CS for CS for SB 1620                            First Engrossed
       
       
       
       
       
       
       
       
       20251620e1
       
    1                        A bill to be entitled                      
    2         An act relating to mental health and substance use
    3         disorders; amending s. 394.457, F.S.; requiring the
    4         Department of Children and Families to require certain
    5         providers to use a specified assessment tool; revising
    6         the minimum standards for a mobile crisis response
    7         service; amending s. 394.459, F.S.; requiring
    8         facilities to update treatment plans within specified
    9         timeframes; amending s. 394.468, F.S.; revising
   10         requirements for discharge planning regarding
   11         medications; amending s. 394.495, F.S.; requiring use
   12         of a specified assessment tool; providing an
   13         exception; requiring the Department of Children and
   14         Families, in consultation with the Department of
   15         Education, to conduct a review biennially of school
   16         based behavioral health access through telehealth;
   17         providing requirements for review; requiring the
   18         Department of Children and Families to submit its
   19         findings to the Governor and the Legislature by a
   20         specified date; providing for expiration of the
   21         review; amending s. 394.659, F.S.; requiring the
   22         Criminal Justice, Mental Health, and Substance Abuse
   23         Technical Assistance Center at the Louis de la Parte
   24         Florida Mental Health Institute at the University of
   25         South Florida to disseminate among grantees certain
   26         evidence-based practices and best practices; defining
   27         the term “person-first language”; amending s. 394.875,
   28         F.S.; requiring the Department of Children and
   29         Families, in consultation with the Agency for Health
   30         Care Administration, to conduct a review biennially to
   31         identify needs regarding short-term residential
   32         treatment facilities and beds; specifying actions the
   33         department must take under certain conditions;
   34         amending s. 394.9082, F.S.; requiring managing
   35         entities to promote use of person-first language and
   36         trauma-informed care and require use of a specified
   37         assessment tool; amending s. 1004.44, F.S.; revising
   38         the assistance and services the Louis de la Parte
   39         Florida Mental Health Institute is required to
   40         provide; revising the requirements of the Florida
   41         Center for Behavioral Health Workforce to promote
   42         behavioral health professions; creating the Senator
   43         Darryl E. Rouson Center for Substance Abuse and Mental
   44         Health Research within the institute; specifying the
   45         purpose of the center; specifying the goals of the
   46         center; specifying the responsibilities of the center;
   47         requiring the center to submit a report by a specified
   48         date each year to the Governor and the Legislature;
   49         specifying the contents of the report; amending s.
   50         1006.041, F.S.; revising the plan components for
   51         mental health assistance programs; reenacting s.
   52         394.463(2)(g), F.S., relating to involuntary
   53         examination, to incorporate the amendment made to s.
   54         394.468, F.S., in a reference thereto; reenacting s.
   55         394.4955(2)(c) and (6), F.S., relating to coordinated
   56         system of care and child and adolescent mental health
   57         treatment and support, to incorporate the amendment
   58         made to s. 394.495, F.S., in references thereto;
   59         reenacting s. 1001.212(7), F.S., relating to the
   60         Office of Safe Schools, to incorporate the amendment
   61         made to s. 1004.44, F.S., in a reference thereto;
   62         providing an effective date.
