Senate Bill 0856

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    Florida Senate - 1999                                   SB 856

    By Senator McKay





    rb99-10s

  1                 A reviser's bill to be entitled

  2         An act relating to the Florida Statutes;

  3         amending ss. 11.50, 40.022, 61.13, 61.20,

  4         90.503, 90.6063, 98.093, 110.205, 112.061,

  5         120.80, 125.0109, 125.901, 154.205, 154.245,

  6         166.0445, 186.901, 189.415, 194.013, 196.1975,

  7         205.1965, 215.3208, 216.0172, 216.136, 218.65,

  8         222.21, 228.093, 228.121, 229.8075, 229.832,

  9         230.2305, 230.33, 231.02, 231.381, 232.0315,

10         232.2481, 232.36, 236.145, 236.602, 238.01,

11         239.301, 240.5121, 240.514, 240.705, 245.08,

12         252.35, 252.355, 252.36, 255.565, 284.40,

13         287.057, 287.155, 288.9620, 288.975, 290.009,

14         314.05, 316.613, 316.6135, 318.14, 321.19,

15         322.055, 322.20, 364.510, 370.0605, 370.16,

16         372.57, 372.6672, 373.309, 376.30, 376.3071,

17         377.712, 380.05, 380.0555, 381.731, 381.733,

18         383.0113, 383.335, 383.336, 390.0112, 393.002,

19         393.063, 393.064, 393.065, 393.066, 393.067,

20         393.0673, 393.0675, 393.071, 393.075, 393.11,

21         393.13, 393.15, 393.31, 393.32, 393.502,

22         393.503, 394.453, 394.457, 394.4615, 394.4781,

23         394.480, 394.66, 395.002, 395.1027, 395.1055,

24         395.1065, 395.4025, 397.311, 397.753, 397.754,

25         397.801, 400.0061, 400.0065, 400.0067,

26         400.0069, 400.0075, 400.0089, 400.021, 400.022,

27         400.179, 400.211, 400.23, 400.401, 400.431,

28         400.434, 400.4415, 400.462, 400.471, 400.914,

29         402.04, 402.06, 402.07, 402.12, 402.16,

30         402.165, 402.166, 402.167, 402.17, 402.18,

31         402.181, 402.19, 402.20, 402.24, 402.27,

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    Florida Senate - 1999                                   SB 856
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  1         402.28, 402.3015, 402.3026, 402.3115, 402.33,

  2         402.35, 402.40, 402.45, 402.49, 402.50, 402.55,

  3         403.061, 403.081, 403.085, 403.086, 403.088,

  4         403.703, 403.7841, 403.786, 403.813, 403.851,

  5         403.852, 403.855, 403.856, 403.858, 403.859,

  6         403.861, 403.862, 403.8635, 403.864, 406.02,

  7         408.033, 408.05, 408.061, 408.20, 408.301,

  8         408.302, 409.166, 409.352, 409.901, 409.910,

  9         409.911, 409.9112, 409.91151, 409.912, 409.914,

10         409.915, 409.916, 409.919, 409.942, 410.0245,

11         410.502, 411.224, 411.242, 411.243, 413.031,

12         415.104, 415.1113, 420.621, 421.10, 427.012,

13         430.015, 430.04, 435.02, 435.05, 435.08,

14         440.151, 442.005, 443.036, 446.205, 446.23,

15         446.25, 446.603, 446.604, 450.191, 450.211,

16         455.674, 458.3165, 458.331, 459.015, 461.013,

17         466.023, 467.009, 467.0125, 468.1685, 470.021,

18         470.025, 470.0301, 487.0615, 489.503, 489.551,

19         499.003, 499.004, 499.02, 499.022, 499.039,

20         499.051, 499.601, 499.61, 500.12, 501.001,

21         509.013, 509.032, 509.251, 509.291, 513.01,

22         561.121, 561.17, 561.19, 561.29, 570.42,

23         576.045, 585.15, 585.21, 624.424, 627.429,

24         627.6418, 627.6613, 627.736, 636.052, 641.22,

25         641.23, 641.261, 641.3007, 641.405, 641.406,

26         641.411, 641.412, 641.443, 641.454, 641.455,

27         651.021, 651.117, 713.77, 741.01, 741.29,

28         741.32, 742.08, 742.107, 744.474, 765.110,

29         766.105, 766.1115, 766.305, 766.314, 768.28,

30         768.76, 775.0877, 775.16, 784.081, 790.157,

31         790.256, 796.08, 817.505, 873.01, 877.111,

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  1         893.02, 893.04, 893.11, 893.12, 893.15,

  2         893.165, 895.09, 938.23, 944.012, 944.024,

  3         944.17, 944.602, 944.706, 945.025, 945.10,

  4         945.12, 945.35, 945.41, 945.47, 945.49, 947.13,

  5         947.146, 947.185, 948.01, 949.02, 951.27,

  6         958.12, and 960.003, Florida Statutes, pursuant

  7         to the directive of the Legislature in s. 1,

  8         ch. 98-224, Laws of Florida, to make specific

  9         changes in terminology to conform the Florida

10         Statutes to the name change of the Department

11         of Health and Rehabilitative Services and the

12         divestiture of programs of the former

13         department to other departments or agencies and

14         to make further changes as necessary to conform

15         the Florida Statutes to the organizational

16         changes effected by previous acts of the

17         Legislature.

18

19  Be It Enacted by the Legislature of the State of Florida:

20

21         Section 1.  Paragraph (b) of subsection (1) and

22  subsections (3) and (4) of section 11.50, Florida Statutes,

23  are amended to read:

24         11.50  Division of Public Assistance Fraud.--

25         (1)

26         (b)  All public assistance recipients, as a condition

27  precedent to qualification for assistance under the provisions

28  of chapter 409 or chapter 414, shall first give in writing, to

29  the Agency for Health Care Administration or the Department of

30  Children and Family Health and Rehabilitative Services, as

31  appropriate, and to the Division of Public Assistance Fraud,

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  1  consent to make inquiry of past or present employers and

  2  records, financial or otherwise.

  3         (3)  The results of such investigation shall be

  4  reported by the Auditor General to the Legislative Auditing

  5  Committee, the Agency for Health Care Administration, the

  6  Department of Children and Family Health and Rehabilitative

  7  Services, and to such others as the Legislative Auditing

  8  Committee or the Auditor General may determine.

  9         (4)  The Department of Children and Family Health and

10  Rehabilitative Services shall report to the Auditor General

11  the final disposition of all cases wherein action has been

12  taken pursuant to s. 414.39, based upon information furnished

13  by the Division of Public Assistance Fraud.

14         Section 2.  Subsection (2) of section 40.022, Florida

15  Statutes, is amended to read:

16         40.022  Clerk to purge jury selection lists;

17  restoration.--

18         (2)  The Department of Health and Rehabilitative

19  Services shall furnish monthly to each clerk of the circuit

20  court a list containing the name, address, age, race, and sex

21  of each person 18 years of age or older and a resident of such

22  clerk's county who died during the preceding calendar month.

23         Section 3.  Subsection (6) of section 61.13, Florida

24  Statutes, 1998 Supplement, is amended to read:

25         61.13  Custody and support of children; visitation

26  rights; power of court in making orders.--

27         (6)  In any proceeding under this section, the court

28  may not deny shared parental responsibility, custody, or

29  visitation rights to a parent or grandparent solely because

30  that parent or grandparent is or is believed to be infected

31  with human immunodeficiency virus; but the court may condition

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  1  such rights upon the parent's or grandparent's agreement to

  2  observe measures approved by the Centers for Disease Control

  3  and Prevention of the United States Public Health Service or

  4  by the Department of Health and Rehabilitative Services for

  5  preventing the spread of human immunodeficiency virus to the

  6  child.

  7         Section 4.  Subsection (2) of section 61.20, Florida

  8  Statutes, is amended to read:

  9         61.20  Social investigation and recommendations when

10  child custody is in issue.--

11         (2)  A social investigation and study, when ordered by

12  the court, shall be conducted by qualified staff of the court;

13  a child-placing agency licensed pursuant to s. 409.175; a

14  psychologist licensed pursuant to chapter 490; or a clinical

15  social worker, marriage and family therapist, or mental health

16  counselor licensed pursuant to chapter 491.  If a

17  certification of indigence based on an affidavit filed with

18  the court pursuant to s. 57.081 is provided by an adult party

19  to the proceeding and the court does not have qualified staff

20  to perform the investigation and study, the court may request

21  that the Department of Children and Family Health and

22  Rehabilitative Services conduct the investigation and study.

23         Section 5.  Paragraph (a) of subsection (1) of section

24  90.503, Florida Statutes, is amended to read:

25         90.503  Psychotherapist-patient privilege.--

26         (1)  For purposes of this section:

27         (a)  A "psychotherapist" is:

28         1.  A person authorized to practice medicine in any

29  state or nation, or reasonably believed by the patient so to

30  be, who is engaged in the diagnosis or treatment of a mental

31

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  1  or emotional condition, including alcoholism and other drug

  2  addiction;

  3         2.  A person licensed or certified as a psychologist

  4  under the laws of any state or nation, who is engaged

  5  primarily in the diagnosis or treatment of a mental or

  6  emotional condition, including alcoholism and other drug

  7  addiction;

  8         3.  A person licensed or certified as a clinical social

  9  worker, marriage and family therapist, or mental health

10  counselor under the laws of this state, who is engaged

11  primarily in the diagnosis or treatment of a mental or

12  emotional condition, including alcoholism and other drug

13  addiction; or

14         4.  Treatment personnel of facilities licensed by the

15  state pursuant to chapter 394, chapter 395, or chapter 397, of

16  facilities designated by the Department of Children and Family

17  Health and Rehabilitative Services pursuant to chapter 394 as

18  treatment facilities, or of facilities defined as community

19  mental health centers pursuant to s. 394.907(1), who are

20  engaged primarily in the diagnosis or treatment of a mental or

21  emotional condition, including alcoholism and other drug

22  addiction.

23         Section 6.  Paragraph (b) of subsection (5) of section

24  90.6063, Florida Statutes, is amended to read:

25         90.6063  Interpreter services for deaf persons.--

26         (5)  The appointing authority may channel requests for

27  qualified interpreters through:

28         (b)  The Vocational Rehabilitation Program Office of

29  the Department of Labor and Employment Security Health and

30  Rehabilitative Services; or

31

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  1         Section 7.  Subsection (1) of section 98.093, Florida

  2  Statutes, is amended to read:

  3         98.093  Duty of officials to furnish lists of deceased

  4  persons, persons adjudicated mentally incapacitated, and

  5  persons convicted of a felony.--

  6         (1)  The Department of Health and Rehabilitative

  7  Services shall furnish monthly to each supervisor of elections

  8  a list containing the name, address, date of birth, race, and

  9  sex of each deceased person 17 years of age or older who was a

10  resident of such supervisor's county.

11         Section 8.  Paragraphs (i) and (l) of subsection (2) of

12  section 110.205, Florida Statutes, are amended to read:

13         110.205  Career service; exemptions.--

14         (2)  EXEMPT POSITIONS.--The exempt positions which are

15  not covered by this part include the following, provided that

16  no position, except for positions established for a limited

17  period of time pursuant to paragraph (h), shall be exempted if

18  the position reports to a position in the career service:

19         (i)  The appointed secretaries, assistant secretaries,

20  deputy secretaries, and deputy assistant secretaries of all

21  departments; the executive directors, assistant executive

22  directors, deputy executive directors, and deputy assistant

23  executive directors of all departments; and the directors of

24  all divisions and those positions determined by the department

25  to have managerial responsibilities comparable to such

26  positions, which positions include, but are not limited to,

27  program directors, assistant program directors, district

28  administrators, deputy district administrators, the Director

29  of Central Operations Services of the Department of Children

30  and Family Health and Rehabilitative Services, and the State

31  Transportation Planner, State Highway Engineer, State Public

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  1  Transportation Administrator, district secretaries, district

  2  directors of planning and programming, production, and

  3  operations, and the managers of the offices specified in s.

  4  20.23(3)(d)2., of the Department of Transportation.  Unless

  5  otherwise fixed by law, the department shall set the salary

  6  and benefits of these positions in accordance with the rules

  7  of the Senior Management Service.

  8         (l)  All assistant division director, deputy division

  9  director, and bureau chief positions in any department, and

10  those positions determined by the department to have

11  managerial responsibilities comparable to such positions,

12  which positions include, but are not limited to, positions in

13  the Department of Children and Family Health and

14  Rehabilitative Services and the Department of Corrections that

15  are assigned primary duties of serving as the superintendent

16  of an institution: positions in the Department of

17  Transportation that are assigned primary duties of serving as

18  regional toll managers and managers of offices as defined in

19  s. 20.23(3)(d)3. and (4)(d); positions in the Department of

20  Environmental Protection that are assigned the duty of an

21  Environmental Administrator or program administrator; and

22  positions in the Department of Health and Rehabilitative

23  Services that are assigned the duty of an Environmental

24  Administrator. Unless otherwise fixed by law, the department

25  shall set the salary and benefits of these positions in

26  accordance with the rules established for the Selected Exempt

27  Service.

28         Section 9.  Paragraph (g) of subsection (3) and

29  paragraph (b) of subsection (11) of section 112.061, Florida

30  Statutes, 1998 Supplement, are amended to read:

31

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  1         112.061  Per diem and travel expenses of public

  2  officers, employees, and authorized persons.--

  3         (3)  AUTHORITY TO INCUR TRAVEL EXPENSES.--

  4         (g)  The secretary of the Department of Health and

  5  Rehabilitative Services or a designee may authorize travel

  6  expenses incidental to the rendering of medical services for

  7  and on behalf of clients of the Department of Health and

  8  Rehabilitative Services.  The Department of Health and

  9  Rehabilitative Services may establish rates lower than the

10  maximum provided in this section for these travel expenses.

11         (11)  TRAVEL AUTHORIZATION AND VOUCHER FORMS.--

12         (b)  Voucher forms.--

13         1.  The Department of Banking and Finance shall furnish

14  a uniform travel voucher form which shall be used by all state

15  officers and employees and authorized persons when submitting

16  travel expense statements for approval and payment.  No travel

17  expense statement shall be approved for payment by the

18  Comptroller unless made on the form prescribed and furnished

19  by the department. The travel voucher form shall provide for,

20  among other things, the purpose of the official travel and a

21  certification or affirmation, to be signed by the traveler,

22  indicating the truth and correctness of the claim in every

23  material matter, that the travel expenses were actually

24  incurred by the traveler as necessary in the performance of

25  official duties, that per diem claimed has been appropriately

26  reduced for any meals or lodging included in the convention or

27  conference registration fees claimed by the traveler, and that

28  the voucher conforms in every respect with the requirements of

29  this section.  The original copy of the executed uniform

30  travel authorization request form shall be attached to the

31  uniform travel voucher on file with the respective agency.

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  1         2.  Statements for travel expenses incidental to the

  2  rendering of medical services for and on behalf of clients of

  3  the Department of Health and Rehabilitative Services shall be

  4  on forms approved by the Department of Banking and Finance.

  5         Section 10.  Subsection (7) of section 120.80, Florida

  6  Statutes, 1998 Supplement, is amended to read:

  7         120.80  Exceptions and special requirements;

  8  agencies.--

  9         (7)  DEPARTMENT OF CHILDREN AND FAMILY HEALTH AND

10  REHABILITATIVE SERVICES.--Notwithstanding s. 120.57(1)(a),

11  hearings conducted within the Department of Children and

12  Family Health and Rehabilitative Services in the execution of

13  those social and economic programs administered by the former

14  Division of Family Services of that department prior to the

15  reorganization effected by chapter 75-48, Laws of Florida,

16  need not be conducted by an administrative law judge assigned

17  by the division.

18         Section 11.  Section 125.0109, Florida Statutes, is

19  amended to read:

20         125.0109  Family day care homes; local zoning

21  regulation.--The operation of a residence as a family day care

22  home, as defined by law, registered or licensed with the

23  Department of Children and Family Health and Rehabilitative

24  Services shall constitute a valid residential use for purposes

25  of any local zoning regulations, and no such regulation shall

26  require the owner or operator of such family day care home to

27  obtain any special exemption or use permit or waiver, or to

28  pay any special fee in excess of $50, to operate in an area

29  zoned for residential use.

30         Section 12.  Paragraph (a) of subsection (1) of section

31  125.901, Florida Statutes, is amended to read:

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  1         125.901  Children's services; independent special

  2  district; council; powers, duties, and functions.--

  3         (1)  Each county may by ordinance create an independent

  4  special district, as defined in ss. 189.403(3) and

  5  200.001(8)(e), to provide funding for children's services

  6  throughout the county in accordance with this section. The

  7  boundaries of such district shall be coterminous with the

  8  boundaries of the county.  The county governing body shall

  9  obtain approval, by a majority vote of those electors voting

10  on the question, to annually levy ad valorem taxes which shall

11  not exceed the maximum millage rate authorized by this

12  section.  Any district created pursuant to the provisions of

13  this subsection shall be required to levy and fix millage

14  subject to the provisions of s. 200.065.  Once such millage is

15  approved by the electorate, the district shall not be required

16  to seek approval of the electorate in future years to levy the

17  previously approved millage.

18         (a)  The governing board of the district shall be a

19  council on children's services, which may also be known as a

20  juvenile welfare board or similar name as established in the

21  ordinance by the county governing body. Such council shall

22  consist of 10 members, including: the superintendent of

23  schools; a local school board member; the district

24  administrator from the appropriate district of the Department

25  of Children and Family Health and Rehabilitative Services, or

26  his or her designee who is a member of the Senior Management

27  Service or of the Selected Exempt Service; one member of the

28  county governing body; and the judge assigned to juvenile

29  cases who shall sit as a voting member of the board, except

30  that said judge shall not vote or participate in the setting

31  of ad valorem taxes under this section. In the event there is

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  1  more than one judge assigned to juvenile cases in a county,

  2  the chief judge shall designate one of said juvenile judges to

  3  serve on the board. The remaining five members shall be

  4  appointed by the Governor, and shall, to the extent possible,

  5  represent the demographic diversity of the population of the

  6  county.  After soliciting recommendations from the public, the

  7  county governing body shall submit to the Governor the names

  8  of at least three persons for each vacancy occurring among the

  9  five members appointed by the Governor, and the Governor shall

10  appoint members to the council from the candidates nominated

11  by the county governing body.  The Governor shall make a

12  selection within a 45-day period or request a new list of

13  candidates.  All members appointed by the Governor shall have

14  been residents of the county for the previous 24-month period.

15  Such members shall be appointed for 4-year terms, except that

16  the length of the terms of the initial appointees shall be

17  adjusted to stagger the terms.  The Governor may remove a

18  member for cause or upon the written petition of the county

19  governing body.  If any of the members of the council required

20  to be appointed by the Governor under the provisions of this

21  subsection shall resign, die, or be removed from office, the

22  vacancy thereby created shall, as soon as practicable, be

23  filled by appointment by the Governor, using the same method

24  as the original appointment, and such appointment to fill a

25  vacancy shall be for the unexpired term of the person who

26  resigns, dies, or is removed from office.

27         Section 13.  Subsection (4) of section 154.205, Florida

28  Statutes, is amended to read:

29         154.205  Definitions.--The following terms, whenever

30  used in this part, shall have the following meanings unless a

31  different meaning clearly appears from the context:

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  1         (4)  "Certificate of need" means a written advisory

  2  statement issued by the Agency for Health Care Administration

  3  Department of Health and Rehabilitative Services, having as

  4  its basis a written advisory statement issued by an areawide

  5  council and, where there is no council, by the Agency for

  6  Health Care Administration Department of Health and

  7  Rehabilitative Services, evidencing community need for a new,

  8  converted, expanded, or otherwise significantly modified

  9  health facility.

10         Section 14.  Section 154.245, Florida Statutes, is

11  amended to read:

12         154.245  Agency for Health Care Administration

13  Department of Health and Rehabilitative Services certificate

14  of need required as a condition to bond validation and project

15  construction.--Notwithstanding any provision of this part to

16  the contrary, before any project authorized by this part and

17  subject to review under ss. 408.031-408.045 is approved by the

18  authority, and before revenue bonds are validated for the

19  project, the Agency for Health Care Administration Department

20  of Health and Rehabilitative Services shall issue a

21  certificate of need for such project, which shall be a

22  condition precedent to the validation and issuance of any

23  bonds hereunder, other than bonds for refunding or refinancing

24  purposes, and to the construction of the project. However, any

25  portion of a life care facility not requiring licensure under

26  chapter 395 or part II of chapter 400 shall be exempt from the

27  certificate-of-need requirement.

28         Section 15.  Section 166.0445, Florida Statutes, is

29  amended to read:

30         166.0445  Family day care homes; local zoning

31  regulation.--The operation of a residence as a family day care

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  1  home, as defined by law, registered or licensed with the

  2  Department of Children and Family Health and Rehabilitative

  3  Services shall constitute a valid residential use for purposes

  4  of any local zoning regulations, and no such regulation shall

  5  require the owner or operator of such family day care home to

  6  obtain any special exemption or use permit or waiver, or to

  7  pay any special fee in excess of $50, to operate in an area

  8  zoned for residential use.

  9         Section 16.  Paragraph (b) of subsection (2) of section

10  186.901, Florida Statutes, is amended to read:

11         186.901  Population census determination.--

12         (2)

13         (b)  For the purpose of revenue-sharing distribution

14  formulas and distribution proportions for the local government

15  half-cent sales tax, inmates and patients residing in

16  institutions operated by the Federal Government, the

17  Department of Corrections, the Department of Health, or the

18  Department of Children and Family Health and Rehabilitative

19  Services shall not be considered to be residents of the

20  governmental unit in which the institutions are located.

21         Section 17.  Subsection (3) of section 189.415, Florida

22  Statutes, is amended to read:

23         189.415  Special district public facilities report.--

24         (3)  A special district proposing to build, improve, or

25  expand a public facility which requires a certificate of need

26  pursuant to chapter 408 shall elect to notify the appropriate

27  local general-purpose government of its plans either in its

28  5-year plan or at the time the letter of intent is filed with

29  the Agency for Health Care Administration Department of Health

30  and Rehabilitative Services pursuant to s. 408.039.

31

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  1         Section 18.  Subsection (2) of section 194.013, Florida

  2  Statutes, is amended to read:

  3         194.013  Filing fees for petitions; disposition;

  4  waiver.--

  5         (2)  The value adjustment board shall waive the filing

  6  fee with respect to a petition filed by a taxpayer who

  7  demonstrates at the time of filing, by an appropriate

  8  certificate or other documentation issued by the Department of

  9  Children and Family Health and Rehabilitative Services and

10  submitted with the petition, that the petitioner is then an

11  eligible recipient of temporary assistance under chapter 414.

12         Section 19.  Subsection (2) of section 196.1975,

13  Florida Statutes, is amended to read:

14         196.1975  Exemption for property used by nonprofit

15  homes for the aged.--Nonprofit homes for the aged are exempt

16  to the extent that they meet the following criteria:

17         (2)  A facility will not qualify as a "home for the

18  aged" unless at least 75 percent of the occupants are over the

19  age of 62 years or totally and permanently disabled.  For

20  homes for the aged which are exempt from paying income taxes

21  to the United States as specified in subsection (1), licensing

22  by the Agency for Health Care Administration Department of

23  Health and Rehabilitative Services is required for ad valorem

24  tax exemption hereunder only if the home:

25         (a)  Furnishes medical facilities or nursing services

26  to its residents, or

27         (b)  Qualifies as an assisted living facility under

28  part III of chapter 400.

29         Section 20.  Section 205.1965, Florida Statutes, is

30  amended to read:

31

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  1         205.1965  Assisted living facilities.--A county or

  2  municipality may not issue an occupational license for the

  3  operation of an assisted living facility pursuant to part III

  4  of chapter 400 without first ascertaining that the applicant

  5  has been licensed by the Agency for Health Care Administration

  6  Department of Health and Rehabilitative Services to operate

  7  such facility at the specified location or locations.  The

  8  Agency for Health Care Administration Department of Health and

  9  Rehabilitative Services shall furnish to local agencies

10  responsible for issuing occupational licenses sufficient

11  instructions for making the above required determinations.

12         Section 21.  Paragraph (c) of subsection (1) of section

13  215.3208, Florida Statutes, is amended to read:

14         215.3208  Trust funds; schedule for termination;

15  legislative review.--

16         (1)  Except for those trust funds exempt from automatic

17  termination pursuant to the provisions of s. 19(f)(3), Art.

18  III of the State Constitution, trust funds administered by the

19  following entities shall be reviewed and may be terminated or

20  re-created by the Legislature, as appropriate, during the

21  regular session of the Legislature in the year indicated:

22         (c)  In 1996:

23         1.  Agency for Health Care Administration.

24         2.  Commission on Ethics.

25         3.  Department of Business and Professional Regulation.

26         4.  Department of Children and Family Services.

27         5.4.  Department of Commerce.

28         6.5.  Department of Community Affairs.

29         7.6.  Department of Elderly Affairs.

30         8.7.  Department of Health and Rehabilitative Services.

31         9.8.  Department of Insurance.

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  1         10. Department of Juvenile Justice.

  2         11.9.  Department of Labor and Employment Security.

  3         12.10.  Department of State.

  4         13.11.  Department of Veterans' Affairs.

  5         14.12.  Legislative branch.

  6         Section 22.  Paragraph (b) of subsection (2) of section

  7  216.0172, Florida Statutes, 1998 Supplement, is amended to

  8  read:

  9         216.0172  Schedule for submission of performance-based

10  program budgets.--In order to implement the provisions of

11  chapter 94-249, Laws of Florida, state agencies shall submit

12  performance-based program budget legislative budget requests

13  for programs approved pursuant to s. 216.0166 to the Executive

14  Office of the Governor and the Legislature based on the

15  following schedule:

16         (2)  By September 1, 1995, for the 1996-1997 fiscal

17  year:

18         (b)  Department of Children and Family Health and

19  Rehabilitative Services (Alcohol, Drug Abuse, Mental Health).

20         Section 23.  Subsection (6), paragraph (b) of

21  subsection (8), and paragraph (b) of subsection (9) of section

22  216.136, Florida Statutes, 1998 Supplement, are amended to

23  read:

24         216.136  Consensus estimating conferences; duties and

25  principals.--

26         (6)  SOCIAL SERVICES ESTIMATING CONFERENCE.--

27         (a)  Duties.--

28         1.  The Social Services Estimating Conference shall

29  develop such official information relating to the social

30  services system of the state, including forecasts of social

31  services caseloads, as the conference determines is needed for

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  1  the state planning and budgeting system.  Such official

  2  information shall include, but not be limited to, subsidized

  3  child care caseloads mandated by the Family Support Act of

  4  1988.

  5         2.  In addition, the Social Services Estimating

  6  Conference shall develop estimates and forecasts of the

  7  unduplicated count of children eligible for subsidized child

  8  care as defined in s. 402.3015(1).  These estimates and

  9  forecasts shall not include children enrolled in the

10  prekindergarten early intervention program established in s.

11  230.2305.

12         3.  The Department of Children and Family Health and

13  Rehabilitative Services and the Department of Education shall

14  provide information on caseloads and waiting lists for the

15  subsidized child care and prekindergarten early intervention

16  programs requested by the Social Services Estimating

17  Conference or individual conference principals, in a timely

18  manner.

19         (b)  Principals.--The Executive Office of the Governor,

20  the coordinator of the Office of Economic and Demographic

21  Research, and professional staff, who have forecasting

22  expertise, from the Department of Children and Family Health

23  and Rehabilitative Services, the Senate, and the House of

24  Representatives, or their designees, are the principals of the

25  Social Services Estimating Conference.  The principal

26  representing the Executive Office of the Governor shall

27  preside over sessions of the conference.

28         (8)  CHILD WELFARE SYSTEM ESTIMATING CONFERENCE.--

29         (b)  Principals.--The Executive Office of the Governor,

30  the coordinator of the Office of Economic and Demographic

31  Research, and professional staff who have forecasting

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  1  expertise from the Department of Children and Family Health

  2  and Rehabilitative Services, the Senate, and the House of

  3  Representatives, or their designees, are the principals of the

  4  Child Welfare System Estimating Conference. The principal

  5  representing the Executive Office of the Governor shall

  6  preside over sessions of the conference.

  7         (9)  JUVENILE JUSTICE ESTIMATING CONFERENCE.--

  8         (b)  Principals.--The Executive Office of the Governor,

  9  the Office of Economic and Demographic Research, and

10  professional staff who have forecasting expertise from the

11  Department of Juvenile Justice, the Department of Children and

12  Family Health and Rehabilitative Services Alcohol, Drug Abuse,

13  and Mental Health Program Office, the Department of Law

14  Enforcement, the Senate Appropriations Committee staff, the

15  House of Representatives Appropriations Committee staff, or

16  their designees, are the principals of the Juvenile Justice

17  Estimating Conference. The responsibility of presiding over

18  sessions of the conference shall be rotated among the

19  principals. To facilitate policy and legislative

20  recommendations, the conference may call upon professional

21  staff of the Juvenile Justice Advisory Board and appropriate

22  legislative staff.

23         Section 24.  Paragraph (b) of subsection (7) of section

24  218.65, Florida Statutes, 1998 Supplement, is amended to read:

25         218.65  Emergency distribution.--

26         (7)

27         (b)  For the purposes of this subsection, the term:

28         1.  "Inmate population" means the latest official state

29  estimate of the number of inmates and patients residing in

30  institutions operated by the Federal Government, the

31

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  1  Department of Corrections, or the Department of Children and

  2  Family Health and Rehabilitative Services.

  3         2.  "Total population" includes inmate population and

  4  noninmate population.

  5         Section 25.  Paragraph (b) of subsection (2) of section

  6  222.21, Florida Statutes, 1998 Supplement, is amended to read:

  7         222.21  Exemption of pension money and retirement or

  8  profit-sharing benefits from legal processes.--

  9         (2)

10         (b)  Any plan or arrangement described in paragraph (a)

11  is not exempt from the claims of an alternate payee under a

12  qualified domestic relations order.  However, the interest of

13  any alternate payee under a qualified domestic relations order

14  is exempt from all claims of any creditor, other than the

15  Department of Children and Family Health and Rehabilitative

16  Services, of the alternate payee. As used in this paragraph,

17  the terms "alternate payee" and "qualified domestic relations

18  order" have the meanings ascribed to them in s. 414(p) of the

19  Internal Revenue Code of 1986.

20         Section 26.  Paragraph (d) of subsection (3) of section

21  228.093, Florida Statutes, is amended to read:

22         228.093  Pupil and student records and reports; rights

23  of parents, guardians, pupils, and students; notification;

24  penalty.--

25         (3)  RIGHTS OF PARENT, GUARDIAN, PUPIL, OR

26  STUDENT.--The parent or guardian of any pupil or student who

27  attends or has attended any public school, area

28  vocational-technical training center, community college, or

29  institution of higher education in the State University System

30  shall have the following rights with respect to any records or

31  reports created, maintained, and used by any public

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  1  educational institution in the state.  However, whenever a

  2  pupil or student has attained 18 years of age, or is attending

  3  an institution of postsecondary education, the permission or

  4  consent required of, and the rights accorded to, the parents

  5  of the pupil or student shall thereafter be required of and

  6  accorded to the pupil or student only, unless the pupil or

  7  student is a dependent pupil or student of such parents as

  8  defined in 26 U.S.C. s. 152 (s. 152 of the Internal Revenue

  9  Code of 1954). The State Board of Education shall formulate,

10  adopt, and promulgate rules whereby parents, guardians,

11  pupils, or students may exercise these rights:

12         (d)  Right of privacy.--Every pupil or student shall

13  have a right of privacy with respect to the educational

14  records kept on him or her. Personally identifiable records or

15  reports of a pupil or student, and any personal information

16  contained therein, are confidential and exempt from the

17  provisions of s. 119.07(1).  No state or local educational

18  agency, board, public school, area technical center, community

19  college, or institution of higher education in the State

20  University System shall permit the release of such records,

21  reports, or information without the written consent of the

22  pupil's or student's parent or guardian, or of the pupil or

23  student himself or herself if he or she is qualified as

24  provided in this subsection, to any individual, agency, or

25  organization.  However, personally identifiable records or

26  reports of a pupil or student may be released to the following

27  persons or organizations without the consent of the pupil or

28  the pupil's parent:

29         1.  Officials of schools, school systems, area

30  technical centers, community colleges, or institutions of

31  higher learning in which the pupil or student seeks or intends

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  1  to enroll; and a copy of such records or reports shall be

  2  furnished to the parent, guardian, pupil, or student upon

  3  request.

  4         2.  Other school officials, including teachers within

  5  the educational institution or agency, who have legitimate

  6  educational interests in the information contained in the

  7  records.

  8         3.  The United States Secretary of Education, the

  9  Director of the National Institute of Education, the Assistant

10  Secretary for Education, the Comptroller General of the United

11  States, or state or local educational authorities who are

12  authorized to receive such information subject to the

13  conditions set forth in applicable federal statutes and

14  regulations of the United States Department of Education, or

15  in applicable state statutes and rules of the State Board of

16  Education.

17         4.  Other school officials, in connection with a

18  pupil's or student's application for or receipt of financial

19  aid.

20         5.  Individuals or organizations conducting studies for

21  or on behalf of an institution or a board of education for the

22  purpose of developing, validating, or administering predictive

23  tests, administering pupil or student aid programs, or

24  improving instruction, if such studies are conducted in such a

25  manner as will not permit the personal identification of

26  pupils or students and their parents by persons other than

27  representatives of such organizations and if such information

28  will be destroyed when no longer needed for the purpose of

29  conducting such studies.

30         6.  Accrediting organizations, in order to carry out

31  their accrediting functions.

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  1         7.  For use as evidence in pupil or student expulsion

  2  hearings conducted by a district school board pursuant to the

  3  provisions of chapter 120.

  4         8.  Appropriate parties in connection with an

  5  emergency, if knowledge of the information in the pupil's or

  6  student's educational records is necessary to protect the

  7  health or safety of the pupil, student, or other individuals.

  8         9.  The Auditor General in connection with his or her

  9  official functions; however, except when the collection of

10  personally identifiable information is specifically authorized

11  by law, any data collected by the Auditor General is

12  confidential and exempt from the provisions of s. 119.07(1)

13  and shall be protected in such a way as will not permit the

14  personal identification of students and their parents by other

15  than the Auditor General and his or her staff, and such

16  personally identifiable data shall be destroyed when no longer

17  needed for the Auditor General's official use.

18         10.a.  A court of competent jurisdiction in compliance

19  with an order of that court or the attorney of record pursuant

20  to a lawfully issued subpoena, upon the condition that the

21  pupil or student and the pupil's or student's parent are

22  notified of the order or subpoena in advance of compliance

23  therewith by the educational institution or agency.

24         b.  A person or entity pursuant to a court of competent

25  jurisdiction in compliance with an order of that court or the

26  attorney of record pursuant to a lawfully issued subpoena,

27  upon the condition that the pupil or student, or his or her

28  parent if the pupil or student is either a minor and not

29  attending an institution of postsecondary education or a

30  dependent of such parent as defined in 26 U.S.C. s. 152 (s.

31  152 of the Internal Revenue Code of 1954), is notified of the

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  1  order or subpoena in advance of compliance therewith by the

  2  educational institution or agency.

  3         11.  Credit bureaus, in connection with an agreement

  4  for financial aid which the student has executed, provided

  5  that such information may be disclosed only to the extent

  6  necessary to enforce the terms or conditions of the financial

  7  aid agreement. Credit bureaus shall not release any

  8  information obtained pursuant to this paragraph to any person.

  9         12.  Parties to an interagency agreement among the

10  Department of Juvenile Justice Health and Rehabilitative

11  Services, school and law enforcement authorities, and other

12  signatory agencies for the purpose of reducing juvenile crime

13  and especially motor vehicle theft by promoting cooperation

14  and collaboration, and the sharing of appropriate information

15  in a joint effort to improve school safety, to reduce truancy,

16  in-school and out-of-school suspensions, to support

17  alternatives to in-school and out-of-school suspensions and

18  expulsions that provide structured and well-supervised

19  educational programs supplemented by a coordinated overlay of

20  other appropriate services designed to correct behaviors that

21  lead to truancy, suspensions, and expulsions, and which

22  support students in successfully completing their education.

23  Information provided in furtherance of such interagency

24  agreements is intended solely for use in determining the

25  appropriate programs and services for each juvenile or the

26  juvenile's family, or for coordinating the delivery of such

27  programs and services, and as such is inadmissible in any

28  court proceedings prior to a dispositional hearing unless

29  written consent is provided by a parent, guardian, or other

30  responsible adult on behalf of the juvenile.

31

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  1  This paragraph does not prohibit any educational institution

  2  from publishing and releasing to the general public directory

  3  information relating to a pupil or student if the institution

  4  elects to do so.  However, no educational institution shall

  5  release, to any individual, agency, or organization which is

  6  not listed in subparagraphs 1.-11., directory information

  7  relating to the student body in general or a portion thereof

  8  unless it is normally published for the purpose of release to

  9  the public in general.  Any educational institution making

10  directory information public shall give public notice of the

11  categories of information which it has designated as directory

12  information with respect to all pupils or students attending

13  the institution and shall allow a reasonable period of time

14  after such notice has been given for a parent, guardian,

15  pupil, or student to inform the institution in writing that

16  any or all of the information designated should not be

17  released.

18         Section 27.  Subsection (3) of section 228.121, Florida

19  Statutes, is amended to read:

20         228.121  Nonresident tuition fee; tuition fee

21  exemptions.--

22         (3)  No tuition shall be charged pupils who are

23  homeless children as defined in s. 228.041(35); pupils whose

24  parent, parents, or guardian are in the federal military

25  service or are civilian employees, the cost of whose education

26  is provided in part or in whole by federal subsidy to

27  state-supported schools; or pupils whose parent, parents, or

28  guardian are migratory agricultural workers.  No tuition shall

29  be charged pupils who reside in residential care facilities

30  operated by the Department of Children and Family Health and

31

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  1  Rehabilitative Services and who receive their education under

  2  s. 230.23(4)(n).

  3         Section 28.  Subsection (3) of section 229.8075,

  4  Florida Statutes, 1998 Supplement, is amended to read:

  5         229.8075  Florida Education and Training Placement

  6  Information Program.--

  7         (3)  The Florida Education and Training Placement

  8  Information Program must not make public any information that

  9  could identify an individual or the individual's employer. The

10  Department of Education must assure that the purpose of

11  obtaining placement information is to evaluate and improve

12  public programs or to conduct research for the purpose of

13  improving services to the individuals whose social security

14  numbers are used to identify their placement. If an agreement

15  assures that this purpose will be served and that privacy will

16  be protected, the Department of Education shall have access to

17  the unemployment insurance wage reports maintained by the

18  Department of Labor and Employment Security, the files of the

19  Department of Children and Family Health and Rehabilitative

20  Services that contain information about the distribution of

21  public assistance, the files of the Department of Corrections

22  that contain records of incarcerations, and the files of the

23  Department of Business and Professional Regulation that

24  contain the results of licensure examination.

25         Section 29.  Subsection (1) of section 229.832, Florida

26  Statutes, is amended to read:

27         229.832  Creation of a system of diagnostic and

28  learning resource centers.--The Department of Education is

29  directed to establish regional diagnostic and learning

30  resource centers for exceptional students, to assist in the

31  provision of medical, physiological, psychological, and

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  1  educational testing and other services designed to evaluate

  2  and diagnose exceptionalities, to make referrals for necessary

  3  instruction and service, and to facilitate the provision of

  4  instruction and services to exceptional students.

  5         (1)  ESTABLISHMENT AND OPERATION.--The Department of

  6  Education shall cooperate with the Department of Children and

  7  Family Health and Rehabilitative Services in establishing

  8  regional centers and identifying service areas.  All centers

  9  shall be operated by the Department of Education, either

10  directly or through grants.

11         Section 30.  Subsection (1), paragraph (b) of

12  subsection (2), paragraphs (b), (f), (h), and (k) of

13  subsection (3), and paragraph (b) of subsection (7) of section

14  230.2305, Florida Statutes, are amended to read:

15         230.2305  Prekindergarten early intervention program.--

16         (1)  LEGISLATIVE INTENT; PURPOSE.--The Legislature

17  recognizes that high-quality prekindergarten education

18  programs increase children's chances of achieving future

19  educational success and becoming productive members of

20  society.  It is the intent of the Legislature that such

21  programs be developmental, serve as preventive measures for

22  children at risk of future school failure, enhance the

23  educational readiness of all children, and support family

24  education and the involvement of parents in their child's

25  educational progress.  Each prekindergarten early intervention

26  program shall provide the elements necessary to prepare

27  children for school, including health screening and referral

28  and a developmentally appropriate educational program and

29  opportunities for parental involvement in the program. It is

30  the legislative intent that the prekindergarten early

31  intervention program not exist as an isolated program, but

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  1  build upon existing services and work in cooperation with

  2  other programs for young children.  It is intended that

  3  procedures such as, but not limited to, contracting,

  4  collocation, mainstreaming, and cooperative funding be used to

  5  coordinate the program with Head Start, public and private

  6  providers of child care, preschool programs for children with

  7  disabilities, programs for migrant children, Chapter I,

  8  subsidized child care, adult literacy programs, and other

  9  services. It is further the intent of the Legislature that the

10  Commissioner of Education seek the advice of the Secretary of

11  Children and Family Health and Rehabilitative Services in the

12  development and implementation of the prekindergarten early

13  intervention program and the coordination of services to young

14  children.  The purpose of the prekindergarten early

15  intervention program is to assist local communities in

16  implementing programs that will enable all the families and

17  children in the school district to be prepared for the

18  children's success in school.

19         (2)  ELIGIBILITY.--There is hereby created the

20  prekindergarten early intervention program for children who

21  are 3 and 4 years of age.  A prekindergarten early

22  intervention program shall be administered by a district

23  school board and shall receive state funds pursuant to

24  subsection (5). Each public school district shall make

25  reasonable efforts to accommodate the needs of children for

26  extended day and extended year services without compromising

27  the quality of the 6-hour, 180-day program.  The school

28  district shall report on such efforts. School district

29  participation in the prekindergarten early intervention

30  program shall be at the discretion of each school district.

31

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  1         (b)  An "economically disadvantaged" child shall be

  2  defined as a child eligible to participate in the free lunch

  3  program.  Notwithstanding any change in a family's economic

  4  status or in the federal eligibility requirements for free

  5  lunch, a child who meets the eligibility requirements upon

  6  initial registration for the program shall be considered

  7  eligible until the child reaches kindergarten age.  In order

  8  to assist the school district in establishing the priority in

  9  which children shall be served, and to increase the efficiency

10  in the provision of child care services in each district, the

11  district shall enter into a written collaborative agreement

12  with other publicly funded early education and child care

13  programs within the district. Such agreement shall be

14  facilitated by the interagency coordinating council and shall

15  set forth, among other provisions, the measures to be

16  undertaken to ensure the programs' achievement and compliance

17  with the performance standards established in subsection (3)

18  and for maximizing the public resources available to each

19  program.  In addition, the central agency for state-subsidized

20  child care or the local service district of the Department of

21  Children and Family Health and Rehabilitative Services shall

22  provide the school district with an updated list of 3-year-old

23  and 4-year-old children residing in the school district who

24  are on the waiting list for state-subsidized child care.

25         (3)  STANDARDS.--

26         (b)  The Department of Education and the Department of

27  Children and Family Health and Rehabilitative Services, in

28  consultation with the Legislature, shall develop a minimum set

29  of performance standards for publicly funded early education

30  and child care programs and a method for measuring the

31  progress of local school districts and central agencies in

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  1  meeting a desired set of outcomes based on these performance

  2  measures.  The defined outcomes must be consistent with the

  3  state's first education goal, readiness to start school, and

  4  must also consider efficiency measures such as the employment

  5  of a simplified point of entry to the child care services

  6  system, coordinated staff development programs, and other

  7  efforts within the state to increase the opportunity for

  8  welfare recipients to become self-sufficient.  Performance

  9  standards shall be developed for all levels of administration

10  of the programs, including individual programs and providers,

11  and must incorporate appropriate expectations for the type of

12  program and the setting in which care is provided.

13         (f)  All staff must meet the following minimum

14  requirements:

15         1.  The minimum level of training is to be the

16  completion of a 30-clock-hour training course planned jointly

17  by the Department of Education and the Department of Children

18  and Family Health and Rehabilitative Services to include the

19  following areas: state and local rules that govern child care,

20  health, safety, and nutrition; identification and report of

21  child abuse and neglect; child growth and development; use of

22  developmentally appropriate early childhood curricula; and

23  avoidance of income-based, race-based, and gender-based

24  stereotyping.

25         2.  When individual classrooms are staffed by certified

26  teachers, those teachers must be certified for the appropriate

27  grade levels under s. 231.17 and State Board of Education

28  rules.  Teachers who are not certified for the appropriate

29  grade levels must obtain proper certification within 2 years.

30  However, the commissioner may make an exception on an

31  individual basis when the requirements are not met because of

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  1  serious illness, injury, or other extraordinary, extenuating

  2  circumstance.

  3         3.  When individual classrooms are staffed by

  4  noncertified teachers, there must be a program director or

  5  lead teacher who is eligible for certification or certified

  6  for the appropriate grade levels pursuant to s. 231.17 and

  7  State Board of Education rules in regularly scheduled direct

  8  contact with each classroom. Notwithstanding s. 231.15, such

  9  classrooms must be staffed by at least one person who has, at

10  a minimum, a child development associate credential (CDA) or

11  an amount of training determined by the commissioner to be

12  equivalent to or to exceed the minimum, such as an associate

13  in science degree in the area of early childhood education.

14         4.  Beginning October 1, 1994, principals and other

15  school district administrative and supervisory personnel with

16  direct responsibility for the program must demonstrate

17  knowledge of prekindergarten education programs that increase

18  children's chances of achieving future educational success and

19  becoming productive members of society in a manner established

20  by the State Board of Education by rule.

21         5.  All personnel who are not certified under s. 231.17

22  must comply with screening requirements under ss. 231.02 and

23  231.1713.

24         (h)  Services are to be provided during a school day

25  and school year equal to or exceeding the requirements for

26  kindergarten under ss. 228.041 and 236.013. Strategies to

27  provide care before school, after school, and 12 months a

28  year, when needed, must be developed by the school district in

29  cooperation with the central agency for state-subsidized child

30  care or the local service district of the Department of

31  Children and Family Health and Rehabilitative Services and the

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  1  district interagency coordinating council.  Programs may be

  2  provided on Saturdays and through other innovative scheduling

  3  arrangements.

  4         (k)  The school district must coordinate with the

  5  central agency for state-subsidized child care or the local

  6  service district of the Department of Children and Family

  7  Health and Rehabilitative Services to verify family

  8  participation in the WAGES Program, thus ensuring accurate

  9  reporting and full utilization of federal funds available

10  through the Family Support Act, and for the agency's or

11  service district's sharing of the waiting list for

12  state-subsidized child care under paragraph (a).

13         (7)  DISTRICT INTERAGENCY COORDINATING COUNCILS.--

14         (b)  Each district coordinating council must consist of

15  at least 12 members to be appointed by the district school

16  board, the county commission for the county in which

17  participating schools are located, and the Department of

18  Children and Family Health and Rehabilitative Services'

19  district administrator and must include at least the

20  following:

21         1.  One member who is a parent of a child enrolled in,

22  or intending to enroll in, the public school prekindergarten

23  program, appointed by the school board.

24         2.  One member who is a director or designated director

25  of a prekindergarten program in the district, appointed by the

26  school board.

27         3.  One member who is a member of a district school

28  board, appointed by the school board.

29         4.  One member who is a representative of an agency

30  serving children with disabilities, appointed by the

31

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  1  Department of Children and Family Health and Rehabilitative

  2  Services' district administrator.

  3         5.  Four members who are representatives of

  4  organizations providing prekindergarten educational services,

  5  one of whom is a representative of a Head Start Program,

  6  appointed by the Department of Children and Family Health and

  7  Rehabilitative Services' district administrator; one of whom

  8  is a representative of a Title XX subsidized child day care

  9  program, if such programs exist within the county, appointed

10  by the Department of Children and Family Health and

11  Rehabilitative Services' district administrator; and two of

12  whom are private providers of preschool care and education to

13  3-year-old and 4-year-old children, one appointed by the

14  county commission and one appointed by the Department of

15  Children and Family Health and Rehabilitative Services'

16  district administrator. If there is no Head Start Program or

17  Title XX program operating within the county, these two

18  members must represent community interests in prekindergarten

19  education.

20         6.  Two members who are representatives of agencies

21  responsible for providing social, medical, dental, adult

22  literacy, or transportation services, one of whom represents

23  the county health department, both appointed by the county

24  commission.

25         7.  One member to represent a local child advocacy

26  organization, appointed by the Department of Children and

27  Family Health and Rehabilitative Services' district

28  administrator.

29         8.  One member to represent the district K-3 program,

30  appointed by the school board.

31

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  1         Section 31.  Paragraph (b) of subsection (14) of

  2  section 230.33, Florida Statutes, is amended to read:

  3         230.33  Duties and responsibilities of

  4  superintendent.--The superintendent shall exercise all powers

  5  and perform all duties listed below and elsewhere in the law;

  6  provided, that in so doing he or she shall advise and counsel

  7  with the school board. The superintendent shall perform all

  8  tasks necessary to make sound recommendations, nominations,

  9  proposals, and reports required by law to be acted upon by the

10  school board.  All such recommendations, nominations,

11  proposals, and reports by the superintendent shall be either

12  recorded in the minutes or shall be made in writing, noted in

13  the minutes, and filed in the public records of the board.  It

14  shall be presumed that, in the absence of the record required

15  in this paragraph, the recommendations, nominations, and

16  proposals required of the superintendent were not contrary to

17  the action taken by the school board in such matters.

18         (14)  COOPERATION WITH OTHER AGENCIES.--

19         (b)  Cooperation with other local administrators to

20  achieve the first state education goal.--Cooperate with the

21  district administrator of the Department of Children and

22  Family Health and Rehabilitative Services and with

23  administrators of other local public and private agencies to

24  achieve the first state education goal, readiness to start

25  school.

26         Section 32.  Subsection (1) of section 231.02, Florida

27  Statutes, 1998 Supplement, is amended to read:

28         231.02  Qualifications of personnel.--

29         (1)  To be eligible for appointment in any position in

30  any district school system, a person shall be of good moral

31  character; shall have attained the age of 18 years, if he or

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  1  she is to be employed in an instructional capacity; and shall,

  2  when required by law, hold a certificate or license issued

  3  under rules of the State Board of Education or the Department

  4  of Children and Family Health and Rehabilitative Services,

  5  except when employed pursuant to s. 231.15 or under the

  6  emergency provisions of s. 236.0711.  Previous residence in

  7  this state shall not be required in any school of the state as

  8  a prerequisite for any person holding a valid Florida

  9  certificate or license to serve in an instructional capacity.

10         Section 33.  Section 231.381, Florida Statutes, is

11  amended to read:

12         231.381  Transfer of sick leave and annual leave.--In

13  implementing the provisions of ss. 230.23(4)(n) and

14  402.22(1)(d), educational personnel in Department of Children

15  and Family Health and Rehabilitative Services residential care

16  facilities who are employed by a district school board may

17  request, and the district school board shall accept, a

18  lump-sum transfer of accumulated sick leave for such personnel

19  to the maximum allowed by policies of the district school

20  board, notwithstanding the provisions of s. 110.122.

21  Educational personnel in Department of Children and Family

22  Health and Rehabilitative Services residential care facilities

23  who are employed by a district school board under the

24  provisions of s. 402.22(1)(d) may request, and the district

25  school board shall accept, a lump-sum transfer of accumulated

26  annual leave for each person employed by the district school

27  board in a position in the district eligible to accrue

28  vacation leave under policies of the district school board.

29         Section 34.  Subsection (2) of section 232.0315,

30  Florida Statutes, is amended to read:

31         232.0315  School-entry health examinations.--

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  1         (2)  The Department of Education, subject to the

  2  concurrence of the Department of Health and Rehabilitative

  3  Services, shall adopt rules to govern medical examinations

  4  performed under this section.

  5         Section 35.  Subsection (1) of section 232.2481,

  6  Florida Statutes, is amended to read:

  7         232.2481  Graduation and promotion requirements for

  8  publicly operated schools.--

  9         (1)  Each state or local public agency, including the

10  Department of Children and Family Health and Rehabilitative

11  Services, the Department of Corrections, the Board of Regents,

12  boards of trustees of community colleges, and the Board of

13  Trustees of the Florida School for the Deaf and the Blind,

14  which agency is authorized to operate educational programs for

15  students at any level of grades kindergarten through 12 shall

16  be subject to all applicable requirements of ss. 232.245,

17  232.246, 232.247, and 232.248.  Within the content of these

18  cited statutes each such state or local public agency shall be

19  considered a "district school board."

