CODING: Words stricken are deletions; words underlined are additions.



                                                   HOUSE AMENDMENT

                                            Bill No. CS for SB 598

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
                                   .
                                   .
  1                                .
                                   .
  2                                .
                                   .
  3                                .
                                   .
  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

  6

  7

  8

  9

10  ______________________________________________________________

11  Representative(s) Bean offered the following:

12

13         Amendment (with title amendment) 

14         On page 3, between line 8, and 9, of the bill

15

16  insert:  Section 2.  Subsection (3) of section 394.4574,

17  Florida Statutes, is amended to read:

18         394.4574  Department responsibilities for a mental

19  health resident who resides in an assisted living facility

20  that holds a limited mental health license.--

21         (3)  The Secretary of Children and Family Services, in

22  consultation with the Agency for Health Care Administration,

23  shall annually require each district administrator to develop

24  and implement, with community input, detailed plans that

25  demonstrate how the district will ensure the provision of

26  state-funded mental health and substance abuse treatment

27  services to residents of assisted living facilities that hold

28  a limited mental health license. Each district shall hold a

29  publicly announced meeting for input from assisted living

30  facilities that hold a limited mental health license.  The

31  district shall record minutes of the meeting. These plans must

                                  1

    File original & 9 copies    03/21/02
    hcp0006                     08:19 am         00598-0012-192629




                                                   HOUSE AMENDMENT

                                            Bill No. CS for SB 598

    Amendment No. ___ (for drafter's use only)





  1  be consistent with the substance abuse and mental health

  2  district plan developed pursuant to s. 394.75 and must address

  3  case management services; access to consumer-operated drop-in

  4  centers; access to services during evenings, weekends, and

  5  holidays; supervision of the clinical needs of the residents;

  6  and access to emergency psychiatric care. The state

  7  headquarters office shall hold an annual meeting to review the

  8  district plans and shall invite the Florida Assisted Living

  9  Association, the Florida Council for Behavioral Health Care,

10  the Florida Mental Health Counselors Association, the Florida

11  Psychiatric Society, and the Alliance for the Mentally Ill.

12         Section 3.  Subsection (2) of section 394.74, Florida

13  Statutes, is amended, subsections (4) and (5) are renumbered

14  as subsections (5) and (6), respectively, and a new subsection

15  (4) is added to said section, to read:

16         394.74  Contracts for provision of local substance

17  abuse and mental health programs.--

18         (2)(a)  Contracts for service shall be consistent with

19  the approved district plan.

20         (b)  Notwithstanding s. 394.76(3)(a) and (c), the

21  department may use unit cost methods of payment in contracts

22  for purchasing mental health and substance abuse services. The

23  unit cost contracting system must account for those patient

24  fees that are paid on behalf of a specific client and those

25  that are earned and used by the provider for those services

26  funded in whole or in part by the department.

27         (c)  The department may reimburse actual expenditures

28  for startup contracts and fixed capital outlay contracts in

29  accordance with contract specifications. The department is

30  authorized to use case rates or per capita contracts. The

31  contract provider must report persons served and services

                                  2

    File original & 9 copies    03/21/02
    hcp0006                     08:19 am         00598-0012-192629




                                                   HOUSE AMENDMENT

                                            Bill No. CS for SB 598

    Amendment No. ___ (for drafter's use only)





  1  provided.

  2         (4)  Within existing statewide or district resources,

  3  the department shall:

  4         (a)  Require that contract funds support individual

  5  client treatment or service plans and clinical status.

  6         (b)  Develop proposed eligibility criteria and

  7  associated benefits packages as a part of the 2004 state

  8  master plan submitted pursuant to s. 394.75.

  9         (c)  Promote the use of electronic formats for contract

10  materials, including electronic signatures.

11         (d)  Promote the use of web-enabled application

12  software products to simplify and expedite contract data

13  collection and billing.

14         (e)  Ensure consumer choice among providers as provider

15  networks are created pursuant to s. 394.9082.

16

17

18  ================ T I T L E   A M E N D M E N T ===============

19  And the title is amended as follows:

20         On page 1, line 18,

21

22  after the semicolon insert:

23         amending s. 394.4574, F.S.; requiring district

24         administrators of the Department of Children

25         and Family Services to accept community input

26         in the implementation of plans to ensure the

27         provision of certain treatment to certain

28         patients; requiring publicly announced meetings

29         for input from assisted living facilities that

30         hold limited mental health licenses; providing

31         for annual review of district plans; amending

                                  3

    File original & 9 copies    03/21/02
    hcp0006                     08:19 am         00598-0012-192629




                                                   HOUSE AMENDMENT

                                            Bill No. CS for SB 598

    Amendment No. ___ (for drafter's use only)





  1         s. 394.74, F.S.; authorizing the Department of

  2         Children and Family Services to use case rates

  3         or per capita contracts in contracting for the

  4         provision of services for local substance abuse

  5         and mental health programs; specifying

  6         additional requirements relating to such

  7         contracts;

  8

  9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

                                  4

    File original & 9 copies    03/21/02
    hcp0006                     08:19 am         00598-0012-192629