   63          
   64  Be It Enacted by the Legislature of the State of Florida:
   65  
   66         Section 1. Subsection (3) and paragraph (c) of subsection
   67  (5) of section 394.457, Florida Statutes, are amended to read:
   68         394.457 Operation and administration.—
   69         (3) POWER TO CONTRACT.—The department may contract to
   70  provide, and be provided with, services and facilities in order
   71  to carry out its responsibilities under this part with the
   72  following agencies: public and private hospitals; receiving and
   73  treatment facilities; clinics; laboratories; departments,
   74  divisions, and other units of state government; the state
   75  colleges and universities; the community colleges; private
   76  colleges and universities; counties, municipalities, and any
   77  other governmental unit, including facilities of the United
   78  States Government; and any other public or private entity which
   79  provides or needs facilities or services. The department shall
   80  require any provider directly under contract with the department
   81  to use, at a minimum, the most recent version of the Daily
   82  Living Activities-20 (DLA-20) functional assessment tool for any
   83  patient requiring functional assessment, unless the department
   84  specifies in rule the use of a different assessment tool. Baker
   85  Act funds for community inpatient, crisis stabilization, short
   86  term residential treatment, and screening services must be
   87  allocated to each county pursuant to the department’s funding
   88  allocation methodology. Notwithstanding s. 287.057(3)(e),
   89  contracts for community-based Baker Act services for inpatient,
   90  crisis stabilization, short-term residential treatment, and
   91  screening provided under this part, other than those with other
   92  units of government, to be provided for the department must be
   93  awarded using competitive sealed bids if the county commission
   94  of the county receiving the services makes a request to the
   95  department’s district office by January 15 of the contracting
   96  year. The district may not enter into a competitively bid
   97  contract under this provision if such action will result in
   98  increases of state or local expenditures for Baker Act services
   99  within the district. Contracts for these Baker Act services
  100  using competitive sealed bids are effective for 3 years. The
  101  department shall adopt rules establishing minimum standards for
  102  such contracted services and facilities and shall make periodic
  103  audits and inspections to assure that the contracted services
  104  are provided and meet the standards of the department.
  105         (5) RULES.—
  106         (c) The department shall adopt rules establishing minimum
  107  standards for services provided by a mental health overlay
  108  program or a mobile crisis response service. Minimum standards
  109  for a mobile crisis response service must:
  110         1. Include the requirements of the child, adolescent, and
  111  young adult mobile response teams established under s.
  112  394.495(7) and ensure coverage of all counties by these
  113  specified teams; and
  114         2.Specify any training or other requirements applicable to
  115  a mobile crisis response service available to persons age 65 and
  116  over to enable the service to meet the specialized needs of such
  117  persons; and
  118         3.2. Create a structure for general mobile response teams
  119  which focuses on crisis diversion and the reduction of
  120  involuntary commitment under this chapter. The structure must
  121  require, but need not be limited to, the following:
  122         a. Triage and rapid crisis intervention within 60 minutes;
  123         b. Provision of and referral to evidence-based services
  124  that are responsive to the needs of the individual and the
  125  individual’s family;
  126         c. Screening, assessment, early identification, and care
  127  coordination; and
  128         d. Confirmation that the individual who received the mobile
  129  crisis response was connected to a service provider and
  130  prescribed medications, if needed.
  131         Section 2. Paragraph (e) of subsection (2) of section
  132  394.459, Florida Statutes, is amended to read:
  133         394.459 Rights of patients.—
  134         (2) RIGHT TO TREATMENT.—
  135         (e) Not more than 5 days after admission to a facility,
  136  each patient must shall have and receive an individualized
  137  treatment plan in writing which the patient has had an
  138  opportunity to assist in preparing and to review before prior to
  139  its implementation. The plan must shall include a space for the
  140  patient’s comments. Facilities shall update the treatment plan,
  141  including, but not limited to, the physician summary, at least
  142  every 30 days during the time a patient is in a receiving or
  143  treatment facility, except a patient retained for longer than 24
  144  months shall have updates to his or her treatment plan at least
  145  every 60 days.
