Florida Senate - 2025                                    SB 1620
       
       
        
       By Senator Rouson
       
       
       
       
       
       16-00602C-25                                          20251620__
    1                        A bill to be entitled                      
    2         An act relating to mental health and substance use
    3         disorders; amending s. 394.455, F.S.; defining the
    4         term “person-first language”; amending s. 394.457,
    5         F.S.; revising the minimum standards for a mobile
    6         crisis response service; amending s. 394.459, F.S.;
    7         requiring that an individualized treatment plan be
    8         reevaluated within a specified timeframe to ensure the
    9         recommended care remains necessary for a patient;
   10         amending s. 394.468, F.S.; requiring a service
   11         provider to provide a patient with certain medication
   12         for a specified timeframe upon discharge from certain
   13         treatment facilities; providing exceptions; amending
   14         s. 394.495, F.S.; requiring the department to
   15         reevaluate assessment services at specified intervals
   16         to ensure a patient’s clinical needs are being met;
   17         revising such assessment services’ evaluations and
   18         screening areas; amending s. 394.659, F.S.; requiring
   19         the Criminal Justice, Mental Health, and Substance
   20         Abuse Technical Assistance Center at the Louis de la
   21         Parte Florida Mental Health Institute at the
   22         University of South Florida to disseminate certain
   23         evidence-based practices and best practices among
   24         grantees; amending s. 394.875, F.S.; requiring the
   25         Department of Children and Families, in consultation
   26         with the Agency for Health Care Administration, to
   27         conduct a review every other year to identify certain
   28         counties that require additional resources for short
   29         term residential treatment facilities; requiring the
   30         department to prioritize specified facilities in
   31         issuing licenses; requiring the department to adopt
   32         rules in consultation with the agency; amending s.
   33         394.9086, F.S.; revising the duties of the Commission
   34         on Mental Health and Substance Use Disorder; amending
   35         s. 1004.44, F.S.; revising the assistance and services
   36         the Louis de la Parte Florida Mental Health Institute
   37         is required to provide; revising the requirements of
   38         the Florida Center for Behavioral Health Workforce to
   39         promote behavioral health professions; creating the
   40         Center for Substance Abuse and Mental Health Research
   41         within the institute; specifying the purpose of the
   42         center; specifying the goals of the center; specifying
   43         the responsibilities of the center; requiring the
   44         center to submit a report by a specified date each
   45         year to the Governor and the Legislature; specifying
   46         the contents of the report; amending s. 1006.041,
   47         F.S.; revising the plan components for mental health
   48         assistance programs; requiring the Department of
   49         Children and Families, in consultation with the
   50         Department of Education, to conduct a review every
   51         other year to identify effective models of school
   52         based behavioral health access; requiring the
   53         Department of Children and Families to submit its
   54         findings to the Governor and the Legislature by a
   55         specified date every other year; amending s. 394.9085,
   56         F.S.; conforming a cross-reference; reenacting s.
   57         394.463(2)(g), F.S., relating to involuntary
   58         examination, to incorporate the amendment made to s.
   59         394.468, F.S., in a reference thereto; reenacting s.
   60         394.4955(2)(c) and (6), F.S., relating to coordinated
   61         system of care and child and adolescent mental health
   62         treatment and support, to incorporate the amendment
   63         made to s. 394.495, F.S., in references thereto;
   64         reenacting s. 1001.212(7), F.S., relating to the
   65         Office of Safe Schools, to incorporate the amendment
   66         made to s. 1004.44, F.S., in a reference thereto;
   67         providing an effective date.
   68          
   69  Be It Enacted by the Legislature of the State of Florida:
   70  
   71         Section 1. Present subsections (33) through (50) of section
   72  394.455, Florida Statutes, are redesignated as subsections (34)
   73  through (51), respectively, and a new subsection (33) is added
   74  to that section, to read:
   75         394.455 Definitions.—As used in this part, the term:
   76         (33) “Person-first language” means language used in a
   77  professional medical setting which emphasizes the patient as a
   78  person rather than his or her disability or illness.
