House Bill hb0821e1

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                                        CS/HB 821, First Engrossed



  1                      A bill to be entitled

  2         An act relating to substance abuse and mental

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

  4         requiring district administrators of the

  5         Department of Children and Family Services to

  6         accept community input in the implementation of

  7         plans to ensure the provision of certain

  8         treatment to certain patients; requiring

  9         publicly announced meetings for input from

10         assisted living facilities that hold limited

11         mental health licenses; providing for annual

12         review of district plans; amending s. 394.74,

13         F.S.; authorizing the Department of Children

14         and Family Services to use case rates or per

15         capita contracts in contracting for the

16         provision of services for local substance abuse

17         and mental health programs; specifying

18         additional requirements relating to such

19         contracts; providing an effective date.

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

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23         Section 1.  Subsection (3) of section 394.4574, Florida

24  Statutes, is amended to read:

25         394.4574  Department responsibilities for a mental

26  health resident who resides in an assisted living facility

27  that holds a limited mental health license.--

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

29  consultation with the Agency for Health Care Administration,

30  shall annually require each district administrator to develop

31  and implement, with community input, detailed plans that


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                                        CS/HB 821, First Engrossed



  1  demonstrate how the district will ensure the provision of

  2  state-funded mental health and substance abuse treatment

  3  services to residents of assisted living facilities that hold

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

  5  publicly announced meeting for input from assisted living

  6  facilities that hold a limited mental health license.  The

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

  8  be consistent with the substance abuse and mental health

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

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

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

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

13  and access to emergency psychiatric care. The state

14  headquarters office shall hold an annual meeting to review the

15  district plans and shall invite the Florida Assisted Living

16  Association, the Florida Council for Behavioral Health Care,

17  the Florida Mental Health Counselors Association, the Florida

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

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

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

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

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

23         394.74  Contracts for provision of local substance

24  abuse and mental health programs.--

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

26  the approved district plan.

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

28  department may use unit cost methods of payment in contracts

29  for purchasing mental health and substance abuse services. The

30  unit cost contracting system must account for those patient

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


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                                        CS/HB 821, First Engrossed



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

  2  funded in whole or in part by the department.

  3         (c)  The department may reimburse actual expenditures

  4  for startup contracts and fixed capital outlay contracts in

  5  accordance with contract specifications. The department is

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

  7  contract provider must report persons served and services

  8  provided.

  9         (4)  Within existing statewide or district resources,

10  the department shall:

11         (a)  Require that contract funds support individual

12  client treatment or service plans and clinical status.

13         (b)  Develop proposed eligibility criteria and

14  associated benefits packages as a part of the 2004 state

15  master plan submitted pursuant to s. 394.75.

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

17  materials, including electronic signatures.

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

19  software products to simplify and expedite contract data

20  collection and billing.

21         (e)  Ensure consumer choice among providers as provider

22  networks are created pursuant to s. 394.9082.

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

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