  146         Section 3. Subsection (2) of section 394.468, Florida
  147  Statutes, is amended to read:
  148         394.468 Admission and discharge procedures.—
  149         (2) Discharge planning and procedures for any patient’s
  150  release from a receiving facility or treatment facility must
  151  include and document the patient’s needs, and actions to address
  152  such needs, for, at a minimum:
  153         (a) Followup Follow-up behavioral health appointments;
  154         (b) Information on how to obtain prescribed medications,
  155  including, but not limited to, administration of long-acting
  156  injectable medications. The discharge plan must address any
  157  barriers faced by the patient to accessing long-acting
  158  injectable medications after discharge if such medication is
  159  part of the patient’s plan; and
  160         (c) Information pertaining to:
  161         1. Available living arrangements;
  162         2. Transportation; and
  163         (d) Referral to:
  164         1. Care coordination services. The patient must be referred
  165  for care coordination services if the patient meets the criteria
  166  as a member of a priority population as determined by the
  167  department under s. 394.9082(3)(c) and is in need of such
  168  services.
  169         2. Recovery support opportunities under s. 394.4573(2)(l),
  170  including, but not limited to, connection to a peer specialist;
  171  and
  172         (e)Administration of long-acting injectable medication
  173  before discharge if such medication is available to treat the
  174  patient’s diagnosed behavioral health condition and is
  175  clinically appropriate for the patient.
  176         Section 4. Subsections (2) and (5) of section 394.495,
  177  Florida Statutes, are amended to read:
  178         394.495 Child and adolescent mental health system of care;
  179  programs and services.—
  180         (2) The array of services must include assessment services
  181  that provide a professional interpretation of the nature of the
  182  problems of the child or adolescent and his or her family;
  183  family issues that may impact the problems; additional factors
  184  that contribute to the problems; and the assets, strengths, and
  185  resources of the child or adolescent and his or her family. The
  186  assessment services to be provided must shall be determined by
  187  the clinical needs of each child or adolescent. Assessment tools
  188  used must, at a minimum, include the use of the most recent
  189  version of the Daily Living Activities-20 (DLA-20) functional
  190  assessment tool, unless the department specifies in rule the use
  191  of a different assessment tool. Assessment services include, but
  192  are not limited to, evaluation and screening in the following
  193  areas:
  194         (a) Physical and mental health for purposes of identifying
  195  medical and psychiatric problems.
  196         (b) Psychological functioning, as determined through a
  197  battery of psychological tests.
  198         (c) Intelligence and academic achievement.
  199         (d) Social and behavioral functioning.
  200         (e) Family functioning.
  201  
  202  The assessment for academic achievement is the financial
  203  responsibility of the school district. The department shall
  204  cooperate with other state agencies and the school district to
  205  avoid duplicating assessment services.
  206         (5) In order to enhance collaboration between agencies and
  207  to facilitate the provision of services by the child and
  208  adolescent mental health treatment and support system and the
  209  school district:,
  210         (a) The local child and adolescent mental health system of
  211  care shall include the local educational multiagency network for
  212  severely emotionally disturbed students specified in s. 1006.04.
  213         (b)The department, in consultation with the Department of
  214  Education, shall biennially review school-based behavioral
  215  health access in the state through telehealth, with an emphasis
  216  on underserved and rural communities. The review shall, at a
  217  minimum, assess gaps in the provision of school-based behavioral
  218  health services, the extent of use of telehealth for school
  219  based behavioral health services, barriers to use and expansion
  220  of such telehealth services, and recommendations to address
  221  barriers and any implementation requirements. The review shall
  222  also identify any new models for increasing school-based
  223  behavioral health access. The Department of Children and
  224  Families shall submit to the Governor, the President of the
  225  Senate, and the Speaker of the House of Representatives its
  226  findings by January 1, beginning in 2026. This subsection
  227  expires June 30, 2030, unless reenacted by the Legislature.
  228         Section 5. Paragraph (d) of subsection (1) of section
  229  394.659, Florida Statutes, is amended to read:
  230         394.659 Criminal Justice, Mental Health, and Substance
  231  Abuse Technical Assistance Center.—
  232         (1) There is created a Criminal Justice, Mental Health, and
  233  Substance Abuse Technical Assistance Center at the Louis de la
  234  Parte Florida Mental Health Institute at the University of South
  235  Florida, which shall:
  236         (d) Disseminate and share evidence-based practices and best
  237  practices among grantees, including, but not limited to, the use
  238  of person-first language and trauma-responsive care, to improve
  239  patient experiences and outcomes of individuals with behavioral
  240  health conditions and encourage cooperative engagement with such
  241  individuals. For purposes of this paragraph, the term “person
  242  first language” means language used which emphasizes the
  243  individual as a person rather than the individual’s disability,
  244  illness, or condition.