   79         Section 2. Paragraph (c) of subsection (5) of section
   80  394.457, Florida Statutes, is amended to read:
   81         394.457 Operation and administration.—
   82         (5) RULES.—
   83         (c) The department shall adopt rules establishing minimum
   84  standards for services provided by a mental health overlay
   85  program or a mobile crisis response service. Minimum standards
   86  for a mobile crisis response service must:
   87         1. Include the requirements of the child, adolescent, and
   88  young adult mobile response teams established under s.
   89  394.495(7) and ensure coverage of all counties by these
   90  specified teams; and
   91         2. Ensure access to mobile response services for persons 65
   92  years of age or older; and
   93         3. Create a structure for general mobile response teams
   94  which focuses on crisis diversion and the reduction of
   95  involuntary commitment under this chapter. The structure must
   96  require, but need not be limited to, the following:
   97         a. Triage and rapid crisis intervention within 60 minutes;
   98         b. Provision of and referral to evidence-based services
   99  that are responsive to the needs of the individual and the
  100  individual’s family;
  101         c. Screening, assessment, early identification, and care
  102  coordination; and
  103         d. Sharing of best practices with medical professionals,
  104  including the use of person-first language and trauma-responsive
  105  care, to improve patient experiences and outcomes and encourage
  106  cooperative engagement from patients seeking treatment; and
  107         e. Confirmation that the individual who received the mobile
  108  crisis response was connected to a service provider and
  109  prescribed medications, if needed.
  110         Section 3. Paragraph (e) of subsection (2) of section
  111  394.459, Florida Statutes, is amended to read:
  112         394.459 Rights of patients.—
  113         (2) RIGHT TO TREATMENT.—
  114         (e) Not more than 5 days after admission to a facility,
  115  each patient must shall have and receive an individualized
  116  treatment plan in writing which the patient has had an
  117  opportunity to assist in preparing and to review before prior to
  118  its implementation. The plan must shall include a space for the
  119  patient’s comments. An individualized treatment plan must be
  120  reevaluated no less than every 6 months to ensure the treatment
  121  plan’s recommended care remains necessary for the patient.
  122         Section 4. Subsection (2) of section 394.468, Florida
  123  Statutes, is amended to read:
  124         394.468 Admission and discharge procedures.—
  125         (2) Discharge planning and procedures for any patient’s
  126  release from a receiving facility or treatment facility must
  127  include and document the patient’s needs, and actions to address
  128  such needs, for, at a minimum:
  129         (a) Follow-up behavioral health appointments;
  130         (b) Information on how to obtain prescribed medications;
  131  and
  132         (c) Information pertaining to:
  133         1. Available living arrangements; and
  134         2. Transportation; and
  135         (d) Referral to:
  136         1. Care coordination services. The patient must be referred
  137  for care coordination services if the patient meets the criteria
  138  as a member of a priority population as determined by the
  139  department under s. 394.9082(3)(c) and is in need of such
  140  services.
  141         2. Recovery support opportunities under s. 394.4573(2)(l),
  142  including, but not limited to, connection to a peer specialist;
  143  and.
  144         (e) Upon discharge, provision of a sufficient supply
  145  necessary prescribed medication to cover the patient’s scheduled
  146  dosage until his or her scheduled follow-up appointment or for
  147  at least 30 days, unless contraindicated in the patient’s
  148  treatment plan or the provider has clinical safety concerns for
  149  giving the patient a supply of medication based on a safety risk
  150  assessment. Such medication may include, but is not limited to,
  151  long-acting injectables.
