Senate Bill 1280er

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  1

  2         An act relating to nursing homes and related

  3         health care facilities; amending s. 400.021,

  4         F.S.;  defining "nursing home bed"; amending s.

  5         400.0225, F.S.; modifying provisions relating

  6         to consumer satisfaction surveys; authorizing

  7         the Agency for Health Care Administration to

  8         adopt rules; amending s. 400.0255, F.S.;

  9         providing for medication repackaging; amending

10         s. 400.141, F.S.; requiring a signed order by a

11         physician when the nursing home initiates

12         transfer or discharge of a resident; providing

13         time requirement for notice of discharge or

14         transfer to certain persons; amending s.

15         400.191, F.S.; modifying requirements for

16         consumer information reporting; authorizing the

17         agency to adopt rules; amending s. 400.23,

18         F.S.; providing an exemption for nursing home

19         residents age 18 to 21 years from certain

20         standards of care based on age, under certain

21         circumstances; amending s. 400.235, F.S.;

22         modifying requirements relating to designation

23         under the nursing home Gold Seal Program;

24         authorizing the agency to adopt rules; amending

25         s. 400.962, F.S.; exempting comprehensive

26         transitional education programs from licensure

27         requirements under pt. XI of ch. 400, F.S.;

28         amending s. 397.405, F.S.; correcting a cross

29         reference; requiring a study relating to use of

30         automated medication dispensing machines in

31         nursing facilities; providing for demonstration


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  1         projects; requiring a report; creating s.

  2         180.136, F.S.; requiring notice of proposed

  3         increases in certain water or sewer utility

  4         service rates, charges, or fees; specifying

  5         such notice is in addition to other notice and

  6         meeting requirements; amending s. 350.0611,

  7         F.S.; requiring the Public Counsel to provide

  8         legal representation in proceedings before

  9         counties under certain circumstances; amending

10         s. 367.171, F.S.; requiring county rate

11         proceedings to follow certain provisions of the

12         Administrative Procedure Act; providing an

13         effective date.

14

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

16

17         Section 1.  Subsections (11) through (17) of section

18  400.021, Florida Statutes, are renumbered as subsections (12)

19  through (18), respectively, and a new subsection (11) is added

20  to said section to read:

21         400.021  Definitions.--When used in this part, unless

22  the context otherwise requires, the term:

23         (11)  "Nursing home bed" means an accommodation which

24  is ready for immediate occupancy, or is capable of being made

25  ready for occupancy within 48 hours, excluding provision of

26  staffing; and which conforms to minimum space requirements,

27  including the availability of appropriate equipment and

28  furnishings within the 48 hours, as specified by rule of the

29  agency, for the provision of services specified in this part

30  to a single resident.

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  1         Section 2.  Section 400.0225, Florida Statutes, is

  2  amended to read:

  3         400.0225  Consumer satisfaction surveys.--The agency,

  4  or its contractor, in consultation with the nursing home

  5  industry and consumer representatives, shall develop an

  6  easy-to-use consumer satisfaction survey, shall ensure that

  7  every nursing facility licensed pursuant to this part

  8  participates in assessing consumer satisfaction, and shall

  9  establish procedures to ensure that, at least annually, a

10  representative sample of residents of each facility is

11  selected to participate in the survey. The sample shall be of

12  sufficient size to allow comparisons between and among

13  facilities. Family members, guardians, or other resident

14  designees may assist the resident in completing the survey.

15  Employees and volunteers of the nursing facility or of a

16  corporation or business entity with an ownership interest in

17  the facility are prohibited from assisting a resident with or

18  attempting to influence a resident's responses to the consumer

19  satisfaction survey. The agency, or its contractor, shall

20  survey family members, guardians, or other resident designees

21  when the resident is mentally incapable of responding to the

22  survey. The agency, or its contractor, shall specify the

23  protocol for conducting and reporting the consumer

24  satisfaction surveys. Reports of consumer satisfaction surveys

25  shall protect the identity of individual respondents. The

26  agency shall contract for consumer satisfaction surveys and

27  report the results of those surveys in the consumer

28  information materials prepared and distributed by the agency.