20         Section 36.  Subsection (1) of section 232.36, Florida

21  Statutes, is amended to read:

22         232.36  Sanitation of schools.--

23         (1)  The State Board of Education and the Department of

24  Health and Rehabilitative Services shall jointly adopt and

25  promulgate all needful rules having to do with sanitation of

26  school buildings, grounds, shops, cafeterias, toilets, school

27  buses, laboratories, restrooms, first aid rooms, and all rooms

28  or places in which pupils congregate in pursuit of the school

29  duties or activities, and the school board shall see that such

30  rules are enforced.

31

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  1         Section 37.  Subsection (1) of section 236.145, Florida

  2  Statutes, is amended to read:

  3         236.145  Residential nonpublic school contract

  4  reimbursement.--

  5         (1)  Annually, the Commissioner of Education shall

  6  obtain the cost of all residential nonpublic school contracts

  7  and calculate the cost to be reimbursed. The commissioner

  8  shall calculate by district and by student the total cost of

  9  the contracts and deduct the amount of the weighted full-time

10  equivalent students generated plus the amount of federal

11  entitlement funds for the disabled per student and any amount

12  paid by the Department of Children and Family Health and

13  Rehabilitative Services or other federal, state, or local

14  agency. Sixty percent of the difference between the actual

15  cost of contract and the funds deducted shall be eligible for

16  reimbursement.

17         Section 38.  Subsection (1) of section 236.602, Florida

18  Statutes, is amended to read:

19         236.602  Bonds payable from motor vehicle license tax

20  funds; instruction units computed.--

21         (1)  For the purpose of administering the provisions of

22  s. 9(d), Art. XII of the State Constitution as amended in

23  1972, the number of current instruction units in districts

24  shall be computed annually by the department by multiplying

25  the number of full-time equivalent students in programs under

26  s. 236.081(1)(c) in each district by the cost factors

27  established in the General Appropriations Act and dividing by

28  23, except that all basic program cost factors shall be one,

29  and the special program cost factors for hospital and

30  homebound I and for community service shall be zero. Full-time

31  equivalent membership for students residing in Department of

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  1  Children and Family Health and Rehabilitative Services

  2  residential care facilities shall not be included in this

  3  computation.  Any portion of the fund not expended during any

  4  fiscal year may be carried forward in ensuing budgets and

  5  shall be temporarily invested as prescribed by law or

  6  regulations of the state board.

  7         Section 39.  Subsection (3) of section 238.01, Florida

  8  Statutes, is amended to read:

  9         238.01  Definitions.--The following words and phrases

10  as used in this chapter shall have the following meanings

11  unless a different meaning is plainly required by the context:

12         (3)  "Teacher" means any member of the teaching or

13  professional staff and any certificated employee of any public

14  free school, of any district school system and vocational

15  school, any member of the teaching or professional staff of

16  the Florida School for the Deaf and Blind, child training

17  schools of the Department of Juvenile Justice Health and

18  Rehabilitative Services, the Department of Corrections, and

19  any tax-supported institution of higher learning of the state,

20  and any member and any certified employee of the Department of

21  Education, any certified employee of the retirement system,

22  any full-time employee of any nonprofit professional

23  association or corporation of teachers functioning in Florida

24  on a statewide basis, which seeks to protect and improve

25  public school opportunities for children and advance the

26  professional and welfare status of its members, any person now

27  serving as superintendent, or who was serving as county

28  superintendent of public instruction on July 1, 1939, and any

29  hereafter duly elected or appointed superintendent, who holds

30  a valid Florida teachers' certificate. In all cases of doubt

31

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  1  the division shall determine whether any person is a teacher

  2  as defined herein.

  3         Section 40.  Paragraphs (a) and (c) of subsection (3)

  4  of section 239.301, Florida Statutes, 1998 Supplement, are

  5  amended to read:

  6         239.301  Adult general education.--

  7         (3)(a)  Each school board or community college board of

  8  trustees shall negotiate with local personnel of the

  9  Department of Children and Family Health and Rehabilitative

10  Services for basic and functional literacy skills assessments

11  for participants in employment and training programs under the

12  WAGES Program. Such assessments shall be conducted at a site

13  mutually acceptable to the school board or community college

14  board of trustees and the Department of Children and Family

15  Health and Rehabilitative Services.

16         (c)  To the extent funds are available, the Department

17  of Children and Family Health and Rehabilitative Services

18  shall provide for day care and transportation services to

19  clients who enroll in adult basic education programs.

20         Section 41.  Paragraphs (c) and (f) of subsection (3)

21  of section 240.5121, Florida Statutes, 1998 Supplement, are

22  amended to read:

23         240.5121  Cancer control and research.--

24         (3)  DEFINITIONS.--The following words and phrases when

25  used in this section have, unless the context clearly

26  indicates otherwise, the meanings given to them in this

27  subsection:

28         (c)  "Department" means the Department of Health and

29  Rehabilitative Services.

30         (f)  "Secretary" means the Secretary of Health and

31  Rehabilitative Services.

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  1         Section 42.  Subsection (2) of section 240.514, Florida

  2  Statutes, is amended to read:

  3         240.514  Florida Mental Health Institute.--There is

  4  established the Florida Mental Health Institute within the

  5  University of South Florida.

  6         (2)  The Department of Children and Family Health and

  7  Rehabilitative Services is authorized to designate the Florida

  8  Mental Health Institute a treatment facility for the purpose

  9  of accepting voluntary and involuntary clients in accordance

10  with institute programs.  Clients to be admitted are exempted

11  from prior screening by a community mental health center.

12         Section 43.  Section 240.705, Florida Statutes, is

13  amended to read:

14         240.705  Partnerships to develop child protection

15  workers.--The Department of Children and Family Health and

16  Rehabilitative Services is directed to form partnerships with

17  the schools of social work of the universities of the state in

18  order to encourage the development of graduates trained to

19  work in child protection. The department shall give hiring

20  preferences for child protection jobs to graduates who have

21  earned bachelor's and master's degrees from these programs

22  with a concentration in child protection. The partnership

23  between the department and the schools of social work shall

24  include, but not be limited to, modifying existing graduate

25  and undergraduate social work curricula, providing field

26  placements for students into child protection internships in

27  the department, and collaborating in the design and delivery

28  of advanced levels of social work practice.

29         Section 44.  Subsection (2) of section 245.08, Florida

30  Statutes, is amended to read:

31

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  1         245.08  Death of indigents; notice; delivery to the

  2  anatomical board when unclaimed; exceptions; assessment of

  3  fees.--

  4         (2)  When the Department of Health and Rehabilitative

  5  Services claims the body of a client according to this

  6  section, the department shall assess fees for burial pursuant

  7  to s. 402.33.

  8         Section 45.  Paragraph (a) of subsection (2) of section

  9  252.35, Florida Statutes, is amended to read:

10         252.35  Emergency management powers; Division of

11  Emergency Management.--

12         (2)  The division is responsible for carrying out the

13  provisions of ss. 252.31-252.91.  In performing its duties

14  under ss. 252.31-252.91, the division shall:

15         (a)  Prepare a state comprehensive emergency management

16  plan, which shall be integrated into and coordinated with the

17  emergency management plans and programs of the Federal

18  Government. The plan shall be implemented by a continuous,

19  integrated comprehensive emergency management program. The

20  plan must contain provisions to ensure that the state is

21  prepared for emergencies and minor, major, and catastrophic

22  disasters, and the division shall work closely with local

23  governments and agencies and organizations with emergency

24  management responsibilities in preparing and maintaining the

25  plan. The state comprehensive emergency management plan shall

26  be operations oriented and:

27         1.  Include an evacuation component that includes

28  specific regional and interregional planning provisions and

29  promotes intergovernmental coordination of evacuation

30  activities.  This component must, at a minimum: contain

31  guidelines for lifting tolls on state highways; ensure

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  1  coordination pertaining to evacuees crossing county lines; set

  2  forth procedures for directing people caught on evacuation

  3  routes to safe shelter; establish strategies for ensuring

  4  sufficient, reasonably priced fueling locations along

  5  evacuation routes; and establish policies and strategies for

  6  emergency medical evacuations.

  7         2.  Include a shelter component that includes specific

  8  regional and interregional planning provisions and promotes

  9  coordination of shelter activities between the public,

10  private, and nonprofit sectors.  This component must, at a

11  minimum:  contain strategies to ensure the availability of

12  adequate public shelter space in each region of the state;

13  establish strategies for refuge-of-last-resort programs;

14  provide strategies to assist local emergency management

15  efforts to ensure that adequate staffing plans exist for all

16  shelters, including medical and security personnel; provide

17  for a postdisaster communications system for public shelters;

18  establish model shelter guidelines for operations,

19  registration, inventory, power generation capability,

20  information management, and staffing; and set forth policy

21  guidance for sheltering people with special needs.

22         3.  Include a postdisaster response and recovery

23  component that includes specific regional and interregional

24  planning provisions and promotes intergovernmental

25  coordination of postdisaster response and recovery activities.

26  This component must provide for postdisaster response and

27  recovery strategies according to whether a disaster is minor,

28  major, or catastrophic. The postdisaster response and recovery

29  component must, at a minimum:  establish the structure of the

30  state's postdisaster response and recovery organization;

31  establish procedures for activating the state's plan; set

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  1  forth policies used to guide postdisaster response and

  2  recovery activities; describe the chain of command during the

  3  postdisaster response and recovery period; describe initial

  4  and continuous postdisaster response and recovery actions;

  5  identify the roles and responsibilities of each involved

  6  agency and organization; provide for a comprehensive

  7  communications plan; establish procedures for monitoring

  8  mutual aid agreements; provide for rapid impact assessment

  9  teams; ensure the availability of an effective statewide urban

10  search and rescue program coordinated with the fire services;

11  ensure the existence of a comprehensive statewide medical care

12  and relief plan administered by the Department of Health and

13  Rehabilitative Services; and establish systems for

14  coordinating volunteers and accepting and distributing donated

15  funds and goods.

16         4.  Include additional provisions addressing aspects of

17  preparedness, response, recovery, and mitigation as determined

18  necessary by the division.

19         5.  Address the need for coordinated and expeditious

20  deployment of state resources, including the Florida National

21  Guard.  In the case of an imminent major disaster, procedures

22  should address predeployment of the Florida National Guard,

23  and, in the case of an imminent catastrophic disaster,

24  procedures should address predeployment of the Florida

25  National Guard and the United States Armed Forces.

26         6.  Establish a system of communications and warning to

27  ensure that the state's population and emergency management

28  agencies are warned of developing emergency situations and can

29  communicate emergency response decisions.

30         7.  Establish guidelines and schedules for annual

31  exercises that evaluate the ability of the state and its

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  1  political subdivisions to respond to minor, major, and

  2  catastrophic disasters and support local emergency management

  3  agencies.  Such exercises shall be coordinated with local

  4  governments and, to the extent possible, the Federal

  5  Government.

  6         8.  Assign lead and support responsibilities to state

  7  agencies and personnel for emergency support functions and

  8  other support activities.

  9

10  The division shall prepare an interim postdisaster response

11  and recovery component that substantially complies with the

12  provisions of this paragraph by June 1, 1993.  Each state

13  agency assigned lead responsibility for an emergency support

14  function by the state comprehensive emergency management plan

15  shall also prepare a detailed operational plan needed to

16  implement its responsibilities by June 1, 1993.  The complete

17  state comprehensive emergency management plan shall be

18  submitted to the President of the Senate, the Speaker of the

19  House of Representatives, and the Governor no later than

20  February 1, 1994, and on February 1 of every even-numbered

21  year thereafter.

22         Section 46.  Subsection (1) of section 252.355, Florida

23  Statutes, is amended to read:

24         252.355  Registry of disabled persons; notice.--

25         (1)  In order to meet the special needs of persons who

26  would need assistance during evacuations and sheltering

27  because of physical or mental handicaps, each local emergency

28  management agency in the state shall maintain a registry of

29  disabled persons located within the jurisdiction of the local

30  agency.  The registration shall identify those persons in need

31  of assistance and plan for resource allocation to meet those

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  1  identified needs. To assist the local emergency management

  2  agency in identifying such persons, the Department of Children

  3  and Family Health and Rehabilitative Services, Department of

  4  Health, Agency for Health Care Administration, and Department

  5  of Elderly Affairs shall provide registration information to

  6  all of their its special needs clients and to all incoming

  7  clients as a part of the intake process.  The registry shall

  8  be updated annually.  The registration program shall give

  9  disabled persons the option of preauthorizing emergency

10  response personnel to enter their homes during search and

11  rescue operations if necessary to assure their safety and

12  welfare following disasters.

13         Section 47.  Subsection (7) of section 252.36, Florida

14  Statutes, is amended to read:

15         252.36  Emergency management powers of the Governor.--

16         (7)  The Governor shall employ such measures and give

17  such directions to the Department of Health and Rehabilitative

18  Services and the Agency for Health Care Administration as may

19  be reasonably necessary for the purpose of securing compliance

20  with the provisions of ss. 252.31-252.91 or with the findings

21  or recommendations of such agency of health by reason of

22  conditions arising from emergencies or threats of emergency.

23         Section 48.  Section 255.565, Florida Statutes, is

24  amended to read:

25         255.565  Asbestos Oversight Program Team.--There is

26  created an Asbestos Oversight Program Team, which shall

27  consist of the Asbestos Program Coordinator appointed by the

28  Secretary of Labor and Employment Security, one member

29  appointed by the Secretary of Health and Rehabilitative

30  Services, one member appointed by the Secretary of

31  Environmental Protection, one member appointed by the

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  1  Secretary of Business and Professional Regulation, one member

  2  appointed by the Secretary of Transportation, one member

  3  appointed by the Chancellor of the State University System,

  4  one member appointed by the Department of Education, and one

  5  member appointed by the secretary of the Department of

  6  Management Services.  The Asbestos Oversight Program Team is

  7  responsible for asbestos policy development; regulatory

  8  review; asbestos training course approval, except as provided

  9  for under chapter 469; and coordination with regional asbestos

10  project managers and building contact persons on policy and

11  procedures.

12         Section 49.  Subsection (3) of section 284.40, Florida

13  Statutes, is amended to read:

14         284.40  Division of Risk Management.--

15         (3)  Upon certification by the division director or his

16  or her designee to the custodian of any records maintained by

17  the Department of Children and Family Health and

18  Rehabilitative Services, Department of Health, Agency for

19  Health Care Administration, or Department of Elderly Affairs

20  that such records are necessary to investigate a claim against

21  the Department of Children and Family Health and

22  Rehabilitative Services, Department of Health, Agency for

23  Health Care Administration, or Department of Elderly Affairs

24  being handled by the Division of Risk Management, the records

25  shall be released to the division subject to the provisions of

26  subsection (2), any conflicting provisions as to the

27  confidentiality of such records notwithstanding.

28         Section 50.  Paragraph (f) of subsection (3) of section

29  287.057, Florida Statutes, 1998 Supplement, is amended to

30  read:

31

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  1         287.057  Procurement of commodities or contractual

  2  services.--

  3         (3)  When the purchase price of commodities or

  4  contractual services exceeds the threshold amount provided in

  5  s. 287.017 for CATEGORY TWO, no purchase of commodities or

  6  contractual services may be made without receiving competitive

  7  sealed bids or competitive sealed proposals unless:

  8         (f)  The following contractual services and commodities

  9  are not subject to the competitive sealed bid requirements of

10  this section:

11         1.  Artistic services.

12         2.  Academic program reviews.

13         3.  Lectures by individuals.

14         4.  Auditing services.

15         5.  Legal services, including attorney, paralegal,

16  expert witness, appraisal, or mediator services.

17         6.  Health services involving examination, diagnosis,

18  treatment, prevention, medical consultation, or

19  administration.

20         7.  Services provided to persons with mental or

21  physical disabilities by not-for-profit corporations which

22  have obtained exemptions under the provisions of s. 501(c)(3)

23  of the United States Internal Revenue Code or when such

24  services are governed by the provisions of Office of

25  Management and Budget Circular A-122. However, in acquiring

26  such services, the agency shall consider the ability of the

27  contractor, past performance, willingness to meet time

28  requirements, and price.

29         8.  Medicaid services delivered to an eligible Medicaid

30  recipient by a health care provider who has not previously

31  applied for and received a Medicaid provider number from the

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  1  Agency for Health Care Administration Department of Health and

  2  Rehabilitative Services. However, this exception shall be

  3  valid for a period not to exceed 90 days after the date of

  4  delivery to the Medicaid recipient and shall not be renewed by

  5  the agency department.

  6         9.  Family placement services.

  7         10.  Prevention services related to mental health,

  8  including drug abuse prevention programs, child abuse

  9  prevention programs, and shelters for runaways, operated by

10  not-for-profit corporations.  However, in acquiring such

11  services, the agency shall consider the ability of the

12  contractor, past performance, willingness to meet time

13  requirements, and price.

14         11.  Training and education services provided to

15  injured employees pursuant to s. 440.49(1).

16         12.  Contracts entered into pursuant to s. 337.11.

17         13.  Services or commodities provided by governmental

18  agencies.

19         Section 51.  Subsection (1) of section 287.155, Florida

20  Statutes, is amended to read:

21         287.155  Motor vehicles; purchase by Division of

22  Universities, Department of Children and Family Health and

23  Rehabilitative Services, Department of Health, Department of

24  Juvenile Justice, and Department of Corrections.--

25         (1)  The Division of Universities of the Department of

26  Education, the Department of Children and Family Health and

27  Rehabilitative Services, the Department of Health, the

28  Department of Juvenile Justice, and the Department of

29  Corrections are hereby authorized, subject to the approval of

30  the Department of Management Services, to purchase

31  automobiles, trucks, tractors, and other automotive equipment

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  1  for the use of institutions under the management of the

  2  Division of Universities, the Department of Children and

  3  Family Health and Rehabilitative Services, the Department of

  4  Health, and the Department of Corrections, and for the use of

  5  residential facilities managed or contracted by the Department

  6  of Juvenile Justice.

  7         Section 52.  Paragraph (c) of subsection (3) of section

  8  288.9620, Florida Statutes, is amended to read:

  9         288.9620  Workforce development board.--

10         (3)  The workforce development board shall be governed

11  by a board of directors. The board of directors is to consist

12  of the following members:

13         (c)  The secretary of the Department of Children and

14  Family Health and Rehabilitative Services.

15         Section 53.  Subsection (8) and paragraph (a) of

16  subsection (9) of section 288.975, Florida Statutes, 1998

17  Supplement, are amended to read:

18         288.975  Military base reuse plans.--

19         (8)  At the request of a host local government, the

20  Office of Tourism, Trade, and Economic Development shall

21  coordinate a presubmission workshop concerning a military base

22  reuse plan within the boundaries of the host jurisdiction.

23  Agencies that shall participate in the workshop shall include

24  any affected local governments; the Department of

25  Environmental Protection; the Office of Tourism, Trade, and

26  Economic Development; the Department of Community Affairs; the

27  Department of Transportation; the Department of Health; the

28  Department of Children and Family Services; the Department of

29  Juvenile Justice; the Department of Agriculture and Consumer

30  Services; the Department of State; the Game and Fresh Water

31  Fish Commission; and any applicable water management districts

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  1  and regional planning councils. The purposes of the workshop

  2  shall be to assist the host local government to understand

  3  issues of concern to the above listed entities pertaining to

  4  the military base site and to identify opportunities for

  5  better coordination of planning and review efforts with the

  6  information and analyses generated by the federal

  7  environmental impact statement process and the federal

  8  community base reuse planning process.

  9         (9)  If a host local government elects to use the

10  optional provisions of this act, it shall, no later than 12

11  months after notifying the agencies of its intent pursuant to

12  subsection (3) either:

13         (a)  Send a copy of the proposed military base reuse

14  plan for review to any affected local governments; the

15  Department of Environmental Protection; the Office of Tourism,

16  Trade, and Economic Development; the Department of Community

17  Affairs; the Department of Transportation; the Department of

18  Health; the Department of Children and Family Services; the

19  Department of Juvenile Justice; the Department of Agriculture

20  and Consumer Services; the Department of State; the Florida

21  Game and Fresh Water Fish Commission; and any applicable water

22  management districts and regional planning councils, or

23         Section 54.  Subsection (1) of section 290.009, Florida

24  Statutes, is amended to read:

25         290.009  Enterprise Zone Interagency Coordinating

26  Council.--

27         (1)  There is created within the Office of Tourism,

28  Trade, and Economic Development the Enterprise Zone

29  Interagency Coordinating Council. The council shall be

30  composed of the secretaries or executive directors, or their

31  designees, of the Department of Community Affairs, the Office

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  1  of Tourism, Trade, and Economic Development, the Department of

  2  Children and Family Health and Rehabilitative Services, the

  3  Department of Health, the Department of Juvenile Justice, the

  4  Department of Labor and Employment Security, the Department of

  5  State, the Department of Transportation, the Department of

  6  Environmental Protection, the Department of Law Enforcement,

  7  and the Department of Revenue; the Attorney General or his or

  8  her designee; and the executive directors or their designees

  9  of the State Community College System, the Florida Black

10  Business Investment Board, and the Florida State Rural

11  Development Council.

12         Section 55.  Section 314.05, Florida Statutes, is

13  amended to read:

14         314.05  Duties as to boarding vessel.--The

15  harbormaster, by himself or herself or deputy, shall board

16  every vessel entering the port for which the harbormaster is

17  appointed, after such vessel has been released by the health

18  authorities of the port, demand of the master the certificate

19  of the vessel's release by such health authorities and deliver

20  the same within 24 hours to the Department of Health and

21  Rehabilitative Services; but it is unlawful for any such

22  officer, in boarding such vessels under this section, to

23  solicit from such vessel any business either for the officer

24  or anyone else, and any violation of this provision by any

25  such officer shall subject him or her to removal from said

26  office, by the Governor, if such violation be committed by the

27  harbormaster, and, if committed by any deputy harbormaster,

28  then, by the harbormaster, who in such cases shall remove

29  promptly such deputy.

30         Section 56.  Subsection (5) of section 316.613, Florida

31  Statutes, is amended to read:

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  1         316.613  Child restraint requirements.--

  2         (5)  Any person who violates the provisions of this

  3  section commits a moving violation, punishable as provided in

  4  chapter 318 and shall have 3 points assessed against his or

  5  her driver's license as set forth in s. 322.27. In lieu of the

  6  penalty specified in s. 318.18 and the assessment of points, a

  7  person who violates the provisions of this section may elect,

  8  with the court's approval, to participate in a child restraint

  9  safety program approved by the chief judge of the circuit in

10  which the violation occurs, and upon completing such program,

11  the penalty specified in chapter 318 and associated costs may

12  be waived at the court's discretion and the assessment of

13  points shall be waived.  The child restraint safety program

14  must use a course approved by the Department of Health and

15  Rehabilitative Services, and the fee for the course must bear

16  a reasonable relationship to the cost of providing the course.

17         Section 57.  Subsection (5) of section 316.6135,

18  Florida Statutes, is amended to read:

19         316.6135  Leaving children unattended or unsupervised

20  in motor vehicle; penalty; authority of law enforcement

21  officer.--

22         (5)  The child shall be remanded to the custody of the

23  Department of Children and Family Health and Rehabilitative

24  Services pursuant to chapter 39, unless the law enforcement

25  officer is able to locate the parents or legal guardian or

26  other person responsible for the child.

27         Section 58.  Paragraph (b) of subsection (10) of

28  section 318.14, Florida Statutes, is amended to read:

29         318.14  Noncriminal traffic infractions; exception;

30  procedures.--

31         (10)

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  1         (b)  Any person cited for an offense listed in this

  2  subsection shall present proof of compliance prior to the

  3  scheduled court appearance date. For the purposes of this

  4  subsection, proof of compliance shall consist of a valid,

  5  renewed, or reinstated driver's license or registration

  6  certificate and proper proof of maintenance of security as

  7  required by s. 316.646. Notwithstanding waiver of fine, any

  8  person establishing proof of compliance shall be assessed

  9  court costs of $22, except that a person charged with

10  violation of s. 316.646(1)-(3) may be assessed court costs of

11  $7. One dollar of such costs shall be distributed to the

12  Department of Children and Family Health and Rehabilitative

13  Services for deposit into the Child Welfare Training Trust

14  Fund.  One dollar of such costs shall be distributed to the

15  Department of Juvenile Justice for deposit into the Juvenile

16  Justice Training Trust Fund. Twelve dollars of such costs

17  shall be distributed to the municipality and $8 shall be

18  retained by the county, if the offense was committed within

19  the municipality.  If the offense was committed in an

20  unincorporated area of a county or if the citation was for a

21  violation of s. 316.646(1)-(3), the county shall retain the

22  entire amount, except for the moneys to be deposited into the

23  Child Welfare Training Trust Fund and the Juvenile Justice

24  Training Trust Fund.  This subsection shall not be construed

25  to authorize the operation of a vehicle without a valid

26  driver's license, without a valid vehicle tag and

27  registration, or without the maintenance of required security.

28         Section 59.  Subsection (4) of section 321.19, Florida

29  Statutes, is amended to read:

30         321.19  Computing length of service; definitions;

31  examining committee.--

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  1         (4)  The Secretary of Health director of the Division

  2  of Health of the Department of Health and Rehabilitative

  3  Services and two other reputable physicians, one to be

  4  appointed by the Department of Highway Safety and Motor

  5  Vehicles and one by the applicant, shall examine every

  6  applicant for a pension on the grounds of disability, and

  7  shall determine whether or not total or partial disability

  8  exists, and if partial, the extent thereof, and shall certify

  9  the results of their findings to the executive director of the

10  department and to the Governor and Cabinet, as head of the

11  department, which findings shall be binding upon the

12  department.

13         Section 60.  Subsections (1), (2), (3), and (4) of

14  section 322.055, Florida Statutes, are amended to read:

15         322.055  Revocation or suspension of, or delay of

16  eligibility for, driver's license for persons 18 years of age

17  or older convicted of certain drug offenses.--

18         (1)  Notwithstanding the provisions of s. 322.28, upon

19  the conviction of a person 18 years of age or older for

20  possession or sale of, trafficking in, or conspiracy to

21  possess, sell, or traffic in a controlled substance, the court

22  shall direct the department to revoke the driver's license or

23  driving privilege of the person. The period of such revocation

24  shall be 2 years or until the person is evaluated for and, if

25  deemed necessary by the evaluating agency, completes a drug

26  treatment and rehabilitation program approved or regulated by

27  the Department of Children and Family Health and

28  Rehabilitative Services. However, the court may, in its sound

29  discretion, direct the department to issue a license for

30  driving privileges restricted to business or employment

31  purposes only, as defined by s. 322.271, if the person is

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  1  otherwise qualified for such a license. A driver whose license

  2  or driving privilege has been suspended or revoked under this

  3  section or s. 322.056 may, upon the expiration of 6 months,

  4  petition the department for restoration of the driving

  5  privilege on a restricted or unrestricted basis depending on

  6  length of suspension or revocation. In no case shall a

  7  restricted license be available until 6 months of the

  8  suspension or revocation period has expired.

  9         (2)  If a person 18 years of age or older is convicted

10  for the possession or sale of, trafficking in, or conspiracy

11  to possess, sell, or traffic in a controlled substance and

12  such person is eligible by reason of age for a driver's

13  license or privilege, the court shall direct the department to

14  withhold issuance of such person's driver's license or driving

15  privilege for a period of 2 years after the date the person

16  was convicted or until the person is evaluated for and, if

17  deemed necessary by the evaluating agency, completes a drug

18  treatment and rehabilitation program approved or regulated by

19  the Department of Children and Family Health and

20  Rehabilitative Services. However, the court may, in its sound

21  discretion, direct the department to issue a license for

22  driving privileges restricted to business or employment

23  purposes only, as defined by s. 322.271, if the person is

24  otherwise qualified for such a license. A driver whose license

25  or driving privilege has been suspended or revoked under this

26  section or s. 322.056 may, upon the expiration of 6 months,

27  petition the department for restoration of the driving

28  privilege on a restricted or unrestricted basis depending on

29  the length of suspension or revocation. In no case shall a

30  restricted license be available until 6 months of the

31  suspension or revocation period has expired.

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  1         (3)  If a person 18 years of age or older is convicted

  2  for the possession or sale of, trafficking in, or conspiracy

  3  to possess, sell, or traffic in a controlled substance and

  4  such person's driver's license or driving privilege is already

  5  under suspension or revocation for any reason, the court shall

  6  direct the department to extend the period of such suspension

  7  or revocation by an additional period of 2 years or until the

  8  person is evaluated for and, if deemed necessary by the

  9  evaluating agency, completes a drug treatment and

10  rehabilitation program approved or regulated by the Department

11  of Children and Family Health and Rehabilitative Services.

12  However, the court may, in its sound discretion, direct the

13  department to issue a license for driving privileges

14  restricted to business or employment purposes only, as defined

15  by s. 322.271, if the person is otherwise qualified for such a

16  license. A driver whose license or driving privilege has been

17  suspended or revoked under this section or s. 322.056 may,

18  upon the expiration of 6 months, petition the department for

19  restoration of the driving privilege on a restricted or

20  unrestricted basis depending on the length of suspension or

21  revocation. In no case shall a restricted license be available

22  until 6 months of the suspension or revocation period has

23  expired.

24         (4)  If a person 18 years of age or older is convicted

25  for the possession or sale of, trafficking in, or conspiracy

26  to possess, sell, or traffic in a controlled substance and

27  such person is ineligible by reason of age for a driver's

28  license or driving privilege, the court shall direct the

29  department to withhold issuance of such person's driver's

30  license or driving privilege for a period of 2 years after the

31  date that he or she would otherwise have become eligible or

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  1  until he or she becomes eligible by reason of age for a

  2  driver's license and is evaluated for and, if deemed necessary

  3  by the evaluating agency, completes a drug treatment and

  4  rehabilitation program approved or regulated by the Department

  5  of Children and Family Health and Rehabilitative Services.

  6  However, the court may, in its sound discretion, direct the

  7  department to issue a license for driving privileges

  8  restricted to business or employment purposes only, as defined

  9  by s. 322.271, if the person is otherwise qualified for such a

10  license. A driver whose license or driving privilege has been

11  suspended or revoked under this section or s. 322.056 may,

12  upon the expiration of 6 months, petition the department for

13  restoration of the driving privilege on a restricted or

14  unrestricted basis depending on the length of suspension or

15  revocation. In no case shall a restricted license be available

16  until 6 months of the suspension or revocation period has

17  expired.

18         Section 61.  Subsection (7) of section 322.20, Florida

19  Statutes, is amended to read:

20         322.20  Records of the department; fees; destruction of

21  records.--

22         (7)  The requirement for the department to keep records

23  shall terminate upon the death of an individual licensed by

24  the department upon notification by the Department of Health

25  and Rehabilitative Services of such death.  The department

26  shall make such notification as is proper of the deletions

27  from their records to the court clerks of the state.

28         Section 62.  Subsection (2) of section 364.510, Florida

29  Statutes, is amended to read:

30         364.510  Duties of the Board of Directors of the

31  Florida Distance Learning Network.--The duties of the Board of

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  1  Directors of the Florida Distance Learning Network include,

  2  but are not limited to:

  3         (2)  Coordinating the use of existing resources,

  4  including, but not limited to, the state's satellite

  5  transponder on Telestar 401 (the education satellite), the

  6  Sunstar Network, the SUNCOM Network, the Florida Information

  7  Resource Network (FIRN), Department of Management Services,

  8  Department of Corrections, Department of Health, and the

  9  Department of Children and Family Health and Rehabilitative

10  Services' satellite communication facilities to support a

11  statewide advanced telecommunications services and distance

12  learning network.

13         Section 63.  Paragraph (g) of subsection (3) of section

14  370.0605, Florida Statutes, 1998 Supplement, is amended to

15  read:

16         370.0605  Saltwater fishing license required; fees.--

17         (3)  A saltwater fishing license is not required for:

18         (g)  Any person who has been accepted by the Department

19  of Children and Family Health and Rehabilitative Services for

20  developmental services or any licensed provider of services to

21  the State of Florida through contract with the Department of

22  Children and Family Health and Rehabilitative Services, where

23  such service involves the need, normally, for possession of a

24  saltwater fishing license and such service is provided as part

25  of a court-decided rehabilitation program involving training

26  in Florida's aquatic resources.

27         Section 64.  Subsection (26) of section 370.16, Florida

28  Statutes, 1998 Supplement, is amended to read:

29         370.16  Oysters and shellfish; regulation.--

30         (26)  OYSTER CULTURE.--The Division of Marine Resources

31  shall protect all oyster beds, oyster grounds, and oyster

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  1  reefs from damage or destruction resulting from improper

  2  cultivation, propagation, planting, or harvesting and control

  3  the pollution of the waters over or surrounding oyster

  4  grounds, beds, or reefs, and to this end the Department of

  5  Health and Rehabilitative Services is authorized and directed

  6  to lend its cooperation to the division, to make available to

  7  it its laboratory testing facilities and apparatus.  The

  8  division may also do and perform all acts and things within

  9  its power and authority necessary to the performance of its

10  duties.

11         Section 65.  Paragraph (g) of subsection (1) of section

12  372.57, Florida Statutes, 1998 Supplement, is amended to read:

13         372.57  Licenses and permits; exemptions; fees.--No

14  person, except as provided herein, shall take game, freshwater

15  fish, or fur-bearing animals within this state without having

16  first obtained a license, permit, or authorization and paid

17  the fees hereinafter set forth, unless such license is issued

18  without fee as provided in s. 372.561. Such license, permit,

19  or authorization shall authorize the person to whom it is

20  issued to take game, freshwater fish, or fur-bearing animals

21  in accordance with law and commission rules. Such license,

22  permit, or authorization is not transferable.  Each license or

23  permit must bear on its face in indelible ink the name of the

24  person to whom it is issued and other information requested by

25  the commission. Such license, permit, or authorization issued

26  by the commission or any agent must be in the personal

27  possession of the person to whom issued while taking game,

28  freshwater fish, or fur-bearing animals. The failure of such

29  person to exhibit such license, permit, or authorization to

30  the commission or its wildlife officers, when such person is

31  found taking game, freshwater fish, or fur-bearing animals, is

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  1  a violation of law.  A positive form of identification is

  2  required when using an authorization, a lifetime license, a

  3  5-year license, or when otherwise required by the license or

  4  permit.  The lifetime licenses and 5-year licenses provided

  5  herein shall be embossed with the name, date of birth, the

  6  date of issuance, and other pertinent information as deemed

  7  necessary by the commission.  A certified copy of the

  8  applicant's birth certificate shall accompany all applications

  9  for a lifetime license for residents 12 years of age and

10  younger. Each applicant for a license, permit, or

11  authorization shall provide the applicant's social security

12  number on the application form. Disclosure of social security

13  numbers obtained through this requirement shall be limited to

14  the purpose of administration of the Title IV-D child support

15  enforcement program and use by the commission, and as

16  otherwise provided by law.

17         (1)  A license or permit is not required for:

18         (g)  Any person fishing who has been accepted as a

19  client for developmental services by the Department of

20  Children and Family Health and Rehabilitative Services, which

21  department shall furnish such person proof thereof.

22         Section 66.  Subsection (3) of section 372.6672,

23  Florida Statutes, 1998 Supplement, is amended to read:

24         372.6672  Alligator management and trapping program

25  implementation; commission authority.--

26         (3)  The powers and duties of the commission hereunder

27  shall not be construed so as to supersede the regulatory

28  authority or lawful responsibility of the Department of Health

29  and Rehabilitative Services, the Department of Agriculture and

30  Consumer Services, or any local governmental entity regarding

31

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  1  the processing or handling of food products, but shall be

  2  deemed supplemental thereto.

  3         Section 67.  Paragraph (b) of subsection (1) of section

  4  373.309, Florida Statutes, is amended to read:

  5         373.309  Authority to adopt rules and procedures.--

  6         (1)  The department shall adopt, and may from time to

  7  time amend, rules governing the location, construction,

  8  repair, and abandonment of water wells and shall be

  9  responsible for the administration of this part.  With respect

10  thereto, the department shall:

11         (b)  Delegate, by interagency agreement adopted

12  pursuant to s. 373.046, to water management districts, the

13  Department of Health and Rehabilitative Services, or any other

14  political subdivision any of its authority under this part in

15  the administration of the rules adopted hereunder under such

16  terms and conditions as may be agreed upon, and may rescind

17  such delegation upon a determination that the program is not

18  being adequately administered.

19         Section 68.  Paragraph (c) of subsection (3) of section

20  376.30, Florida Statutes, 1998 Supplement, is amended to read:

21         376.30  Legislative intent with respect to pollution of

22  surface and ground waters.--

23         (3)  The Legislature intends by the enactment of ss.

24  376.30-376.319 to exercise the police power of the state by

25  conferring upon the Department of Environmental Protection the

26  power to:

27         (c)  Establish a program which will enable the

28  department to:

29         1.  Provide for expeditious restoration or replacement

30  of potable water systems or potable private wells of affected

31  persons where health hazards exist due to contamination from

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  1  pollutants (which may include provision of bottled water on a

  2  temporary basis, after which a more stable and convenient

  3  source of potable water shall be provided) and hazardous

  4  substances, subject to the following conditions:

  5         a.  For the purposes of this subparagraph, the term

  6  "restoration" means restoration of a contaminated potable

  7  water supply to a level which meets applicable water quality

  8  standards or applicable water quality criteria, as adopted by

  9  rule, for the contaminant or contaminants present in the water

10  supply, or, where no such standards or criteria have been

11  adopted, to a level that is determined to be a safe, potable

12  level by the State Health Officer in the Department of Health

13  and Rehabilitative Services, through the installation of a

14  filtration system and provision of replacement filters as

15  necessary or through employment of repairs or another

16  treatment method or methods designed to remove or filter out

17  contamination from the water supply; and the term

18  "replacement" means replacement of a well or well field or

19  connection to an alternative source of safe, potable water.

20         b.  For the purposes of the Inland Protection Trust

21  Fund and the drycleaning facility restoration funds in the

22  Water Quality Assurance Trust Fund as provided in s. 376.3078,

23  such restoration or replacement shall take precedence over

24  other uses of the unobligated moneys within the fund after

25  payment of amounts appropriated annually from the Inland

26  Protection Trust Fund for payments under any service contract

27  entered into by the department pursuant to s. 376.3075.

28         c.  Funding for activities described in this

29  subparagraph shall not exceed $10 million for any one county

30  for any one year, other than for the provision of bottled

31  water.

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  1         d.  Funding for activities described in this

  2  subparagraph shall not be available to fund any increase in

  3  the capacity of a potable water system or potable private well

  4  over the capacity which existed prior to such restoration or

  5  replacement, unless such increase is the result of the use of

  6  a more cost-effective alternative than other alternatives

  7  available.

  8         2.  Provide for the inspection and supervision of

  9  activities described in this subsection.

10         3.  Guarantee the prompt payment of reasonable costs

11  resulting therefrom, including those administrative costs

12  incurred by the Department of Health and Rehabilitative

13  Services in providing field and laboratory services,

14  toxicological risk assessment, and other services to the

15  department in the investigation of drinking water

16  contamination complaints.

17         Section 69.  Paragraph (g) of subsection (4) of section

18  376.3071, Florida Statutes, is amended to read:

19         376.3071  Inland Protection Trust Fund; creation;

20  purposes; funding.--

21         (4)  USES.--Whenever, in its determination, incidents

22  of inland contamination related to the storage of petroleum or

23  petroleum products may pose a threat to the environment or the

24  public health, safety, or welfare, the department shall

25  obligate moneys available in the fund to provide for:

26         (g)  Payment of any other reasonable costs of

27  administration, including those administrative costs incurred

28  by the Department of Health and Rehabilitative Services in

29  providing field and laboratory services, toxicological risk

30  assessment, and other assistance to the department in the

31  investigation of drinking water contamination complaints and

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  1  costs associated with public information and education

  2  activities.

  3

  4  The Inland Protection Trust Fund may only be used to fund the

  5  activities in ss. 376.30-376.319 except ss. 376.3078 and

  6  376.3079.  Amounts on deposit in the Inland Protection Trust

  7  Fund in each fiscal year shall first be applied or allocated

  8  for the payment of amounts payable by the department pursuant

  9  to paragraph (o) under a service contract entered into by the

10  department pursuant to s. 376.3075 and appropriated in each

11  year by the Legislature prior to making or providing for other

12  disbursements from the fund. Nothing in this subsection shall

13  authorize the use of the Inland Protection Trust Fund for

14  cleanup of contamination caused primarily by a discharge of

15  solvents as defined in s. 206.9925(6), or polychlorinated

16  biphenyls when their presence causes them to be hazardous

17  wastes, except solvent contamination which is the result of

18  chemical or physical breakdown of petroleum products and is

19  otherwise eligible. Facilities used primarily for the storage

20  of motor or diesel fuels as defined in ss. 206.01 and 206.86

21  shall be presumed not to be excluded from eligibility pursuant

22  to this section.

23         Section 70.  Subsection (3) of section 377.712, Florida

24  Statutes, is amended to read:

25         377.712  Florida participation.--

26         (3)  The department, agencies and officers of this

27  state, and its subdivisions are authorized to cooperate with

28  the board in the furtherance of any of its activities pursuant

29  to the compact, provided such proposed activities have been

30  made known to, and have the approval of, either the Governor

31  or the Department of Health and Rehabilitative Services.

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  1         Section 71.  Paragraph (a) of subsection (22) of

  2  section 380.05, Florida Statutes, 1998 Supplement, is amended

  3  to read:

  4         380.05  Areas of critical state concern.--

  5         (22)  All state agencies with rulemaking authority for

  6  programs that affect a designated area of critical state

  7  concern shall review those programs for consistency with the

  8  purpose of the designation and principles for guiding

  9  development, and shall adopt specific permitting standards and

10  criteria applicable in the designated area, or otherwise amend

11  the program, as necessary to further the purpose of the

12  designation.

13         (a)1.  Within 6 months after the effective date of the

14  rule or statute that designates an area of critical state

15  concern, and at any time thereafter as directed by the

16  Administration Commission, the Department of Environmental

17  Protection, the Department of Health and Rehabilitative

18  Services, the water management districts with jurisdiction

19  over any portion of the area of critical state concern, and

20  any other state agency specified in the designation rule,

21  shall each submit a report to the Administration Commission,

22  and a copy of the report to the state land planning agency.

23  The report shall evaluate the effect of the reporting agency's

24  programs upon the purpose of the designation.

25         2.  If different permitting standards or criteria, or

26  other changes to the program, are necessary in order to

27  further the purpose of the designation, the report shall

28  recommend rules which further that purpose and which are

29  consistent with the principles for guiding development. The

30  report shall explain and justify the reasons for any different

31  permitting standards or criteria that may be recommended. The

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  1  commission shall reject the agency's recommendation, or accept

  2  it with or without modification and direct the agency to adopt

  3  rules, including any changes. Any rule adopted pursuant to

  4  this paragraph shall be consistent with the principles for

  5  guiding development, and shall apply only within the boundary

  6  of the designated area. The agency shall file a copy of the

  7  adopted rule with the Administration Commission and the state

  8  land planning agency.

  9         3.  If statutory changes are required in order to

10  implement the permitting standards or criteria that are

11  necessary to further the purpose of the designation, the

12  report shall recommend statutory amendments. The

13  Administration Commission shall submit any report that

14  recommends statutory amendments to the President of the Senate

15  and the Speaker of the House of Representatives, together with

16  the Administration Commission's recommendation on the proposed

17  amendments.

18         Section 72.  Paragraphs (c) and (d) of subsection (10)

19  of section 380.0555, Florida Statutes, 1998 Supplement, are

20  amended to read:

21         380.0555  Apalachicola Bay Area; protection and

22  designation as area of critical state concern.--

23         (10)  REQUIREMENTS; LOCAL GOVERNMENTS.--

24         (c)1.  The Department of Health and Rehabilitative

25  Services shall survey all septic tank soil-absorption systems

26  in the Apalachicola Bay Area to determine their suitability as

27  onsite sewage treatment systems.  Within 6 months from June

28  18, 1985, Franklin County and the municipalities within it,

29  after consultation with the Department of Health and

30  Rehabilitative Services and the Department of Environmental

31  Regulation, shall develop a program designed to correct any

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  1  onsite sewage treatment systems that might endanger the water

  2  quality of the bay.

  3         2.  Franklin County and the municipalities within it

  4  shall, within 9 months from June 18, 1985, enact by ordinance

  5  procedures implementing this program.  These procedures shall

  6  include notification to owners of unacceptable septic tanks

  7  and procedures for correcting unacceptable septic tanks.

  8  These ordinances shall not be effective until approved by the

  9  Department of Health and Rehabilitative Services and the

10  Department of Environmental Regulation.

11         (d)  Franklin County and the municipalities within it

12  shall, within 12 months from June 18, 1985, establish by

13  ordinance a map of "pollution-sensitive segments of the

14  critical shoreline" within the Apalachicola Bay Area, which

15  ordinance shall not be effective until approved by the

16  Department of Health and Rehabilitative Services and the

17  Department of Environmental Regulation.  Franklin County and

18  the municipalities within it, after the effective date of

19  these ordinances, shall no longer grant permits for onsite

20  wastewater disposal systems in pollution-sensitive segments of

21  the critical shoreline, except for those onsite wastewater

22  systems that will not degrade water quality in the river or

23  bay.  These ordinances shall not become effective until

24  approved by the resource planning and management committee.

25  Until such ordinances become effective, the Franklin County

26  Health Department shall not give a favorable recommendation to

27  the granting of a septic tank variance pursuant to section (1)

28  of Ordinance 79-8, adopted on June 22, 1979, by the Franklin

29  County Board of County Commissioners and filed with the

30  Secretary of State on June 27, 1979, or issue a permit for a

31  septic tank or alternative waste disposal system pursuant to

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  1  Ordinance 81-5, adopted on June 22, 1981, by the Franklin

  2  County Board of County Commissioners and filed with the

  3  Secretary of State on June 30, 1981, as amended as set forth

  4  in subparagraph (9)(a)2., unless the Franklin County Health

  5  Department certifies, in writing, that the use of such system

  6  will be consistent with paragraph (8)(f) and subsection (9).

  7         Section 73.  Subsection (1) of section 408.601, Florida

  8  Statutes (renumbered as section 381.731, 1998 Supplement), is

  9  amended to read:

10         381.731  Healthy Communities, Healthy People Plan.--

11         (1)  The Department of Health and Rehabilitative

12  Services shall develop a biennial Healthy Communities, Healthy

13  People Plan that shall be submitted to the Governor, the

14  President of the Senate, and the Speaker of the House of

15  Representatives by December 31 of each even-numbered year.

16         Section 74.  Subsection (1) of section 408.603, Florida

17  Statutes (renumbered as section 381.733, 1998 Supplement), is

18  amended to read:

19         381.733  Definitions.--As used in ss. 408.601-408.604,

20  the term:

21         (1)  "Department" means the Department of Health and

22  Rehabilitative Services.

23         Section 75.  Section 383.0113, Florida Statutes, is

24  amended to read:

25         383.0113  Commission on Responsible Fatherhood;

26  creation; membership; powers and duties.--There is created the

27  Commission on Responsible Fatherhood in the Department of

28  Children and Family Health and Rehabilitative Services.

29         (1)  The commission shall consist of not more than 25

30  members, as follows:

31         (a)  Seven members to be appointed by the Governor.

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  1         (b)  The executive director of the Florida Center for

  2  Children and Youth or the director's designee.

  3         (c)  The executive director of the Florida Coalition

  4  Against Domestic Violence or the director's designee.

  5         (d)  A judge, to be appointed by the Chief Justice of

  6  the Supreme Court.

  7         (e)  A representative of Healthy Start, to be chosen by

  8  the Florida Association of Healthy Start Coalitions.

  9         (f)  Two members of the House of Representatives, to be

10  appointed by the Speaker.

11         (g)  Two members of the Senate, to be appointed by the

12  President.

13         (h)  A representative from the Florida Association of

14  Deans and Directors of Schools and departments of social work

15  from Florida colleges and universities.

16         (i)  A representative of the Florida chapter of the

17  National Congress for Fathers and Children.

18         (j)  A representative of Men Against Destruction,

19  Defending Against Drugs and Social Disorder (MAD DADS).

20         (k)  A representative of the Family Law Section of The

21  Florida Bar Association.

22         (l)  A representative of the American Association of

23  Retired Persons.

24         (m)  A representative of the Florida Chamber of

25  Commerce.

26         (n)  A representative from the Florida Family Council.

27         (o)  Three additional members to be appointed by the

28  other members of the commission based on specific needs.

29         (2)  Technical assistance will be provided to the

30  commission by the following:

31

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  1         (a)  The Secretary of Children and Family Health and

  2  Rehabilitative Services, or the secretary's designee.

  3         (b)  The Commissioner of Education, or the

  4  commissioner's designee.

  5         (c)  The Secretary of Labor and Employment Security, or

  6  the secretary's designee.

  7         (d)  The executive director of the Department of

  8  Revenue, or the director's designee.  The designee shall have

  9  experience with child support enforcement programs.

10         (e)  A representative of The Parent Network of Florida.

11         (f)  A representative of the Florida Network of Youth

12  and Family Services.

13

14  Per diem and travel expenses for the individuals providing

15  technical assistance is to be provided from the budgets of

16  those agencies.

17         (3)  All members of the commission, other than the

18  Governor's appointments and the commission's appointments,

19  must be appointed within 30 days after this section, s.

20  383.0112, and s. 383.0114 become law. The appointments of the

21  Governor shall be made 30 days after the other appointments,

22  to allow for the composition of the commission to be broadly

23  reflective of the public.  The chairperson and vice

24  chairperson of the commission shall be appointed by the

25  Governor.  The commission is encouraged to appoint

26  subcommittees, including regional subcommittees, that include

27  citizens who are knowledgeable in a subject area but who are

28  not members of the commission and who may not vote on the

29  final report and recommendations of the commission, but may

30  submit reports and recommendations for review by the

31

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  1  commission and may be invited to testify to the commission by

  2  a member of the commission.

  3         (4)  The commission shall hold its first meeting within

  4  30 days after the appointments, except the Governor's and the

  5  commission's appointments, are made. Members of the commission

  6  shall serve without compensation but shall be allowed per diem

  7  and travel expenses, as provided in s. 112.061. Per diem and

  8  travel expenses of members of the commission employed by the

  9  State of Florida are to be provided from the budgets of those

10  employing agencies. Members of the commission who serve as

11  members of the Legislature are to be reimbursed from the

12  legislative budget.

13         (5)  The commission shall meet as the resources of the

14  commission allow.

15         (6)  Subject to the availability of funds, the

16  Department of Children and Family Health and Rehabilitative

17  Services is directed to contract with one or more

18  corporations, agencies, individuals, or governmental entities

19  to accomplish the goals of s. 383.0112 and this section.  The

20  Department of Children and Family Health and Rehabilitative

21  Services must ensure that the corporations, agencies,

22  individuals, or governmental entities, either separately or

23  together, are able to provide staff support services and must

24  have the research ability to carry out the purposes and

25  responsibilities of the commission.

26         (7)  The commission shall have the authority to apply

27  for grants and accept private contributions.

28         (8)  The commission is assigned to the Department of

29  Children and Family Health and Rehabilitative Services for

30  administrative and fiscal accountability purposes, but it

31

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  1  shall otherwise function independently of the control,

  2  supervision, and direction of the department.

  3         (9)  The Governor may remove any member of the

  4  commission for cause.

  5         (10)  The commission shall develop a budget pursuant to

  6  the provisions of chapter 216.  The budget is not subject to

  7  change by the department staff after it has been approved by

  8  the commission, but it shall be transmitted to the Governor

  9  along with the budget of the department.

10         Section 76.  Subsection (1) of section 383.335, Florida

11  Statutes, is amended to read:

12         383.335  Partial exemptions.--

13         (1)  Any facility which was providing obstetrical and

14  gynecological surgical services and was owned and operated by

15  a board-certified obstetrician on June 15, 1984, and which is

16  otherwise subject to licensure under ss. 383.30-383.335 as a

17  birth center, is exempt from the provisions of ss.

18  383.30-383.335 which restrict the provision of surgical

19  services and outlet forceps delivery and the administration of

20  anesthesia at birth centers. The agency department shall adopt

21  rules specifically related to the performance of such services

22  and the administration of anesthesia at such facilities.

23         Section 77.  Subsections (2) and (3) of section

24  383.336, Florida Statutes, are amended to read:

25         383.336  Provider hospitals; practice parameters; peer

26  review board.--

27         (2)  The Office of the Secretary of Health Deputy

28  Secretary for Health of the Department of Health and

29  Rehabilitative Services, in consultation with the Board of

30  Medicine and the Florida Obstetric and Gynecologic Society, is

31  directed to establish practice parameters to be followed by

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  1  physicians in provider hospitals in performance of a caesarean

  2  section delivery when the delivery will be paid partly or

  3  fully by state funds or federal funds administered by the

  4  state.  These parameters shall be directed to reduce the

  5  number of unnecessary caesarean section deliveries. These

  6  practice parameters shall address, at a minimum, the

  7  following: feasibility of attempting a vaginal delivery for

  8  each patient with a prior caesarean section; dystocia,

  9  including arrested dilation and prolonged deceleration phase;

10  fetal distress; and fetal malposition.  The Department of

11  Health and Rehabilitative Services shall adopt rules to

12  implement the provisions of this subsection.

