Florida Senate - 2020 CS for SB 1206 By the Committee on Health Policy; and Senator Harrell 588-03101-20 20201206c1 1 A bill to be entitled 2 An act relating to applied behavior analysis services; 3 amending s. 393.17, F.S.; authorizing the Agency for 4 Persons with Disabilities to establish a certification 5 process for registered behavior technicians; requiring 6 the agency to recognize the certification of 7 registered behavior technicians awarded by a nonprofit 8 corporation that meets specified requirements; 9 amending s. 400.9905, F.S.; providing an exemption 10 from licensure requirements for certain individuals 11 who are employed or under contract with certain 12 entities providing applied behavior analysis services; 13 amending s. 1003.572, F.S.; revising the definition of 14 the term “private instructional personnel” to include 15 certain registered behavior technicians; amending ss. 16 456.47, 627.6686, and 641.31098, F.S.; conforming 17 provisions to changes made by the act; providing an 18 effective date. 19 20 Be It Enacted by the Legislature of the State of Florida: 21 22 Section 1. Section 393.17, Florida Statutes, is amended to 23 read: 24 393.17 Behavioral programs; certification of behavior 25 analysts and registered behavior technicians.— 26 (1) The agency may establish a certification process for 27 behavior analysts and registered behavior technicians in order 28 to ensure that only qualified employees and service providers 29 provide behavioral analysis services to clients. The procedures 30 must be established by rule and, for behavior analysts, must 31 include criteria for scope of practice, qualifications for 32 certification, including training and testing requirements, 33 continuing education requirements for ongoing certification, and 34 standards of performance. The procedures must also include 35 decertification procedures that may be used to determine whether 36 an individual continues to meet the qualifications for 37 certification or the professional performance standards and, if 38 not, the procedures necessary to decertify an employee or 39 service provider. 40 (2) The agency shall recognize the certification of 41 behavior analysts and registered behavior technicians awarded by 42 a nonprofit corporation that adheres to the national standards 43 of boards that determine professional credentials and whose 44 mission is to meet professional credentialing needs identified 45 by behavior analysts, state governments, and consumers of 46 behavior analysis services. The certification procedure 47 recognized by the agency must undergo regular psychometric 48 review and validation, pursuant to a job analysis survey of the 49 profession and standards established by content experts in the 50 field. 51 Section 2. Paragraph (o) is added to subsection (4) of 52 section 400.9905, Florida Statutes, to read: 53 400.9905 Definitions.— 54 (4) “Clinic” means an entity where health care services are 55 provided to individuals and which tenders charges for 56 reimbursement for such services, including a mobile clinic and a 57 portable equipment provider. As used in this part, the term does 58 not include and the licensure requirements of this part do not 59 apply to: 60 (o) A group of individuals certified as behavior analysts 61 under s. 393.17, or licensed under chapter 490 or chapter 491, 62 and who are employed by or under contract with a group practice, 63 a billing provider, or an agency that provides applied behavior 64 analysis services as defined in ss. 627.6686 and 641.31098. 65 66 Notwithstanding this subsection, an entity shall be deemed a 67 clinic and must be licensed under this part in order to receive 68 reimbursement under the Florida Motor Vehicle No-Fault Law, ss. 69 627.730-627.7405, unless exempted under s. 627.736(5)(h). 70 Section 3. Present paragraphs (b) through (f) of subsection 71 (1) of section 1003.572, Florida Statutes, are redesignated as 72 paragraphs (c) through (g), respectively, a new paragraph (b) is 73 added to that subsection, and paragraph (a) of that subsection 74 is republished, to read: 75 1003.572 Collaboration of public and private instructional 76 personnel.— 77 (1) As used in this section, the term “private 78 instructional personnel” means: 79 (a) Individuals certified under s. 393.17 or licensed under 80 chapter 490 or chapter 491 for applied behavior analysis 81 services as defined in ss. 627.6686 and 641.31098. 82 (b) Registered behavior technicians certified under s. 83 393.17 who practice under the supervision of a professional 84 authorized under paragraph (a) and who assist and support such 85 professional in providing applied behavior analysis services. 86 Section 4. Paragraph (b) of subsection (1) of section 87 456.47, Florida Statutes, is amended to read: 88 456.47 Use of telehealth to provide services.— 89 (1) DEFINITIONS.—As used in this section, the term: 90 (b) “Telehealth provider” means any individual who provides 91 health care and related services using telehealth and who is 92 licensed or certified under s. 393.17 as a behavior analyst; 93 part III of chapter 401; chapter 457; chapter 458; chapter 459; 94 chapter 460; chapter 461; chapter 463; chapter 464; chapter 465; 95 chapter 466; chapter 467; part I, part III, part IV, part V, 96 part X, part XIII, or part XIV of chapter 468; chapter 478; 97 chapter 480; part II or part III of chapter 483; chapter 484; 98 chapter 486; chapter 490; or chapter 491; who is licensed under 99 a multistate health care licensure compact of which Florida is a 100 member state; or who is registered under and complies with 101 subsection (4). 102 Section 5. Paragraph (b) of subsection (3) of section 103 627.6686, Florida Statutes, is amended to read: 104 627.6686 Coverage for individuals with autism spectrum 105 disorder required; exception.— 106 (3) A health insurance plan issued or renewed on or after 107 April 1, 2009, shall provide coverage to an eligible individual 108 for: 109 (b) Treatment of autism spectrum disorder and Down syndrome 110 through speech therapy, occupational therapy, physical therapy, 111 and applied behavior analysis. Applied behavior analysis 112 services shall be provided by an individual certified as a 113 behavior analyst pursuant to s. 393.17 or an individual licensed 114 under chapter 490 or chapter 491. 115 Section 6. Paragraph (b) of subsection (3) of section 116 641.31098, Florida Statutes, is amended to read: 117 641.31098 Coverage for individuals with developmental 118 disabilities.— 119 (3) A health maintenance contract issued or renewed on or 120 after April 1, 2009, shall provide coverage to an eligible 121 individual for: 122 (b) Treatment of autism spectrum disorder and Down 123 syndrome, through speech therapy, occupational therapy, physical 124 therapy, and applied behavior analysis services. Applied 125 behavior analysis services shall be provided by an individual 126 certified as a behavior analyst pursuant to s. 393.17 or an 127 individual licensed under chapter 490 or chapter 491. 128 Section 7. This act shall take effect July 1, 2020.