  245         Section 6. Subsection (11) is added to section 394.875,
  246  Florida Statutes, and paragraph (c) of subsection (1) and
  247  paragraph (a) of subsection (8) of that section are republished,
  248  to read:
  249         394.875 Crisis stabilization units, residential treatment
  250  facilities, and residential treatment centers for children and
  251  adolescents; authorized services; license required.—
  252         (1)
  253         (c) The purpose of a residential treatment center for
  254  children and adolescents is to provide mental health assessment
  255  and treatment services pursuant to ss. 394.491, 394.495, and
  256  394.496 to children and adolescents who meet the target
  257  population criteria specified in s. 394.493(1)(a), (b), or (c).
  258         (8)(a) The department, in consultation with the agency,
  259  must adopt rules governing a residential treatment center for
  260  children and adolescents which specify licensure standards for:
  261  admission; length of stay; program and staffing; discharge and
  262  discharge planning; treatment planning; seclusion, restraints,
  263  and time-out; rights of patients under s. 394.459; use of
  264  psychotropic medications; and standards for the operation of
  265  such centers.
  266         (11)The department, in consultation with the agency, shall
  267  biennially conduct a review to identify the need for new short
  268  term residential treatment facilities and additional beds in
  269  existing short-term residential treatment facilities. If
  270  additional funding is necessary to address such need, the
  271  department shall submit a legislative budget request for such
  272  funding. If the department can address the need within existing
  273  resources, the department shall take action to do so.
  274         Section 7. Paragraphs (v) and (w) are added to subsection
  275  (5) of section 394.9082, Florida Statutes, to read:
  276         394.9082 Behavioral health managing entities.—
  277         (5) MANAGING ENTITY DUTIES.—A managing entity shall:
  278         (v)Promote the use of person-first language and trauma
  279  informed responsive care among providers, peer organizations,
  280  and family members, including, but not limited to, through
  281  training and sharing best practices. For purposes of this
  282  paragraph, the term “person-first language” means language used
  283  which emphasizes the patient as a person rather than that
  284  patient’s disability, illness, or condition.
  285         (w)Require use of the most recent version of the Daily
  286  Living Activities-20 (DLA-20) functional assessment tool by all
  287  providers under contract with the managing entity, unless the
  288  department specifies in rule the use of a different assessment
  289  tool.
  290         Section 8. Paragraph (a) of subsection (6) of section
  291  1004.44, Florida Statutes, is amended, and paragraph (h) of
  292  subsection (1) and subsection (8) are added to that section, to
  293  read:
  294         1004.44 Louis de la Parte Florida Mental Health Institute.
  295  There is established the Louis de la Parte Florida Mental Health
  296  Institute within the University of South Florida.
  297         (1) The purpose of the institute is to strengthen mental
  298  health services throughout the state by providing technical
  299  assistance and support services to mental health agencies and
  300  mental health professionals. Such assistance and services shall
  301  include:
  302         (h)Submission of a report analyzing substance abuse and
  303  mental health services provided in the state through publicly
  304  funded programs, including Medicare. The review shall, at a
  305  minimum, identify services covered by such programs, assess
  306  quality of care and cost management, and identify services for
  307  which additional providers are needed in the state. The
  308  institute shall submit the report to the Governor, President of
  309  the Senate, and Speaker of the House of Representatives by June
  310  30, 2026.