13         (3)  Each provider hospital shall establish a peer

14  review board consisting of obstetric physicians and other

15  persons having credentials within that hospital to perform

16  deliveries by caesarean section.  This board shall review, at

17  least monthly, every caesarean section performed since the

18  previous review and paid for by state funds or federal funds

19  administered by the state. The board shall conduct its review

20  pursuant to the parameters specified in the rule adopted by

21  the Department of Health and Rehabilitative Services pursuant

22  to this act and shall pay particular attention to electronic

23  fetal monitoring records, umbilical cord gas results, and

24  Apgar scores in determining if the caesarean section delivery

25  was appropriate.  The results of this periodic review must be

26  shared with the attending physician. These reviews and the

27  resultant reports must be considered a part of the hospital's

28  quality assurance monitoring and peer review process

29  established pursuant to s. 395.0193.

30         Section 78.  Subsections (1) and (4) of section

31  390.0112, Florida Statutes, are amended to read:

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  1         390.0112  Termination of pregnancies; reporting.--

  2         (1)  The director of any medical facility in which any

  3  pregnancy is terminated shall submit a monthly report which

  4  contains the number of procedures performed, the reason for

  5  same, and the period of gestation at the time such procedures

  6  were performed to the agency department. The agency department

  7  shall be responsible for keeping such reports in a central

  8  place from which statistical data and analysis can be made.

  9         (4)  Any person required under this section to file a

10  report or keep any records who willfully fails to file such

11  report or keep such records may be subject to a $200 fine for

12  each violation.  The agency department shall be required to

13  impose such fines when reports or records required under this

14  section have not been timely received. For purposes of this

15  section, timely received is defined as 30 days following the

16  preceding month.

17         Section 79.  Subsection (5) of section 393.002, Florida

18  Statutes, is amended to read:

19         393.002  Transfer of Florida Developmental Disabilities

20  Council as formerly created in this chapter to private

21  nonprofit corporation.--

22         (5)  Pursuant to the applicable provisions of chapter

23  284, the Division of Risk Management of the Department of

24  Insurance is authorized to insure this nonprofit corporation

25  under the same general terms and conditions as the Florida

26  Developmental Disabilities Council was insured in the

27  Department of Children and Family Health and Rehabilitative

28  Services by the division prior to the transfer of its

29  functions authorized by this section.

30         Section 80.  Subsection (11) of section 393.063,

31  Florida Statutes, 1998 Supplement, is amended to read:

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  1         393.063  Definitions.--For the purposes of this

  2  chapter:

  3         (11)  "Department" means the Department of Children and

  4  Family Health and Rehabilitative Services.

  5         Section 81.  Subsections (1) and (2), paragraph (b) of

  6  subsection (4), and subsection (5) of section 393.064, Florida

  7  Statutes, are amended to read:

  8         393.064  Prevention.--

  9         (1)  The Department of Children and Family Health and

10  Rehabilitative Services, in carrying out its assigned purpose

11  under s. 20.19(1) of preventing to the maximum extent possible

12  the occurrence and incidence of physical and mental diseases

13  and disabilities, shall give priority to the development,

14  planning, and implementation of programs which have the

15  potential to prevent, correct, cure, or reduce the severity of

16  developmental disabilities.  The department shall direct an

17  interdepartmental and interprogram effort for the continued

18  development of a prevention plan and program.  The department

19  shall identify, through demonstration projects, through

20  departmental program evaluation, and through monitoring of

21  programs and projects conducted outside of the department, any

22  medical, social, economic, or educational methods, techniques,

23  or procedures which have the potential to effectively

24  ameliorate, correct, or cure developmental disabilities.  The

25  department shall determine the costs and benefits that would

26  be associated with such prevention efforts and shall

27  implement, or recommend the implementation of, those methods,

28  techniques, or procedures which are found likely to be

29  cost-beneficial.  The department in its legislative budget

30  request shall identify funding needs for such prevention

31  programs.

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  1         (2)  Prevention services provided by the developmental

  2  services program include services to high-risk and

  3  developmentally disabled children from birth to 5 years of

  4  age, and their families, to meet the intent of chapter 411.

  5  Such services shall include individual evaluations or

  6  assessments necessary to diagnose a developmental disability

  7  or high-risk condition and to determine appropriate individual

  8  family and support services, unless evaluations or assessments

  9  are the responsibility of the Division of Children's Medical

10  Services program for children ages birth to 3 years eligible

11  for services under this chapter or part H of the Individuals

12  with Disabilities Education Act, and may include:

13         (a)  Early intervention services, including

14  developmental training and specialized therapies. Early

15  intervention services, which are the responsibility of the

16  Division of Children's Medical Services program for children

17  ages birth to 3 years who are eligible for services under this

18  chapter or under part H of the Individuals with Disabilities

19  Education Act, shall not be provided through the developmental

20  services program unless funding is specifically appropriated

21  to the developmental services program for this purpose.

22         (b)  Support services, such as respite care, parent

23  education and training, parent-to-parent counseling, homemaker

24  services, and other services which allow families to maintain

25  and provide quality care to children in their homes. The

26  Division of Children's Medical Services program is responsible

27  for the provision of services to children from birth to 3

28  years who are eligible for services under this chapter.

29         (4)  There is created at the developmental services

30  institution in Gainesville a research and education unit.

31

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  1  Such unit shall be named the Raymond C. Philips Research and

  2  Education Unit.  The functions of such unit shall include:

  3         (b)  Ensuring that new knowledge is rapidly

  4  disseminated throughout the developmental services program of

  5  the Department of Children and Family Health and

  6  Rehabilitative Services.

  7         (5)  The Department of Children and Family Health and

  8  Rehabilitative Services shall have the authority, within

  9  available resources, to contract for the supervision and

10  management of the Raymond C. Philips Research and Education

11  Unit, and such contract shall include specific program

12  objectives.

13         Section 82.  Subsection (1) of section 393.065, Florida

14  Statutes, is amended to read:

15         393.065  Application and eligibility determination.--

16         (1)  Application for services shall be made in writing

17  to the Department of Children and Family Health and

18  Rehabilitative Services, in the district in which the

19  applicant resides. Employees of the department's developmental

20  services program shall review each applicant for eligibility

21  within 45 days of the date the application is signed for

22  children under 6 years of age and within 60 days of the date

23  the application is signed for all other applicants. When

24  necessary to definitively identify individual conditions or

25  needs, the department shall provide a comprehensive

26  assessment. Only individuals whose domicile is in Florida

27  shall be eligible for services. Information accumulated by

28  other agencies, including professional reports and collateral

29  data, shall be considered in this process when available.

30         Section 83.  Subsection (1) of section 393.066, Florida

31  Statutes, 1998 Supplement, is amended to read:

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  1         393.066  Community services and treatment for persons

  2  who are developmentally disabled.--

  3         (1)  The Department of Children and Family Health and

  4  Rehabilitative Services shall plan, develop, organize, and

  5  implement its programs of services and treatment for persons

  6  who are developmentally disabled along district lines.  The

  7  goal of such programs shall be to allow clients to live as

  8  independently as possible in their own homes or communities

  9  and to achieve productive lives as close to normal as

10  possible.

11         Section 84.  Subsections (3) and (9) of section

12  393.067, Florida Statutes, 1998 Supplement, are amended to

13  read:

14         393.067  Licensure of residential facilities and

15  comprehensive transitional education programs.--

16         (3)  An application for a license for a residential

17  facility or a comprehensive transitional education program

18  shall be made to the Department of Children and Family Health

19  and Rehabilitative Services on a form furnished by it and

20  shall be accompanied by the appropriate license fee.

21         (9)  The department and the Agency for Health Care

22  Administration, after consultation with the Department of

23  Community Affairs, shall adopt rules for residential

24  facilities under the respective regulatory jurisdiction of

25  each establishing minimum standards for the preparation and

26  annual update of a comprehensive emergency management plan.

27  At a minimum, the rules must provide for plan components that

28  address emergency evacuation transportation; adequate

29  sheltering arrangements; postdisaster activities, including

30  emergency power, food, and water; postdisaster transportation;

31  supplies; staffing; emergency equipment; individual

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  1  identification of residents and transfer of records; and

  2  responding to family inquiries.  The comprehensive emergency

  3  management plan for all intermediate care facilities for the

  4  developmentally disabled, facilities serving seven or more

  5  people, and homes serving individuals who have complex medical

  6  conditions is subject to review and approval by the local

  7  emergency management agency.  During its review, the local

  8  emergency management agency shall ensure that the following

  9  agencies, at a minimum, are given the opportunity to review

10  the plan: the Agency for Health Care Administration, the

11  Department of Children and Family Health and Rehabilitative

12  Services, and the Department of Community Affairs. Also,

13  appropriate volunteer organizations must be given the

14  opportunity to review the plan.  The local emergency

15  management agency shall complete its review within 60 days and

16  either approve the plan or advise the facility of necessary

17  revisions.

18         Section 85.  Subsection (1) of section 393.0673,

19  Florida Statutes, is amended to read:

20         393.0673  Denial, suspension, revocation of license;

21  moratorium on admissions; administrative fines; procedures.--

22         (1)  The Department of Children and Family Health and

23  Rehabilitative Services may deny, revoke, or suspend a license

24  or impose an administrative fine, not to exceed $500 per

25  violation per day, for a violation of any provision of s.

26  393.0655 or s. 393.067 or rules promulgated pursuant thereto.

27  All hearings shall be held within the county in which the

28  licensee or applicant operates or applies for a license to

29  operate a facility as defined herein.

30         Section 86.  Subsection (1) of section 393.0675,

31  Florida Statutes, is amended to read:

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  1         393.0675  Injunctive proceedings authorized.--

  2         (1)  The Department of Children and Family Health and

  3  Rehabilitative Services may institute injunctive proceedings

  4  in a court of competent jurisdiction to:

  5         (a)  Enforce the provisions of this chapter or any

  6  minimum standard, rule, regulation, or order issued or entered

  7  pursuant thereto; or

  8         (b)  Terminate the operation of facilities licensed

  9  pursuant to this chapter when any of the following conditions

10  exist:

11         1.  Failure by the facility to take preventive or

12  corrective measures in accordance with any order of the

13  department.

14         2.  Failure by the facility to abide by any final order

15  of the department once it has become effective and binding.

16         3.  Any violation by the facility constituting an

17  emergency requiring immediate action as provided in s.

18  393.0673.

19         Section 87.  Section 393.071, Florida Statutes, is

20  amended to read:

21         393.071  Client fees.--The Department of Children and

22  Family Health and Rehabilitative Services shall charge fees

23  for services provided to clients in accordance with s. 402.33.

24         Section 88.  Subsection (2) of section 393.075, Florida

25  Statutes, is amended to read:

26         393.075  General liability coverage.--

27         (2)  The Division of Risk Management of the Department

28  of Insurance shall provide coverage through the Department of

29  Children and Family Health and Rehabilitative Services to any

30  person who owns or operates a foster care facility or group

31  home facility solely for the Department of Children and Family

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  1  Health and Rehabilitative Services, who cares for children

  2  placed by developmental services staff of the department, and

  3  who is licensed pursuant to s. 393.067 to provide such

  4  supervision and care in his or her place of residence.  The

  5  coverage shall be provided from the general liability account

  6  of the Florida Casualty Insurance Risk Management Trust Fund.

  7  The coverage is limited to general liability claims arising

  8  from the provision of supervision and care of children in a

  9  foster care facility or group home facility pursuant to an

10  agreement with the department and pursuant to guidelines

11  established through policy, rule, or statute.  Coverage shall

12  be subject to the limits provided in ss. 284.38 and 284.385,

13  and the exclusions set forth therein, together with other

14  exclusions as may be set forth in the certificate of coverage

15  issued by the trust fund.  A person covered under the general

16  liability account pursuant to this subsection shall

17  immediately notify the Division of Risk Management of the

18  Department of Insurance of any potential or actual claim.

19         Section 89.  Subsection (1) of section 393.11, Florida

20  Statutes, 1998 Supplement, is amended to read:

21         393.11  Involuntary admission to residential

22  services.--

23         (1)  JURISDICTION.--When a person is mentally retarded

24  and requires involuntary admission to residential services

25  provided by the developmental services program of the

26  Department of Children and Family Health and Rehabilitative

27  Services, the circuit court of the county in which the person

28  resides shall have jurisdiction to conduct a hearing and enter

29  an order involuntarily admitting the person in order that the

30  person may receive the care, treatment, habilitation, and

31  rehabilitation which the person needs.  For the purpose of

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  1  identifying mental retardation, diagnostic capability shall be

  2  established in every program function of the department in the

  3  districts, including, but not limited to, programs provided by

  4  children and families; delinquency services; alcohol, drug

  5  abuse, and mental health; and economic services, and by the

  6  Division of Vocational Rehabilitation of the Department of

  7  Labor and Employment Security. Except as otherwise specified,

  8  the proceedings under this section shall be governed by the

  9  Florida Rules of Civil Procedure.

10         Section 90.  Subsection (6) of section 393.13, Florida

11  Statutes, is amended to read:

12         393.13  Personal treatment of persons who are

13  developmentally disabled.--

14         (6)  NOTICE OF RIGHTS.--Each person with developmental

15  disabilities, if competent, or parent or legal guardian of

16  such person if the person is incompetent, shall promptly

17  receive from the Department of Children and Family Health and

18  Rehabilitative Services or the Department of Education a

19  written copy of this act. Each person with developmental

20  disabilities able to comprehend shall be promptly informed, in

21  the language or other mode of communication which such person

22  understands, of the above legal rights of persons with

23  developmental disabilities.

24         Section 91.  Subsection (3) of section 393.15, Florida

25  Statutes, is amended to read:

26         393.15  Legislative intent; Community Resources

27  Development Trust Fund.--

28         (3)  There is created a Community Resources Development

29  Trust Fund in the State Treasury to be used by the Department

30  of Children and Family Health and Rehabilitative Services for

31  the purpose of granting loans to eligible programs for the

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  1  initial costs of development of the programs.  Loans shall be

  2  made only to those facilities which are in compliance with the

  3  zoning regulations of the local community.  Costs of

  4  development may include structural modification, the purchase

  5  of equipment and fire and safety devices, preoperational staff

  6  training, and the purchase of insurance.  Such costs shall not

  7  include the actual construction of a facility.

  8         Section 92.  Subsection (1) of section 393.31, Florida

  9  Statutes, is amended to read:

10         393.31  Department authorized to contract with

11  rehabilitation workshop facility.--

12         (1)  Whenever it appears to the satisfaction of the

13  Department of Children and Family Health and Rehabilitative

14  Services that a developmentally disabled person over the age

15  of 16 years can reasonably be expected to benefit from, or if

16  his or her best interests reasonably require, extended

17  employment in a rehabilitation workshop facility operated by

18  an approved nonprofit organization, the department is

19  authorized to contract with the organization for the

20  furnishing of extended employment to the developmentally

21  disabled person.

22         Section 93.  Subsection (2) of section 393.32, Florida

23  Statutes, is amended to read:

24         393.32  Eligibility and standards of service.--

25         (2)  The determination of developmental disability

26  shall be made by the Department of Children and Family Health

27  and Rehabilitative Services upon the basis of psychological or

28  medical records on file in the rehabilitation workshop

29  facility that provide suitable and adequate evidence of the

30  developmental disability.  The psychological or medical

31  records which determine the condition of developmental

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  1  disability shall not be more than 2 years old at the time of

  2  application by the facility for the support of such person.

  3  The department may require reexamination of a person by the

  4  facility in order to revalidate developmental disability.

  5         Section 94.  Subsection (1) of section 393.502, Florida

  6  Statutes, is amended to read:

  7         393.502  Family care councils.--

  8         (1)  CREATION; APPOINTMENT.--There shall be established

  9  and located within each service district of the Department of

10  Children and Family Health and Rehabilitative Services a

11  family care council.  The council shall consist of nine

12  persons recommended and appointed by the district health and

13  human services board. One-half of the members of the council

14  must be consumers who are family members or legal guardians of

15  persons with developmental disabilities.  At least one-half of

16  the members of the council shall be current consumers of

17  developmental services.  A chairperson for the council must be

18  chosen by the members to serve for 1 year.  Members shall be

19  appointed for a 2-year term and may be reappointed to not more

20  than one additional term. A person who is currently serving on

21  another board or council of the department may not be

22  appointed to a family care council.

23         Section 95.  Section 393.503, Florida Statutes, is

24  amended to read:

25         393.503  Respite and family care subsidy expenditures;

26  funding.--The Department of Children and Family Health and

27  Rehabilitative Services shall determine the amount of

28  expenditures per fiscal year for the respite and family care

29  subsidy to families and individuals with developmental

30  disabilities living in their own homes.  This information

31  shall be made available to the family care councils and to

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  1  others requesting the information.  The family care councils

  2  shall review the expenditures and make recommendations to the

  3  health and human services board with respect to any new funds

  4  that are made available for family care.

  5         Section 96.  Section 394.453, Florida Statutes, is

  6  amended to read:

  7         394.453  Legislative intent.--It is the intent of the

  8  Legislature to authorize and direct the Department of Children

  9  and Family Health and Rehabilitative Services to evaluate,

10  research, plan, and recommend to the Governor and the

11  Legislature programs designed to reduce the occurrence,

12  severity, duration, and disabling aspects of mental,

13  emotional, and behavioral disorders. It is the intent of the

14  Legislature that treatment programs for such disorders shall

15  include, but not be limited to, comprehensive health, social,

16  educational, and rehabilitative services to persons requiring

17  intensive short-term and continued treatment in order to

18  encourage them to assume responsibility for their treatment

19  and recovery.  It is intended that such persons be provided

20  with emergency service and temporary detention for evaluation

21  when required; that they be admitted to treatment facilities

22  on a voluntary basis when extended or continuing care is

23  needed and unavailable in the community; that involuntary

24  placement be provided only when expert evaluation determines

25  that it is necessary; that any involuntary treatment or

26  examination be accomplished in a setting which is clinically

27  appropriate and most likely to facilitate the person's return

28  to the community as soon as possible; and that individual

29  dignity and human rights be guaranteed to all persons who are

30  admitted to mental health facilities or who are being held

31  under s. 394.463.  It is the further intent of the Legislature

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  1  that the least restrictive means of intervention be employed

  2  based on the individual needs of each person, within the scope

  3  of available services.

  4         Section 97.  Subsection (1) of section 394.457, Florida

  5  Statutes, is amended to read:

  6         394.457  Operation and administration.--

  7         (1)  ADMINISTRATION.--The Department of Children and

  8  Family Health and Rehabilitative Services is designated the

  9  "Mental Health Authority" of Florida.  The department and the

10  Agency for Health Care Administration shall exercise executive

11  and administrative supervision over all mental health

12  facilities, programs, and services.

13         Section 98.  Paragraph (d) of subsection (2) of section

14  394.4615, Florida Statutes, is amended to read:

15         394.4615  Clinical records; confidentiality.--

16         (2)  The clinical record shall be released when:

17         (d)  The patient is committed to, or is to be returned

18  to, the Department of Corrections from the Department of

19  Children and Family Health and Rehabilitative Services, and

20  the Department of Corrections requests such records.  These

21  records shall be furnished without charge to the Department of

22  Corrections.

23         Section 99.  Paragraph (b) of subsection (1) of section

24  394.4781, Florida Statutes, 1998 Supplement, is amended to

25  read:

26         394.4781  Residential care for psychotic and

27  emotionally disturbed children.--

28         (1)  DEFINITIONS.--As used in this section:

29         (b)  "Department" means the Department of Children and

30  Family Health and Rehabilitative Services.

31

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  1         Section 100.  Section 394.480, Florida Statutes, is

  2  amended to read:

  3         394.480  Compact administrator.--Pursuant to said

  4  compact, the Secretary of Children and Family Health and

  5  Rehabilitative Services shall be the compact administrator

  6  who, acting jointly with like officers of other party states,

  7  shall have power to promulgate rules and regulations to carry

  8  out more effectively the terms of the compact.  The compact

  9  administrator is hereby authorized, empowered, and directed to

10  cooperate with all departments, agencies, and officers of and

11  in the government of this state and its subdivisions in

12  facilitating the proper administration of the compact of any

13  supplementary agreement or agreements entered into by this

14  state thereunder.

15         Section 101.  Subsections (3) and (7) of section

16  394.66, Florida Statutes, are amended to read:

17         394.66  Legislative intent with respect to alcohol,

18  drug abuse, and mental health services.--It is the intent of

19  the Legislature to:

20         (3)  Ensure that all activities of the Department of

21  Children and Family Health and Rehabilitative Services and its

22  contractors are directed toward the coordination of planning

23  efforts in alcohol, drug abuse, and mental health treatment

24  services.

25         (7)  Include alcohol, drug abuse, and mental health

26  services as a component of the integrated service delivery

27  system of the Department of Children and Family Health and

28  Rehabilitative Services.

29         Section 102.  Subsection (14) of section 395.002,

30  Florida Statutes, 1998 Supplement, is amended to read:

31         395.002  Definitions.--As used in this chapter:

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  1         (14)  "Hospital bed" means a hospital accommodation

  2  which is ready for immediate occupancy, or is capable of being

  3  made ready for occupancy within 48 hours, excluding provision

  4  of staffing, and which conforms to minimum space, equipment,

  5  and furnishings standards as specified by rule of the agency

  6  department for the provision of services specified in this

  7  section to a single patient.

  8         Section 103.  Subsections (1) and (3) of section

  9  395.1027, Florida Statutes, 1998 Supplement, are amended to

10  read:

11         395.1027  Regional poison control centers.--

12         (1)  There shall be created three accredited regional

13  poison control centers, one each in the north, central, and

14  southern regions of the state.  Each regional poison control

15  center shall be affiliated with and physically located in a

16  certified Level I trauma center.  Each regional poison control

17  center shall be affiliated with an accredited medical school

18  or college of pharmacy.  The regional poison control centers

19  shall be coordinated under the aegis of the Division of

20  Children's Medical Services Program Office in the department.

21         (3)  The Legislature hereby finds and declares that it

22  is in the public interest to shorten the time required for a

23  citizen to request and receive directly from designated

24  regional poison control centers telephonic management advice

25  for acute poisoning emergencies. To facilitate rapid and

26  direct access, telephone numbers for designated regional

27  poison control centers shall be given special prominence. The

28  local exchange telecommunications companies shall print

29  immediately below "911" or other emergency calling

30  instructions on the inside front cover of the telephone

31  directory the words "Poison Information Center," the logo of

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  1  the American Association of Poison Control Centers, and the

  2  telephone number of the local, if applicable, or, if not

  3  local, other toll-free telephone number of the Florida Poison

  4  Information Center Network. This information shall be outlined

  5  and be no less than 1 inch in height by 2 inches in width.

  6  Only those facilities satisfying criteria established in the

  7  current "Criteria for Certification of a Regional Poison

  8  Center" set by the American Association of Poison Control

  9  Centers, and the "Standards of the Poison Information Center

10  Program" initiated by the Division of Children's Medical

11  Services Program Office of the Department of Health and

12  Rehabilitative Services shall be permitted to list such

13  facility as a poison information center, poison control

14  center, or poison center. Those centers under a developmental

15  phase-in plan shall be given 2 years from the date of initial

16  24-hour service implementation to comply with the

17  aforementioned criteria and, as such, will be permitted to be

18  listed as a poison information center, poison control center,

19  or poison center during that allotted time period.

20         Section 104.  Paragraph (c) of subsection (1) of

21  section 395.1055, Florida Statutes, 1998 Supplement, is

22  amended to read:

23         395.1055  Rules and enforcement.--

24         (1)  The agency shall adopt rules pursuant to ss.

25  120.536(1) and 120.54 to implement the provisions of this

26  part, which shall include reasonable and fair minimum

27  standards for ensuring that:

28         (c)  A comprehensive emergency management plan is

29  prepared and updated annually.  Such standards must be

30  included in the rules adopted by the agency after consulting

31  with the Department of Community Affairs.  At a minimum, the

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  1  rules must provide for plan components that address emergency

  2  evacuation transportation; adequate sheltering arrangements;

  3  postdisaster activities, including emergency power, food, and

  4  water; postdisaster transportation; supplies; staffing;

  5  emergency equipment; individual identification of residents

  6  and transfer of records, and responding to family inquiries.

  7  The comprehensive emergency management plan is subject to

  8  review and approval by the local emergency management agency.

  9  During its review, the local emergency management agency shall

10  ensure that the following agencies, at a minimum, are given

11  the opportunity to review the plan: the Department of Elderly

12  Affairs, the Department of Health and Rehabilitative Services,

13  the Agency for Health Care Administration, and the Department

14  of Community Affairs. Also, appropriate volunteer

15  organizations must be given the opportunity to review the

16  plan.  The local emergency management agency shall complete

17  its review within 60 days and either approve the plan or

18  advise the facility of necessary revisions.

19         Section 105.  Subsection (6) of section 395.1065,

20  Florida Statutes, is amended to read:

21         395.1065  Criminal and administrative penalties;

22  injunctions; emergency orders; moratorium.--

23         (6)  In seeking to impose penalties against a facility

24  as defined in s. 394.455 for a violation of part I of chapter

25  394, the agency is authorized to rely on the investigation and

26  findings by the Department of Health and Rehabilitative

27  Services in lieu of conducting its own investigation.

28         Section 106.  Subsection (8) of section 395.4025,

29  Florida Statutes, is amended to read:

30         395.4025  Selection of state-approved trauma centers.--

31

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  1         (8)  Notwithstanding any provision of chapter 381, a

  2  hospital licensed under ss. 395.001-395.3025 that operates a

  3  state-approved trauma center may not terminate or

  4  substantially reduce the availability of trauma service

  5  without providing at least 6 months' notice of its intent to

  6  terminate such service. Such notice shall be given to the

  7  Department of Health and Rehabilitative Services, to all

  8  affected local or regional trauma agencies, and to all

  9  state-approved trauma centers, hospitals, and emergency

10  medical service providers in the trauma service area.

11         Section 107.  Subsection (9) of section 397.311,

12  Florida Statutes, 1998 Supplement, is amended to read:

13         397.311  Definitions.--As used in this chapter, except

14  part VIII:

15         (9)  "Department" means the Department of Children and

16  Family Health and Rehabilitative Services.

17         Section 108.  Subsection (3) of section 397.753,

18  Florida Statutes, is amended to read:

19         397.753  Definitions.--As used in this part:

20         (3)  "Inmate substance abuse services" means any

21  service component as defined in s. 397.311 provided directly

22  by the Department of Corrections and licensed and regulated by

23  the Department of Children and Family Health and

24  Rehabilitative Services pursuant to s. 397.406, or provided

25  through contractual arrangements with a service provider

26  licensed pursuant to part II; or any self-help program or

27  volunteer support group operating for inmates.

28         Section 109.  Subsection (6) of section 397.754,

29  Florida Statutes, is amended to read:

30         397.754  Duties and responsibilities of the Department

31  of Corrections.--The Department of Corrections shall:

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  1         (6)  In cooperation with other agencies, actively seek

  2  to enhance resources for the provision of treatment services

  3  for inmates and to develop partnerships with other state

  4  agencies, including but not limited to the Departments of

  5  Children and Family Health and Rehabilitative Services,

  6  Education, Community Affairs, and Law Enforcement.

  7         Section 110.  Subsection (2) of section 397.801,

  8  Florida Statutes, is amended to read:

  9         397.801  Substance abuse impairment coordination.--

10         (2)  The Department of Children and Family Health and

11  Rehabilitative Services, the Department of Education, the

12  Department of Corrections, the Department of Community

13  Affairs, and the Department of Law Enforcement each shall

14  appoint a policy level staff person to serve as the agency

15  substance abuse impairment coordinator.  The responsibilities

16  of the agency coordinator include interagency and intraagency

17  coordination, collection and dissemination of agency-specific

18  data relating to substance abuse impairment, and participation

19  in the development of the state comprehensive plan for

20  substance abuse impairment.

21         Section 111.  Subsection (1) of section 400.0061,

22  Florida Statutes, is amended to read:

23         400.0061  Legislative findings and intent; long-term

24  care facilities.--

25         (1)  The Legislature finds that conditions in long-term

26  care facilities in this state are such that the rights,

27  health, safety, and welfare of residents are not ensured by

28  rules of the Department of Elderly Affairs Health and

29  Rehabilitative Services or the Agency for Health Care

30  Administration, or by the good faith of owners or operators of

31  long-term care facilities. Furthermore, there is a need for a

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  1  formal mechanism whereby a long-term care facility resident or

  2  his or her representative may make a complaint against the

  3  facility or its employees, or against other persons who are in

  4  a position to restrict, interfere with, or threaten the

  5  rights, health, safety, or welfare of the resident. The

  6  Legislature finds that concerned citizens are more effective

  7  advocates of the rights of others than governmental agencies.

  8  The Legislature further finds that in order to be eligible to

  9  receive an allotment of funds authorized and appropriated

10  under the federal Older Americans Act, the state must

11  establish and operate an Office of State Long-Term Care

12  Ombudsman, to be headed by the State Long-Term Care Ombudsman,

13  and carry out a long-term care ombudsman program.

14         Section 112.  Paragraph (f) of subsection (2) of

15  section 400.0065, Florida Statutes, is amended to read:

16         400.0065  State Long-Term Care Ombudsman; duties and

17  responsibilities; conflict of interest.--

18         (2)  The State Long-Term Care Ombudsman shall have the

19  duty and authority to:

20         (f)  Perform the duties specified in state and federal

21  law without interference by officials of the Department of

22  Elderly Affairs, the Agency for Health Care Administration, or

23  the Department of Children and Family Health and

24  Rehabilitative Services.  The ombudsman shall report to the

25  Governor, the President of the Senate, and the Speaker of the

26  House of Representatives whenever organizational or

27  departmental policy issues threaten the ability of the Office

28  of State Long-Term Care Ombudsman to carry out its duties

29  under state or federal law.

30         Section 113.  Paragraphs (f) and (h) of subsection (2)

31  of section 400.0067, Florida Statutes, are amended to read:

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  1         400.0067  Establishment of State Long-Term Care

  2  Ombudsman Council; duties; membership.--

  3         (2)  The State Long-Term Care Ombudsman Council shall:

  4         (f)  Be authorized to call upon appropriate agencies of

  5  state government for such professional assistance as may be

  6  needed in the discharge of its duties, including assistance

  7  from the adult protective services program of the Department

  8  of Children and Family Health and Rehabilitative Services.

  9         (h)  Prepare an annual report describing the activities

10  carried out by the ombudsman and the State Long-Term Care

11  Ombudsman Council in the year for which the report is

12  prepared.  The State Long-Term Care Ombudsman Council shall

13  submit the report to the Commissioner of the United States

14  Administration on Aging, the Governor, the President of the

15  Senate, the Speaker of the House of Representatives, the

16  minority leaders of the House and Senate, the chairpersons of

17  appropriate House and Senate committees, the Secretaries of

18  Elderly Affairs and Children and Family Health and

19  Rehabilitative Services, and the Director of Health Care

20  Administration.  The report shall be submitted at least 30

21  days before the convening of the regular session of the

22  Legislature and shall, at a minimum:

23         1.  Contain and analyze data collected concerning

24  complaints about and conditions in long-term care facilities.

25         2.  Evaluate the problems experienced by residents of

26  long-term care facilities.

27         3.  Contain recommendations for improving the quality

28  of life of the residents and for protecting the health,

29  safety, welfare, and rights of the residents.

30         4.  Analyze the success of the ombudsman program during

31  the preceding year and identify the barriers that prevent the

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  1  optimal operation of the program.  The report of the program's

  2  successes shall also address the relationship between the

  3  state long-term care ombudsman program, the Department of

  4  Elderly Affairs, the Agency for Health Care Administration,

  5  and the Department of Children and Family Health and

  6  Rehabilitative Services, and an assessment of how successfully

  7  the state long-term care ombudsman program has carried out its

  8  responsibilities under the Older Americans Act.

  9         5.  Provide policy and regulatory and legislative

10  recommendations to solve identified problems; resolve

11  residents' complaints; improve the quality of care and life of

12  the residents; protect the health, safety, welfare, and rights

13  of the residents; and remove the barriers to the optimal

14  operation of the state long-term care ombudsman program.

15         6.  Contain recommendations from the district ombudsman

16  councils regarding program functions and activities.

17         7.  Include a report on the activities of the legal

18  advocate and other legal advocates acting on behalf of the

19  district and state councils.

20         Section 114.  Subsections (4) and (9) of section

21  400.0069, Florida Statutes, are amended to read:

22         400.0069  District long-term care ombudsman councils;

23  duties; membership.--

24         (4)  Each district ombudsman council shall be composed

25  of no less than 15 members and no more than 30 members from

26  the district, to include the following:  one medical or

27  osteopathic physician whose practice includes or has included

28  a substantial number of geriatric patients and who may have

29  limited practice in a long-term care facility; one registered

30  nurse who has geriatric experience, if possible; one licensed

31  pharmacist; one registered dietitian; at least six nursing

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  1  home residents or representative consumer advocates for

  2  nursing home residents; at least three residents of assisted

  3  living facilities or adult family-care homes or three

  4  representative consumer advocates for long-term care facility

  5  residents; one attorney; and one professional social worker.

  6  In no case shall the medical director of a long-term care

  7  facility or an employee of the Agency for Health Care

  8  Administration, the Department of Children and Family Health

  9  and Rehabilitative Services, or the Department of Elderly

10  Affairs serve as a member or as an ex officio member of a

11  council.  Each member of the council shall certify that

12  neither the council member nor any member of the council

13  member's immediate family has any conflict of interest

14  pursuant to subsection (10).  District ombudsman councils are

15  encouraged to recruit council members who are 60 years of age

16  or older.

17         (9)  The district ombudsman councils are authorized to

18  call upon appropriate agencies of state government for such

19  professional assistance as may be needed in the discharge of

20  their duties.  All state agencies shall cooperate with the

21  district ombudsman councils in providing requested information

22  and agency representatives at council meetings.  The

23  Department of Children and Family Health and Rehabilitative

24  Services shall continue to provide space and in-kind

25  administrative support for each district ombudsman council

26  staff within available resources until the Legislature

27  appropriates funds for office space and administrative

28  support.

29         Section 115.  Paragraphs (c) and (e) of subsection (2)

30  of section 400.0075, Florida Statutes, are amended to read:

31         400.0075  Complaint resolution procedures.--

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  1         (2)  Upon referral from the district ombudsman council,

  2  the state ombudsman council shall assume the responsibility

  3  for the disposition of the complaint.  If a long-term care

  4  facility fails to take action on a complaint found valid by

  5  the state ombudsman council, the state council may:

  6         (c)  Recommend to the agency changes in rules for

  7  inspecting and licensing or certifying long-term care

  8  facilities, and recommend to the Agency for Health Care

  9  Administration Department of Health and Rehabilitative

10  Services changes in rules for licensing and regulating

11  long-term care facilities.

12         (e)  Recommend to the Agency for Health Care

13  Administration Department of Health and Rehabilitative

14  Services that the long-term care facility no longer receive

15  payments under the State Medical Assistance Program

16  (Medicaid).

17

18  If the health, safety, welfare, or rights of the resident are

19  in imminent danger, the State Long-Term Care Ombudsman Council

20  shall seek immediate legal or administrative remedies to

21  protect the resident.

22         Section 116.  Section 400.0089, Florida Statutes, is

23  amended to read:

24         400.0089  Agency reports.--The State Long-Term Care

25  Ombudsman Council, shall, in cooperation with the Department

26  of Elderly Affairs, maintain a statewide uniform reporting

27  system to collect and analyze data relating to complaints and

28  conditions in long-term care facilities and to residents, for

29  the purpose of identifying and resolving significant problems.

30  The council shall submit such data as part of its annual

31  report required pursuant to s. 400.0067(2)(h) to the Agency

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  1  for Health Care Administration, the Department of Children and

  2  Family Health and Rehabilitative Services, the Statewide Human

  3  Rights Advocacy Committee, the Advocacy Center for Persons

  4  with Disabilities, the Commissioner for the United States

  5  Administration on Aging, the National Ombudsman Resource

  6  Center, and any other state or federal entities that the

  7  ombudsman determines appropriate.

  8         Section 117.  Subsection (6) of section 400.021,

  9  Florida Statutes, is amended to read:

10         400.021  Definitions.--When used in this part, unless

11  the context otherwise requires, the term:

12         (6)  "Department" means the Department of Children and

13  Family Health and Rehabilitative Services.

14         Section 118.  Paragraph (c) of subsection (1) of

15  section 400.022, Florida Statutes, is amended to read:

16         400.022  Residents' rights.--

17         (1)  All licensees of nursing home facilities shall

18  adopt and make public a statement of the rights and

19  responsibilities of the residents of such facilities and shall

20  treat such residents in accordance with the provisions of that

21  statement.  The statement shall assure each resident the

22  following:

23         (c)  Any entity or individual that provides health,

24  social, legal, or other services to a resident has the right

25  to have reasonable access to the resident.  The resident has

26  the right to deny or withdraw consent to access at any time by

27  any entity or individual. Notwithstanding the visiting policy

28  of the facility, the following individuals must be permitted

29  immediate access to the resident:

30         1.  Any representative of the federal or state

31  government, including, but not limited to, representatives of

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  1  the Department of Children and Family Health and

  2  Rehabilitative Services, the Agency for Health Care

  3  Administration, and the Department of Elderly Affairs; any law

  4  enforcement officer; members of the state or district

  5  ombudsman council; and the resident's individual physician.

  6         2.  Subject to the resident's right to deny or withdraw

  7  consent, immediate family or other relatives of the resident.

  8

  9  The facility must allow representatives of the State Nursing

10  Home and Long-Term Care Facility Ombudsman Council to examine

11  a resident's clinical records with the permission of the

12  resident or the resident's legal representative and consistent

13  with state law.

14         Section 119.  Subsection (4) and paragraph (c) of

15  subsection (5) of section 400.179, Florida Statutes, are

16  amended to read:

17         400.179  Sale or transfer of ownership of a nursing

18  facility; liability for Medicaid underpayments and

19  overpayments.--

20         (4)  The transferor shall, prior to transfer of

21  ownership, repay or make arrangements to repay to the agency

22  or the Department of Children and Family Health and

23  Rehabilitative Services any amounts owed to the agency or the

24  department.  Should the transferor fail to repay or make

25  arrangements to repay the amounts owed to the agency or the

26  department prior to the transfer of ownership, the issuance of

27  a license to the transferee shall be delayed until repayment

28  or until arrangements for repayment are made.

29         (5)  Because any transfer of a nursing facility may

30  expose the fact that Medicaid may have underpaid or overpaid

31  the transferor, and because in most instances, any such

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  1  underpayment or overpayment can only be determined following a

  2  formal field audit, the liabilities for any such underpayments

  3  or overpayments shall be as follows:

  4         (c)  Where the facility transfer takes any form of a

  5  sale of assets, in addition to the transferor's continuing

  6  liability for any such overpayments, if the transferor fails

  7  to meet these obligations, the transferee shall be liable for

  8  all liabilities that can be readily identifiable 90 days in

  9  advance of the transfer.  It shall be the burden of the

10  transferee to determine the amount of all such readily

11  identifiable overpayments from the Agency for Health Care

12  Administration Department of Health and Rehabilitative

13  Services, and the agency department shall cooperate in every

14  way with the identification of such amounts.  Readily

15  identifiable overpayments shall include overpayments that will

16  result from, but not be limited to:

17         1.  Medicaid rate changes or adjustments;

18         2.  Any depreciation recapture;

19         3.  Any recapture of fair rental value system indexing;

20  and/or

21         4.  Audits completed by the agency department.

22

23  The transferor shall remain liable for any such Medicaid

24  overpayments that were not readily identifiable 90 days in

25  advance of the nursing facility transfer.

26         Section 120.  Subsection (2) of section 400.211,

27  Florida Statutes, 1998 Supplement, is amended to read:

28         400.211  Persons employed as nursing assistants;

29  certification requirement.--

30         (2)  The department agency may deny, suspend, or revoke

31  the certification of any person to serve as a nursing

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  1  assistant, based upon written notification from a court of

  2  competent jurisdiction, law enforcement agency, or

  3  administrative agency of any finding of guilt of, regardless

  4  of adjudication, or a plea of nolo contendere or guilty to,

  5  any offense set forth in the level 1 screening standards of

  6  chapter 435 or any confirmed report of abuse of a vulnerable

  7  adult.

  8         Section 121.  Subsections (2) and (4) of section

  9  400.23, Florida Statutes, 1998 Supplement, are amended to

10  read:

11         400.23  Rules; criteria; Nursing Home Advisory

12  Committee; evaluation and rating system; fee for review of

13  plans.--

14         (2)  Pursuant to the intention of the Legislature, the

15  agency, in consultation with the Department of Health and

16  Rehabilitative Services and the Department of Elderly Affairs,

17  shall adopt and enforce rules to implement this part, which

18  shall include reasonable and fair criteria in relation to:

19         (a)  The location and construction of the facility;

20  including fire and life safety, plumbing, heating, lighting,

21  ventilation, and other housing conditions which will ensure

22  the health, safety, and comfort of residents, including an

23  adequate call system.  The agency shall establish standards

24  for facilities and equipment to increase the extent to which

25  new facilities and a new wing or floor added to an existing

26  facility after July 1, 1999, are structurally capable of

27  serving as shelters only for residents, staff, and families of

28  residents and staff, and equipped to be self-supporting during

29  and immediately following disasters.  The Agency for Health

30  Care Administration shall work with facilities licensed under

31  this part and report to the Governor and Legislature by April

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  1  1, 1999, its recommendations for cost-effective renovation

  2  standards to be applied to existing facilities. In making such

  3  rules, the agency shall be guided by criteria recommended by

  4  nationally recognized reputable professional groups and

  5  associations with knowledge of such subject matters. The

  6  agency shall update or revise such criteria as the need

  7  arises. All nursing homes must comply with those lifesafety

  8  code requirements and building code standards applicable at

  9  the time of approval of their construction plans. The agency

10  may require alterations to a building if it determines that an

11  existing condition constitutes a distinct hazard to life,

12  health, or safety. The agency shall adopt fair and reasonable

13  rules setting forth conditions under which existing facilities

14  undergoing additions, alterations, conversions, renovations,

15  or repairs shall be required to comply with the most recent

16  updated or revised standards.

17         (b)  The number and qualifications of all personnel,

18  including management, medical, nursing, and other professional

19  personnel, and nursing assistants, orderlies, and support

20  personnel, having responsibility for any part of the care

21  given residents.

22         (c)  All sanitary conditions within the facility and

23  its surroundings, including water supply, sewage disposal,

24  food handling, and general hygiene which will ensure the

25  health and comfort of residents.

26         (d)  The equipment essential to the health and welfare

27  of the residents.

28         (e)  A uniform accounting system.

29         (f)  The care, treatment, and maintenance of residents

30  and measurement of the quality and adequacy thereof, based on

31  rules developed under this chapter and the Omnibus Budget

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  1  Reconciliation Act of 1987 (Pub. L. No. 100-203) (December 22,

  2  1987), Title IV (Medicare, Medicaid, and Other Health-Related

  3  Programs), Subtitle C (Nursing Home Reform), as amended.

  4         (g)  The preparation and annual update of a

  5  comprehensive emergency management plan.  The agency shall

  6  adopt rules establishing minimum criteria for the plan after

  7  consultation with the Department of Community Affairs.  At a

  8  minimum, the rules must provide for plan components that

  9  address emergency evacuation transportation; adequate

10  sheltering arrangements; postdisaster activities, including

11  emergency power, food, and water; postdisaster transportation;

12  supplies; staffing; emergency equipment; individual

13  identification of residents and transfer of records; and

14  responding to family inquiries.  The comprehensive emergency

15  management plan is subject to review and approval by the local

16  emergency management agency.  During its review, the local

17  emergency management agency shall ensure that the following

18  agencies, at a minimum, are given the opportunity to review

19  the plan:  the Department of Elderly Affairs, the Department

20  of Health and Rehabilitative Services, the Agency for Health

21  Care Administration, and the Department of Community Affairs.

22  Also, appropriate volunteer organizations must be given the

23  opportunity to review the plan.  The local emergency

24  management agency shall complete its review within 60 days and

25  either approve the plan or advise the facility of necessary

26  revisions.

27         (4)  The agency, in collaboration with the Division of

28  Children's Medical Services Program Office of the Department

29  of Health and Rehabilitative Services, must, no later than

30  December 31, 1993, adopt rules for minimum standards of care

31  for persons under 21 years of age who reside in nursing home

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  1  facilities.  The rules must include a methodology for

  2  reviewing a nursing home facility under ss. 408.031-408.045

  3  which serves only persons under 21 years of age.

  4         Section 122.  Subsection (2) of section 400.401,

  5  Florida Statutes, is amended to read:

  6         400.401  Short title; purpose.--

  7         (2)  The purpose of this act is to promote the

  8  availability of appropriate services for elderly persons and

  9  adults with disabilities in the least restrictive and most

10  homelike environment, to encourage the development of

11  facilities that promote the dignity, individuality, privacy,

12  and decisionmaking ability of such persons, to provide for the

13  health, safety, and welfare of residents of assisted living

14  facilities in the state, to promote continued improvement of

15  such facilities, to encourage the development of innovative

16  and affordable facilities particularly for persons with low to

17  moderate incomes, to ensure that all agencies of the state

18  cooperate in the protection of such residents, and to ensure

19  that needed economic, social, mental health, health, and

20  leisure services are made available to residents of such

21  facilities through the efforts of the Agency for Health Care

22  Administration, the Department of Elderly Affairs, the

23  Department of Children and Family Health and Rehabilitative

24  Services, the Department of Health, assisted living

25  facilities, and other community agencies. To the maximum

26  extent possible, appropriate community-based programs must be

27  available to state-supported residents to augment the services

28  provided in assisted living facilities. The Legislature

29  recognizes that assisted living facilities are an important

30  part of the continuum of long-term care in the state.  In

31  support of the goal of aging in place, the Legislature further

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  1  recognizes that assisted living facilities should be operated

  2  and regulated as residential environments with supportive

  3  services and not as medical or nursing facilities.  The

  4  services available in these facilities, either directly or

  5  through contract or agreement, are intended to help residents

  6  remain as independent as possible. Regulations governing these

  7  facilities must be sufficiently flexible to allow facilities

  8  to adopt policies that enable residents to age in place when

  9  resources are available to meet their needs and accommodate

10  their preferences.

11         Section 123.  Subsection (2) of section 400.431,

12  Florida Statutes, is amended to read:

13         400.431  Closing of facility; notice; penalty.--

14         (2)  Immediately upon the notice by the agency of the

15  voluntary or involuntary termination of such operation, the

16  agency shall monitor the transfer of residents to other

17  facilities and ensure that residents' rights are being

18  protected.  The department, in consultation with the

19  Department of Children and Family Health and Rehabilitative

20  Services, shall specify procedures for ensuring that all

21  residents who receive services are appropriately relocated.

22         Section 124.  Section 400.434, Florida Statutes, is

23  amended to read:

24         400.434  Right of entry and inspection.--Any duly

25  designated officer or employee of the department, the

26  Department of Children and Family Health and Rehabilitative

27  Services, the agency, the state or local fire marshal, or a

28  member of the state or district long-term care ombudsman

29  council shall have the right to enter unannounced upon and

30  into the premises of any facility licensed pursuant to this

31  part in order to determine the state of compliance with the

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  1  provisions of this part and of rules or standards in force

  2  pursuant thereto.  The right of entry and inspection shall

  3  also extend to any premises which the agency has reason to

  4  believe is being operated or maintained as a facility without

  5  a license; but no such entry or inspection of any premises may

  6  be made without the permission of the owner or person in

  7  charge thereof, unless a warrant is first obtained from the

  8  circuit court authorizing such entry.  The warrant requirement

  9  shall extend only to a facility which the agency has reason to

10  believe is being operated or maintained as a facility without

11  a license.  Any application for a license or renewal thereof

12  made pursuant to this part shall constitute permission for,

13  and complete acquiescence in, any entry or inspection of the

14  premises for which the license is sought, in order to

15  facilitate verification of the information submitted on or in

16  connection with the application; to discover, investigate, and

17  determine the existence of abuse or neglect; or to elicit,

18  receive, respond to, and resolve complaints. Any current valid

19  license shall constitute unconditional permission for, and

20  complete acquiescence in, any entry or inspection of the

21  premises by authorized personnel.  The agency shall retain the

22  right of entry and inspection of facilities that have had a

23  license revoked or suspended within the previous 24 months, to

24  ensure that the facility is not operating unlawfully. However,

25  before entering the facility, a statement of probable cause

26  must be filed with the director of the agency, who must

27  approve or disapprove the action within 48 hours.  Probable

28  cause shall include, but is not limited to, evidence that the

29  facility holds itself out to the public as a provider of

30  personal care services or the receipt of a complaint by the

31  long-term care ombudsman council about the facility.

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  1         Section 125.  Paragraphs (f) and (g) of subsection (1)

  2  of section 400.4415, Florida Statutes, are amended to read:

  3         400.4415  Assisted living facilities advisory

  4  committee.--

  5         (1)  There is created the assisted living facilities

  6  advisory committee, which shall assist the agency in

  7  developing and implementing a pilot rating system for

  8  facilities. The committee shall consist of nine members who

  9  are to be appointed by, and report directly to, the director

10  of the agency.  The membership is to include:

11         (f)  One representative from the aging and adult

12  services program of the Department of Children and Family

13  Health and Rehabilitative Services.

14         (g)  One representative from the alcohol, drug abuse,

15  and mental health program of the Department of Children and

16  Family Health and Rehabilitative Services.

17         Section 126.  Subsection (3) of section 400.462,

18  Florida Statutes, is amended to read:

19         400.462  Definitions.--As used in this part, the term:

20         (3)  "Department" means the Department of Health and

21  Rehabilitative Services.

22         Section 127.  Subsection (11) of section 400.471,

23  Florida Statutes, 1998 Supplement, is amended to read:

24         400.471  Application for license; fee; provisional

25  license; temporary permit.--

26         (11)  The agency department shall not issue a license

27  designated as certified to a home health agency which fails to

28  receive a certificate of need under the provisions of ss.

29  408.031-408.045.

30         Section 128.  Subsection (1) of section 400.914,

31  Florida Statutes, 1998 Supplement, is amended to read:

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  1         400.914  Rules establishing standards.--

  2         (1)  Pursuant to the intention of the Legislature to

  3  provide safe and sanitary facilities and healthful programs,

  4  the agency in conjunction with the Division of Children's

  5  Medical Services of the Department of Health shall adopt and

  6  publish rules to implement the provisions of this part, which

  7  shall include reasonable and fair standards. Any conflict

  8  between these standards and those that may be set forth in

  9  local, county, or city ordinances shall be resolved in favor

10  of those having statewide effect.  Such standards shall relate

11  to:

12         (a)  The assurance that PPEC services are family

13  centered and provide individualized medical, developmental,

14  and family training services.

15         (b)  The maintenance of PPEC centers, not in conflict

16  with the provisions of chapter 553 and based upon the size of

17  the structure and number of children, relating to plumbing,

18  heating, lighting, ventilation, and other building conditions,

19  including adequate space, which will ensure the health,

20  safety, comfort, and protection from fire of the children

21  served.

22         (c)  The appropriate provisions of the most recent

23  edition of the "Life Safety Code" (NFPA-101) shall be applied.

24         (d)  The number and qualifications of all personnel who

25  have responsibility for the care of the children served.

26         (e)  All sanitary conditions within the PPEC center and

27  its surroundings, including water supply, sewage disposal,

28  food handling, and general hygiene, and maintenance thereof,

29  which will ensure the health and comfort of children served.

30         (f)  Programs and basic services promoting and

31  maintaining the health and development of the children served

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  1  and meeting the training needs of the children's legal

  2  guardians.

  3         (g)  Supportive, contracted, other operational, and

  4  transportation services.

  5         (h)  Maintenance of appropriate medical records, data,

  6  and information relative to the children and programs.  Such

  7  records shall be maintained in the facility for inspection by

  8  the agency.

  9         Section 129.  Section 402.04, Florida Statutes, is

10  amended to read:

11         402.04  Award of scholarships and stipends;

12  disbursement of funds; administration.--The award of

13  scholarships or stipends provided for herein shall be made by

14  the Department of Children and Family Health and

15  Rehabilitative Services, hereinafter referred to as the

16  department.  The department shall handle the administration of

17  the scholarship or stipend and the Department of Education

18  shall, for and on behalf of the department, handle the notes

19  issued for the payment of the scholarships or stipends

20  provided for herein and the collection of same.  The

21  department shall prescribe regulations governing the payment

22  of scholarships or stipends to the school, college, or

23  university for the benefit of the scholarship or stipend

24  holders. All scholarship awards, expenses and costs of

25  administration shall be paid from moneys appropriated by the

26  Legislature and shall be paid upon vouchers approved by the

27  department and properly certified by the Comptroller.

