Senate Bill 2622

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    Florida Senate - 2000                                  SB 2622

    By Senator Cowin





    11-1249-00

  1                      A bill to be entitled

  2         An act relating to child welfare; amending s.

  3         383.011, F.S.; providing for the Department of

  4         Health to develop and implement a public

  5         awareness campaign and hotline through which

  6         certain pregnant teens may receive information

  7         with respect to their pregnancies; providing an

  8         effective date.

  9

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

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12         Section 1.  Paragraph (e) of subsection (1) of section

13  383.011, Florida Statutes, is amended to read:

14         383.011  Administration of maternal and child health

15  programs.--

16         (1)  The Department of Health is designated as the

17  state agency for:

18         (e)  The department shall establish in each county

19  health department a Healthy Start Care Coordination Program in

20  which a care coordinator is responsible for receiving

21  screening reports and risk assessment reports from the Office

22  of Vital Statistics; conducting assessments as part of a

23  multidisciplinary team, where appropriate; providing technical

24  assistance to the district prenatal and infant care

25  coalitions; directing family outreach efforts; and

26  coordinating the provision of services within and outside the

27  department using the plan developed by the coalition. The care

28  coordination process must include, at a minimum, family

29  outreach workers and health paraprofessionals who will assist

30  in providing the following enhanced services to pregnant

31  women, infants, and their families that are determined to be

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    Florida Senate - 2000                                  SB 2622
    11-1249-00




  1  at potential risk by the department's screening instrument:

  2  case finding or outreach; assessment of health, social,

  3  environmental, and behavioral risk factors; case management

  4  utilizing the family support plan; home visiting to support

  5  the delivery of and participation in prenatal and infant

  6  primary care services; childbirth and parenting education,

  7  including encouragement of breastfeeding; counseling; and

  8  social services, as appropriate. Family outreach workers may

  9  include social work professionals or nurses with public health

10  education and counseling experience. Paraprofessionals may

11  include resource mothers and fathers, trained health aides,

12  and parent educators. The care coordination program shall be

13  developed in a coordinated, nonduplicative manner with the

14  Developmental Evaluation and Intervention Program of

15  Children's Medical Services, using the local assessment

16  findings and plans of the prenatal and infant care coalitions

17  and the programs and services established in chapter 411, Pub.

18  L. No. 99-457, and this chapter.

19         1.  Families determined to be at potential risk based

20  on the thresholds established in the department's screening

21  instrument must be notified by the department of the

22  determination and recommendations for followup services. All

23  Medicaid-eligible families shall receive Early Periodic

24  Screening, Diagnosis and Treatment (EPSDT) Services of the

25  Florida Medicaid Program to help ensure continuity of care.

26  All other families identified at potential risk shall be

27  directed to seek additional health care followup visits as

28  provided under s. 627.6579. A family identified as a family at

29  potential risk is eligible for enhanced services under the

30  care coordination process within the resources allocated, if

31  it is not already receiving services from the Developmental

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    Florida Senate - 2000                                  SB 2622
    11-1249-00




  1  Evaluation and Intervention Program. The department shall

  2  adopt rules regulating the assignment of family outreach

  3  workers and paraprofessionals based on the thresholds

  4  established in the department's risk assessment tool.

  5         2.  As part of the care coordination process, the

  6  department must ensure that subsequent screenings are

  7  conducted for those families identified as families at

  8  potential risk. Procedures for subsequent screenings of all

  9  infants and toddlers must be consistent with the established

10  periodicity schedule and the level of risk. Screening programs

11  must be conducted in accessible locations, such as child care

12  centers, local schools, teenage pregnancy programs, community

13  centers, and county health departments. Care coordination must

14  also include initiatives to provide immunizations in

15  accessible locations. Such initiatives must seek ways to

16  ensure that children not currently being served by

17  immunization efforts are reached.

18         3.  The provision of services under this section must

19  be consistent with the provisions and plans established under

20  chapter 411, Pub. L. No. 99-457, and this chapter.

21         4.  Contingent upon provision of a specific

22  appropriation, the department shall make funding available to

23  Healthy Start Coalitions for the development and

24  implementation of a Pregnant-And-In-Need (PAIN) public

25  awareness campaign targeting pregnant teens who are not

26  seeking prenatal care and may be at high risk of abandoning

27  their babies. The purpose of this campaign is to get prenatal

28  care and care coordination services to pregnant teens to

29  promote healthy newborns and to prevent the abandoning of

30  babies. The department will make funds available to the

31  Healthy Start Coalitions through a grant process. The

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    Florida Senate - 2000                                  SB 2622
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  1  department will establish a statewide 1-800-PAIN hotline that

  2  uses the current hotline for Healthy Start Coalition services.

  3  The public awareness campaign funded through these grant funds

  4  must include information on the PAIN hotline that pregnant

  5  teens can use to receive counseling and access prenatal care

  6  while remaining anonymous. The provision of funding for this

  7  campaign must include an evaluation component on the impact of

  8  each of the campaigns.

  9         Section 2.  This act shall take effect July 1, 2000.

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12                          SENATE SUMMARY

13    Provides for the Department of Health to develop and
      implement a Pregnant-And-In-Need public awareness
14    campaign and hotline for pregnant teens who need
      information about their pregnancies.
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