  311         (6)(a) There is established within the institute the
  312  Florida Center for Behavioral Health Workforce. The purpose of
  313  the center is to support an adequate, highly skilled, resilient,
  314  and innovative workforce that meets the current and future human
  315  resources needs of the state’s behavioral health system in order
  316  to provide high-quality care, services, and supports to
  317  Floridians with, or at risk of developing, behavioral health
  318  conditions through original research, policy analysis,
  319  evaluation, and development and dissemination of best practices.
  320  The goals of the center are, at a minimum, to research the
  321  state’s current behavioral health workforce and future needs;
  322  expand the number of clinicians, professionals, and other
  323  workers involved in the behavioral health workforce; and enhance
  324  the skill level and innovativeness of the workforce. The center
  325  shall, at a minimum, do all of the following:
  326         1. Describe and analyze the current workforce and project
  327  possible future workforce demand, especially in critical roles,
  328  and develop strategies for addressing any gaps. The center’s
  329  efforts may include, but need not be limited to, producing a
  330  statistically valid biennial analysis of the supply and demand
  331  of the behavioral health workforce.
  332         2. Expand pathways to behavioral health professions through
  333  enhanced educational opportunities and improved faculty
  334  development and retention. The center’s efforts may include, but
  335  need not be limited to:
  336         a. Identifying best practices in the academic preparation
  337  and continuing education of behavioral health professionals.
  338         b. Facilitating and coordinating the development of
  339  academic-practice partnerships that support behavioral health
  340  faculty employment and advancement.
  341         c. Developing and implementing innovative projects to
  342  support the recruitment, development, and retention of
  343  behavioral health educators, faculty, and clinical preceptors.
  344         d. Developing distance learning infrastructure for
  345  behavioral health education and the evidence-based use of
  346  technology, simulation, and distance learning techniques.
  347         3. Promote behavioral health professions. The center’s
  348  efforts may include, but need not be limited to:
  349         a. Conducting original research on the factors affecting
  350  recruitment, retention, and advancement of the behavioral health
  351  workforce, such as designing and implementing a longitudinal
  352  study of the state’s behavioral health workforce.
  353         b. Developing and implementing innovative projects to
  354  support the recruitment, development, and retention of
  355  behavioral health workers, including, but not limited to,
  356  projects to provide additional stipends, compensation, and
  357  financial support for clinical supervisors, workers, interns,
  358  and students currently working in the behavioral health field.
  359         4.Request from the Board of Clinical Social Work, Marriage
  360  and Family Therapy, and Mental Health Counseling, and the board
  361  must provide to the center upon its request, any information
  362  held by the board regarding the clinical social work, marriage
  363  and family therapy, and mental health counselors licensed in
  364  this state or information reported to the board by employers of
  365  such counselors, other than personal identifying information.
  366         (8)(a) There is created within the institute the Senator
  367  Darryl E. Rouson Center for Substance Abuse and Mental Health
  368  Research, which may also be referred to as the “Rouson Center.”
  369  The purpose of the center is to conduct rigorous and relevant
  370  research intended to develop knowledge and practice in
  371  prevention and intervention for substance abuse and mental
  372  health issues, to serve the people and economy in this state in
  373  reducing the gap between population needs and the availability
  374  of effective treatments and other interventions to improve the
  375  capacity of the state to have healthy, resilient communities
  376  prevailing over substance abuse, addiction, and mental health
  377  challenges.
  378         (b)The goals of the center are, at a minimum, to advance
  379  the scientific understanding of the relationship between
  380  substance abuse and mental health issues, to improve treatment
  381  outcomes, and to reduce the societal impact and burden of
  382  substance abuse and mental health conditions. The center shall,
  383  at a minimum, do all of the following:
  384         1.Analyze publicly funded substance abuse and mental
  385  health services to identify gaps in insurance coverage, monitor
  386  quality of care and cost management, and enhance provider
  387  networks by identifying gaps in service provision by type and
  388  geographic location.