29  The agency may adopt rules as necessary to administer this

30  section.

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  1         Section 3.  Subsections (3) and (8) of section

  2  400.0255, Florida Statutes, are amended to read:

  3         400.0255  Resident transfer or discharge; requirements

  4  and procedures; hearings.--

  5         (3)  When a discharge or transfer is initiated by the

  6  nursing home resident is to be discharged or transferred, the

  7  nursing home administrator employed by the nursing home that

  8  is discharging or transferring the resident, or an individual

  9  employed by the nursing home who is designated by the nursing

10  home administrator to act on behalf of the administration ,

11  must sign the notice of discharge or transfer. Any notice

12  indicating a medical reason for transfer or discharge must

13  either be signed by the resident's attending physician or the

14  medical director of the facility, or include an attached

15  written order for the discharge or transfer. The notice or the

16  order must be signed by the resident's physician, medical

17  director, treating physician, nurse practitioner, or physician

18  assistant.

19         (8)  The notice required by subsection (7) must be in

20  writing and must contain all information required by state and

21  federal law, rules, or regulations applicable to Medicaid or

22  Medicare cases. The agency shall develop a standard document

23  to be used by all facilities licensed under this part for

24  purposes of notifying residents of a discharge or transfer.

25  Such document must include a means for a resident to request

26  the district long-term care ombudsman council to review the

27  notice and request information about or assistance with

28  initiating a fair hearing with the department's Office of

29  Appeals Hearings. In addition to any other pertinent

30  information included, the form shall specify the reason

31  allowed under federal or state law that the resident is being


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  1  discharged or transferred, with an explanation to support this

  2  action. Further, the form shall state the effective date of

  3  the discharge or transfer and the location to which the

  4  resident is being discharged or transferred. The form shall

  5  clearly describe the resident's appeal rights and the

  6  procedures for filing an appeal, including the right to

  7  request the district ombudsman council to review the notice of

  8  discharge or transfer. A copy of the notice must be placed in

  9  the resident's clinical record, and a copy must be transmitted

10  to the resident's legal guardian or representative and to the

11  district ombudsman council within 5 business days after

12  signature by the resident or resident designee.

13         Section 4.  Section 400.141, Florida Statutes, is

14  amended to read:

15         400.141  Administration and management of nursing home

16  facilities.--Every licensed facility shall comply with all

17  applicable standards and rules of the agency and shall:

18         (1)  Be under the administrative direction and charge

19  of a licensed administrator.

20         (2)  Appoint a medical director licensed pursuant to

21  chapter 458 or chapter 459. The agency may establish by rule

22  more specific criteria for the appointment of a medical

23  director.

24         (3)  Have available the regular, consultative, and

25  emergency services of physicians licensed by the state.

26         (4)(5)  Provide for resident use of a community

27  pharmacy as specified in s. 400.022(1)(q). Any other law to

28  the contrary notwithstanding, a registered pharmacist licensed

29  in Florida, that is under contract with a facility licensed

30  under this chapter, shall may repackage a nursing facility

31  resident's bulk prescription medication which has been


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  1  packaged by another pharmacist licensed in any state in the

  2  United States into a unit dose system compatible with the

  3  system used by the nursing facility, if the pharmacist is

  4  requested to offer such service. if such To be eligible for

  5  repackaging, a resident or the resident's spouse must receive

  6  has bulk prescription medication benefits provided through a

  7  former employer as part of his or her retirement benefits

  8  covered under a qualified pension plan as specified in s. 4972

  9  of the Internal Revenue Code, a federal retirement program as

10  specified under 5 C.F.R. s. 831, or a long-term care policy as

11  defined in s. 627.9404(1). A pharmacist who correctly

12  repackages and relabels the medication and the nursing

13  facility which correctly administers such repackaged

14  medication under the provisions of this subsection shall not

15  be held liable in any civil or administrative action arising

16  from the repackaging. In order to be eligible for the

17  repackaging, a nursing facility resident for whom the

18  medication is to be repackaged shall sign an informed consent

19  form provided by the facility which includes an explanation of

20  the repackaging process and which notifies the resident of the

21  immunities from liability provided herein. A pharmacist who

22  repackages and relabels prescription medications, as

23  authorized under this subsection, may charge a reasonable fee

24  for costs resulting from the implementation of this provision.