28         Section 130.  Section 402.06, Florida Statutes, is

29  amended to read:

30         402.06  Notes required of scholarship holders.--Each

31  person who receives a scholarship or stipend as provided for

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  1  in this chapter shall execute a promissory note under seal, on

  2  forms to be prescribed by the Department of Education, which

  3  shall be endorsed by his or her parent or guardian or, if the

  4  person is 18 years of age or older, by some responsible

  5  citizen and shall deliver said note to the Department of

  6  Children and Family Health and Rehabilitative Services.  Each

  7  note shall be payable to the state and shall bear interest at

  8  the rate of 5 percent per annum beginning 90 days after

  9  completion or termination of the training program. Said note

10  shall provide for all costs of collection to be paid by the

11  maker of the note.  Said note shall be delivered by the

12  Department of Children and Family Health and Rehabilitative

13  Services to said Department of Education for collection and

14  final disposition.

15         Section 131.  Subsections (1) and (7) of section

16  402.07, Florida Statutes, are amended to read:

17         402.07  Payment of notes.--Prior to the award of a

18  scholarship or stipend provided herein for trainees in

19  psychiatric social work, psychiatry, clinical psychology, or

20  psychiatric nursing, the recipient thereof must agree in

21  writing to practice his or her profession in the employ of any

22  one of the following institutions or agencies for 1 month for

23  each month of grant immediately after graduation or, in lieu

24  thereof, to repay the full amount of the scholarship or

25  stipend together with interest at the rate of 5 percent per

26  annum over a period not to exceed 10 years:

27         (1)  The staff of one of the state hospitals of the

28  Division of Mental Health Program Office.

29         (7)  Such other accredited social agencies or state

30  institutions as may be approved by the Department of Children

31  and Family Health and Rehabilitative Services.

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  1         Section 132.  Section 402.12, Florida Statutes, is

  2  amended to read:

  3         402.12  National Community Mental Health Centers

  4  Act.--Any federal funds accruing to the state for the purposes

  5  of carrying out the national Community Mental Health Centers

  6  Act of 1963 shall be paid to the Department of Children and

  7  Family Health and Rehabilitative Services for expenditure as

  8  directed by said department.

  9         Section 133.  Section 402.16, Florida Statutes, is

10  amended to read:

11         402.16  Proceedings by department.--

12         (1)  Whenever it becomes necessary for the welfare and

13  convenience of any of the institutions now under the

14  supervision and control of the Department of Children and

15  Family Health and Rehabilitative Services, or which may

16  hereafter be placed under the supervision and control of said

17  department, to acquire private property for the use of any of

18  said institutions, and the same cannot be acquired by

19  agreement satisfactory to the said department and the parties

20  interested in, or the owners of said private property, the

21  department is hereby empowered and authorized to exercise the

22  right of eminent domain, and to proceed to condemn the said

23  property in the same manner as provided by law for the

24  condemnation of property.

25         (2)  Any suit or actions brought by the said department

26  to condemn property as provided in this section shall be

27  brought in the name of the Department of Children and Family

28  Health and Rehabilitative Services, and it shall be the duty

29  of the Department of Legal Affairs to conduct the proceedings

30  for, and to act as counsel for the said Department of Children

31  and Family Health and Rehabilitative Services.

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  1         Section 134.  Subsections (1) and (4) and paragraphs

  2  (a), (b), (d), and (g) of subsection (7) of section 402.165,

  3  Florida Statutes, 1998 Supplement, are amended to read:

  4         402.165  Statewide Human Rights Advocacy Committee;

  5  confidential records and meetings.--

  6         (1)  There is created within the Department of Children

  7  and Family Health and Rehabilitative Services a Statewide

  8  Human Rights Advocacy Committee.  The Department of Children

  9  and Family Health and Rehabilitative Services shall provide

10  administrative support and service to the committee to the

11  extent requested by the executive director within available

12  resources.  The Statewide Human Rights Advocacy Committee

13  shall not be subject to control, supervision, or direction by

14  the Department of Children and Family Health and

15  Rehabilitative Services in the performance of its duties.  The

16  committee shall consist of 15 citizens, one from each service

17  district of the Department of Children and Family Health and

18  Rehabilitative Services, who broadly represent the interests

19  of the public and the clients of that department.  The members

20  shall be representative of five groups of citizens as follows:

21  one elected public official; two providers who deliver

22  services or programs to clients of the Department of Children

23  and Family Health and Rehabilitative Services; four

24  nonsalaried representatives of nonprofit agencies or civic

25  groups; four representatives of health and rehabilitative

26  services consumer groups who are currently receiving, or have

27  received, services from the Department of Children and Family

28  Health and Rehabilitative Services within the past 4 years, at

29  least one of whom must be a consumer; and four residents of

30  the state who do not represent any of the foregoing groups,

31  two of whom represent health-related professions and two of

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  1  whom represent the legal profession.  In appointing the

  2  representatives of the health-related professions, the

  3  appointing authority shall give priority of consideration to a

  4  physician licensed under chapter 458 or chapter 459; and, in

  5  appointing the representatives of the legal profession, the

  6  appointing authority shall give priority of consideration to a

  7  member in good standing of The Florida Bar. Except for the

  8  member who is an elected public official, each member of the

  9  Statewide Human Rights Advocacy Committee must have served as

10  a member of a district human rights advocacy committee.

11  Persons related to each other by consanguinity or affinity

12  within the third degree may not serve on the Statewide Human

13  Rights Advocacy Committee at the same time.

14         (4)  The Governor shall fill each vacancy on the

15  Statewide Human Rights Advocacy Committee from a list of

16  nominees submitted by the statewide committee.  A list of

17  candidates shall be submitted to the statewide committee by

18  the district human rights advocacy committee in the district

19  from which the vacancy occurs.  Priority of consideration

20  shall be given to the appointment of an individual whose

21  primary interest, experience, or expertise lies with a major

22  client group of the Department of Children and Family Health

23  and Rehabilitative Services not represented on the committee

24  at the time of the appointment.  If an appointment is not made

25  within 60 days after a vacancy occurs on the committee, the

26  vacancy shall be filled by a majority vote of the statewide

27  committee without further action by the Governor. No person

28  who is employed by the Department of Children and Family

29  Health and Rehabilitative Services may be appointed to the

30  committee.

31

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  1         (7)  The responsibilities of the committee include, but

  2  are not limited to:

  3         (a)  Serving as an independent third-party mechanism

  4  for protecting the constitutional and human rights of any

  5  client within a program or facility operated, funded,

  6  licensed, or regulated by the Department of Children and

  7  Family Health and Rehabilitative Services.

  8         (b)  Monitoring by site visit and inspection of

  9  records, the delivery and use of services, programs, or

10  facilities operated, funded, regulated, or licensed by the

11  Department of Children and Family Health and Rehabilitative

12  Services for the purpose of preventing abuse or deprivation of

13  the constitutional and human rights of clients.  The Statewide

14  Human Rights Advocacy Committee may conduct an unannounced

15  site visit or monitoring visit that involves the inspection of

16  records if such visit is conditioned upon a complaint.  A

17  complaint may be generated by the committee itself if

18  information from the Department of Children and Family Health

19  and Rehabilitative Services or other sources indicates a

20  situation at the program or facility that indicates possible

21  abuse or neglect of clients.  The Statewide Human Rights

22  Advocacy Committee shall establish and follow uniform criteria

23  for the review of information and generation of complaints.

24  Routine program monitoring and reviews that do not require an

25  examination of records may be made unannounced.

26         (d)  Reviewing existing programs or services and new or

27  revised programs of the Department of Children and Family

28  Health and Rehabilitative Services and making recommendations

29  as to how the rights of clients are affected.

30         (g)  Developing and adopting uniform procedures to be

31  used to carry out the purpose and responsibilities of the

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  1  human rights advocacy committees, which procedures shall

  2  include, but need not be limited to, the following:

  3         1.  The responsibilities of the committee;

  4         2.  The organization and operation of the statewide

  5  committee and district committees, including procedures for

  6  replacing a member, formats for maintaining records of

  7  committee activities, and criteria for determining what

  8  constitutes a conflict of interest for purposes of assigning

  9  and conducting investigations and monitoring;

10         3.  Uniform procedures for the statewide committee and

11  district committees to receive and investigate reports of

12  abuse of constitutional or human rights;

13         4.  The responsibilities and relationship of the

14  district human rights advocacy committees to the statewide

15  committee;

16         5.  The relationship of the committee to the Department

17  of Children and Family Health and Rehabilitative Services,

18  including the way in which reports of findings and

19  recommendations related to reported abuse are given to the

20  Department of Children and Family Health and Rehabilitative

21  Services;

22         6.  Provision for cooperation with the State Long-Term

23  Care Ombudsman Council;

24         7.  Procedures for appeal.  An appeal to the state

25  committee is made by a district human rights advocacy

26  committee when a valid complaint is not resolved at the

27  district level.  The statewide committee may appeal an

28  unresolved complaint to the secretary of the Department of

29  Children and Family Health and Rehabilitative Services. If,

30  after exhausting all remedies, the statewide committee is not

31  satisfied that the complaint can be resolved within the

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  1  Department of Children and Family Health and Rehabilitative

  2  Services, the appeal may be referred to the Governor or the

  3  Legislature;

  4         8.  Uniform procedures for gaining access to and

  5  maintaining confidential information; and

  6         9.  Definitions of misfeasance and malfeasance for

  7  members of the statewide committee and district committees.

  8         Section 135.  Subsections (1) and (2) and paragraphs

  9  (a), (b), (d), and (e) of subsection (7) of section 402.166,

10  Florida Statutes, 1998 Supplement, are amended to read:

11         402.166  District human rights advocacy committees;

12  confidential records and meetings.--

13         (1)  At least one district human rights advocacy

14  committee is created in each service district of the

15  Department of Children and Family Health and Rehabilitative

16  Services.  The district human rights advocacy committees shall

17  be subject to direction from and the supervision of the

18  Statewide Human Rights Advocacy Committee.  The district

19  administrator shall assign staff to provide administrative

20  support to the committees, and staff assigned to these

21  positions shall perform the functions required by the

22  committee without interference from the department.  The

23  district committees shall direct the activities of staff

24  assigned to them to the extent necessary for the committees to

25  carry out their duties.  The number and areas of

26  responsibility of the district human rights advocacy

27  committees, not to exceed three in any district, shall be

28  determined by the majority vote of district committee members.

29  However, district II may have four committees. District

30  committees shall meet at facilities under their jurisdiction

31  whenever possible.

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  1         (2)  Each district human rights advocacy committee

  2  shall have no fewer than 7 members and no more than 15

  3  members, 25 percent of whom are or have been clients of the

  4  Department of Children and Family Health and Rehabilitative

  5  Services within the last 4 years, except that one member of

  6  this group may be an immediate relative or legal

  7  representative of a current or former client; two providers,

  8  who deliver services or programs to clients of the Department

  9  of Children and Family Health and Rehabilitative Services; and

10  two representatives of professional organizations, one of whom

11  represents health-related professions and one of whom

12  represents the legal profession. Priority of consideration

13  shall be given to the appointment of at least one medical or

14  osteopathic physician, as defined in chapters 458 and 459, and

15  one member in good standing of The Florida Bar. Priority of

16  consideration shall also be given to the appointment of an

17  individual whose primary interest, experience, or expertise

18  lies with a major client group of the Department of Children

19  and Family Health and Rehabilitative Services not represented

20  on the committee at the time of the appointment.  In no case

21  shall a person who is employed by the Department of Children

22  and Family Health and Rehabilitative Services be selected as a

23  member of a committee.  At no time shall individuals who are

24  providing contracted services to the Department of Children

25  and Family Health and Rehabilitative Services constitute more

26  than 25 percent of the membership of a district committee.

27  Persons related to each other by consanguinity or affinity

28  within the third degree shall not serve on the same district

29  human rights advocacy committee at the same time.  All members

30  of district human rights advocacy committees must successfully

31  complete a standardized training course for committee members

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  1  within 3 months after their appointment to a committee.  A

  2  member may not be assigned an investigation which requires

  3  access to confidential information prior to the completion of

  4  the training course.  After he or she completes the required

  5  training course, a member of a committee shall not be

  6  prevented from participating in any activity of that

  7  committee, including investigations and monitoring, except due

  8  to a conflict of interest as described in the procedures

  9  established by the Statewide Human Rights Advocacy Committee

10  pursuant to subsection (7).

11         (7)  A district human rights advocacy committee shall

12  first seek to resolve a complaint with the appropriate local

13  administration, agency, or program; any matter not resolved by

14  the district committee shall be referred to the Statewide

15  Human Rights Advocacy Committee.  A district human rights

16  advocacy committee shall comply with appeal procedures

17  established by the Statewide Human Rights Advocacy Committee.

18  The duties, actions, and procedures of both new and existing

19  district human rights advocacy committees shall conform to the

20  provisions of this act.  The duties of each district human

21  rights advocacy committee shall include, but are not limited

22  to:

23         (a)  Serving as an independent third-party mechanism

24  for protecting the constitutional and human rights of any

25  client within a program or facility operated, funded,

26  licensed, or regulated by the Department of Children and

27  Family Health and Rehabilitative Services.

28         (b)  Monitoring by site visit and inspection of

29  records, the delivery and use of services, programs or

30  facilities operated, funded, regulated or licensed by the

31  Department of Children and Family Health and Rehabilitative

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  1  Services for the purpose of preventing abuse or deprivation of

  2  the constitutional and human rights of clients.  A district

  3  human rights advocacy committee may conduct an unannounced

  4  site visit or monitoring visit that involves the inspection of

  5  records if such visit is conditioned upon a complaint.  A

  6  complaint may be generated by the committee itself if

  7  information from the Department of Children and Family Health

  8  and Rehabilitative Services or other sources indicates a

  9  situation at the program or facility that indicates possible

10  abuse or neglect of clients.  The district human rights

11  advocacy committees shall follow uniform criteria established

12  by the Statewide Human Rights Advocacy Committee for the

13  review of information and generation of complaints.  Routine

14  program monitoring and reviews that do not require an

15  examination of records may be made unannounced.

16         (d)  Reviewing and making recommendation with respect

17  to the involvement by clients of the Department of Children

18  and Family Health and Rehabilitative Services as subjects for

19  research projects, prior to implementation, insofar as their

20  human rights are affected.

21         (e)  Reviewing existing programs or services and new or

22  revised programs of the Department of Children and Family

23  Health and Rehabilitative Services and making recommendations

24  as to how the rights of clients are affected.

25         Section 136.  Section 402.167, Florida Statutes, is

26  amended to read:

27         402.167  Department duties relating to the Statewide

28  Human Rights Advocacy Committee and the District Human Rights

29  Advocacy Committees.--

30         (1)  The Department of Children and Family Health and

31  Rehabilitative Services shall adopt rules which are consistent

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  1  with law, amended to reflect any statutory changes, which

  2  rules address at least the following:

  3         (a)  Procedures by which Department of Children and

  4  Family Health and Rehabilitative Services district staff refer

  5  reports of abuse to district human rights advocacy committees.

  6         (b)  Procedures by which client information is made

  7  available to members of the Statewide Human Rights Advocacy

  8  Committee and the district human rights advocacy committees.

  9         (c)  Procedures by which recommendations made by human

10  rights advocacy committees will be incorporated into

11  Department of Children and Family Health and Rehabilitative

12  Services policies and procedures.

13         (d)  Procedures by which committee members are

14  reimbursed for authorized expenditures.

15         (2)  The Department of Children and Family Health and

16  Rehabilitative Services shall provide for the location of

17  district human rights advocacy committees in district

18  headquarters offices and shall provide necessary equipment and

19  office supplies, including, but not limited to, clerical and

20  word processing services, photocopiers, telephone services,

21  and stationery and other necessary supplies.

22         (3)  The secretary shall ensure the full cooperation

23  and assistance of employees of the Department of Children and

24  Family Health and Rehabilitative Services with members and

25  staff of the human rights advocacy committees. Further, the

26  secretary shall ensure that to the extent possible, staff

27  assigned to the Statewide Human Rights Advocacy Committees and

28  District Human Rights Advocacy Committees are free of

29  interference from or control by the department in performing

30  their duties relative to those committees.

31

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  1         Section 137.  Section 402.17, Florida Statutes, is

  2  amended to read:

  3         402.17  Claims for care and maintenance; trust

  4  property.--The Department of Children and Family Health and

  5  Rehabilitative Services shall protect the financial interest

  6  of the state with respect to claims which the state may have

  7  for the care and maintenance of clients of the department.

  8  The department shall, as trustee, hold in trust and administer

  9  money of clients and property designated for the personal

10  benefit of clients. The department shall act as trustee of

11  clients' money and property entrusted to it in accordance with

12  the usual fiduciary standards applicable generally to

13  trustees, and shall act to protect both the short-term and

14  long-term interests of the clients for whose benefit it is

15  holding such money and property.

16         (1)  CLAIMS FOR CARE AND MAINTENANCE.--

17         (a)  The department shall perform the following acts:

18         1.  Receive and supervise the collection of sums due

19  the state.

20         2.  Bring any court action necessary to collect any

21  claim the state may have against any client, former client,

22  guardian of any client or former client, executor or

23  administrator of the client's estate, or any person against

24  whom any client or former client may have a claim.

25         3.  Obtain a copy of any inventory or appraisal of the

26  client's property filed with any court.

27         4.  Obtain from the Economic Self-Sufficiency Social

28  and Economic Services Program Office a financial status report

29  on any client or former client, including the ability of third

30  parties responsible for such client to pay all or part of the

31  cost of the client's care and maintenance.

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  1         5.  Petition the court for appointment of a guardian or

  2  administrator for an otherwise unrepresented client or former

  3  client should the financial status report or other information

  4  indicate the need for such action. The cost of any such action

  5  shall be charged against the assets or estate of the client.

  6         6.  Represent the interest of the state in any

  7  litigation in which a client or former client is a party.

  8         7.  File claims with any person, firm, or corporation

  9  or with any federal, state, county, district, or municipal

10  agency on behalf of an unrepresented client.

11         8.  Represent the state in the settlement of the

12  estates of deceased clients or in the settlement of estates in

13  which a client or a former client against whom the state may

14  have a claim has a financial interest.

15         9.  Establish procedures by rule for the use of amounts

16  held in trust for the client to pay for the cost of care and

17  maintenance, if such amounts would otherwise cause the client

18  to become ineligible for services which are in the client's

19  best interests.

20         (b)  The Department of Children and Family Health and

21  Rehabilitative Services may charge off accounts if it

22  certifies that the accounts are uncollectible after diligent

23  efforts have been made to collect them.  If the department

24  certifies an account to the Department of Banking and Finance,

25  setting forth the circumstances upon which it predicates the

26  uncollectibility, and if, pursuant to s. 17.04, the Department

27  of Banking and Finance concurs, the account shall be charged

28  off.

29         (2)  MONEY OR OTHER PROPERTY RECEIVED FOR PERSONAL USE

30  OR BENEFIT OF ANY CLIENT.--The department shall perform the

31  following acts:

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  1         (a)  Accept and administer in trust, as a trustee

  2  having a fiduciary responsibility to a client of the

  3  department, any money or other property received for personal

  4  use or benefit of that client.  In the case of children in the

  5  legal custody of the department, following the termination of

  6  the parental rights as to that client, until such client

  7  leaves the legal custody of the department due to the client's

  8  adoption or because the client attains the age of 18 or, in

  9  the case of children who are otherwise in the custody of the

10  department, the court having jurisdiction over such client

11  shall have jurisdiction, upon application of the department or

12  other interested party, to review or approve any extraordinary

13  action of the department acting as trustee as to the client's

14  money or other property.  When directed by a court of

15  competent jurisdiction, the department may further hold money

16  or property of a person under the age of 18 who has been in

17  the care, custody, or control of the department and who is the

18  subject of a court proceeding during the pendency of that

19  proceeding.

20         (b)  Deposit the money in banks qualified as state

21  depositories, or in any bank, credit union, or savings and

22  loan association authorized to do business in this state,

23  provided moneys so deposited or held by such institutions are

24  fully insured by a federal depository or share insurance

25  program, or an approved state depository or share insurance

26  program, and are available on demand.

27         (c)  Withdraw the money and use it to meet current

28  needs of clients. For purposes of this paragraph, "current

29  needs" includes payment of fees assessed under s. 402.33.  The

30  amount of money withdrawn by the department to meet current

31  needs of a client shall take into account the need of the

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  1  department, as the trustee of a client's money and property,

  2  to provide for the long-term needs of a client, including, but

  3  not limited to, to provide for the need of a client under the

  4  age of 18 to have financial resources available to be able to

  5  function as an adult upon reaching the age of 18, or to meet

  6  the special needs of a client who has a disability and whose

  7  special needs cannot otherwise be met by any form of public

  8  assistance or family resources, or to maintain the client's

  9  eligibility for public assistance, including medical

10  assistance, under state or federal law.

11         (d)  As trustee, invest in the manner authorized by law

12  for fiduciaries money not used for current needs of clients.

13  Such investments may include, but shall not be limited to,

14  investments in savings share accounts of any credit union

15  chartered under the laws of the United States and doing

16  business in this state, and savings share accounts of any

17  credit union chartered under the laws of this state, provided

18  the credit union is insured under the federal share insurance

19  program or an approved state share insurance program.

20         (3)  DEPOSIT OF FUNDS RECEIVED.--Funds received by the

21  Department of Children and Family Health and Rehabilitative

22  Services in accordance with s. 402.33 shall be deposited into

23  a trust fund for the operation of the department.

24         (4)  DISPOSITION OF UNCLAIMED TRUST FUNDS.--Upon the

25  death of any client affected by the provisions of this

26  section, any unclaimed money held in trust by the department

27  or by the Treasurer for him or her shall be applied first to

28  the payment of any unpaid claim of the state against the

29  client, and any balance remaining unclaimed for a period of 1

30  year shall escheat to the state as unclaimed funds held by

31  fiduciaries.

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  1         (5)  LEGAL REPRESENTATION.--To the extent that the

  2  budget will permit, the Department of Legal Affairs shall

  3  furnish the legal services to carry out the provisions of this

  4  section. Upon the request of the Department of Children and

  5  Family Health and Rehabilitative Services, the various state

  6  and county attorneys shall assist in litigation within their

  7  jurisdiction.  Such department may retain legal counsel for

  8  necessary legal services which cannot be furnished by the

  9  Department of Legal Affairs and the various state and county

10  attorneys.

11         (6)  DEPOSIT OR INVESTMENT OF FUNDS OF CLIENTS.--

12         (a)  The Department of Children and Family Health and

13  Rehabilitative Services may deposit any funds of clients in

14  its possession in any bank in the state or may invest or

15  reinvest such funds in bonds or obligations of the United

16  States for the payment of which the full faith and credit of

17  the United States is pledged. For purposes of deposit only,

18  the funds of any client may be mingled with the funds of any

19  other clients.

20         (b)  The interest or increment accruing on such funds

21  shall be the property of the clients and shall be used or

22  conserved for the personal use or benefit of the individual

23  client, in accordance with the department's fiduciary

24  responsibility as a trustee for the money and property of the

25  client held by the department.  Such interest shall not accrue

26  to the general welfare of all clients.  Whenever any proposed

27  action of the department, acting in its own interest, may

28  conflict with the department's obligation as a trustee with a

29  fiduciary responsibility to the client, the department shall

30  promptly present the matter to a court of competent

31  jurisdiction for the court's determination as to what action

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  1  the department may take.  The department shall establish rules

  2  governing reasonable fees for the cost of administering such

  3  accounts and for establishing the minimum balance eligible to

  4  earn interest.

  5         (7)  DISPOSITION OF MONEY AND PROPERTY OF CLIENTS UPON

  6  ATTAINING AGE 18 OR DISCHARGE FROM CARE, CUSTODY, CONTROL, OR

  7  SERVICES OF THE DEPARTMENT.--

  8         (a)  Whenever a client of the department for whom the

  9  department is holding money or property as a trustee attains

10  the age of 18, and thereby will no longer be in the legal

11  custody of the department, the department shall promptly

12  disburse such money and property of the client the department

13  has held as a trustee to that client, or as that client

14  directs, as soon as practicable once the client attains the

15  age of 18.

16         (b)  Whenever a client of the department over the age

17  of 18 for whom the department is holding money or property as

18  a trustee no longer requires the care, custody, control, or

19  services of the department, the department shall promptly

20  disburse such money and property of the client the department

21  has held as a trustee to that client, or as that client or a

22  court directs, as soon as practicable.

23         (c)  When a client under the age of 18 who has been in

24  the legal custody, care, or control of the department and for

25  whom the department is holding money or property as a trustee

26  attains the age of 18 and has a physical or mental disability,

27  or is otherwise incapacitated or incompetent to handle that

28  client's own financial affairs, the department shall apply for

29  a court order from a court of competent jurisdiction to

30  establish a trust on behalf of that client.  Where there is no

31  willing relative of the client acceptable to the court

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  1  available to serve as trustee of such proposed trust, the

  2  court may enter an order authorizing the department to serve

  3  as trustee of a separate trust under such terms and conditions

  4  as the court determines appropriate to the circumstances.

  5         (d)  When a client under the age of 18 who has been in

  6  the legal custody, care, or control of the department and for

  7  whom the department is holding money or property as a trustee

  8  leaves the care, custody, and control of the department due to

  9  adoption or placement of the client with a relative, or as

10  otherwise directed by a court of competent jurisdiction, the

11  department shall notify that court of the existence of the

12  money and property in the possession of the department either

13  prior to, or promptly after, receiving knowledge of the change

14  of custody, care, or control.  The department shall apply for

15  an order from the court exercising jurisdiction over the

16  client to direct the disposition of the money and property

17  belonging to that client. The court order may establish a

18  trust in which the money and property of the client will be

19  deposited, appoint a guardian of a property as to the money or

20  property of the client, or direct the creation of a Uniform

21  Gifts to Minors Act account on behalf of that client, as the

22  court finds appropriate and under the terms and conditions the

23  court determines appropriate to the circumstances.

24         Section 138.  Subsection (1) of section 402.18, Florida

25  Statutes, is amended to read:

26         402.18  Welfare trust funds created; use of.--

27         (1)  All moneys now held in any auxiliary, canteen,

28  welfare, donated, or similar fund in any state institution

29  under the jurisdiction of the Department of Children and

30  Family Health and Rehabilitative Services shall be deposited

31  in a welfare trust fund, which fund is hereby created in the

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  1  State Treasury, or in a place which the department shall

  2  designate.  The money in the fund of each institution of the

  3  department, or which may accrue thereto, is hereby

  4  appropriated for the benefit, education, and general welfare

  5  of clients in that institution.  The general welfare of

  6  clients includes, but is not limited to, the establishment of,

  7  maintenance of, employment of personnel for, and the purchase

  8  of items for resale at canteens or vending machines maintained

  9  at the state institutions and for the establishment of,

10  maintenance of, employment of personnel for, and the operation

11  of canteens, hobby shops, recreational or entertainment

12  facilities, sheltered workshops, activity centers, farming

13  projects, or other like facilities or programs at the

14  institutions.

15         Section 139.  Subsection (1) and paragraph (b) of

16  subsection (3) of section 402.181, Florida Statutes, are

17  amended to read:

18         402.181  State Institutions Claims Program.--

19         (1)  There is created a State Institutions Claims

20  Program, for the purpose of making restitution for property

21  damages and direct medical expenses for injuries caused by

22  shelter children or foster children, or escapees or inmates of

23  state institutions under the Department of Children and Family

24  Health and Rehabilitative Services, the Department of Juvenile

25  Justice, or the Department of Corrections.

26         (3)

27         (b)  The Department of Legal Affairs shall work with

28  the Department of Children and Family Health and

29  Rehabilitative Services, the Department of Juvenile Justice,

30  and the Department of Corrections to streamline the process of

31  investigations, hearings, and determinations with respect to

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  1  claims under this section, to ensure that eligible claimants

  2  receive restitution within a reasonable time.

  3         Section 140.  Section 402.19, Florida Statutes, is

  4  amended to read:

  5         402.19  Photographing records; destruction of records;

  6  effect as evidence.--The Department of Children and Family

  7  Health and Rehabilitative Services may authorize each of the

  8  agencies under its supervision and control to photograph,

  9  microphotograph, or reproduce on film or prints, such

10  correspondence, documents, records, data, and other

11  information as the department shall determine, and which is

12  not otherwise authorized to be reproduced under chapter 119,

13  whether the same shall be of a temporary or permanent

14  character and whether public, private, or confidential,

15  including that pertaining to patients or inmates of the

16  agencies, and to destroy any of said documents after they have

17  been reproduced.  Photographs or microphotographs in the form

18  of film or prints made in compliance with the provisions of

19  this section shall have the same force and effect as the

20  originals thereof would have, and shall be treated as

21  originals for the purpose of their admissibility in evidence.

22  Duly certified or authenticated reproductions of such

23  photographs or microphotographs shall be admitted in evidence

24  equally with the original photographs or microphotographs.

25         Section 141.  Section 402.20, Florida Statutes, is

26  amended to read:

27         402.20  County contracts authorized for services and

28  facilities in mental health and retardation areas.--The boards

29  of county commissioners are authorized to provide monetary

30  grants and facilities, and to enter into renewable contracts,

31  for services and facilities, for a period not to exceed 2

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  1  years, with public and private hospitals, clinics, and

  2  laboratories; other state agencies, departments, or divisions;

  3  the state colleges and universities; the community colleges;

  4  private colleges and universities; counties; municipalities;

  5  towns; townships; and any other governmental unit or nonprofit

  6  organization which provides needed facilities for the mentally

  7  ill or retarded.  These services are hereby declared to be for

  8  a public and county purpose.  The county commissioners may

  9  make periodic inspections to assure that the services or

10  facilities provided under this chapter meet the standards of

11  the Department of Children and Family Health and

12  Rehabilitative Services.

13         Section 142.  Subsection (1) of section 402.24, Florida

14  Statutes, is amended to read:

15         402.24  Recovery of third-party payments for medical

16  services.--

17         (1)  As used in this section, "medical services" means

18  medical or medically related institutional or noninstitutional

19  services which are provided or paid for by the Department of

20  Health and Rehabilitative Services, except for services

21  provided or paid for pursuant to chapter 394 or chapter 397.

22         Section 143.  Section 402.27, Florida Statutes, is

23  amended to read:

24         402.27  Child care and early childhood resource and

25  referral.--The Department of Children and Family Health and

26  Rehabilitative Services shall establish a statewide child care

27  resource and referral network. Preference shall be given to

28  using the already established central agencies for subsidized

29  child care as the child care resource and referral agency.  If

30  the agency cannot comply with the requirements to offer the

31  resource information component or does not want to offer that

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  1  service, the Department of Children and Family Health and

  2  Rehabilitative Services shall select the resource information

  3  agency based upon a request for proposal.  At least one child

  4  care resource and referral agency must be established in each

  5  district of the department, but no more than one may be

  6  established in any county.  Child care resource and referral

  7  agencies shall provide the following services:

  8         (1)  Identification of existing public and private

  9  child care and early childhood education services, including

10  child care services by public and private employers, and the

11  development of a resource file of those services. These

12  services may include family day care, public and private child

13  care programs, head start, prekindergarten early intervention

14  programs, special education programs for prekindergarten

15  handicapped children, services for children with developmental

16  disabilities, full-time and part-time programs, before-school

17  and after-school programs, vacation care programs, parent

18  education, the WAGES Program, and related family support

19  services. The resource file shall include, but not be limited

20  to:

21         (a)  Type of program.

22         (b)  Hours of service.

23         (c)  Ages of children served.

24         (d)  Number of children served.

25         (e)  Significant program information.

26         (f)  Fees and eligibility for services.

27         (g)  Availability of transportation.

28         (2)  The establishment of a referral process which

29  responds to parental need for information and which is

30  provided with full recognition of the confidentiality rights

31  of parents. Resource and referral programs shall make

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  1  referrals to licensed child care facilities.  Referrals shall

  2  be made to an unlicensed child care facility or arrangement

  3  only if there is no requirement that the facility or

  4  arrangement be licensed.

  5         (3)  Maintenance of ongoing documentation of requests

  6  for service tabulated through the internal referral process.

  7  The following documentation of requests for service shall be

  8  maintained by all child care resource and referral agencies:

  9         (a)  Number of calls and contacts to the child care

10  information and referral agency component by type of service

11  requested.

12         (b)  Ages of children for whom service was requested.

13         (c)  Time category of child care requests for each

14  child.

15         (d)  Special time category, such as nights, weekends,

16  and swing shift.

17         (e)  Reason that the child care is needed.

18         (f)  Name of the employer and primary focus of the

19  business.

20         (4)  Provision of technical assistance to existing and

21  potential providers of child care services.  This assistance

22  may include:

23         (a)  Information on initiating new child care services,

24  zoning, and program and budget development and assistance in

25  finding such information from other sources.

26         (b)  Information and resources which help existing

27  child care services providers to maximize their ability to

28  serve children and parents in their community.

29         (c)  Information and incentives which could help

30  existing or planned child care services offered by public or

31  private employers seeking to maximize their ability to serve

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  1  the children of their working parent employees in their

  2  community, through contractual or other funding arrangements

  3  with businesses.

  4         (5)  Assistance to families and employers in applying

  5  for various sources of subsidy including, but not limited to,

  6  subsidized child care, head start, prekindergarten early

  7  intervention programs, Project Independence, private

  8  scholarships, and the federal dependent care tax credit.

  9         (6)  Assistance to state agencies in determining the

10  market rate for child care.

11         (7)  Assistance in negotiating discounts or other

12  special arrangements with child care providers.

13         (8)  Information and assistance to local interagency

14  councils coordinating services for prekindergarten handicapped

15  children.

16         (9)  A child care facility licensed under s. 402.305

17  and licensed and registered family day care homes must provide

18  the statewide child care and resource and referral agencies

19  with the following information annually:

20         (a)  Type of program.

21         (b)  Hours of service.

22         (c)  Ages of children served.

23         (d)  Fees and eligibility for services.

24         Section 144.  Subsection (3) of section 402.28, Florida

25  Statutes, is amended to read:

26         402.28  Child Care Plus.--

27         (3)  The child care quality standards for a Child Care

28  Plus facility or home shall be developed by the Department of

29  Children and Family Health and Rehabilitative Services, in

30  consultation with the Department of Education, and shall

31  address, but not be limited to, the following areas:

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  1         (a)  Child development, including language, cognitive,

  2  motor, social, and self-help skill development.

  3         (b)  Child health.

  4         (c)  Family counseling.

  5         (d)  Parent training.

  6         (e)  Child nutrition.

  7         (f)  Staff credentials.

  8         Section 145.  Paragraph (a) of subsection (1) and

  9  subsection (9) of section 402.3015, Florida Statutes, are

10  amended to read:

11         402.3015  Subsidized child care program; purpose; fees;

12  contracts.--

13         (1)  The purpose of the subsidized child care program

14  is to provide quality child care to enhance the development,

15  including language, cognitive, motor, social, and self-help

16  skills of children who are at risk of abuse or neglect and

17  children of low-income families, and to promote financial

18  self-sufficiency and life skills for the families of these

19  children, unless prohibited by federal law. Priority for

20  participation in the subsidized child care program shall be

21  accorded to children under 13 years of age who are:

22         (a)  Determined to be at risk of abuse, neglect, or

23  exploitation and who are currently clients of the department's

24  Children and Families Services Program Office;

25         (9)  The central agency for state subsidized child care

26  or the local service district of the Department of Children

27  and Family Health and Rehabilitative Services shall cooperate

28  with the local interagency coordinating council as defined in

29  s. 230.2305 in the development of written collaborative

30  agreements with each local school district.

31

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  1         (a)  The central agency shall develop in consultation

  2  with the local interagency council a plan for implementing and

  3  conducting a child care program.  Such plan shall include the

  4  tentative budget and measures for maximizing public resources.

  5         (b)  The department shall monitor each subsidized child

  6  care provider at least annually to determine compliance with

  7  the collaborative agreement facilitated by the local

  8  interagency coordinating council.  If a provider fails to

  9  bring its program into compliance with the agreement or the

10  plan within 3 months after an evaluation citing deficiencies,

11  the department must withhold such administrative funds as have

12  been allocated to the program and which have not yet been

13  released.

14         Section 146.  Subsections (1) and (2) of section

15  402.3026, Florida Statutes, are amended to read:

16         402.3026  Full-service schools.--

17         (1)  The State Board of Education and the Department of

18  Health and Rehabilitative Services shall jointly establish

19  full-service schools to serve students from schools that have

20  a student population that has a high risk of needing medical

21  and social services, based on the results of the demographic

22  evaluations. The full-service schools must integrate the

23  services of the Department of Health and Rehabilitative

24  Services that are critical to the continuity-of-care process.

25  The Department of Health and Rehabilitative Services shall

26  provide services to these high-risk students through

27  facilities established within the grounds of the school. The

28  Department of Health and Rehabilitative Services professionals

29  shall carry out their specialized services as an extension of

30  the educational environment. Such services may include,

31  without limitation, nutritional services, basic medical

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  1  services, aid to dependent children, parenting skills,

  2  counseling for abused children, counseling for children at

  3  high risk for delinquent behavior and their parents, and adult

  4  education.

  5         (2)  The Department of Health and Rehabilitative

  6  Services shall designate an executive staff director to

  7  coordinate the full-service schools program and to act as

  8  liaison with the Department of Education to coordinate the

  9  provision of health and rehabilitative services in educational

10  facilities.

11         Section 147.  Section 402.3115, Florida Statutes, 1998

12  Supplement, is amended to read:

13         402.3115  Elimination of duplicative and unnecessary

14  inspections; abbreviated inspections.--The Department of

15  Children and Family Health and Rehabilitative Services and

16  local governmental agencies that license child care facilities

17  shall develop and implement a plan to eliminate duplicative

18  and unnecessary inspections of child care facilities. In

19  addition, the department and the local governmental agencies

20  shall develop and implement an abbreviated inspection plan for

21  child care facilities that have had no Class 1 or Class 2

22  deficiencies, as defined by rule, for at least 2 consecutive

23  years. The abbreviated inspection must include those elements

24  identified by the department and the local governmental

25  agencies as being key indicators of whether the child care

26  facility continues to provide quality care and programming.

27  The department and local governmental agencies shall conduct

28  the first meeting not later than August 15, 1996, and shall

29  jointly share administrative responsibilities. The department

30  and local governmental agencies shall report to the

31  Legislature not later than January 15, 1997, regarding the

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  1  status of implementing this section and any recommendations

  2  for statutory changes necessary to further reduce duplicative

  3  and unnecessary inspections and fully implement the plan for

  4  abbreviated inspections.

  5         Section 148.  Paragraph (c) of subsection (1) of

  6  section 402.33, Florida Statutes, is amended to read:

  7         402.33  Department authority to charge fees for

  8  services provided.--

  9         (1)  As used in this section, the term:

10         (c)  "Department" means the Department of Children and

11  Family Health and Rehabilitative Services and the Department

12  of Health.

13         Section 149.  Section 402.35, Florida Statutes, is

14  amended to read:

15         402.35  Employees.--All personnel of the Department of

16  Children and Family Health and Rehabilitative Services shall

17  be governed by rules and regulations adopted and promulgated

18  by the Department of Management Services relative thereto

19  except the director and persons paid on a fee basis.  The

20  Department of Children and Family Health and Rehabilitative

21  Services may participate with other state departments and

22  agencies in a joint merit system. No federal, state, county,

23  or municipal officer shall be eligible to serve as an employee

24  of the Department of Children and Family Health and

25  Rehabilitative Services.

26         Section 150.  Subsection (1), paragraphs (a), (b), and

27  (c) of subsection (3), paragraph (a) of subsection (5), and

28  subsections (6) and (7) of section 402.40, Florida Statutes,

29  are amended to read:

30         402.40  Child welfare training academies established;

31  Child Welfare Standards and Training Council created;

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  1  responsibilities of council; Child Welfare Training Trust Fund

  2  created.--

  3         (1)  LEGISLATIVE INTENT.--In order to enable the state

  4  to provide a systematic approach to staff development and

  5  training for dependency program staff that will meet the needs

  6  of such staff in their discharge of duties, it is the intent

  7  of the Legislature that the Department of Children and Family

  8  Health and Rehabilitative Services establish, maintain, and

  9  oversee the operation of child welfare training academies in

10  the state.  The Legislature further intends that the staff

11  development and training programs that are established will

12  aid in the reduction of poor staff morale and of staff

13  turnover, will positively impact on the quality of decisions

14  made regarding children and families who require assistance

15  from dependency programs, and will afford better quality care

16  of children who must be removed from their families.

17         (3)  CHILD WELFARE STANDARDS AND TRAINING COUNCIL.--

18         (a)  There is created within the Department of Children

19  and Family Health and Rehabilitative Services the Child

20  Welfare Training Council, hereinafter referred to as the

21  council.  The 21-member council shall consist of the

22  Commissioner of Education or his or her designee; a member of

23  the judiciary who has experience in the area of dependency and

24  has served at least 3 years in the Juvenile Division of the

25  circuit court, to be appointed by the Chief Justice of the

26  Supreme Court; and 19 members to be appointed by the Secretary

27  of Children and Family Health and Rehabilitative Services as

28  follows:

29         1.  Nine members shall be dependency program staff:

30         a.  An intake supervisor or counselor, a protective

31  services supervisor or counselor, a foster care supervisor or

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  1  counselor, and an adoption and related services supervisor or

  2  counselor.  Each such member shall have at least 5 years'

  3  experience working with children and families, at least two

  4  members shall each have a master's degree in social work, and

  5  any member not having a master's degree in social work shall

  6  have at least a bachelor's degree in social work, child

  7  development, behavioral psychology, or any other discipline

  8  directly related to providing care or counseling for families.

  9         b.  A representative from a licensed, residential

10  child-caring agency contracted with by the state; a

11  representative from a runaway shelter or similar program

12  primarily serving adolescents, which shelter or program must

13  be contracted with by the state; and a representative from a

14  licensed child-placing agency contracted with by the state.

15  At least two of these members shall each have a master's

16  degree in social work, and any member not having a master's

17  degree in social work shall have a degree as cited in

18  sub-subparagraph a.  All three members shall have at least 5

19  years' experience working with children and families.

20         c.  A family foster home parent and an emergency

21  shelter home parent, both of whom shall have been providing

22  such care for at least 5 years and shall have participated in

23  training for foster parents or shelter parents on an ongoing

24  basis.

25         2.  One member shall be a supervisor or counselor from

26  the WAGES Program.

27         3.  Two members shall be educators from the state's

28  university and community college programs of social work,

29  child development, psychology, sociology, or other field of

30  study pertinent to the training of dependency program staff.

31

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  1         4.  One member shall be a pediatrician with expertise

  2  in the area of child abuse and neglect.

  3         5.  One member shall be a psychiatrist or licensed

  4  clinical psychologist with extensive experience in counseling

  5  children and families.

  6         6.  One member shall be an attorney with extensive

  7  experience in the practice of family law.

  8         7.  One member shall be a guardian ad litem or a child

  9  welfare attorney, either of whom shall have extensive

10  experience in the representation of children.

11         8.  One member shall be a state attorney with

12  experience and expertise in the area of dependency and family

13  law.

14         9.  One member shall be a representative from a local

15  law enforcement unit specializing in child abuse and neglect.

16         10.  One member shall be a lay citizen who is a member

17  of a child advocacy organization.

18

19  The initial members of the council shall be appointed within

20  30 days of the effective date of this section. Of the initial

21  appointments, the member appointed by the Chief Justice of the

22  Supreme Court, three members appointed pursuant to

23  subparagraph 1., one member appointed pursuant to subparagraph

24  3., and the members specified in subparagraphs 4. and 5. shall

25  be appointed to terms of 3 years each; three members appointed

26  pursuant to subparagraph 1., one of the members appointed

27  pursuant to subparagraph 3., and the members specified in

28  subparagraphs 2., 6., and 7. shall be appointed for terms of 2

29  years each; and three members appointed pursuant to

30  subparagraph 1., and the members specified in subparagraphs

31  8., 9., and 10. shall be appointed to terms of 1 year each.

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  1  Thereafter, all appointed members shall serve terms of 3 years

  2  each.  No person shall serve more than two consecutive terms.

  3         (b)  The functions of the council shall be to:

  4         1.  Advise the department on the overall comprehensive

  5  system for both preservice and inservice child welfare

  6  competency-based training and the components of such training;

  7  curriculum to be used in the training of dependency programs

  8  staff; targeting of areas of training and prioritization of

  9  dependency program staff to be trained; methods of delivery of

10  the training; timeframes for participation in and completion

11  of training by dependency program staff; location of training

12  academies; types and frequencies of evaluations of the

13  training academies; the budget for the child welfare training

14  academies; and the contractor or contractors to be selected to

15  organize and operate the training academies and to provide the

16  training curriculum.

17         2.  Advise the department on staffing for the council,

18  including the securing of national consultants with expertise

19  in the development of child welfare competency-based training

20  and the securing of Florida professionals to assist in the

21  development of the comprehensive system for training.

22         3.  Review, evaluate, and advise the department

23  concerning revisions, if needed, in both rules and law

24  affecting standards and training for dependency programs.

25         4.  Recommend improvements, if needed, in the

26  administration of dependency programs as it relates to

27  standards and training for dependency program staff,

28  including, but not limited to, the qualifications,

29  recruitment, and retention of such staff.

30

31

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  1         5.  Report annually to the Secretary of Children and

  2  Family Health and Rehabilitative Services, the President of

  3  the Senate, and the Speaker of the House of Representatives.

  4         (c)  The Secretary of Children and Family Health and

  5  Rehabilitative Services shall respond to the recommendations

  6  of the council in writing. The response shall be forwarded to

  7  the council, the President of the Senate, and the Speaker of

  8  the House of Representatives.

  9         (5)  CHILD WELFARE TRAINING TRUST FUND.--

10         (a)  There is created within the State Treasury a Child

11  Welfare Training Trust Fund to be used by the Department of

12  Children and Family Health and Rehabilitative Services for the

13  purpose of funding a comprehensive system of child welfare

14  training, including the securing of consultants to develop the

15  system, the staff of the council, the expenses of the council

16  members, the child welfare training academies and the

17  participation of dependency program staff in the training.

18         (6)  TIMEFRAME FOR ESTABLISHMENT OF TRAINING

19  ACADEMIES.--By June 30, 1987, the department shall have

20  established and have operational at least one training

21  academy, which shall be located in subdistrict IIB.  The

22  department shall contract for the operation of the academy

23  with Tallahassee Community College.  The number, location, and

24  timeframe for establishment of additional training academies

25  shall be according to the recommendation of the council as

26  approved by the Secretary of Children and Family Health and

27  Rehabilitative Services.

28         (7)  ADOPTION OF RULES.--The Department of Children and

29  Family Health and Rehabilitative Services shall adopt rules

30  necessary to carry out the provisions of this section.

31

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  1         Section 151.  Subsections (1), (3), (5), (6), (7), (8),

  2  and (9) of section 402.45, Florida Statutes, are amended to

  3  read:

  4         402.45  Community resource mother or father program.--

  5         (1)  The Department of Health and Rehabilitative

  6  Services shall establish a community resource mother or father

  7  program pursuant to this section within the resources

  8  allocated. The purpose of the program shall be to demonstrate

  9  the benefits of utilizing community resource mothers or

10  fathers to improve maternal and child health outcomes; to

11  enhance parenting and child development, including the

12  educational enrichment of children through the promotion of

13  increased awareness by mothers and fathers of their own

14  strengths and potentials as home educators; to support family

15  integrity through the provision of social support and parent

16  education and training; to provide assistance to children at

17  high risk for delinquent behavior and their parents; and to

18  provide assistance to high-risk pregnant women and to

19  high-risk or handicapped infants, toddlers, and preschool

20  children and their parents.

21         (3)  The Department of Health and Rehabilitative

22  Services shall contract with county health departments, other

23  public agencies, or not-for-profit agencies, or any

24  combination thereof, to carry out the programs utilizing

25  community resource mother or father services.

26         (5)  The Department of Health and Rehabilitative

27  Services may, in addition to the criteria in subsection (4),

28  require other criteria to contract for community resource

29  mother or father services.

30         (6)  The community resource mother or father program

31  shall be included under the jurisdiction of the State

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  1  Coordinating Council for Early Childhood Services established

  2  pursuant to s. 411.222.  The council shall make

  3  recommendations for effective implementation of the program

  4  and shall advise the Department of Health and Rehabilitative

  5  Services in the development of program guidelines, the

  6  schedule for implementation, the establishment of evaluation

  7  procedures, the provision of technical assistance to

  8  individual programs, and the development of the program

  9  evaluation report.

10         (7)  The Department of Health and Rehabilitative

11  Services shall develop the program guidelines.

12         (8)  Individuals under contract to provide community

13  resource mother or father services shall participate in

14  preservice and ongoing training as determined by the

15  Department of Health and Rehabilitative Services in

16  consultation with the State Coordinating Council for Early

17  Childhood Services. A community resource mother or father

18  shall not be assigned a client caseload until all preservice

19  training requirements are completed.

20         (9)  The community resource mother or father shall be

21  assigned a caseload based on the criteria established by the

22  Department of Health and Rehabilitative Services, which

23  criteria consider geographic distance, severity of problems on

24  the caseload, and skills needed to address the problems.  A

25  plan shall be developed for each case that includes, at a

26  minimum:

27         (a)  A statement of the high-risk pregnant woman's

28  problems or high-risk child's problems and needs.

29         (b)  The goals and objectives of the intervention

30  program.

31

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  1         (c)  The services to be provided by the community

  2  resource mother or father.

  3         (d)  Community resources to be used.

  4         (e)  Schedule of visits between community resource

  5  mothers or fathers and clients.

  6         Section 152.  Subsection (1) of section 402.49, Florida

  7  Statutes, is amended to read:

  8         402.49  Mediation process established.--

  9         (1)  The Department of Children and Family Health and

10  Rehabilitative Services shall establish a mediation process

11  for the purpose of resolving disputes that arise between the

12  department and agencies that are operating under contracts

13  with the department.

14         Section 153.  Subsection (1) of section 402.50, Florida

15  Statutes, is amended to read:

16         402.50  Administrative infrastructure; legislative

17  intent; establishment of standards.--

18         (1)  LEGISLATIVE INTENT.--The Legislature finds

19  evidence of deficiencies in the administrative infrastructure

20  of the Department of Children and Family Health and

21  Rehabilitative Services, hereafter referred to as the

22  "department," that may negatively affect the timeliness and

23  quality of delivery of services. Particularly, the Legislature

24  finds that inadequate client and management information

25  systems have impeded integrated service delivery, that program

26  evaluation activities have been insufficient, that workloads

27  of administrative personnel are excessive, and that clients

28  and service providers have been adversely affected by these

29  administrative deficiencies.  It is the intent of the

30  Legislature that the administrative infrastructure of the

31  department be established at levels necessary to support

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  1  efficient and effective delivery of services. Further, it is

  2  the intent of the Legislature that contracts of the department

  3  with service providers include established levels of funding

  4  for administrative infrastructure to support efficient and

  5  effective delivery of contracted services.

  6         Section 154.  Section 402.55, Florida Statutes, is

  7  amended to read:

  8         402.55  Management fellows program.--

  9         (1)  It is the intent of the Legislature to provide a

10  program whereby the Department of Children and Family Health

11  and Rehabilitative Services and the Department of Health may

12  identify, designate, train, and promote employees with high

13  levels of administrative and management potential in order to

14  meet the need of the departments department for broad-based

15  administrative and managerial knowledge and skills in key

16  positions within the departments department.

17         (2)  The departments are department is authorized to

18  establish a management fellows program in order to provide

19  highly qualified career candidates for key administrative and

20  managerial positions in the departments department.  Such

21  program shall include, but is not limited to:

22         (a)  The identification annually by the secretaries

23  secretary, the assistant secretaries, Deputy Secretary for

24  Administration, the Deputy Secretary for Human Services, the

25  Deputy Secretary for Health, and the district administrator in

26  each district of one high-potential career service employee

27  each, to be designated and appointed to serve as a full-time

28  health and rehabilitative services management fellow for a

29  period of 1 year.

30         (b)  The design, development, implementation, and

31  monitoring of a full-time, 1-year placement program based on a

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  1  self-motivated enrichment plan for each respective fellow in

  2  various units of the departments department.

  3         (c)  The participation of each management fellow in

  4  on-the-job management training and inservice administrative

  5  training project assignments, supplemented by periodic

  6  management workshops, seminars, and courses within and outside

  7  the departments department.

  8         (3)  The departments department shall develop,

  9  implement, operate, and monitor the management fellows program

10  provided by this act within existing resources, including the

11  annual identification and allocation of resources necessary to

12  support the training activities of each management fellow.

13         (4)  Notwithstanding the provisions of chapter 110, the

14  departments department may grant special pay increases to

15  management fellows upon successful completion of the program.

16         (5)  The departments department may adopt rules to

17  implement this section.

18         Section 155.  Subsection (3) of section 403.061,

19  Florida Statutes, 1998 Supplement, is amended to read:

20         403.061  Department; powers and duties.--The department

21  shall have the power and the duty to control and prohibit

22  pollution of air and water in accordance with the law and

23  rules adopted and promulgated by it and, for this purpose, to:

24         (3)  Utilize the facilities and personnel of other

25  state agencies, including the Department of Health and

26  Rehabilitative Services, and delegate to any such agency any

27  duties and functions as the department may deem necessary to

28  carry out the purposes of this act.