  152         Section 5. Subsection (2) of section 394.495, Florida
  153  Statutes, is amended to read:
  154         394.495 Child and adolescent mental health system of care;
  155  programs and services.—
  156         (2) The array of services must include assessment services
  157  that provide a professional interpretation of the nature of the
  158  problems of the child or adolescent and his or her family;
  159  family issues that may impact the problems; additional factors
  160  that contribute to the problems; and the assets, strengths, and
  161  resources of the child or adolescent and his or her family. The
  162  assessment services to be provided must shall be determined by
  163  the clinical needs of each child or adolescent. The department
  164  shall reevaluate the services no less than every 6 months to
  165  ensure the child’s clinical needs are being met. Assessment
  166  services include, but are not limited to, evaluation and
  167  screening in the following areas:
  168         (a) Physical and mental health for purposes of identifying
  169  medical and psychiatric problems.
  170         (b) Psychological functioning, as determined through a
  171  battery of psychological tests.
  172         (c) Intelligence and academic achievement.
  173         (d) Social and behavioral functioning.
  174         (e) Family functioning.
  175         (f) Functional daily living through the implementation of
  176  the Daily Living Activities-20 functional assessment tool as
  177  described in s. 1006.041(2)(b).
  178  
  179  The assessment for academic achievement is the financial
  180  responsibility of the school district. The department shall
  181  cooperate with other state agencies and the school district to
  182  avoid duplicating assessment services.
  183         Section 6. Paragraph (d) of subsection (1) of section
  184  394.659, Florida Statutes, is amended to read:
  185         394.659 Criminal Justice, Mental Health, and Substance
  186  Abuse Technical Assistance Center.—
  187         (1) There is created a Criminal Justice, Mental Health, and
  188  Substance Abuse Technical Assistance Center at the Louis de la
  189  Parte Florida Mental Health Institute at the University of South
  190  Florida, which shall:
  191         (d) Disseminate and share evidence-based practices and best
  192  practices among grantees, including, but not limited to, the use
  193  of person-first language and trauma-responsive care, to improve
  194  patient experiences and outcomes and encourage cooperative
  195  engagement for patients seeking treatment.
  196         Section 7. Subsection (11) is added to section 394.875,
  197  Florida Statutes, and paragraph (c) of subsection (1) and
  198  paragraph (a) of subsection (8) of that section are republished,
  199  to read:
  200         394.875 Crisis stabilization units, residential treatment
  201  facilities, and residential treatment centers for children and
  202  adolescents; authorized services; license required.—
  203         (1)
  204         (c) The purpose of a residential treatment center for
  205  children and adolescents is to provide mental health assessment
  206  and treatment services pursuant to ss. 394.491, 394.495, and
  207  394.496 to children and adolescents who meet the target
  208  population criteria specified in s. 394.493(1)(a), (b), or (c).
  209         (8)(a) The department, in consultation with the agency,
  210  must adopt rules governing a residential treatment center for
  211  children and adolescents which specify licensure standards for:
  212  admission; length of stay; program and staffing; discharge and
  213  discharge planning; treatment planning; seclusion, restraints,
  214  and time-out; rights of patients under s. 394.459; use of
  215  psychotropic medications; and standards for the operation of
  216  such centers.
  217         (11) The department, in consultation with the agency, shall
  218  conduct a review every other year to identify counties that
  219  require additional resources for short-term residential
  220  treatment facilities. The department, in consultation with the
  221  agency, shall give priority in issuing licenses to short-term
  222  residential treatment facilities located in counties identified
  223  by the review. The department, in consultation with the agency,
  224  shall adopt rules prescribing procedures for prioritizing short
  225  term residential treatment facilities in such counties.
  226         Section 8. Paragraph (a) of subsection (4) of section
  227  394.9086, Florida Statutes, is amended to read:
  228         394.9086 Commission on Mental Health and Substance Use
  229  Disorder.—
  230         (4) DUTIES.—
  231         (a) The duties of the Commission on Mental Health and
  232  Substance Use Disorder include the following:
  233         1. Conducting a review and evaluation of the management and
  234  functioning of the existing publicly supported mental health and
  235  substance use disorder systems and services in the department,
  236  the Agency for Health Care Administration, and all other
  237  departments which administer mental health and substance use
  238  disorder services. Such review must shall include, at a minimum,
  239  a review of current goals and objectives, current planning,
  240  services strategies, coordination management, purchasing,
  241  contracting, financing, local government funding responsibility,
  242  and accountability mechanisms.
