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.