Florida Senate - 2025                        COMMITTEE AMENDMENT
       Bill No. SB 886
       
       
       
       
       
       
                                Ì504398OÎ504398                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/02/2025           .                                
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       The Committee on Children, Families, and Elder Affairs (Leek)
       recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 394.6581, Florida Statutes, is created
    6  to read:
    7         394.6581Crisis Care Coordination Pilot Programs.—
    8         (1)Subject to a specific appropriation, the department
    9  shall establish and implement Crisis Care Coordination Pilot
   10  Programs in Polk and Volusia Counties. The purpose of the pilot
   11  programs is to reduce repeat involuntary examinations initiated
   12  by law enforcement, provide persons who are experiencing an
   13  acute mental health crisis an option for crisis intervention
   14  other than the use of law enforcement, reduce their level of
   15  follow-up interaction with law enforcement officers post crisis,
   16  and assist them with engagement in behavioral health care.
   17         (a)The pilot programs shall facilitate partnerships
   18  between law enforcement agencies in Polk and Volusia Counties
   19  and organizations in the coordinated system of care under s.
   20  394.4573 that are operating in those counties by placing crisis
   21  counselors within law enforcement agencies to intervene with and
   22  provide follow-up care for persons who are experiencing or have
   23  experienced an acute mental health crisis and their families and
   24  support networks.
   25         (b)The pilot programs shall be implemented by nationally
   26  accredited community mental health centers in partnership with
   27  local law enforcement.
   28         (2)Crisis counselors placed in law enforcement agencies
   29  shall provide support and assistance to persons who are
   30  experiencing or have experienced an acute mental health crisis,
   31  connecting them to the coordinated system of care. Duties of
   32  crisis counselors shall include:
   33         (a)Intervening when law enforcement is contacted relating
   34  to a person experiencing an acute mental health crisis to make
   35  observations and provide information to responding officers,
   36  conduct assessments, de-escalate the crisis situation, or
   37  provide referrals, as appropriate.
   38         (b)Follow up with such persons following an acute mental
   39  health crisis involving law enforcement, such as an involuntary
   40  examination as defined in s. 394.455 initiated by law
   41  enforcement. A person’s involvement with follow-up care is
   42  voluntary. Such follow-up care by crisis counselors may include,
   43  but is not limited to:
   44         1.Conducting assessments.
   45         2.Providing individualized safety planning tailored to the
   46  person’s needs and risks.
   47         3.Providing supportive counseling.
   48         4.Assisting persons in accessing recommended mental health
   49  services and substance abuse services.
   50         5.Assisting persons in adhering to discharge plans.
   51         6.Providing care coordination as defined in s. 394.4573,
   52  unless a person is already receiving that service from another
   53  organization.
   54         (3)The pilot programs shall establish formal partnerships
   55  through written referral agreements and information exchange
   56  procedures with, at a minimum, providers of mental health
   57  services and substance abuse services, local hospitals licensed
   58  under chapter 395, and not-for-profit agencies and other
   59  organizations which can be of assistance to persons who are
   60  experiencing or have experienced an acute mental health crisis
   61  and their families and support networks. Such agreements must,
   62  at a minimum, facilitate timely access to community-based
   63  behavioral health services and other local systems and entities
   64  as provided in the person’s discharge plan.
   65         (4)The department shall contract for an independent
   66  evaluation of the pilot programs regarding, at a minimum, their
   67  effectiveness and return on investment. By January 15, 2029, the
   68  department shall submit a report of the findings of the
   69  evaluation of the pilot programs to the Governor, the President
   70  of the Senate, and the Speaker of the House of Representatives,
   71  which must include, at a minimum:
   72         (a)The amount of time that law enforcement officers were
   73  engaged in responses to persons who were experiencing or had
   74  experienced an acute mental health crisis.
   75         (b)Repeat involuntary examinations initiated by law
   76  enforcement.
   77         (c)Engagement in post-crisis mental health and substance
   78  abuse services among persons served by the programs.
   79         (d)The effectiveness of the pilot program services.
   80         (e)Recommendations regarding enhancements to, and
   81  continuation and expansion of, the pilot programs.
   82         (5)The department may adopt rules to implement this
   83  section.
   84         (6)This section expires June 30, 2029.
   85         Section 2. This act shall take effect July 1, 2025.
   86  
   87  ================= T I T L E  A M E N D M E N T ================
   88  And the title is amended as follows:
   89         Delete everything before the enacting clause
   90  and insert:
   91                        A bill to be entitled                      
   92         An act relating to crisis care coordination; creating
   93         s. 394.6581, F.S.; requiring the Department of
   94         Children and Families to implement, subject to
   95         appropriation, Crisis Care Coordination Pilot Programs
   96         in specified counties for certain purposes; providing
   97         requirements for the pilot programs; requiring the
   98         department to contract for an independent evaluation
   99         of the pilot programs and submit a report to the
  100         Governor and the Legislature by a specified date;
  101         providing rulemaking authority; providing for
  102         expiration of the pilot programs; providing an
  103         effective date.