Senate Bill sb1280c2
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    By the Committees on Appropriations; Children and Families;
    and Senators Peaden and Lynn
    309-2682-04
  1                      A bill to be entitled
  2         An act relating to the Department of Children
  3         and Family Services; amending s. 20.19, F.S.;
  4         removing the developmental disabilities program
  5         from the Department of Children and Family
  6         Services; creating s. 20.197, F.S.;
  7         establishing the Agency for Persons with
  8         Disabilities for the purpose of providing
  9         services to persons with developmental
10         disabilities, including institutional services;
11         directing the agency to execute interagency
12         agreements with the Agency for Health Care
13         Administration for the financial management of
14         the Medicaid waivers and the Department of
15         Children and Family Services for administrative
16         support; amending s. 393.063, F.S.; updating
17         definitions and deleting obsolete definitions;
18         amending  s. 393.064, F.S.; deleting
19         requirements that the agency's legislative
20         budget request include funding for prevention;
21         amending s. 393.0655, F.S.; requiring Level 2
22         screening for specified service providers;
23         amending s. 393.066, F.S.; removing requirement
24         that services be administered and approved by
25         the districts; modifying a requirement to
26         provide certain services; deleting a
27         requirement for a 5-year plan relating to
28         community-based services; adding a requirement
29         to assist clients in gaining employment;
30         repealing obsolete requirement authorizing the
31         state to lease or construct residential
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 1         facilities; deleting authorization to adopt
 2         rules ensuring compliance with federal rules;
 3         amending s. 393.0661, F.S.; deleting an
 4         obsolete provision; modifying provisions
 5         relating to an assessment instrument; adding
 6         requirements for adoption of rate
 7         methodologies; amending s. 393.068, F.S.;
 8         making service provision subject to available
 9         resources; updating list of services to be
10         provided; deleting provision referring to
11         5-year plans; amending s. 393.0695, F.S.;
12         requiring in-home subsidy amounts to be
13         reassessed annually; amending s. 393.11, F.S.;
14         deleting provisions referring to districts,
15         department programs, and the nonexistent
16         Department of Labor and Employment Security;
17         amending s. 393.13, F.S.; deleting obsolete
18         provisions; adding legislative intent relating
19         to reducing the use of sheltered workshops;
20         amending s. 393.17, F.S.; authorizing the
21         agency to contract for the certification of
22         behavioral analysts; deleting provisions
23         relating to a certification program and
24         provisions allowing fees; amending s. 393.22,
25         F.S.; deleting prohibition preventing transfer
26         of funds and ensuring financial commitment for
27         specified developmental conditions; amending s.
28         393.502, F.S.; removing reference to districts;
29         deleting a provision permitting appointment of
30         family care council members if the Governor
31         does not act; amending ss. 408.301, 408.302,
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 1         F.S.; amending legislative intent to add the
 2         Agency for Persons with Disabilities and the
 3         Department of Elderly Affairs as agencies that
 4         the Agency for Health Care Administration must
 5         enter into interagency agreement with regarding
 6         persons with special needs; amending s.
 7         409.906, F.S.; clarifying powers of the Agency
 8         for Health Care Administration with respect to
 9         limiting coverage for certain services;
10         repealing s. 393.14, F.S.; requiring a
11         multiyear plan; repealing s. 393.165, F.S.,
12         relating to ICF/DDs; repealing s. 393.166,
13         F.S., relating to homes for special services;
14         repealing s. 393.505, F.S., relating to
15         comprehensive day treatment service projects;
16         transferring programs and institutions relating
17         to developmental disabilities from the
18         Department of Children and Family Services to
19         the Agency for Persons with Disabilities;
20         providing duties of those agencies as well as
21         the Department of Management Services;
22         providing for substitution of parties in
23         administrative and judicial proceedings;
24         providing duties of the Office of Program
25         Policy Analysis and Government Accountability;
26         providing for a report; amending ss. 92.53,
27         397.405, 400.464, 409.906, 419.001, 914.16,
28         914.17, 918.16, F.S.; conforming
29         cross-references; amending s. 393.067, F.S.;
30         conforming to changes made by the act;
31         providing that a license issued to a
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 1         residential facility or a comprehensive
 2         transitional education program does not create
 3         a property right in the recipient; amending ss.
 4         393.0641, 393.065, 393.0651, 393.0673,
 5         393.0675, 393.0678, 393.071, 393.075, 393.115,
 6         393.12, 393.125, 393.15, 393.501, 393.503,
 7         393.506, F.S.; creating ss. 393.135, 394.4593,
 8         and 916.1075, F.S.; defining the terms
 9         "employee," "sexual activity," and "sexual
10         misconduct"; providing that it is a
11         second-degree felony for an employee to engage
12         in sexual misconduct with certain
13         developmentally disabled clients, certain
14         mental health patients, or certain forensic
15         clients; providing certain exceptions;
16         requiring certain employees to report sexual
17         misconduct to the central abuse hotline of the
18         department and to law enforcement; providing
19         for notification to the inspector general of
20         the department or agency; providing that it is
21         a first-degree misdemeanor to knowingly and
22         willfully fail to make a report as required, or
23         to prevent another from doing so, or to submit
24         inaccurate or untruthful information; providing
25         that it is a third-degree felony to coerce or
26         threaten another person to alter testimony or a
27         report with respect to an incident of sexual
28         misconduct; providing criminal penalties;
29         providing that the penalties are in addition to
30         other actions provided in law; amending s.
31         435.03, F.S.; expanding level 1 screening
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 1         standards to include criminal offenses related
 2         to sexual misconduct with certain
 3         developmentally disabled clients, mental health
 4         patients, or forensic clients and the reporting
 5         of such sexual misconduct; amending s. 435.04,
 6         F.S.; expanding level 2 screening standards to
 7         include the offenses related to sexual
 8         misconduct with certain developmentally
 9         disabled clients, mental health patients, or
10         forensic clients and the reporting of such
11         sexual misconduct; amending s. 943.0585, F.S.,
12         relating to court-ordered expunction of
13         criminal history records, for the purpose of
14         incorporating the amendment to s. 943.059,
15         F.S., in a reference thereto; providing that
16         certain criminal history records relating to
17         sexual misconduct with developmentally disabled
18         clients, mental health patients, or forensic
19         clients, or the reporting of such sexual
20         misconduct, shall not be expunged; providing
21         that the application for eligibility for
22         expunction certify that the criminal history
23         record does not relate to an offense involving
24         sexual misconduct with certain developmentally
25         disabled clients, mental health patients, or
26         forensic clients, or the reporting of such
27         sexual misconduct; conforming cross-references;
28         amending s. 943.059, F.S., relating to
29         court-ordered sealing of criminal history
30         records, for the purpose of incorporating the
31         amendment to s. 943.0585, F.S., in a reference
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 1         thereto; providing that certain criminal
 2         history records relating to sexual misconduct
 3         with developmentally disabled clients, mental
 4         health patients, or forensic clients, or the
 5         reporting of such sexual misconduct, shall not
 6         be sealed; providing that the application for
 7         eligibility for sealing certify that the
 8         criminal history record does not relate to an
 9         offense involving sexual misconduct with
10         certain developmentally disabled clients,
11         mental health patients, or forensic clients, or
12         the reporting of such sexual misconduct;
13         conforming cross-references; authorizing the
14         Department of Children and Family Services'
15         Economic Self-Sufficiency Services Program
16         Office to provide the eligibility determination
17         function through department staff or through
18         contract; providing restrictions; conforming to
19         the changes made by the act; providing an
20         effective date.
21  
22  Be It Enacted by the Legislature of the State of Florida:
23  
24         Section 1.  Paragraph (b) of subsection (4) of section
25  20.19, Florida Statutes, is amended to read:
26         20.19  Department of Children and Family
27  Services.--There is created a Department of Children and
28  Family Services.
29         (4)  PROGRAM OFFICES AND SUPPORT OFFICES.--
30         (b)  The following program offices are established:
31         1.  Adult Services.
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 1         2.  Child Care Services.
 2         3.  Domestic Violence Developmental Disabilities.
 3         4.  Economic Self-Sufficiency Services.
 4         5.  Family Safety.
 5         6.  Mental Health.
 6         7.  Refugee Services.
 7         8.  Substance Abuse.
 8         Section 2.  Section 20.197, Florida Statutes, is
 9  created to read:
10         20.197  Agency for Persons with Disabilities.--There is
11  created the Agency for Persons with Disabilities, housed
12  within the Department of Children and Family Services for
13  administrative purposes only. The agency shall be a separate
14  budget entity not subject to control, supervision, or
15  direction by the Department of Children and Family Services in
16  any manner, including, but not limited to, personnel,
17  purchasing, transactions involving real or personal property,
18  and budgetary matters.
19         (1)  The director of the agency shall be the agency
20  head for all purposes and shall be appointed by the Governor
21  and serve at the pleasure of the Governor. The director shall
22  administer the affairs of the agency and establish
23  administrative units as needed and may, within available
24  resources, employ assistants, professional staff, and other
25  employees as necessary to discharge the powers and duties of
26  the agency.
27         (2)  The agency shall be responsible for the provision
28  of all services provided to persons with developmental
29  disabilities pursuant to chapter 393, including the operation
30  of all state institutional programs and the programmatic
31  
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 1  management of Medicaid waivers established to provide services
 2  to persons with developmental disabilities.
 3         (3)  The agency shall engage in such other
 4  administrative activities as are deemed necessary to
 5  effectively and efficiently address the needs of the agency's
 6  clients.
 7         (4)  The agency shall enter into an interagency
 8  agreement that delineates the responsibilities of the Agency
 9  for Health Care Administration for the following:
10         (a)  The terms, and execution of contracts with
11  Medicaid providers for the provision of services provided
12  through Medicaid, including federally approved waiver
13  programs.
14         (b)  Billing, payment, and reconciliation of claims for
15  Medicaid services reimbursed by the agency.
16         (c)  The implementation of utilization management
17  measures, including the prior authorization of services plans
18  and the streamlining and consolidation of waivers services, to
19  ensure the cost-effective provision of needed Medicaid
20  services and to maximize the number of persons with access to
21  such services.
22         (d)  A system of approving each client's plan of care
23  to ensure that the services on the plan of care are those that
24  without which the client would require the services of an
25  intermediate care facility for the developmentally disabled.
26         Section 3.  Section 393.063, Florida Statutes, is
27  amended to read:
28         393.063  Definitions.--For the purposes of this
29  chapter:
30         (1)  "Active treatment" means the provision of services
31  by an interdisciplinary team necessary to maximize a client's
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 1  individual independence or prevent regression or loss of
 2  functional status.
 3         (1)(2)  "Agency" means the Agency for Persons with
 4  Disabilities Health Care Administration.
 5         (2)(3)  "Autism" means a pervasive, neurologically
 6  based developmental disability of extended duration which
 7  causes severe learning, communication, and behavior disorders
 8  with age of onset during infancy or childhood. Individuals
 9  with autism exhibit impairment in reciprocal social
10  interaction, impairment in verbal and nonverbal communication
11  and imaginative ability, and a markedly restricted repertoire
12  of activities and interests.
13         (3)(4)  "Cerebral palsy" means a group of disabling
14  symptoms of extended duration which results from damage to the
15  developing brain that may occur before, during, or after birth
16  and that results in the loss or impairment of control over
17  voluntary muscles.  For the purposes of this definition,
18  cerebral palsy does not include those symptoms or impairments
19  resulting solely from a stroke.
20         (4)(5)  "Client" means any person determined eligible
21  by the agency department for developmental services under this
22  chapter.
23         (5)(6)  "Client advocate" means a friend or relative of
24  the client, or of the client's immediate family, who advocates
25  for the best interests of the client in any proceedings under
26  this chapter in which the client or his or her family has the
27  right or duty to participate.
28         (6)(7)  "Comprehensive assessment" means the process
29  which is used to determine eligibility for developmental
30  services under this chapter and develop the family or
31  individual support plan. The term includes review and
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 1  evaluation of information provided by the applicant, the
 2  individual receiving supports or services through
 3  developmental services, or the family, and others providing
 4  supports or services to the individual or family, as well as
 5  the use of formal assessment instruments.
 6         (7)(8)  "Comprehensive transitional education program"
 7  means a group of jointly operating centers or units, the
 8  collective purpose of which is to provide a sequential series
 9  of educational care, training, treatment, habilitation, and
10  rehabilitation services to persons who have developmental
11  disabilities, as defined in subsection (12), and who have
12  severe or moderate maladaptive behaviors.  However, nothing in
13  this subsection shall require such comprehensive transitional
14  education programs to provide services only to persons with
15  developmental disabilities, as defined in subsection (12). All
16  such services shall be temporary in nature and delivered in a
17  structured residential setting with the primary goal of
18  incorporating the normalization principle to establish
19  permanent residence for persons with maladaptive behaviors in
20  facilities not associated with the comprehensive transitional
21  education program.  The staff shall include psychologists and
22  teachers who, and such staff personnel shall be available to
23  provide services in each component center or unit of the
24  program. The psychologists shall be individuals who are
25  licensed in this state and certified as behavior analysts in
26  this state, or individuals who meet the professional
27  requirements established by the department for district
28  behavior analysts and are certified as behavior analysts
29  pursuant to s. 393.17 in this state.
30         (a)  Comprehensive transitional education programs
31  shall include a minimum of two component centers or units, as
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 1  defined in this paragraph, one of which shall be either an
 2  intensive treatment and educational center or a transitional
 3  training and educational center, which provide services to
 4  persons with maladaptive behaviors in the following sequential
 5  order:
 6         1.  Intensive treatment and educational center.  This
 7  component is a self-contained residential unit providing
 8  intensive psychological and educational programming for
 9  persons with severe maladaptive behaviors, whose behaviors
10  preclude placement in a less restrictive environment due to
11  the threat of danger or injury to themselves or others.
12         2.  Transitional training and educational center.  This
13  component is a residential unit for persons with moderate
14  maladaptive behaviors, providing concentrated psychological
15  and educational programming emphasizing a transition toward a
16  less restrictive environment.
17         3.  Community transition residence.  This component is
18  a residential center providing educational programs and such
19  support services, training, and care as are needed to assist
20  persons with maladaptive behaviors to avoid regression to more
21  restrictive environments while preparing them for more
22  independent living. Continuous-shift staff shall be required
23  for this component.
24         4.  Alternative living center.  This component is a
25  residential unit providing an educational and family living
26  environment for persons with maladaptive behaviors, in a
27  moderately unrestricted setting.  Residential staff shall be
28  required for this component.
29         5.  Independent living education center.  This
30  component is a facility providing a family living environment
31  for persons with maladaptive behaviors, in a largely
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 1  unrestricted setting which includes education and monitoring
 2  appropriate to support the development of independent living
 3  skills by the students.
 4         (b)  Centers or units that are components of a
 5  comprehensive transitional education program are subject to
 6  the license issued to the comprehensive transitional education
 7  program and may be located on either single or multiple sites.
 8         (c)  Comprehensive transitional education programs
 9  shall develop individual education plans for each person with
10  maladaptive behaviors who receives services therein.  Such
11  individual education plans shall be developed in accordance
12  with the criteria specified included in Pub. L. No. 94-142, 20
13  U.S.C. ss. 401 et seq., and 34 C.F.R. part 300.
14         (d)  In no instance shall the total number of persons
15  with maladaptive behaviors being provided services in a
16  comprehensive transitional education program exceed 120.
17         (e)  This subsection shall authorize licensure for
18  comprehensive transitional education programs which by July 1,
19  1989:
20         1.  Are in actual operation; or
21         2.  Own a fee simple interest in real property for
22  which a county or city government has approved zoning allowing
23  for the placement of the facilities described in this
24  subsection, and have registered an intent with the department
25  to operate a comprehensive transitional education program.
26  However, nothing shall prohibit the assignment by such a
27  registrant to another entity at a different site within the
28  state, so long as there is compliance with all criteria of the
29  comprehensive transitional education program and local zoning
30  requirements and provided that each residential facility
31  within the component centers or units of the program
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 1  authorized under this subparagraph shall not exceed a capacity
 2  of 15 persons.
 3         (9)  "Day service" means the care, protection, and
 4  supervision of a client for a period of less than 24 hours a
 5  day on a regular basis which supplements for the client, in
 6  accordance with his or her individual needs, daily care,
 7  enrichment opportunities, and health supervision.
 8         (8)(10)  "Day habilitation facility" means any
 9  nonresidential facility which provides day habilitation
10  services.
11         (9)  "Day habilitation service" means assistance with
12  the acquisition, retention, or improvement in self-help,
13  socialization, and adaptive skills which takes place in a
14  nonresidential setting, separate from the home or facility in
15  which the individual resides. Day habilitation services shall
16  focus on enabling the individual to attain or maintain his or
17  her maximum functional level and shall be coordinated with any
18  physical, occupational, or speech therapies listed in the plan
19  of care.
20         (11)  "Department" means the Department of Children and
21  Family Services.
22         (10)(12)  "Developmental disability" means a disorder
23  or syndrome that is attributable to retardation, cerebral
24  palsy, autism, spina bifida, or Prader-Willi syndrome and that
25  constitutes a substantial handicap that can reasonably be
26  expected to continue indefinitely.
27         (11)(13)  "Developmental disabilities services
28  institution" means a state-owned and state-operated facility,
29  formerly known as a "Sunland Center," providing for the care,
30  habilitation, and rehabilitation of clients with developmental
31  disabilities.
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 1         (14)  "Developmental training facility" means any
 2  nonresidential facility which provides basic training and
 3  habilitation to clients.
 4         (12)(15)  "Direct service provider," also known as
 5  "caregiver" in chapters 39 and 415 or "caretaker" in
 6  provisions relating to employment security checks, means a
 7  person 18 years of age or older who has direct contact with
 8  individuals with developmental disabilities, or has access to
 9  a client's living areas or to a client's funds or personal
10  property, and is not a relative of such unrelated to the
11  individuals with developmental disabilities.
12         (a)  The term "direct service provider" also includes
13  any person, including members of the direct service provider's
14  family, over 12 years of age who resides with the direct
15  service provider when:
16         1.  The direct service provider provides supports or
17  services in his or her residence;
18         2.  The direct service provider provides supports or
19  services in a facility adjacent to his or her residence; or
20         3.  The person residing with the direct service
21  provider has direct contact with the individual with
22  developmental disabilities during the hours of provision of
23  supports or services.
24         (b)  Persons residing with the direct service provider,
25  including family members, who are between the ages of 12 years
26  and 18 years are not required to be fingerprinted, but shall
27  be screened for delinquency records.
28         (c)  A volunteer who assists on an intermittent basis
29  for less than 40 hours per month is not a direct service
30  provider for the purposes of screening if the volunteer is
31  
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 1  under the direct and constant supervision of persons who meet
 2  the personnel requirements of s. 393.0655.
 3         (d)  A physician, nurse, or other professional licensed
 4  and regulated by the Department of Business and Professional
 5  Regulation is not a direct service provider for the purposes
 6  of screening if the service he or she is providing to a client
 7  is within the scope of practice for which he or she is
 8  licensed.
 9         (e)  A person selected by the family or the individual
10  with developmental disabilities and paid by the family or the
11  individual to provide supports or services is not a direct
12  service provider for the purpose of screening.
13         (16)  "District" means a service district of the
14  department.
15         (13)(17)  "Domicile" means the place where a client
16  legally resides, which place is his or her permanent home.
17  Domicile may be established as provided in s. 222.17.
18  Domicile may not be established in Florida by a minor who has
19  no parent domiciled in Florida, or by a minor who has no legal
20  guardian domiciled in Florida, or by any alien not classified
21  as a resident alien.
22         (14)(18)  "Enclave" means a work station in public or
23  private business or industry where a small group of persons
24  with developmental disabilities is employed and receives
25  training and support services or follow-along services among
26  nonhandicapped workers.