29         Section 156.  Section 403.081, Florida Statutes, is

30  amended to read:

31

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  1         403.081  Performance by other state agencies.--All

  2  state agencies, including the Department of Health and

  3  Rehabilitative Services, shall be available to the department

  4  to perform, at its direction, the duties required of the

  5  department under this act.

  6         Section 157.  Subsections (1) and (3) of section

  7  403.085, Florida Statutes, are amended to read:

  8         403.085  Sanitary sewage disposal units; advanced and

  9  secondary waste treatment; industrial waste, ocean outfall,

10  inland outfall, or disposal well waste treatment.--

11         (1)  Neither the Department of Health and

12  Rehabilitative Services nor any other state agency, county,

13  special district, or municipality shall approve construction

14  of any ocean outfall or disposal well for sanitary sewage

15  disposal which does not provide for secondary waste treatment

16  and, in addition thereto, advanced waste treatment as deemed

17  necessary and ordered by the department.

18         (3)  Neither the Department of Health and

19  Rehabilitative Services nor any other state agency, county,

20  special district, or municipality shall approve construction

21  of any ocean outfall, inland outfall, or disposal well for the

22  discharge of industrial waste of any kind which does not

23  provide for secondary waste treatment or such other treatment

24  as is deemed necessary and ordered by the department.

25         Section 158.  Paragraph (a) of subsection (1) of

26  section 403.086, Florida Statutes, is amended to read:

27         403.086  Sewage disposal facilities; advanced and

28  secondary waste treatment.--

29         (1)(a)  Neither the Department of Health and

30  Rehabilitative Services nor any other state agency, county,

31  special district, or municipality shall approve construction

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  1  of any facilities for sanitary sewage disposal which do not

  2  provide for secondary waste treatment and, in addition

  3  thereto, advanced waste treatment as deemed necessary and

  4  ordered by the department.

  5         Section 159.  Subsection (1) of section 403.088,

  6  Florida Statutes, is amended to read:

  7         403.088  Water pollution operation permits;

  8  conditions.--

  9         (1)  No person, without written authorization of the

10  department, shall discharge into waters within the state any

11  waste which, by itself or in combination with the wastes of

12  other sources, reduces the quality of the receiving waters

13  below the classification established for them. However, this

14  section shall not be deemed to prohibit the application of

15  pesticides to waters in the state for the control of insects,

16  aquatic weeds, or algae, provided the application is performed

17  pursuant to a program approved by the Department of Health and

18  Rehabilitative Services, in the case of insect control, or the

19  department, in the case of aquatic weed or algae control. The

20  department is directed to enter into interagency agreements to

21  establish the procedures for program approval. Such agreements

22  shall provide for public health, welfare, and safety, as well

23  as environmental factors. Approved programs must provide that

24  only chemicals approved for the particular use by the United

25  States Environmental Protection Agency or by the Department of

26  Agriculture and Consumer Services may be employed and that

27  they be applied in accordance with registered label

28  instructions, state standards for such application, and the

29  provisions of the Florida Pesticide Law, part I of chapter

30  487.

31

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  1         Section 160.  Subsection (37) of section 403.703,

  2  Florida Statutes, is amended to read:

  3         403.703  Definitions.--As used in this act, unless the

  4  context clearly indicates otherwise, the term:

  5         (37)  "Biomedical waste" means any solid waste or

  6  liquid waste which may present a threat of infection to

  7  humans. The term includes, but is not limited to, nonliquid

  8  human tissue and body parts; laboratory and veterinary waste

  9  which contain human-disease-causing agents; discarded

10  disposable sharps; human blood, and human blood products and

11  body fluids; and other materials which in the opinion of the

12  Department of Health and Rehabilitative Services represent a

13  significant risk of infection to persons outside the

14  generating facility.  The term does not include human remains

15  that are disposed of by persons licensed under chapter 470.

16         Section 161.  Subsection (3) of section 403.7841,

17  Florida Statutes, is amended to read:

18         403.7841  Application for certification.--

19         (3)  Within 7 days after filing the application with

20  the department, the applicant shall provide two copies of the

21  application as filed to each of the following: the Department

22  of Community Affairs, the water management district which has

23  jurisdiction over the area wherein the proposed project is to

24  be located, the Department of Transportation, the Game and

25  Fresh Water Fish Commission, the Department of Health and

26  Rehabilitative Services, the Department of Agriculture and

27  Consumer Services, and the local governmental entities which

28  have jurisdiction.

29         Section 162.  Subsection (1) of section 403.786,

30  Florida Statutes, is amended to read:

31         403.786  Report and studies.--

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  1         (1)  The Department of Community Affairs, the water

  2  management district which has jurisdiction over the area

  3  wherein the proposed project is to be located, the Department

  4  of Transportation, the Game and Fresh Water Fish Commission,

  5  the Department of Health and Rehabilitative Services, the

  6  Department of Agriculture and Consumer Services, and each

  7  local government which has jurisdiction shall each submit a

  8  report of matters within their jurisdiction to the department

  9  within 90 days after their receipt of the application. Any

10  other agency may submit comments relating to matters within

11  its jurisdiction to the department within 90 days after the

12  filing of the application with the Division of Administrative

13  Hearings.

14         Section 163.  Paragraph (g) of subsection (2) of

15  section 403.813, Florida Statutes, 1998 Supplement, is amended

16  to read:

17         403.813  Permits issued at district centers;

18  exceptions.--

19         (2)  No permit under this chapter, chapter 373, chapter

20  61-691, Laws of Florida, or chapter 25214 or chapter 25270,

21  1949, Laws of Florida, shall be required for activities

22  associated with the following types of projects; however,

23  nothing in this subsection relieves an applicant from any

24  requirement to obtain permission to use or occupy lands owned

25  by the Board of Trustees of the Internal Improvement Trust

26  Fund or any water management district in its governmental or

27  proprietary capacity or from complying with applicable local

28  pollution control programs authorized under this chapter or

29  other requirements of county and municipal governments:

30         (g)  The maintenance of existing insect control

31  structures, dikes, and irrigation and drainage ditches,

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  1  provided that spoil material is deposited on a self-contained,

  2  upland spoil site which will prevent the escape of the spoil

  3  material into waters of the state.  In the case of insect

  4  control structures, if the cost of using a self-contained

  5  upland spoil site is so excessive, as determined by the

  6  Department of Health and Rehabilitative Services, pursuant to

  7  s. 403.088(1), that it will inhibit proposed insect control,

  8  then-existing spoil sites or dikes may be used, upon

  9  notification to the department.  In the case of insect control

10  where upland spoil sites are not used pursuant to this

11  exemption, turbidity control devices shall be used to confine

12  the spoil material discharge to that area previously disturbed

13  when the receiving body of water is used as a potable water

14  supply, is designated as shellfish harvesting waters, or

15  functions as a habitat for commercially or recreationally

16  important shellfish or finfish.  In all cases, no more

17  dredging is to be performed than is necessary to restore the

18  dike or irrigation or drainage ditch to its original design

19  specifications.

20         Section 164.  Section 403.851, Florida Statutes, is

21  amended to read:

22         403.851  Declaration of policy; intent.--It is the

23  policy of the state that the citizens of Florida shall be

24  assured of the availability of safe drinking water.

25  Recognizing that this policy encompasses both environmental

26  and public health aspects, it is the intent of the Legislature

27  to provide a water supply program operated jointly by the

28  department, in a lead-agency role of primary responsibility

29  for the program, and by the Department of Health and

30  Rehabilitative Services and its units, including county health

31  departments, in a supportive role with specific duties and

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  1  responsibilities of its own. Without any relinquishment of

  2  Florida's sovereign powers and responsibilities to provide for

  3  the public health, public safety, and public welfare of the

  4  people of Florida, the Legislature intends:

  5         (1)  To give effect to Pub. L. No. 93-523 promulgated

  6  under the commerce clause of the United States Constitution,

  7  to the extent that interstate commerce is directly affected.

  8         (2)  To encourage cooperation between federal, state,

  9  and local agencies, not only in their enforcement role, but

10  also in their service and assistance roles to city and county

11  elected bodies.

12         (3)  To provide for safe drinking water at all times

13  throughout the state, with due regard for economic factors and

14  efficiency in government.

15         Section 165.  Paragraph (b) of subsection (12) of

16  section 403.852, Florida Statutes, is amended to read:

17         403.852  Definitions; ss. 403.850-403.864.--As used in

18  ss. 403.850-403.864:

19         (12)  "Primary drinking water regulation" means a rule

20  which:

21         (b)  Specifies contaminants which, in the judgment of

22  the department, after consultation with the Department of

23  Health and Rehabilitative Services, may have an adverse effect

24  on the health of the public;

25         Section 166.  Section 403.855, Florida Statutes, is

26  amended to read:

27         403.855  Imminent hazards.--In coordination with the

28  Department of Health and Rehabilitative Services, the

29  department, upon receipt of information that a contaminant

30  which is present in, or is likely to enter, public or private

31  water supplies may present an imminent and substantial danger

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  1  to the public health, may take such actions as it may deem

  2  necessary in order to protect the public health. Department

  3  actions shall include, but are not limited to:

  4         (1)  Adopting emergency rules pursuant to s. 120.54(4).

  5         (2)  Issuing such corrective orders as may be necessary

  6  to protect the health of persons who are or may be users of

  7  such supplies, including travelers.  An order issued by the

  8  department under this section shall become effective upon

  9  service of such order on the alleged violator, notwithstanding

10  the provisions of s. 403.860(3).

11         (3)  Establishing a program designed to prevent

12  contamination or to minimize the danger of contamination to

13  potable water supplies.

14         (4)  Contracting for clinical tests on samples of the

15  affected population if the department determines there is a

16  real and immediate danger to the public health.

17         (5)  Commencing a civil action for appropriate relief,

18  including a restraining order or permanent or temporary

19  injunction.

20         Section 167.  Section 403.856, Florida Statutes, is

21  amended to read:

22         403.856  Plan for emergency provision of water.--The

23  department shall adopt an adequate plan, after consultation

24  with the Department of Health and Rehabilitative Services, for

25  the provision of safe drinking water under emergency

26  circumstances.  When, in the judgment of the department,

27  emergency circumstances exist in the state with respect to a

28  need for safe drinking water, it may issue such rule or order

29  as it may deem necessary in order to provide such water where

30  it would not otherwise be available.

31

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  1         Section 168.  Section 403.858, Florida Statutes, is

  2  amended to read:

  3         403.858  Inspections.--Any duly authorized

  4  representative of the department or of the Department of

  5  Health and Rehabilitative Services may enter, take water

  6  samples from, and inspect any property, premises, or place,

  7  except a building which is used exclusively for a private

  8  residence, on or at which a public water system is located or

  9  is being constructed or installed, at any reasonable time, for

10  the purpose of ascertaining the state of compliance with the

11  law or with rules or orders of the department.

12         Section 169.  Subsection (4) of section 403.859,

13  Florida Statutes, is amended to read:

14         403.859  Prohibited acts.--The following acts and the

15  causing thereof are prohibited and are violations of this act:

16         (4)  Failure by a supplier of water to allow any duly

17  authorized representative of the department or of the

18  Department of Health and Rehabilitative Services to conduct

19  inspections pursuant to s. 403.858.

20         Section 170.  Subsections (11) and (15) of section

21  403.861, Florida Statutes, 1998 Supplement, are amended to

22  read:

23         403.861  Department; powers and duties.--The department

24  shall have the power and the duty to carry out the provisions

25  and purposes of this act and, for this purpose, to:

26         (11)  Establish and maintain laboratories for

27  radiological, microbiological, and chemical analyses of water

28  samples from public water systems, if the department

29  determines that an additional laboratory capability beyond

30  that provided by the Department of Health and Rehabilitative

31  Services is necessary.

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  1         (15)  Establish and collect fees for conducting state

  2  laboratory analyses as may be necessary, to be collected and

  3  used by either the department or the Department of Health and

  4  Rehabilitative Services in conducting its public water supply

  5  laboratory functions.

  6         Section 171.  Subsections (1), (2), (3), (4), (5), and

  7  (6) of section 403.862, Florida Statutes, are amended to read:

  8         403.862  Department of Health and Rehabilitative

  9  Services; public water supply duties and responsibilities;

10  coordinated budget requests with department.--

11         (1)  Recognizing that supervision and control of county

12  health departments of the Department of Health and

13  Rehabilitative Services is retained by the secretary of that

14  agency, and that public health aspects of the state public

15  water supply program require joint participation in the

16  program by the Department of Health and Rehabilitative

17  Services and its units and the department, the Department of

18  Health and Rehabilitative Services shall:

19         (a)  Establish and maintain laboratories for the

20  conducting of radiological, microbiological, and chemical

21  analyses of water samples from public water systems, which are

22  submitted to such laboratories for analysis. Copies of the

23  reports of such analyses and quarterly summary reports shall

24  be submitted to the appropriate department district or

25  subdistrict office.

26         (b)  Require each county health department to:

27         1.  Collect such water samples for analysis as may be

28  required by the terms of this act, from public water systems

29  within its jurisdiction. The duty to collect such samples may

30  be shared with the appropriate department district or

31

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  1  subdistrict office and shall be coordinated by field personnel

  2  involved.

  3         2.  Submit the collected water samples to the

  4  appropriate laboratory for analysis.

  5         3.  Maintain reports of analyses for its own records.

  6         4.  Conduct complaint investigation of public water

  7  systems to determine compliance with federal, state, and local

  8  standards and permit compliance.

  9         5.  Notify the appropriate department district or

10  subdistrict office of potential violations of federal, state,

11  and local standards and permit conditions by public water

12  systems and assist the department in enforcement actions with

13  respect to such violations to the maximum extent practicable.

14         6.  Review and evaluate laboratory analyses of water

15  samples from private water systems.

16         (c)  Require those county health departments designated

17  by the Department of Health and Rehabilitative Services and

18  approved by the department as having qualified sanitary

19  engineering staffs and available legal resources, in addition

20  to the duties prescribed in paragraph (b), to:

21         1.  Review, evaluate, and approve or disapprove each

22  application for the construction, modification, or expansion

23  of a public water system to determine compliance with federal,

24  state, and local requirements. A copy of the completed permit

25  application and a report of the final action taken by the

26  county health department shall be forwarded to the appropriate

27  department district office.

28         2.  Review, evaluate, and approve or disapprove

29  applications for the expansion of distribution systems.

30  Written notification of action taken on such applications

31

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  1  shall be forwarded to the appropriate department district or

  2  subdistrict office.

  3         3.  Maintain inventory, operational, and

  4  bacteriological records and carry out monitoring,

  5  surveillance, and sanitary surveys of public water systems to

  6  ensure compliance with federal, state, and local regulations.

  7         4.  Participate in educational and training programs

  8  relating to drinking water and public water systems.

  9         5.  Enforce the provisions of this part and rules

10  adopted under this part.

11         (d)  Require those county health departments designated

12  by the Department of Health and Rehabilitative Services as

13  having the capability of performing bacteriological analyses,

14  in addition to the duties prescribed in paragraph (b), to:

15         1.  Perform bacteriological analyses of water samples

16  submitted for analysis.

17         2.  Submit copies of the reports of such analyses to

18  the appropriate department district or subdistrict office.

19         (e)  Make available to the central and branch

20  laboratories funds sufficient, to the maximum extent possible,

21  to carry out the public water supply functions and

22  responsibilities required of such laboratories as provided in

23  this section.

24         (f)  Have general supervision and control over all

25  private water systems and all public water systems not

26  otherwise covered or included in this part. This shall include

27  the authority to adopt and enforce rules to protect the

28  health, safety, or welfare of persons being served by all

29  private water systems and all public water systems not

30  otherwise covered by this part.

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  1         (g)  Assist state and local agencies in the

  2  determination and investigation of suspected waterborne

  3  disease outbreaks, including diseases associated with chemical

  4  contaminants.

  5         (h)  Upon request, consult with and advise any county

  6  or municipal authority as to water supply activities.

  7         (2)  Funds appropriated to support activities of county

  8  health departments of the Department of Health and

  9  Rehabilitative Services pursuant to this act shall be

10  deposited to the County Health Department Trust Fund and used

11  exclusively for the purposes of this act.

12         (3)  The Department of Health and Rehabilitative

13  Services and the department shall coordinate their respective

14  budget requests to ensure that sufficient funding is provided

15  to the Department of Health and Rehabilitative Services in

16  order that it may carry out its public water supply functions

17  and responsibilities as provided in this section. In the event

18  the Department of Health and Rehabilitative Services lacks

19  sufficient funds in any fiscal year to the extent that it is

20  unable adequately to carry out its public water supply duties,

21  an interagency agreement may be entered into between the two

22  departments in order to remedy administratively, either

23  through the transfer of funds or of services, the lack of

24  sufficient public water supply funds within the Department of

25  Health and Rehabilitative Services.

26         (4)  If the department determines that a county health

27  department or other unit of the Department of Health and

28  Rehabilitative Services is not performing its public water

29  supply responsibilities satisfactorily, the secretary of the

30  department shall certify such determination in writing to the

31  Secretary of Health  and Rehabilitative Services. The

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  1  Secretary of Health and Rehabilitative Services shall evaluate

  2  the determination of the department and shall inform the

  3  secretary of the department of his or her evaluation. Upon

  4  concurrence, the Secretary of Health and Rehabilitative

  5  Services shall take immediate corrective action.

  6         (5)  Nothing in this section shall serve to negate the

  7  powers, duties, and responsibilities of the Secretary of

  8  Health and Rehabilitative Services relating to the protection

  9  of the public from the spread of communicable disease,

10  epidemics, and plagues.

11         (6)  No county health department may be designated and

12  approved unless it can carry out all functions of the drinking

13  water program. Each year, the department, in conjunction with

14  the Department of Health and Rehabilitative Services, shall

15  review approved county health departments to determine

16  continued qualification for approved status. To receive and

17  maintain approved status, a county health department shall

18  meet the following criteria and other reasonable and necessary

19  requirements established by the department for its district

20  offices:

21         (a)  The staff shall be under the direction of a

22  qualified individual who is a registered professional engineer

23  in Florida pursuant to chapter 471.

24         (b)  The county health department shall have sufficient

25  legal resources to carry out the requirements of this part.

26         Section 172.  Section 403.8635, Florida Statutes, is

27  amended to read:

28         403.8635  State drinking water sample laboratory

29  certification program.--

30         (1)  In addition to certifying laboratories pursuant to

31  s. 403.863, the Department of Health and Rehabilitative

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  1  Services is authorized to establish a periodic certification

  2  and approval program for laboratories that perform analyses of

  3  drinking water samples, which program will assure the

  4  acceptable quality, reliability, and validity of all testing

  5  results.

  6         (2)  The Department of Health and Rehabilitative

  7  Services has the responsibility for the operation and

  8  implementation of laboratory certification pursuant to this

  9  section, except that, upon completion of the evaluation and

10  review of an application for laboratory certification, the

11  evaluation shall be forwarded, along with recommendations, to

12  the department for review and comment prior to final approval

13  or disapproval.

14         (3)  The Department of Health and Rehabilitative

15  Services is authorized to charge and collect fees for the

16  evaluation and certification of laboratories pursuant to this

17  part. The fee schedule shall be based on the number of

18  analytical functions for which certification is sought. Such

19  fees shall be sufficient to meet the costs incurred by the

20  Department of Health and Rehabilitative Services in the

21  administration and operation of this program. All fees shall

22  be deposited in a trust fund administered by the Department of

23  Health and Rehabilitative Services to be used for the sole

24  purpose of this section.

25         Section 173.  Section 403.864, Florida Statutes, is

26  amended to read:

27         403.864  Public water supply accounting program.--

28         (1)  It is the intent of the Legislature to require a

29  yearly accounting of funds, overhead, personnel, and property

30  used by the department and the Department of Health and

31  Rehabilitative Services and its units, including each of the

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  1  county health departments, in conducting their respective

  2  responsibilities for the state public water supply program.

  3  Such accounting shall be presented to the Governor, the

  4  President of the Senate, and the Speaker of the House of

  5  Representatives by the department and the Department of Health

  6  and Rehabilitative Services no later than February 1 of each

  7  year.

  8         (2)  In furtherance of this intent, the Department of

  9  Health and Rehabilitative Services, the department, and the

10  Auditor General shall jointly develop an accounting program

11  for use by the department and the Department of Health and

12  Rehabilitative Services and its units, including the county

13  health departments, to determine the funds, overhead,

14  personnel, and property used by each of the departments in

15  conducting its respective public water supply functions and

16  responsibilities for each fiscal year.  The accounting program

17  shall provide information sufficient to satisfy state auditing

18  and federal grant and aid reporting requirements and shall

19  include provisions requiring the Department of Health and

20  Rehabilitative Services to:

21         (a)  Segregate, from an accounting standpoint, funds

22  distributed to county health departments for public water

23  supply functions from other county health department trust

24  funds.

25         (b)  Segregate, from an accounting standpoint, funds

26  distributed to the central and branch laboratories of the

27  Department of Health and Rehabilitative Services for public

28  water supply functions from other laboratory funds.

29         (c)  Require each county health department, the central

30  and each branch laboratory of the Department of Health and

31  Rehabilitative Services, and any other entity of the

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  1  Department of Health and Rehabilitative Services involved in

  2  and carrying out public water supply functions to account to

  3  the Department of Health and Rehabilitative Services on a

  4  semiannual basis for the funds received, from whatever source,

  5  and used for public water supply functions.

  6         (d)  Require each county health department, the central

  7  and each branch laboratory of the Department of Health and

  8  Rehabilitative Services, and any other entity of the

  9  Department of Health and Rehabilitative Services involved in

10  carrying out public water supply functions either wholly or

11  partially with funds, either federal or state, received from

12  the department through an interagency agreement or other means

13  to account to the department on a semiannual basis for such

14  funds received and used for public water supply functions.

15         Section 174.  Paragraph (c) of subsection (1) of

16  section 406.02, Florida Statutes, is amended to read:

17         406.02  Medical Examiners Commission; membership;

18  terms; duties; staff.--

19         (1)  There is created the Medical Examiners Commission

20  within the Department of Law Enforcement.  The commission

21  shall consist of nine persons appointed or selected as

22  follows:

23         (c)  One member shall be the Secretary of Health Deputy

24  Assistant Secretary for Health of the Department of Health and

25  Rehabilitative Services or her or his designated

26  representative.

27         Section 175.  Paragraph (b) of subsection (2) of

28  section 408.033, Florida Statutes, is amended to read:

29         408.033  Local and state health planning.--

30         (2)  FUNDING.--

31

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  1         (b)1.  A hospital licensed under chapter 395, a nursing

  2  home licensed under chapter 400, and an assisted living

  3  facility licensed under chapter 400 shall be assessed an

  4  annual fee based on number of beds.

  5         2.  All other facilities and organizations listed in

  6  paragraph (a) shall each be assessed an annual fee of $150.

  7         3.  Facilities operated by the Department of Children

  8  and Family Health and Rehabilitative Services, the Department

  9  of Health, or the Department of Corrections and any hospital

10  which meets the definition of rural hospital pursuant to s.

11  395.602 are exempt from the assessment required in this

12  subsection.

13         Section 176.  Paragraphs (c), (d), and (g) of

14  subsection (3) of section 408.05, Florida Statutes, 1998

15  Supplement, are amended to read:

16         408.05  State Center for Health Statistics.--

17         (3)  COMPREHENSIVE HEALTH INFORMATION SYSTEM.--In order

18  to produce comparable and uniform health information and

19  statistics, the agency shall perform the following functions:

20         (c)  Review the statistical activities of the

21  Department of Health and Rehabilitative Services to assure

22  that they are consistent with the comprehensive health

23  information system.

24         (d)  Develop written agreements with local, state, and

25  federal agencies for the sharing of health-care-related data

26  or using the facilities and services of such agencies.  State

27  agencies, local health councils, and other agencies under

28  contract with the Department of Health and Rehabilitative

29  Services shall assist the center in obtaining, compiling, and

30  transferring health-care-related data maintained by state and

31  local agencies. Written agreements must specify the types,

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  1  methods, and periodicity of data exchanges and specify the

  2  types of data that will be transferred to the center.

  3         (g)  Establish minimum health-care-related data sets

  4  which are necessary on a continuing basis to fulfill the

  5  collection requirements of the center and which shall be used

  6  by state agencies in collecting and compiling

  7  health-care-related data.  The agency shall periodically

  8  review ongoing health care data collections of the Department

  9  of Health and Rehabilitative Services and other state agencies

10  to determine if the collections are being conducted in

11  accordance with the established minimum sets of data.

12         Section 177.  Paragraph (a) of subsection (4) of

13  section 408.061, Florida Statutes, 1998 Supplement, is amended

14  to read:

15         408.061  Data collection; uniform systems of financial

16  reporting; information relating to physician charges;

17  confidentiality of patient records; immunity.--

18         (4)(a)  Within 120 days after the end of its fiscal

19  year, each health care facility shall file with the agency, on

20  forms adopted by the agency and based on the uniform system of

21  financial reporting, its actual financial experience for that

22  fiscal year, including expenditures, revenues, and statistical

23  measures.  Such data may be based on internal financial

24  reports which are certified to be complete and accurate by the

25  provider.  However, hospitals' actual financial experience

26  shall be their audited actual experience. Nursing homes that

27  do not participate in the Medicare or Medicaid programs shall

28  also submit audited actual experience. Every nursing home

29  shall submit to the agency, in a format designated by the

30  agency, a statistical profile of the nursing home residents.

31  The agency, in conjunction with the Department of Elderly

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  1  Affairs and the Department of Health and Rehabilitative

  2  Services, shall review these statistical profiles and develop

  3  recommendations for the types of residents who might more

  4  appropriately be placed in their homes or other

  5  noninstitutional settings. The agency shall include its

  6  findings in the final Florida Health Plan which must be

  7  submitted to the Legislature by December 31, 1993.  Included

  8  in the findings shall be outcome data and cost differential

  9  data as part of patient profiles.

10         Section 178.  Subsection (4) of section 408.20, Florida

11  Statutes, 1998 Supplement, is amended to read:

12         408.20  Assessments; Health Care Trust Fund.--

13         (4)  Hospitals operated by the Department of Children

14  and Family Health and Rehabilitative Services, the Department

15  of Health, or the Department of Corrections are exempt from

16  the assessments required under this section.

17         Section 179.  Section 408.301, Florida Statutes, is

18  amended to read:

19         408.301  Legislative findings.--The Legislature has

20  found that access to quality, affordable, health care for all

21  Floridians is an important goal for the state.  The

22  Legislature has charged the Agency for Health Care

23  Administration with the responsibility of developing the

24  Florida Health Plan for assuring access to health care for all

25  Floridians. At the same time, the Legislature recognizes that

26  there are Floridians with special health care and social needs

27  which require particular attention. The people served by the

28  Department of Children and Family Health and Rehabilitative

29  Services and the Department of Health are examples of citizens

30  with special needs.  The Legislature further recognizes that

31  the Medicaid program is an intricate part of the service

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  1  delivery system for the special needs citizens served by or

  2  through the Department of Children and Family Health and

  3  Rehabilitative Services and the Department of Health.  The

  4  Agency for Health Care Administration is not a service

  5  provider and does not develop or direct programs for the

  6  special needs citizens served by or through the Department of

  7  Children and Family Health and Rehabilitative Services and the

  8  Department of Health. Therefore, it is the intent of the

  9  Legislature that the Agency for Health Care Administration

10  work closely with the Department of Children and Family Health

11  and Rehabilitative Services and the Department of Health in

12  developing plans for assuring access to all Floridians in

13  order to assure that the needs of special citizens are met.

14         Section 180.  Section 408.302, Florida Statutes, is

15  amended to read:

16         408.302  Interagency agreement.--

17         (1)  The Agency for Health Care Administration shall

18  enter into an interagency agreement with the Department of

19  Children and Family Health and Rehabilitative Services and the

20  Department of Health to assure coordination and cooperation in

21  serving special needs citizens. The agreement shall include

22  the requirement that the secretary of the Department of

23  Children and Family Health and Rehabilitative Services and the

24  secretary of the Department of Health approve, prior to

25  adoption, any rule developed by the Agency for Health Care

26  Administration where such rule has a direct impact on the

27  mission of the Department of Children and Family Health and

28  Rehabilitative Services and the Department of Health, their

29  programs, its program, or their budgets its budget.

30         (2)  For rules which indirectly impact on the mission

31  of the Department of Children and Family Health and

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  1  Rehabilitative Services and the Department of Health, their,

  2  its programs, or their budgets its budget, the concurrence of

  3  the secretary of the Department of Children and Family Health

  4  and Rehabilitative Services and the secretary of the

  5  Department of Health on the rule is required.

  6         (3)  For all other rules developed by the Agency for

  7  Health Care Administration, coordination with the Department

  8  of Children and Family Health and Rehabilitative Services and

  9  the Department of Health is encouraged.

10         (4)  The interagency agreement shall also include any

11  other provisions necessary to ensure a continued cooperative

12  working relationship between the Agency for Health Care

13  Administration and the Department of Children and Family

14  Health and Rehabilitative Services and the Department of

15  Health as each strives to meet the needs of the citizens of

16  Florida.

17         Section 181.  Paragraph (c) of subsection (4) of

18  section 409.166, Florida Statutes, is amended to read:

19         409.166  Special needs children; subsidized adoption

20  program.--

21         (4)  ELIGIBILITY FOR SERVICES.--

22         (c)  A child who is handicapped at the time of adoption

23  shall be eligible for services of the Division of Children's

24  Medical Services program if the child was eligible for such

25  services prior to the adoption.

26         Section 182.  Paragraph (a) of subsection (1) of

27  section 409.352, Florida Statutes, is amended to read:

28         409.352  Licensing requirements for physicians,

29  osteopathic physicians, and chiropractic physicians employed

30  by the department.--

31

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  1         (1)  It is the intent of the Legislature that

  2  physicians providing services in state institutions meet the

  3  professional standards of their respective licensing boards

  4  and that such institutions make every reasonable effort to

  5  assure that all physicians employed are licensed, or will

  6  become licensed, in this state.  When state-licensed

  7  physicians cannot be obtained in sufficient numbers to provide

  8  quality services, the licensing requirements in chapters 458,

  9  459, and 460 to the contrary notwithstanding, persons employed

10  as physicians, osteopathic physicians, or chiropractic

11  physicians in a state institution, except those under the

12  control of the Department of Corrections on June 28, 1977, may

13  be exempted from licensure in accordance with the following

14  provisions:

15         (a)  No more than 10 percent of such persons shall be

16  exempted from licensure during their continued employment in a

17  state institution.  Those persons who shall be so exempted

18  shall be selected by the secretary of the Department of Health

19  and Rehabilitative Services.  In making the selection, the

20  secretary shall submit his or her recommendations to the

21  appropriate licensing board for a determination by the board,

22  without written examination, of whether or not the person

23  recommended meets the professional standards required of such

24  person in the performance of his or her duties or functions.

25  The criteria to be used by the respective board in making its

26  determination shall include, but not be limited to, the

27  person's professional educational background, formal specialty

28  training, and professional experience within the 10 years

29  immediately preceding employment by the state institution.

30         Section 183.  Subsections (15) and (18) of section

31  409.901, Florida Statutes, are amended to read:

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  1         409.901  Definitions.--As used in ss. 409.901-409.920,

  2  except as otherwise specifically provided, the term:

  3         (15)  "Medicaid program" means the program authorized

  4  under Title XIX of the federal Social Security Act which

  5  provides for payments for medical items or services, or both,

  6  on behalf of any person who is determined by the Department of

  7  Children and Family Health and Rehabilitative Services to be

  8  eligible on the date of service for Medicaid assistance.

  9         (18)  "Medicaid recipient" or "recipient" means an

10  individual whom the Department of Children and Family Health

11  and Rehabilitative Services determines is eligible, pursuant

12  to federal and state law, to receive medical assistance and

13  related services for which the agency may make payments under

14  the Medicaid program. For the purposes of determining

15  third-party liability, the term includes an individual

16  formerly determined to be eligible for Medicaid, an individual

17  who has received medical assistance under the Medicaid

18  program, or an individual on whose behalf Medicaid has become

19  obligated.

20         Section 184.  Subsections (4), (5), (6), (7), (8),

21  (10), (11), (12), (13), (14), (16), (17), (18), (19), (20),

22  and (21) of section 409.910, Florida Statutes, 1998

23  Supplement, are amended to read:

24         409.910  Responsibility for payments on behalf of

25  Medicaid-eligible persons when other parties are liable.--

26         (4)  After the agency department has provided medical

27  assistance under the Medicaid program, it shall seek recovery

28  of reimbursement from third-party benefits to the limit of

29  legal liability and for the full amount of third-party

30  benefits, but not in excess of the amount of medical

31  assistance paid by Medicaid, as to:

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  1         (a)  Claims for which the agency department has a

  2  waiver pursuant to federal law; or

  3         (b)  Situations in which the agency department learns

  4  of the existence of a liable third party or in which

  5  third-party benefits are discovered or become available after

  6  medical assistance has been provided by Medicaid.

  7         (5)  An applicant, recipient, or legal representative

  8  shall inform the agency department of any rights the applicant

  9  or recipient has to third-party benefits and shall inform the

10  agency department of the name and address of any person that

11  is or may be liable to provide third-party benefits. When the

12  agency department provides, pays for, or becomes liable for

13  medical services provided by a hospital, the recipient

14  receiving such medical services or his or her legal

15  representative shall also provide the information as to

16  third-party benefits, as defined in this section, to the

17  hospital, which shall provide notice thereof to the agency

18  department in a manner specified by the agency department.

19         (6)  When the agency department provides, pays for, or

20  becomes liable for medical care under the Medicaid program, it

21  has the following rights, as to which the agency department

22  may assert independent principles of law, which shall

23  nevertheless be construed together to provide the greatest

24  recovery from third-party benefits:

25         (a)  The agency department is automatically subrogated

26  to any rights that an applicant, recipient, or legal

27  representative has to any third-party benefit for the full

28  amount of medical assistance provided by Medicaid. Recovery

29  pursuant to the subrogation rights created hereby shall not be

30  reduced, prorated, or applied to only a portion of a judgment,

31  award, or settlement, but is to provide full recovery by the

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  1  agency department from any and all third-party benefits.

  2  Equities of a recipient, his or her legal representative, a

  3  recipient's creditors, or health care providers shall not

  4  defeat, reduce, or prorate recovery by the agency department

  5  as to its subrogation rights granted under this paragraph.

  6         (b)  By applying for or accepting medical assistance,

  7  an applicant, recipient, or legal representative automatically

  8  assigns to the agency department any right, title, and

  9  interest such person has to any third-party benefit, excluding

10  any Medicare benefit to the extent required to be excluded by

11  federal law.

12         1.  The assignment granted under this paragraph is

13  absolute, and vests legal and equitable title to any such

14  right in the agency department, but not in excess of the

15  amount of medical assistance provided by the agency

16  department.

17         2.  The agency department is a bona fide assignee for

18  value in the assigned right, title, or interest, and takes

19  vested legal and equitable title free and clear of latent

20  equities in a third person. Equities of a recipient, the

21  recipient's legal representative, his or her creditors, or

22  health care providers shall not defeat or reduce recovery by

23  the agency department as to the assignment granted under this

24  paragraph.

25         3.  By accepting medical assistance, the recipient

26  grants to the agency department the limited power of attorney

27  to act in his or her name, place, and stead to perform

28  specific acts with regard to third-party benefits, the

29  recipient's assent being deemed to have been given, including:

30         a.  Endorsing any draft, check, money order, or other

31  negotiable instrument representing third-party benefits that

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  1  are received on behalf of the recipient as a third-party

  2  benefit.

  3         b.  Compromising claims to the extent of the rights

  4  assigned, provided that the recipient is not otherwise

  5  represented by an attorney as to the claim.

  6         (c)  The agency department is entitled to, and has, an

  7  automatic lien for the full amount of medical assistance

  8  provided by Medicaid to or on behalf of the recipient for

  9  medical care furnished as a result of any covered injury or

10  illness for which a third party is or may be liable, upon the

11  collateral, as defined in s. 409.901.

12         1.  The lien attaches automatically when a recipient

13  first receives treatment for which the agency department may

14  be obligated to provide medical assistance under the Medicaid

15  program. The lien is perfected automatically at the time of

16  attachment.

17         2.  The agency department is authorized to file a

18  verified claim of lien. The claim of lien shall be signed by

19  an authorized employee of the agency department, and shall be

20  verified as to the employee's knowledge and belief. The claim

21  of lien may be filed and recorded with the clerk of the

22  circuit court in the recipient's last known county of

23  residence or in any county deemed appropriate by the agency

24  department. The claim of lien, to the extent known by the

25  agency department, shall contain:

26         a.  The name and last known address of the person to

27  whom medical care was furnished.

28         b.  The date of injury.

29         c.  The period for which medical assistance was

30  provided.

31

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  1         d.  The amount of medical assistance provided or paid,

  2  or for which Medicaid is otherwise liable.

  3         e.  The names and addresses of all persons claimed by

  4  the recipient to be liable for the covered injuries or

  5  illness.

  6         3.  The filing of the claim of lien pursuant to this

  7  section shall be notice thereof to all persons.

  8         4.  If the claim of lien is filed within 1 year after

  9  the later of the date when the last item of medical care

10  relative to a specific covered injury or illness was paid, or

11  the date of discovery by the agency department of the

12  liability of any third party, or the date of discovery of a

13  cause of action against a third party brought by a recipient

14  or his or her legal representative, record notice shall relate

15  back to the time of attachment of the lien.

16         5.  If the claim of lien is filed after 1 year after

17  the later of the events specified in subparagraph 4., notice

18  shall be effective as of the date of filing.

19         6.  Only one claim of lien need be filed to provide

20  notice as set forth in this paragraph and shall provide

21  sufficient notice as to any additional or after-paid amount of

22  medical assistance provided by Medicaid for any specific

23  covered injury or illness. The agency department may, in its

24  discretion, file additional, amended, or substitute claims of

25  lien at any time after the initial filing, until the agency

26  department has been repaid the full amount of medical

27  assistance provided by Medicaid or otherwise has released the

28  liable parties and recipient.

29         7.  No release or satisfaction of any cause of action,

30  suit, claim, counterclaim, demand, judgment, settlement, or

31  settlement agreement shall be valid or effectual as against a

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  1  lien created under this paragraph, unless the agency

  2  department joins in the release or satisfaction or executes a

  3  release of the lien. An acceptance of a release or

  4  satisfaction of any cause of action, suit, claim,

  5  counterclaim, demand, or judgment and any settlement of any of

  6  the foregoing in the absence of a release or satisfaction of a

  7  lien created under this paragraph shall prima facie constitute

  8  an impairment of the lien, and the agency department is

  9  entitled to recover damages on account of such impairment. In

10  an action on account of impairment of a lien, the agency

11  department may recover from the person accepting the release

12  or satisfaction or making the settlement the full amount of

13  medical assistance provided by Medicaid. Nothing in this

14  section shall be construed as creating a lien or other

15  obligation on the part of an insurer which in good faith has

16  paid a claim pursuant to its contract without knowledge or

17  actual notice that the agency department has provided medical

18  assistance for the recipient related to a particular covered

19  injury or illness. However, notice or knowledge that an

20  insured is, or has been a Medicaid recipient within 1 year

21  from the date of service for which a claim is being paid

22  creates a duty to inquire on the part of the insurer as to any

23  injury or illness for which the insurer intends or is

24  otherwise required to pay benefits.

25         8.  The lack of a properly filed claim of lien shall

26  not affect the agency's department's assignment or subrogation

27  rights provided in this subsection, nor shall it affect the

28  existence of the lien, but only the effective date of notice

29  as provided in subparagraph 5.

30         9.  The lien created by this paragraph is a first lien

31  and superior to the liens and charges of any provider, and

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  1  shall exist for a period of 7 years, if recorded, after the

  2  date of recording; and shall exist for a period of 7 years

  3  after the date of attachment, if not recorded. If recorded,

  4  the lien may be extended for one additional period of 7 years

  5  by rerecording the claim of lien within the 90-day period

  6  preceding the expiration of the lien.

  7         10.  The clerk of the circuit court for each county in

  8  the state shall endorse on a claim of lien filed under this

  9  paragraph the date and hour of filing and shall record the

10  claim of lien in the official records of the county as for

11  other records received for filing. The clerk shall receive as

12  his or her fee for filing and recording any claim of lien or

13  release of lien under this paragraph the total sum of $2. Any

14  fee required to be paid by the agency department shall not be

15  required to be paid in advance of filing and recording, but

16  may be billed to the agency department after filing and

17  recording of the claim of lien or release of lien.

18         11.  After satisfaction of any lien recorded under this

19  paragraph, the agency department shall, within 60 days after

20  satisfaction, either file with the appropriate clerk of the

21  circuit court or mail to any appropriate party, or counsel

22  representing such party, if represented, a satisfaction of

23  lien in a form acceptable for filing in Florida.

24         (7)  The agency department shall recover the full

25  amount of all medical assistance provided by Medicaid on

26  behalf of the recipient to the full extent of third-party

27  benefits.

28         (a)  Recovery of such benefits shall be collected

29  directly from:

30         1.  Any third party;

31

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  1         2.  The recipient or legal representative, if he or she

  2  has received third-party benefits;

  3         3.  The provider of a recipient's medical services if

  4  third-party benefits have been recovered by the provider;

  5  notwithstanding any provision of this section, to the

  6  contrary, however, no provider shall be required to refund or

  7  pay to the agency department any amount in excess of the

  8  actual third-party benefits received by the provider from a

  9  third-party payor for medical services provided to the

10  recipient; or

11         4.  Any person who has received the third-party

12  benefits.

13         (b)  Upon receipt of any recovery or other collection

14  pursuant to this section, the agency department shall

15  distribute the amount collected as follows:

16         1.  To itself, an amount equal to the state Medicaid

17  expenditures for the recipient plus any incentive payment made

18  in accordance with paragraph (14)(a).

19         2.  To the Federal Government, the federal share of the

20  state Medicaid expenditures minus any incentive payment made

21  in accordance with paragraph (14)(a) and federal law, and

22  minus any other amount permitted by federal law to be

23  deducted.

24         3.  To the recipient, after deducting any known amounts

25  owed to the agency department for any related medical

26  assistance or to health care providers, any remaining amount.

27  This amount shall be treated as income or resources in

28  determining eligibility for Medicaid.

29         (8)  The agency department shall require an applicant

30  or recipient, or the legal representative thereof, to

31  cooperate in the recovery by the agency department of

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  1  third-party benefits of a recipient and in establishing

  2  paternity and support of a recipient child born out of

  3  wedlock. As a minimal standard of cooperation, the recipient

  4  or person able to legally assign a recipient's rights shall:

  5         (a)  Appear at an office designated by the agency

  6  department to provide relevant information or evidence.

  7         (b)  Appear as a witness at a court or other

  8  proceeding.

  9         (c)  Provide information, or attest to lack of

10  information, under penalty of perjury.

11         (d)  Pay to the agency department any third-party

12  benefit received.

13         (e)  Take any additional steps to assist in

14  establishing paternity or securing third-party benefits, or

15  both.

16         (f)  Paragraphs (a)-(e) notwithstanding, the agency

17  department shall have the discretion to waive, in writing, the

18  requirement of cooperation for good cause shown and as

19  required by federal law.

20         (10)  An applicant or recipient shall be deemed to have

21  provided to the agency department the authority to obtain and

22  release medical information and other records with respect to

23  such medical care, for the sole purpose of obtaining

24  reimbursement for medical assistance provided by Medicaid.

25         (11)  The agency department may, as a matter of right,

26  in order to enforce its rights under this section, institute,

27  intervene in, or join any legal or administrative proceeding

28  in its own name in one or more of the following capacities:

29  individually, as subrogee of the recipient, as assignee of the

30  recipient, or as lienholder of the collateral.

31

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  1         (a)  If either the recipient, or his or her legal

  2  representative, or the agency department brings an action

  3  against a third party, the recipient, or the recipient's legal

  4  representative, or the agency department, or their attorneys,

  5  shall, within 30 days after filing the action, provide to the

  6  other written notice, by personal delivery or registered mail,

  7  of the action, the name of the court in which the case is

  8  brought, the case number of such action, and a copy of the

  9  pleadings. If an action is brought by either the agency

10  department, or the recipient or the recipient's legal

11  representative, the other may, at any time before trial on the

12  merits, become a party to, or shall consolidate his or her

13  action with the other if brought independently. Unless waived

14  by the other, the recipient, or his or her legal

15  representative, or the agency department shall provide notice

16  to the other of the intent to dismiss at least 21 days prior

17  to voluntary dismissal of an action against a third party.

18  Notice to the agency department shall be sent to an address

19  set forth by rule. Notice to the recipient or his or her legal

20  representative, if represented by an attorney, shall be sent

21  to the attorney, and, if not represented, then to the last

22  known address of the recipient or his or her legal

23  representative.

24         (b)  An action by the agency department to recover

25  damages in tort under this subsection, which action is

26  derivative of the rights of the recipient or his or her legal

27  representative, shall not constitute a waiver of sovereign

28  immunity pursuant to s. 768.14.

29         (c)  In the event of judgment, award, or settlement in

30  a claim or action against a third party, the court shall order

31  the segregation of an amount sufficient to repay the agency's

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  1  department's expenditures for medical assistance, plus any

  2  other amounts permitted under this section, and shall order

  3  such amounts paid directly to the agency department.

  4         (d)  No judgment, award, or settlement in any action by

  5  a recipient or his or her legal representative to recover

  6  damages for injuries or other third-party benefits, when the

  7  agency department has an interest, shall be satisfied without

  8  first giving the agency department notice and a reasonable

  9  opportunity to file and satisfy its lien, and satisfy its

10  assignment and subrogation rights or proceed with any action

11  as permitted in this section.

12         (e)  Except as otherwise provided in this section,

13  notwithstanding any other provision of law, the entire amount

14  of any settlement of the recipient's action or claim involving

15  third-party benefits, with or without suit, is subject to the

16  agency's department's claims for reimbursement of the amount

17  of medical assistance provided and any lien pursuant thereto.

18         (f)  Notwithstanding any provision in this section to

19  the contrary, in the event of an action in tort against a

20  third party in which the recipient or his or her legal

21  representative is a party which results in a judgment, award,

22  or settlement from a third party, the amount recovered shall

23  be distributed as follows:

24         1.  After attorney's fees and taxable costs as defined

25  by the Florida Rules of Civil Procedure, one-half of the

26  remaining recovery shall be paid to the agency department up

27  to the total amount of medical assistance provided by

28  Medicaid.

29         2.  The remaining amount of the recovery shall be paid

30  to the recipient.

31

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  1         3.  For purposes of calculating the agency's

  2  department's recovery of medical assistance benefits paid, the

  3  fee for services of an attorney retained by the recipient or

  4  his or her legal representative shall be calculated at 25

  5  percent of the judgment, award, or settlement.

  6         4.  Notwithstanding any provision of this section to

  7  the contrary, the agency department shall be entitled to all

  8  medical coverage benefits up to the total amount of medical

  9  assistance provided by Medicaid. For purposes of this

10  paragraph, "medical coverage" means any benefits under health

11  insurance, a health maintenance organization, a preferred

12  provider arrangement, or a prepaid health clinic, and the

13  portion of benefits designated for medical payments under

14  coverage for workers' compensation, personal injury

15  protection, and casualty.

16         (g)  In the event that the recipient, his or her legal

17  representative, or the recipient's estate brings an action

18  against a third party, notice of institution of legal

19  proceedings, notice of settlement, and all other notices

20  required by this section or by rule shall be given to the

21  agency department, in Tallahassee, in a manner set forth by

22  rule. All such notices shall be given by the attorney retained

23  to assert the recipient's or legal representative's claim, or,

24  if no attorney is retained, by the recipient, the recipient's

25  legal representative, or his or her estate.

26         (h)  Except as otherwise provided in this section,

27  actions to enforce the rights of the agency department under

28  this section shall be commenced within 5 years after the date

29  a cause of action accrues, with the period running from the

30  later of the date of discovery by the agency department of a

31  case filed by a recipient or his or her legal representative,

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  1  or of discovery of any judgment, award, or settlement

  2  contemplated in this section, or of discovery of facts giving

  3  rise to a cause of action under this section. Nothing in this

  4  paragraph affects or prevents a proceeding to enforce a lien

  5  during the existence of the lien as set forth in subparagraph

  6  (6)(c)9.

  7         (i)  Upon the death of a recipient, and within the time

  8  prescribed by ss. 733.702 and 733.710, the agency department,

  9  in addition to any other available remedy, may file a claim

10  against the estate of the recipient for the total amount of

11  medical assistance provided by Medicaid for the benefit of the

12  recipient. Claims so filed shall take priority as class 3

13  claims as provided by s. 733.707(1)(c). The filing of a claim

14  pursuant to this paragraph shall neither reduce nor diminish

15  the general claims of the agency department under s. 414.28,

16  except that the agency department may not receive double

17  recovery for the same expenditure. Claims under this paragraph

18  shall be superior to those under s. 414.28. The death of the

19  recipient shall neither extinguish nor diminish any right of

20  the agency department to recover third-party benefits from a

21  third party or provider. Nothing in this paragraph affects or

22  prevents a proceeding to enforce a lien created pursuant to

23  this section or a proceeding to set aside a fraudulent

24  conveyance as defined in subsection (16).

25         (12)  No action taken by the agency department shall

26  operate to deny the recipient's recovery of that portion of

27  benefits not assigned or subrogated to the agency department,

28  or not secured by the agency's department's lien. The agency's

29  department's rights of recovery created by this section,

30  however, shall not be limited to some portion of recovery from

31  a judgment, award, or settlement. Only the following benefits

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  1  are not subject to the rights of the agency department:

  2  benefits not related in any way to a covered injury or

  3  illness; proceeds of life insurance coverage on the recipient;

  4  proceeds of insurance coverage, such as coverage for property

  5  damage, which by its terms and provisions cannot be construed

  6  to cover personal injury, death, or a covered injury or

  7  illness; proceeds of disability coverage for lost income; and

  8  recovery in excess of the amount of medical benefits provided

  9  by Medicaid after repayment in full to the agency department.

10         (13)  No action of the recipient shall prejudice the

11  rights of the agency department under this section. No

12  settlement, agreement, consent decree, trust agreement,

13  annuity contract, pledge, security arrangement, or any other

14  device, hereafter collectively referred to in this subsection

15  as a "settlement agreement," entered into or consented to by

16  the recipient or his or her legal representative shall impair

17  the agency's department's rights. However, in a structured

18  settlement, no settlement agreement by the parties shall be

19  effective or binding against the agency department for

20  benefits accrued without the express written consent of the

21  agency department or an appropriate order of a court having

22  personal jurisdiction over the agency department.

23         (14)  The agency department is authorized to enter into

24  agreements to enforce or collect medical support and other

25  third-party benefits.

26         (a)  If a cooperative agreement is entered into with

27  any agency, program, or subdivision of the state, or any

28  agency, program, or legal entity of or operated by a

29  subdivision of the state, or with any other state, the agency

30  department is authorized to make an incentive payment of up to

31  15 percent of the amount actually collected and reimbursed to

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  1  the agency department, to the extent of medical assistance

  2  paid by Medicaid. Such incentive payment is to be deducted

  3  from the federal share of that amount, to the extent

  4  authorized by federal law. The agency department may pay such

  5  person an additional percentage of the amount actually

  6  collected and reimbursed to the agency department as a result

  7  of the efforts of the person, but no more than a maximum

  8  percentage established by the agency department. In no case

  9  shall the percentage exceed the lesser of a percentage

10  determined to be commercially reasonable or 15 percent, in

11  addition to the 15-percent incentive payment, of the amount

12  actually collected and reimbursed to the agency department as

13  a result of the efforts of the person under contract.

14         (b)  If an agreement to enforce or collect third-party

15  benefits is entered into by the agency department with any

16  person other than those described in paragraph (a), including

17  any attorney retained by the agency department who is not an

18  employee or agent of any person named in paragraph (a), then

19  the agency department may pay such person a percentage of the

20  amount actually collected and reimbursed to the agency

21  department as a result of the efforts of the person, to the

22  extent of medical assistance paid by Medicaid. In no case

23  shall the percentage exceed a maximum established by the

24  agency department, which shall not exceed the lesser of a

25  percentage determined to be commercially reasonable or 30

26  percent of the amount actually collected and reimbursed to the

27  agency department as a result of the efforts of the person

28  under contract.

29         (c)  An agreement pursuant to this subsection may

30  permit reasonable litigation costs or expenses to be paid from

31

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  1  the agency's department's recovery to a person under contract

  2  with the agency department.

  3         (d)  Contingency fees and costs incurred in recovery

  4  pursuant to an agreement under this subsection may, for

  5  purposes of determining state and federal share, be deemed to

  6  be administrative expenses of the state. To the extent

  7  permitted by federal law, such administrative expenses shall

  8  be shared with, or fully paid by, the Federal Government.