25         (5)(4)  Provide for the access of the facility

26  residents to dental and other health-related services,

27  recreational services, rehabilitative services, and social

28  work services appropriate to their needs and conditions and

29  not directly furnished by the licensee.  When a geriatric

30  outpatient nurse clinic is conducted in accordance with rules

31  adopted by the agency, outpatients attending such clinic shall


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  1  not be counted as part of the general resident population of

  2  the nursing home facility, nor shall the nursing staff of the

  3  geriatric outpatient clinic be counted as part of the nursing

  4  staff of the facility, until the outpatient clinic load

  5  exceeds 15 a day.

  6         (6)  Be allowed and encouraged by the agency to provide

  7  other needed services under certain conditions. If the

  8  facility has a standard licensure status, and has had no class

  9  I or class II deficiencies during the past 2 years or has been

10  awarded a Gold Seal under the program established in s.

11  400.235, it may be encouraged by the agency to provide

12  services, including, but not limited to, respite and adult day

13  services, which enable individuals to move in and out of the

14  facility.  A facility is not subject to any additional

15  licensure requirements for providing these services. Respite

16  care may be offered to persons in need of short-term or

17  temporary nursing home services. Respite care must be provided

18  in accordance with this part and rules adopted by the agency.

19  However, the agency shall, by rule, adopt modified

20  requirements for resident assessment, resident care plans,

21  resident contracts, physician orders, and other provisions, as

22  appropriate, for short-term or temporary nursing home

23  services.  The agency shall allow for shared programming and

24  staff in a facility which meets minimum standards and offers

25  services pursuant to this subsection, but, if the facility is

26  cited for deficiencies in patient care, may require additional

27  staff and programs appropriate to the needs of service

28  recipients. A person who receives respite care may not be

29  counted as a resident of the facility for purposes of the

30  facility's licensed capacity unless that person receives

31  24-hour respite care. A person receiving either respite care


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  1  for 24 hours or longer or adult day services must be included

  2  when calculating minimum staffing for the facility. Any costs

  3  and revenues generated by a nursing home facility from

  4  nonresidential programs or services shall be excluded from the

  5  calculations of Medicaid per diems for nursing home

  6  institutional care reimbursement.

  7         (7)  If the facility has a standard licensure status or

  8  is a Gold Seal facility, exceeds minimum staffing standards,

  9  and is part of a retirement community that offers other

10  services pursuant to part III, part IV, or part V, be allowed

11  to share programming and staff.  At the time of relicensure, a

12  retirement community that uses this option must demonstrate

13  through staffing records that minimum staffing requirements

14  for the facility were exceeded.

15         (8)  Maintain the facility premises and equipment and

16  conduct its operations in a safe and sanitary manner.

17         (9)  If the licensee furnishes food service, provide a

18  wholesome and nourishing diet sufficient to meet generally

19  accepted standards of proper nutrition for its residents and

20  provide such therapeutic diets as may be prescribed by

21  attending physicians.  In making rules to implement this

22  subsection, the agency shall be guided by standards

23  recommended by nationally recognized professional groups and

24  associations with knowledge of dietetics.

25         (10)  Keep full records of resident admissions and

26  discharges; medical and general health status, including

27  medical records, personal and social history, and identity and

28  address of next of kin or other persons who may have

29  responsibility for the affairs of the residents; and

30  individual resident care plans including, but not limited to,

31  prescribed services, service frequency and duration, and


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  1  service goals.  The records shall be open to inspection by the

  2  agency.

  3         (11)  Keep such fiscal records of its operations and

  4  conditions as may be necessary to provide information pursuant

  5  to this part.

  6         (12)  Furnish copies of personnel records for employees

  7  affiliated with such facility, to any other facility licensed

  8  by this state requesting this information pursuant to this

  9  part.  Such information contained in the records may include,

10  but is not limited to, disciplinary matters and any reason for

11  termination. Any facility releasing such records pursuant to

12  this part shall be considered to be acting in good faith and

13  may not be held liable for information contained in such

14  records, absent a showing that the facility maliciously

15  falsified such records.