27         (15)(19)  "Epilepsy" means a chronic brain disorder of
28  various causes which is characterized by recurrent seizures
29  due to excessive discharge of cerebral neurons.  When found
30  concurrently with retardation, autism, or cerebral palsy,
31  epilepsy is considered a secondary disability for which the
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 1  client is eligible to receive services to ameliorate this
 2  condition pursuant according to the provisions of this
 3  chapter.
 4         (16)(20)  "Express and informed consent" means consent
 5  voluntarily given in writing with sufficient knowledge and
 6  comprehension of the subject matter involved to enable the
 7  person giving consent to make an understanding and enlightened
 8  decision without any element of force, fraud, deceit, duress,
 9  or other form of constraint or coercion.
10         (17)(21)  "Family care program" means the program
11  established in s. 393.068 an alternative to residential
12  placement, in which a direct service provider provides a home
13  for a client and assists him or her to the extent necessary
14  for the client to participate in normal activities and to meet
15  the demands of daily living. The program provides the support
16  needed by the client's family or caretaker to meet the
17  individual needs of the client.
18         (18)(22)  "Follow-along services" means those support
19  services which shall be provided to persons with developmental
20  disabilities in all supported employment programs and may
21  include, but are not limited to, family support, assistance in
22  meeting transportation and medical needs, employer
23  intervention, performance evaluation, advocacy, replacement,
24  retraining or promotional assistance, or other similar support
25  services.
26         (19)(23)  "Foster care facility" means a residential
27  facility which provides a family living environment including
28  supervision and care necessary to meet the physical,
29  emotional, and social needs of its residents. The capacity of
30  such a facility shall not be more than three residents.
31  
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 1         (20)(24)  "Group home facility" means a residential
 2  facility which provides a family living environment including
 3  supervision and care necessary to meet the physical,
 4  emotional, and social needs of its residents.  The capacity of
 5  such a facility shall be at least 4 residents but not more
 6  than 15 residents.  For the purposes of this chapter, group
 7  home facilities shall not be considered commercial
 8  enterprises.
 9         (21)(25)  "Guardian advocate" means a person appointed
10  by the circuit court to represent a person with developmental
11  disabilities in any proceedings brought pursuant to s. 393.12,
12  and excludes the use of the same term as applied to a guardian
13  advocate for mentally ill persons in chapter 394.
14         (22)(26)  "Habilitation" means the process by which a
15  client is assisted to acquire and maintain those life skills
16  which enable the client to cope more effectively with the
17  demands of his or her condition and environment and to raise
18  the level of his or her physical, mental, and social
19  efficiency. It includes, but is not limited to, programs of
20  formal structured education and treatment.
21         (23)(27)  "High-risk child" means, for the purposes of
22  this chapter, a child from birth to 5 years of age with one or
23  more of the following characteristics:
24         (a)  A developmental delay in cognition, language, or
25  physical development.
26         (b)  A child surviving a catastrophic infectious or
27  traumatic illness known to be associated with developmental
28  delay, when funds are specifically appropriated.
29         (c)  A child with a parent or guardian with
30  developmental disabilities who is developmentally disabled and
31  
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 1  who requires assistance in meeting the child's developmental
 2  needs.
 3         (d)  A child who has a physical or genetic anomaly
 4  associated with developmental disability.
 5         (24)(28)  "Intermediate care facility for the
 6  developmentally disabled" or "ICF/DD" means a residential
 7  facility licensed and certified pursuant to part XI of chapter
 8  400 in accordance with state law, and certified by the Federal
 9  Government pursuant to the Social Security Act, as a provider
10  of Medicaid services to persons who are developmentally
11  disabled. The capacity of such a facility shall not be more
12  than 120 clients.
13         (25)(29)  "Job coach" means a person who provides
14  employment-related training at a work site to individuals with
15  developmental disabilities.
16         (26)(30)  "Medical/dental services" means medically
17  necessary those services which are provided or ordered for a
18  client by a person licensed physician or dentist and includes
19  pursuant to the provisions of chapter 458, chapter 459, or
20  chapter 466.  Such services may include, but are not limited
21  to, prescription drugs, specialized therapies, nursing
22  supervision, hospitalization, dietary services, prosthetic
23  devices, surgery, specialized equipment and supplies, adaptive
24  equipment, and other services as required to prevent or
25  alleviate a medical or dental condition.
26         (27)(31)  "Mobile work crew" means a group of workers
27  employed by an agency that provides services outside the
28  agency, usually under service contracts.
29         (28)(32)  "Normalization principle" means the principle
30  of letting the client obtain an existence as close to the
31  normal as possible, making available to the client patterns
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 1  and conditions of everyday life which are as close as possible
 2  to the norm and patterns of the mainstream of society.
 3         (29)(33)  "Personal services" include, but are not
 4  limited to, such services as: individual assistance with or
 5  supervision of essential activities of daily living for
 6  self-care, including ambulation, bathing, dressing, eating,
 7  grooming, and toileting, and other similar services that which
 8  the agency department may define by rule. "Personal services"
 9  shall not be construed to mean the provision of medical,
10  nursing, dental, or mental health services by the staff of a
11  facility, except as provided in this chapter. In addition, an
12  emergency response device installed in the apartment or living
13  area of a resident shall not be classified as a personal
14  service.
15         (30)(34)  "Prader-Willi syndrome" means an inherited
16  condition typified by neonatal hypotonia with failure to
17  thrive, hyperphagia or an excessive drive to eat which leads
18  to obesity usually at 18 to 36 months of age, mild to moderate
19  retardation, hypogonadism, short stature, mild facial
20  dysmorphism, and a characteristic neurobehavior.
21         (31)(35)  "Reassessment" means a process which
22  periodically develops, through annual review and revision of a
23  client's family or individual support plan, a knowledgeable
24  statement of current needs and past development for each
25  client.
26         (36)  "Rehabilitation workshop facility" means a place
27  operated by a for-profit or nonprofit agency engaged in the
28  manufacture or production of products or provision of
29  services, which provides gainful rehabilitation to severely
30  handicapped persons until such persons can become employed or
31  
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 1  which provides gainful work to persons who are developmentally
 2  disabled.
 3         (32)(37)  "Relative" means an individual who is
 4  connected by affinity or consanguinity to the client and who
 5  is 18 years of age or more.
 6         (33)(38)  "Resident" means any person who is
 7  developmentally disabled residing at a residential facility in
 8  the state, whether or not such person is a client of the
 9  agency department.
10         (34)(39)  "Residential facility" means a facility
11  providing room and board and personal care for persons with
12  developmental disabilities.
13         (35)  "Residential habilitation" means assistance
14  provided in a residential habitation center with acquisition,
15  retention, or improvement in skills related to activities of
16  daily living, such as personal grooming and cleanliness,
17  bedmaking and household chores, eating and the preparation of
18  food, and the social and adaptive skills necessary to enable
19  the individual to reside in a noninstitutional setting.
20         (36)(40)  "Residential habilitation center" means a
21  community residential facility that provides residential
22  habilitation. operated primarily for the diagnosis, treatment,
23  habilitation, or rehabilitation of its residents, which
24  facility provides, in a structured residential setting,
25  individualized continuing evaluation, planning, 24-hour
26  supervision, and coordination and integration of health or
27  rehabilitative services to help each resident reach his or her
28  maximum functioning capabilities. The capacity of such a
29  facility shall not be fewer less than nine residents. After
30  October 1, 1989, no new residential habilitation centers shall
31  
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 1  be licensed and the licensed capacity shall not be increased
 2  for any existing residential habilitation center.
 3         (37)(41)  "Respite service" means appropriate,
 4  short-term, temporary care that is provided to a person with
 5  developmental disabilities to meet the planned or emergency
 6  needs of the person with developmental disabilities or the
 7  family or other direct service provider.
 8         (38)(42)  "Retardation" means significantly subaverage
 9  general intellectual functioning existing concurrently with
10  deficits in adaptive behavior and manifested during the period
11  from conception to age 18. "Significantly subaverage general
12  intellectual functioning," for the purpose of this definition,
13  means performance which is two or more standard deviations
14  from the mean score on a standardized intelligence test
15  specified in the rules of the agency department.  "Adaptive
16  behavior," for the purpose of this definition, means the
17  effectiveness or degree with which an individual meets the
18  standards of personal independence and social responsibility
19  expected of his or her age, cultural group, and community.
20         (43)  "Screening," for purposes of employment,
21  contracting, or certification, means the act of assessing the
22  background of direct service providers and independent support
23  coordinators, who are not related to clients for whom they
24  provide services, and includes, but is not limited to,
25  employment history checks, local criminal records checks
26  through local law enforcement agencies, fingerprinting for all
27  purposes and checks in this subsection, statewide criminal
28  records checks through the Department of Law Enforcement, and
29  federal criminal records checks through the Federal Bureau of
30  Investigation; except that screening for volunteers included
31  under the definition of personnel includes only local criminal
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 1  records checks through local law enforcement agencies for
 2  current residence and residence immediately prior to
 3  employment as a volunteer, if different; and statewide
 4  criminal records correspondence checks through the Department
 5  of Law Enforcement.
 6         (39)(44)  "Severe self-injurious behavior" means any
 7  chronic behavior that results in injury to the person's own
 8  body, which includes, but is not limited to, self-hitting,
 9  head banging, self-biting, scratching, and the ingestion of
10  harmful or potentially harmful nutritive or nonnutritive
11  substances.
12         (40)(45)  "Specialized therapies" means those
13  treatments or activities prescribed by and provided by an
14  appropriately trained, licensed, or certified professional or
15  staff person and may include, but are not limited to, physical
16  therapy, speech therapy, respiratory therapy, occupational
17  therapy, behavior therapy, physical management services, and
18  related specialized equipment and supplies.
19         (41)(46)  "Spina bifida" means, for purposes of this
20  chapter, a person with a medical diagnosis of spina bifida
21  cystica or myelomeningocele.
22         (42)(47)  "Support coordinator" means a person who is
23  designated by the agency department to assist individuals and
24  families in identifying their desires, capacities, needs, and
25  resources, as well as finding and gaining access to necessary
26  supports and services; coordinating the delivery of supports
27  and services; advocating on behalf of the individual and
28  family; maintaining relevant records; and monitoring and
29  evaluating the delivery of supports and services to determine
30  the extent to which they meet the needs and expectations
31  
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 1  identified by the individual, family, and others who
 2  participated in the development of the support plan.
 3         (43)(48)  "Supported employee" means a person whose
 4  developmental disability has traditionally kept him or her
 5  from integrated, community-based employment and who requires
 6  and receives supported employment ongoing support or
 7  follow-along services in order to maintain community-based
 8  employment.
 9         (44)(49)  "Supported employment" means employment
10  located or provided in a normal employment setting which
11  provides at least 20 hours employment per week in an
12  integrated work setting, with earnings paid on a commensurate
13  wage basis, and for which continued support is or follow-along
14  services are needed for continuing job maintenance.
15         (45)(50)  "Supported living" means a category of
16  individually determined services designed and coordinated in
17  such a manner as to provide assistance to adult clients who
18  require ongoing supports to live as independently as possible
19  in their own homes, to be integrated into the community, and
20  to participate in community life to the fullest extent
21  possible.
22         (46)(51)  "Training" means a planned approach to
23  assisting a client to attain or maintain his or her maximum
24  potential and includes services ranging from sensory
25  stimulation to instruction in skills for independent living
26  and employment.
27         (47)(52)  "Treatment" means the prevention,
28  amelioration, or cure of a client's physical and mental
29  disabilities or illnesses.
30         Section 4.  Subsections (1), (3), (4), and (5) of
31  section 393.064, Florida Statutes, are amended to read:
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 1         393.064  Prevention.--
 2         (1)  The agency Department of Children and Family
 3  Services shall give priority to the development, planning, and
 4  implementation of programs which have the potential to
 5  prevent, correct, cure, or reduce the severity of
 6  developmental disabilities.  The agency department shall
 7  direct an interagency interdepartmental and interprogram
 8  effort for the continued development of a prevention plan and
 9  program.  The agency department shall identify, through
10  demonstration projects, through departmental program
11  evaluation, and through monitoring of programs and projects
12  conducted outside of the agency department, any medical,
13  social, economic, or educational methods, techniques, or
14  procedures that which have the potential to effectively
15  ameliorate, correct, or cure developmental disabilities.  The
16  program department shall determine the costs and benefits that
17  would be associated with such prevention efforts and shall
18  implement, or recommend the implementation of, those methods,
19  techniques, or procedures which are found likely to be
20  cost-beneficial.  The department in its legislative budget
21  request shall identify funding needs for such prevention
22  programs.
23         (3)  Other agencies of state government shall cooperate
24  with and assist the agency department, within available
25  resources, in implementing programs which have the potential
26  to prevent, or reduce the severity of, developmental
27  disabilities and shall consider the findings and
28  recommendations of the agency department in developing and
29  implementing agency programs and formulating agency budget
30  requests.
31  
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 1         (4)  There is created at the developmental services
 2  institution in Gainesville a research and education unit.
 3  Such unit shall be named the Raymond C. Philips Research and
 4  Education Unit.  The functions of such unit shall include:
 5         (a)  Research into the etiology of developmental
 6  disabilities.
 7         (b)  Ensuring that new knowledge is rapidly
 8  disseminated throughout the developmental services program of
 9  the agency Department of Children and Family Services.
10         (c)  Diagnosis of unusual conditions and syndromes
11  associated with developmental disabilities in clients
12  identified throughout the developmental services programs.
13         (d)  Evaluation of families of clients with
14  developmental disabilities of genetic origin in order to
15  provide them with genetic counseling aimed at preventing the
16  recurrence of the disorder in other family members.
17         (e)  Ensuring that health professionals in the
18  developmental services institution at Gainesville have access
19  to information systems that will allow them to remain updated
20  on newer knowledge and maintain their postgraduate education
21  standards.
22         (f)  Enhancing staff training for professionals
23  throughout the agency department in the areas of genetics and
24  developmental disabilities.
25         (5)  The agency Department of Children and Family
26  Services shall have the authority, within available resources,
27  to contract for the supervision and management of the Raymond
28  C. Philips Research and Education Unit, and such contract
29  shall include specific program objectives.
30         Section 5.  Section 393.0655, Florida Statutes, is
31  amended to read:
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 1         393.0655  Screening of direct service providers.--
 2         (1)  MINIMUM STANDARDS.--The agency department shall
 3  require level 2 employment screening pursuant to chapter 435,
 4  using the level 2 standards for screening set forth in that
 5  chapter, for direct service providers who are unrelated to
 6  their clients, including support coordinators, and managers
 7  and supervisors of residential facilities or comprehensive
 8  transitional education programs licensed under s. 393.067 and
 9  any other person, including volunteers, who provide care or
10  services, who have access to a client's living areas, or who
11  have access to a client's funds or personal property.
12  Background screening shall include employment history checks
13  as provided in s. 435.03(1) and local criminal records checks
14  through local law enforcement agencies.
15         (a)  A volunteer who assists on an intermittent basis
16  for less than 40 hours per month does not have to be screened,
17  if the volunteer is under the direct and constant supervision
18  of persons who meet the screening requirements of this
19  section.
20         (b)  Licensed physicians, nurses, or other
21  professionals licensed and regulated by the Department of
22  Health are not subject to background screening pursuant to
23  this section if they are providing a service that is within
24  their scope of licensed practice.
25         (c)  A person selected by the family or the individual
26  with developmental disabilities and paid by the family or the
27  individual to provide supports or services is not required to
28  have a background screening under this section.
29         (d)  Persons residing with the direct services
30  provider, including family members, are subject to background
31  
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 1  screening; however, such persons who are 12 to 18 years of age
 2  shall be screened for delinquency records only.
 3         (2)  EXEMPTIONS FROM DISQUALIFICATION.--The agency
 4  department may grant exemptions from disqualification from
 5  working with children or adults with developmental
 6  disabilities the developmentally disabled as provided in s.
 7  435.07.
 8         (3)  PAYMENT FOR PROCESSING OF FINGERPRINTS AND STATE
 9  CRIMINAL RECORDS CHECKS.--The costs of processing fingerprints
10  and the state criminal records checks shall be borne by the
11  employer or by the employee or individual who is being
12  screened.
13         (4)  EXCLUSION FROM OWNING, OPERATING, OR BEING
14  EMPLOYED BY A DIRECT SERVICE PROVIDER RESIDENTIAL FACILITY;
15  HEARINGS PROVIDED.--
16         (a)  The agency department shall deny, suspend,
17  terminate, or revoke a license, certification, rate agreement,
18  purchase order, or contract, or pursue other remedies provided
19  in s. 393.0673, s. 393.0675, or s. 393.0678 in addition to or
20  in lieu of denial, suspension, termination, or revocation for
21  failure to comply with this section.
22         (b)  When the agency department has reasonable cause to
23  believe that grounds for denial or termination of employment
24  exist, it shall notify, in writing, the employer and the
25  direct service provider affected, stating the specific record
26  which indicates noncompliance with the standards in this
27  section.
28         (c)  The procedures established for hearing under
29  chapter 120 shall be available to the employer and the direct
30  service provider in order to present evidence relating either
31  
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 1  to the accuracy of the basis of exclusion or to the denial of
 2  an exemption from disqualification.
 3         (d)  Refusal on the part of an employer to dismiss a
 4  direct service provider who has been found to be in
 5  noncompliance with standards of this section shall result in
 6  automatic denial, termination, or revocation of the license,
 7  certification, rate agreement, purchase order, or contract, in
 8  addition to any other remedies pursued by the agency
 9  department.
10         Section 6.  Section 393.066, Florida Statutes, is
11  amended to read:
12         393.066  Community services and treatment for persons
13  who are developmentally disabled.--
14         (1)  The agency Department of Children and Family
15  Services shall plan, develop, organize, and implement its
16  programs of services and treatment for persons who are
17  developmentally disabled along district lines.  The goal of
18  such programs shall be to allow clients to live as
19  independently as possible in their own homes or communities
20  and to achieve productive lives as close to normal as
21  possible.
22         (2)  All programs of services and treatment for clients
23  shall be administered through the districts and shall serve
24  all clients regardless of the type of residential setting in
25  which the client lives.  All elements of community-based
26  services shall be made available, in each service district and
27  eligibility for these services shall be consistent across the
28  state districts.  In addition, all purchased services shall be
29  approved by the agency district.
30         (2)(3)  All services needed shall be purchased instead
31  of provided directly by the agency department, when such
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 1  arrangement is more cost-efficient than having those services
 2  provided directly by the department.
 3         (3)(4)  Community-based services that are medically
 4  necessary to prevent institutionalization shall, to the extent
 5  of available resources, include:
 6         (a)  Day habilitation services, including developmental
 7  training services.
 8         (b)  Family care services.
 9         (c)  Guardian advocate referral services.
10         (d)  Medical/dental services, except that medical
11  services shall not be provided to clients with spina bifida
12  except as specifically appropriated by the Legislature.
13         (e)  Parent training.
14         (f)  Recreation.
15         (g)  Residential services.
16         (h)  Respite services.
17         (i)  Social services.
18         (j)  Specialized therapies.
19         (k)  Supported employment, including enclave, job
20  coach, mobile work crew, and follow-along services.
21         (l)  Supported living.
22         (m)  Training, including behavioral programming.
23         (n)  Transportation.
24         (o)  Other habilitative and rehabilitative services as
25  needed.
26  
27  Services to clients with spina bifida shall not include
28  medical services except as appropriated by the Legislature.