  243         2. Considering the unique needs of persons who are dually
  244  diagnosed.
  245         3. Addressing access to, financing of, and scope of
  246  responsibility in the delivery of emergency behavioral health
  247  care services.
  248         4. Addressing the quality and effectiveness of current
  249  mental health and substance use disorder services delivery
  250  systems, and professional staffing and clinical structure of
  251  services, roles, and responsibilities of public and private
  252  providers, such as community mental health centers; community
  253  substance use disorder agencies; hospitals, including emergency
  254  services departments; law enforcement agencies; and the judicial
  255  system.
  256         5. Addressing priority population groups for publicly
  257  funded mental health and substance use disorder services;,
  258  identifying the comprehensive mental health and substance use
  259  disorder services delivery systems;, mental health and substance
  260  use disorder needs assessment and planning activities,
  261  including, but not limited to, the use of the Daily Living
  262  Activities-20 functional assessment tool as described in s.
  263  1006.041(2)(b); and local government funding responsibilities
  264  for mental health and substance use disorder services.
  265         6. Reviewing the implementation of chapter 2020-107, Laws
  266  of Florida.
  267         7. Identifying any gaps in the provision of mental health
  268  and substance use disorder services.
  269         8. Providing recommendations on how behavioral health
  270  managing entities may fulfill their purpose of promoting service
  271  continuity and work with community stakeholders throughout this
  272  state in furtherance of supporting the 988 Suicide and Crisis
  273  Lifeline system and other crisis response services.
  274         9. Conducting an overview of the current infrastructure of
  275  the 988 Suicide and Crisis Lifeline system.
  276         10. Analyzing the current capacity of crisis response
  277  services available throughout this state, including services
  278  provided by mobile response teams and centralized receiving
  279  facilities. The analysis must include information on the
  280  geographic area and the total population served by each mobile
  281  response team along with the average response time to each call
  282  made to a mobile response team; the number of calls that a
  283  mobile response team was unable to respond to due to staff
  284  limitations, travel distance, or other factors; and the veteran
  285  status and age groups of individuals served by mobile response
  286  teams.
  287         11. Evaluating and making recommendations to improve
  288  linkages between the 988 Suicide and Crisis Lifeline
  289  infrastructure and crisis response services within this state.
  290         12. Identifying available mental health block grant funds
  291  that can be used to support the 988 Suicide and Crisis Lifeline
  292  and crisis response infrastructure within this state, including
  293  any available funding through opioid settlements or through the
  294  American Rescue Plan Act of 2021, Pub. L. No. 117-2; the
  295  Coronavirus Aid, Relief, and Economic Security (CARES) Act, Pub.
  296  L. No. 116-136; or other federal legislation.
  297         13.  In consultation with the Agency for Health Care
  298  Administration, identifying sources of funding available through
  299  the Medicaid program specifically for crisis response services,
  300  including funding that may be available by seeking approval of a
  301  Section 1115 waiver submitted to the Centers for Medicare and
  302  Medicaid Services.
  303         14. Making recommendations regarding the mission and
  304  objectives of state-supported mental health and substance use
  305  disorder services and the planning, management, staffing,
  306  financing, contracting, coordination, and accountability
  307  mechanisms which will best foster the recommended mission and
  308  objectives.
  309         15. Evaluating and making recommendations regarding the
  310  establishment of a permanent, agency-level entity to manage
  311  mental health, substance use disorder, and related services
  312  statewide. At a minimum, the evaluation must consider and
  313  describe the:
  314         a. Specific duties and organizational structure proposed
  315  for the entity;
  316         b. Resource needs of the entity and possible sources of
  317  funding;
  318         c. Estimated impact on access to and quality of services;
  319         d. Impact on individuals with behavioral health needs and
  320  their families, both those currently served through the affected
  321  systems providing behavioral health services and those in need
  322  of services; and
  323         e. Relation to, integration with, and impact on providers,
  324  managing entities, communities, state agencies, and systems
  325  which provide mental health and substance use disorder services
  326  in this state. Such recommendations must ensure that the ability
  327  of such other agencies and systems to carry out their missions
  328  and responsibilities is not impaired.