16         (13)  Publicly display a poster provided by the agency

17  containing the names, addresses, and telephone numbers for the

18  state's abuse hotline, the State Long-Term Care Ombudsman, the

19  Agency for Health Care Administration consumer hotline, the

20  Advocacy Center for Persons with Disabilities, the Statewide

21  Human Rights Advocacy Committee, and the Medicaid Fraud

22  Control Unit, with a clear description of the assistance to be

23  expected from each.

24

25  Facilities that have been awarded a Gold Seal under the

26  program established in s. 400.235 may develop a plan to

27  provide certified nursing assistant training as prescribed by

28  federal regulations and state rules and may apply to the

29  agency for approval of its program.

30

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  1         Section 5.  Subsection (2) of section 400.191, Florida

  2  Statutes, is amended, and subsection (6) is added to said

  3  section, to read:

  4         400.191  Availability, distribution, and posting of

  5  reports and records.--

  6         (2)  The agency shall provide additional information in

  7  consumer-friendly printed and electronic formats to assist

  8  consumers and their families in comparing and evaluating

  9  nursing home facilities.

10         (a)  The agency shall provide an Internet site which

11  shall include at least the following information either

12  directly or indirectly through a link to another established

13  site or sites of the agency's choosing:

14         1.  A list by name and address of all nursing home

15  facilities in this state.

16         2.  Whether such nursing home facilities are

17  proprietary or nonproprietary.

18         3.  The current owner of the facility's license and the

19  year that that entity became the owner of the license. The

20  licensure status of each facility.

21         4.  The ownership history of each facility.

22         4.5.  The name of the owner or owners of each facility

23  and whether the facility is affiliated with a part of a

24  company or other organization corporation owning or managing

25  operating more than one nursing facility in this state.

26         6.  Performance, regulatory, and enforcement

27  information about the corporation, as well as the facility.

28         5.7.  The total number of beds in each facility.

29         6.8.  The number of private and semiprivate rooms in

30  each facility.

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  1         7.9.  The religious affiliation, if any, of each

  2  facility.

  3         8.10.  The languages spoken by the administrator and

  4  staff of each facility.

  5         9.11.  Whether or not each facility accepts Medicare or

  6  Medicaid recipients or insurance, health maintenance

  7  organization, Veterans Administration, CHAMPUS program, or

  8  workers' compensation coverage.

  9         10.12.  Recreational and other programs available at

10  each facility.

11         13.  For nursing homes certified for Medicare or

12  Medicaid, information from the Minimum Data Set system of the

13  federal Health Care Financing Administration about the

14  clinical performance of each facility, including information

15  related to the nursing home quality indicators.

16         14.  Information about the licensure status and

17  regulatory history of each facility.

18         11.15.  Special care units or programs offered at each

19  facility.

20         12.16.  Whether the facility is a part of a retirement

21  community that offers other services pursuant to part III,

22  part IV, or part V.

23         13.17.  The results of consumer and family satisfaction

24  surveys for each facility, as described in s. 400.0225. The

25  results may be converted to a score or scores, which may be

26  presented in either numeric or symbolic form for the intended

27  consumer audience.

28         18.  The licensure status and rating history for the

29  past 5 years for each facility.

30         14.19.  Survey and deficiency information contained on

31  the Online Survey Certification and Reporting (OSCAR) system


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  1  of the federal Health Care Financing Administration, including

  2  annual survey, revisit, and complaint survey information, for

  3  each facility for the past 45 months 3 years.  For

  4  noncertified nursing homes, state survey and deficiency

  5  information, including annual survey, revisit, and complaint

  6  survey information for the past 45 months 3 years shall be

  7  provided.