29         (5)  Provided it is consistent with the intent of the
30  Legislature, the department shall prioritize increased
31  appropriations provided for community-based services for
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 1  developmentally disabled individuals toward individualized,
 2  community-based supports and services for consumers and their
 3  families.  Further, the department's 5-year plan for
 4  Developmental Services shall reflect a priority toward
 5  individualized, community-based supports and services for
 6  consumers and their families.
 7         (4)(6)  The agency department shall utilize the
 8  services of private businesses, not-for-profit organizations,
 9  and units of local government whenever such services are more
10  cost-efficient than such services provided directly by the
11  department, including arrangements for provision of
12  residential facilities.
13         (5)(7)  In order to improve the potential for
14  utilization of more cost-effective, community-based
15  residential facilities, the agency department shall promote
16  the statewide development of day habilitation services for
17  clients who live with a direct service provider in a
18  community-based residential facility and who do not require
19  24-hour-a-day care in a hospital or other health care
20  institution, but who may, in the absence of day habilitation
21  services, require admission to a developmental disabilities
22  services institution. Each day service facility shall provide
23  a protective physical environment for clients, ensure that
24  direct service providers meet the minimum screening standards
25  for good moral character as required contained in s. 393.0655,
26  make available to all day habilitation service participants at
27  least one meal on each day of operation, provide facilities to
28  enable participants to obtain needed rest while attending the
29  program, as appropriate, and provide social and educational
30  activities designed to stimulate interest and provide
31  socialization skills.
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 1         (6)  To promote independence and productivity, the
 2  agency shall provide supports and services, within available
 3  resources, to assist clients enrolled in Medicaid waivers who
 4  choose to pursue gainful employment.
 5         (7)(8)  For the purpose of making needed
 6  community-based residential facilities available at the least
 7  possible cost to the state, the agency department is
 8  authorized to lease privately owned residential facilities
 9  under long-term rental agreements, if such rental agreements
10  are projected to be less costly to the state over the useful
11  life of the facility than state purchase or state construction
12  of such a facility. In addition, the department is authorized
13  to permit, on any public land to which the department holds
14  the lease, construction of a residential facility for which
15  the department has entered into a long-term rental agreement
16  as specified in this subsection.
17         (8)(9)  The agency department may adopt rules to ensure
18  compliance with federal laws or regulations that apply to
19  services provided pursuant to this section.
20         Section 7.  Section 393.0661, Florida Statutes, is
21  amended to read:
22         393.0661  Home and community-based services delivery
23  system; comprehensive redesign.--The Legislature finds that
24  the home and community-based services delivery system for
25  persons with developmental disabilities and the availability
26  of appropriated funds are two of the critical elements in
27  making services available.  Therefore, it is the intent of the
28  Legislature that the Agency for Persons with Disabilities
29  Department of Children and Family Services shall develop and
30  implement a comprehensive redesign of the system. The redesign
31  of the home and community-based services system shall include,
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 1  at a minimum, all actions necessary to achieve an appropriate
 2  rate structure, client choice within a specified service
 3  package, appropriate assessment strategies, an efficient
 4  billing process that contains reconciliation and monitoring
 5  components, a redefined role for support coordinators that
 6  avoids potential conflicts of interest, and family/client
 7  budgets linked to levels of need. Prior to the release of
 8  funds in the lump-sum appropriation, the department shall
 9  present a plan to the Executive Office of the Governor, the
10  House Fiscal Responsibility Council, and the Senate
11  Appropriations Committee. The plan must result in a full
12  implementation of the redesigned system no later than July 1,
13  2003.  At a minimum, the plan must provide that the portions
14  related to direct provider enrollment and billing will be
15  operational no later than March 31, 2003.  The plan must
16  further provide that a more effective needs assessment
17  instrument will be deployed by January 1, 2003, and that all
18  clients will be assessed with this device by June 30, 2003.
19         (1)  In no event may The agency shall use department
20  select an assessment instrument without appropriate evidence
21  that is it will be reliable and valid for identifying the
22  support needs of individuals. Once such evidence has been
23  obtained, however, The agency may contract with department
24  shall determine the feasibility of contracting with an
25  external vendor to apply the new assessment device to all
26  clients receiving services through the Medicaid waiver. In
27  lieu of using an external vendor or, the department may use
28  support coordinators to complete client for the assessments if
29  it develops sufficient safeguards and training to ensure
30  ongoing significantly improve the inter-rater reliability of
31  the support coordinators administering the assessment.
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 1         (2)  The agency, with the concurrence of the Agency for
 2  Health Care Administration, may contract for the determination
 3  of medical necessity and establishment of individual budgets.
 4         Section 8.  Section 393.068, Florida Statutes, is
 5  amended to read:
 6         393.068  Family care program.--
 7         (1)  The family care program is established for the
 8  purpose of providing services and support to families and
 9  individuals with developmental disabilities in order to
10  maintain the individual in the home environment and avoid
11  costly out-of-home residential placement.  The Legislature
12  recognizes the importance of family support in the long-range
13  success of deinstitutionalization. Services and support
14  available to families and individuals with developmental
15  disabilities shall emphasize community living and enable
16  individuals with developmental disabilities to enjoy typical
17  lifestyles.  Support and flexibility in coordinating support
18  and services are core elements in caring for the individual
19  who is developmentally disabled. One way to accomplish this is
20  to recognize that families are the greatest resource available
21  to individuals who have developmental disabilities and that
22  families must be supported in their role as primary care
23  givers.
24         (2)  Services and support authorized under this program
25  shall, to the extent of available resources, include the
26  services listed under s. 393.066 s. 393.066(4) and, in
27  addition, shall include, but not be limited to:
28         (a)  Attendant care.
29         (b)  Barrier-free modifications to the home.
30         (c)  Home visitation by agency workers.
31         (d)  In-home subsidies.
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 1         (e)  Low-interest loans.
 2         (f)  Parent training.
 3         (g)  Respite care.
 4         (f)(h)  Modifications for vehicles used to transport
 5  the individual with a developmental disability.
 6         (g)(i)  Facilitated communication.
 7         (h)(j)  Family counseling.
 8         (i)(k)  Equipment and supplies.
 9         (j)(l)  Self-advocacy training.
10         (k)(m)  Roommate services.
11         (l)(n)  Integrated community activities.
12         (m)(o)  Emergency services.
13         (n)(p)  Support coordination.
14         (o)  Supported employment.
15         (p)(q)  Other support services as identified by the
16  family or individual.
17         (2)  Provided it is consistent with the intent of the
18  Legislature, the department shall prioritize increased
19  appropriations provided for family-based services for
20  developmentally disabled individuals toward individualized,
21  family-based supports and services for consumers and their
22  families. Further, the department's 5-year plan for
23  developmental services shall reflect a priority toward
24  individualized, family-based supports and services for
25  consumers and their families.
26         (3)  When it is determined by the agency department to
27  be more cost-effective and in the best interest of the client
28  to maintain such client in the home of a direct service
29  provider, the parent or guardian of the client or, if
30  competent, the client may enroll the client in the family care
31  program. The direct service provider of a client enrolled in
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 1  the family care program shall be reimbursed according to a
 2  rate schedule set by the agency department. In-home subsidies
 3  cited in paragraph (1)(d) shall be provided according to s.
 4  393.0695 and are not subject to any other payment method or
 5  rate schedule provided for in this section.
 6         (4)  All existing community resources available to the
 7  client shall be utilized to support program objectives.
 8  Additional services may be incorporated into the program as
 9  appropriate and to the extent that resources are available.
10  The agency department is authorized to accept gifts and grants
11  in order to carry out the program.
12         (5)  The agency department may contract for the
13  provision of any portion of the services required by the
14  program, except for in-home subsidies cited in paragraph
15  (2)(d) (1)(d), which shall be provided pursuant to s.
16  393.0695. Otherwise, purchase of service contracts shall be
17  used whenever the services so provided are more cost-efficient
18  than those provided by the agency department.
19         (6)  When possible, services shall be obtained under
20  the "Florida Comprehensive Annual Services Program Plan under
21  Title XX of the Social Security Act" and the "Florida Plan for
22  Medical Assistance under Title XIX of the Social Security
23  Act."
24         (7)  To provide a range of personal services for the
25  client, the use of volunteers shall be maximized.  The agency
26  department shall assure appropriate insurance coverage to
27  protect volunteers from personal liability while acting within
28  the scope of their volunteer assignments under the program.
29         (8)  The department shall submit to the President of
30  the Senate and the Speaker of the House of Representatives, as
31  part of the biennial plan required by s. 393.14, an evaluation
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 1  report summarizing the progress of the family care program.
 2  The report shall include the information and data necessary
 3  for an accurate analysis of the costs and benefits associated
 4  with the establishment and operation of the programs that were
 5  established.
 6         Section 9.  Subsections (1) and (3) of section
 7  393.0695, Florida Statutes, are amended to read:
 8         393.0695  Provision of in-home subsidies.--
 9         (1)  The agency may pay department shall develop by
10  October 1, 1991, a plan for paying in-home subsidies to
11  clients enrolled in the family care program or supported
12  living when it is determined to be more cost-effective and in
13  the best interest of the client to provide a cash supplement
14  to the client's income to enable the client to remain in the
15  family home or the client's own home. Payments may be made to
16  the parent or guardian of the client or, if the client is
17  competent, directly to the client.
18         (3)  In-home subsidies must be based on an individual
19  determination of need and must not exceed maximum amounts set
20  by the agency department and reassessed by the agency annually
21  department quarterly.
22         Section 10.  Subsection (1), paragraph (a) of
23  subsection (2), paragraph (a) of subsection (4), paragraphs
24  (a), (d), and (h) of subsection (5), paragraph (a) of
25  subsection (6), paragraphs (d) and (e) of subsection (8), and
26  subsection (13) of section 393.11, Florida Statutes, are
27  amended to read:
28         393.11  Involuntary admission to residential
29  services.--
30         (1)  JURISDICTION.--When a person is mentally retarded
31  and requires involuntary admission to residential services
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 1  provided by the agency developmental services program of the
 2  Department of Children and Family Services, the circuit court
 3  of the county in which the person resides shall have
 4  jurisdiction to conduct a hearing and enter an order
 5  involuntarily admitting the person in order that the person
 6  may receive the care, treatment, habilitation, and
 7  rehabilitation which the person needs.  For the purpose of
 8  identifying mental retardation, diagnostic capability shall be
 9  established by in every program function of the agency
10  department in the districts, including, but not limited to,
11  programs provided by children and families; delinquency
12  services; alcohol, drug abuse, and mental health; and economic
13  services, and by the Department of Labor and Employment
14  Security. Except as otherwise specified, the proceedings under
15  this section shall be governed by the Florida Rules of Civil
16  Procedure.
17         (2)  PETITION.--
18         (a)  A petition for involuntary admission to
19  residential services may be executed by a petitioning
20  commission. For proposed involuntary admission to residential
21  services arising out of chapter 916, the petition may be filed
22  by a petitioning commission, the agency department, the state
23  attorney of the circuit from which the defendant was
24  committed, or the defendant's attorney.
25         (4)  DEVELOPMENTAL SERVICES PARTICIPATION.--
26         (a)  Upon receiving the petition, the court shall
27  immediately order the developmental services program of the
28  agency department to examine the person being considered for
29  involuntary admission to residential services.
30         (5)  EXAMINING COMMITTEE.--
31  
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 1         (a)  Upon receiving the petition, the court shall
 2  immediately appoint an examining committee to examine the
 3  person being considered for involuntary admission to
 4  residential services of the developmental services program of
 5  the agency department.
 6         (d)  Members of the committee shall not be employees of
 7  the agency department or be associated with each other in
 8  practice or in employer-employee relationships.  Members of
 9  the committee shall not have served as members of the
10  petitioning commission.  Members of the committee shall not be
11  employees of the members of the petitioning commission or be
12  associated in practice with members of the commission.
13         (h)  The agency department shall develop and prescribe
14  by rule one or more standard forms to be used as a guide for
15  members of the examining committee.
16         (6)  COUNSEL; GUARDIAN AD LITEM.--
17         (a)  The person with mental retardation shall be
18  represented by counsel at all stages of the judicial
19  proceeding. In the event the person is indigent and cannot
20  afford counsel, the court shall appoint a public defender not
21  less than 20 working days before the scheduled hearing.  The
22  person's counsel shall have full access to the records of the
23  service provider and the agency department.  In all cases, the
24  attorney shall represent the rights and legal interests of the
25  person with mental retardation, regardless of who may initiate
26  the proceedings or pay the attorney's fee.
27         (8)  ORDER.--
28         (d)  If an order of involuntary admission to
29  residential services provided by the developmental services
30  program of the agency department is entered by the court, a
31  copy of the written order shall be served upon the person, the
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 1  person's counsel, the agency department, and the state
 2  attorney and the person's defense counsel, if applicable.  The
 3  order of involuntary admission sent to the agency department
 4  shall also be accompanied by a copy of the examining
 5  committee's report and other reports contained in the court
 6  file.
 7         (e)  Upon receiving the order, the agency department
 8  shall, within 45 days, provide the court with a copy of the
 9  person's family or individual support plan and copies of all
10  examinations and evaluations, outlining the treatment and
11  rehabilitative programs. The agency department shall document
12  that the person has been placed in the most appropriate, least
13  restrictive and cost-beneficial residential facility. A copy
14  of the family or individual support plan and other
15  examinations and evaluations shall be served upon the person
16  and the person's counsel at the same time the documents are
17  filed with the court.
18         (13)  HABEAS CORPUS.--At any time and without notice,
19  any person involuntarily admitted to the developmental
20  services program of the agency department, or the person's
21  parent or legal guardian in his or her behalf, is entitled to
22  a writ of habeas corpus to question the cause, legality, and
23  appropriateness of the person's involuntary admission.  Each
24  person, or the person's parent or legal guardian, shall
25  receive specific written notice of the right to petition for a
26  writ of habeas corpus at the time of his or her involuntary
27  placement.
28         Section 11.  Paragraphs (a), (b), and (d) of subsection
29  (2), subsection (3), paragraphs (b), (g), (i), and (j) of
30  subsection (4), and subsection (6) of section 393.13, Florida
31  Statutes, are amended to read:
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 1         393.13  Personal treatment of persons who are
 2  developmentally disabled.--
 3         (2)  LEGISLATIVE INTENT.--
 4         (a)  The Legislature finds and declares that the system
 5  of care provided which the state provides to individuals who
 6  are developmentally disabled must be designed to meet the
 7  needs of the clients as well as protect the integrity of their
 8  legal and human rights.  Further, the current system of care
 9  for persons who are developmentally disabled is in need of
10  substantial improvement in order to provide truly meaningful
11  treatment and habilitation.
12         (b)  The Legislature further finds and declares that
13  the design and delivery of treatment and services to persons
14  who are developmentally disabled should be directed by the
15  principles of normalization and therefore should:
16         1.  Abate the use of large institutions.
17         2.  Continue the development of community-based
18  services which provide reasonable alternatives to
19  institutionalization in settings that are least restrictive to
20  the client.
21         3.  Provide training and education to individuals who
22  are developmentally disabled which will maximize their
23  potential to lead independent and productive lives and which
24  will afford opportunities for outward mobility from
25  institutions.
26         4.  Reduce the use of sheltered workshops and other
27  noncompetitive employment day activities and promote
28  opportunities for gainful employment for persons with
29  developmental disabilities who choose to seek such employment.
30         (d)  It is the intent of the Legislature:
31  
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 1         1.  To articulate the existing legal and human rights
 2  of persons who are developmentally disabled so that they may
 3  be exercised and protected. Persons with developmental
 4  disabilities shall have all the rights enjoyed by citizens of
 5  the state and the United States.
 6         2.  To provide a mechanism for the identification,
 7  evaluation, and treatment of persons with developmental
 8  disabilities.
 9         3.  To divert those individuals from institutional
10  commitment who, by virtue of comprehensive assessment, can be
11  placed in less costly, more effective community environments
12  and programs.
13         4.  To develop a plan which will indicate the most
14  effective and efficient manner in which to implement treatment
15  programs which are meaningful to individuals with
16  developmental disabilities, while safeguarding and respecting
17  the legal and human rights of such individuals.
18         4.5.  Once the plan developed under the provisions of
19  subparagraph 4. is presented to the Legislature, To fund
20  improvements in the program in accordance with the
21  availability of state resources and yearly priorities
22  determined by the Legislature.
23         5.6.  To ensure that persons with developmental
24  disabilities receive treatment and habilitation which fosters
25  the developmental potential of the individual.
26         6.7.  To provide programs for the proper habilitation
27  and treatment of persons with developmental disabilities which
28  shall include, but not be limited to, comprehensive
29  medical/dental care, education, recreation, specialized
30  therapies, training, social services, transportation,
31  guardianship, family care programs, day habilitation services,
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 1  and habilitative and rehabilitative services suited to the
 2  needs of the individual regardless of age, degree of
 3  disability, or handicapping condition. No person with
 4  developmental disabilities shall be deprived of these
 5  enumerated services by reason of inability to pay.
 6         7.8.  To fully effectuate the normalization principle
 7  through the establishment of community services for persons
 8  with developmental disabilities as a viable and practical
 9  alternative to institutional care at each stage of individual
10  life development. If care in a residential facility becomes
11  necessary, it shall be in the least restrictive setting.
12         (3)  RIGHTS OF ALL PERSONS WITH DEVELOPMENTAL
13  DISABILITIES.--The rights described in this subsection shall
14  apply to all persons with developmental disabilities, whether
15  or not such persons are clients of the agency department.
16         (a)  Persons with developmental disabilities shall have
17  a right to dignity, privacy, and humane care, including the
18  right to be free from sexual abuse in residential facilities.
19         (b)  Persons with developmental disabilities shall have
20  the right to religious freedom and practice.  Nothing shall
21  restrict or infringe on a person's right to religious
22  preference and practice.
23         (c)  Persons with developmental disabilities shall
24  receive services, within available sources, which protect the
25  personal liberty of the individual and which are provided in
26  the least restrictive conditions necessary to achieve the
27  purpose of treatment.
28         (d)  Persons who are developmentally disabled shall
29  have a right to participate in an appropriate program of
30  quality education and training services, within available
31  resources, regardless of chronological age or degree of
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 1  disability.  Such persons may be provided with instruction in
 2  sex education, marriage, and family planning.
 3         (e)  Persons who are developmentally disabled shall
 4  have a right to social interaction and to participate in
 5  community activities.
 6         (f)  Persons who are developmentally disabled shall
 7  have a right to physical exercise and recreational
 8  opportunities.
 9         (g)  Persons who are developmentally disabled shall
10  have a right to be free from harm, including unnecessary
11  physical, chemical, or mechanical restraint, isolation,
12  excessive medication, abuse, or neglect.
13         (h)  Persons who are developmentally disabled shall
14  have a right to consent to or refuse treatment, subject to the
15  provisions of s. 393.12(2)(a) or chapter 744.
16         (i)  No otherwise qualified person shall, by reason of
17  having a developmental disability, be excluded from
18  participation in, or be denied the benefits of, or be subject
19  to discrimination under, any program or activity which
20  receives public funds, and all prohibitions set forth under
21  any other statute shall be actionable under this statute.
22         (j)  No otherwise qualified person shall, by reason of
23  having a developmental disability, be denied the right to vote
24  in public elections.
25         (4)  CLIENT RIGHTS.--For purposes of this subsection,
26  the term "client," as defined in s. 393.063, shall also
27  include any person served in a facility licensed pursuant to
28  s. 393.067.
29         (b)  Each client has the right to the possession and
30  use of his or her own clothing and personal effects, except in
31  those specific instances where the use of some of these items
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 1  as reinforcers is essential for training the client as part of
 2  an appropriately approved behavioral program.  The chief
 3  administrator of the facility may take temporary custody of
 4  such effects when it is essential to do so for medical or
 5  safety reasons.  Custody of such personal effects shall be
 6  promptly recorded in the client's record, and a receipt for
 7  such effects shall be immediately given to the client, if
 8  competent, or the client's parent or legal guardian.