  389         2.Research and study the complex relationship between
  390  substance abuse and mental health disorders, including analyzing
  391  how substances may contribute to the onset of mental health
  392  conditions, how those conditions can lead to substance abuse,
  393  and how both can interact to create and worsen negative
  394  outcomes, such as violence, infectious disease, suicide, and
  395  overdose. The center must also study the range, distribution,
  396  and concentration of such negative outcomes.
  397         3.Develop and test strategies to prevent the development
  398  of both substance use and mental health disorders, including
  399  early risk factor identification and interventions designed for
  400  at-risk populations, specifically in rural settings, where
  401  resources may be limited and integrated care is essential.
  402         4.Conduct research on alternative, low-cost strategies for
  403  prevention and early intervention.
  404         5.Conduct outcomes and implementation research on
  405  optimizing application of technology for efficient and effective
  406  dissemination of evidence-based treatment across this state,
  407  with specific attention to rural and other low-resource areas,
  408  using telehealth, mobile device remote monitoring, delivery of
  409  patient-specific prompts via technology platforms for self
  410  management, and other aspects of care.
  411         6.Investigate and improve treatment options for
  412  individuals suffering from co-occurring substance use and mental
  413  health disorders, including developing integrated treatment
  414  programs that address both issues simultaneously.
  415         7.Generate evidence-based data to inform public policy and
  416  promote substance use disorder services and mental health
  417  disorder services.
  418         8.Develop community-based sharing agreements, local
  419  infrastructure, and methodologies to encourage data-informed
  420  decisionmaking to encourage economic efficiency and targeted
  421  service delivery.
  422         9.Develop and provide training for health care
  423  professionals, social workers, counselors, and researchers on
  424  the latest findings related to substance abuse and mental
  425  health, fostering a workforce capable of providing effective
  426  care.
  427         10.Articulate methods to align and adapt training
  428  approaches for delivering evidence-based practices to locally
  429  identified needs, including implementing evidence-based training
  430  and tools at community health centers to improve identification
  431  of mental health and substance use disorders and create plans
  432  for referral and continuity of care.
  433         11.Collaborate with community organizations to offer
  434  resources and education about substance use and mental health to
  435  reduce stigma and raise awareness.
  436         (c)By July 1 of each year, the center shall submit a
  437  report to the Governor, the President of the Senate, and the
  438  Speaker of the House of Representatives providing details of its
  439  activities during the preceding calendar year in pursuit of its
  440  goals and in the execution of its duties under paragraph (b).
  441         Section 9. Subsection (2) of section 1006.041, Florida
  442  Statutes, is amended to read:
  443         1006.041 Mental health assistance program.—Each school
  444  district must implement a school-based mental health assistance
  445  program that includes training classroom teachers and other
  446  school staff in detecting and responding to mental health issues
  447  and connecting children, youth, and families who may experience
  448  behavioral health issues with appropriate services.
  449         (2) A plan required under subsection (1) must be focused on
  450  a multitiered system of supports to deliver evidence-based
  451  mental health care assessment, diagnosis, intervention,
  452  treatment, and recovery services to students with one or more
  453  mental health or co-occurring substance abuse diagnoses and to
  454  students at high risk of such diagnoses. Assessment procedures
  455  must, at a minimum, include the use of the most recent version
  456  of the Daily Living Activities-20 (DLA-20) functional assessment
  457  tool, unless the department specifies in rule the use of a
  458  different assessment tool. The department shall consult with the
  459  Department of Children and Families before adopting rules
  460  regarding use of a different assessment tool. The provision of
  461  these services must be coordinated with a student’s primary
  462  mental health care provider and with other mental health
  463  providers involved in the student’s care. At a minimum, the plan
  464  must include all of the following components:
  465         (a) Direct employment of school-based mental health
  466  services providers to expand and enhance school-based student
  467  services and to reduce the ratio of students to staff in order
  468  to better align with nationally recommended ratio models. The
  469  providers shall include, but are not limited to, certified
  470  school counselors, school psychologists, school social workers,
  471  and other licensed mental health professionals. The plan must
  472  also identify strategies to increase the amount of time that
  473  school-based student services personnel spend providing direct
  474  services to students, which may include the review and revision
  475  of district staffing resource allocations based on school or
  476  student mental health assistance needs.