  8         15.  A summary of the Online Survey Certification and

  9  Reporting (OSCAR) data for each facility over the past 45

10  months. Such summary may include a score, rating, or

11  comparison ranking with respect to other facilities based on

12  the number of citations received by the facility of annual,

13  revisit, and complaint surveys, the severity and scope of the

14  citations, and the number of annual recertification surveys

15  the facility has had during the past 45 months. The score,

16  rating, or comparison ranking may be presented in either

17  numeric or symbolic form for the intended consumer audience.

18         (b)  The agency shall provide the following information

19  in printed form:

20         1.  A list by name and address of all nursing home

21  facilities in this state.

22         2.  Whether such nursing home facilities are

23  proprietary or nonproprietary and their current ownership.

24         3.  The current owner or owners of the facility's

25  license and the year that entity became the owner of the

26  license The licensure status of each facility.

27         4.  The total number of beds, and of private and

28  semiprivate rooms, in each facility.

29         5.  The religious affiliation, if any, of each

30  facility.

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  1         6.  The name of the owner of each facility and whether

  2  the facility is affiliated with a company or other

  3  organization owning or managing more than one nursing facility

  4  in this state.

  5         7.6.  The languages spoken by the administrator and

  6  staff of each facility.

  7         7.  Whether or not each facility accepts Medicare or

  8  Medicaid recipients.

  9         8.  Whether or not each facility accepts Medicare or

10  Medicaid recipients or insurance, health maintenance

11  organization, Veterans Administration, CHAMPUS program, or

12  workers' compensation coverage.

13         9.8.  Recreational programs, special care units, and

14  other programs available at each facility.

15         9.  A summary of information from the Minimum Data Set

16  system of the federal Health Care Financing Administration

17  about the clinical performance of each facility.

18         10.  Information about the licensure status and

19  regulatory history of each facility.

20         10.11.  The results of consumer and family satisfaction

21  surveys for each facility, as described in s. 400.0225. The

22  results may be converted to a score or scores, which may be

23  presented in either numeric or symbolic form for the intended

24  consumer audience.

25         11.12.  The Internet address for the site where more

26  detailed information can be seen.

27         12.13.  A statement advising consumers that each

28  facility will have its own policies and procedures related to

29  protecting resident property.

30         13.  A summary of the Online Survey Certification and

31  Reporting (OSCAR) data for each facility over the past 45


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  1  months. Such summary may include a score, rating, or

  2  comparison ranking with respect to other facilities based on

  3  the number of citations received by the facility on annual,

  4  revisit, and complaint surveys, the severity and scope of the

  5  citations, the number of citations, the number of annual

  6  recertification surveys the facility has had during the past

  7  45 months. The score, rating, or comparison ranking may be

  8  presented in either numeric or symbolic form for the intended

  9  consumer audience.

10         (c)  For purposes of this subsection, references to the

11  Online Survey Certification and Reporting (OSCAR) system shall

12  refer to any future system that the Health Care Financing

13  Administration develops to replace the current OSCAR system.

14         (d)  The agency may provide the following additional

15  information on an Internet site or in printed form as the

16  information becomes available:

17         1.  The licensure status history of each facility.

18         2.  The rating history of each facility.

19         3.  The regulatory history of each facility, which may

20  include federal sanctions, state sanctions, federal fines,

21  state fines, and other actions.

22         4.  Whether the facility currently possesses the Gold

23  Seal designation awarded pursuant to s. 400.235.

24         5.  Internet links to the Internet sites of the

25  facilities or their affiliates.

26         (6)  The agency may adopt rules as necessary to

27  administer this section.

28         Section 6.  Subsection (5) of section 400.23, Florida

29  Statutes, is amended to read:

30         400.23  Rules; evaluation and deficiencies; licensure

31  status.--


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  1         (5)  The agency, in collaboration with the Division of

  2  Children's Medical Services of the Department of Health, must,

  3  no later than December 31, 1993, adopt rules for minimum

  4  standards of care for persons under 21 years of age who reside

  5  in nursing home facilities.  The rules must include a

  6  methodology for reviewing a nursing home facility under ss.

  7  408.031-408.045 which serves only persons under 21 years of

  8  age. A facility may be exempt from these standards for

  9  specific persons between 18 and 21 years of age, if the

10  person's physician agrees that minimum standards of care based

11  on age are not necessary.