 9         1.  All money belonging to a client held by the agency
10  department shall be held in compliance with s. 402.17(2).
11         2.  All interest on money received and held for the
12  personal use and benefit of a client shall be the property of
13  that client and shall not accrue to the general welfare of all
14  clients or be used to defray the cost of residential care.
15  Interest so accrued shall be used or conserved for the
16  personal use or benefit of the individual client as provided
17  in s. 402.17(2).
18         3.  Upon the discharge or death of a client, a final
19  accounting shall be made of all personal effects and money
20  belonging to the client held by the agency department.  All
21  such personal effects and money, including interest, shall be
22  promptly turned over to the client or his or her heirs.
23         (g)  No client shall be subjected to a treatment
24  program to eliminate bizarre or unusual behaviors without
25  first being examined by a physician who in his or her best
26  judgment determines that such behaviors are not organically
27  caused.
28         1.  Treatment programs involving the use of noxious or
29  painful stimuli shall be prohibited.
30         2.  All alleged violations of this paragraph shall be
31  reported immediately to the chief administrative officer of
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 1  the facility or the district administrator, the agency
 2  department head, and the Florida local advocacy council. A
 3  thorough investigation of each incident shall be conducted and
 4  a written report of the finding and results of such
 5  investigation shall be submitted to the chief administrative
 6  officer of the facility or the district administrator and to
 7  the agency department head within 24 hours of the occurrence
 8  or discovery of the incident.
 9         3.  The agency department shall adopt promulgate by
10  rule a system for the oversight of behavioral programs.  Such
11  system shall establish guidelines and procedures governing the
12  design, approval, implementation, and monitoring of all
13  behavioral programs involving clients.  The system shall
14  ensure statewide and local review by committees of
15  professionals certified as behavior analysts pursuant to s.
16  393.17.  No behavioral program shall be implemented unless
17  reviewed according to the rules established by the agency
18  department under this section.  Nothing stated in this section
19  shall prohibit the review of programs by the Florida statewide
20  or local advocacy councils.
21         (i)  Clients shall have the right to be free from
22  unnecessary physical, chemical, or mechanical restraint.
23  Restraints shall be employed only in emergencies or to protect
24  the client from imminent injury to himself or herself or
25  others.  Restraints shall not be employed as punishment, for
26  the convenience of staff, or as a substitute for a
27  habilitative plan.  Restraints shall impose the least possible
28  restrictions consistent with their purpose and shall be
29  removed when the emergency ends.  Restraints shall not cause
30  physical injury to the client and shall be designed to allow
31  the greatest possible comfort.
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 1         1.  Mechanical supports used in normative situations to
 2  achieve proper body position and balance shall not be
 3  considered restraints, but shall be prescriptively designed
 4  and applied under the supervision of a qualified professional
 5  with concern for principles of good body alignment,
 6  circulation, and allowance for change of position.
 7         2.  Totally enclosed cribs and barred enclosures shall
 8  be considered restraints.
 9         3.  Daily reports on the employment of physical,
10  chemical, or mechanical restraints by those specialists
11  authorized in the use of such restraints shall be made to the
12  appropriate chief administrator of the facility, and a monthly
13  summary of such reports shall be relayed to the district
14  administrator and the Florida local advocacy council.  The
15  reports shall summarize all such cases of restraints, the type
16  used, the duration of usage, and the reasons therefor.
17  Districts shall submit districtwide quarterly reports of these
18  summaries to the state Developmental Disabilities Program
19  Office.
20         4.  The agency department shall post a copy of the
21  rules adopted promulgated under this section in each living
22  unit of residential facilities.  A copy of the rules adopted
23  promulgated under this section shall be given to all staff
24  members of licensed facilities and made a part of all
25  preservice and inservice training programs.
26         (j)1.  Each client shall have a central record.  The
27  record shall include data pertaining to admission and such
28  other information as may be required under rules of the agency
29  department.
30         2.  Unless waived by the client, if competent, or the
31  client's parent or legal guardian if the client is
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 1  incompetent, the client's central record shall be confidential
 2  and exempt from the provisions of s. 119.07(1), and no part of
 3  it shall be released except:
 4         a.  The record may be released to physicians,
 5  attorneys, and government agencies having need of the record
 6  to aid the client, as designated by the client, if competent,
 7  or the client's parent or legal guardian, if the client is
 8  incompetent.
 9         b.  The record shall be produced in response to a
10  subpoena or released to persons authorized by order of court,
11  excluding matters privileged by other provisions of law.
12         c.  The record or any part thereof may be disclosed to
13  a qualified researcher, a staff member of the facility, or an
14  employee of the agency department when the administrator of
15  the facility or the director secretary of the agency
16  department deems it necessary for the treatment of the client,
17  maintenance of adequate records, compilation of treatment
18  data, or evaluation of programs.
19         d.  Information from the records may be used for
20  statistical and research purposes if the information is
21  abstracted in such a way to protect the identity of
22  individuals.
23         3.  All central records for each client in residential
24  facilities shall be kept on uniform forms distributed by the
25  agency department.  The central record shall accurately
26  summarize each client's history and present condition.
27         4.  The client, if competent, or the client's parent or
28  legal guardian if the client is incompetent, shall be supplied
29  with a copy of the client's central record upon request.
30         (6)  NOTICE OF RIGHTS.--Each person with developmental
31  disabilities, if competent, or parent or legal guardian of
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 1  such person if the person is incompetent, shall promptly
 2  receive from the agency Department of Children and Family
 3  Services or the Department of Education a written copy of this
 4  act. Each person with developmental disabilities able to
 5  comprehend shall be promptly informed, in the language or
 6  other mode of communication which such person understands, of
 7  the above legal rights of persons with developmental
 8  disabilities.
 9         Section 12.  Section 393.17, Florida Statutes, is
10  amended to read:
11         393.17  Behavioral programs; certification of behavior
12  analysts; fees.--The agency may recognize the certification of
13  behavior analysts awarded by a nonprofit corporation whose
14  mission is to meet professional credentialing needs identified
15  by behavior analysts, state governments, and consumers of
16  behavior analysis services and whose work has the support of
17  the Association for Behavior Analysis International. The
18  department shall by rule implement a certification program to
19  ensure that qualified persons oversee the design and
20  implementation of behavioral programs for persons who are
21  developmentally disabled. Certification and recertification
22  minimum standards must comply with departmental rules and must
23  include, for initial certification, examination of
24  competencies in applying behavior analysis with persons who
25  are developmentally disabled within established competency
26  clusters.  These competency clusters shall include, but not be
27  limited to, behavioral assessments, observation and recording,
28  behavioral program development and monitoring, and other areas
29  as determined by professional practitioners of behavior
30  analysis. Fees shall be charged for certification not to
31  exceed the cost of development and administration of the
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 1  examination and periodic renewal of certification. The
 2  department shall establish by rule the procedures for
 3  certification and certification renewal.
 4         Section 13.  Section 393.22, Florida Statutes, is
 5  amended to read:
 6         393.22  Transfer of appropriations; barriers to
 7  services; Financial commitment to community services
 8  programs.--
 9         (1)  No funds appropriated for developmental services
10  programs shall be transferred pursuant to s. 216.292, unless
11  there is a finding by the secretary that treatment programs
12  for developmental disabilities will not be adversely affected
13  by the transfer.
14         (2)  Development of programs for other disabilities
15  shall not effectuate a reduction or dilution of the ongoing
16  financial commitment of the state through appropriations for
17  programs and services for persons with mental retardation,
18  cerebral palsy, autism, or spina bifida.
19         (3)  In order to The Department of Children and Family
20  Services and the Agency for Health Care Administration jointly
21  shall ensure that whenever a number of persons move from an
22  institution serving persons with developmental disabilities
23  which is sufficient to allow an entire residential unit within
24  that institution to be closed, no less than 80 percent of the
25  direct costs of providing services to persons who had resided
26  in that unit shall be reallocated for community services.
27         Section 14.  Section 393.502, Florida Statutes, is
28  amended to read:
29         393.502  Family care councils.--
30  
31  
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 1         (1)  CREATION.--There shall be established and located
 2  within each service area of the agency district of the
 3  department a district family care council.
 4         (2)  MEMBERSHIP.--
 5         (a)  Each local district family care council shall
 6  consist of at least 10 and no more than 15 members recommended
 7  by a majority vote of the local district family care council
 8  and appointed by the Governor.
 9         (b)  At least three of the members of the council must
10  be consumers. One such member shall be a consumer who received
11  developmental services within the 4 years prior to the date of
12  recommendation, or the legal guardian of such a consumer. The
13  remainder of the council members shall be parents, guardians,
14  or siblings of persons with developmental disabilities who
15  qualify for developmental services pursuant to this chapter.
16         (c)  A person who is currently serving on another board
17  or council of the agency department may not be appointed to a
18  local district family care council.
19         (d)  Employees of the agency department are not
20  eligible to serve on a local district family care council.
21         (e)  Persons related by consanguinity or affinity
22  within the third degree shall not serve on the same local
23  district family care council at the same time.
24         (f)  A chair for the council shall be chosen by the
25  council members to serve for 1 year. A person may serve no
26  more than four 1-year terms as chair.
27         (3)  TERMS; VACANCIES.--
28         (a)  Council members shall be appointed for a 3-year
29  term, except as provided in subsection (8), and may be
30  reappointed to one additional term.
31  
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 1         (b)  A member who has served two consecutive terms
 2  shall not be eligible to serve again until 12 months have
 3  elapsed since ending his or her service on the local district
 4  council.
 5         (c)  Upon expiration of a term or in the case of any
 6  other vacancy, the local district council shall, by majority
 7  vote, recommend to the Governor for appointment a person for
 8  each vacancy. If the Governor does not act on the council's
 9  recommendations within 45 days after receiving them, the
10  persons recommended shall be considered to be appointed.
11         (4)  COMMITTEE APPOINTMENTS.--The chair of the local
12  district family care council may appoint persons to serve on
13  council committees. Such persons may include former members of
14  the council and persons not eligible to serve on the council.
15         (5)  TRAINING.--
16         (a)  The agency department, in consultation with the
17  local district councils, shall establish a training program
18  for local district family care council members. Each local
19  area district shall provide the training program when new
20  persons are appointed to the local district council and at
21  other times as the secretary deems necessary.
22         (b)  The training shall assist the council members to
23  understand the laws, rules, and policies applicable to their
24  duties and responsibilities.
25         (c)  All persons appointed to a local district council
26  must complete this training within 90 days after their
27  appointment. A person who fails to meet this requirement shall
28  be considered to have resigned from the council.
29         (6)  MEETINGS.--Council members shall serve on a
30  voluntary basis without payment for their services but shall
31  be reimbursed for per diem and travel expenses as provided for
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 1  in s. 112.061.  The council shall meet at least six times per
 2  year.
 3         (7)  PURPOSE.--The purpose of the local district family
 4  care councils shall be to advise the agency department and its
 5  district advisory boards, to develop a plan for the delivery
 6  of developmental services family support services within the
 7  local area district, and to monitor the implementation and
 8  effectiveness of services and support provided under the plan.
 9  The primary functions of the local district family care
10  councils shall be to:
11         (a)  Assist in providing information and outreach to
12  families.
13         (b)  Review the effectiveness of service developmental
14  services programs and make recommendations with respect to
15  program implementation.
16         (c)  Advise the agency district developmental services
17  administrators with respect to policy issues relevant to the
18  community and family support system in the local area
19  district.
20         (d)  Meet and share information with other local
21  district family care councils.
22         (8)  NEW COUNCILS.--When a local district family care
23  council is established for the first time in a local area
24  district, the Governor shall appoint the first four council
25  members, who shall serve 3-year terms. These members shall
26  submit to the Governor, within 90 days after their
27  appointment, recommendations for at least six additional
28  members, selected by majority vote. If the Governor does not
29  act on the recommendations within 45 days after receiving
30  them, the persons recommended shall be considered to be
31  
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 1  appointed. Those members recommended for appointment by the
 2  Governor shall serve for 2 years.
 3         (9)  FUNDING; FINANCIAL REVIEW.--The local district
 4  family care council may apply for, receive, and accept grants,
 5  gifts, donations, bequests, and other payments from any public
 6  or private entity or person. Each local district council is
 7  shall be subject to an annual financial review by district
 8  staff assigned by the agency district administrator. Each
 9  local district council shall exercise care and prudence in the
10  expenditure of funds. The local district family care councils
11  shall comply with state expenditure requirements.
12         Section 15.  Section 408.301, Florida Statutes, is
13  amended to read:
14         408.301  Legislative findings.--The Legislature has
15  found that access to quality, affordable, health care for all
16  Floridians is an important goal for the state. The Legislature
17  recognizes that there are Floridians with special health care
18  and social needs which require particular attention. The
19  people served by the Department of Children and Family
20  Services, the Agency for Persons with Disabilities, and the
21  Department of Health, and the Department of Elderly Affairs
22  are examples of citizens with special needs. The Legislature
23  further recognizes that the Medicaid program is an intricate
24  part of the service delivery system for the special needs
25  citizens served by or through the Department of Children and
26  Family Services and the Department of Health. However, the
27  Agency for Health Care Administration is not a service
28  provider and does not develop or direct programs for the
29  special needs citizens served by or through the Department of
30  Children and Family Services and the Department of Health.
31  Therefore, it is the intent of the Legislature that the Agency
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 1  for Health Care Administration work closely with the
 2  Department of Children and Family Services, the Agency for
 3  Persons with Disabilities, and the Department of Health, and
 4  the Department of Elderly Affairs in developing plans for
 5  assuring access to all Floridians in order to assure that the
 6  needs of special citizens are met.
 7         Section 16.  Section 408.302, Florida Statutes, is
 8  amended to read:
 9         408.302  Interagency agreement.--
10         (1)  The Agency for Health Care Administration shall
11  enter into an interagency agreement with the Department of
12  Children and Family Services, the Agency for Persons with
13  Disabilities, and the Department of Health, and the Department
14  of Elderly Affairs to assure coordination and cooperation in
15  serving special needs citizens. The agreement shall include
16  the requirement that the secretaries or directors secretary of
17  the Department of Children and Family Services, the Agency for
18  Persons with Disabilities, and the secretary of the Department
19  of Health, and the Department of Elderly Affairs approve,
20  prior to adoption, any rule developed by the Agency for Health
21  Care Administration where such rule has a direct impact on the
22  mission of the respective state agencies Department of
23  Children and Family Services and the Department of Health,
24  their programs, or their budgets.
25         (2)  For rules which indirectly impact on the mission
26  of the Department of Children and Family Services, the Agency
27  for Persons with Disabilities, and the Department of Health,
28  and the Department of Elderly Affairs, their programs, or
29  their budgets, the concurrence of the respective secretaries
30  or directors secretary of the Department of Children and
31  
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 1  Family Services and the secretary of the Department of Health
 2  on the rule is required.
 3         (3)  For all other rules developed by the Agency for
 4  Health Care Administration, coordination with the Department
 5  of Children and Family Services, the Agency for Persons with
 6  Disabilities, and the Department of Health, and the Department
 7  of Elderly Affairs is encouraged.
 8         (4)  The interagency agreement shall also include any
 9  other provisions necessary to ensure a continued cooperative
10  working relationship between the Agency for Health Care
11  Administration and the Department of Children and Family
12  Services, the Agency for Persons with Disabilities, and the
13  Department of Health, and the Department of Elderly Affairs as
14  each strives to meet the needs of the citizens of Florida.
15         Section 17.  Subsection (13) of section 409.906,
16  Florida Statutes, is amended to read:
17         409.906  Optional Medicaid services.--Subject to
18  specific appropriations, the agency may make payments for
19  services which are optional to the state under Title XIX of
20  the Social Security Act and are furnished by Medicaid
21  providers to recipients who are determined to be eligible on
22  the dates on which the services were provided.  Any optional
23  service that is provided shall be provided only when medically
24  necessary and in accordance with state and federal law.
25  Optional services rendered by providers in mobile units to
26  Medicaid recipients may be restricted or prohibited by the
27  agency. Nothing in this section shall be construed to prevent
28  or limit the agency from adjusting fees, reimbursement rates,
29  lengths of stay, number of visits, or number of services, or
30  making any other adjustments necessary to comply with the
31  availability of moneys and any limitations or directions
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 1  provided for in the General Appropriations Act or chapter 216.
 2  If necessary to safeguard the state's systems of providing
 3  services to elderly and disabled persons and subject to the
 4  notice and review provisions of s. 216.177, the Governor may
 5  direct the Agency for Health Care Administration to amend the
 6  Medicaid state plan to delete the optional Medicaid service
 7  known as "Intermediate Care Facilities for the Developmentally
 8  Disabled."  Optional services may include:
 9         (13)  HOME AND COMMUNITY-BASED SERVICES.--The agency
10  may pay for home-based or community-based services that are
11  rendered to a recipient in accordance with a federally
12  approved waiver program. The agency may limit or eliminate
13  coverage for certain Project AIDS Care Waiver services,
14  preauthorize high-cost or highly utilized services, or make
15  any other adjustments necessary to comply with any limitations
16  or directions provided for in the General Appropriations Act.
17         Section 18.  Sections 393.14, 393.165, 393.166, and
18  393.505, Florida Statutes, are repealed.
19         Section 19.  (1)  Effective October 1, 2004, the
20  developmental disabilities program and the developmental
21  services institutions in the Department of Children and Family
22  Services shall be transferred to the Agency for Persons with
23  Disabilities by a type two transfer pursuant to section 20.06,
24  Florida Statutes. Prior to that date:
25         (a)  The Agency for Persons with Disabilities and the
26  Department of Children and Family Services, in consultation
27  with the Department of Management Services, shall determine
28  the number of positions and resources within the department
29  dedicated to the developmental disabilities program which
30  shall be transferred to the agency and will develop an
31  
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 1  agreement that delineates who within the department will
 2  provide administrative support to the agency.
 3         (b)  The Director of the Agency for Persons with
 4  Disabilities, in consultation with the Secretaries of the
 5  Department of Children and Family Services and the Agency for
 6  Health Care Administration or their designees, shall prepare a
 7  transition plan that must address, at a minimum, building
 8  leases, information support systems, cash ownership and
 9  transfer, administrative support functions, inventory and
10  transfers of equipment and structures, expenditure transfers,
11  budget authority and positions, and certifications forward.
12  This plan shall be submitted by September 1, 2004, to the
13  Executive Office of the Governor, the President of the Senate,
14  and the Speaker of the House of Representatives.
15         (c)  The Agency for Persons with Disabilities and the
16  Department of Children and Family Services shall work with the
17  Agency for Health Care Administration to develop a plan that
18  ensures that all of the necessary electronic and paper-based
19  data of the Developmental Disabilities program is accessible
20  to the Medicaid program and that all electronic records will
21  be migrated to a new data system that is compatible with the
22  Florida Medicaid Management Information System.
23         (d)  The Agency for Persons with Disabilities and the
24  Agency for Health Care Administration shall develop a plan for
25  the orderly relocation of the noncentral-office staff of the
26  Agency for Persons with Disabilities to the area offices of
27  the Agency for Health Care Administration. Such plan shall
28  include a schedule that takes into consideration the
29  availability of space, the expiration of current leases, and
30  the initiation of new leases that can accommodate the
31  relocated staff, as well as appropriate reimbursement for
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 1  collocation costs, including office space and other operating
 2  expenses.
 3         (2)  Effective October 1, 2004, the agency shall enter
 4  into an interagency agreement with the Department of Children
 5  and Family Services for the provision of the necessary
 6  day-to-day administrative and operational needs of the agency,
 7  including, but not limited to, personnel, purchasing,
 8  information technology support, legal support, and other
 9  related services. This interagency agreement shall continue
10  until the agency no longer requires the provision of services
11  through such agreement.