  477         (b) Contracts or interagency agreements with one or more
  478  local community behavioral health providers or providers of
  479  Community Action Team services to provide a behavioral health
  480  staff presence and services at district schools. Services may
  481  include, but are not limited to, mental health screenings and
  482  assessments, individual counseling, family counseling, group
  483  counseling, psychiatric or psychological services, trauma
  484  informed care, mobile crisis services, and behavior
  485  modification. These behavioral health services may be provided
  486  on or off the school campus and may be supplemented by
  487  telehealth as defined in s. 456.47(1).
  488         (c) Policies and procedures, including contracts with
  489  service providers, which will ensure that:
  490         1. Students referred to a school-based or community-based
  491  mental health service provider for mental health screening for
  492  the identification of mental health concerns and students at
  493  risk for mental health disorders are assessed within 15 days
  494  after referral. School-based mental health services must be
  495  initiated within 15 days after identification and assessment,
  496  and support by community-based mental health service providers
  497  for students who are referred for community-based mental health
  498  services must be initiated within 30 days after the school or
  499  district makes a referral.
  500         2. Parents of a student receiving services under this
  501  subsection are provided information about other behavioral
  502  health services available through the student’s school or local
  503  community-based behavioral health services providers. A school
  504  may meet this requirement by providing information about and
  505  Internet addresses for web-based directories or guides for local
  506  behavioral health services.
  507         3. Individuals living in a household with a student
  508  receiving services under this subsection are provided
  509  information about behavioral health services available through
  510  other delivery systems or payors for which such individuals may
  511  qualify, if such services appear to be needed or enhancements in
  512  such individuals’ behavioral health would contribute to the
  513  improved well-being of the student.
  514         (d) Strategies or programs to reduce the likelihood of at
  515  risk students developing social, emotional, or behavioral health
  516  problems; depression; anxiety disorders; suicidal tendencies; or
  517  substance use disorders.
  518         (e) Strategies to improve the early identification of
  519  social, emotional, or behavioral problems or substance use
  520  disorders; to improve the provision of early intervention
  521  services; and to assist students in dealing with trauma and
  522  violence.
  523         (f) Procedures to assist a mental health services provider
  524  or a behavioral health provider as described in paragraph (a) or
  525  paragraph (b), respectively, or a school resource officer or
  526  school safety officer who has completed mental health crisis
  527  intervention training in attempting to verbally de-escalate a
  528  student’s crisis situation before initiating an involuntary
  529  examination pursuant to s. 394.463. Such procedures must include
  530  strategies to de-escalate a crisis situation for a student with
  531  a developmental disability as defined in s. 393.063.
  532         (g) Policies of the school district which must require that
  533  in a student crisis situation, school or law enforcement
  534  personnel must make a reasonable attempt to contact a mental
  535  health professional who may initiate an involuntary examination
  536  pursuant to s. 394.463, unless the child poses an imminent
  537  danger to themselves or others, before initiating an involuntary
  538  examination pursuant to s. 394.463. Such contact may be in
  539  person or through telehealth. The mental health professional may
  540  be available to the school district either by a contract or
  541  interagency agreement with the managing entity, one or more
  542  local community-based behavioral health providers, or the local
  543  mobile response team, or be a direct or contracted school
  544  district employee.