12         Section 7.  Paragraph (a) of subsection (3), subsection

13  (4), and paragraphs (e) and (h) of subsection (5) of section

14  400.235, Florida Statutes, are amended, and subsection (9) is

15  added to said section, to read:

16         400.235  Nursing home quality and licensure status;

17  Gold Seal Program.--

18         (3)(a)  The Gold Seal Program shall be developed and

19  implemented by the Governor's Panel on Excellence in Long-Term

20  Care which shall operate under the authority of the Executive

21  Office of the Governor. The panel shall be composed of three

22  persons appointed by the Governor, to include a consumer

23  advocate for senior citizens and two persons with expertise in

24  the fields of quality management, service delivery excellence,

25  or public sector accountability; three persons appointed by

26  the Secretary of Elderly Affairs, to include an active member

27  of a nursing facility family and resident care council and a

28  member of the University Consortium on Aging; the State

29  Long-Term Care Ombudsman; one person appointed by the Florida

30  Life Care Residents Association; one person appointed by the

31  Secretary of Health; two persons appointed by the Director of


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  1  Health Care Administration, to include the Deputy Director for

  2  State Health Purchasing; one person appointed by the Florida

  3  Association of Homes for the Aging; and one person appointed

  4  by the Florida Health Care Association. All members of the

  5  panel shall be appointed by October 1, 1999, and the panel

  6  shall hold its organizational meeting no later than December

  7  10, 1999. Vacancies on the panel shall be filled in the same

  8  manner as the original appointments. No member shall serve for

  9  more than 4 consecutive years from the date of appointment.

10         (4)  The panel shall consider at least the quality of

11  care provided to residents following resident-based quality

12  indicator domains when evaluating a facility for the Gold Seal

13  Program. The panel shall determine the procedure or procedures

14  for measuring the quality of care.:

15         (a)  Accidents.

16         (b)  Behavioral/emotional patterns.

17         (c)  Clinical management.

18         (d)  Cognitive patterns.

19         (e)  Elimination/continence.

20         (f)  Infection control.

21         (g)  Nutrition and eating.

22         (h)  Physical functioning.

23         (i)  Psychotropic drug use.

24         (j)  Quality of life.

25         (k)  Sensory functioning and communication.

26         (l)  Skin care.

27         (5)  Facilities must meet the following additional

28  criteria for recognition as a Gold Seal Program facility:

29         (e)  Have a stable workforce, as evidenced by a

30  relatively low rate of turnover among certified nursing

31  assistants and licensed registered nurses within the 30 months


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  1  preceding application for the Gold Seal Program, and

  2  demonstrate a continuing effort to maintain a stable workforce

  3  and to reduce turnover of licensed nurses and certified

  4  nursing assistants.

  5         (h)  Evidence superior levels of clinical outcomes as

  6  measured in the Minimum Data Set system of the federal Health

  7  Care Financing Administration. Facilities that are not

  8  certified for Medicare or Medicaid are not required to

  9  complete the Minimum Data Set in order to qualify for the Gold

10  Seal Program. Such facilities may demonstrate superior levels

11  of performance with an alternate assessment as approved by the

12  panel.

13

14  A facility assigned a conditional licensure status may not

15  qualify for consideration for the Gold Seal Program until

16  after it has operated for 30 months with no class I or class

17  II deficiencies and has completed a regularly scheduled

18  relicensure survey.

19         (9)  The agency may adopt rules as necessary to

20  administer this section.

21         Section 8.  Subsection (1) of section 400.962, Florida

22  Statutes, is amended to read:

23         400.962  License required; license application.--

24         (1)  It is unlawful to operate an intermediate care

25  facility for the developmentally disabled or a comprehensive

26  transitional educational program without a license.

27         Section 9.  Subsection (2) of section 397.405, Florida

28  Statutes, is amended to read:

29         397.405  Exemptions from licensure.--The following are

30  exempt from the licensing provisions of this chapter:

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  1         (2)  A nursing home facility as defined in s.

  2  400.021(12)(11).

