| 1 | A bill to be entitled |
| 2 | An act relating to specialty behavioral health care |
| 3 | providers; requiring the Department of Children and Family |
| 4 | Services to establish a demonstration project in district |
| 5 | 4 in order to determine the benefits of developing a |
| 6 | specialty behavioral health care provider to deliver |
| 7 | behavioral health services to persons who reside in an |
| 8 | assisted living facility that holds a limited mental |
| 9 | health license; requiring the department to select the |
| 10 | provider through a competitive bid process; directing the |
| 11 | department to create a workgroup to develop the request |
| 12 | for proposals; providing for membership on the workgroup; |
| 13 | providing for the department to assist the Agency for |
| 14 | Health Care Administration in selecting the managed care |
| 15 | entity delivering behavioral health care; requiring the |
| 16 | department to implement the demonstration project by a |
| 17 | specific date; providing for an independent evaluation; |
| 18 | requiring that a report be submitted to the Legislature; |
| 19 | providing an effective date. |
| 20 |
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| 21 | Be It Enacted by the Legislature of the State of Florida: |
| 22 |
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| 23 | Section 1. (1) The Department of Children and Family |
| 24 | Services shall establish a demonstration project in district 4 |
| 25 | for the purpose of determining the benefits of a specialty |
| 26 | behavioral health care provider delivering behavioral health |
| 27 | services to persons who reside in an assisted living facility |
| 28 | that holds a limited mental health license. |
| 29 | (2) The department shall use a competitive bid process to |
| 30 | select the private or publicly funded behavioral health care |
| 31 | provider that will deliver the services listed in section |
| 32 | 394.4574, Florida Statutes, and all other state-funded |
| 33 | behavioral health care services, including services listed in |
| 34 | section 394.4574, Florida Statutes. |
| 35 | (3)(a) The department must create a workgroup to develop |
| 36 | the request for proposals and recommend the standards, criteria, |
| 37 | and array of services that will be included in the procurement |
| 38 | document. |
| 39 | (b) The workgroup must be composed of not less than 12 |
| 40 | members. The membership shall include, but need not be limited |
| 41 | to: |
| 42 | 1. Five administrators of assisted living facilities |
| 43 | holding a limited mental health license. The five administrators |
| 44 | must be selected by members of the National Alliance for the |
| 45 | Mentally Ill (NAMI) who represent district 4. |
| 46 | 2. One person who is a member of the Florida Psychiatric |
| 47 | Society, selected by the society. |
| 48 | 3. One person who is a member of the Florida Council for |
| 49 | Behavioral Health, selected by the council. |
| 50 | 4. One person who is a member of the National Alliance for |
| 51 | the Mentally Ill (NAMI), selected by the alliance. |
| 52 | 5. One person who is a member of the Florida Hospital |
| 53 | Association, selected by the association. |
| 54 | 6. One person who is a member of the Florida Assisted |
| 55 | Living Association, selected by the association. |
| 56 | 7. One person who is a member of the local advocacy |
| 57 | council, selected by the local council. |
| 58 | 8. A representative from the Advocacy Center for Persons |
| 59 | with Disabilities, selected by the advocacy center. |
| 60 | (4) If the Agency for Health Care Administration |
| 61 | implements a Medicaid managed care system in district 4, the |
| 62 | agency shall authorize the selected behavioral health care |
| 63 | provider for the demonstration project to negotiate a capitation |
| 64 | rate for the behavioral health care services which reflects the |
| 65 | needs and clinical services required to ensure that residents of |
| 66 | assisted living facilities that hold a limited mental health |
| 67 | license are not displaced or otherwise denied access to |
| 68 | medically necessary behavioral health care services as |
| 69 | determined by the provider and consistent with the resident's |
| 70 | right of access to adequate and appropriate health care under |
| 71 | section 400.022, Florida Statutes. |
| 72 | (5) The district 4 demonstration project must be |
| 73 | implemented by October 1, 2004, and shall continue for not less |
| 74 | than 3 years following the date of implementation. |
| 75 | (6) The department shall contract for an independent |
| 76 | evaluation of the demonstration project. The evaluation must |
| 77 | assess the recidivism of patients from the assisted living |
| 78 | facility to the inpatient state hospital, patient satisfaction |
| 79 | with care, improvements in program competencies and linkages, |
| 80 | increased tenure of case management relationships with |
| 81 | residents, and implementation of meaningful plans of recovery. |
| 82 | Following the evaluation, the department shall prepare a report |
| 83 | and submit a copy to the President of the Senate and the Speaker |
| 84 | of the House of Representatives by January 1, 2007. |
| 85 | Section 2. This act shall take effect July 1, 2004. |