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



                                                   HOUSE AMENDMENT

                                                   Bill No. HB 821

    Amendment No. 1 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

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11  The Committee on Health & Human Services Appropriations

12  offered the following:

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14         Amendment (with title amendment) 

15  remove:  everything after the enacting clause

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17  and insert:

18         Section 1.  Subsection (3) is added to section

19  394.4575, Florida Statutes, to read:

20         394.4574  Department responsibilities for a mental

21  health resident who resides in an assisted living facility

22  that holds a limited mental health license.--

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

24  consultation with the Agency for Health Care Administration,

25  shall annually require each district administrator to develop,

26  with community input, detailed plans that demonstrate how the

27  district will ensure the provision of state-funded mental

28  health and substance abuse treatment services to residents of

29  assisted living facilities that hold a limited mental health

30  license.  Each district will hold a publicly-announced meeting

31  for input from assisted living facilities that hold a limited

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    File original & 9 copies    02/20/02
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 821

    Amendment No. 1 (for drafter's use only)





  1  mental health license.  The district will record minutes of

  2  the meeting. These plans must be consistent with the substance

  3  abuse and mental health district plan developed pursuant to s.

  4  394.75 and must address case management services; access to

  5  consumer-operated drop-in centers; access to services during

  6  evenings, weekends, and holidays; supervision of the clinical

  7  needs of the residents; and access to emergency psychiatric

  8  care.  The state headquarters office will hold an annual

  9  meeting to review the district plans and will invite the

10  Florida Assisted Living Association, the Florida Council for

11  Mental Health, the Florida Psychiatric Society, and the

12  Alliance for the Mentally Ill.

13         Section 2.  Subsection (2) of section 394.74, Florida

14  Statutes, is amended, subsections (4) and (5) of said section

15  are renumbered as subsections (5) and (6), respectively, and a

16  new subsection (4) is added to said section, to read:

17         394.74  Contracts for provision of local substance

18  abuse and mental health programs.--

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

20  the approved district plan.

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

22  department may use unit cost methods of payment in contracts

23  for purchasing mental health and substance abuse services. The

24  unit cost contracting system must account for those patient

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

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

27  funded in whole or in part by the department.

28         (c)  The department may reimburse actual expenditures

29  for startup contracts and fixed capital outlay contracts in

30  accordance with contract specifications. The department is

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

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    File original & 9 copies    02/20/02
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 821

    Amendment No. 1 (for drafter's use only)





  1  contract provider must report persons served and services

  2  provided.

  3         (4)  Within existing statewide or district resources,

  4  the department shall:

  5         (a)  Require that contract funds support individual

  6  client treatment or service plans and clinical status.

  7         (b)  Develop proposed eligibility criteria and

  8  associated benefits packages as a part of the 2004 state

  9  master plan submitted pursuant to s. 394.75.

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

11  materials, including electronic signatures.

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

13  software products to simplify and expedite contract data

14  collection and billing.

15         (e)  Ensure consumer choice among providers as provider

16  networks are created pursuant to s. 394.9082.

17         Section 3.  This act shall take effect July 1, 2002.

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

21  And the title is amended as follows:

22  remove:  the entire title

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24  and insert:

25                  A bill to be entitled

26         An act relating to substance abuse and mental

27         health programs; amending s. 394.4574, F.S.;

28         requiring publicly announced meetings;

29         specifying additional requirements for district

30         plans; amending s. 394.74, F.S.; authorizing

31         the Department of Children and Family Services

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    File original & 9 copies    02/20/02
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 821

    Amendment No. 1 (for drafter's use only)





  1         to use case rates or per capita contracts in

  2         contracting for the provision of services for

  3         local substance abuse and mental health

  4         programs; specifying additional requirements

  5         relating to such contracts; providing an

  6         effective date.

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    File original & 9 copies    02/20/02
    hap0011                     02:04 pm         00821-hhsa-544785