  329         16. Evaluating and making recommendations regarding skills
  330  based training that teaches participants about mental health and
  331  substance use disorder issues, including, but not limited to,
  332  Mental Health First Aid models.
  333         Section 9. Paragraph (a) of subsection (6) of section
  334  1004.44, Florida Statutes, is amended, and paragraph (h) of
  335  subsection (1) and subsection (8) are added to that section, to
  336  read:
  337         1004.44 Louis de la Parte Florida Mental Health Institute.
  338  There is established the Louis de la Parte Florida Mental Health
  339  Institute within the University of South Florida.
  340         (1) The purpose of the institute is to strengthen mental
  341  health services throughout the state by providing technical
  342  assistance and support services to mental health agencies and
  343  mental health professionals. Such assistance and services shall
  344  include:
  345         (h) Analysis of publicly funded substance abuse and mental
  346  health services to identify gaps in patients’ insurance
  347  coverage, monitor quality of care and cost management, enhance
  348  provider networks by identifying areas where additional
  349  providers are needed, and ensure compliance.
  350         (6)(a) There is established within the institute the
  351  Florida Center for Behavioral Health Workforce. The purpose of
  352  the center is to support an adequate, highly skilled, resilient,
  353  and innovative workforce that meets the current and future human
  354  resources needs of the state’s behavioral health system in order
  355  to provide high-quality care, services, and supports to
  356  Floridians with, or at risk of developing, behavioral health
  357  conditions through original research, policy analysis,
  358  evaluation, and development and dissemination of best practices.
  359  The goals of the center are, at a minimum, to research the
  360  state’s current behavioral health workforce and future needs;
  361  expand the number of clinicians, professionals, and other
  362  workers involved in the behavioral health workforce; and enhance
  363  the skill level and innovativeness of the workforce. The center
  364  shall, at a minimum, do all of the following:
  365         1. Describe and analyze the current workforce and project
  366  possible future workforce demand, especially in critical roles,
  367  and develop strategies for addressing any gaps. The center’s
  368  efforts may include, but need not be limited to, producing a
  369  statistically valid biennial analysis of the supply and demand
  370  of the behavioral health workforce.
  371         2. Expand pathways to behavioral health professions through
  372  enhanced educational opportunities and improved faculty
  373  development and retention. The center’s efforts may include, but
  374  need not be limited to:
  375         a. Identifying best practices in the academic preparation
  376  and continuing education of behavioral health professionals.
  377         b. Facilitating and coordinating the development of
  378  academic-practice partnerships that support behavioral health
  379  faculty employment and advancement.
  380         c. Developing and implementing innovative projects to
  381  support the recruitment, development, and retention of
  382  behavioral health educators, faculty, and clinical preceptors.
  383         d. Developing distance learning infrastructure for
  384  behavioral health education and the evidence-based use of
  385  technology, simulation, and distance learning techniques.
  386         3. Promote behavioral health professions. The center’s
  387  efforts may include, but need not be limited to:
  388         a. Conducting original research on the factors affecting
  389  recruitment, retention, and advancement of the behavioral health
  390  workforce, such as designing and implementing a longitudinal
  391  study of the state’s behavioral health workforce.
  392         b. Developing and implementing innovative projects to
  393  support the recruitment, development, and retention of
  394  behavioral health workers.
  395         4. Analyze compensation and benefit data biennially to
  396  identify factors that have led to the shortage of behavioral
  397  health workers in this state and make recommendations for
  398  funding programs to support the growth and retention of the
  399  behavioral health workforce, such as stipends or other financial
  400  support for clinical supervisors, workers, interns, and students
  401  currently working in the field of behavioral health.