  545         Section 10. For the purpose of incorporating the amendment
  546  made by this act to section 394.468, Florida Statutes, in a
  547  reference thereto, paragraph (g) of subsection (2) of section
  548  394.463, Florida Statutes, is reenacted to read:
  549         394.463 Involuntary examination.—
  550         (2) INVOLUNTARY EXAMINATION.—
  551         (g) The examination period must be for up to 72 hours and
  552  begins when a patient arrives at the receiving facility. For a
  553  minor, the examination shall be initiated within 12 hours after
  554  the patient’s arrival at the facility. Within the examination
  555  period, one of the following actions must be taken, based on the
  556  individual needs of the patient:
  557         1. The patient shall be released, unless he or she is
  558  charged with a crime, in which case the patient shall be
  559  returned to the custody of a law enforcement officer;
  560         2. The patient shall be released, subject to subparagraph
  561  1., for voluntary outpatient treatment;
  562         3. The patient, unless he or she is charged with a crime,
  563  shall be asked to give express and informed consent to placement
  564  as a voluntary patient and, if such consent is given, the
  565  patient shall be admitted as a voluntary patient; or
  566         4. A petition for involuntary services shall be filed in
  567  the circuit court or with the county court, as applicable. When
  568  inpatient treatment is deemed necessary, the least restrictive
  569  treatment consistent with the optimum improvement of the
  570  patient’s condition shall be made available. The petition shall
  571  be filed by one of the petitioners specified in s. 394.467, and
  572  the court shall dismiss an untimely filed petition. If a
  573  patient’s 72-hour examination period ends on a weekend or
  574  holiday, including the hours before the ordinary business hours
  575  on the morning of the next working day, and the receiving
  576  facility:
  577         a. Intends to file a petition for involuntary services,
  578  such patient may be held at the facility through the next
  579  working day thereafter and the petition must be filed no later
  580  than such date. If the facility fails to file the petition by
  581  the ordinary close of business on the next working day, the
  582  patient shall be released from the receiving facility following
  583  approval pursuant to paragraph (f).
  584         b. Does not intend to file a petition for involuntary
  585  services, the receiving facility may postpone release of a
  586  patient until the next working day thereafter only if a
  587  qualified professional documents that adequate discharge
  588  planning and procedures in accordance with s. 394.468, and
  589  approval pursuant to paragraph (f), are not possible until the
  590  next working day.
  591         Section 11. For the purpose of incorporating the amendment
  592  made by this act to section 394.495, Florida Statutes, in
  593  references thereto, paragraph (c) of subsection (2) and
  594  subsection (6) of section 394.4955, Florida Statutes, are
  595  reenacted to read:
  596         394.4955 Coordinated system of care; child and adolescent
  597  mental health treatment and support.—
  598         (2)
  599         (c) To the extent permitted by available resources, the
  600  coordinated system of care shall include the array of services
  601  listed in s. 394.495.
  602         (6) The managing entity shall identify gaps in the arrays
  603  of services for children and adolescents listed in s. 394.495
  604  available under each plan and include relevant information in
  605  its annual needs assessment required by s. 394.9082.
  606         Section 12. For the purpose of incorporating the amendment
  607  made by this act to section 1004.44, Florida Statutes, in a
  608  reference thereto, subsection (7) of section 1001.212, Florida
  609  Statutes, is reenacted to read:
  610         1001.212 Office of Safe Schools.—There is created in the
  611  Department of Education the Office of Safe Schools. The office
  612  is fully accountable to the Commissioner of Education. The
  613  office shall serve as a central repository for best practices,
  614  training standards, and compliance oversight in all matters
  615  regarding school safety and security, including prevention
  616  efforts, intervention efforts, and emergency preparedness
  617  planning. The office shall:
  618         (7) Provide data to support the evaluation of mental health
  619  services pursuant to s. 1004.44. Such data must include, for
  620  each school, the number of involuntary examinations as defined
  621  in s. 394.455 which are initiated at the school, on school
  622  transportation, or at a school-sponsored activity and the number
  623  of children for whom an examination is initiated.
  624         Section 13. This act shall take effect July 1, 2025.