  3         Section 10.  The Board of Pharmacy, in cooperation with

  4  the Agency for Health Care Administration, shall undertake a

  5  study of the feasibility, efficiency, cost-effectiveness, and

  6  safety of using automated medication dispensing machines in

  7  nursing facilities. The board and the agency may authorize the

  8  establishment of demonstration projects in up to five nursing

  9  facilities with a class I institutional pharmacy as part of

10  the study. Demonstration projects may be allowed to continue

11  for up to 12 months. A report summarizing the results of the

12  study shall be submitted by the board and the agency to the

13  Speaker of the House of Representatives and the President of

14  the Senate by January 1, 2001. If the study determines that

15  such dispensing machines would benefit residents of nursing

16  facilities and should be allowed, the report shall identify

17  those specific statutory changes necessary to allow nursing

18  facilities to use automated medication dispensing machines.

19         Section 11.  Section 180.136, Florida Statutes, is

20  created to read:

21         180.136  Water or sewer utilities; notice.--Before a

22  local government water or sewer utility increases any rate,

23  charge, or fee for water or sewer utility service, the utility

24  shall provide notice of the proposed increase to each customer

25  of the utility through the utility's billing process.  The

26  notice shall state the date, time, and place of the meeting of

27  the governing board of the local government at which such

28  increase will be considered. The notice required in this

29  section is in addition to any notice and public meeting

30  requirements for ordinance adoption as provided by general

31  law.


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  1         Section 12.  Section 350.0611, Florida Statutes, is

  2  amended to read:

  3         350.0611  Public Counsel; duties and powers.--It shall

  4  be the duty of the Public Counsel to provide legal

  5  representation for the people of the state in proceedings

  6  before the commission and in proceedings before counties

  7  pursuant to s. 367.171(8).  The Public Counsel shall have such

  8  powers as are necessary to carry out the duties of his or her

  9  office, including, but not limited to, the following specific

10  powers:

11         (1)  To recommend to the commission, by petition, the

12  commencement of any proceeding or action or to appear, in the

13  name of the state or its citizens, in any proceeding or action

14  before the commission and urge therein any position which he

15  or she deems to be in the public interest, whether consistent

16  or inconsistent with positions previously adopted by the

17  commission, and utilize therein all forms of discovery

18  available to attorneys in civil actions generally, subject to

19  protective orders of the commission which shall be reviewable

20  by summary procedure in the circuit courts of this state.;

21         (2)  To have access to and use of all files, records,

22  and data of the commission available to any other attorney

23  representing parties in a proceeding before the commission.;

24         (3)  In any proceeding in which he or she has

25  participated as a party, to seek review of any determination,

26  finding, or order of the commission, or of any hearing

27  examiner designated by the commission, in the name of the

28  state or its citizens.;

29         (4)  To prepare and issue reports, recommendations, and

30  proposed orders to the commission, the Governor, and the

31  Legislature on any matter or subject within the jurisdiction


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  1  of the commission, and to make such recommendations as he or

  2  she deems appropriate for legislation relative to commission

  3  procedures, rules, jurisdiction, personnel, and functions.;

  4         (5)  To appear before other state agencies, federal

  5  agencies, and state and federal courts in connection with

  6  matters under the jurisdiction of the commission, in the name

  7  of the state or its citizens.

  8         Section 13.  Subsection (8) of section 367.171, Florida

  9  Statutes, is amended to read:

10         367.171  Effectiveness of this chapter.--

11         (8)  Each county which is excluded from the provisions

12  of this chapter shall regulate the rates of all utilities in

13  that county which would otherwise be subject to regulation by

14  the commission pursuant to s. 367.081(1), (2), (3), and (6).

15  The county shall not regulate the rates or charges of any

16  system or facility which would otherwise be exempt from

17  commission regulation pursuant to s. 367.022(2).  For this

18  purpose the county or its agency shall proceed as though the

19  county or agency is the commission. In all proceedings

20  conducted by a county or its agency under the authority of

21  this chapter, the provisions of ss. 120.569 and 120.57 shall

22  apply.

23         Section 14.  This act shall take effect upon becoming a

24  law.

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