  9         (16)  Any transfer or encumbrance of any right, title,

10  or interest to which the agency department has a right

11  pursuant to this section, with the intent, likelihood, or

12  practical effect of defeating, hindering, or reducing recovery

13  by the agency department for reimbursement of medical

14  assistance provided by Medicaid, shall be deemed to be a

15  fraudulent conveyance, and such transfer or encumbrance shall

16  be void and of no effect against the claim of the agency

17  department, unless the transfer was for adequate consideration

18  and the proceeds of the transfer are reimbursed in full to the

19  agency department, but not in excess of the amount of medical

20  assistance provided by Medicaid.

21         (17)  A recipient or his or her legal representative or

22  any person representing, or acting as agent for, a recipient

23  or the recipient's legal representative, who has notice,

24  excluding notice charged solely by reason of the recording of

25  the lien pursuant to paragraph (6)(d), or who has actual

26  knowledge of the agency's department's rights to third-party

27  benefits under this section, who receives any third-party

28  benefit or proceeds therefrom for a covered illness or injury,

29  is required either to pay the agency department, within 60

30  days after receipt of settlement proceeds, the full amount of

31  the third-party benefits, but not in excess of the total

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  1  medical assistance provided by Medicaid, or to place the full

  2  amount of the third-party benefits in a trust account for the

  3  benefit of the agency department pending judicial or

  4  administrative determination of the agency's department's

  5  right thereto. Proof that any such person had notice or

  6  knowledge that the recipient had received medical assistance

  7  from Medicaid, and that third-party benefits or proceeds

  8  therefrom were in any way related to a covered illness or

  9  injury for which Medicaid had provided medical assistance, and

10  that any such person knowingly obtained possession or control

11  of, or used, third-party benefits or proceeds and failed

12  either to pay the agency department the full amount required

13  by this section or to hold the full amount of third-party

14  benefits or proceeds in trust pending judicial or

15  administrative determination, unless adequately explained,

16  gives rise to an inference that such person knowingly failed

17  to credit the state or its agent for payments received from

18  social security, insurance, or other sources, pursuant to s.

19  414.39(4)(b), and acted with the intent set forth in s.

20  812.014(1).

21         (a)  In cases of suspected criminal violations or

22  fraudulent activity, the agency department may take any civil

23  action permitted at law or equity to recover the greatest

24  possible amount, including, without limitation, treble damages

25  under ss. 772.11 and 812.035(7).

26         (b)  The agency department is authorized to investigate

27  and to request appropriate officers or agencies of the state

28  to investigate suspected criminal violations or fraudulent

29  activity related to third-party benefits, including, without

30  limitation, ss. 414.39 and 812.014. Such requests may be

31  directed, without limitation, to the Medicaid Fraud Control

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  1  Unit of  the Office of the Attorney General, or to any state

  2  attorney. Pursuant to s. 409.913, the Attorney General has

  3  primary responsibility to investigate and control Medicaid

  4  fraud.

  5         (c)  In carrying out duties and responsibilities

  6  related to Medicaid fraud control, the agency department may

  7  subpoena witnesses or materials within or outside the state

  8  and, through any duly designated employee, administer oaths

  9  and affirmations and collect evidence for possible use in

10  either civil or criminal judicial proceedings.

11         (d)  All information obtained and documents prepared

12  pursuant to an investigation of a Medicaid recipient, the

13  recipient's legal representative, or any other person relating

14  to an allegation of recipient fraud or theft is confidential

15  and exempt from s. 119.07(1):

16         1.  Until such time as the agency department takes

17  final agency action;

18         2.  Until such time as the Department of Legal Affairs

19  refers the case for criminal prosecution;

20         3.  Until such time as an indictment or criminal

21  information is filed by a state attorney in a criminal case;

22  or

23         4.  At all times if otherwise protected by law.

24         (18)  In recovering any payments in accordance with

25  this section, the agency department is authorized to make

26  appropriate settlements.

27         (19)  Notwithstanding any provision in this section to

28  the contrary, the agency department shall not be required to

29  seek reimbursement from a liable third party on claims for

30  which the agency department determines that the amount it

31  reasonably expects to recover will be less than the cost of

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  1  recovery, or that recovery efforts will otherwise not be

  2  cost-effective.

  3         (20)  Entities providing health insurance as defined in

  4  s. 624.603, and health maintenance organizations and prepaid

  5  health clinics as defined in chapter 641, shall provide such

  6  records and information as are necessary to accomplish the

  7  purpose of this section, unless such requirement results in an

  8  unreasonable burden.

  9         (a)  The director secretary of the agency department

10  and the Insurance Commissioner shall enter into a cooperative

11  agreement for requesting and obtaining information necessary

12  to effect the purpose and objective of this section.

13         1.  The agency department shall request only that

14  information necessary to determine whether health insurance as

15  defined pursuant to s. 624.603, or those health services

16  provided pursuant to chapter 641, could be, should be, or have

17  been claimed and paid with respect to items of medical care

18  and services furnished to any person eligible for services

19  under this section.

20         2.  All information obtained pursuant to subparagraph

21  1. is confidential and exempt from s. 119.07(1).

22         3.  The cooperative agreement or rules adopted under

23  this subsection may include financial arrangements to

24  reimburse the reporting entities for reasonable costs or a

25  portion thereof incurred in furnishing the requested

26  information. Neither the cooperative agreement nor the rules

27  shall require the automation of manual processes to provide

28  the requested information.

29         (b)  The agency department and the Department of

30  Insurance jointly shall adopt rules for the development and

31

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  1  administration of the cooperative agreement. The rules shall

  2  include the following:

  3         1.  A method for identifying those entities subject to

  4  furnishing information under the cooperative agreement.

  5         2.  A method for furnishing requested information.

  6         3.  Procedures for requesting exemption from the

  7  cooperative agreement based on an unreasonable burden to the

  8  reporting entity.

  9         (21)  The agency department is authorized to adopt

10  rules to implement the provisions of this section and federal

11  requirements.

12         Section 185.  Section 409.911, Florida Statutes, is

13  amended to read:

14         409.911  Disproportionate share program.--Subject to

15  specific allocations established within the General

16  Appropriations Act and any limitations established pursuant to

17  chapter 216, the agency department shall distribute, pursuant

18  to this section, moneys to hospitals providing a

19  disproportionate share of Medicaid or charity care services by

20  making quarterly Medicaid payments as required.

21  Notwithstanding the provisions of s. 409.915, counties are

22  exempt from contributing toward the cost of this special

23  reimbursement for hospitals serving a disproportionate share

24  of low-income patients.

25         (1)  Definitions.--As used in this section and s.

26  409.9112:

27         (a)  "Adjusted patient days" means the sum of acute

28  care patient days and intensive care patient days as reported

29  to the Agency for Health Care Administration Department of

30  Health and Rehabilitative Services, divided by the ratio of

31

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  1  inpatient revenues generated from acute, intensive,

  2  ambulatory, and ancillary patient services to gross revenues.

  3         (b)  "Actual audited data" or "actual audited

  4  experience" means data reported to the Agency for Health Care

  5  Administration Department of Health and Rehabilitative

  6  Services which has been audited in accordance with generally

  7  accepted auditing standards by the agency department or

  8  representatives under contract with the agency department.

  9         (c)  "Base Medicaid per diem" means the hospital's

10  Medicaid per diem rate initially established by the Agency for

11  Health Care Administration Department of Health and

12  Rehabilitative Services on January 1, prior to the beginning

13  of each state fiscal year.  The base Medicaid per diem rate

14  shall not include any additional per diem increases received

15  as a result of the disproportionate share distribution.

16         (d)  "Charity care" or "uncompensated charity care"

17  means that portion of hospital charges reported to the Agency

18  for Health Care Administration Department of Health and

19  Rehabilitative Services for which there is no compensation for

20  care provided to a patient whose family income for the 12

21  months preceding the determination is less than or equal to

22  150 percent of the federal poverty level, unless the amount of

23  hospital charges due from the patient exceeds 25 percent of

24  the annual family income.  However, in no case shall the

25  hospital charges for a patient whose family income exceeds

26  four times the federal poverty level for a family of four be

27  considered charity.

28         (e)  "Charity care days" means the sum of the

29  deductions from revenues for charity care minus 50 percent of

30  restricted and unrestricted revenues provided to a hospital by

31

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  1  local governments or tax districts, divided by gross revenues

  2  per adjusted patient day.

  3         (f)  "Disproportionate share percentage" means a rate

  4  of increase in the Medicaid per diem rate as calculated under

  5  this section.

  6         (g)  "Hospital" means a health care institution

  7  licensed as a hospital pursuant to chapter 395, but does not

  8  include ambulatory surgical centers.

  9         (h)  "Medicaid days" means the number of actual days

10  attributable to Medicaid patients as determined by the Agency

11  for Health Care Administration Department of Health and

12  Rehabilitative Services.

13         (2)  The Agency for Health Care Administration

14  Department of Health and Rehabilitative Services shall utilize

15  the following criteria to determine if a hospital qualifies

16  for a disproportionate share payment:

17         (a)  A hospital's total Medicaid days when combined

18  with its total charity care days must equal or exceed 7

19  percent of its total adjusted patient days.

20         (b)  A hospital's total charity care days weighted by a

21  factor of 4.5, plus its total Medicaid days weighted by a

22  factor of 1, shall be equal to or greater than 10 percent of

23  its total adjusted patient days.

24         (c)  Additionally, in accordance with the seventh

25  federal Omnibus Budget Reconciliation Act, a hospital with a

26  Medicaid inpatient utilization rate greater than one standard

27  deviation above the statewide mean or a hospital with a

28  low-income utilization rate of 25 percent or greater shall

29  qualify for reimbursement.

30         (3)  In computing the disproportionate share rate:

31

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  1         (a)  Per diem increases earned from disproportionate

  2  share shall be applied to each hospital's base Medicaid per

  3  diem rate and shall be capped at 170 percent.

  4         (b)  The agency department shall use the most recent

  5  calendar year audited data available at the beginning of each

  6  state fiscal year for the calculation of disproportionate

  7  share payments under this section.

  8         (c)  If the total amount earned by all hospitals under

  9  this section exceeds the amount appropriated, each hospital's

10  share shall be reduced on a pro rata basis so that the total

11  dollars distributed from the trust fund do not exceed the

12  total amount appropriated.

13         (d)  The total amount calculated to be distributed

14  under this section shall be made in quarterly payments

15  subsequent to each quarter during the fiscal year.

16         (4)  Hospitals that qualify for a disproportionate

17  share payment solely under paragraph (2)(c) shall have their

18  payment calculated in accordance with the following formulas:

19

20                        TAA = TA x (1/5.5)

21                     DSHP = (HMD/TSMD) x TAA

22

23  Where:

24         TAA = total amount available.

25         TA = total appropriation.

26         DSHP = disproportionate share hospital payment.

27         HMD = hospital Medicaid days.

28         TSMD = total state Medicaid days.

29

30         (5)  The following formula shall be utilized by the

31  agency department to determine the maximum disproportionate

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  1  share rate to be used to increase the Medicaid per diem rate

  2  for hospitals that qualify pursuant to paragraphs (2)(a) and

  3  (b):

  4

  5

  6                             CCD                    MD

  7                 DSR = (  (........)  x 4.5) +  (........)

  8                             APD                   APD

  9  Where:

10         APD = adjusted patient days.

11         CCD = charity care days.

12         DSR = disproportionate share rate.

13         MD = Medicaid days.

14

15         (6)(a)  To calculate the total amount earned by all

16  hospitals under this section, hospitals with a

17  disproportionate share rate less than 50 percent shall divide

18  their Medicaid days by four, and hospitals with a

19  disproportionate share rate greater than or equal to 50

20  percent and with greater than 40,000 Medicaid days shall

21  multiply their Medicaid days by 1.5, and the following formula

22  shall be used by the agency department to calculate the total

23  amount earned by all hospitals under this section:

24

25                      TAE = BMPD x MD x DSP

26

27  Where:

28         TAE = total amount earned.

29         BMPD = base Medicaid per diem.

30         MD = Medicaid days.

31         DSP = disproportionate share percentage.

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  1

  2         (b)  In no case shall total payments to a hospital

  3  under this section, with the exception of state facilities,

  4  exceed the total amount of uncompensated charity care of the

  5  hospital, as determined by the agency department according to

  6  the most recent calendar year audited data available at the

  7  beginning of each state fiscal year.

  8         (7)  For fiscal year 1991-1992 and all years other than

  9  1992-1993, the following criteria shall be used in determining

10  the disproportionate share percentage:

11         (a)  If the disproportionate share rate is less than 10

12  percent, the disproportionate share percentage is zero and

13  there is no additional payment.

14         (b)  If the disproportionate share rate is greater than

15  or equal to 10 percent, but less than 20 percent, then the

16  disproportionate share percentage is 2.1544347.

17         (c)  If the disproportionate share rate is greater than

18  or equal to 20 percent, but less than 30 percent, then the

19  disproportionate share percentage is 4.6415888766.

20         (d)  If the disproportionate share rate is greater than

21  or equal to 30 percent, but less than 40 percent, then the

22  disproportionate share percentage is 10.0000001388.

23         (e)  If the disproportionate share rate is greater than

24  or equal to 40 percent, but less than 50 percent, then the

25  disproportionate share percentage is 21.544347299.

26         (f)  If the disproportionate share rate is greater than

27  or equal to 50 percent, but less than 60 percent, then the

28  disproportionate share percentage is 46.41588941.

29         (g)  If the disproportionate share rate is greater than

30  or equal to 60 percent, then the disproportionate share

31  percentage is 100.

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  1         (8)  The following formula shall be used by the agency

  2  department to calculate the total amount earned by all

  3  hospitals under this section:

  4

  5                      TAE = BMPD x MD x DSP

  6

  7  Where:

  8         TAE = total amount earned.

  9         BMPD = base Medicaid per diem.

10         MD = Medicaid days.

11         DSP = disproportionate share percentage.

12

13         (9)  The agency department is authorized to receive

14  funds from local governments and other local political

15  subdivisions for the purpose of making payments, including

16  federal matching funds, through the Medicaid disproportionate

17  share program.  Funds received from local governments for this

18  purpose shall be separately accounted for and shall not be

19  commingled with other state or local funds in any manner.

20         (10)  Payments made by the agency department to

21  hospitals eligible to participate in this program shall be

22  made in accordance with federal rules and regulations.

23         (a)  If the Federal Government prohibits, restricts, or

24  changes in any manner the methods by which funds are

25  distributed for this program, the agency department shall not

26  distribute any additional funds and shall return all funds to

27  the local government from which the funds were received,

28  except as provided in paragraph (b).

29         (b)  If the Federal Government imposes a restriction

30  that still permits a partial or different distribution, the

31  agency department may continue to disburse funds to hospitals

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  1  participating in the disproportionate share program in a

  2  federally approved manner, provided:

  3         1.  Each local government which contributes to the

  4  disproportionate share program agrees to the new manner of

  5  distribution as shown by a written document signed by the

  6  governing authority of each local government; and

  7         2.  The Executive Office of the Governor, the Office of

  8  Planning and Budgeting, the House of Representatives, and the

  9  Senate are provided at least 7 days' prior notice of the

10  proposed change in the distribution, and do not disapprove

11  such change.

12         (c)  No distribution shall be made under the

13  alternative method specified in paragraph (b) unless all

14  parties agree or unless all funds of those parties that

15  disagree which are not yet disbursed have been returned to

16  those parties.

17         (11)  Notwithstanding the provisions of chapter 216,

18  the Executive Office of the Governor is hereby authorized to

19  establish sufficient trust fund authority to implement the

20  disproportionate share program.

21         Section 186.  Section 409.9112, Florida Statutes, is

22  amended to read:

23         409.9112  Disproportionate share program for regional

24  perinatal intensive care centers.--In addition to the payments

25  made under s. 409.911, the Agency for Health Care

26  Administration Department of Health and Rehabilitative

27  Services shall design and implement a system of making

28  disproportionate share payments to those hospitals that

29  participate in the regional perinatal intensive care center

30  program established pursuant to chapter 383. This system of

31  payments shall conform with federal requirements and shall

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  1  distribute funds in each fiscal year for which an

  2  appropriation is made by making quarterly Medicaid payments.

  3  Notwithstanding the provisions of s. 409.915, counties are

  4  exempt from contributing toward the cost of this special

  5  reimbursement for hospitals serving a disproportionate share

  6  of low-income patients.

  7         (1)  The following formula shall be used by the agency

  8  department to calculate the total amount earned for hospitals

  9  that participate in the regional perinatal intensive care

10  center program:

11

12                      TAE = DSR x BMPD x MD

13

14  Where:

15         TAE = total amount earned by a regional perinatal

16  intensive care center.

17         DSR = disproportionate share rate.

18         BMPD = base Medicaid per diem.

19         MD = Medicaid days.

20

21         (2)  The total additional payment for hospitals that

22  participate in the regional perinatal intensive care center

23  program shall be calculated by the agency department as

24  follows:

25

26

27                               TAE x TA

28                      TAP = (............)

29                                 STAE

30

31  Where:

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  1         TAP = total additional payment for a regional perinatal

  2  intensive care center.

  3         TAE = total amount earned by a regional perinatal

  4  intensive care center.

  5         STAE = sum of total amount earned by each hospital that

  6  participates in the regional perinatal intensive care center

  7  program.

  8         TA = total appropriation for the regional perinatal

  9  intensive care disproportionate share program.

10

11         (3)  In order to receive payments under this section, a

12  hospital must be participating in the regional perinatal

13  intensive care center program pursuant to chapter 383 and must

14  meet the following additional requirements:

15         (a)  Agree to conform to all departmental and agency

16  requirements to ensure high quality in the provision of

17  services, including criteria adopted by departmental and

18  agency rule concerning staffing ratios, medical records,

19  standards of care, equipment, space, and such other standards

20  and criteria as the department and agency deem deems

21  appropriate as specified by rule.

22         (b)  Agree to provide information to the department and

23  agency, in a form and manner to be prescribed by rule of the

24  department and agency, concerning the care provided to all

25  patients in neonatal intensive care centers and high-risk

26  maternity care.

27         (c)  Agree to accept all patients for neonatal

28  intensive care and high-risk maternity care, regardless of

29  ability to pay, on a functional space-available basis.

30         (d)  Agree to develop arrangements with other maternity

31  and neonatal care providers in the hospital's region for the

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  1  appropriate receipt and transfer of patients in need of

  2  specialized maternity and neonatal intensive care services.

  3         (e)  Agree to establish and provide a developmental

  4  evaluation and services program for certain high-risk

  5  neonates, as prescribed and defined by rule of the department.

  6         (f)  Agree to sponsor a program of continuing education

  7  in perinatal care for health care professionals within the

  8  region of the hospital, as specified by rule.

  9         (g)  Agree to provide backup and referral services to

10  the department's county health departments and other

11  low-income perinatal providers within the hospital's region,

12  including the development of written agreements between these

13  organizations and the hospital.

14         (h)  Agree to arrange for transportation for high-risk

15  obstetrical patients and neonates in need of transfer from the

16  community to the hospital or from the hospital to another more

17  appropriate facility.

18         (4)  Hospitals which fail to comply with any of the

19  conditions in subsection (3) or the applicable rules of the

20  department and agency shall not receive any payments under

21  this section until full compliance is achieved.  A hospital

22  which is not in compliance in two or more consecutive quarters

23  shall not receive its share of the funds.  Any forfeited funds

24  shall be distributed by the remaining participating regional

25  perinatal intensive care center program hospitals.

26         Section 187.  Section 409.91151, Florida Statutes, 1998

27  Supplement, is amended to read:

28         409.91151  Expenditure of funds generated through

29  mental health disproportionate share program.--Funding

30  generated through the mental health disproportionate share

31  program shall be expended in accordance with legislatively

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  1  authorized appropriations. If such funding is not addressed in

  2  legislatively authorized appropriations, the Agency for Health

  3  Care Administration Department of Health and Rehabilitative

  4  Services shall prepare a plan and submit a request for

  5  spending authority in accordance with the applicable

  6  provisions of chapter 216.

  7         Section 188.  Paragraph (b) of subsection (4),

  8  paragraph (a) of subsection (5), and subsection (26) of

  9  section 409.912, Florida Statutes, 1998 Supplement, are

10  amended to read:

11         409.912  Cost-effective purchasing of health care.--The

12  agency shall purchase goods and services for Medicaid

13  recipients in the most cost-effective manner consistent with

14  the delivery of quality medical care.  The agency shall

15  maximize the use of prepaid per capita and prepaid aggregate

16  fixed-sum basis services when appropriate and other

17  alternative service delivery and reimbursement methodologies,

18  including competitive bidding pursuant to s. 287.057, designed

19  to facilitate the cost-effective purchase of a case-managed

20  continuum of care. The agency shall also require providers to

21  minimize the exposure of recipients to the need for acute

22  inpatient, custodial, and other institutional care and the

23  inappropriate or unnecessary use of high-cost services.

24         (4)  The agency may contract with any public or private

25  entity otherwise authorized by this section on a prepaid or

26  fixed-sum basis for the provision of health care services to

27  recipients.

28         (b)  Entities that provide no prepaid health care

29  services other than Medicaid services under contract with the

30  agency department are exempt from the provisions of part I of

31  chapter 641.

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  1         (5)  The agency may contract on a prepaid or fixed-sum

  2  basis with any health insurer that:

  3         (a)  Pays for health care services provided to enrolled

  4  Medicaid recipients in exchange for a premium payment paid by

  5  the agency department;

  6         (26)  Beginning July 1, 1996, the agency shall perform

  7  choice counseling, enrollments, and disenrollments for

  8  Medicaid recipients who are eligible for MediPass or managed

  9  care plans.  Notwithstanding the prohibition contained in

10  paragraph (18)(f), managed care plans may perform

11  preenrollments of Medicaid recipients under the supervision of

12  the agency or its agents.  For the purposes of this section,

13  "preenrollment" means the provision of marketing and

14  educational materials to a Medicaid recipient and assistance

15  in completing the application forms, but shall not include

16  actual enrollment into a managed care plan.  An application

17  for enrollment shall not be deemed complete until the agency

18  or its agent verifies that the recipient made an informed,

19  voluntary choice.  The agency, in cooperation with the

20  Department of Children and Family Health and Rehabilitative

21  Services, may test new marketing initiatives to inform

22  Medicaid recipients about their managed care options at

23  selected sites.  The agency shall report to the Legislature on

24  the effectiveness of such initiatives.  The agency may

25  contract with a third party to perform managed care plan and

26  MediPass choice-counseling, enrollment, and disenrollment

27  services for Medicaid recipients and is authorized to adopt

28  rules to implement such services.  Until October 1, 1996, or

29  the receipt of necessary federal waivers, whichever is

30  earlier, the agency shall adjust the capitation rate to cover

31  any implementation, staff, or other costs associated with

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  1  enrollment, disenrollment, and choice-counseling activities.

  2  Thereafter, the agency may adjust the capitation rate only to

  3  cover the costs of a third-party choice-counseling,

  4  enrollment, and disenrollment contract, and for agency

  5  supervision and management of the managed care plan

  6  choice-counseling, enrollment, and disenrollment contract.

  7         Section 189.  Subsection (1) of section 409.914,

  8  Florida Statutes, is amended to read:

  9         409.914  Assistance for the uninsured.--

10         (1)  The agency shall use the claims payment systems,

11  utilization control systems, cost control systems, case

12  management systems, and other systems and controls that it has

13  developed for the management and control of the Medicaid

14  program to assist other agencies and entities, if appropriate,

15  in paying claims and performing other activities necessary for

16  the conduct of programs of state government, or for working

17  with other public and private agencies to solve problems of

18  lack of insurance, underinsurance, or uninsurability.  When

19  conducting these services, the agency department shall ensure:

20         (a)  That full payment is received for services

21  provided.

22         (b)  That costs of providing these services are clearly

23  segregated from costs necessary for the conduct of the

24  Medicaid program.

25         (c)  That the program conducted serves the interests of

26  the state in ensuring that effective and quality health care

27  at a reasonable cost is provided to the citizens of the state.

28         Section 190.  Subsection (4) of section 409.915,

29  Florida Statutes, is amended to read:

30         409.915  County contributions to Medicaid.--Although

31  the state is responsible for the full portion of the state

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  1  share of the matching funds required for the Medicaid program,

  2  in order to acquire a certain portion of these funds, the

  3  state shall charge the counties for certain items of care and

  4  service as provided in this section.

  5         (4)  Each county shall pay into the General Revenue

  6  Fund, unallocated, its pro rata share of the total county

  7  participation based upon statements rendered by the agency

  8  department in consultation with the counties.

  9         Section 191.  Subsection (1) of section 409.916,

10  Florida Statutes, is amended to read:

11         409.916  Grants and Donations Trust Fund.--

12         (1)  The agency shall deposit any funds received from

13  pharmaceutical manufacturers and all other funds received by

14  the agency department from any other person as the result of a

15  Medicaid cost containment strategy, in the nature of a rebate,

16  grant, or other similar mechanism into the Grants and

17  Donations Trust Fund.

18         Section 192.  Section 409.919, Florida Statutes, is

19  amended to read:

20         409.919  Rules.--The agency department shall adopt any

21  rules necessary to comply with or administer ss.

22  409.901-409.920 and all rules necessary to comply with federal

23  requirements.

24         Section 193.  Subsection (1) of section 409.942,

25  Florida Statutes, is amended to read:

26         409.942  Electronic benefit transfer program.--

27         (1)  The Department of Children and Family Health and

28  Rehabilitative Services shall establish an electronic benefit

29  transfer program for the dissemination of food stamp benefits

30  and temporary assistance payments, including refugee cash

31  assistance payments, asylum applicant payments, and child

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  1  support disregard payments.  If the Federal Government does

  2  not enact legislation or regulations providing for

  3  dissemination of supplemental security income by electronic

  4  benefit transfer, the state may include supplemental security

  5  income in the electronic benefit transfer program.

  6         Section 194.  Subsection (2) of section 410.0245,

  7  Florida Statutes, is amended to read:

  8         410.0245  Study of service needs; report; multiyear

  9  plan.--

10         (2)  Based on the findings of the study, the Aging and

11  Adult Services Program Office of the Department of Children

12  and Family Health and Rehabilitative Services shall develop a

13  multiyear plan which shall provide for the needs of disabled

14  adults in this state and shall provide strategies for

15  statewide coordination of all services for disabled adults.

16  The multiyear plan shall include an inventory of existing

17  services and an analysis of costs associated with existing and

18  projected services. The multiyear plan shall be presented to

19  the Governor, the President of the Senate, and the Speaker of

20  the House of Representatives every 3 years on or before March

21  1, beginning in 1992.  On or before March 1 of each

22  intervening year, the department shall submit an analysis of

23  the status of the implementation of each element of the

24  multiyear plan, any continued unmet need, and the relationship

25  between that need and the department's budget request for that

26  year.

27         Section 195.  Section 410.502, Florida Statutes, is

28  amended to read:

29         410.502  Housing and living arrangements; special needs

30  of the elderly; services.--The Department of Elderly Affairs

31  Health and Rehabilitative Services shall provide services

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  1  related to housing and living arrangements which meet the

  2  special needs of the elderly.  Such services shall include,

  3  but not be limited to:

  4         (1)  Providing counseling concerning housing problems

  5  and alternate living arrangements when appropriate to the

  6  individual's needs.

  7         (2)  Coordinating with the Department of Community

  8  Affairs to gather and maintain data on living arrangements

  9  which meet the special needs of the elderly and to disseminate

10  such information to the public.  Such information shall

11  include types of facilities, cost of care, services provided,

12  and possible sources of help in meeting the cost of care for

13  indigent individuals.

14         (3)  Promoting, through the Department of Elderly

15  Affairs Health and Rehabilitative Services staff activities

16  and area agencies on aging, the development of a variety of

17  living arrangements through public and private auspices to

18  meet the various needs and desires of the elderly, including,

19  but not limited to:

20         (a)  Foster homes.

21         (b)  Assisted living facilities.

22         (c)  Homes for special services.

23         (d)  Shared housing or other such group living

24  arrangements for independent living.

25         (e)  Continuing care facilities which offer all levels

26  of care, including independent living units, personal care,

27  home health care supports, and skilled nursing home care.

28         (f)  Retirement communities for independent communal

29  living, to be developed in conjunction with the Department of

30  Community Affairs.

31         (g)  Other innovative living arrangements.

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  1

  2  Demonstration projects must be used advisedly to test the

  3  extent to which these and other innovative housing and living

  4  arrangements do meet the basic and special needs of the

  5  elderly.

  6         Section 196.  Section 411.224, Florida Statutes, is

  7  amended to read:

  8         411.224  Family support planning process.--The

  9  Legislature establishes a family support planning process to

10  be used by the Department of Children and Family Health and

11  Rehabilitative Services as the service planning process for

12  targeted individuals, children, and families under its

13  purview.

14         (1)  The Department of Education shall take all

15  appropriate and necessary steps to encourage and facilitate

16  the implementation of the family support planning process for

17  individuals, children, and families within its purview.

18         (2)  To the extent possible within existing resources,

19  the following populations must be included in the family

20  support planning process:

21         (a)  Children from birth to age 5 who are served by the

22  clinic and programs of the Division of Children's Medical

23  Services Program Office of the Department of Health and

24  Rehabilitative Services.

25         (b)  Children participating in the developmental

26  evaluation and intervention program of the Division of

27  Children's Medical Services Program Office of the Department

28  of Health and Rehabilitative Services.

29         (c)  Children from birth through age 5 who are served

30  by the Developmental Services Program Office of the Department

31  of Children and Family Health and Rehabilitative Services.

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  1         (d)  Children from birth through age 5 who are served

  2  by the Alcohol, Drug Abuse, and Mental Health Program Office

  3  of the Department of Children and Family Health and

  4  Rehabilitative Services.

  5         (e)  Participants who are served by the Children's

  6  Early Investment Program established in s. 411.232.

  7         (f)  Healthy Start participants in need of ongoing

  8  service coordination.

  9         (g)  Children from birth through age 5 who are served

10  by the voluntary family services, protective supervision,

11  foster care, or adoption and related services programs of the

12  Children and Families Family Services Program Office of the

13  Department of Children and Family Health and Rehabilitative

14  Services, and who are eligible for ongoing services from one

15  or more other programs or agencies that participate in family

16  support planning; however, children served by the voluntary

17  family services program, where the planned length of

18  intervention is 30 days or less, are excluded from this

19  population.

20         (3)  When individuals included in the target population

21  are served by Head Start, local education agencies, or other

22  prevention and early intervention programs, providers must be

23  notified and efforts made to facilitate the concerned agency's

24  participation in family support planning.

25         (4)  Local education agencies are encouraged to use a

26  family support planning process for children from birth

27  through 5 years of age who are served by the prekindergarten

28  program for children with disabilities, in lieu of the

29  Individual Education Plan.

30         (5)  There must be only a single-family support plan to

31  address the problems of the various family members unless the

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  1  family requests that an individual family support plan be

  2  developed for different members of that family.  The family

  3  support plan must replace individual habilitation plans for

  4  children from birth through 5 years old who are served by the

  5  Developmental Services Program Office of the Department of

  6  Children and Family Health and Rehabilitative Services.  To

  7  the extent possible, the family support plan must replace

  8  other case-planning forms used by the Department of Children

  9  and Family Health and Rehabilitative Services.

10         (6)  The family support plan at a minimum must include

11  the following information:

12         (a)  The family's statement of family concerns,

13  priorities, and resources.

14         (b)  Information related to the health, educational,

15  economic and social needs, and overall development of the

16  individual and the family.

17         (c)  The outcomes that the plan is intended to achieve.

18         (d)  Identification of the resources and services to

19  achieve each outcome projected in the plan.  These resources

20  and services are to be provided based on availability and

21  funding.

22         (7)  A family support plan meeting must be held with

23  the family to initially develop the family support plan and

24  annually thereafter to update the plan as necessary.  The

25  family includes anyone who has an integral role in the life of

26  the individual or child as identified by the individual or

27  family. The family support plan must be reviewed periodically

28  during the year, at least at 6-month intervals, to modify and

29  update the plan as needed.  Such periodic reviews do not

30  require a family support plan team meeting but may be

31

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  1  accomplished through other means such as a case file review

  2  and telephone conference with the family.

  3         (8)  The initial family support plan must be developed

  4  within a 90-day period.  If exceptional circumstances make it

  5  impossible to complete the evaluation activities and to hold

  6  the initial family support plan team meeting within a

  7  reasonable time period, these circumstances must be

  8  documented, and the individual or family must be notified of

  9  the reason for the delay.  With the agreement of the family

10  and the provider, services for which either the individual or

11  the family is eligible may be initiated before the completion

12  of the evaluation activities and the family support plan.

13         (9)  The Department of Children and Family Health and

14  Rehabilitative Services, the Department of Health, and the

15  Department of Education, to the extent that funds are

16  available, must offer technical assistance to communities to

17  facilitate the implementation of the family support plan.

18         (10)  The Department of Children and Family Health and

19  Rehabilitative Services and the Department of Health must

20  implement the family support planning process for all

21  individuals, children, and their families in the target

22  population no later than September 30, 1995.

23         (11)  The Department of Children and Family Health and

24  Rehabilitative Services, the Department of Health, and the

25  Department of Education shall adopt rules necessary to

26  implement this act.

27         Section 197.  Subsection (1) of section 411.242,

28  Florida Statutes, is amended to read:

29         411.242  Florida Education Now and Babies Later (ENABL)

30  program.--

31

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  1         (1)  CREATION.--There is hereby created the Florida

  2  Education Now and Babies Later (ENABL) program for children

  3  and their families, with the goal of reducing the incidence of

  4  childhood pregnancies in this state by encouraging children to

  5  abstain from sexual activities.  This program must provide a

  6  multifaceted, primary prevention, community health promotion

  7  approach to educating and supporting children in the decision

  8  to abstain from sexual involvement.  The Department of Health

  9  and Rehabilitative Services, in consultation with the

10  Department of Education, Florida State University, and other

11  appropriate agencies or associations, shall develop,

12  implement, and administer the ENABL program.

13         Section 198.  Section 411.243, Florida Statutes, is

14  amended to read:

15         411.243  Teen Pregnancy Prevention Community

16  Initiative.--Subject to the availability of funds, the

17  Department of Health and Rehabilitative Services shall create

18  a Teen Pregnancy Prevention Community Initiative.  The purpose

19  of this initiative is to create collaborative community

20  partnerships to reduce teen pregnancy.  Participating

21  communities shall examine their needs and resources relative

22  to teen pregnancy prevention and develop plans which provide

23  for a collaborative approach to how existing, enhanced, and

24  new initiatives together will reduce teen pregnancy in a

25  community.  Community incentive grants shall provide funds for

26  communities to implement plans which provide for a

27  collaborative, comprehensive, outcome-focused approach to

28  reducing teen pregnancy.

29         (1)  The requirements of the community incentive grants

30  are as follows:

31

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  1         (a)  The goal required of all grants is to reduce the

  2  incidence of teen pregnancy.  All grants must be designed and

  3  required to maintain the data to substantiate reducing the

  4  incidence of teen pregnancy in the targeted area in their

  5  community.

  6         (b)  The target population is teens through 19 years of

  7  age, including both males and females and mothers and fathers.

  8         (c)  Grants must target a specified geographic area or

  9  region, for which data can be maintained to substantiate the

10  teen pregnancy rate.

11         (d)  In order to receive funding, communities must

12  demonstrate collaboration in the provision of existing and new

13  teen pregnancy prevention initiatives.  This collaboration

14  shall include developing linkages to the health care, social

15  services, and education systems.

16         (e)  Plans must be developed for how a community will

17  reduce the incidence of teen pregnancy in a specified

18  geographic area or region.  These plans must include:

19         1.  Provision for collaboration between existing and

20  new initiatives for a comprehensive, well-planned,

21  outcome-focused approach.  All organizations involved in teen

22  pregnancy prevention in the community must be involved in the

23  planning and implementation of the community incentive grant

24  initiative.

25         2.  Provision in the targeted area or region for all of

26  the components identified below. These components may be

27  addressed through a collaboration of existing initiatives,

28  enhancements, or new initiatives. Community incentive grant

29  funds must address current gaps in the comprehensive teen

30  pregnancy prevention plan for communities.

31         a.  Primary prevention components are:

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  1         (I)  Prevention strategies targeting males.

  2         (II)  Role modeling and monitoring.

  3         (III)  Intervention strategies targeting abused or

  4  neglected children.

  5         (IV)  Human sexuality education.

  6         (V)  Sexual advances protection education.

  7         (VI)  Reproductive health care.

  8         (VII)  Intervention strategies targeting younger

  9  siblings of teen mothers.

10         (VIII)  Community and public awareness.

11         (IX)  Innovative programs to facilitate prosecutions

12  under s. 794.011, s. 794.05, or s. 800.04.

13         b.  Secondary prevention components are:

14         (I)  Home visiting.

15         (II)  Parent education, skill building, and supports.

16         (III)  Care coordination and case management.

17         (IV)  Career development.

18         (V)  Goal setting and achievement.

19

20  Community plans must provide for initiatives which are

21  culturally competent and relevant to the families' values.

22         (2)  The state shall conduct an independent process and

23  outcome evaluation of all the community incentive grant

24  initiatives.  The evaluation shall be conducted in three

25  phases:  The first phase shall focus on process, including

26  implementation and operation, to be reported on after the

27  first year of operation; the second phase shall be an interim

28  evaluation of the outcome, to be completed after the third

29  year of operation; the third phase shall be a final evaluation

30  of process, outcome, and achievement of the overall goal of

31

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  1  reducing the incidence of teen pregnancy, to be completed at

  2  the end of the fifth year of operation.

  3         (3)  The state shall provide technical assistance,

  4  training, and quality assurance to assist the initiative in

  5  achieving its goals.

  6         Section 199.  Paragraph (a) of subsection (1) and

  7  subsection (3) of section 413.031, Florida Statutes, are

  8  amended to read:

  9         413.031  Products, purchase by state agencies and

10  institutions.--

11         (1)  DEFINITIONS.--When used in this section:

12         (a)  "Accredited nonprofit workshop" means a Florida

13  workshop which has been certified by either the Division of

14  Blind Services, for workshops concerned with blind persons, or

15  the Department of Children and Family Health and

16  Rehabilitative Services, when other handicapped persons are

17  concerned, and such "workshop" means a place where any article

18  is manufactured or handwork is carried on and which is

19  operated for the primary purpose of providing employment to

20  severely handicapped individuals, including the blind, who

21  cannot be readily absorbed in the competitive labor market.

22         (3)  When convenience or emergency requires it, the

23  Department of Children and Family Health and Rehabilitative

24  Services may upon request of the purchasing officer of any

25  institution or agency relieve her or him from the obligation

26  of this section.

27         Section 200.  Subsection (2) of section 415.104,

28  Florida Statutes, is amended to read:

29         415.104  Protective services investigations of cases of

30  abuse, neglect, or exploitation of aged persons or disabled

31  adults; transmittal of records to state attorney.--

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  1         (2)  No later than 30 days after receiving the initial

  2  report, the designated aging and adult services staff of the

  3  department shall complete its investigation and classify the

  4  report as proposed confirmed or unfounded or close the report

  5  without classification and notify the guardian of the aged

  6  person or disabled adult, the aged person or disabled adult,

  7  and the alleged perpetrator.  These findings must be reported

  8  to the department's central abuse registry and tracking

  9  system.  For proposed confirmed reports, after receiving the

10  final administrative order rendered in a hearing requested

11  pursuant to s. 415.103(3)(d) or after the 30-day period during

12  which an alleged perpetrator may request such a hearing has

13  expired, the department shall classify the report of abuse,

14  neglect, or exploitation as confirmed or unfounded and shall

15  report its findings to the department's central abuse registry

16  and tracking system, and must do so in accordance with the

17  final order if a hearing was held.

18         Section 201.  Subsection (8) of section 415.1113,

19  Florida Statutes, 1998 Supplement, is amended to read:

20         415.1113  Administrative fines for false report of

21  abuse, neglect, or exploitation of a disabled adult or an

22  elderly person.--

23         (8)  All amounts collected under this section must be

24  deposited into the Operations and Maintenance Trust Fund

25  within the Aging and Adult Services Program Office of the

26  department.

27         Section 202.  Subsections (2), (3), and (7) of section

28  420.621, Florida Statutes, are amended to read:

29         420.621  Definitions.--As used in ss. 420.621-420.627,

30  the following terms shall have the following meanings, unless

31  the context otherwise requires:

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  1         (2)  "Department" means the Department of Children and

  2  Family Health and Rehabilitative Services.

  3         (3)  "District" means a service district of the

  4  Department of Children and Family Health and Rehabilitative

  5  Services, as set forth in s. 20.19.

  6         (7)  "Secretary" means the secretary of the Department

  7  of Children and Family Health and Rehabilitative Services.

  8         Section 203.  Paragraph (d) of subsection (1) of

  9  section 421.10, Florida Statutes, is amended to read:

10         421.10  Rentals and tenant selection.--

11         (1)  In the operation or management of housing projects

12  an authority shall at all times observe the following duties

13  with respect to rentals and tenants selection:

14         (d)  The Department of Children and Family Health and

15  Rehabilitative Services, pursuant to 45 C.F.R. s.

16  233.20(a)(3)(vii)(c), may not consider as income for

17  participants in the WAGES Program assistance received by

18  recipients from other agencies or organizations such as public

19  housing authorities.

20         Section 204.  Paragraph (b) of subsection (1) of

21  section 427.012, Florida Statutes, is amended to read:

22         427.012  The Commission for the Transportation

23  Disadvantaged.--There is created the Commission for the

24  Transportation Disadvantaged in the Department of

25  Transportation.

26         (1)  The commission shall consist of the following

27  members:

28         (b)  The secretary of the Department of Children and

29  Family Health and Rehabilitative Services or the secretary's

30  designee.

31

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  1         Section 205.  Section 430.015, Florida Statutes, is

  2  amended to read:

  3         430.015  Legislative findings.--The Legislature finds

  4  that it is a public necessity that identifying information

  5  contained in the records of elderly persons collected and held

  6  by the Department of Elderly Affairs, by volunteers, or by

  7  persons under contract with area agencies on aging be held

  8  confidential and exempt from public disclosure. Similar

  9  information held by the Department of Children and Family

10  Health and Rehabilitative Services is confidential.  If such

11  information were not held confidential and exempt, elderly

12  persons could fall prey to those seeking to capitalize on

13  their weaknesses. Also, if their addresses were available, and

14  their disabilities known, criminals could more readily attack

15  these elderly citizens. Accordingly, it is necessary to

16  protect the health, safety, and welfare of our elderly

17  citizens, that identifying information regarding them be kept

18  confidential.

19         Section 206.  Subsection (3) of section 430.04, Florida

20  Statutes, 1998 Supplement, is amended to read:

21         430.04  Duties and responsibilities of the Department

22  of Elderly Affairs.--The Department of Elderly Affairs shall:

23         (3)  Prepare and submit to the Governor, each Cabinet

24  member, the President of the Senate, the Speaker of the House

25  of Representatives, the minority leaders of the House and

26  Senate, and chairpersons of appropriate House and Senate

27  committees a master plan for policies and programs in the

28  state related to aging.  The plan must identify and assess the

29  needs of the elderly population in the areas of housing,

30  employment, education and training, medical care, long-term

31  care, preventive care, protective services, social services,

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  1  mental health, transportation, and long-term care insurance,

  2  and other areas considered appropriate by the department.  The

  3  plan must assess the needs of particular subgroups of the

  4  population and evaluate the capacity of existing programs,

  5  both public and private and in state and local agencies, to

  6  respond effectively to identified needs.  If the plan

  7  recommends the transfer of any program or service from the

  8  Department of Children and Family Health and Rehabilitative

  9  Services to another state department, the plan must also

10  include recommendations that provide for an independent

11  third-party mechanism, as currently exists in the human rights

12  advocacy committees established in ss. 402.165 and 402.166,

13  for protecting the constitutional and human rights of

14  recipients of departmental services. The plan must include

15  policy goals and program strategies designed to respond

16  efficiently to current and projected needs. The plan must also

17  include policy goals and program strategies to promote

18  intergenerational relationships and activities.  Public

19  hearings and other appropriate processes shall be utilized by

20  the department to solicit input for the development and

21  updating of the master plan from parties including, but not

22  limited to, the following:

23         (a)  Elderly citizens and their families and

24  caregivers.

25         (b)  Local-level public and private service providers,

26  advocacy organizations, and other organizations relating to

27  the elderly.

28         (c)  Local governments.

29         (d)  All state agencies that provide services to the

30  elderly.

31         (e)  University centers on aging.

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  1         (f)  Area agency on aging and community care for the

  2  elderly lead agencies.

  3         Section 207.  Subsection (3) of section 435.02, Florida

  4  Statutes, is amended to read:

  5         435.02  Definitions.--For the purposes of this chapter:

  6         (3)  "Licensing agency" means any state or county

  7  agency which grants licenses or registration permitting the

  8  operation of an employer or is itself an employer.  When there

  9  is no state licensing agency or the county licensing agency

10  chooses not to conduct employment screening, "licensing

11  agency" means the Department of Children and Family Health and

12  Rehabilitative Services.

13         Section 208.  Paragraphs (b) and (c) of subsection (1)

14  of section 435.05, Florida Statutes, are amended to read:

15         435.05  Requirements for covered employees.--Except as

16  otherwise provided by law, the following requirements shall

17  apply to covered employees:

18         (1)

19         (b)  For level 1 screening, the employer must submit

20  the information necessary for screening to the Florida

21  Department of Law Enforcement within 5 working days after

22  receiving it.  When required, the employer must at the same

23  time submit sufficient information to the Department of

24  Children and Family Health and Rehabilitative Services to

25  complete a check of its records relating to the abuse,

26  neglect, and exploitation of vulnerable adults.  The Florida

27  Department of Law Enforcement and the Department of Children

28  and Family Health and Rehabilitative Services will conduct

29  searches of their records and will respond to the employer

30  agency.  The employer will inform the employee whether

31  screening has revealed any disqualifying information.

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  1         (c)  For level 2 screening, the employer or licensing

  2  agency must submit the information necessary for screening to

  3  the Florida Department of Law Enforcement within 5 working

  4  days after receiving it.  When required, the employer or

  5  licensing agency must also submit sufficient information to

  6  the Department of Children and Family Health and

  7  Rehabilitative Services to complete a check of its records.

  8  The Florida Department of Law Enforcement will conduct a

  9  search of its criminal and juvenile records and will request

10  that the Federal Bureau of Investigation conduct a search of

11  its records for each employee for whom the request is made.

12  The Florida Department of Law Enforcement and the Department

13  of Children and Family Health and Rehabilitative Services will

14  respond to the employer or licensing agency, and the employer

15  or licensing agency will inform the employee whether screening

16  has revealed disqualifying information.

17         Section 209.  Section 435.08, Florida Statutes, is

18  amended to read:

19         435.08  Payment for processing of fingerprints, state

20  criminal records checks, and abuse hotline checks.--Either the

21  employer or the employee is responsible for paying the costs

22  of screening.  Payment shall be submitted to the Florida

23  Department of Law Enforcement with the request for screening.

24  When a search of the central abuse hotline is required,

25  payment shall be submitted by separate check to the Department

26  of Children and Family Health and Rehabilitative Services with

27  the request for screening.

28         Section 210.  Paragraph (f) of subsection (1) of

29  section 440.151, Florida Statutes, is amended to read:

30         440.151  Occupational diseases.--

31         (1)

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  1         (f)  No compensation shall be payable for disability or

  2  death resulting from tuberculosis arising out of and in the

  3  course of employment by the Department Division of Health of

  4  the Department of Health and Rehabilitative Services at a

  5  state tuberculosis hospital, or aggravated by such employment,

  6  when the employee had suffered from said disease at any time

  7  prior to the commencement of such employment.

  8         Section 211.  Section 442.005, Florida Statutes, is

  9  amended to read:

10         442.005  Division to make study of occupational

11  diseases, etc.--The division shall make a continuous study of

12  occupational diseases and the ways and means for their control

13  and prevention and shall make and enforce necessary

14  regulations for such control. For this purpose, the division

15  is authorized to cooperate with employers, employees, and

16  carriers and with the Department of Health and Rehabilitative

17  Services.

18         Section 212.  Subsection (25) of section 443.036,

19  Florida Statutes, 1998 Supplement, is amended to read:

20         443.036  Definitions.--As used in this chapter, unless

21  the context clearly requires otherwise:

22         (25)  HOSPITAL.--"Hospital" means an institution which

23  has been licensed, certified, or approved by the Agency for

24  Health Care Administration Department of Health and

25  Rehabilitative Services as a hospital.

26         Section 213.  Subsection (3) of section 446.205,

27  Florida Statutes, is amended to read:

28         446.205  Job Training Partnership Act family dropout

29  prevention program.--

30         (3)  Local school boards and district Department of

31  Children and Family Health and Rehabilitative Services'

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  1  offices shall coordinate with the local private industry

  2  council in the development and implementation of a dropout

  3  prevention program.  Moneys may be allocated to this program

  4  from the funds received by each local private industry

  5  council.

  6         Section 214.  Subsection (3) of section 446.23, Florida

  7  Statutes, is amended to read:

  8         446.23  Obligations of a mentor.--It shall be the duty

  9  of each mentor, pursuant to a written agreement with the youth

10  participant, the contracting entity, and the local service

11  delivery area, to:

12         (3)  Identify and support needed social, health care,

13  and transportation services for the youth participant through

14  the appropriate local program offices of the Department of

15  Children and Family Health and Rehabilitative Services, the

16  Department of Health, the local vocational rehabilitation

17  agency, or other appropriate agency.

18         Section 215.  Subsection (2) of section 446.25, Florida

19  Statutes, is amended to read:

20         446.25  Implementation.--

21         (2)  Primary responsibility for the development and

22  coordination of the program shall rest with the Department of

23  Labor and Employment Security, which shall promulgate rules to

24  establish program guidelines.  The service delivery areas

25  shall coordinate services such as basic skills training,

26  medical and social services, and transportation for the

27  disadvantaged with the Department of Education, State Board of

28  Community Colleges, Department of Children and Family Health

29  and Rehabilitative Services, Department of Health, Commission

30  for the Transportation Disadvantaged of the Department of

31  Transportation, and other agencies as needed.

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  1         Section 216.  Subsections (2), (3), (6), and (10) of

  2  section 446.603, Florida Statutes, are amended to read:

  3         446.603  Untried Worker Placement and Employment

  4  Incentive Act.--

  5         (2)  For purposes of this section, the term "untried

  6  worker" means a person who is a hard-to-place participant in

  7  the welfare-to-work programs of the Department of Labor and

  8  Employment Security or the Department of Children and Family

  9  Health and Rehabilitative Services because they have

10  limitations associated with the long-term receipt of welfare

11  and difficulty in sustaining employment.

12         (3)  The Department of Labor and Employment Security

13  and the Department of Children and Family Health and

14  Rehabilitative Services, working with the Enterprise Florida

15  Jobs and Education Partnership, shall develop five Untried

16  Worker Placement and Employment Incentive pilot projects in at

17  least five different counties.

18         (6)  The Department of Labor and Employment Security

19  and the Department of Children and Family Health and

20  Rehabilitative Services, working with the Enterprise Florida

21  Jobs and Education Partnership, shall develop an incentive

22  schedule that costs the state less per placement than the

23  state's 12-month expenditure on a welfare recipient.

24         (10)  The Department of Labor and Employment Security

25  and the Department of Children and Family Health and

26  Rehabilitative Services, working with the Enterprise Florida

27  Jobs and Education Partnership, may offer to any employer that

28  chooses to employ untried workers such incentives and benefits

29  that are available and provided in law, as long as the

30  long-term, cost savings can be quantified with each such

31  additional inducement.

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  1         Section 217.  Subsection (1) of section 446.604,

  2  Florida Statutes, is amended to read:

  3         446.604  One-Stop Career Centers.--

  4         (1)  The Department of Management Services shall

  5  coordinate among the agencies a plan for a One-Stop Career

  6  Center Electronic Network made up of One-Stop Career Centers

  7  that are operated by the Department of Labor and Employment

  8  Security, the Department of Children and Family Health and

  9  Rehabilitative Services, the Department of Education, and

10  other authorized public or private for-profit or

11  not-for-profit agents.  The plan shall identify resources

12  within existing revenues to establish and support such

13  electronic network for service delivery that includes the

14  Florida Communities Network.

15         Section 218.  Paragraphs (b) and (h) of subsection (1)

16  and subsection (2) of section 450.191, Florida Statutes, are

17  amended to read:

18         450.191  Executive Office of the Governor; powers and

19  duties.--

20         (1)  The Executive Office of the Governor is authorized

21  and directed to:

22         (b)  Cooperate with the Department of Health and

23  Rehabilitative Services in establishing minimum standards of

24  preventive and curative health and of housing and sanitation

25  in migrant labor camps and in making surveys to determine the

26  adequacy of preventive and curative health services available

27  to occupants of migrant labor camps;

28         (h)  Cooperate with the Department of Children and

29  Family Health and Rehabilitative Services in coordinating all

30  public assistance programs as they may apply to migrant

31  laborers;

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  1         (2)  The office shall arrange, through the Department

  2  of Health and Rehabilitative Services, for the provision of

  3  the supplementary services set forth in paragraph (1)(b) to

  4  the extent of available appropriations.  Such services may be

  5  provided through the use of one or more traveling

  6  dispensaries, or by contract with physicians, dentists,

  7  hospitals, or clinics, or in such manner as may be recommended

  8  by the Department of Health and Rehabilitative Services.