12         (3)  This act does not affect the validity of any
13  judicial or administrative proceeding pending on October 30,
14  2004, and the Agency for Persons with Disabilities is
15  substituted as a real party in interest with respect to any
16  proceeding pending on that date which involves the
17  developmental services programs of the Department of Children
18  and Family Services.
19         Section 20.  The Office of Program Policy Analysis and
20  Government Accountability shall identify and evaluate
21  statewide entities receiving state funding for the purpose of
22  addressing the interests of, but not directly providing
23  services for, persons with disabilities.
24         (1)  The purpose of the analysis shall be to provide
25  information with respect to:
26         (a)  The extent to which activities of these entities
27  are coordinated;
28         (b)  The similarities and differences in the
29  organizational missions of these entities; and
30         (c)  The amount of state funds provided to these
31  entities for the purpose of addressing the interests of
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 1  persons with disabilities, the uses of these funds, and
 2  whether they duplicate the efforts of other private or
 3  federally funded entities.
 4         (2)  The report shall be completed and provided to the
 5  Governor and Legislature by December 2005.
 6         Section 21.  Subsection (1) of section 92.53, Florida
 7  Statutes, is amended to read:
 8         92.53  Videotaping of testimony of victim or witness
 9  under age 16 or person with mental retardation.--
10         (1)  On motion and hearing in camera and a finding that
11  there is a substantial likelihood that a victim or witness who
12  is under the age of 16 or who is a person with mental
13  retardation as defined in s. 393.063 s. 393.063(42) would
14  suffer at least moderate emotional or mental harm due to the
15  presence of the defendant if the child or person with mental
16  retardation is required to testify in open court, or that such
17  victim or witness is otherwise unavailable as defined in s.
18  90.804(1), the trial court may order the videotaping of the
19  testimony of the victim or witness in a case, whether civil or
20  criminal in nature, in which videotaped testimony is to be
21  utilized at trial in lieu of trial testimony in open court.
22         Section 22.  Subsections (1), (2), and (3), paragraph
23  (i) of subsection (4), subsection (5), paragraphs (a), (b),
24  (c), (d), (f), and (g) of subsection (6), and subsections (8),
25  (9), (10), (11), (12), (13), (14), and (17) of section
26  393.067, Florida Statutes, are amended to read:
27         393.067  Licensure of residential facilities and
28  comprehensive transitional education programs.--
29         (1)  The agency department shall provide through its
30  licensing authority a system of provider qualifications,
31  standards, training criteria for meeting standards, and
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 1  monitoring for residential facilities and comprehensive
 2  transitional education programs.
 3         (2)  The agency department shall conduct inspections
 4  and reviews of residential facilities and comprehensive
 5  transitional education programs annually.
 6         (3)  An application for a license for a residential
 7  facility or a comprehensive transitional education program
 8  shall be made to the agency Department of Children and Family
 9  Services on a form furnished by it and shall be accompanied by
10  the appropriate license fee. A license issued to a residential
11  facility or a comprehensive transitional education program as
12  described in this section is not a professional license of any
13  individual. Receipt of a license under this section does not
14  create a property right in the recipient. A license is a
15  public trust and a privilege and is not an entitlement. This
16  privilege must guide the finder of fact or trier of law during
17  any administrative or court proceeding initiated by the
18  agency.
19         (4)  The application shall be under oath and shall
20  contain the following:
21         (i)  Such other information as the agency department
22  determines is necessary to carry out the provisions of this
23  chapter.
24         (5)  The applicant shall submit evidence which
25  establishes the good moral character of the manager or
26  supervisor of the facility or program and the direct service
27  providers in the facility or program and its component centers
28  or units. A license may be issued if all the screening
29  materials have been timely submitted; however, a license may
30  not be issued or renewed if any of the direct service
31  providers have failed the screening required by s. 393.0655.
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 1         (a)1.  A licensed residential facility or comprehensive
 2  transitional education program which applies for renewal of
 3  its license shall submit to the agency department a list of
 4  direct service providers who have worked on a continuous basis
 5  at the applicant facility or program since submitting
 6  fingerprints to the agency or the Department of Children and
 7  Family Services, identifying those direct service providers
 8  for whom a written assurance of compliance was provided by the
 9  agency or department and identifying those direct service
10  providers who have recently begun working at the facility or
11  program and are awaiting the results of the required
12  fingerprint check along with the date of the submission of
13  those fingerprints for processing. The agency department shall
14  by rule determine the frequency of requests to the Department
15  of Law Enforcement to run state criminal records checks for
16  such direct service providers except for those direct service
17  providers awaiting the results of initial fingerprint checks
18  for employment at the applicant facility or program. The
19  agency department shall review the records of the direct
20  service providers at the applicant facility or program with
21  respect to the crimes specified in s. 393.0655 and shall
22  notify the facility or program of its findings. When
23  disposition information is missing on a criminal record, it is
24  shall be the responsibility of the person being screened, upon
25  request of the agency department, to obtain and supply within
26  30 days the missing disposition information to the agency
27  department. Failure to supply the missing information within
28  30 days or to show reasonable efforts to obtain such
29  information shall result in automatic disqualification.
30         2.  The applicant shall sign an affidavit under penalty
31  of perjury stating that all new direct service providers have
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 1  been fingerprinted and that the facility's or program's
 2  remaining direct service providers have worked at the
 3  applicant facility or program on a continuous basis since
 4  being initially screened at that facility or program or have a
 5  written assurance of compliance from the agency or department.
 6         (b)  As a prerequisite for issuance of the initial
 7  license to a residential facility or comprehensive
 8  transitional education program:
 9         1.  The applicant shall submit to the agency department
10  a complete set of fingerprints, taken by an authorized law
11  enforcement agency or an employee of the agency department who
12  is trained to take fingerprints, for the manager, supervisor,
13  or direct service providers of the facility or program;
14         2.  The agency department shall submit the fingerprints
15  to the Department of Law Enforcement for state processing and
16  for federal processing by the Federal Bureau of Investigation;
17  and
18         3.  The agency department shall review the record of
19  the manager or supervisor with respect to the crimes specified
20  in s. 393.0655(1) and shall notify the applicant of its
21  findings. When disposition information is missing on a
22  criminal record, it is shall be the responsibility of the
23  manager or supervisor, upon request of the agency department,
24  to obtain and supply within 30 days the missing disposition
25  information to the agency department. Failure to supply the
26  missing information within 30 days or to show reasonable
27  efforts to obtain such information shall result in automatic
28  disqualification.
29         (c)  The agency department or a residential facility or
30  comprehensive transitional education program may not use the
31  criminal records or juvenile records of a person obtained
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 1  under this subsection for any purpose other than determining
 2  if that person meets the minimum standards for good moral
 3  character for a manager or supervisor of, or direct service
 4  provider in, such a facility or program. The criminal records
 5  or juvenile records obtained by the agency department or a
 6  residential facility or comprehensive transitional education
 7  program for determining the moral character of a manager,
 8  supervisor, or direct service provider are exempt from s.
 9  119.07(1).
10         (6)  Each applicant for licensure as an intermediate
11  care facility for the developmentally disabled must comply
12  with the following requirements:
13         (a)  Upon receipt of a completed, signed, and dated
14  application, the agency shall require background screening, in
15  accordance with the level 2 standards for screening set forth
16  in chapter 435, of the managing employee, or other similarly
17  titled individual who is responsible for the daily operation
18  of the facility, and of the financial officer, or other
19  similarly titled individual who is responsible for the
20  financial operation of the center, including billings for
21  resident care and services.  The applicant must comply with
22  the procedures for level 2 background screening as set forth
23  in chapter 435, as well as the requirements of s. 435.03(3).
24         (b)  The agency may require background screening of any
25  other individual who is an applicant if the agency has
26  probable cause to believe that he or she has been convicted of
27  a crime or has committed any other offense prohibited under
28  the level 2 standards for screening set forth in chapter 435.
29         (c)  Proof of compliance with the level 2 background
30  screening requirements of chapter 435 which has been submitted
31  within the previous 5 years in compliance with any other
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 1  health care licensure requirements of this state is acceptable
 2  in fulfillment of the requirements of paragraph (a).
 3         (d)  A provisional license may be granted to an
 4  applicant when each individual required by this section to
 5  undergo background screening has met the standards for the
 6  Department of Law Enforcement background check, but the agency
 7  has not yet received background screening results from the
 8  Federal Bureau of Investigation, or a request for a
 9  disqualification exemption has been submitted to the agency as
10  set forth in chapter 435, but a response has not yet been
11  issued. A standard license may be granted to the applicant
12  upon the agency's receipt of a report of the results of the
13  Federal Bureau of Investigation background screening for each
14  individual required by this section to undergo background
15  screening which confirms that all standards have been met, or
16  upon the granting of a disqualification exemption by the
17  agency as set forth in chapter 435. Any other person who is
18  required to undergo level 2 background screening may serve in
19  his or her capacity pending the agency's receipt of the report
20  from the Federal Bureau of Investigation. However, the person
21  may not continue to serve if the report indicates any
22  violation of background screening standards and a
23  disqualification exemption has not been requested of and
24  granted by the agency as set forth in chapter 435.
25         (f)  Each applicant must submit to the agency a
26  description and explanation of any conviction of an offense
27  prohibited under the level 2 standards of chapter 435 by a
28  member of the board of directors of the applicant, its
29  officers, or any individual owning 5 percent or more of the
30  applicant. This requirement does not apply to a director of a
31  not-for-profit corporation or organization if the director
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 1  serves solely in a voluntary capacity for the corporation or
 2  organization, does not regularly take part in the day-to-day
 3  operational decisions of the corporation or organization,
 4  receives no remuneration for his or her services on the
 5  corporation or organization's board of directors, and has no
 6  financial interest and has no family members with a financial
 7  interest in the corporation or organization, provided that the
 8  director and the not-for-profit corporation or organization
 9  include in the application a statement affirming that the
10  director's relationship to the corporation satisfies the
11  requirements of this paragraph.
12         (g)  A license may not be granted to an applicant if
13  the applicant or managing employee has been found guilty of,
14  regardless of adjudication, or has entered a plea of nolo
15  contendere or guilty to, any offense prohibited under the
16  level 2 standards for screening set forth in chapter 435,
17  unless an exemption from disqualification has been granted by
18  the agency as set forth in chapter 435.
19         (8)  The agency department shall adopt promulgate rules
20  establishing minimum standards for licensure of residential
21  facilities and comprehensive transitional education programs,
22  including rules requiring facilities and programs to train
23  staff to detect and prevent sexual abuse of residents and
24  clients, minimum standards of quality and adequacy of care,
25  and uniform firesafety standards established by the State Fire
26  Marshal which are appropriate to the size of the facility or
27  of the component centers or units of the program.
28         (9)  The agency department and the Agency for Health
29  Care Administration, after consultation with the Department of
30  Community Affairs, shall adopt rules for residential
31  facilities under the respective regulatory jurisdiction of
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 1  each establishing minimum standards for the preparation and
 2  annual update of a comprehensive emergency management plan. At
 3  a minimum, the rules must provide for plan components that
 4  address emergency evacuation transportation; adequate
 5  sheltering arrangements; postdisaster activities, including
 6  emergency power, food, and water; postdisaster transportation;
 7  supplies; staffing; emergency equipment; individual
 8  identification of residents and transfer of records; and
 9  responding to family inquiries. The comprehensive emergency
10  management plan for all comprehensive transitional education
11  programs and for homes serving individuals who have complex
12  medical conditions is subject to review and approval by the
13  local emergency management agency. During its review, the
14  local emergency management agency shall ensure that the
15  following agencies, at a minimum, are given the opportunity to
16  review the plan: the Agency for Health Care Administration,
17  the Agency for Persons with Disabilities Department of
18  Children and Family Services, and the Department of Community
19  Affairs. Also, appropriate volunteer organizations must be
20  given the opportunity to review the plan.  The local emergency
21  management agency shall complete its review within 60 days and
22  either approve the plan or advise the facility of necessary
23  revisions.
24         (10)  The agency department may conduct unannounced
25  inspections to determine compliance by residential facilities
26  and comprehensive transitional education programs with the
27  applicable provisions of this chapter and the rules adopted
28  pursuant hereto, including the rules adopted for training
29  staff of a facility or a program to detect and prevent sexual
30  abuse of residents and clients. The facility or program shall
31  
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 1  make copies of inspection reports available to the public upon
 2  request.
 3         (11)  An alternative living center and an independent
 4  living education center, as defined in s. 393.063 s.
 5  393.063(8), shall be subject to the provisions of s. 419.001,
 6  except that such centers shall be exempt from the
 7  1,000-foot-radius requirement of s. 419.001(2) if:
 8         (a)  Such centers are located on a site zoned in a
 9  manner so that all the component centers of a comprehensive
10  transition education center may be located thereon; or
11         (b)  There are no more than three such centers within
12  said radius of 1,000 feet.
13         (12)  Each residential facility or comprehensive
14  transitional education program licensed by the agency
15  department shall forward annually to the agency department a
16  true and accurate sworn statement of its costs of providing
17  care to clients funded by the agency department.
18         (13)  The agency department may audit the records of
19  any residential facility or comprehensive transitional
20  education program that which it has reason to believe may not
21  be in full compliance with the provisions of this section;
22  provided that, any financial audit of such facility or program
23  shall be limited to the records of clients funded by the
24  agency department.
25         (14)  The agency department shall establish, for the
26  purpose of control of licensure costs, a uniform management
27  information system and a uniform reporting system with uniform
28  definitions and reporting categories.
29         (17)  The agency department shall not be required to
30  contract with new facilities licensed after October 1, 1989,
31  pursuant to this chapter. Pursuant to chapter 287, the agency
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 1  department shall continue to contract within available
 2  resources for residential services with facilities licensed
 3  prior to October 1, 1989, if such facilities comply with the
 4  provisions of this chapter and all other applicable laws and
 5  regulations.
 6         Section 23.  Subsection (9) of section 397.405, Florida
 7  Statutes, is amended to read:
 8         397.405  Exemptions from licensure.--The following are
 9  exempt from the licensing provisions of this chapter:
10         (9)  Facilities licensed under s. 393.063 s. 393.063(8)
11  that, in addition to providing services to persons who are
12  developmentally disabled as defined therein, also provide
13  services to persons developmentally at risk as a consequence
14  of exposure to alcohol or other legal or illegal drugs while
15  in utero.
16  
17  The exemptions from licensure in this section do not apply to
18  any service provider that receives an appropriation, grant, or
19  contract from the state to operate as a service provider as
20  defined in this chapter or to any substance abuse program
21  regulated pursuant to s. 397.406.  Furthermore, this chapter
22  may not be construed to limit the practice of a physician
23  licensed under chapter 458 or chapter 459, a psychologist
24  licensed under chapter 490, or a psychotherapist licensed
25  under chapter 491 who provides substance abuse treatment, so
26  long as the physician, psychologist, or psychotherapist does
27  not represent to the public that he or she is a licensed
28  service provider and does not provide services to clients
29  pursuant to part V of this chapter. Failure to comply with any
30  requirement necessary to maintain an exempt status under this
31  
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 1  section is a misdemeanor of the first degree, punishable as
 2  provided in s. 775.082 or s. 775.083.
 3         Section 24.  Paragraph (b) of subsection (5) of section
 4  400.464, Florida Statutes, is amended to read:
 5         400.464  Home health agencies to be licensed;
 6  expiration of license; exemptions; unlawful acts; penalties.--
 7         (5)  The following are exempt from the licensure
 8  requirements of this part:
 9         (b)  Home health services provided by a state agency,
10  either directly or through a contractor with:
11         1.  The Department of Elderly Affairs.
12         2.  The Department of Health, a community health
13  center, or a rural health network that furnishes home visits
14  for the purpose of providing environmental assessments, case
15  management, health education, personal care services, family
16  planning, or followup treatment, or for the purpose of
17  monitoring and tracking disease.
18         3.  Services provided to persons who have developmental
19  disabilities, as defined in s. 393.063 s. 393.063(12).
20         4.  Companion and sitter organizations that were
21  registered under s. 400.509(1) on January 1, 1999, and were
22  authorized to provide personal services under s. 393.063(33)
23  under a developmental services provider certificate on January
24  1, 1999, may continue to provide such services to past,
25  present, and future clients of the organization who need such
26  services, notwithstanding the provisions of this act.
27         5.  The Department of Children and Family Services.
28         Section 25.  Paragraph (d) of subsection (1) of section
29  419.001, Florida Statutes, is amended to read:
30         419.001  Site selection of community residential
31  homes.--
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 1         (1)  For the purposes of this section, the following
 2  definitions shall apply:
 3         (d)  "Resident" means any of the following:  a frail
 4  elder as defined in s. 400.618; a physically disabled or
 5  handicapped person as defined in s. 760.22(7)(a); a
 6  developmentally disabled person as defined in s. 393.063 s.
 7  393.063(12); a nondangerous mentally ill person as defined in
 8  s. 394.455(18); or a child as defined in s. 39.01(14), s.
 9  984.03(9) or (12), or s. 985.03(8).
10         Section 26.  Section 914.16, Florida Statutes, is
11  amended to read:
12         914.16  Child abuse and sexual abuse of victims under
13  age 16 or persons with mental retardation; limits on
14  interviews.--The chief judge of each judicial circuit, after
15  consultation with the state attorney and the public defender
16  for the judicial circuit, the appropriate chief law
17  enforcement officer, and any other person deemed appropriate
18  by the chief judge, shall provide by order reasonable limits
19  on the number of interviews that a victim of a violation of s.
20  794.011, s. 800.04, or s. 827.03 who is under 16 years of age
21  or a victim of a violation of s. 794.011, s. 800.02, s.
22  800.03, or s. 825.102 who is a person with mental retardation
23  as defined in s. 393.063 s. 393.063(42) must submit to for law
24  enforcement or discovery purposes. The order shall, to the
25  extent possible, protect the victim from the psychological
26  damage of repeated interrogations while preserving the rights
27  of the public, the victim, and the person charged with the
28  violation.
29         Section 27.  Subsection (2) of section 914.17, Florida
30  Statutes, is amended to read:
31  
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 1         914.17  Appointment of advocate for victims or
 2  witnesses who are minors or persons with mental retardation.--
 3         (2)  An advocate shall be appointed by the court to
 4  represent a person with mental retardation as defined in s.
 5  393.063 s. 393.063(42) in any criminal proceeding if the
 6  person with mental retardation is a victim of or witness to
 7  abuse or neglect, or if the person with mental retardation is
 8  a victim of a sexual offense or a witness to a sexual offense
 9  committed against a minor or person with mental retardation.
10  The court may appoint an advocate in any other criminal
11  proceeding in which a person with mental retardation is
12  involved as either a victim or a witness. The advocate shall
13  have full access to all evidence and reports introduced during
14  the proceedings, may interview witnesses, may make
15  recommendations to the court, shall be noticed and have the
16  right to appear on behalf of the person with mental
17  retardation at all proceedings, and may request additional
18  examinations by medical doctors, psychiatrists, or
19  psychologists. It is the duty of the advocate to perform the
20  following services:
21         (a)  To explain, in language understandable to the
22  person with mental retardation, all legal proceedings in which
23  the person shall be involved;
24         (b)  To act, as a friend of the court, to advise the
25  judge, whenever appropriate, of the person with mental
26  retardation's ability to understand and cooperate with any
27  court proceedings; and
28         (c)  To assist the person with mental retardation and
29  the person's family in coping with the emotional effects of
30  the crime and subsequent criminal proceedings in which the
31  person with mental retardation is involved.
