   25  Communities.
   26         (3)(4) Nothing in ss. 381.7351-381.7356 shall prevent a
   27  person, entity, or organization within a county or group of
   28  counties from separately contracting for the provision of racial
   29  and ethnic health promotion, health awareness, and disease
   30  prevention services.
   31         Section 2. Subsection (2) of section 381.7355, Florida
   32  Statutes, is amended to read:
   33         381.7355 Project requirements; review criteria.—
   34         (2) A proposal must include each of the following elements:
   35         (a) The purpose and objectives of the proposal, including
   36  identification of the particular racial or ethnic disparity the
   37  project will address. The proposal must address one or more of
   38  the following priority areas:
   39         1. Decreasing racial and ethnic disparities in maternal and
   40  infant mortality rates.
   41         2. Decreasing racial and ethnic disparities in morbidity
   42  and mortality rates relating to cancer.
   43         3. Decreasing racial and ethnic disparities in morbidity
   44  and mortality rates relating to HIV/AIDS.
   45         4. Decreasing racial and ethnic disparities in morbidity
   46  and mortality rates relating to cardiovascular disease.
   47         5. Decreasing racial and ethnic disparities in morbidity
   48  and mortality rates relating to diabetes.
   49         6. Increasing adult and child immunization rates in certain
   50  racial and ethnic populations.
   51         7. Decreasing racial and ethnic disparities in oral health
   52  care.
   53         8. Decreasing racial and ethnic disparities in morbidity
   54  and mortality rates relating to sickle cell disease.
   55         9. Decreasing racial and ethnic disparities in morbidity
   56  and mortality rates relating to Lupus.
   57         10. Decreasing racial and ethnic disparities in morbidity
   58  and mortality rates relating to Alzheimer’s disease and
   59  dementia.
   60         11.10.Improving Improve neighborhood social determinants
   61  of health, such as transportation, safety, and food access, as
   62  outlined by the Centers for Disease Control and Prevention’s
   63  “Tools for Putting Social Determinants of Health into Action.”
   64         (b) Identification and relevance of the target population.
   65         (c) Methods for obtaining baseline health status data and
   66  assessment of community health needs.
   67         (d) Mechanisms for mobilizing community resources and
   68  gaining local commitment.
   69         (e) Development and implementation of health promotion and
   70  disease prevention interventions.
   71         (f) Mechanisms and strategies for evaluating the project’s
   72  objectives, procedures, and outcomes.
   73         (g) A proposed work plan, including a timeline for
   74  implementing the project.
   75         (h) Likelihood that project activities will occur and
   76  continue in the absence of funding.
   77         Section 3. Present subsections (4) and (5) of section
   78  381.7356, Florida Statutes, are redesignated as subsections (5)
   79  and (6), respectively, new subsections (4) and (5) are added to
   80  that section, and subsection (1) of that section is amended, to
   81  read:
   82         381.7356 Local matching funds; grant awards.—
   83         (1) One or more Closing the Gap grants may be awarded in a
   84  county, or in a group of adjoining counties from which a
   85  multicounty application is submitted. Front Porch Florida
   86  Communities grants may also be awarded in a county or group of
   87  adjoining counties that are also receiving a grant award.
   88         (4) The department may not establish a minimum amount or a
   89  maximum amount for grants and shall determine the amount of each
   90  award based on the merits of the application. The department
   91  shall ensure that grants are awarded to applicants in various
   92  regions of this state.
   93         (5) In addition to the requirements provided in s.
   94  381.7353, and subject to the availability of state and federal
   95  funds in the HIV/AIDS program, the department shall promote
   96  synergistic initiatives between the Closing the Gap grant
   97  program and the HIV/AIDS program to leverage the expertise of
   98  the Closing the Gap grant program. These initiatives may include
   99  the establishment of a supplemental grant program whereby
  100  persons, entities, or organizations eligible for a Closing the
  101  Gap grant under s. 381.7354 may submit to the department a grant
  102  proposal, pursuant to the application process established under
  103  s. 381.7355, for funding to further the purposes listed in s.
  104  381.7355(2)(a) and to promote innovative prevention, treatment,
  105  and awareness initiatives for minority populations in
  106  metropolitan areas which have a higher prevalence of HIV/AIDS
  107  for the purposes of reducing the incidence of the HIV infection
  108  in such communities and prioritizing the identification of
  109  individuals, in a manner consistent with the clinical guidelines
  110  of the federal Health Resources and Services Administration, who
  111  are not yet aware of their HIV status.
  112         Section 4. This act shall take effect July 1, 2019.
  114  ================= T I T L E  A M E N D M E N T ================
  115  And the title is amended as follows:
  116         Delete everything before the enacting clause
  117  and insert:
  118                        A bill to be entitled                      
  119         An act relating to Closing the Gap grant proposals;
  120         amending s. 381.7354, F.S.; removing provisions
  121         related to Front Porch Florida Communities; amending
  122         s. 381.7355, F.S.; adding a priority area that may be
  123         addressed in a Closing the Gap grant proposal;
  124         amending s. 381.7356, F.S.; removing provisions
  125         related to Front Porch Florida Communities;
  126         prohibiting the Department of Health from establishing
  127         a minimum amount or a maximum amount for Closing the
  128         Gap grants; requiring the department to base the
  129         amount of each award on the merits of each application
  130         and to award grants to applicants in various regions
  131         of the state; authorizing the Closing the Gap program
  132         and the HIV/AIDS program to promote synergistic
  133         initiatives that reduce HIV incidence in minority
  134         populations in certain metropolitan areas; providing
  135         an effective date.