  402         5.Request from the Board of Clinical Social Work, Marriage
  403  and Family Therapy, and Mental Health Counseling, and the board
  404  must provide to the center upon its request, any information
  405  held by the board regarding the clinical social work, marriage
  406  and family therapy, and mental health counselors licensed in
  407  this state or information reported to the board by employers of
  408  such counselors, other than personal identifying information.
  409         6.Develop and routinely analyze a behavioral health
  410  workforce survey to increase insight into service provision and
  411  access, inform priorities that support retention, strategically
  412  address critical gaps, and inform workforce-related policy
  413  decisions. In conjunction with the Department of Health, the
  414  center shall conduct the survey at the time of initial licensure
  415  and license renewal for psychologists licensed under chapter 490
  416  and social workers, marriage and family therapists, and mental
  417  health counselors licensed under chapter 491. The survey must
  418  solicit information including, but not limited to:
  419         a.The frequency and geographic location of practice.
  420         b.Participation in interjurisdictional practice and
  421  percentage of Florida and non-Florida residents served.
  422         c.Practice setting and populations served, including
  423  availability for critically needed services.
  424         d.Percentage of time spent in direct patient care.
  425         e.Compensation and benefits.
  426         f.Anticipated change to license or practice status.
  427         (8)(a)There is created within the institute the Center for
  428  Substance Abuse and Mental Health Research. The purpose of the
  429  center is to conduct rigorous and relevant research intended to
  430  develop knowledge and practice in prevention and intervention
  431  for substance abuse and mental health issues, to serve the
  432  people and economy in this state in reducing the gap between
  433  population needs and the availability of effective treatments
  434  and other interventions to improve the capacity of the state to
  435  have healthy, resilient communities prevailing over substance
  436  abuse, addiction, and mental health challenges.
  437         (b)The goals of the center are, at a minimum, to advance
  438  the scientific understanding of the relationship between
  439  substance abuse and mental health issues, improving treatment
  440  outcomes, and reducing the societal impact and burden of
  441  substance abuse and mental health conditions. The center shall,
  442  at a minimum, do all of the following:
  443         1.Analyze publicly funded substance abuse and mental
  444  health services to identify gaps in insurance coverage, monitor
  445  quality of care and cost management, and enhance provider
  446  networks by identifying gaps in service provision by type and
  447  geographic location.
  448         2.Research and study the complex relationship between
  449  substance abuse and mental health disorders, including analyzing
  450  how substances may contribute to the onset of mental health
  451  conditions, how those conditions can lead to substance abuse,
  452  and how both can interact to create and worsen negative
  453  outcomes, such as violence, infectious disease, suicide, and
  454  overdose. The center must also study the range, distribution,
  455  and concentration of such negative outcomes.
  456         3.Develop and test strategies to prevent the development
  457  of both substance use and mental health disorders, including
  458  early risk factor identification and interventions designed for
  459  at-risk populations, specifically in rural settings, where
  460  resources may be limited and integrated care is essential.
  461         4.Conduct research on alternative, low-cost strategies for
  462  prevention and early intervention.
  463         5.Conduct outcomes and implementation research on
  464  optimizing application of technology for efficient and effective
  465  dissemination of evidence-based treatment across this state,
  466  with specific attention to rural and other low-resource areas,
  467  using telehealth, mobile device remote monitoring, delivery of
  468  patient-specific prompts via technology platforms for self
  469  management, and other aspects of care.
  470         6.Investigate and improve treatment options for
  471  individuals suffering from co-occurring substance use and mental
  472  health disorders, including developing integrated treatment
  473  programs that address both issues simultaneously.
  474         7.Generate evidence-based data to inform public policy and
  475  promote substance use disorder services and mental health
  476  disorder services.
  477         8.Develop community-based sharing agreements, local
  478  infrastructure, and methodologies to encourage data-informed
  479  decisionmaking to encourage economic efficiency and targeted
  480  service delivery.