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 1         Section 28.  Subsection (1) of section 918.16, Florida
 2  Statutes, is amended to read:
 3         918.16  Sex offenses; testimony of person under age 16
 4  or person with mental retardation; testimony of victim;
 5  courtroom cleared; exceptions.--
 6         (1)  Except as provided in subsection (2), in the trial
 7  of any case, civil or criminal, when any person under the age
 8  of 16 or any person with mental retardation as defined in s.
 9  393.063 s. 393.063(42) is testifying concerning any sex
10  offense, the court shall clear the courtroom of all persons
11  except parties to the cause and their immediate families or
12  guardians, attorneys and their secretaries, officers of the
13  court, jurors, newspaper reporters or broadcasters, court
14  reporters, and, at the request of the victim, victim or
15  witness advocates designated by the state attorney's office.
16         Section 29.  Subsections (3) and (4) of section
17  393.0641, Florida Statutes, are amended to read:
18         393.0641  Program for the prevention and treatment of
19  severe self-injurious behavior.--
20         (3)  The agency department may contract for the
21  provision of any portion or all of the services required by
22  the program.
23         (4)  The agency has department shall have the authority
24  to license this program and shall adopt promulgate rules to
25  implement the program.
26         Section 30.  Section 393.065, Florida Statutes, is
27  amended to read:
28         393.065  Application and eligibility determination.--
29         (1)  Application for services shall be made in writing
30  to the agency Department of Children and Family Services, in
31  the district in which the applicant resides. Employees of the
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 1  agency's department's developmental services program shall
 2  review each applicant for eligibility within 45 days after the
 3  date the application is signed for children under 6 years of
 4  age and within 60 days after the date the application is
 5  signed for all other applicants. When necessary to
 6  definitively identify individual conditions or needs, the
 7  agency department shall provide a comprehensive assessment.
 8  Only individuals whose domicile is in Florida are shall be
 9  eligible for services. Information accumulated by other
10  agencies, including professional reports and collateral data,
11  shall be considered in this process when available.
12         (2)  In order to provide immediate services or crisis
13  intervention to applicants, the agency department shall
14  arrange for emergency eligibility determination, with a full
15  eligibility review to be accomplished within 45 days of the
16  emergency eligibility determination.
17         (3)  The agency department shall notify each applicant,
18  in writing, of its eligibility decision. Any applicant
19  determined by the agency department to be ineligible for
20  developmental services has shall have the right to appeal this
21  decision pursuant to ss. 120.569 and 120.57.
22         (4)  The agency department shall assess the level of
23  need and medical necessity for prospective residents of
24  intermediate-care facilities for the developmentally disabled
25  after October 1, 1999. The agency department may enter into an
26  agreement with the Department of Elderly Affairs for its
27  Comprehensive Assessment and Review for Long-Term-Care
28  Services (CARES) program to conduct assessments to determine
29  the level of need and medical necessity for long-term-care
30  services under this chapter. To the extent permissible under
31  
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 1  federal law, the assessments must be funded under Title XIX of
 2  the Social Security Act.
 3         Section 31.  Section 393.0651, Florida Statutes, is
 4  amended to read:
 5         393.0651  Family or individual support plan.--The
 6  agency department shall provide for an appropriate family
 7  support plan for children ages birth to 18 years of age and an
 8  individual support plan for each client. The parent or
 9  guardian of the client or, if competent, the client, or, when
10  appropriate, the client advocate, shall be consulted in the
11  development of the plan and shall receive a copy of the plan.
12  Each plan shall include the most appropriate, least
13  restrictive, and most cost-beneficial environment for
14  accomplishment of the objectives for client progress and a
15  specification of all services authorized. The plan shall
16  include provisions for the most appropriate level of care for
17  the client. Within the specification of needs and services for
18  each client, when residential care is necessary, the agency
19  department shall move toward placement of clients in
20  residential facilities based within the client's community.
21  The ultimate goal of each plan, whenever possible, shall be to
22  enable the client to live a dignified life in the least
23  restrictive setting, be that in the home or in the community.
24  For children under 6 years of age, the family support plan
25  shall be developed within the 45-day application period as
26  specified in s. 393.065(1); for all applicants 6 years of age
27  or older, the family or individual support plan shall be
28  developed within the 60-day period as specified in that
29  subsection.
30  
31  
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 1         (1)  The agency department shall develop and specify by
 2  rule the core components of support plans to be used by each
 3  district.
 4         (2)(a)  The family or individual support plan shall be
 5  integrated with the individual education plan (IEP) for all
 6  clients who are public school students entitled to a free
 7  appropriate public education under the Individuals with
 8  Disabilities Education Act, I.D.E.A., as amended. The family
 9  or individual support plan and IEP shall be implemented to
10  maximize the attainment of educational and habilitation goals.
11  If the IEP for a student enrolled in a public school program
12  indicates placement in a public or private residential program
13  is necessary to provide special education and related services
14  to a client, the local education agency shall provide for the
15  costs of that service in accordance with the requirements of
16  the Individuals with Disabilities Education Act, I.D.E.A., as
17  amended. This shall not preclude local education agencies and
18  the agency department from sharing the residential service
19  costs of students who are clients and require residential
20  placement. Under no circumstances shall clients entitled to a
21  public education or their parents be assessed a fee by the
22  agency department under s. 402.33 for placement in a
23  residential program.
24         (b)  For clients who are entering or exiting the school
25  system, an interdepartmental staffing team composed of
26  representatives of the agency department and the local school
27  system shall develop a written transitional living and
28  training plan with the participation of the client or with the
29  parent or guardian of the client, or the client advocate, as
30  appropriate.
31  
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 1         (3)  Each family or individual support plan shall be
 2  facilitated through case management designed solely to advance
 3  the individual needs of the client.
 4         (4)  In the development of the family or individual
 5  support plan, a client advocate may be appointed by the
 6  support planning team for a client who is a minor or for a
 7  client who is not capable of express and informed consent
 8  when:
 9         (a)  The parent or guardian cannot be identified;
10         (b)  The whereabouts of the parent or guardian cannot
11  be discovered; or
12         (c)  The state is the only legal representative of the
13  client.
14  
15  Such appointment shall not be construed to extend the powers
16  of the client advocate to include any of those powers
17  delegated by law to a legal guardian.
18         (5)  The agency department shall place a client in the
19  most appropriate and least restrictive, and cost-beneficial,
20  residential facility according to his or her individual
21  habilitation plan. The parent or guardian of the client or, if
22  competent, the client, or, when appropriate, the client
23  advocate, and the administrator of the residential facility to
24  which placement is proposed shall be consulted in determining
25  the appropriate placement for the client. Considerations for
26  placement shall be made in the following order:
27         (a)  Client's own home or the home of a family member
28  or direct service provider.
29         (b)  Foster care facility.
30         (c)  Group home facility.
31  
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 1         (d)  Intermediate care facility for the developmentally
 2  disabled.
 3         (e)  Other facilities licensed by the agency department
 4  which offer special programs for people with developmental
 5  disabilities.
 6         (f)  Developmental services institution.
 7         (6)  In developing a client's annual family or
 8  individual support plan, the individual or family with the
 9  assistance of the support planning team shall identify
10  measurable objectives for client progress and shall specify a
11  time period expected for achievement of each objective.
12         (7)  The individual, family, and support coordinator
13  shall review progress in achieving the objectives specified in
14  each client's family or individual support plan, and shall
15  revise the plan annually, following consultation with the
16  client, if competent, or with the parent or guardian of the
17  client, or, when appropriate, the client advocate. The agency
18  department shall annually report in writing to the client, if
19  competent, or to the parent or guardian of the client, or to
20  the client advocate, when appropriate, with respect to the
21  client's habilitative and medical progress.
22         (8)  Any client, or any parent of a minor client, or
23  guardian, authorized guardian advocate, or client advocate for
24  a client, who is substantially affected by the client's
25  initial family or individual support plan, or the annual
26  review thereof, shall have the right to file a notice to
27  challenge the decision pursuant to ss. 120.569 and 120.57.
28  Notice of such right to appeal shall be included in all
29  support plans provided by the agency department.
30         Section 32.  Section 393.0673, Florida Statutes, is
31  amended to read:
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 1         393.0673  Denial, suspension, revocation of license;
 2  moratorium on admissions; administrative fines; procedures.--
 3         (1)  The agency Department of Children and Family
 4  Services may deny, revoke, or suspend a license or impose an
 5  administrative fine, not to exceed $1,000 per violation per
 6  day, for a violation of any provision of s. 393.0655 or s.
 7  393.067 or rules adopted pursuant thereto. All hearings shall
 8  be held within the county in which the licensee or applicant
 9  operates or applies for a license to operate a facility as
10  defined herein.
11         (2)  The agency department, as a part of any final
12  order issued by it under the provisions of this chapter, may
13  impose such fine as it deems proper, except that such fine may
14  not exceed $1,000 for each violation.  Each day a violation of
15  this chapter occurs constitutes a separate violation and is
16  subject to a separate fine, but in no event may the aggregate
17  amount of any fine exceed $10,000.  Fines paid by any facility
18  licensee under the provisions of this subsection shall be
19  deposited in the Resident Protection Trust Fund and expended
20  as provided in s. 400.063.
21         (3)  The agency department may issue an order
22  immediately suspending or revoking a license when it
23  determines that any condition in the facility presents a
24  danger to the health, safety, or welfare of the residents in
25  the facility.
26         (4)  The agency department may impose an immediate
27  moratorium on admissions to any facility when the department
28  determines that any condition in the facility presents a
29  threat to the health, safety, or welfare of the residents in
30  the facility.
31  
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 1         Section 33.  Subsections (1) and (3) of section
 2  393.0675, Florida Statutes, are amended to read:
 3         393.0675  Injunctive proceedings authorized.--
 4         (1)  The agency Department of Children and Family
 5  Services may institute injunctive proceedings in a court of
 6  competent jurisdiction to:
 7         (a)  Enforce the provisions of this chapter or any
 8  minimum standard, rule, regulation, or order issued or entered
 9  pursuant thereto; or
10         (b)  Terminate the operation of facilities licensed
11  pursuant to this chapter when any of the following conditions
12  exist:
13         1.  Failure by the facility to take preventive or
14  corrective measures in accordance with any order of the agency
15  department.
16         2.  Failure by the facility to abide by any final order
17  of the agency department once it has become effective and
18  binding.
19         3.  Any violation by the facility constituting an
20  emergency requiring immediate action as provided in s.
21  393.0673.
22         (3)  The agency department may institute proceedings
23  for an injunction in a court of competent jurisdiction to
24  terminate the operation of a provider of supports or services
25  if such provider has willfully and knowingly refused to comply
26  with the screening requirement for direct service providers or
27  has refused to terminate direct service providers found not to
28  be in compliance with the requirements for good moral
29  character.
30  
31  
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 1         Section 34.  Subsection (1), paragraphs (b), (c), and
 2  (d) of subsection (2), and paragraph (e) of subsection (3) of
 3  section 393.0678, Florida Statutes, are amended to read:
 4         393.0678  Receivership proceedings.--
 5         (1)  The agency department may petition a court of
 6  competent jurisdiction for the appointment of a receiver for
 7  an intermediate care facility for the developmentally
 8  disabled, a residential habilitation center, or a group home
 9  facility owned and operated by a corporation or partnership
10  when any of the following conditions exist:
11         (a)  Any person is operating a facility without a
12  license and refuses to make application for a license as
13  required by s. 393.067 or, in the case of an intermediate care
14  facility for the developmentally disabled, as required by ss.
15  393.067 and 400.062.
16         (b)  The licensee is closing the facility or has
17  informed the department that it intends to close the facility;
18  and adequate arrangements have not been made for relocation of
19  the residents within 7 days, exclusive of weekends and
20  holidays, of the closing of the facility.
21         (c)  The agency department determines that conditions
22  exist in the facility which present an imminent danger to the
23  health, safety, or welfare of the residents of the facility or
24  which present a substantial probability that death or serious
25  physical harm would result therefrom.  Whenever possible, the
26  agency department shall facilitate the continued operation of
27  the program.
28         (d)  The licensee cannot meet its financial obligations
29  to provide food, shelter, care, and utilities. Evidence such
30  as the issuance of bad checks or the accumulation of
31  delinquent bills for such items as personnel salaries, food,
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 1  drugs, or utilities constitutes prima facie evidence that the
 2  ownership of the facility lacks the financial ability to
 3  operate the home in accordance with the requirements of this
 4  chapter and all rules promulgated thereunder.
 5         (2)
 6         (b)  A hearing shall be conducted within 5 days of the
 7  filing of the petition, at which time all interested parties
 8  shall have the opportunity to present evidence pertaining to
 9  the petition.  The agency department shall notify the owner or
10  operator of the facility named in the petition of its filing
11  and the date set for the hearing.
12         (c)  The court shall grant the petition only upon
13  finding that the health, safety, or welfare of residents of
14  the facility would be threatened if a condition existing at
15  the time the petition was filed is permitted to continue.  A
16  receiver may not be appointed ex parte unless the court
17  determines that one or more of the conditions in subsection
18  (1) exist; that the facility owner or operator cannot be
19  found; that all reasonable means of locating the owner or
20  operator and notifying him or her of the petition and hearing
21  have been exhausted; or that the owner or operator after
22  notification of the hearing chooses not to attend. After such
23  findings, the court may appoint any person qualified by
24  education, training, or experience to carry out the
25  responsibilities of receiver pursuant to this section, except
26  that the court may not appoint any owner or affiliate of the
27  facility which is in receivership.  Before the appointment as
28  receiver of a person who is the operator, manager, or
29  supervisor of another facility, the court shall determine that
30  the person can reasonably operate, manage, or supervise more
31  than one facility.  The receiver may be appointed for up to 90
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 1  days with the option of petitioning the court for 30-day
 2  extensions.  The receiver may be selected from a list of
 3  persons qualified to act as receivers developed by the agency
 4  department and presented to the court with each petition for
 5  receivership. Under no circumstances may the agency department
 6  or designated agency departmental employee be appointed as a
 7  receiver for more than 60 days; however, the agency
 8  departmental receiver may petition the court for 30-day
 9  extensions.  The court shall grant an extension upon a showing
10  of good cause.  The agency department may petition the court
11  to appoint a substitute receiver.
12         (d)  During the first 60 days of the receivership, the
13  agency department may not take action to decertify or revoke
14  the license of a facility unless conditions causing imminent
15  danger to the health and welfare of the residents exist and a
16  receiver has been unable to remove those conditions.  After
17  the first 60 days of receivership, and every 60 days
18  thereafter until the receivership is terminated, the agency
19  department shall submit to the court the results of an
20  assessment of the ability of the facility to assure the safety
21  and care of the residents.  If the conditions at the facility
22  or the intentions of the owner indicate that the purpose of
23  the receivership is to close the facility rather than to
24  facilitate its continued operation, the agency department
25  shall place the residents in appropriate alternate residential
26  settings as quickly as possible.  If, in the opinion of the
27  court, the agency department has not been diligent in its
28  efforts to make adequate arrangements for placement, the court
29  shall find the agency department to be in contempt and shall
30  order the agency department to submit its plans for moving the
31  residents.
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 1         (3)  The receiver shall make provisions for the
 2  continued health, safety, and welfare of all residents of the
 3  facility and:
 4         (e)  May use the building, fixtures, furnishings, and
 5  any accompanying consumable goods in the provision of care and
 6  services to residents and to any other persons receiving
 7  services from the facility at the time the petition for
 8  receivership was filed.  The receiver shall collect payments
 9  for all goods and services provided to residents or others
10  during the period of the receivership at the same rate of
11  payment charged by the owner at the time the petition for
12  receivership was filed, or at a fair and reasonable rate
13  otherwise approved by the court for private, paying residents.
14  The receiver may apply to the agency department for a rate
15  increase for residents under Title XIX of the Social Security
16  Act if the facility is not receiving the state reimbursement
17  cap and if expenditures justify an increase in the rate.
18         Section 35.  Section 393.071, Florida Statutes, is
19  amended to read:
20         393.071  Client fees.--The agency Department of
21  Children and Family Services shall charge fees for services
22  provided to clients in accordance with s. 402.33.
23         Section 36.  Subsection (2) of section 393.075, Florida
24  Statutes, is amended to read:
25         393.075  General liability coverage.--
26         (2)  The Division of Risk Management of the Department
27  of Financial Services shall provide coverage through the
28  agency Department of Children and Family Services to any
29  person who owns or operates a foster care facility or group
30  home facility solely for the agency Department of Children and
31  Family Services, who cares for children placed by
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 1  developmental services staff of the agency department, and who
 2  is licensed pursuant to s. 393.067 to provide such supervision
 3  and care in his or her place of residence. The coverage shall
 4  be provided from the general liability account of the State
 5  Risk Management Trust Fund.  The coverage is limited to
 6  general liability claims arising from the provision of
 7  supervision and care of children in a foster care facility or
 8  group home facility pursuant to an agreement with the agency
 9  department and pursuant to guidelines established through
10  policy, rule, or statute. Coverage shall be subject to the
11  limits provided in ss. 284.38 and 284.385, and the exclusions
12  set forth therein, together with other exclusions as may be
13  set forth in the certificate of coverage issued by the trust
14  fund. A person covered under the general liability account
15  pursuant to this subsection shall immediately notify the
16  Division of Risk Management of the Department of Financial
17  Services of any potential or actual claim.
18         Section 37.  Section 393.115, Florida Statutes, is
19  amended to read:
20         393.115  Discharge.--
21         (1)  DISCHARGE AT THE AGE OF MAJORITY.--
22         (a)  When any residential client reaches his or her
23  18th birthday, the agency department shall give the resident
24  or legal guardian the option to continue residential services
25  or to be discharged from residential services.
26         (b)  If the resident appears to meet the criteria for
27  involuntary admission to residential services, as defined in
28  s. 393.11, the agency department shall file a petition to
29  determine the appropriateness of continued residential
30  placement on an involuntary basis. The agency department shall
31  file the petition for involuntary admission in the county in
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 1  which the client resides. If the resident was originally
 2  involuntarily admitted to residential services pursuant to s.
 3  393.11, then the agency department shall file the petition in
 4  the court having continuing jurisdiction over the case.
 5         (c)  Nothing in this section shall in any way limit or
 6  restrict the resident's right to a writ of habeas corpus or
 7  the right of the agency department to transfer a resident
 8  receiving residential care to a program of appropriate
 9  services provided by the agency department when such program
10  is the appropriate habilitative setting for the resident.
11         (2)  DISCHARGE AFTER CRIMINAL OR JUVENILE
12  COMMITMENT.--Any person with developmental disabilities
13  committed to the custody of the agency department pursuant to
14  the provisions of the applicable criminal or juvenile court
15  law shall be discharged in accordance with the requirements of
16  the applicable criminal or juvenile court law.
17         Section 38.  Subsection (3) of section 393.12, Florida
18  Statutes, is amended to read:
19         393.12  Capacity; appointment of guardian advocate.--
20         (3)  COURT COSTS.--In all proceedings under this
21  section, no court costs shall be charged against the agency
22  department.
23         Section 39.  Section 393.125, Florida Statutes, is
24  amended to read:
25         393.125  Hearing rights.--
26         (1)  REVIEW OF AGENCY DEPARTMENT DECISIONS.--
27         (a)  Any developmental services applicant or client, or
28  his or her parent, guardian, guardian advocate, or authorized
29  representative, who has any substantial interest determined by
30  the agency department, has shall have the right to request an
31  administrative hearing pursuant to ss. 120.569 and 120.57.
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 1         (b)  Notice of the right to an administrative hearing
 2  shall be given, both verbally and in writing, to the applicant
 3  or client, and his or her parent, guardian, guardian advocate,
 4  or authorized representative, at the same time that the agency
 5  department gives the applicant or client notice of the
 6  agency's department's action.  The notice shall be given, both
 7  verbally and in writing, in the language of the client or
 8  applicant and in English.