  9         Section 219.  Subsection (2) of section 450.211,

10  Florida Statutes, is amended to read:

11         450.211  Advisory committee; membership.--The

12  Legislative Commission on Migrant Labor is authorized and

13  directed to establish an advisory committee, which shall

14  contain the following membership:

15         (2)  One member representing the Department of Health

16  and Rehabilitative Services;

17         Section 220.  Subsection (1) of section 455.674,

18  Florida Statutes, is amended to read:

19         455.674  Practitioner disclosure of confidential

20  information; immunity from civil or criminal liability.--

21         (1)  A practitioner regulated through the Division of

22  Medical Quality Assurance of the department shall not be

23  civilly or criminally liable for the disclosure of otherwise

24  confidential information to a sexual partner or a

25  needle-sharing partner under the following circumstances:

26         (a)  If a patient of the practitioner who has tested

27  positive for human immunodeficiency virus discloses to the

28  practitioner the identity of a sexual partner or a

29  needle-sharing partner;

30         (b)  The practitioner recommends the patient notify the

31  sexual partner or the needle-sharing partner of the positive

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  1  test and refrain from engaging in sexual or drug activity in a

  2  manner likely to transmit the virus and the patient refuses,

  3  and the practitioner informs the patient of his or her intent

  4  to inform the sexual partner or needle-sharing partner; and

  5         (c)  If pursuant to a perceived civil duty or the

  6  ethical guidelines of the profession, the practitioner

  7  reasonably and in good faith advises the sexual partner or the

  8  needle-sharing partner of the patient of the positive test and

  9  facts concerning the transmission of the virus.

10

11  However, any notification of a sexual partner or a

12  needle-sharing partner pursuant to this section shall be done

13  in accordance with protocols developed pursuant to rule of the

14  Department of Health and Rehabilitative Services.

15         Section 221.  Paragraph (b) of subsection (1) of

16  section 458.3165, Florida Statutes, is amended to read:

17         458.3165  Public psychiatry certificate.--The board

18  shall issue a public psychiatry certificate to an individual

19  who remits an application fee not to exceed $300, as set by

20  the board, who is a board-certified psychiatrist, who is

21  licensed to practice medicine without restriction in another

22  state, and who meets the requirements in s. 458.311(1)(a)-(g)

23  and (5).

24         (1)  Such certificate shall:

25         (b)  Be issued and renewable biennially if the

26  secretary of the Department of Health and Rehabilitative

27  Services and the chair of the department of psychiatry at one

28  of the public medical schools or the chair of the department

29  of psychiatry at the accredited medical school at the

30  University of Miami recommend in writing that the certificate

31  be issued or renewed.

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  1         Section 222.  Subsection (7) of section 458.331,

  2  Florida Statutes, 1998 Supplement, is amended to read:

  3         458.331  Grounds for disciplinary action; action by the

  4  board and department.--

  5         (7)  Upon the department's receipt from the Agency for

  6  Health Care Administration Department of Health and

  7  Rehabilitative Services pursuant to s. 395.0197 of the name of

  8  a physician whose conduct may constitute grounds for

  9  disciplinary action by the department, the department shall

10  investigate the occurrences upon which the report was based

11  and determine if action by the department against the

12  physician is warranted.

13         Section 223.  Subsection (7) of section 459.015,

14  Florida Statutes, 1998 Supplement, is amended to read:

15         459.015  Grounds for disciplinary action by the

16  board.--

17         (7)  Upon the department's receipt from the Agency for

18  Health Care Administration Department of Health and

19  Rehabilitative Services pursuant to s. 395.0197 of the name of

20  an osteopathic physician whose conduct may constitute grounds

21  for disciplinary action by the department, the department

22  shall investigate the occurrences upon which the report was

23  based and determine if action by the department against the

24  osteopathic physician is warranted.

25         Section 224.  Paragraph (b) of subsection (5) of

26  section 461.013, Florida Statutes, 1998 Supplement, is amended

27  to read:

28         461.013  Grounds for disciplinary action; action by the

29  board; investigations by department.--

30         (5)

31

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  1         (b)  Upon the department's receipt from the Agency for

  2  Health Care Administration Department of Health and

  3  Rehabilitative Services pursuant to s. 395.0197 of the name of

  4  the podiatric physician whose conduct may constitute grounds

  5  for disciplinary action by the department, the department

  6  shall investigate the occurrences upon which the report was

  7  based and determine if action by the department against the

  8  podiatric physician is warranted.

  9         Section 225.  Paragraph (b) of subsection (2) and

10  subsection (4) of section 466.023, Florida Statutes, are

11  amended to read:

12         466.023  Dental hygienists; scope and area of

13  practice.--

14         (2)  Dental hygienists may perform their duties:

15         (b)  In public health programs and institutions of the

16  Department of Children and Family Health and Rehabilitative

17  Services, Department of Health, and Department of Juvenile

18  Justice under the general supervision of a licensed dentist;

19  or

20         (4)  The board by rule may limit the number of dental

21  hygienists or dental assistants to be supervised by a dentist

22  if they perform expanded duties requiring direct or indirect

23  supervision pursuant to the provisions of this chapter.  The

24  purpose of the limitation shall be to protect the health and

25  safety of patients and to ensure that procedures which require

26  more than general supervision be adequately supervised.

27  However, the Department of Children and Family Health and

28  Rehabilitative Services, Department of Health, Department of

29  Juvenile Justice, and public institutions approved by the

30  board shall not be so limited as to the number of dental

31

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  1  hygienists or dental assistants working under the supervision

  2  of a licensed dentist.

  3         Section 226.  Subsection (6) of section 467.009,

  4  Florida Statutes, 1998 Supplement, is amended to read:

  5         467.009  Midwifery programs; education and training

  6  requirements.--

  7         (6)  The training required under this section shall

  8  include training in either hospitals or alternative birth

  9  settings, or both, with particular emphasis on learning the

10  ability to differentiate between low-risk pregnancies and

11  high-risk pregnancies.  A hospital or birthing center

12  receiving public funds shall be required to provide student

13  midwives access to observe labor, delivery, and postpartal

14  procedures, provided the woman in labor has given informed

15  consent.  The Department of Health and Rehabilitative Services

16  shall assist in facilitating access to hospital training for

17  approved midwifery programs.

18         Section 227.  Paragraph (a) of subsection (2) of

19  section 467.0125, Florida Statutes, is amended to read:

20         467.0125  Licensure by endorsement.--

21         (2)  The department may issue a temporary certificate

22  to practice in areas of critical need to any midwife who is

23  qualifying for licensure by endorsement under subsection (1),

24  with the following restrictions:

25         (a)  The Department of Health and Rehabilitative

26  Services shall determine the areas of critical need, and the

27  midwife so certified shall practice only in those specific

28  areas, under the auspices of a physician licensed pursuant to

29  chapter 458 or chapter 459, a certified nurse midwife licensed

30  pursuant to chapter 464, or a midwife licensed under this

31  chapter, who has a minimum of 3 years' professional

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  1  experience. Such areas shall include, but not be limited to,

  2  health professional shortage areas designated by the United

  3  States Department of Health and Human Services.

  4         Section 228.  Subsection (8) of section 468.1685,

  5  Florida Statutes, 1998 Supplement, is amended to read:

  6         468.1685  Powers and duties of board and

  7  department.--It is the function and duty of the board,

  8  together with the department, to:

  9         (8)  Set up procedures by rule for advising and acting

10  together with the Department of Health and Rehabilitative

11  Services and other boards of other health professions in

12  matters affecting procedures and methods for effectively

13  enforcing the purpose of this part and the administration of

14  chapter 400.

15         Section 229.  Paragraph (a) of subsection (5) of

16  section 470.021, Florida Statutes, is amended to read:

17         470.021  Direct disposal establishment; standards and

18  location; registration.--

19         (5)(a)  Each direct disposal establishment shall at all

20  times be subject to the inspection of all its buildings,

21  grounds, and vehicles used in the conduct of its business, by

22  the department, the Department of Health and Rehabilitative

23  Services, and local government inspectors and by their agents.

24  The board shall adopt rules which establish such inspection

25  requirements.

26         Section 230.  Subsection (2) and paragraph (a) of

27  subsection (7) of section 470.025, Florida Statutes, are

28  amended to read:

29         470.025  Cinerator facility; licensure.--

30         (2)  Application for licensure of cinerator facilities

31  shall be on a form furnished and prescribed by the department

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  1  and shall be accompanied by a nonrefundable license fee of up

  2  to $300 as set by board rule. No license may be issued unless

  3  the cinerator facility has been inspected and approved as

  4  meeting all requirements as set forth by the department, the

  5  Department of Health and Rehabilitative Services, the

  6  Department of Environmental Protection, or any local ordinance

  7  regulating the same. The board shall establish by rule

  8  standards for cinerator facilities, including, but not limited

  9  to, requirements for refrigeration and storage of dead human

10  bodies, use of forms and contracts, and record retention.

11         (7)(a)  Each cinerator facility shall at all times be

12  subject to the inspection of all its buildings, grounds, and

13  vehicles used in the conduct of its business, by the

14  department, the Department of Environmental Protection, the

15  Department of Health and Rehabilitative Services, and local

16  government inspectors and by their agents. The board shall

17  adopt rules which establish such inspection requirements.

18         Section 231.  Paragraph (e) of subsection (1) of

19  section 470.0301, Florida Statutes, 1998 Supplement, is

20  amended to read:

21         470.0301  Removal services; refrigeration facilities;

22  centralized embalming facilities.--In order to ensure that the

23  removal, refrigeration, and embalming of all dead human bodies

24  is conducted in a manner that properly protects the public's

25  health and safety, the board shall adopt rules to provide for

26  the registration of removal services, refrigeration

27  facilities, and centralized embalming facilities operated

28  independently of funeral establishments, direct disposal

29  establishments, and cinerator facilities.

30         (1)  REMOVAL SERVICES AND REFRIGERATION SERVICES.--

31

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  1         (e)  Every registrant under this section shall at all

  2  times be subject to the inspection of all its buildings,

  3  grounds, and vehicles used in the conduct of its business, by

  4  the department or any of its designated representatives or

  5  agents, or local or Department of Health and Rehabilitative

  6  Services inspectors. The board shall by rule establish

  7  requirements for inspection of removal services and

  8  refrigeration services.

  9         Section 232.  Paragraph (b) of subsection (1) of

10  section 487.0615, Florida Statutes, is amended to read:

11         487.0615  Pesticide Review Council.--

12         (1)

13         (b)  The council shall consist of 11 scientific members

14  as follows: a scientific representative from the Department of

15  Agriculture and Consumer Services, a scientific representative

16  from the Department of Environmental Protection, a scientific

17  representative from the Department of Health and

18  Rehabilitative Services, and a scientific representative from

19  the Game and Fresh Water Fish Commission, each to be appointed

20  by the respective agency; the dean of research of the

21  Institute of Food and Agricultural Sciences of the University

22  of Florida; and six members to be appointed by the Governor.

23  The six members to be appointed by the Governor must be a

24  pesticide industry representative, a representative of an

25  environmental group, a hydrologist, a toxicologist, a

26  scientific representative from one of the five water

27  management districts rotated among the five districts, and a

28  grower representative from a list of three persons nominated

29  by the statewide grower associations. Each member shall be

30  appointed for a term of 4 years and shall serve until a

31

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  1  successor is appointed. A vacancy shall be filled for the

  2  remainder of the unexpired term.

  3         Section 233.  Paragraph (c) of subsection (15) and

  4  subsection (16) of section 489.503, Florida Statutes, 1998

  5  Supplement, are amended to read:

  6         489.503  Exemptions.--This part does not apply to:

  7         (15)  The provision, installation, testing, routine

  8  maintenance, factory-servicing, or monitoring of a personal

  9  emergency response system, as defined in s. 489.505, by an

10  authorized person who:

11         (c)  Performs services for the Department of Children

12  and Family Health and Rehabilitative Services under chapter

13  410; or

14         (16)  The monitoring of a personal emergency response

15  system, as defined in s. 489.505, by a charitable,

16  not-for-profit corporation acting in accordance with a

17  contractual agreement with the Agency for Health Care

18  Administration or one of its licensed health care facilities,

19  the Department of Elderly Affairs, or the Department of

20  Children and Family Health and Rehabilitative Services,

21  providing that the organization does not perform any other

22  service requiring certification or registration under this

23  part. Nothing in this subsection shall be construed to provide

24  any of the agencies mentioned in this subsection the authority

25  to develop rules, criteria, or policy pursuant to this

26  subsection.

27         Section 234.  Subsection (1) of section 489.551,

28  Florida Statutes, 1998 Supplement, is amended to read:

29         489.551  Definitions.--As used in this part:

30         (1)  "Department" means the Department of Health and

31  Rehabilitative Services.

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  1         Section 235.  Subsection (9) of section 499.003,

  2  Florida Statutes, is amended to read:

  3         499.003  Definitions of terms used in ss.

  4  499.001-499.081.--As used in ss. 499.001-499.081, the term:

  5         (9)  "Department" means the Department of Health and

  6  Rehabilitative Services.

  7         Section 236.  Section 499.004, Florida Statutes, is

  8  amended to read:

  9         499.004  Administration and enforcement by

10  department.--The Department of Health and Rehabilitative

11  Services shall administer and enforce ss. 499.001-499.081 to

12  prevent fraud, adulteration, misbranding, or false advertising

13  in the preparation, manufacture, repackaging, or distribution

14  of drugs, devices, and cosmetics.

15         Section 237.  Subsections (1), (3), and (4) of section

16  499.02, Florida Statutes, are amended to read:

17         499.02  Florida Drug Technical Review Panel; purpose;

18  membership; meetings; records; expenses.--

19         (1)  The Florida Drug Technical Review Panel,

20  hereinafter referred to as the "technical panel," is

21  established within the department and shall consist of five

22  members appointed by the Secretary of Health and

23  Rehabilitative Services. The technical panel shall provide

24  assistance to the department and make recommendations on

25  applications for investigational drugs not involved in

26  interstate commerce.

27         (3)  A vacancy in membership occurring before the

28  expiration of a term shall be filled by a member appointed by

29  the Secretary of Health and Rehabilitative Services for the

30  remainder of that term.

31

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  1         (4)  As the terms of members naturally expire, the

  2  Secretary of Health and Rehabilitative Services shall appoint

  3  successors for terms of 4 years each.  Members of the

  4  technical panel may be reappointed.

  5         Section 238.  Subsection (1) of section 499.022,

  6  Florida Statutes, is amended to read:

  7         499.022  Technical review; approvals and denials.--

  8         (1)  The technical panel shall review each

  9  investigational drug application and, based on the information

10  provided by the applicant under s. 499.018, shall recommend

11  approval or denial to the Secretary of Health and

12  Rehabilitative Services.

13         Section 239.  Subsection (3) of section 499.039,

14  Florida Statutes, is amended to read:

15         499.039  Sale, distribution, or transfer of harmful

16  chemical substances; penalties; authority for enforcement.--It

17  is unlawful for a person to sell, deliver, or give to a person

18  under the age of 18 years any compound, liquid, or chemical

19  containing toluol, hexane, trichloroethylene, acetone,

20  toluene, ethyl acetate, methyl ethyl ketone, trichloroethane,

21  isopropanol, methyl isobutyl ketone, ethylene glycol

22  monomethyl ether acetate, cyclohexanone, nitrous oxide,

23  diethyl ether, alkyl nitrites (butyl nitrite), or any similar

24  substance for the purpose of inducing by breathing, inhaling,

25  or ingesting a condition of intoxication or which is intended

26  to distort or disturb the auditory, visual, or other physical

27  or mental processes.

28         (3)  The Department of Health and Rehabilitative

29  Services shall adopt rules to implement this section.

30         Section 240.  Subsections (1) and (2) of section

31  499.051, Florida Statutes, are amended to read:

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  1         499.051  Inspections and investigations.--

  2         (1)  The agents of the Department of Health and

  3  Rehabilitative Services and of the Department of Law

  4  Enforcement, after they present proper identification, may

  5  inspect, monitor, and investigate any establishment permitted

  6  pursuant to ss. 499.001-499.081 during business hours for the

  7  purpose of enforcing ss. 499.001-499.081, chapters 465, 501,

  8  and 893, and the rules of the department that protect the

  9  public health, safety, and welfare.

10         (2)  In addition to the authority set forth in

11  subsection (1), the department and any duly designated officer

12  or employee of the department may enter and inspect any other

13  establishment for the purpose of determining compliance with

14  ss. 499.001-499.081 and rules adopted under those sections

15  regarding any drug, device, or cosmetic product. The authority

16  to enter and inspect does not extend to the practice of the

17  profession of pharmacy, as defined in chapter 465 and the

18  rules adopted under that chapter, in a pharmacy permitted

19  under chapter 465. The Department of Business and Professional

20  Regulation shall conduct routine inspections of retail

21  pharmacy wholesalers at the time of the regular pharmacy

22  permit inspection and shall send the inspection report

23  regarding drug wholesale activity to the Department of Health

24  and Rehabilitative Services.

25         Section 241.  Subsection (2) of section 499.601,

26  Florida Statutes, is amended to read:

27         499.601  Legislative intent; construction.--

28         (2)  The provisions of this part are cumulative and

29  shall not be construed as repealing or affecting any powers,

30  duties, or authority of the Department of Health and

31  Rehabilitative Services under any other law of this state;

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  1  except that, with respect to the regulation of ether as herein

  2  provided, in instances in which the provisions of this part

  3  may conflict with any other such law, the provisions of this

  4  part shall control.

  5         Section 242.  Subsection (2) of section 499.61, Florida

  6  Statutes, is amended to read:

  7         499.61  Definitions.--As used in this part:

  8         (2)  "Department" means the Department of Health and

  9  Rehabilitative Services.

10         Section 243.  Paragraph (b) of subsection (5) of

11  section 500.12, Florida Statutes, is amended to read:

12         500.12  Food permits; building permits.--

13         (5)  It is the intent of the Legislature to eliminate

14  duplication of regulatory inspections of food. Regulatory and

15  permitting authority over any food establishment is preempted

16  to the department, except as provided in chapters 370 and 372.

17         (b)  Food service establishments, as defined in s.

18  381.0072, that have ancillary, prepackaged retail food sales

19  shall be regulated by the Department of Health and

20  Rehabilitative Services.

21         Section 244.  Paragraph (b) of subsection (3) of

22  section 501.001, Florida Statutes, is amended to read:

23         501.001  Florida Anti-Tampering Act.--

24         (3)

25         (b)  In addition to any other agency which has

26  authority to investigate and prosecute violations of this

27  section, the Department of Health and Rehabilitative Services,

28  under chapter 499, shall initiate actions necessary to

29  safeguard the public welfare by identifying and removing

30  suspect drugs, devices, or cosmetics from consumer channels if

31

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  1  drug, device, or cosmetic tampering is identified, alleged, or

  2  suspected.

  3         Section 245.  Paragraph (b) of subsection (4) of

  4  section 509.013, Florida Statutes, is amended to read:

  5         509.013  Definitions.--As used in this chapter, the

  6  term:

  7         (4)

  8         (b)  The following are excluded from the definition in

  9  paragraph (a):

10         1.  Any dormitory or other living or sleeping facility

11  maintained by a public or private school, college, or

12  university for the use of students, faculty, or visitors;

13         2.  Any hospital, nursing home, sanitarium, assisted

14  living facility, or other similar place;

15         3.  Any place renting four rental units or less, unless

16  the rental units are advertised or held out to the public to

17  be places that are regularly rented to transients;

18         4.  Any unit or group of units in a condominium,

19  cooperative, or timeshare plan and any individually or

20  collectively owned one-family, two-family, three-family, or

21  four-family dwelling house or dwelling unit that is rented for

22  periods of at least 30 days or 1 calendar month, whichever is

23  less, and that is not advertised or held out to the public as

24  a place regularly rented for periods of less than 1 calendar

25  month, provided that no more than four rental units within a

26  single complex of buildings are available for rent;

27         5.  Any migrant labor camp or residential migrant

28  housing permitted by the Department of Health and

29  Rehabilitative Services; under ss. 381.008-381.00895; and

30

31

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  1         6.  Any establishment inspected by the Department of

  2  Health and Rehabilitative Services and regulated by chapter

  3  513.

  4         Section 246.  Paragraphs (a) and (d) of subsection (2)

  5  of section 509.032, Florida Statutes, 1998 Supplement, are

  6  amended to read:

  7         509.032  Duties.--

  8         (2)  INSPECTION OF PREMISES.--

  9         (a)  The division has responsibility and jurisdiction

10  for all inspections required by this chapter.  The division

11  has responsibility for quality assurance.  Each licensed

12  establishment shall be inspected at least biannually and at

13  such other times as the division determines is necessary to

14  ensure the public's health, safety, and welfare.  The division

15  shall establish a system to determine inspection frequency.

16  Public lodging units classified as resort condominiums or

17  resort dwellings are not subject to this requirement, but

18  shall be made available to the division upon request.  If,

19  during the inspection of a public lodging establishment

20  classified for renting to transient or nontransient tenants,

21  an inspector identifies disabled adults or elderly persons who

22  appear to be victims of neglect, as defined in s. 415.102, or,

23  in the case of a building that is not equipped with automatic

24  sprinkler systems, tenants or clients who may be unable to

25  self-preserve in an emergency, the division shall convene

26  meetings with the following agencies as appropriate to the

27  individual situation: the Department of Health and

28  Rehabilitative Services, the Department of Elderly Affairs,

29  the area agency on aging, the local fire marshal, the landlord

30  and affected tenants and clients, and other relevant

31  organizations, to develop a plan which improves the prospects

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  1  for safety of affected residents and, if necessary, identifies

  2  alternative living arrangements such as facilities licensed

  3  under part II or part III of chapter 400.

  4         (d)  The division shall adopt and enforce sanitation

  5  rules consistent with law to ensure the protection of the

  6  public from food-borne illness in those establishments

  7  licensed under this chapter.  These rules shall provide the

  8  standards and requirements for obtaining, storing, preparing,

  9  processing, serving, or displaying food in public food service

10  establishments, approving public food service establishment

11  facility plans, conducting necessary public food service

12  establishment inspections, cooperating and coordinating with

13  the Department of Health and Rehabilitative Services in

14  epidemiological investigations, and initiating enforcement

15  actions, and for other such responsibilities deemed necessary

16  by the division.

17         Section 247.  Subsection (4) of section 509.251,

18  Florida Statutes, is amended to read:

19         509.251  License fees.--

20         (4)  The actual costs associated with each

21  epidemiological investigation conducted by the Department of

22  Health and Rehabilitative Services in public food service

23  establishments licensed pursuant to this chapter shall be

24  accounted for and submitted to the division annually. The

25  division shall journal transfer the total of all such amounts

26  from the Hotel and Restaurant Trust Fund to the Department of

27  Health and Rehabilitative Services annually; however, the

28  total amount of such transfer may not exceed an amount equal

29  to 5 percent of the annual public food service establishment

30  licensure fees received by the division.

31

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  1         Section 248.  Paragraph (b) of subsection (1) of

  2  section 509.291, Florida Statutes, is amended to read:

  3         509.291  Advisory council.--

  4         (1)  There is created an 18-member advisory council.

  5         (b)  The division, the Department of Health and

  6  Rehabilitative Services, the Florida Hotel and Motel

  7  Association, the Florida Restaurant Association, the Florida

  8  Apartment Association, and the Florida Association of Realtors

  9  shall each designate one representative to serve as a voting

10  member of the council, and one member appointed by the

11  secretary must be appointed to represent nontransient public

12  lodging establishments.  In addition, one hospitality

13  administration educator from an institution of higher

14  education affiliated with the Hospitality Education Program

15  pursuant to s. 509.302(2) shall serve for a term of 2 years as

16  a voting member of the council.  This single representative

17  shall be designated on a rotating basis by the institution or

18  institutions of higher education affiliated with this program

19  pursuant to s. 509.302(2).

20         Section 249.  Subsection (1) of section 513.01, Florida

21  Statutes, is amended to read:

22         513.01  Definitions.--As used in this chapter, the

23  term:

24         (1)  "Department" means the Department of Health and

25  Rehabilitative Services and includes its representative county

26  health departments.

27         Section 250.  Paragraph (a) of subsection (4) of

28  section 561.121, Florida Statutes, is amended to read:

29         561.121  Deposit of revenue.--

30

31

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  1         (4)  State funds collected pursuant to s. 561.501 shall

  2  be paid into the State Treasury and credited to the following

  3  accounts:

  4         (a)  Nine and eight-tenths of the surcharge on the sale

  5  of alcoholic beverages for consumption on premises shall be

  6  transferred to the Children and Adolescents Substance Abuse

  7  Trust Fund, which shall remain with the Department of Children

  8  and Family Health and Rehabilitative Services for the purpose

  9  of funding programs directed at reducing and eliminating

10  substance abuse problems among children and adolescents.

11         Section 251.  Subsection (2) of section 561.17, Florida

12  Statutes, is amended to read:

13         561.17  License and registration applications; approved

14  person.--

15         (2)  All applications for alcoholic beverage licenses

16  for consumption on the premises shall be accompanied by a

17  certificate of the Division of Hotels and Restaurants of the

18  Department of Business and Professional Regulation or the

19  Department of Agriculture and Consumer Services or the

20  Department of Health and Rehabilitative Services or the county

21  health department that the place of business wherein the

22  business is to be conducted meets all of the sanitary

23  requirements of the state.

24         Section 252.  Subsection (5) of section 561.19, Florida

25  Statutes, is amended to read:

26         561.19  License issuance upon approval of division.--

27         (5)  A fee of $10,750 shall be collected from each

28  person, firm, or corporation that is issued a new liquor

29  license subject to the limitation imposed in s. 561.20(1) as

30  provided in this section. This initial license fee shall not

31  be imposed on any license renewal and shall be in addition to

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  1  the license fees imposed by s. 565.02.  The revenues collected

  2  from the initial license fee imposed by this subsection shall

  3  be deposited in the Department of Children and Family Health

  4  and Rehabilitative Services' Operations and Maintenance Trust

  5  Fund to be used only for alcohol and drug abuse education,

  6  treatment, and prevention programs.

  7         Section 253.  Paragraph (d) of subsection (1) of

  8  section 561.29, Florida Statutes, is amended to read:

  9         561.29  Revocation and suspension of license; power to

10  subpoena.--

11         (1)  The division is given full power and authority to

12  revoke or suspend the license of any person holding a license

13  under the Beverage Law, when it is determined or found by the

14  division upon sufficient cause appearing of:

15         (d)  Maintaining licensed premises that are unsanitary

16  or are not approved as sanitary by the Division of Hotels and

17  Restaurants of the Department of Business and Professional

18  Regulation, the Department of Agriculture and Consumer

19  Services, the county board of health, or the Department of

20  Health and Rehabilitative Services, whichever has jurisdiction

21  thereof.

22         Section 254.  Paragraph (b) of subsection (1) of

23  section 570.42, Florida Statutes, is amended to read:

24         570.42  Dairy Industry Technical Council.--

25         (1)  COMPOSITION.--The Dairy Industry Technical Council

26  is hereby created in the department and shall be composed of

27  seven members as follows:

28         (b)  An employee of the Department of Health and

29  Rehabilitative Services.

30

31

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  1         Section 255.  Paragraph (b) of subsection (3) and

  2  paragraph (a) of subsection (6) of section 576.045, Florida

  3  Statutes, are amended to read:

  4         576.045  Nitrate; findings and intent; fees; purpose;

  5  best-management practices; waiver of liability; compliance;

  6  rules; report; exclusions; expiration.--

  7         (3)  PURPOSE.--The funds collected pursuant to

  8  subsection (2) must be used by the department for the sole

  9  purpose of:

10         (b)  Approving, adopting, publishing, and distributing

11  best-management practices. In the process of approving and

12  adopting best-management practices, the department shall

13  consult with the Department of Environmental Protection, the

14  Department of Health and Rehabilitative Services, the water

15  management districts, environmental groups, the fertilizer

16  industry, and representatives from the affected farming

17  groups.

18

19  This subsection must be implemented through a memorandum of

20  understanding between the department and the Department of

21  Environmental Protection to be adopted by October 1, 1994.

22         (6)  RULEMAKING.--

23         (a)  The department, in consultation with the

24  Department of Environmental Protection, the Department of

25  Health and Rehabilitative Services, the water management

26  districts, environmental groups, the fertilizer industry, and

27  representatives from the affected farming groups, shall adopt

28  rules to:

29         1.  Specify the requirements of best-management

30  practices to be implemented by property owners and

31  leaseholders.

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  1         2.  Establish procedures for property owners and

  2  leaseholders to submit the notice of intent to comply with

  3  best-management practices.

  4         3.  Establish schedules for implementation of

  5  best-management practices, and of interim measures that can be

  6  taken prior to adoption of best-management practices.

  7         4.  Establish a system to assure the implementation of

  8  best-management practices, including recordkeeping

  9  requirements.

10         Section 256.  Section 585.15, Florida Statutes, is

11  amended to read:

12         585.15  Dangerous transmissible disease or pest a

13  public nuisance.--The department may declare by rule that a

14  certain pest or disease of animals is a public nuisance.  When

15  a pest or disease is thus determined to be dangerous,

16  transmissible, or threatening to an agricultural interest of

17  the state, it shall be known as a "reportable disease."  Each

18  reportable disease shall be included by rule on the

19  department's dangerous transmissible disease list.  When

20  necessary because of the possible impact of an animal disease

21  on public health, the department may consult with the

22  Department of Health and Rehabilitative Services regarding an

23  animal disease that is transmissible to humans.

24         Section 257.  Subsection (3) of section 585.21, Florida

25  Statutes, is amended to read:

26         585.21  Sale of biological products.--

27         (3)  Any biological product for animals which is used

28  or proposed to be used in a field test in this state must be

29  approved for such use by the department. Before issuing

30  approval, the department shall consult with the Game and Fresh

31  Water Fish Commission if wildlife are involved and the

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  1  Department of Health and Rehabilitative Services if the

  2  disease may affect humans.

  3         Section 258.  Paragraph (c) of subsection (9) of

  4  section 624.424, Florida Statutes, 1998 Supplement, is amended

  5  to read:

  6         624.424  Annual statement and other information.--

  7         (9)

  8         (c)  Any information provided by an insurer under this

  9  subsection does not violate any right of confidentiality or

10  contract that the insurer may have with covered persons.  The

11  insurer is immune from any liability that it may otherwise

12  incur through its release of such information to the Agency

13  for Health Care Administration Department of Health and

14  Rehabilitative Services.

15         Section 259.  Paragraph (c) of subsection (4) of

16  section 627.429, Florida Statutes, is amended to read:

17         627.429  Medical tests for human immunodeficiency virus

18  infection and acquired immune deficiency syndrome for

19  insurance purposes.--

20         (4)  USE OF MEDICAL TESTS FOR UNDERWRITING.--

21         (c)  An applicant shall be notified of a positive test

22  result by a physician designated by the applicant or, in the

23  absence of such designation, by the Department of Health and

24  Rehabilitative Services. Notification must include all of the

25  following:

26         1.  Face-to-face posttest counseling on the meaning of

27  the test results, the possible need for additional testing,

28  and the need to eliminate behavior which might spread the

29  disease to others.

30

31

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  1         2.  The availability in the person's geographic area of

  2  any appropriate health care services, including mental health

  3  care, and appropriate social and support services.

  4         3.  The benefits of locating and counseling any

  5  individual by whom the infected individual may have been

  6  exposed to human immunodeficiency virus and any individual

  7  whom the infected individual may have exposed to the virus.

  8         4.  The availability, if any, of the services of public

  9  health authorities with respect to locating and counseling any

10  individual described in subparagraph 3.

11         Section 260.  Subsection (2) of section 627.6418,

12  Florida Statutes, is amended to read:

13         627.6418  Coverage for mammograms.--

14         (2)  Except as provided in paragraph (1)(b), for

15  mammograms done more frequently than every 2 years for women

16  40 years of age or older but younger than 50 years of age, the

17  coverage required by subsection (1) applies, with or without a

18  physician prescription, if the insured obtains a mammogram in

19  an office, facility, or health testing service that uses

20  radiological equipment registered with the Department of

21  Health and Rehabilitative Services for breast cancer

22  screening.  The coverage is subject to the deductible and

23  coinsurance provisions applicable to outpatient visits, and is

24  also subject to all other terms and conditions applicable to

25  other benefits.  This section does not affect any requirements

26  or prohibitions relating to who may perform, analyze, or

27  interpret a mammogram or the persons to whom the results of a

28  mammogram may be furnished or released.

29         Section 261.  Subsection (2) of section 627.6613,

30  Florida Statutes, is amended to read:

31         627.6613  Coverage for mammograms.--

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  1         (2)  Except as provided in paragraph (1)(b), for

  2  mammograms done more frequently than every 2 years for women

  3  40 years of age or older but younger than 50 years of age, the

  4  coverage required by subsection (1) applies, with or without a

  5  physician prescription, if the insured obtains a mammogram in

  6  an office, facility, or health testing service that uses

  7  radiological equipment registered with the Department of

  8  Health and Rehabilitative Services for breast cancer

  9  screening.  The coverage is subject to the deductible and

10  coinsurance provisions applicable to outpatient visits, and is

11  also subject to all other terms and conditions applicable to

12  other benefits.  This section does not affect any requirements

13  or prohibitions relating to who may perform, analyze, or

14  interpret a mammogram or the persons to whom the results of a

15  mammogram may be furnished or released.

16         Section 262.  Subsection (4) of section 627.736,

17  Florida Statutes, 1998 Supplement, is amended to read:

18         627.736  Required personal injury protection benefits;

19  exclusions; priority.--

20         (4)  BENEFITS; WHEN DUE.--Benefits due from an insurer

21  under ss. 627.730-627.7405 shall be primary, except that

22  benefits received under any workers' compensation law shall be

23  credited against the benefits provided by subsection (1) and

24  shall be due and payable as loss accrues, upon receipt of

25  reasonable proof of such loss and the amount of expenses and

26  loss incurred which are covered by the policy issued under ss.

27  627.730-627.7405. When the Agency for Health Care

28  Administration Department of Health and Rehabilitative

29  Services provides, pays, or becomes liable for medical

30  assistance under the Medicaid program related to injury,

31  sickness, disease, or death arising out of the ownership,

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  1  maintenance, or use of a motor vehicle, benefits under ss.

  2  627.730-627.7405 shall be subject to the provisions of the

  3  Medicaid program.

  4         (a)  An insurer may require written notice to be given

  5  as soon as practicable after an accident involving a motor

  6  vehicle with respect to which the policy affords the security

  7  required by ss. 627.730-627.7405.

  8         (b)  Personal injury protection insurance benefits paid

  9  pursuant to this section shall be overdue if not paid within

10  30 days after the insurer is furnished written notice of the

11  fact of a covered loss and of the amount of same.  If such

12  written notice is not furnished to the insurer as to the

13  entire claim, any partial amount supported by written notice

14  is overdue if not paid within 30 days after such written

15  notice is furnished to the insurer.  Any part or all of the

16  remainder of the claim that is subsequently supported by

17  written notice is overdue if not paid within 30 days after

18  such written notice is furnished to the insurer.  However, any

19  payment shall not be deemed overdue when the insurer has

20  reasonable proof to establish that the insurer is not

21  responsible for the payment, notwithstanding that written

22  notice has been furnished to the insurer.  For the purpose of

23  calculating the extent to which any benefits are overdue,

24  payment shall be treated as being made on the date a draft or

25  other valid instrument which is equivalent to payment was

26  placed in the United States mail in a properly addressed,

27  postpaid envelope or, if not so posted, on the date of

28  delivery.

29         (c)  All overdue payments shall bear simple interest at

30  the rate of 10 percent per year.

31

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  1         (d)  The insurer of the owner of a motor vehicle shall

  2  pay personal injury protection benefits for:

  3         1.  Accidental bodily injury sustained in this state by

  4  the owner while occupying a motor vehicle, or while not an

  5  occupant of a self-propelled vehicle if the injury is caused

  6  by physical contact with a motor vehicle.

  7         2.  Accidental bodily injury sustained outside this

  8  state, but within the United States of America or its

  9  territories or possessions or Canada, by the owner while

10  occupying the owner's motor vehicle.

11         3.  Accidental bodily injury sustained by a relative of

12  the owner residing in the same household, under the

13  circumstances described in subparagraph 1. or subparagraph 2.,

14  provided the relative at the time of the accident is domiciled

15  in the owner's household and is not himself or herself the

16  owner of a motor vehicle with respect to which security is

17  required under ss. 627.730-627.7405.

18         4.  Accidental bodily injury sustained in this state by

19  any other person while occupying the owner's motor vehicle or,

20  if a resident of this state, while not an occupant of a

21  self-propelled vehicle, if the injury is caused by physical

22  contact with such motor vehicle, provided the injured person

23  is not himself or herself:

24         a.  The owner of a motor vehicle with respect to which

25  security is required under ss. 627.730-627.7405; or

26         b.  Entitled to personal injury benefits from the

27  insurer of the owner or owners of such a motor vehicle.

28         (e)  If two or more insurers are liable to pay personal

29  injury protection benefits for the same injury to any one

30  person, the maximum payable shall be as specified in

31  subsection (1), and any insurer paying the benefits shall be

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  1  entitled to recover from each of the other insurers an

  2  equitable pro rata share of the benefits paid and expenses

  3  incurred in processing the claim.

  4         (f)  Medical payments insurance, if available in a

  5  policy of motor vehicle insurance, shall pay the portion of

  6  any claim for personal injury protection medical benefits

  7  which is otherwise covered but is not payable due to the

  8  coinsurance provision of paragraph (1)(a), regardless of

  9  whether the full amount of personal injury protection coverage

10  has been exhausted.  The benefits shall not be payable for the

11  amount of any deductible which has been selected.

12         (g)  It is a violation of the insurance code for an

13  insurer to fail to timely provide benefits as required by this

14  section with such frequency as to constitute a general

15  business practice.

16         Section 263.  Section 636.052, Florida Statutes, is

17  amended to read:

18         636.052  Civil remedy.--In any civil action brought to

19  enforce the terms and conditions of a prepaid limited health

20  service organization contract, the prevailing party is

21  entitled to recover reasonable attorney's fees and court

22  costs. This section does not authorize a civil action against

23  the department, its employees, or the commissioner or against

24  the Agency for Health Care Administration Department of Health

25  and Rehabilitative Services, its employees, or the director

26  secretary of that agency department.

27         Section 264.  Subsection (1) of section 641.22, Florida

28  Statutes, is amended to read:

29         641.22  Issuance of certificate of authority.--The

30  department shall issue a certificate of authority to any

31  entity filing a completed application in conformity with s.

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  1  641.21, upon payment of the prescribed fees and upon the

  2  department's being satisfied that:

  3         (1)  As a condition precedent to the issuance of any

  4  certificate, the entity has obtained a health care provider

  5  certificate from the Agency for Health Care Administration

  6  Department of Health and Rehabilitative Services pursuant to

  7  part III of this chapter.

  8         Section 265.  Subsection (1) of section 641.23, Florida

  9  Statutes, is amended to read:

10         641.23  Revocation or cancellation of certificate of

11  authority; suspension of enrollment of new subscribers; terms

12  of suspension.--

13         (1)  The maintenance of a valid and current health care

14  provider certificate issued pursuant to part III of this

15  chapter is a condition of the maintenance of a valid and

16  current certificate of authority issued by the department to

17  operate a health maintenance organization.  Denial or

18  revocation of a health care provider certificate shall be

19  deemed to be an automatic and immediate cancellation of a

20  health maintenance organization's certificate of authority.

21  At the discretion of the Department of Insurance, nonrenewal

22  of a health care provider certificate may be deemed to be an

23  automatic and immediate cancellation of a health maintenance

24  organization's certificate of authority if the Agency for

25  Health Care Administration Department of Health and

26  Rehabilitative Services notifies the Department of Insurance,

27  in writing, that the health care provider certificate will not

28  be renewed.

29         Section 266.  Section 641.261, Florida Statutes, is

30  amended to read:

31         641.261  Other reporting requirements.--

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  1         (1)  Each authorized health maintenance organization

  2  shall provide records and information to the Agency for Health

  3  Care Administration Department of Health and Rehabilitative

  4  Services pursuant to s. 409.910(22) for the sole purpose of

  5  identifying potential coverage for claims filed with the

  6  Agency for Health Care Administration Department of Health and

  7  Rehabilitative Services and its fiscal agents for payment of

  8  medical services under the Medicaid program.

  9         (2)  Any information provided by a health maintenance

10  organization under this section to the Agency for Health Care

11  Administration Department of Health and Rehabilitative

12  Services shall not be considered a violation of any right of

13  confidentiality or contract that the health maintenance

14  organization may have with covered persons.  The health

15  maintenance organization is immune from any liability that it

16  may otherwise incur through its release of information to the

17  Agency for Health Care Administration Department of Health and

18  Rehabilitative Services under this section.

19         Section 267.  Paragraph (c) of subsection (4) of

20  section 641.3007, Florida Statutes, is amended to read:

21         641.3007  Human immunodeficiency virus infection and

22  acquired immune deficiency syndrome for contract purposes.--

23         (4)  UTILIZATION OF MEDICAL TESTS.--

24         (c)  An applicant shall be notified of a positive test

25  result by a physician designated by the applicant or, in the

26  absence of such designation, by the Department of Health and

27  Rehabilitative Services.  Such notification must include:

28         1.  Face-to-face posttest counseling on the meaning of

29  the test results; the possible need for additional testing;

30  and the need to eliminate behavior which might spread the

31  disease to others;

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  1         2.  The availability in the geographic area of any

  2  appropriate health care services, including mental health

  3  care, and appropriate social and support services;

  4         3.  The benefits of locating and counseling any

  5  individual by whom the infected individual may have been

  6  exposed to human immunodeficiency virus and any individual

  7  whom the infected individual may have exposed to the virus;

  8  and

  9         4.  The availability, if any, of the services of public

10  health authorities with respect to locating and counseling any

11  individual described in subparagraph 3.

12         Section 268.  Subsection (1) and paragraph (f) of

13  subsection (2) of section 641.405, Florida Statutes, are

14  amended to read:

15         641.405  Application for certificate of authority to

16  operate prepaid health clinic.--

17         (1)  No person may operate a prepaid health clinic

18  without first obtaining a certificate of authority from the

19  department.  The department shall not issue a certificate of

20  authority to any applicant which does not possess a valid

21  Health Care Provider Certificate issued by the Agency for

22  Health Care Administration Department of Health and

23  Rehabilitative Services.

24         (2)  Each application for a certificate of authority

25  shall be on such form as the department prescribes, and such

26  application shall be accompanied by:

27         (f)  A copy of the applicant's Health Care Provider

28  Certificate from the Agency for Health Care Administration

29  Department of Health and Rehabilitative Services, issued

30  pursuant to part III of this chapter.

31

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  1         Section 269.  Subsection (1) of section 641.406,

  2  Florida Statutes, is amended to read:

  3         641.406  Issuance of certificate of authority.--The

  4  department shall issue a certificate of authority for a

  5  prepaid health clinic to any applicant filing a properly

  6  completed application in conformity with s. 641.405, upon

  7  payment of the prescribed fees and upon the department's being

  8  satisfied that:

  9         (1)  As a condition precedent to the issuance of any

10  certificate, the applicant has obtained a Health Care Provider

11  Certificate from the Agency for Health Care Administration

12  Department of Health and Rehabilitative Services pursuant to

13  part III of this chapter.

14         Section 270.  Section 641.411, Florida Statutes, is

15  amended to read:

16         641.411  Other reporting requirements.--

17         (1)  Each prepaid health clinic shall provide records

18  and information to the Agency for Health Care Administration

19  Department of Health and Rehabilitative Services pursuant to

20  s. 409.910(22) for the sole purpose of identifying potential

21  coverage for claims filed with the Agency for Health Care

22  Administration Department of Health and Rehabilitative

23  Services and its fiscal agents for payment of medical services

24  under the Medicaid program.

25         (2)  Any information provided by a prepaid health

26  clinic under this section to the Agency for Health Care

27  Administration Department of Health and Rehabilitative

28  Services shall not be considered a violation of any right of

29  confidentiality or contract that the prepaid health clinic may

30  have with covered persons.  The prepaid health clinic is

31  immune from any liability that it may otherwise incur through

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  1  its release of information to the Agency for Health Care

  2  Administration Department of Health and Rehabilitative

  3  Services under this section.

  4         Section 271.  Paragraph (a) of subsection (2) of

  5  section 641.412, Florida Statutes, is amended to read:

  6         641.412  Fees.--

  7         (2)  The fees charged under this section shall be

  8  distributed as follows:

  9         (a)  One-third of the total amount of fees shall be

10  distributed to the Agency for Health Care Administration

11  Department of Health and Rehabilitative Services; and

12         Section 272.  Subsection (2) of section 641.443,

13  Florida Statutes, is amended to read:

14         641.443  Temporary restraining orders.--

15         (2)  The department and the Agency for Health Care

16  Administration Department of Health and Rehabilitative

17  Services are each vested with the power to seek a temporary

18  restraining order on their behalf or on behalf of a subscriber

19  or subscribers of a prepaid health clinic that is being

20  operated in violation of any provision of this part or any

21  rule promulgated under this part, or any other applicable law

22  or rule.

23         Section 273.  Section 641.454, Florida Statutes, is

24  amended to read:

25         641.454  Civil action to enforce prepaid health clinic

26  contract; attorney's fees; court costs.--In any civil action

27  brought to enforce the terms and conditions of a prepaid

28  health clinic contract, the prevailing party is entitled to

29  recover reasonable attorney's fees and court costs.  This

30  section shall not be construed to authorize a civil action

31  against the department, its employees, or the Insurance

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  1  Commissioner and Treasurer or against the Agency for Health

  2  Care Administration Department of Health and Rehabilitative

  3  Services, the employees of the Agency for Health Care

  4  Administration Department of Health and Rehabilitative

  5  Services, or the Director of Health Care Administration

  6  Secretary of Health and Rehabilitative Services.

  7         Section 274.  Section 641.455, Florida Statutes, is

  8  amended to read:

  9         641.455  Disposition of moneys collected under this

10  part.--Fees, administrative penalties, examination expenses,

11  and other sums collected by the department under this part

12  shall be deposited to the credit of the Insurance

13  Commissioner's Regulatory Trust Fund; however, fees,

14  examination expenses, and other sums collected by, or

15  allocated to, the Agency for Health Care Administration

16  Department of Health and Rehabilitative Services under this

17  part shall be deposited to the credit of the General Revenue

18  Fund.

19         Section 275.  Paragraph (a) of subsection (2) of

20  section 651.021, Florida Statutes, is amended to read:

21         651.021  Certificate of authority required.--

22         (2)(a)  Before commencement of construction or

23  marketing for any expansion of a certificated facility

24  equivalent to the addition of at least 20 percent of existing

25  units, written approval must be obtained from the department.

26  This provision does not apply to construction for which a

27  certificate of need from the Agency for Health Care

28  Administration Department of Health and Rehabilitative

29  Services is required.

30         Section 276.  Section 651.117, Florida Statutes, is

31  amended to read:

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  1         651.117  Duties of the Department of Children and

  2  Family Health and Rehabilitative Services and the Agency for

  3  Health Care Administration.--Whenever an order of liquidation

  4  has been entered against a provider, the receiver shall notify

  5  the Department of Children and Family Health and

  6  Rehabilitative Services and the Agency for Health Care

  7  Administration by sending to the Department of Children and

  8  Family Health and Rehabilitative Services and the Agency for

  9  Health Care Administration by certified mail a copy of the

10  order of liquidation.  Upon receipt of any such order or when

11  requested by the receiver as being in the best interest of the

12  residents of a facility, in addition to any other duty of the

13  Department of Children and Family Health and Rehabilitative

14  Services and the Agency for Health Care Administration with

15  respect to residents of a facility, the Department of Children

16  and Family Health and Rehabilitative Services and the Agency

17  for Health Care Administration shall evaluate the status of

18  the residents of the facility to determine whether they are

19  eligible for assistance or for programs administered by the

20  Department of Children and Family Health and Rehabilitative

21  Services and the Agency for Health Care Administration, shall

22  develop a plan of relocation with respect to residents

23  requesting assistance regarding relocation, and shall counsel

24  the residents regarding such eligibility and such relocation.

25         Section 277.  Section 713.77, Florida Statutes, is

26  amended to read:

27         713.77  Liens of owners, operators, or keepers of

28  mobile home or recreational vehicle parks; ejection of

29  occupants.--A lien prior in dignity to all others except a

30  lien for unpaid purchase price shall exist in favor of the

31  owner, operator, or keeper of a mobile home park or

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  1  recreational vehicle park for rent owing by, and for money or

  2  other property advanced to, any occupant thereof upon the

  3  goods, chattels, or other personal property of such occupant.

  4  Upon the nonpayment of such sums in accordance with the rules

  5  of such park, or for failure to observe any provision of this

  6  part or the rules and regulations prescribed by the Department

  7  of Health and Rehabilitative Services, the owner, operator, or

  8  keeper thereof may instantly eject such occupant therefrom.  A

  9  lien created in favor of an owner or operator of a mobile home

10  park or recreational vehicle park may be enforced in the same

11  manner as is now or may hereafter be provided by law for the

12  enforcement of liens in favor of keepers of hotels and

13  boardinghouses.  Nothing in this section, however, shall

14  prevent an owner or operator of a mobile home park or

15  recreational vehicle park from enforcing any claim for rent

16  under and in the manner provided by landlord and tenant acts

17  of this state.

18         Section 278.  Subsection (2) of section 741.01, Florida

19  Statutes, 1998 Supplement, is amended to read:

20         741.01  County court judge or clerk of the circuit

21  court to issue marriage license; fee.--

22         (2)  The fee charged for each marriage license issued

23  in the state shall be increased by the sum of $30.  This fee

24  shall be collected upon receipt of the application for the

25  issuance of a marriage license.  The Executive Office of the

26  Governor shall establish a Domestic Violence Trust Fund for

27  the purpose of collecting and disbursing funds generated from

28  the increase in the marriage license fee.  Such funds which

29  are generated shall be directed to the Department of Children

30  and Family Health and Rehabilitative Services for the specific

31  purpose of funding domestic violence centers, and the funds

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  1  shall be appropriated in a "grants-in-aid" category to the

  2  Department of Children and Family Health and Rehabilitative

  3  Services for the purpose of funding domestic violence centers.

  4         Section 279.  Paragraph (a) of subsection (1) of

  5  section 741.29, Florida Statutes, is amended to read:

  6         741.29  Domestic violence; investigation of incidents;

  7  notice to victims of legal rights and remedies; reporting.--

  8         (1)  Any law enforcement officer who investigates an

  9  alleged incident of domestic violence shall assist the victim

10  to obtain medical treatment if such is required as a result of

11  the alleged incident to which the officer responds. Any law

12  enforcement officer who investigates an alleged incident of

13  domestic violence shall advise the victim of such violence

14  that there is a domestic violence center from which the victim

15  may receive services. The law enforcement officer shall give

16  the victim immediate notice of the legal rights and remedies

17  available on a standard form developed and distributed by the

18  department. As necessary, the department shall revise the

19  Legal Rights and Remedies Notice to Victims to include a

20  general summary of s. 741.30 using simple English as well as

21  Spanish, and shall distribute the notice as a model form to be

22  used by all law enforcement agencies throughout the state. The

23  notice shall include:

24         (a)  The resource listing, including telephone number,

25  for the area domestic violence center designated by the

26  Department of Children and Family Health and Rehabilitative

27  Services; and

28         Section 280.  Subsection (2) of section 741.32, Florida

29  Statutes, is amended to read:

30         741.32  Certification of batterers' intervention

31  programs.--

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  1         (2)  There is hereby established in the Department of

  2  Corrections an Office for Certification and Monitoring of

  3  Batterers' Intervention Programs. The department may certify

  4  and monitor both programs and personnel providing direct

  5  services to those persons who are adjudged to have committed

  6  an act of domestic violence as defined in s. 741.28, those

  7  against whom an injunction for protection against domestic

  8  violence is entered, those referred by the Department of

  9  Children and Family Health and Rehabilitative Services, and

10  those who volunteer to attend such programs.  The purpose of

11  certification of programs is to uniformly and systematically

12  standardize programs to hold those who perpetrate acts of

13  domestic violence responsible for those acts and to ensure

14  safety for victims of domestic violence. The certification and

15  monitoring shall be funded by user fees as provided in s.

16  945.76.