  481         9.Develop and provide training for health care
  482  professionals, social workers, counselors, and researchers on
  483  the latest findings related to substance abuse and mental
  484  health, fostering a workforce capable of providing effective
  485  care.
  486         10.Articulate methods to align and adapt training
  487  approaches for delivering evidence-based practices to locally
  488  identified needs, including implementing evidence-based training
  489  and tools at community health centers to improve identification
  490  of mental health and substance use disorders and create plans
  491  for referral and continuity of care.
  492         11.Collaborate with community organizations to offer
  493  resources and education about substance use and mental health to
  494  reduce stigma and raise awareness.
  495         (c)By July 1 of each year, the center shall submit a
  496  report to the Governor, the President of the Senate, and the
  497  Speaker of the House of Representatives providing details of its
  498  activities during the preceding calendar year in pursuit of its
  499  goals and in the execution of its duties under paragraph (b).
  500         Section 10. Paragraph (b) of subsection (2) of section
  501  1006.041, Florida Statutes, is amended, and subsection (5) is
  502  added to that section, to read:
  503         1006.041 Mental health assistance program.—Each school
  504  district must implement a school-based mental health assistance
  505  program that includes training classroom teachers and other
  506  school staff in detecting and responding to mental health issues
  507  and connecting children, youth, and families who may experience
  508  behavioral health issues with appropriate services.
  509         (2) A plan required under subsection (1) must be focused on
  510  a multitiered system of supports to deliver evidence-based
  511  mental health care assessment, diagnosis, intervention,
  512  treatment, and recovery services to students with one or more
  513  mental health or co-occurring substance abuse diagnoses and to
  514  students at high risk of such diagnoses. The provision of these
  515  services must be coordinated with a student’s primary mental
  516  health care provider and with other mental health providers
  517  involved in the student’s care. At a minimum, the plan must
  518  include all of the following components:
  519         (b) Contracts or interagency agreements with one or more
  520  local community behavioral health providers or providers of
  521  Community Action Team services to provide a behavioral health
  522  staff presence and services at district schools. Services may
  523  include, but are not limited to, mental health screenings and
  524  assessments, individual counseling, family counseling, group
  525  counseling, psychiatric or psychological services, trauma
  526  informed care, mobile crisis services, and behavior
  527  modification. These behavioral health services may be provided
  528  on or off the school campus and may be supplemented by
  529  telehealth as defined in s. 456.47(1). In addition to the
  530  services in this paragraph, the department shall implement the
  531  Daily Living Activities-20 (DLA-20) functional assessment tool
  532  to further assist providers in creating recommended treatment
  533  plans. The department shall review the DLA-20 functional
  534  assessment tool every other year to implement the most updated
  535  version. The department is authorized to replace the DLA-20
  536  functional assessment tool if it determines that a better
  537  alternative is available.
  538         (5) The Department of Children and Families, in
  539  consultation with the Department of Education, shall conduct a
  540  review every other year to identify effective models of school
  541  based behavioral health access, with an emphasis on underserved
  542  and rural communities. Such models must include, but are not
  543  limited to, telehealth services. The Department of Children and
  544  Families shall submit its findings to the Governor, the
  545  President of the Senate, and the Speaker of the House of
  546  Representatives by January 1 every other year, beginning in
  547  2026.
  548         Section 11. Subsection (6) of section 394.9085, Florida
  549  Statutes, is amended to read:
  550         394.9085 Behavioral provider liability.—
  551         (6) For purposes of this section, the terms
  552  “detoxification,” “addictions receiving facility,” and
  553  “receiving facility” have the same meanings as those provided in
  554  ss. 397.311(27)(a)4., 397.311(27)(a)1., and 394.455 394.455(40),
  555  respectively.