 9         (c)  A request for a hearing under this section shall
10  be made to the agency department, in writing, within 30 days
11  of the applicant's or client's receipt of the notice.
12         (2)  REVIEW OF PROVIDER DECISIONS.--The agency
13  department shall adopt promulgate rules to establish uniform
14  guidelines for the agency department and service providers
15  relevant to termination, suspension, or reduction of client
16  services by the service provider.  The rules shall ensure the
17  due process rights of service providers and clients.
18         Section 40.  Subsections (3), (4), (5), and (6) of
19  section 393.15, Florida Statutes, are amended to read:
20         393.15  Legislative intent; Community Resources
21  Development Trust Fund.--
22         (3)  There is created a Community Resources Development
23  Trust Fund in the State Treasury to be used by the agency
24  Department of Children and Family Services for the purpose of
25  granting loans to eligible programs for the initial costs of
26  development of the programs.  Loans shall be made only to
27  those facilities which are in compliance with the zoning
28  regulations of the local community.  Costs of development may
29  include structural modification, the purchase of equipment and
30  fire and safety devices, preoperational staff training, and
31  
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 1  the purchase of insurance.  Such costs shall not include the
 2  actual construction of a facility.
 3         (4)  The agency department may grant to an eligible
 4  program a lump-sum loan in one payment not to exceed the cost
 5  to the program of providing 2 months' services, care, or
 6  maintenance to each person who is developmentally disabled to
 7  be placed in the program by the agency department, or the
 8  actual cost of firesafety renovations to a facility required
 9  by the state, whichever is greater.  Loans granted to programs
10  shall not be in lieu of payment for maintenance, services, or
11  care provided, but shall stand separate and distinct.  The
12  agency department shall adopt promulgate rules, as provided in
13  chapter 120, to determine the standards under which a program
14  shall be eligible to receive a loan as provided in this
15  section and criteria for the equitable allocation of loan
16  trust funds when eligible applications exceed the funds
17  available.
18         (5)  Any loan granted by the agency department under
19  this section shall be repaid by the program within 5 years.  A
20  program that which operates as a nonprofit corporation meeting
21  the requirements of s. 501(c)(3) of the Internal Revenue Code,
22  and that which seeks forgiveness of its loan shall submit to
23  the agency department a statement setting forth the service it
24  has provided during the year together with such other
25  information as the agency department by rule shall require,
26  and, upon approval of each such annual statement, the agency
27  department shall forgive 20 percent of the principal of any
28  such loan granted after June 30, 1975.
29         (6)  If any program that which has received a loan
30  under this section ceases to accept, or provide care,
31  services, or maintenance to persons placed in the program by
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 1  the department, or if such program files shall file papers of
 2  bankruptcy, at that point in time the loan shall become an
 3  interest-bearing loan at the rate of 5 percent per annum on
 4  the entire amount of the initial loan which shall be repaid
 5  within a 1-year period from the date on which the program
 6  ceases to provide care, services, or maintenance, or files
 7  papers in bankruptcy, and the amount of the loan due plus
 8  interest shall constitute a lien in favor of the state against
 9  all real and personal property of the program.  The lien shall
10  be perfected by the appropriate officer of the agency
11  department by executing and acknowledging a statement of the
12  name of the program and the amount due on the loan and a copy
13  of the promissory note, which shall be recorded by the agency
14  department with the clerk of the circuit court in the county
15  wherein the program is located.  If the program has filed a
16  petition for bankruptcy, the agency department shall file and
17  enforce the lien in the bankruptcy proceedings.  Otherwise,
18  the lien shall be enforced in the manner provided in s.
19  85.011.  All funds received by the agency department from the
20  enforcement of the lien shall be deposited in the Community
21  Resources Development Trust Fund.
22         Section 41.  Subsection (1) of section 393.501, Florida
23  Statutes, is amended to read:
24         393.501  Rulemaking.--
25         (1)  The agency department shall adopt rules to carry
26  out the provisions of this chapter.
27         Section 42.  Section 393.503, Florida Statutes, is
28  amended to read:
29         393.503  Respite and family care subsidy expenditures;
30  funding.--The agency Department of Children and Family
31  Services shall determine the amount of expenditures per fiscal
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 1  year for the respite and family care subsidy to families and
 2  individuals with developmental disabilities living in their
 3  own homes.  This information shall be made available to the
 4  family care councils and to others requesting the information.
 5  The family care councils shall review the expenditures and
 6  make recommendations to the agency department with respect to
 7  any new funds that are made available for family care.
 8         Section 43.  Subsection (2) of section 393.506, Florida
 9  Statutes, is amended to read:
10         393.506  Administration of medication.--
11         (2)  Each facility, institution, or program must
12  include in its policies and procedures a plan for training
13  designated staff to ensure the safe handling, storage, and
14  administration of prescription medication. These policies and
15  procedures must be approved by the agency department before
16  unlicensed direct care services staff assist with medication.
17         Section 44.  Section 393.135, Florida Statutes, is
18  created to read:
19         393.135  Sexual misconduct prohibited; reporting
20  required; penalties.--
21         (1)  As used in this section, the term:
22         (a)  "Employee" includes any paid staff member,
23  volunteer, or intern of the agency or the Agency for Health
24  Care Administration or any person under contract with the
25  agency or the Agency for Health Care Administration or any
26  person providing care or support to a client on behalf of the
27  agency or the Agency for Health Care Administration or their
28  providers.
29         (b)  "Sexual activity" means:
30         1.  Fondling the genital area, groin, inner thighs,
31  buttocks, or breasts of a person;
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 1         2.  The oral, anal, or vaginal penetration by, or union
 2  with, the sexual organ of another or the anal or vaginal
 3  penetration of another by any other object;
 4         3.  Intentionally touching in a lewd or lascivious
 5  manner the breasts, genitals, the genital area, or buttocks,
 6  or the clothing covering them, of a person, or forcing or
 7  enticing a person to touch the perpetrator;
 8         4.  Intentionally masturbating in the presence of
 9  another person;
10         5.  Intentionally exposing the genitals in a lewd or
11  lascivious manner in the presence of another person; or
12         6.  Intentionally committing any other sexual act that
13  does not involve actual physical or sexual contact with the
14  victim, including, but not limited to, sadomasochistic abuse,
15  sexual bestiality, or the simulation of any act involving
16  sexual activity in the presence of a victim.
17         (c)  "Sexual misconduct" means any sexual activity
18  between an employee and a client, regardless of the consent of
19  the client. The term does not include an act done for a bona
20  fide medical purpose or an internal search conducted in the
21  lawful performance of duty by an employee.
22         (2)  An employee who engages in sexual misconduct with
23  an individual with a developmental disability who:
24         (a)  Is in the custody of the agency;
25         (b)  Resides in a residential facility, including any
26  comprehensive transitional education program, developmental
27  disabilities institution, foster care facility, group home
28  facility, intermediate care facility for the developmentally
29  disabled, or residential habilitation center; or
30         (c)  Receives services from a family care program
31  
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 1  commits a felony of the second degree, punishable as provided
 2  in s. 775.082, s. 775.083, or s. 775.084. An employee may be
 3  found guilty of violating this subsection without having
 4  committed the crime of sexual battery.
 5         (3)  The consent of the client to sexual activity is
 6  not a defense to prosecution under this section.
 7         (4)  This section does not apply to an employee who:
 8         (a)  Is legally married to the client; or
 9         (b)  Had no reason to believe that the person with whom
10  the employee engaged in sexual misconduct is a client
11  receiving services as described in subsection (2).
12         (5)  An employee who witnesses sexual misconduct, or
13  who otherwise knows or has reasonable cause to suspect that a
14  person has engaged in sexual misconduct, shall immediately
15  report the incident to the Department of Children and Family
16  Services' central abuse hotline and to law enforcement. Such
17  employee shall also prepare, date, and sign an independent
18  report that specifically describes the nature of the sexual
19  misconduct, the location and time of the incident, and the
20  persons involved. The employee shall deliver the report to the
21  supervisor or program director, who is responsible for
22  providing copies to the agency's inspector general. The
23  inspector general shall immediately conduct an appropriate
24  administrative investigation, and, if there is probable cause
25  to believe that sexual misconduct has occurred, the inspector
26  general shall notify the state attorney in the circuit in
27  which the incident occurred.
28         (6)(a)  Any person who is required to make a report
29  under this section and who knowingly or willfully fails to do
30  so, or who knowingly or willfully prevents another person from
31  
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 1  doing so, commits a misdemeanor of the first degree,
 2  punishable as provided in s. 775.082 or s. 775.083.
 3         (b)  Any person who knowingly or willfully submits
 4  inaccurate, incomplete, or untruthful information with respect
 5  to a report required under this section commits a misdemeanor
 6  of the first degree, punishable as provided in s. 775.082 or
 7  s. 775.083.
 8         (c)  Any person who knowingly or willfully coerces or
 9  threatens any other person with the intent to alter testimony
10  or a written report regarding an incident of sexual misconduct
11  commits a felony of the third degree, punishable as provided
12  in s. 775.082, s. 775.083, or s. 775.084.
13         (7)  The provisions and penalties set forth in this
14  section are in addition to any other civil, administrative, or
15  criminal action provided by law which may be applied against
16  an employee.
17         Section 45.  Section 394.4593, Florida Statutes, is
18  created to read:
19         394.4593  Sexual misconduct prohibited; reporting
20  required; penalties.--
21         (1)  As used in this section, the term:
22         (a)  "Employee" includes any paid staff member,
23  volunteer, or intern of the department or any person under
24  contract with the department or any person providing care or
25  support to a patient on behalf of the department or its
26  providers.
27         (b)  "Sexual activity" means:
28         1.  Fondling the genital area, groin, inner thighs,
29  buttocks, or breasts of a person;
30  
31  
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 1         2.  The oral, anal, or vaginal penetration by, or union
 2  with, the sexual organ of another or the anal or vaginal
 3  penetration of another by any other object;
 4         3.  Intentionally touching in a lewd or lascivious
 5  manner the breasts, genitals, the genital area, or buttocks,
 6  or the clothing covering them, of a person, or forcing or
 7  enticing a person to touch the perpetrator;
 8         4.  Intentionally masturbating in the presence of
 9  another person;
10         5.  Intentionally exposing the genitals in a lewd or
11  lascivious manner in the presence of another person; or
12         6.  Intentionally committing any other sexual act that
13  does not involve actual physical or sexual contact with the
14  victim, including, but not limited to, sadomasochistic abuse,
15  sexual bestiality, or the simulation of any act involving
16  sexual activity in the presence of a victim.
17         (c)  "Sexual misconduct" means any sexual activity
18  between an employee and a patient, regardless of the consent
19  of the patient. The term does not include an act done for a
20  bona fide medical purpose or an internal search conducted in
21  the lawful performance of duty by an employee.
22         (2)  An employee who engages in sexual misconduct with
23  a patient who:
24         (a)  Is in the custody of the department; or
25         (b)  Resides in a receiving facility as defined in s.
26  394.455(26) or a treatment facility as defined in s.
27  394.455(30),
28  
29  commits a felony of the second degree, punishable as provided
30  in s. 775.082, s. 775.083, or s. 775.084. An employee may be
31  
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 1  found guilty of violating this subsection without having
 2  committed the crime of sexual battery.
 3         (3)  The consent of the patient to sexual activity is
 4  not a defense to prosecution under this section.
 5         (4)  This section does not apply to an employee who:
 6         (a)  Is legally married to the patient; or
 7         (b)  Had no reason to believe that the person with whom
 8  the employee engaged in sexual misconduct is a patient
 9  receiving services as described in subsection (2).
10         (5)  An employee who witnesses sexual misconduct, or
11  who otherwise knows or has reasonable cause to suspect that a
12  person has engaged in sexual misconduct, shall immediately
13  report the incident to the department's central abuse hotline
14  and to law enforcement. Such employee shall also prepare,
15  date, and sign an independent report that specifically
16  describes the nature of the sexual misconduct, the location
17  and time of the incident, and the persons involved. The
18  employee shall deliver the report to the supervisor or program
19  director, who is responsible for providing copies to the
20  department's inspector general. The inspector general shall
21  immediately conduct an appropriate administrative
22  investigation, and, if there is probable cause to believe that
23  sexual misconduct has occurred, the inspector general shall
24  notify the state attorney in the circuit in which the incident
25  occurred.
26         (6)(a)  Any person who is required to make a report
27  under this section and who knowingly or willfully fails to do
28  so, or who knowingly or willfully prevents another person from
29  doing so, commits a misdemeanor of the first degree,
30  punishable as provided in s. 775.082 or s. 775.083.
31  
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 1         (b)  Any person who knowingly or willfully submits
 2  inaccurate, incomplete, or untruthful information with respect
 3  to a report required under this section commits a misdemeanor
 4  of the first degree, punishable as provided in s. 775.082 or
 5  s. 775.083.
 6         (c)  Any person who knowingly or willfully coerces or
 7  threatens any other person with the intent to alter testimony
 8  or a written report regarding an incident of sexual misconduct
 9  commits a felony of the third degree, punishable as provided
10  in s. 775.082, s. 775.083, or s. 775.084.
11         (7)  The provisions and penalties set forth in this
12  section are in addition to any other civil, administrative, or
13  criminal action provided by law which may be applied against
14  an employee.
15         Section 46.  Section 916.1075, Florida Statutes, is
16  created to read:
17         916.1075  Sexual misconduct prohibited; reporting
18  required; penalties.--
19         (1)  As used in this section, the term:
20         (a)  "Employee" includes any paid staff member,
21  volunteer, or intern of the department or the Agency for
22  Persons with Disabilities or any person under contract with
23  the department or the Agency for Persons with Disabilities or
24  any person providing care or support to a client on behalf of
25  the department or the Agency for Persons with Disabilities or
26  their providers.
27         (b)  "Sexual activity" means:
28         1.  Fondling the genital area, groin, inner thighs,
29  buttocks, or breasts of a person;
30  
31  
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 1         2.  The oral, anal, or vaginal penetration by, or union
 2  with, the sexual organ of another or the anal or vaginal
 3  penetration of another by any other object;
 4         3.  Intentionally touching in a lewd or lascivious
 5  manner the breasts, genitals, the genital area, or buttocks,
 6  or the clothing covering them, of a person, or forcing or
 7  enticing a person to touch the perpetrator;
 8         4.  Intentionally masturbating in the presence of
 9  another person;
10         5.  Intentionally exposing the genitals in a lewd or
11  lascivious manner in the presence of another person; or
12         6.  Intentionally committing any other sexual act that
13  does not involve actual physical or sexual contact with the
14  victim, including, but not limited to, sadomasochistic abuse,
15  sexual bestiality, or the simulation of any act involving
16  sexual activity in the presence of a victim.
17         (c)  "Sexual misconduct" means any sexual activity
18  between an employee and a client, regardless of the consent of
19  the client. The term does not include an act done for a bona
20  fide medical purpose or an internal search conducted in the
21  lawful performance of duty by an employee.
22         (2)  An employee who engages in sexual misconduct with
23  a client who resides in a civil or forensic state mental
24  health treatment facility commits a felony of the second
25  degree, punishable as provided in s. 775.082, s. 775.083, or
26  s. 775.084. An employee may be found guilty of violating this
27  subsection without having committed the crime of sexual
28  battery.
29         (3)  The consent of the client to sexual activity is
30  not a defense to prosecution under this section.
31         (4)  This section does not apply to an employee who:
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 1         (a)  Is legally married to the client; or
 2         (b)  Had no reason to believe that the person with whom
 3  the employee engaged in sexual misconduct is a client
 4  receiving services as described in subsection (2).
 5         (5)  An employee who witnesses sexual misconduct, or
 6  who otherwise knows or has reasonable cause to suspect that a
 7  person has engaged in sexual misconduct, shall immediately
 8  report the incident to the department's central abuse hotline
 9  or law enforcement. Such employee shall also prepare, date,
10  and sign an independent report that specifically describes the
11  nature of the sexual misconduct, the location and time of the
12  incident, and the persons involved. The employee shall deliver
13  the report to the supervisor or program director, who is
14  responsible for providing copies to either the department's or
15  Agency for Persons with Disabilities' inspector general as
16  appropriate. The inspector general shall immediately conduct
17  an appropriate administrative investigation, and, if there is
18  probable cause to believe that sexual misconduct has occurred,
19  the inspector general shall notify the state attorney in the
20  circuit in which the incident occurred.
21         (6)(a)  Any person who is required to make a report
22  under this section and who knowingly or willfully fails to do
23  so, or who knowingly or willfully prevents another person from
24  doing so, commits a misdemeanor of the first degree,
25  punishable as provided in s. 775.082 or s. 775.083.
26         (b)  Any person who knowingly or willfully submits
27  inaccurate, incomplete, or untruthful information with respect
28  to a report required under this section commits a misdemeanor
29  of the first degree, punishable as provided in s. 775.082 or
30  s. 775.083.
31  
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 1         (c)  Any person who knowingly or willfully coerces or
 2  threatens any other person with the intent to alter testimony
 3  or a written report regarding an incident of sexual misconduct
 4  commits a felony of the third degree, punishable as provided
 5  in s. 775.082, s. 775.083, or s. 775.084.
 6         (7)  The provisions and penalties set forth in this
 7  section are in addition to any other civil, administrative, or
 8  criminal action provided by law which may be applied against
 9  an employee.
10         Section 47.  Subsection (2) of section 435.03, Florida
11  Statutes, is amended to read:
12         435.03  Level 1 screening standards.--
13         (2)  Any person for whom employment screening is
14  required by statute must not have been found guilty of,
15  regardless of adjudication, or entered a plea of nolo
16  contendere or guilty to, any offense prohibited under any of
17  the following provisions of the Florida Statutes or under any
18  similar statute of another jurisdiction:
19         (a)  Section 393.135, relating to sexual misconduct
20  with certain developmentally disabled clients and reporting of
21  such sexual misconduct.
22         (b)  Section 394.4593, relating to sexual misconduct
23  with certain mental health patients and reporting of such
24  sexual misconduct.
25         (c)(a)  Section 415.111, relating to abuse, neglect, or
26  exploitation of a vulnerable adult.
27         (d)(b)  Section 782.04, relating to murder.
28         (e)(c)  Section 782.07, relating to manslaughter,
29  aggravated manslaughter of an elderly person or disabled
30  adult, or aggravated manslaughter of a child.
31  
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 1         (f)(d)  Section 782.071, relating to vehicular
 2  homicide.
 3         (g)(e)  Section 782.09, relating to killing of an
 4  unborn child by injury to the mother.
 5         (h)(f)  Section 784.011, relating to assault, if the
 6  victim of the offense was a minor.
 7         (i)(g)  Section 784.021, relating to aggravated
 8  assault.
 9         (j)(h)  Section 784.03, relating to battery, if the
10  victim of the offense was a minor.
11         (k)(i)  Section 784.045, relating to aggravated
12  battery.
13         (l)(j)  Section 787.01, relating to kidnapping.
14         (m)(k)  Section 787.02, relating to false imprisonment.
15         (n)(l)  Section 794.011, relating to sexual battery.
16         (o)(m)  Former s. 794.041, relating to prohibited acts
17  of persons in familial or custodial authority.
18         (p)(n)  Chapter 796, relating to prostitution.
19         (q)(o)  Section 798.02, relating to lewd and lascivious
20  behavior.
21         (r)(p)  Chapter 800, relating to lewdness and indecent
22  exposure.
23         (s)(q)  Section 806.01, relating to arson.
24         (t)(r)  Chapter 812, relating to theft, robbery, and
25  related crimes, if the offense was a felony.
