Florida Senate - 2026                                    SB 1132
       
       
        
       By Senator Rouson
       
       
       
       
       
       16-00991B-26                                          20261132__
    1                        A bill to be entitled                      
    2         An act relating to procedures for discharging persons
    3         to avoid homelessness; providing a short title;
    4         amending s. 420.626, F.S.; revising legislative
    5         intent; encouraging certain facilities and
    6         institutions, in collaboration with a continuum of
    7         care lead agency, to develop and implement certain
    8         procedures for when persons are discharged from
    9         certain facilities or institutions; requiring the
   10         Department of Children and Families to conduct a pilot
   11         program in specified counties; requiring the
   12         department to submit certain quarterly and, beginning
   13         on a specified date, annual reports to the Governor
   14         and the Legislature; revising certain procedures;
   15         defining the term “client-level data”; requiring the
   16         sharing of client-level data to comply with specified
   17         state and federal laws and regulations; requiring a
   18         continuum of care lead agency to evaluate certain
   19         procedures and identify gaps and opportunities for
   20         improvement in its annual continuum of care plan;
   21         authorizing the State Office on Homelessness, in
   22         conjunction with the Council on Homelessness, to
   23         provide guidance to a continuum of care lead agency
   24         for a specified purpose; providing an effective date.
   25          
   26  Be It Enacted by the Legislature of the State of Florida:
   27  
   28         Section 1. This act may be cited as the “Bridging Systems
   29  to Housing Act.”
   30         Section 2. Section 420.626, Florida Statutes, is amended to
   31  read:
   32         420.626 Homelessness; discharge guidelines.—
   33         (1) It is the intent of the Legislature, to encourage
   34  mental health facilities or institutions under contract with,
   35  operated, licensed, or regulated by the state and local
   36  governments to ensure, to the extent practicable, that persons
   37  leaving the their care or custody of hospitals and other
   38  facilities and institutions under contract with, operated by,
   39  licensed by, or regulated by the state and local governments are
   40  not discharged into homelessness without connecting such persons
   41  to the continuum of care.
   42         (2) The following facilities and institutions, in
   43  collaboration with the continuum of care lead agency in the
   44  facility’s or institution’s catchment area, are encouraged to
   45  develop and implement procedures as provided under subsection
   46  (4) which are designed to reduce the discharge of persons into
   47  homelessness when such persons are admitted or housed for more
   48  than 24 hours at such facilities or institutions: hospitals and
   49  inpatient medical facilities not located in a county in which a
   50  pilot program is conducted under subsection (3); crisis
   51  stabilization units; residential treatment facilities; assisted
   52  living facilities; and detoxification centers.
   53         (3)The department shall conduct a pilot program in
   54  Broward, Duval, Hillsborough, and Pinellas Counties for the
   55  development and implementation of the procedures required under
   56  subsection (4) for all hospitals and inpatient medical
   57  facilities located in those counties.
   58         (a)Until the pilot program is fully implemented, the
   59  department must submit to the Governor, the President of the
   60  Senate, and the Speaker of the House of Representatives
   61  quarterly reports on the status of the pilot program in each
   62  designated county.
   63         (b)By November 30, 2027, and annually thereafter, the
   64  department shall assess and submit a report on the effectiveness
   65  of the pilot program in each designated county to the Governor,
   66  the President of the Senate, and the Speaker of the House of
   67  Representatives.
   68         (4)(3) The procedures for persons who consent to
   69  participate in services must should include all of the
   70  following:
   71         (a) Development and implementation of an early assessment a
   72  screening process or other mechanism for identifying persons to
   73  be discharged from the facility or institution who reported
   74  being homeless at the time of intake, are at considerable risk
   75  for homelessness, or face an some imminent threat to their
   76  health and safety upon discharge.
   77         (b) Development and implementation of a discharge plan that
   78  ensures addressing how identified persons are offered a
   79  transition from the facility or institution to the local
   80  continuum of care for connection to housing or shelter
   81  resources, if available, or supportive services will secure
   82  housing and other needed care and support upon discharge.
   83         (c) Communication with the entities to whom identified
   84  persons may potentially be discharged to determine their
   85  capability to serve such persons and their acceptance of such
   86  persons into their programs, and selection of the entity
   87  determined to be best equipped to provide or facilitate the
   88  provision of suitable care and support. A discharge to an entity
   89  may only occur during normal operating hours when the receiving
   90  entity is open to receive the discharged person.
   91         (d) Coordination of effort and sharing of information with
   92  entities that are expected to bear the responsibility for
   93  providing care or support to identified persons upon discharge
   94  through the following processes:
   95         1.Enrollment in the Homeless Management Information System
   96  to collect and share client-level data in order to gain an
   97  understanding of an identified person’s characteristics,
   98  eligibility, and needs for housing and related services; or
   99         2.With an identified person’s consent, development and
  100  implementation of a process or mechanism to share client-level
  101  data regarding a person’s medical and mental health needs
  102  outside of the Homeless Management Information System.
  103  
  104  As used in this paragraph, the term “client-level data” means
  105  detailed, individual-level information regarding the housing and
  106  other relevant needs, such as mental health support, of a person
  107  being discharged from a facility or institution. Client-level
  108  data sharing is used to ensure the timely, continuous, and
  109  coordinated delivery of housing-related services and supports
  110  after an identified person is stabilized and before the person
  111  is released from the facility or institution. The sharing of
  112  client-level data must comply with federal and state privacy and
  113  confidentiality laws and regulations.
  114         (e) Provision of sufficient medication, medical equipment
  115  and supplies, clothing, transportation, and other basic
  116  resources necessary to ensure that the health and well-being of
  117  identified persons are not jeopardized upon their discharge.
  118         (f)Development and implementation of a process for
  119  facilities and institutions to verify in the Homeless Management
  120  Information System whether a person is registered with the
  121  continuum of care and, if so, the entry of a referral in the
  122  Homeless Management Information System for such person. If a
  123  person is identified at intake as homeless or is at considerable
  124  risk of homelessness upon discharge, but the person is not
  125  registered in the Homeless Management Information System, the
  126  facility or institution must ensure such person contacts the 211
  127  call center or other local nonemergency service referral hotline
  128  to facilitate registration in the Homeless Management
  129  Information System in order to receive a referral to the
  130  continuum of care’s coordinated entry system.
  131         (g)Provision of information, such as a website or other
  132  resource guides if available, to identified persons regarding
  133  resource availability through the 211 call center, any other
  134  local nonemergency service referral hotline, or the continuum of
  135  care.
  136         (5)The continuum of care lead agency shall evaluate the
  137  procedures developed and implemented under subsection (4) and
  138  identify gaps and opportunities for improvement in its annual
  139  continuum of care plan submitted to the State Office on
  140  Homelessness. The State Office on Homelessness, in conjunction
  141  with the Council on Homelessness, may provide the continuum of
  142  care lead agency guidance to address ongoing gaps in services to
  143  strengthen local discharge planning practices.
  144         (6)(4)This section is intended only to recommend model
  145  guidelines and procedures that mental health facilities or
  146  institutions under contract with or operated, licensed, or
  147  regulated by the state or local governments may consider when
  148  discharging persons into the community. This section is not an
  149  entitlement, and no cause of action shall arise against the
  150  state, the local government entity, or any other political
  151  subdivision of this state for failure to follow any of the
  152  procedures or provide any of the services suggested under this
  153  section.
  154         Section 3. This act shall take effect July 1, 2026.