  556         Section 12. For the purpose of incorporating the amendment
  557  made by this act to section 394.468, Florida Statutes, in a
  558  reference thereto, paragraph (g) of subsection (2) of section
  559  394.463, Florida Statutes, is reenacted to read:
  560         394.463 Involuntary examination.—
  561         (2) INVOLUNTARY EXAMINATION.—
  562         (g) The examination period must be for up to 72 hours and
  563  begins when a patient arrives at the receiving facility. For a
  564  minor, the examination shall be initiated within 12 hours after
  565  the patient’s arrival at the facility. Within the examination
  566  period, one of the following actions must be taken, based on the
  567  individual needs of the patient:
  568         1. The patient shall be released, unless he or she is
  569  charged with a crime, in which case the patient shall be
  570  returned to the custody of a law enforcement officer;
  571         2. The patient shall be released, subject to subparagraph
  572  1., for voluntary outpatient treatment;
  573         3. The patient, unless he or she is charged with a crime,
  574  shall be asked to give express and informed consent to placement
  575  as a voluntary patient and, if such consent is given, the
  576  patient shall be admitted as a voluntary patient; or
  577         4. A petition for involuntary services shall be filed in
  578  the circuit court or with the county court, as applicable. When
  579  inpatient treatment is deemed necessary, the least restrictive
  580  treatment consistent with the optimum improvement of the
  581  patient’s condition shall be made available. The petition shall
  582  be filed by one of the petitioners specified in s. 394.467, and
  583  the court shall dismiss an untimely filed petition. If a
  584  patient’s 72-hour examination period ends on a weekend or
  585  holiday, including the hours before the ordinary business hours
  586  on the morning of the next working day, and the receiving
  587  facility:
  588         a. Intends to file a petition for involuntary services,
  589  such patient may be held at the facility through the next
  590  working day thereafter and the petition must be filed no later
  591  than such date. If the facility fails to file the petition by
  592  the ordinary close of business on the next working day, the
  593  patient shall be released from the receiving facility following
  594  approval pursuant to paragraph (f).
  595         b. Does not intend to file a petition for involuntary
  596  services, the receiving facility may postpone release of a
  597  patient until the next working day thereafter only if a
  598  qualified professional documents that adequate discharge
  599  planning and procedures in accordance with s. 394.468, and
  600  approval pursuant to paragraph (f), are not possible until the
  601  next working day.
  602         Section 13. For the purpose of incorporating the amendment
  603  made by this act to section 394.495, Florida Statutes, in
  604  references thereto, paragraph (c) of subsection (2) and
  605  subsection (6) of section 394.4955, Florida Statutes, are
  606  reenacted to read:
  607         394.4955 Coordinated system of care; child and adolescent
  608  mental health treatment and support.—
  609         (2)
  610         (c) To the extent permitted by available resources, the
  611  coordinated system of care shall include the array of services
  612  listed in s. 394.495.
  613         (6) The managing entity shall identify gaps in the arrays
  614  of services for children and adolescents listed in s. 394.495
  615  available under each plan and include relevant information in
  616  its annual needs assessment required by s. 394.9082.
  617         Section 14. For the purpose of incorporating the amendment
  618  made by this act to section 1004.44, Florida Statutes, in a
  619  reference thereto, subsection (7) of section 1001.212, Florida
  620  Statutes, is reenacted to read:
  621         1001.212 Office of Safe Schools.—There is created in the
  622  Department of Education the Office of Safe Schools. The office
  623  is fully accountable to the Commissioner of Education. The
  624  office shall serve as a central repository for best practices,
  625  training standards, and compliance oversight in all matters
  626  regarding school safety and security, including prevention
  627  efforts, intervention efforts, and emergency preparedness
  628  planning. The office shall:
  629         (7) Provide data to support the evaluation of mental health
  630  services pursuant to s. 1004.44. Such data must include, for
  631  each school, the number of involuntary examinations as defined
  632  in s. 394.455 which are initiated at the school, on school
  633  transportation, or at a school-sponsored activity and the number
  634  of children for whom an examination is initiated.
  635         Section 15. This act shall take effect July 1, 2025.