17         Section 281.  Section 742.08, Florida Statutes, is

18  amended to read:

19         742.08  Default of support payments.--Upon default in

20  payment of any moneys ordered by the court to be paid, the

21  court may enter a judgment for the amount in default, plus

22  interest, administrative costs, filing fees, and other

23  expenses incurred by the clerk of the circuit court which

24  shall be a lien upon all property of the defendant both real

25  and personal.  Costs and fees shall be assessed only after the

26  court makes a determination of the nonprevailing party's

27  ability to pay such costs and fees.  In Title IV-D cases, any

28  costs, including filing fees, recording fees, mediation costs,

29  service of process fees, and other expenses incurred by the

30  clerk of the circuit court, shall be assessed only against the

31  nonprevailing obligor after the court makes a determination of

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  1  the nonprevailing obligor's ability to pay such costs and

  2  fees.  The Department of Revenue Health and Rehabilitative

  3  Services shall not be considered a party for purposes of this

  4  section; however, fees may be assessed against the department

  5  pursuant to s. 57.105(1).  Willful failure to comply with an

  6  order of the court shall be deemed a contempt of the court

  7  entering the order and shall be punished as such.  The court

  8  may require bond of the defendant for the faithful performance

  9  of his or her obligation under the order of the court in such

10  amount and upon such conditions as the court shall direct.

11         Section 282.  Subsections (3) and (4) of section

12  742.107, Florida Statutes, are amended to read:

13         742.107  Determining paternity of child with mother

14  under 16 years of age when impregnated.--

15         (3)  Whenever the information provided by a mother who

16  was impregnated while under 16 years of age indicates that the

17  alleged father of the child was 21 years of age or older at

18  the time of conception of the child, the Department of Revenue

19  or the Department of Children and Family Health and

20  Rehabilitative Services shall advise the applicant or

21  recipient of public assistance that she is required to

22  cooperate with law enforcement officials in the prosecution of

23  the alleged father.

24         (4)  When the information provided by the applicant or

25  recipient who was impregnated while under age 16 indicates

26  that such person is the victim of child abuse as provided in

27  s. 827.04(4), the Department of Revenue or the Department of

28  Children and Family Health and Rehabilitative Services shall

29  notify the county sheriff's office or other appropriate agency

30  or official and provide information needed to protect the

31  child's health or welfare.

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  1         Section 283.  Subsection (12) of section 744.474,

  2  Florida Statutes, is amended to read:

  3         744.474  Reasons for removal of guardian.--A guardian

  4  may be removed for any of the following reasons, and the

  5  removal shall be in addition to any other penalties prescribed

  6  by law:

  7         (12)  A confirmed report pursuant to a protective

  8  investigation made by the Department of Children and Family

  9  Health and Rehabilitative Services, which has been uncontested

10  or has been upheld, in accordance with s. 415.1075, that the

11  guardian has abused, neglected, or exploited the ward.

12         Section 284.  Subsection (3) of section 765.110,

13  Florida Statutes, is amended to read:

14         765.110  Health care facilities and providers;

15  discipline.--

16         (3)  The Department of Health and Rehabilitative

17  Services and the Agency for Health Care Administration shall

18  adopt rules to implement the provisions of the section.

19         Section 285.  Paragraphs (c) and (d) of subsection (2)

20  of section 766.105, Florida Statutes, 1998 Supplement, are

21  amended to read:

22         766.105  Florida Patient's Compensation Fund.--

23         (2)  COVERAGE.--

24         (c)  Any hospital that can meet one of the following

25  provisions for demonstrating financial responsibility to pay

26  claims and costs ancillary thereto arising out of the

27  rendering of or failure to render medical care or services and

28  for bodily injury or property damage to the person or property

29  of any patient arising out of the activities of the hospital

30  in this state or arising out of the activities of covered

31

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  1  individuals listed in paragraph (e) is not required to

  2  participate in the fund:

  3         1.  Post bond in an amount equivalent to $10,000 per

  4  claim for each hospital bed in such hospital, not to exceed a

  5  $2.5 million annual aggregate.

  6         2.  Establish an escrow account in an amount equivalent

  7  to $10,000 per claim for each hospital bed in such hospital,

  8  not to exceed a $2.5 million annual aggregate, to the

  9  satisfaction of the Agency for Health Care Administration

10  Department of Health and Rehabilitative Services.

11         3.  Obtain professional liability coverage in an amount

12  equivalent to $10,000 or more per claim for each bed in such

13  hospital from a private insurer, from the Joint Underwriting

14  Association established under s. 627.351(4), or through a plan

15  of self-insurance as provided in s. 627.357. However, no

16  hospital may be required to obtain such coverage in an amount

17  exceeding a $2.5 million annual aggregate.

18         (d)1.  Any health care provider who participates in the

19  fund and who does not meet the provisions of paragraph (b)

20  shall not be covered by the fund.

21         2.  Annually, the Agency for Health Care Administration

22  Department of Health and Rehabilitative Services shall require

23  documentation by each hospital that such hospital is in

24  compliance, and will remain in compliance, with the provisions

25  of this section.  The agency department shall review the

26  documentation and then deliver the documentation to the board

27  of governors.  At least 60 days before the time a license will

28  be issued or renewed, the agency department shall request from

29  the board of governors a certification that each hospital is

30  in compliance with the provisions of this section.  The board

31  of governors shall not be liable under the law for any

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  1  erroneous certification.  The agency department may not issue

  2  or renew the license of any hospital which has not been

  3  certified by the board of governors.  The license of any

  4  hospital that fails to remain in compliance or fails to

  5  provide such documentation shall be revoked or suspended by

  6  the agency department.

  7         Section 286.  Paragraph (b) of subsection (3) of

  8  section 766.1115, Florida Statutes, 1998 Supplement, is

  9  amended to read:

10         766.1115  Health care providers; creation of agency

11  relationship with governmental contractors.--

12         (3)  DEFINITIONS.--As used in this section, the term:

13         (b)  "Department" means the Department of Health and

14  Rehabilitative Services.

15         Section 287.  Subsections (2) and (5) of section

16  766.305, Florida Statutes, 1998 Supplement, are amended to

17  read:

18         766.305  Filing of claims and responses; medical

19  disciplinary review.--

20         (2)  The claimant shall furnish the division with as

21  many copies of the petition as required for service upon the

22  association, any physician and hospital named in the petition,

23  and the Division of Medical Quality Assurance, along with a

24  $15 filing fee payable to the Division of Administrative

25  Hearings.  Upon receipt of the petition, the division shall

26  immediately serve the association, by service upon the agent

27  designated to accept service on behalf of the association, by

28  registered or certified mail, and shall mail copies of the

29  petition to any physician and hospital named in the petition,

30  the Division of Medical Quality Assurance, the Agency for

31  Health Care Administration Department of Health and

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  1  Rehabilitative Services, and the medical advisory review panel

  2  provided for in s. 766.308.

  3         (5)  Upon receipt of such petition, the Agency for

  4  Health Care Administration Department of Health and

  5  Rehabilitative Services shall investigate the claim, and if it

  6  determines that the injury resulted from, or was aggravated

  7  by, a breach of duty on the part of a hospital in violation of

  8  chapter 395, it shall take any such action consistent with its

  9  disciplinary authority as may be appropriate.

10         Section 288.  Paragraph (c) of subsection (9) of

11  section 766.314, Florida Statutes, 1998 Supplement, is amended

12  to read:

13         766.314  Assessments; plan of operation.--

14         (9)

15         (c)  In the event the total of all current estimates

16  equals 80 percent of the funds on hand and the funds that will

17  become available to the association within the next 12 months

18  from all sources described in subsections (4) and (5) and

19  paragraph (7)(a), the association shall not accept any new

20  claims without express authority from the Legislature. Nothing

21  herein shall preclude the association from accepting any claim

22  if the injury occurred 18 months or more prior to the

23  effective date of this suspension. Within 30 days of the

24  effective date of this suspension, the association shall

25  notify the Governor, the Speaker of the House of

26  Representatives, the President of the Senate, the Department

27  of Insurance, the Agency for Health Care Administration, the

28  Department of Health and Rehabilitative Services, and the

29  Department of Business and Professional Regulation of this

30  suspension.

31

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  1         Section 289.  Paragraph (b) of subsection (9) and

  2  paragraph (c) of subsection (10) of section 768.28, Florida

  3  Statutes, 1998 Supplement, are amended to read:

  4         768.28  Waiver of sovereign immunity in tort actions;

  5  recovery limits; limitation on attorney fees; statute of

  6  limitations; exclusions; indemnification; risk management

  7  programs.--

  8         (9)

  9         (b)  As used in this subsection, the term:

10         1.  "Employee" includes any volunteer firefighter.

11         2.  "Officer, employee, or agent" includes, but is not

12  limited to, any health care provider when providing services

13  pursuant to s. 766.1115, any member of the Florida Health

14  Services Corps, as defined in s. 381.0302, who provides

15  uncompensated care to medically indigent persons referred by

16  the Department of Health and Rehabilitative Services, and any

17  public defender or her or his employee or agent, including,

18  among others, an assistant public defender and an

19  investigator.

20         (10)

21         (c)  For purposes of this section, regional poison

22  control centers created in accordance with s. 395.1027 and

23  coordinated and supervised under the Division of Children's

24  Medical Services Program Office of the Department of Health

25  and Rehabilitative Services, or any of their employees or

26  agents, shall be considered agents of the State of Florida,

27  Department of Health and Rehabilitative Services. Any

28  contracts with poison control centers must provide, to the

29  extent permitted by law, for the indemnification of the state

30  by the agency for any liabilities incurred up to the limits

31  set out in this chapter.

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  1         Section 290.  Paragraph (b) of subsection (2) of

  2  section 768.76, Florida Statutes, is amended to read:

  3         768.76  Collateral sources of indemnity.--

  4         (2)  For purposes of this section:

  5         (b)  Notwithstanding any other provision of this

  6  section, benefits received under Medicare, or any other

  7  federal program providing for a Federal Government lien on or

  8  right of reimbursement from the plaintiff's recovery, the

  9  Workers' Compensation Law, the Medicaid program of Title XIX

10  of the Social Security Act or from any medical services

11  program administered by the Department of Health and

12  Rehabilitative Services shall not be considered a collateral

13  source.

14         Section 291.  Subsections (1) and (2) of section

15  775.0877, Florida Statutes, are amended to read:

16         775.0877  Criminal transmission of HIV; procedures;

17  penalties.--

18         (1)  In any case in which a person has been convicted

19  of or has pled nolo contendere or guilty to, regardless of

20  whether adjudication is withheld, any of the following

21  offenses, or the attempt thereof, which offense or attempted

22  offense involves the transmission of body fluids from one

23  person to another:

24         (a)  Section 794.011, relating to sexual battery,

25         (b)  Section 826.04, relating to incest,

26         (c)  Section 800.04(1), (2), and (3), relating to lewd,

27  lascivious, or indecent assault or act upon any person less

28  than 16 years of age,

29         (d)  Sections 784.011, 784.07(2)(a), and 784.08(2)(d),

30  relating to assault,

31

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  1         (e)  Sections 784.021, 784.07(2)(c), and 784.08(2)(b),

  2  relating to aggravated assault,

  3         (f)  Sections 784.03, 784.07(2)(b), and 784.08(2)(c),

  4  relating to battery,

  5         (g)  Sections 784.045, 784.07(2)(d), and 784.08(2)(a),

  6  relating to aggravated battery,

  7         (h)  Section 827.03(1), relating to child abuse,

  8         (i)  Section 827.03(2), relating to aggravated child

  9  abuse,

10         (j)  Section 825.102(1), relating to abuse of an

11  elderly person or disabled adult,

12         (k)  Section 825.102(2), relating to aggravated abuse

13  of an elderly person or disabled adult,

14         (l)  Section 827.071, relating to sexual performance by

15  person less than 18 years of age,

16         (m)  Sections 796.03, 796.07, and 796.08, relating to

17  prostitution, or

18         (n)  Section 381.0041(11)(b), relating to donation of

19  blood, plasma, organs, skin, or other human tissue,

20

21  the court shall order the offender to undergo HIV testing, to

22  be performed under the direction of the Department of Health

23  and Rehabilitative Services in accordance with s. 381.004,

24  unless the offender has undergone HIV testing voluntarily or

25  pursuant to procedures established in s. 381.004(3)(i)6. or s.

26  951.27, or any other applicable law or rule providing for HIV

27  testing of criminal offenders or inmates, subsequent to her or

28  his arrest for an offense enumerated in paragraphs (a)-(n) for

29  which she or he was convicted or to which she or he pled nolo

30  contendere or guilty.  The results of an HIV test performed on

31

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  1  an offender pursuant to this subsection are not admissible in

  2  any criminal proceeding arising out of the alleged offense.

  3         (2)  The results of the HIV test must be disclosed

  4  under the direction of the Department of Health and

  5  Rehabilitative Services, to the offender who has been

  6  convicted of or pled nolo contendere or guilty to an offense

  7  specified in subsection (1), the public health agency of the

  8  county in which the conviction occurred and, if different, the

  9  county of residence of the offender, and, upon request

10  pursuant to s. 960.003, to the victim or the victim's legal

11  guardian, or the parent or legal guardian of the victim if the

12  victim is a minor.

13         Section 292.  Paragraph (b) of subsection (1) and

14  paragraph (b) of subsection (2) of section 775.16, Florida

15  Statutes, are amended to read:

16         775.16  Drug offenses; additional penalties.--In

17  addition to any other penalty provided by law, a person who

18  has been convicted of sale of or trafficking in, or conspiracy

19  to sell or traffic in, a controlled substance under chapter

20  893, if such offense is a felony, or who has been convicted of

21  an offense under the laws of any state or country which, if

22  committed in this state, would constitute the felony of

23  selling or trafficking in, or conspiracy to sell or traffic

24  in, a controlled substance under chapter 893, is:

25         (1)  Disqualified from applying for employment by any

26  agency of the state, unless:

27         (b)  The person has complied with the conditions of

28  subparagraphs 1. and 2. which shall be monitored by the

29  Department of Corrections while the person is under any

30  supervisory sanctions. The person under supervision may:

31

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  1         1.  Seek evaluation and enrollment in, and once

  2  enrolled maintain enrollment in until completion, a drug

  3  treatment and rehabilitation program which is approved by the

  4  Department of Children and Family Health and Rehabilitative

  5  Services, unless it is deemed by the program that the person

  6  does not have a substance abuse problem. The treatment and

  7  rehabilitation program may be specified by:

  8         a.  The court, in the case of court-ordered supervisory

  9  sanctions;

10         b.  The Parole Commission, in the case of parole,

11  control release, or conditional release; or

12         c.  The Department of Corrections, in the case of

13  imprisonment or any other supervision required by law.

14         2.  Submit to periodic urine drug testing pursuant to

15  procedures prescribed by the Department of Corrections.  If

16  the person is indigent, the costs shall be paid by the

17  Department of Corrections.

18         (2)  Disqualified from applying for a license, permit,

19  or certificate required by any agency of the state to

20  practice, pursue, or engage in any occupation, trade,

21  vocation, profession, or business, unless:

22         (b)  The person has complied with the conditions of

23  subparagraphs 1. and 2. which shall be monitored by the

24  Department of Corrections while the person is under any

25  supervisory sanction. If the person fails to comply with

26  provisions of these subparagraphs by either failing to

27  maintain treatment or by testing positive for drug use, the

28  department shall notify the licensing, permitting, or

29  certifying agency, which may refuse to reissue or reinstate

30  such license, permit, or certification.  The licensee,

31  permittee, or certificateholder under supervision may:

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  1         1.  Seek evaluation and enrollment in, and once

  2  enrolled maintain enrollment in until completion, a drug

  3  treatment and rehabilitation program which is approved or

  4  regulated by the Department of Children and Family Health and

  5  Rehabilitative Services, unless it is deemed by the program

  6  that the person does not have a substance abuse problem.  The

  7  treatment and rehabilitation program may be specified by:

  8         a.  The court, in the case of court-ordered supervisory

  9  sanctions;

10         b.  The Parole Commission, in the case of parole,

11  control release, or conditional release; or

12         c.  The Department of Corrections, in the case of

13  imprisonment or any other supervision required by law.

14         2.  Submit to periodic urine drug testing pursuant to

15  procedures prescribed by the Department of Corrections.  If

16  the person is indigent, the costs shall be paid by the

17  Department of Corrections; or

18

19  The provisions of this section do not apply to any of the

20  taxes, fees, or permits regulated, controlled, or administered

21  by the Department of Revenue in accordance with the provisions

22  of s. 213.05.

23         Section 293.  Section 784.081, Florida Statutes, is

24  amended to read:

25         784.081  Assault or battery on specified officials or

26  employees; reclassification of offenses.--Whenever a person is

27  charged with committing an assault or aggravated assault or a

28  battery or aggravated battery upon any elected official or

29  employee of: a school district; a private school; the Florida

30  School for the Deaf and the Blind; a university developmental

31  research school; a state university or any other entity of the

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  1  state system of public education, as defined in s. 228.041; or

  2  an employee or protective investigator of the Department of

  3  Children and Family Health and Rehabilitative Services, when

  4  the person committing the offense knows or has reason to know

  5  the identity or position or employment of the victim, the

  6  offense for which the person is charged shall be reclassified

  7  as follows:

  8         (1)  In the case of aggravated battery, from a felony

  9  of the second degree to a felony of the first degree.

10         (2)  In the case of aggravated assault, from a felony

11  of the third degree to a felony of the second degree.

12         (3)  In the case of battery, from a misdemeanor of the

13  first degree to a felony of the third degree.

14         (4)  In the case of assault, from a misdemeanor of the

15  second degree to a misdemeanor of the first degree.

16         Section 294.  Subsection (3) of section 790.157,

17  Florida Statutes, is amended to read:

18         790.157  Presumption of impairment; testing methods.--

19         (3)  A chemical analysis of a person's blood to

20  determine its alcoholic content or a chemical or physical

21  analysis of a person's breath, in order to be considered valid

22  under the provisions of this section, must have been performed

23  substantially in accordance with methods approved by the

24  Florida Department of Law Enforcement Health and

25  Rehabilitative Services and by an individual possessing a

26  valid permit issued by the department for this purpose.  Any

27  insubstantial differences between approved techniques and

28  actual testing procedures in an individual case shall not

29  render the test or test results invalid.  The Florida

30  Department of Law Enforcement Health and Rehabilitative

31  Services may approve satisfactory techniques or methods,

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  1  ascertain the qualification and competence of individuals to

  2  conduct such analyses, and issue permits which shall be

  3  subject to termination or revocation in accordance with rules

  4  adopted by the department.

  5         Section 295.  Section 790.256, Florida Statutes, is

  6  amended to read:

  7         790.256  Public service announcements.--The Department

  8  of Health and Rehabilitative Services shall prepare public

  9  service announcements for dissemination to parents throughout

10  the state, of the provisions of chapter 93-416, Laws of

11  Florida.

12         Section 296.  Subsections (1), (2), and (3) of section

13  796.08, Florida Statutes, are amended to read:

14         796.08  Screening for HIV and sexually transmissible

15  diseases; providing penalties.--

16         (1)(a)  For the purposes of this section, "sexually

17  transmissible disease" means a bacterial, viral, fungal, or

18  parasitic disease, determined by rule of the Department of

19  Health and Rehabilitative Services to be sexually

20  transmissible, a threat to the public health and welfare, and

21  a disease for which a legitimate public interest is served by

22  providing for regulation and treatment.

23         (b)  In considering which diseases are designated as

24  sexually transmissible diseases, the Department of Health and

25  Rehabilitative Services shall consider such diseases as

26  chancroid, gonorrhea, granuloma inguinale, lymphogranuloma

27  venereum, genital herpes simplex, chlamydia, nongonococcal

28  urethritis (NGU), pelvic inflammatory disease (PID)/acute

29  salpingitis, syphilis, and human immunodeficiency virus

30  infection for designation and shall consider the

31  recommendations and classifications of the Centers for Disease

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  1  Control and Prevention and other nationally recognized

  2  authorities. Not all diseases that are sexually transmissible

  3  need be designated for purposes of this section.

  4         (2)  A person arrested under s. 796.07 may request

  5  screening for a sexually transmissible disease under direction

  6  of the Department of Health and Rehabilitative Services and,

  7  if infected, shall submit to appropriate treatment and

  8  counseling. A person who requests screening for a sexually

  9  transmissible disease under this subsection must pay any costs

10  associated with such screening.

11         (3)  A person convicted under s. 796.07 of prostitution

12  or procuring another to commit prostitution must undergo

13  screening for a sexually transmissible disease, including, but

14  not limited to, screening to detect exposure to the human

15  immunodeficiency virus, under direction of the Department of

16  Health and Rehabilitative Services. If the person is infected,

17  he or she must submit to treatment and counseling prior to

18  release from probation, community control, or incarceration.

19  Notwithstanding the provisions of s. 384.29, the results of

20  tests conducted pursuant to this subsection shall be made

21  available by the Department of Health and Rehabilitative

22  Services to the offender, medical personnel, appropriate state

23  agencies, state attorneys, and courts of appropriate

24  jurisdiction in need of such information in order to enforce

25  the provisions of this chapter.

26         Section 297.  Paragraph (a) of subsection (2) of

27  section 817.505, Florida Statutes, 1998 Supplement, is amended

28  to read:

29         817.505  Patient brokering prohibited; exceptions;

30  penalties.--

31         (2)  For the purposes of this section, the term:

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  1         (a)  "Health care provider or health care facility"

  2  means any person or entity licensed, certified, or registered

  3  with the Agency for Health Care Administration; any person or

  4  entity that has contracted with the Agency for Health Care

  5  Administration to provide goods or services to Medicaid

  6  recipients as provided under s. 409.907; a county health

  7  department established under part I of chapter 154; any

  8  community service provider contracting with the Department of

  9  Children and Family Health and Rehabilitative Services to

10  furnish alcohol, drug abuse, or mental health services under

11  part IV of chapter 394; any substance abuse service provider

12  licensed under chapter 397; or any federally supported primary

13  care program such as a migrant or community health center

14  authorized under ss. 329 and 330 of the United States Public

15  Health Services Act.

16         Section 298.  Paragraph (a) of subsection (3) of

17  section 873.01, Florida Statutes, is amended to read:

18         873.01  Purchase or sale of human organs and tissue

19  prohibited.--

20         (3)(a)  The human organs and tissues subject to the

21  provisions of this section are the eye, cornea, kidney, liver,

22  heart, lung, pancreas, bone, and skin or any other organ or

23  tissue adopted by rule by the Agency for Health Care

24  Administration Department of Health and Rehabilitative

25  Services for this purpose.

26         Section 299.  Subsection (4) of section 877.111,

27  Florida Statutes, is amended to read:

28         877.111  Inhalation, ingestion, possession, sale,

29  purchase, or transfer of harmful chemical substances;

30  penalties.--

31

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  1         (4)  Any person who violates any of the provisions of

  2  this section may, in the discretion of the trial judge, be

  3  required to participate in a substance abuse services program

  4  approved or regulated by the Department of Children and Family

  5  Health and Rehabilitative Services pursuant to the provisions

  6  of chapter 397, provided the director of the program approves

  7  the placement of the defendant in the program.  Such required

  8  participation may be imposed in addition to, or in lieu of,

  9  any penalty or probation otherwise prescribed by law. However,

10  the total time of such penalty, probation, and program

11  participation shall not exceed the maximum length of sentence

12  possible for the offense.

13         Section 300.  Subsection (9) of section 893.02, Florida

14  Statutes, 1998 Supplement, is amended to read:

15         893.02  Definitions.--The following words and phrases

16  as used in this chapter shall have the following meanings,

17  unless the context otherwise requires:

18         (9)  "Department" means the Department of Health and

19  Rehabilitative Services.

20         Section 301.  Paragraph (f) of subsection (1) of

21  section 893.04, Florida Statutes, is amended to read:

22         893.04  Pharmacist and practitioner.--

23         (1)  A pharmacist, in good faith and in the course of

24  professional practice only, may dispense controlled substances

25  upon a written or oral prescription of a practitioner, under

26  the following conditions:

27         (f)  A prescription for a controlled substance listed

28  in Schedule II may be dispensed only upon a written

29  prescription of a practitioner, except that in an emergency

30  situation, as defined by regulation of the Department of

31  Health and Rehabilitative Services, such controlled substance

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  1  may be dispensed upon oral prescription. No prescription for a

  2  controlled substance listed in Schedule II may be refilled.

  3         Section 302.  Paragraph (a) of subsection (1) of

  4  section 893.11, Florida Statutes, is amended to read:

  5         893.11  Suspension, revocation, and reinstatement of

  6  business and professional licenses.--Upon the conviction in

  7  any court of competent jurisdiction of any person holding a

  8  license, permit, or certificate issued by a state agency, for

  9  sale of, or trafficking in, a controlled substance or for

10  conspiracy to sell, or traffic in, a controlled substance, if

11  such offense is a felony, the clerk of said court shall send a

12  certified copy of the judgment of conviction with the person's

13  license number, permit number, or certificate number on the

14  face of such certified copy to the agency head by whom the

15  convicted defendant has received a license, permit, or

16  certificate to practice his or her profession or to carry on

17  his or her business.  Such agency head shall suspend or revoke

18  the license, permit, or certificate of the convicted defendant

19  to practice his or her profession or to carry on his or her

20  business. Upon a showing by any such convicted defendant whose

21  license, permit, or certificate has been suspended or revoked

22  pursuant to this section that his or her civil rights have

23  been restored or upon a showing that the convicted defendant

24  meets the following criteria, the agency head may reinstate or

25  reactivate such license, permit, or certificate when:

26         (1)  The person has complied with the conditions of

27  paragraphs (a) and (b) which shall be monitored by the

28  Department of Corrections while the person is under any

29  supervisory sanction. If the person fails to comply with

30  provisions of these paragraphs by either failing to maintain

31  treatment or by testing positive for drug use, the department

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  1  shall notify the licensing, permitting, or certifying agency,

  2  which shall revoke the license, permit, or certification.  The

  3  person under supervision may:

  4         (a)  Seek evaluation and enrollment in, and once

  5  enrolled maintain enrollment in until completion, a drug

  6  treatment and rehabilitation program which is approved or

  7  regulated by the Department of Children and Family Health and

  8  Rehabilitative Services.  The treatment and rehabilitation

  9  program shall be specified by:

10         1.  The court, in the case of court-ordered supervisory

11  sanctions;

12         2.  The Parole Commission, in the case of parole,

13  control release, or conditional release; or

14         3.  The Department of Corrections, in the case of

15  imprisonment or any other supervision required by law.

16

17  This section does not apply to any of the taxes, fees, or

18  permits regulated, controlled, or administered by the

19  Department of Revenue in accordance with s. 213.05.

20         Section 303.  Paragraph (b) of subsection (1) of

21  section 893.12, Florida Statutes, 1998 Supplement, is amended

22  to read:

23         893.12  Contraband; seizure, forfeiture, sale.--

24         (1)  All substances controlled by this chapter and all

25  listed chemicals, which substances or chemicals are handled,

26  delivered, possessed, or distributed contrary to any

27  provisions of this chapter, and all such controlled substances

28  or listed chemicals the lawful possession of which is not

29  established or the title to which cannot be ascertained, are

30  declared to be contraband, are subject to seizure and

31  confiscation by any person whose duty it is to enforce the

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  1  provisions of the chapter, and shall be disposed of as

  2  follows:

  3         (b)  Upon written application by the Department of

  4  Health and Rehabilitative Services, the court by whom the

  5  forfeiture of such controlled substances or listed chemicals

  6  has been decreed may order the delivery of any of them to said

  7  department for distribution or destruction as hereinafter

  8  provided.

  9         Section 304.  Section 893.15, Florida Statutes, is

10  amended to read:

11         893.15  Rehabilitation.--Any person who violates s.

12  893.13(6)(a) or (b) relating to possession may, in the

13  discretion of the trial judge, be required to participate in a

14  substance abuse services program approved or regulated by the

15  Department of Children and Family Health and Rehabilitative

16  Services pursuant to the provisions of chapter 397, provided

17  the director of such program approves the placement of the

18  defendant in such program. Such required participation shall

19  be imposed in addition to any penalty or probation otherwise

20  prescribed by law. However, the total time of such penalty,

21  probation, and program participation shall not exceed the

22  maximum length of sentence possible for the offense.

23         Section 305.  Subsection (1) and paragraph (b) of

24  subsection (3) of section 893.165, Florida Statutes, are

25  amended to read:

26         893.165  County alcohol and other drug abuse treatment

27  or education trust funds.--

28         (1)  Counties in which there is established or in

29  existence a comprehensive alcohol and other drug abuse

30  treatment or education program which meets the standards for

31  qualification of such programs by the Department of Children

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  1  and Family Health and Rehabilitative Services are authorized

  2  to establish a County Alcohol and Other Drug Abuse Trust Fund

  3  for the purpose of receiving the assessments collected

  4  pursuant to s. 938.23 and disbursing assistance grants on an

  5  annual basis to such alcohol and other drug abuse treatment or

  6  education program.

  7         (3)

  8         (b)  Assessments collected by clerks of circuit courts

  9  having more than one county in the circuit, for any county in

10  the circuit which does not have a County Alcohol and Other

11  Drug Abuse Trust Fund, shall be remitted to the Department of

12  Children and Family Health and Rehabilitative Services, in

13  accordance with administrative rules adopted, for deposit into

14  the department's Community Alcohol and Other Drug Abuse

15  Services Grants and Donations Trust Fund for distribution

16  pursuant to the guidelines and priorities developed by the

17  department.

18         Section 306.  Paragraphs (a), (d), and (e) of

19  subsection (2) of section 895.09, Florida Statutes, 1998

20  Supplement, are amended to read:

21         895.09  Disposition of funds obtained through

22  forfeiture proceedings.--

23         (2)(a)  Following satisfaction of all valid claims

24  under subsection (1), 25 percent of the remainder of the funds

25  obtained in the forfeiture proceedings pursuant to s. 895.05

26  shall be deposited as provided in paragraph (b) into the

27  appropriate trust fund of the Department of Legal Affairs or

28  state attorney's office which filed the civil forfeiture

29  action; 25 percent shall be deposited as provided in paragraph

30  (c) into the applicable law enforcement trust fund of the

31  investigating law enforcement agency conducting the

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  1  investigation which resulted in or significantly contributed

  2  to the forfeiture of the property; 25 percent shall be

  3  deposited as provided in paragraph (d) in the Substance Abuse

  4  Trust Fund of the Department of Children and Family Health and

  5  Rehabilitative Services; and the remaining 25 percent shall be

  6  deposited in the Forfeited Property Trust Fund of the

  7  Department of Environmental Protection. When a forfeiture

  8  action is filed by the Department of Legal Affairs or a state

  9  attorney, the court entering the judgment of forfeiture shall,

10  taking into account the overall effort and contribution to the

11  investigation and forfeiture action by the agencies that filed

12  the action, make a pro rata apportionment among such agencies

13  of the funds available for distribution to the agencies filing

14  the action as provided in this section. If multiple

15  investigating law enforcement agencies have contributed to the

16  forfeiture of the property, the court which entered the

17  judgment of forfeiture shall, taking into account the overall

18  effort and contribution of the agencies to the investigation

19  and forfeiture action, make a pro rata apportionment among

20  such investigating law enforcement agencies of the funds

21  available for distribution to the investigating agencies as

22  provided in this section.

23         (d)  The Department of Children and Family Health and

24  Rehabilitative Services shall, in accordance with chapter 397,

25  distribute funds obtained by it pursuant to paragraph (a) to

26  public and private nonprofit organizations licensed by the

27  department to provide substance abuse treatment and

28  rehabilitation centers or substance abuse prevention and youth

29  orientation programs in the service district in which the

30  final order of forfeiture is entered by the court.

31

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  1         (e)  On a quarterly basis, any excess funds, including

  2  interest, over $1 million deposited in the Forfeited Property

  3  Trust Fund of the Department of Environmental Protection in

  4  accordance with paragraph (a) shall be deposited in the

  5  Substance Abuse Trust Fund of the Department of Children and

  6  Family Health and Rehabilitative Services.

  7         Section 307.  Subsection (2) of section 938.23, Florida

  8  Statutes, is amended to read:

  9         938.23  Assistance grants for alcohol and other drug

10  abuse programs.--

11         (2)  All assessments authorized by this section shall

12  be collected by the clerk of court and remitted to the

13  jurisdictional county as described in s. 893.165(2) for

14  deposit into the County Alcohol and Other Drug Abuse Trust

15  Fund or to the Department of Children and Family Health and

16  Rehabilitative Services for deposit into the department's

17  Community Alcohol and Other Drug Abuse Services Grants and

18  Donations Trust Fund pursuant to guidelines and priorities

19  developed by the department.  If a County Alcohol and Other

20  Drug Abuse Trust Fund has not been established for any

21  jurisdictional county, assessments collected by the clerk of

22  court shall be remitted to the Department of Children and

23  Family Health and Rehabilitative Services for deposit into the

24  department's Community Alcohol and Other Drug Abuse Services

25  Grants and Donations Trust Fund.

26         Section 308.  Subsection (5) of section 944.012,

27  Florida Statutes, is amended to read:

28         944.012  Legislative intent.--The Legislature hereby

29  finds and declares that:

30         (5)  In order to make the correctional system an

31  efficient and effective mechanism, the various agencies

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  1  involved in the correctional process must coordinate their

  2  efforts.  Where possible, interagency offices should be

  3  physically located within major institutions and should

  4  include representatives of the Florida State Employment

  5  Service, the vocational rehabilitation programs of the

  6  Department of Labor and Employment Security Health and

  7  Rehabilitative Services, and the Parole Commission.

  8  Duplicative and unnecessary methods of evaluating offenders

  9  must be eliminated and areas of responsibility consolidated in

10  order to more economically utilize present scarce resources.

11         Section 309.  Subsection (5) of section 944.024,

12  Florida Statutes, is amended to read:

13         944.024  Adult intake and evaluation.--The state system

14  of adult intake and evaluation shall include:

15         (5)  The performance of postsentence intake by the

16  department. Any physical facility established by the

17  department for the intake and evaluation process prior to the

18  offender's entry into the correctional system shall provide

19  for specific office and work areas for the staff of the

20  commission. The purpose of such a physical center shall be to

21  combine in one place as many of the rehabilitation-related

22  functions as possible, including pretrial and posttrial

23  evaluation, parole and probation services, vocational

24  rehabilitation services, family assistance services of the

25  Department of Children and Family Health and Rehabilitative

26  Services, and all other rehabilitative and correctional

27  services dealing with the offender.

28         Section 310.  Subsection (5) of section 944.17, Florida

29  Statutes, 1998 Supplement, is amended to read:

30         944.17  Commitments and classification; transfers.--

31

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  1         (5)  The department shall also refuse to accept a

  2  person into the state correctional system unless the following

  3  documents are presented in a completed form by the sheriff or

  4  chief correctional officer, or a designated representative, to

  5  the officer in charge of the reception process:

  6         (a)  The uniform commitment and judgment and sentence

  7  forms as described in subsection (4).

  8         (b)  The sheriff's certificate as described in s.

  9  921.161.

10         (c)  A certified copy of the indictment or information

11  relating to the offense for which the person was convicted.

12         (d)  A copy of the probable cause affidavit for each

13  offense identified in the current indictment or information.

14         (e)  A copy of the Criminal Punishment Code scoresheet

15  and any attachments thereto prepared pursuant to Rule 3.701,

16  Rule 3.702, or Rule 3.703, Florida Rules of Criminal

17  Procedure, or any other rule pertaining to the preparation of

18  felony sentencing scoresheets.

19         (f)  A copy of the restitution order or the reasons by

20  the court for not requiring restitution pursuant to s.

21  775.089(1).

22         (g)  The name and address of any victim, if available.

23         (h)  A printout of a current criminal history record as

24  provided through an FCIC/NCIC printer.

25         (i)  Any available health assessments including

26  medical, mental health, and dental, including laboratory or

27  test findings; custody classification; disciplinary and

28  adjustment; and substance abuse assessment and treatment

29  information which may have been developed during the period of

30  incarceration prior to the transfer of the person to the

31

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  1  department's custody. Available information shall be

  2  transmitted on standard forms developed by the department.

  3

  4  In addition, the sheriff or other officer having such person

  5  in charge shall also deliver with the foregoing documents any

  6  available presentence investigation reports as described in s.

  7  921.231 and any attached documents. After a prisoner is

  8  admitted into the state correctional system, the department

  9  may request such additional records relating to the prisoner

10  as it considers necessary from the clerk of the court, the

11  Department of Children and Family Health and Rehabilitative

12  Services, or any other state or county agency for the purpose

13  of determining the prisoner's proper custody classification,

14  gain-time eligibility, or eligibility for early release

15  programs.  An agency that receives such a request from the

16  department must provide the information requested.

17         Section 311.  Section 944.602, Florida Statutes, is

18  amended to read:

19         944.602  Notification of Department of Children and

20  Family Health and Rehabilitative Services before release of

21  mentally retarded inmates.--Before the release by parole,

22  release by reason of gain-time allowances provided for in s.

23  944.291, or expiration of sentence of any inmate who has been

24  diagnosed as mentally retarded as defined in s. 393.063, the

25  Department of Corrections shall notify the Department of

26  Children and Family Health and Rehabilitative Services in

27  order that sufficient time be allowed to notify the inmate or

28  the inmate's representative, in writing, at least 7 days prior

29  to the inmate's release, of available community services.

30         Section 312.  Subsection (2) of section 944.706,

31  Florida Statutes, is amended to read:

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  1         944.706  Basic release assistance.--

  2         (2)  The department is authorized to contract with the

  3  Department of Children and Family Health and Rehabilitative

  4  Services, the Salvation Army, and other public or private

  5  organizations for the provision of basic support services for

  6  releasees.  The department shall contract with the Department

  7  of Labor and Employment Security for the provision of releasee

  8  job placement.

  9         Section 313.  Subsection (2) of section 945.025,

10  Florida Statutes, is amended to read:

11         945.025  Jurisdiction of department.--

12         (2)  In establishing, operating, and utilizing these

13  facilities, the department shall attempt, whenever possible,

14  to avoid the placement of nondangerous offenders who have

15  potential for rehabilitation with repeat offenders or

16  dangerous offenders. Medical, mental, and psychological

17  problems shall be diagnosed and treated whenever possible.

18  The Department of Children and Family Health and

19  Rehabilitative Services shall cooperate to ensure the delivery

20  of services to persons under the custody or supervision of the

21  department.  When it is the intent of the department to

22  transfer a mentally ill or retarded prisoner to the Department

23  of Children and Family Health and Rehabilitative Services, an

24  involuntary commitment hearing shall be held according to the

25  provisions of chapter 393 or chapter 394.

26         Section 314.  Paragraphs (a) and (b) of subsection (2)

27  of section 945.10, Florida Statutes, 1998 Supplement, are

28  amended to read:

29         945.10  Confidential information.--

30

31

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  1         (2)  The records and information specified in

  2  paragraphs (1)(b)-(h) may be released as follows unless

  3  expressly prohibited by federal law:

  4         (a)  Information specified in paragraphs (1)(b), (d),

  5  and (f) to the Office of the Governor, the Legislature, the

  6  Parole Commission, the Department of Children and Family

  7  Health and Rehabilitative Services, a private correctional

  8  facility or program that operates under a contract, the

  9  Department of Legal Affairs, a state attorney, the court, or a

10  law enforcement agency. A request for records or information

11  pursuant to this paragraph need not be in writing.

12         (b)  Information specified in paragraphs (1)(c), (e),

13  and (h) to the Office of the Governor, the Legislature, the

14  Parole Commission, the Department of Children and Family

15  Health and Rehabilitative Services, a private correctional

16  facility or program that operates under contract, the

17  Department of Legal Affairs, a state attorney, the court, or a

18  law enforcement agency. A request for records or information

19  pursuant to this paragraph must be in writing and a statement

20  provided demonstrating a need for the records or information.

21

22  Records and information released under this subsection remain

23  confidential and exempt from the provisions of s. 119.07(1)

24  and s. 24(a), Art. I of the State Constitution when held by

25  the receiving person or entity.

26         Section 315.  Subsection (6) of section 945.12, Florida

27  Statutes, is amended to read:

28         945.12  Transfers for rehabilitative treatment.--

29         (6)  A prisoner who has been determined by the

30  Department of Children and Family Health and Rehabilitative

31  Services and the Department of Corrections to be amenable to

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  1  rehabilitative treatment for sexual deviation, and who has

  2  voluntarily agreed to participate in such rehabilitative

  3  treatment, may be transferred to the Department of Children

  4  and Family Health and Rehabilitative Services provided

  5  appropriate bed space is available.

  6         Section 316.  Subsections (1) and (2) of section

  7  945.35, Florida Statutes, are amended to read:

  8         945.35  Requirement for education on human

  9  immunodeficiency virus and acquired immune deficiency

10  syndrome.--

11         (1)  The Department of Corrections, in conjunction with

12  the Department of Health and Rehabilitative Services, shall

13  establish a mandatory introductory and continuing education

14  program on human immunodeficiency virus and acquired immune

15  deficiency syndrome for all inmates.  Programs shall be

16  specifically designed for inmates while incarcerated and in

17  preparation for release into the community.  Consideration

18  shall be given to cultural and other relevant differences

19  among inmates in the development of educational materials and

20  shall include emphasis on behavior and attitude change.  The

21  education program shall be continuously updated to reflect the

22  latest medical information available.

23         (2)  The Department of Corrections, in conjunction with

24  the Department of Health and Rehabilitative Services, shall

25  establish a mandatory education program on human

26  immunodeficiency virus and acquired immune deficiency syndrome

27  with an emphasis on appropriate behavior and attitude change

28  to be offered on an annual basis to all staff in correctional

29  facilities, including new staff.

30         Section 317.  Subsection (1) of section 945.41, Florida

31  Statutes, is amended to read:

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  1         945.41  Legislative intent of ss. 945.40-945.49.--It is

  2  the intent of the Legislature that mentally ill inmates in the

  3  custody of the Department of Corrections receive evaluation

  4  and appropriate treatment for their mental illness through a

  5  continuum of services.  It is further the intent of the

  6  Legislature that:

  7         (1)  Inmates in the custody of the department who have

  8  mental illnesses that require hospitalization and intensive

  9  psychiatric inpatient treatment or care receive appropriate

10  treatment or care in Department of Corrections mental health

11  treatment facilities designated for that purpose. The

12  department shall contract with the Department of Children and

13  Family Health and Rehabilitative Services for the provision of

14  mental health services in any departmental mental health

15  treatment facility.  The Department of Corrections shall

16  provide mental health services to inmates committed to it and

17  may contract with any persons or agencies qualified to provide

18  such services.

19         Section 318.  Subsections (2) and (3) of section

20  945.47, Florida Statutes, are amended to read:

21         945.47  Discharge of inmate from mental health

22  treatment.--

23         (2)  An inmate who is involuntarily placed pursuant to

24  s. 394.467 at the expiration of his or her sentence may be

25  placed, by order of the court, in a facility designated by the

26  Department of Children and Family Health and Rehabilitative

27  Services as a secure, nonforensic, civil facility.  Such a

28  placement shall be conditioned upon a finding by the court of

29  clear and convincing evidence that the inmate is manifestly

30  dangerous to himself or herself or others.  The need for such

31  placement shall be reviewed by facility staff every 90 days.

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  1  At any time that a patient is considered for transfer to a

  2  nonsecure, civil unit, the court which entered the order for

  3  involuntary placement shall be notified.

  4         (3)  At any time that an inmate who has received mental

  5  health treatment while in the custody of the department

  6  becomes eligible for release on parole, a complete record of

  7  the inmate's treatment shall be provided to the Parole

  8  Commission and to the Department of Children and Family Health

  9  and Rehabilitative Services.  The record shall include, at

10  least, the inmate's diagnosis, length of stay in treatment,

11  clinical history, prognosis, prescribed medication, and

12  treatment plan and recommendations for aftercare services.  In

13  the event that the inmate is released on parole, the record

14  shall be provided to the parole officer who shall assist the

15  inmate in applying for services from a professional or an

16  agency in the community.  The application for treatment and

17  continuation of treatment by the inmate may be made a

18  condition of parole, as provided in s. 947.19(1); and a

19  failure to participate in prescribed treatment may be a basis

20  for initiation of parole violation hearings.

21         Section 319.  Subsection (2) of section 945.49, Florida

22  Statutes, is amended to read:

23         945.49  Operation and administration.--

24         (2)  RULES.--The department, in cooperation with the

25  Mental Health Program Office of the Department of Children and

26  Family Health and Rehabilitative Services, shall adopt rules

27  necessary for administration of ss. 945.40-945.49 in

28  accordance with chapter 120.

29         Section 320.  Paragraph (b) of subsection (2) of

30  section 947.13, Florida Statutes, is amended to read:

31         947.13  Powers and duties of commission.--

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  1         (2)

  2         (b)  The Department of Children and Family Health and

  3  Rehabilitative Services and all other state, county, and city

  4  agencies, sheriffs and their deputies, and all peace officers

  5  shall cooperate with the commission and the department and

  6  shall aid and assist them in the performance of their duties.

  7         Section 321.  Subsection (9) of section 947.146,

  8  Florida Statutes, 1998 Supplement, is amended to read:

  9         947.146  Control Release Authority.--

10         (9)  The authority shall examine such records as it

11  deems necessary of the department, the Department of Children

12  and Family Health and Rehabilitative Services, the Department

13  of Law Enforcement, and any other such agency for the purpose

14  of either establishing, modifying, or revoking a control

15  release date. The victim impact statement shall be included in

16  such records for examination. Such agencies shall provide the

17  information requested by the authority for the purposes of

18  fulfilling the requirements of this section.

19         Section 322.  Section 947.185, Florida Statutes, is

20  amended to read:

21         947.185  Application for mental retardation services as

22  condition of parole.--The Parole Commission may require as a

23  condition of parole that any inmate who has been diagnosed as

24  mentally retarded as defined in s. 393.063 shall, upon

25  release, apply for retardation services from the Department of

26  Children and Family Health and Rehabilitative Services.

27         Section 323.  Subsection (8) of section 948.01, Florida

28  Statutes, 1998 Supplement, is amended to read:

29         948.01  When court may place defendant on probation or

30  into community control.--

31

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  1         (8)  When the court, under any of the foregoing

  2  subsections, places a defendant on probation or into community

  3  control, it may specify that the defendant serve all or part

  4  of the probationary or community control period in a community

  5  residential or nonresidential facility under the jurisdiction

  6  of the Department of Corrections or the Department of Children

  7  and Family Health and Rehabilitative Services or any public or

  8  private entity providing such services, and it shall require

  9  the payment prescribed in s. 948.09.

10         Section 324.  Section 949.02, Florida Statutes, is

11  amended to read:

12         949.02  Youth parolees.--Nothing in chapters 947-949

13  shall be construed to change or modify the law respecting

14  paroles as administered by the Department of Juvenile Justice

15  Health and Rehabilitative Services.

16         Section 325.  Subsection (2) of section 951.27, Florida

17  Statutes, is amended to read:

18         951.27  Blood tests of inmates.--

19         (2)  Except as otherwise provided in this subsection,

20  serologic blood test results obtained pursuant to subsection

21  (1) are confidential and exempt from the provisions of s.

22  119.07(1) and s. 24(a), Art. I of the State Constitution.

23  However, such results may be provided to employees or officers

24  of the sheriff or chief correctional officer who are

25  responsible for the custody and care of the affected inmate

26  and have a need to know such information, and as provided in

27  ss. 775.0877 and 960.003. In addition, upon request of the

28  victim or the victim's legal guardian, or the parent or legal

29  guardian of the victim if the victim is a minor, the results

30  of any HIV test performed on an inmate who has been arrested

31  for any sexual offense involving oral, anal, or vaginal

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  1  penetration by, or union with, the sexual organ of another,

  2  shall be disclosed to the victim or the victim's legal

  3  guardian, or to the parent or legal guardian of the victim if

  4  the victim is a minor. In such cases, the county or municipal

  5  detention facility shall furnish the test results to the

  6  Department of Health and Rehabilitative Services, which is

  7  responsible for disclosing the results to public health

  8  agencies as provided in s. 775.0877 and to the victim or the

  9  victim's legal guardian, or the parent or legal guardian of

10  the victim if the victim is a minor, as provided in s.

11  960.003(3).

12         Section 326.  Subsection (4) of section 958.12, Florida

13  Statutes, is amended to read:

14         958.12  Participation in certain activities required.--

15         (4)  Community partnerships shall be developed by the

16  department to provide postrelease community resources. The

17  department shall develop partnerships with entities which

18  include, but are not limited to, the Department of Labor and

19  Employment Security, the Department of Children and Family

20  Health and Rehabilitative Services, community health agencies,

21  and school systems.

22         Section 327.  Subsection (2), paragraph (a) of

23  subsection (3), and subsections (4) and (6) of section

24  960.003, Florida Statutes, are amended to read:

25         960.003  Human immunodeficiency virus testing for

26  persons charged with or alleged by petition for delinquency to

27  have committed certain offenses; disclosure of results to

28  victims.--

29         (2)  TESTING OF PERSON CHARGED WITH OR ALLEGED BY

30  PETITION FOR DELINQUENCY TO HAVE COMMITTED CERTAIN

31  OFFENSES.--In any case in which a person has been charged by

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  1  information or indictment with or alleged by petition for

  2  delinquency to have committed any offense enumerated in s.

  3  775.0877(1)(a)-(n), which involves the transmission of body

  4  fluids from one person to another, upon request of the victim

  5  or the victim's legal guardian, or of the parent or legal

  6  guardian of the victim if the victim is a minor, the court

  7  shall order such person to undergo HIV testing. The testing

  8  shall be performed under the direction of the Department of

  9  Health and Rehabilitative Services in accordance with s.

10  381.004.  The results of an HIV test performed on a defendant

11  or juvenile offender pursuant to this subsection shall not be

12  admissible in any criminal or juvenile proceeding arising out

13  of the alleged offense.

14         (3)  DISCLOSURE OF RESULTS.--

15         (a)  The results of the test shall be disclosed, under

16  the direction of the Department of Health and Rehabilitative

17  Services, to the person charged with or alleged by petition

18  for delinquency to have committed or to the person convicted

19  of or adjudicated delinquent for any offense enumerated in s.

20  775.0877(1)(a)-(n), which involves the transmission of body

21  fluids from one person to another, and, upon request, to the

22  victim or the victim's legal guardian, or the parent or legal

23  guardian of the victim if the victim is a minor, and to public

24  health agencies pursuant to s. 775.0877. If the alleged

25  offender is a juvenile, the test results shall also be

26  disclosed to the parent or guardian. Otherwise, HIV test

27  results obtained pursuant to this section are confidential and

28  exempt from the provisions of s. 119.07(1) and s. 24(a), Art.

29  I of the State Constitution and shall not be disclosed to any

30  other person except as expressly authorized by law or court

31  order.

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  1         (4)  POSTCONVICTION TESTING.--If, for any reason, the

  2  testing requested under subsection (2) has not been

  3  undertaken, then upon request of the victim or the victim's

  4  legal guardian, or the parent or legal guardian of the victim

  5  if the victim is a minor, the court shall order the offender

  6  to undergo HIV testing following conviction or delinquency

  7  adjudication. The testing shall be performed under the

  8  direction of the Department of Health and Rehabilitative

  9  Services, and the results shall be disclosed in accordance

10  with the provisions of subsection (3).

11         (6)  TESTING DURING INCARCERATION, DETENTION, OR

12  PLACEMENT; DISCLOSURE.--In any case in which a person

13  convicted of or adjudicated delinquent for an offense

14  described in subsection (2) has not been tested under

15  subsection (2), but undergoes HIV testing during his or her

16  incarceration, detention, or placement, the results of the

17  initial HIV testing shall be disclosed in accordance with the

18  provisions of subsection (3). Except as otherwise requested by

19  the victim or the victim's legal guardian, or the parent or

20  guardian of the victim if the victim is a minor, if the

21  initial test is conducted within the first year of the

22  imprisonment, detention, or placement, the request for

23  disclosure shall be considered a standing request for any

24  subsequent HIV test results obtained within 1 year after the

25  initial HIV test performed, and need not be repeated for each

26  test administration. Where the inmate or juvenile offender has

27  previously been tested pursuant to subsection (2) the request

28  for disclosure under this subsection shall be considered a

29  standing request for subsequent HIV results conducted within 1

30  year of the test performed pursuant to subsection (2). If the

31  HIV testing is performed by an agency other than the

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  1  Department of Health and Rehabilitative Services, that agency

  2  shall be responsible for forwarding the test results to the

  3  Department of Health and Rehabilitative Services for

  4  disclosure in accordance with the provisions of subsection

  5  (3). This subsection shall not be limited to results of HIV

  6  tests administered subsequent to June 27, 1990, but shall also

  7  apply to the results of all HIV tests performed on inmates

  8  convicted of or juvenile offenders adjudicated delinquent for

  9  sex offenses as described in subsection (2) during their

10  incarceration, detention, or placement prior to June 27, 1990.

11

12         Reviser's note.--Amended pursuant to the

13         directive of the Legislature in s. 1, ch.

14         98-224, Laws of Florida, to make specific

15         changes in terminology and any further changes

16         as necessary to conform the Florida Statutes to

17         the organizational changes of the former

18         Department of Health and Rehabilitative

19         Services effected by previous acts of the

20         Legislature.

21

22

23

24

25

26

27

28

29

30

31

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