26         (u)(s)  Section 817.563, relating to fraudulent sale of
27  controlled substances, only if the offense was a felony.
28         (v)(t)  Section 825.102, relating to abuse, aggravated
29  abuse, or neglect of an elderly person or disabled adult.
30  
31  
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 1         (w)(u)  Section 825.1025, relating to lewd or
 2  lascivious offenses committed upon or in the presence of an
 3  elderly person or disabled adult.
 4         (x)(v)  Section 825.103, relating to exploitation of an
 5  elderly person or disabled adult, if the offense was a felony.
 6         (y)(w)  Section 826.04, relating to incest.
 7         (z)(x)  Section 827.03, relating to child abuse,
 8  aggravated child abuse, or neglect of a child.
 9         (aa)(y)  Section 827.04, relating to contributing to
10  the delinquency or dependency of a child.
11         (bb)(z)  Former s. 827.05, relating to negligent
12  treatment of children.
13         (cc)(aa)  Section 827.071, relating to sexual
14  performance by a child.
15         (dd)(bb)  Chapter 847, relating to obscene literature.
16         (ee)(cc)  Chapter 893, relating to drug abuse
17  prevention and control, only if the offense was a felony or if
18  any other person involved in the offense was a minor.
19         (ff)  Section 916.0175, relating to sexual misconduct
20  with certain forensic clients and reporting of such sexual
21  misconduct.
22         Section 48.  Subsection (2) of section 435.04, Florida
23  Statutes, is amended to read:
24         435.04  Level 2 screening standards.--
25         (2)  The security background investigations under this
26  section must ensure that no persons subject to the provisions
27  of this section have been found guilty of, regardless of
28  adjudication, or entered a plea of nolo contendere or guilty
29  to, any offense prohibited under any of the following
30  provisions of the Florida Statutes or under any similar
31  statute of another jurisdiction:
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 1         (a)  Section 393.135, relating to sexual misconduct
 2  with certain developmentally disabled clients and reporting of
 3  such sexual misconduct.
 4         (b)  Section 394.4593, relating to sexual misconduct
 5  with certain mental health patients and reporting of such
 6  sexual misconduct.
 7         (c)(a)  Section 415.111, relating to adult abuse,
 8  neglect, or exploitation of aged persons or disabled adults.
 9         (d)(b)  Section 782.04, relating to murder.
10         (e)(c)  Section 782.07, relating to manslaughter,
11  aggravated manslaughter of an elderly person or disabled
12  adult, or aggravated manslaughter of a child.
13         (f)(d)  Section 782.071, relating to vehicular
14  homicide.
15         (g)(e)  Section 782.09, relating to killing of an
16  unborn child by injury to the mother.
17         (h)(f)  Section 784.011, relating to assault, if the
18  victim of the offense was a minor.
19         (i)(g)  Section 784.021, relating to aggravated
20  assault.
21         (j)(h)  Section 784.03, relating to battery, if the
22  victim of the offense was a minor.
23         (k)(i)  Section 784.045, relating to aggravated
24  battery.
25         (l)(j)  Section 784.075, relating to battery on a
26  detention or commitment facility staff.
27         (m)(k)  Section 787.01, relating to kidnapping.
28         (n)(l)  Section 787.02, relating to false imprisonment.
29         (o)(m)  Section 787.04(2), relating to taking,
30  enticing, or removing a child beyond the state limits with
31  criminal intent pending custody proceedings.
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 1         (p)(n)  Section 787.04(3), relating to carrying a child
 2  beyond the state lines with criminal intent to avoid producing
 3  a child at a custody hearing or delivering the child to the
 4  designated person.
 5         (q)(o)  Section 790.115(1), relating to exhibiting
 6  firearms or weapons within 1,000 feet of a school.
 7         (r)(p)  Section 790.115(2)(b), relating to possessing
 8  an electric weapon or device, destructive device, or other
 9  weapon on school property.
10         (s)(q)  Section 794.011, relating to sexual battery.
11         (t)(r)  Former s. 794.041, relating to prohibited acts
12  of persons in familial or custodial authority.
13         (u)(s)  Chapter 796, relating to prostitution.
14         (v)(t)  Section 798.02, relating to lewd and lascivious
15  behavior.
16         (w)(u)  Chapter 800, relating to lewdness and indecent
17  exposure.
18         (x)(v)  Section 806.01, relating to arson.
19         (y)(w)  Chapter 812, relating to theft, robbery, and
20  related crimes, if the offense is a felony.
21         (z)(x)  Section 817.563, relating to fraudulent sale of
22  controlled substances, only if the offense was a felony.
23         (aa)(y)  Section 825.102, relating to abuse, aggravated
24  abuse, or neglect of an elderly person or disabled adult.
25         (bb)(z)  Section 825.1025, relating to lewd or
26  lascivious offenses committed upon or in the presence of an
27  elderly person or disabled adult.
28         (cc)(aa)  Section 825.103, relating to exploitation of
29  an elderly person or disabled adult, if the offense was a
30  felony.
31         (dd)(bb)  Section 826.04, relating to incest.
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 1         (ee)(cc)  Section 827.03, relating to child abuse,
 2  aggravated child abuse, or neglect of a child.
 3         (ff)(dd)  Section 827.04, relating to contributing to
 4  the delinquency or dependency of a child.
 5         (gg)(ee)  Former s. 827.05, relating to negligent
 6  treatment of children.
 7         (hh)(ff)  Section 827.071, relating to sexual
 8  performance by a child.
 9         (ii)(gg)  Section 843.01, relating to resisting arrest
10  with violence.
11         (jj)(hh)  Section 843.025, relating to depriving a law
12  enforcement, correctional, or correctional probation officer
13  means of protection or communication.
14         (kk)(ii)  Section 843.12, relating to aiding in an
15  escape.
16         (ll)(jj)  Section 843.13, relating to aiding in the
17  escape of juvenile inmates in correctional institutions.
18         (mm)(kk)  Chapter 847, relating to obscene literature.
19         (nn)(ll)  Section 874.05(1), relating to encouraging or
20  recruiting another to join a criminal gang.
21         (oo)(mm)  Chapter 893, relating to drug abuse
22  prevention and control, only if the offense was a felony or if
23  any other person involved in the offense was a minor.
24         (pp)  Section 916.0175, relating to sexual misconduct
25  with certain forensic clients and reporting of such sexual
26  misconduct.
27         (qq)(nn)  Section 944.35(3), relating to inflicting
28  cruel or inhuman treatment on an inmate resulting in great
29  bodily harm.
30         (rr)(oo)  Section 944.46, relating to harboring,
31  concealing, or aiding an escaped prisoner.
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 1         (ss)(pp)  Section 944.47, relating to introduction of
 2  contraband into a correctional facility.
 3         (tt)(qq)  Section 985.4045, relating to sexual
 4  misconduct in juvenile justice programs.
 5         (uu)(rr)  Section 985.4046, relating to contraband
 6  introduced into detention facilities.
 7         Section 49.  Section 943.0585, Florida Statutes, is
 8  amended to read:
 9         943.0585  Court-ordered expunction of criminal history
10  records.--The courts of this state have jurisdiction over
11  their own procedures, including the maintenance, expunction,
12  and correction of judicial records containing criminal history
13  information to the extent such procedures are not inconsistent
14  with the conditions, responsibilities, and duties established
15  by this section. Any court of competent jurisdiction may order
16  a criminal justice agency to expunge the criminal history
17  record of a minor or an adult who complies with the
18  requirements of this section. The court shall not order a
19  criminal justice agency to expunge a criminal history record
20  until the person seeking to expunge a criminal history record
21  has applied for and received a certificate of eligibility for
22  expunction pursuant to subsection (2). A criminal history
23  record that relates to a violation of s. 393.135, s. 394.4593,
24  s. 787.025, chapter 794, s. 796.03, s. 800.04, s. 817.034, s.
25  825.1025, s. 827.071, chapter 839, s. 847.0133, s. 847.0135,
26  s. 847.0145, s. 893.135, s. 916.1075, or a violation
27  enumerated in s. 907.041 may not be expunged, without regard
28  to whether adjudication was withheld, if the defendant was
29  found guilty of or pled guilty or nolo contendere to the
30  offense, or if the defendant, as a minor, was found to have
31  committed, or pled guilty or nolo contendere to committing,
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 1  the offense as a delinquent act. The court may only order
 2  expunction of a criminal history record pertaining to one
 3  arrest or one incident of alleged criminal activity, except as
 4  provided in this section. The court may, at its sole
 5  discretion, order the expunction of a criminal history record
 6  pertaining to more than one arrest if the additional arrests
 7  directly relate to the original arrest. If the court intends
 8  to order the expunction of records pertaining to such
 9  additional arrests, such intent must be specified in the
10  order. A criminal justice agency may not expunge any record
11  pertaining to such additional arrests if the order to expunge
12  does not articulate the intention of the court to expunge a
13  record pertaining to more than one arrest. This section does
14  not prevent the court from ordering the expunction of only a
15  portion of a criminal history record pertaining to one arrest
16  or one incident of alleged criminal activity. Notwithstanding
17  any law to the contrary, a criminal justice agency may comply
18  with laws, court orders, and official requests of other
19  jurisdictions relating to expunction, correction, or
20  confidential handling of criminal history records or
21  information derived therefrom. This section does not confer
22  any right to the expunction of any criminal history record,
23  and any request for expunction of a criminal history record
24  may be denied at the sole discretion of the court.
25         (1)  PETITION TO EXPUNGE A CRIMINAL HISTORY
26  RECORD.--Each petition to a court to expunge a criminal
27  history record is complete only when accompanied by:
28         (a)  A certificate of eligibility for expunction issued
29  by the department pursuant to subsection (2).
30         (b)  The petitioner's sworn statement attesting that
31  the petitioner:
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 1         1.  Has never, prior to the date on which the petition
 2  is filed, been adjudicated guilty of a criminal offense or
 3  comparable ordinance violation or adjudicated delinquent for
 4  committing a felony or a misdemeanor specified in s.
 5  943.051(3)(b).
 6         2.  Has not been adjudicated guilty of, or adjudicated
 7  delinquent for committing, any of the acts stemming from the
 8  arrest or alleged criminal activity to which the petition
 9  pertains.
10         3.  Has never secured a prior sealing or expunction of
11  a criminal history record under this section, former s.
12  893.14, former s. 901.33, or former s. 943.058, or from any
13  jurisdiction outside the state.
14         4.  Is eligible for such an expunction to the best of
15  his or her knowledge or belief and does not have any other
16  petition to expunge or any petition to seal pending before any
17  court.
18  
19  Any person who knowingly provides false information on such
20  sworn statement to the court commits a felony of the third
21  degree, punishable as provided in s. 775.082, s. 775.083, or
22  s. 775.084.
23         (2)  CERTIFICATE OF ELIGIBILITY FOR EXPUNCTION.--Prior
24  to petitioning the court to expunge a criminal history record,
25  a person seeking to expunge a criminal history record shall
26  apply to the department for a certificate of eligibility for
27  expunction. The department shall, by rule adopted pursuant to
28  chapter 120, establish procedures pertaining to the
29  application for and issuance of certificates of eligibility
30  for expunction. The department shall issue a certificate of
31  
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 1  eligibility for expunction to a person who is the subject of a
 2  criminal history record if that person:
 3         (a)  Has obtained, and submitted to the department, a
 4  written, certified statement from the appropriate state
 5  attorney or statewide prosecutor which indicates:
 6         1.  That an indictment, information, or other charging
 7  document was not filed or issued in the case.
 8         2.  That an indictment, information, or other charging
 9  document, if filed or issued in the case, was dismissed or
10  nolle prosequi by the state attorney or statewide prosecutor,
11  or was dismissed by a court of competent jurisdiction.
12         3.  That the criminal history record does not relate to
13  a violation of s. 393.135, s. 394.4593, s. 787.025, chapter
14  794, s. 796.03, s. 800.04, s. 817.034, s. 825.1025, s.
15  827.071, chapter 839, s. 847.0133, s. 847.0135, s. 847.0145,
16  s. 893.135, s. 916.1075, or a violation enumerated in s.
17  907.041, where the defendant was found guilty of, or pled
18  guilty or nolo contendere to any such offense, or that the
19  defendant, as a minor, was found to have committed, or pled
20  guilty or nolo contendere to committing, such an offense as a
21  delinquent act, without regard to whether adjudication was
22  withheld.
23         (b)  Remits a $75 processing fee to the department for
24  placement in the Department of Law Enforcement Operating Trust
25  Fund, unless such fee is waived by the executive director.
26         (c)  Has submitted to the department a certified copy
27  of the disposition of the charge to which the petition to
28  expunge pertains.
29         (d)  Has never, prior to the date on which the
30  application for a certificate of eligibility is filed, been
31  adjudicated guilty of a criminal offense or comparable
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 1  ordinance violation or adjudicated delinquent for committing a
 2  felony or a misdemeanor specified in s. 943.051(3)(b).
 3         (e)  Has not been adjudicated guilty of, or adjudicated
 4  delinquent for committing, any of the acts stemming from the
 5  arrest or alleged criminal activity to which the petition to
 6  expunge pertains.
 7         (f)  Has never secured a prior sealing or expunction of
 8  a criminal history record under this section, former s.
 9  893.14, former s. 901.33, or former s. 943.058.
10         (g)  Is no longer under court supervision applicable to
11  the disposition of the arrest or alleged criminal activity to
12  which the petition to expunge pertains.
13         (h)  Is not required to wait a minimum of 10 years
14  prior to being eligible for an expunction of such records
15  because all charges related to the arrest or criminal activity
16  to which the petition to expunge pertains were dismissed prior
17  to trial, adjudication, or the withholding of adjudication.
18  Otherwise, such criminal history record must be sealed under
19  this section, former s. 893.14, former s. 901.33, or former s.
20  943.058 for at least 10 years before such record is eligible
21  for expunction.
22         (3)  PROCESSING OF A PETITION OR ORDER TO EXPUNGE.--
23         (a)  In judicial proceedings under this section, a copy
24  of the completed petition to expunge shall be served upon the
25  appropriate state attorney or the statewide prosecutor and
26  upon the arresting agency; however, it is not necessary to
27  make any agency other than the state a party. The appropriate
28  state attorney or the statewide prosecutor and the arresting
29  agency may respond to the court regarding the completed
30  petition to expunge.
31  
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 1         (b)  If relief is granted by the court, the clerk of
 2  the court shall certify copies of the order to the appropriate
 3  state attorney or the statewide prosecutor and the arresting
 4  agency. The arresting agency is responsible for forwarding the
 5  order to any other agency to which the arresting agency
 6  disseminated the criminal history record information to which
 7  the order pertains. The department shall forward the order to
 8  expunge to the Federal Bureau of Investigation. The clerk of
 9  the court shall certify a copy of the order to any other
10  agency which the records of the court reflect has received the
11  criminal history record from the court.
12         (c)  For an order to expunge entered by a court prior
13  to July 1, 1992, the department shall notify the appropriate
14  state attorney or statewide prosecutor of an order to expunge
15  which is contrary to law because the person who is the subject
16  of the record has previously been convicted of a crime or
17  comparable ordinance violation or has had a prior criminal
18  history record sealed or expunged. Upon receipt of such
19  notice, the appropriate state attorney or statewide prosecutor
20  shall take action, within 60 days, to correct the record and
21  petition the court to void the order to expunge. The
22  department shall seal the record until such time as the order
23  is voided by the court.
24         (d)  On or after July 1, 1992, the department or any
25  other criminal justice agency is not required to act on an
26  order to expunge entered by a court when such order does not
27  comply with the requirements of this section. Upon receipt of
28  such an order, the department must notify the issuing court,
29  the appropriate state attorney or statewide prosecutor, the
30  petitioner or the petitioner's attorney, and the arresting
31  agency of the reason for noncompliance. The appropriate state
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 1  attorney or statewide prosecutor shall take action within 60
 2  days to correct the record and petition the court to void the
 3  order. No cause of action, including contempt of court, shall
 4  arise against any criminal justice agency for failure to
 5  comply with an order to expunge when the petitioner for such
 6  order failed to obtain the certificate of eligibility as
 7  required by this section or such order does not otherwise
 8  comply with the requirements of this section.
 9         (4)  EFFECT OF CRIMINAL HISTORY RECORD EXPUNCTION.--Any
10  criminal history record of a minor or an adult which is
11  ordered expunged by a court of competent jurisdiction pursuant
12  to this section must be physically destroyed or obliterated by
13  any criminal justice agency having custody of such record;
14  except that any criminal history record in the custody of the
15  department must be retained in all cases. A criminal history
16  record ordered expunged that is retained by the department is
17  confidential and exempt from the provisions of s. 119.07(1)
18  and s. 24(a), Art. I of the State Constitution and not
19  available to any person or entity except upon order of a court
20  of competent jurisdiction. A criminal justice agency may
21  retain a notation indicating compliance with an order to
22  expunge.
23         (a)  The person who is the subject of a criminal
24  history record that is expunged under this section or under
25  other provisions of law, including former s. 893.14, former s.
26  901.33, and former s. 943.058, may lawfully deny or fail to
27  acknowledge the arrests covered by the expunged record, except
28  when the subject of the record:
29         1.  Is a candidate for employment with a criminal
30  justice agency;
31         2.  Is a defendant in a criminal prosecution;
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 1         3.  Concurrently or subsequently petitions for relief
 2  under this section or s. 943.059;
 3         4.  Is a candidate for admission to The Florida Bar;
 4         5.  Is seeking to be employed or licensed by or to
 5  contract with the Department of Children and Family Services
 6  or the Department of Juvenile Justice or to be employed or
 7  used by such contractor or licensee in a sensitive position
 8  having direct contact with children, the developmentally
 9  disabled, the aged, or the elderly as provided in s.
10  110.1127(3), s. 393.063 s. 393.063(15), s. 394.4572(1), s.
11  397.451, s. 402.302(3), s. 402.313(3), s. 409.175(2)(i), s.
12  415.102(4), s. 916.106(10) and (13), s. 985.407, or chapter
13  400; or
14         6.  Is seeking to be employed or licensed by the Office
15  of Teacher Education, Certification, Staff Development, and
16  Professional Practices of the Department of Education, any
17  district school board, or any local governmental entity that
18  licenses child care facilities.
19         (b)  Subject to the exceptions in paragraph (a), a
20  person who has been granted an expunction under this section,
21  former s. 893.14, former s. 901.33, or former s. 943.058 may
22  not be held under any provision of law of this state to commit
23  perjury or to be otherwise liable for giving a false statement
24  by reason of such person's failure to recite or acknowledge an
25  expunged criminal history record.
26         (c)  Information relating to the existence of an
27  expunged criminal history record which is provided in
28  accordance with paragraph (a) is confidential and exempt from
29  the provisions of s. 119.07(1) and s. 24(a), Art. I of the
30  State Constitution, except that the department shall disclose
31  the existence of a criminal history record ordered expunged to
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 1  the entities set forth in subparagraphs (a)1., 4., 5., and 6.
 2  for their respective licensing and employment purposes, and to
 3  criminal justice agencies for their respective criminal
 4  justice purposes. It is unlawful for any employee of an entity
 5  set forth in subparagraph (a)1., subparagraph (a)4.,
 6  subparagraph (a)5., or subparagraph (a)6. to disclose
 7  information relating to the existence of an expunged criminal
 8  history record of a person seeking employment or licensure
 9  with such entity or contractor, except to the person to whom
10  the criminal history record relates or to persons having
11  direct responsibility for employment or licensure decisions.
12  Any person who violates this paragraph commits a misdemeanor
13  of the first degree, punishable as provided in s. 775.082 or
14  s. 775.083.
15         (5)  STATUTORY REFERENCES.--Any reference to any other
16  chapter, section, or subdivision of the Florida Statutes in
17  this section constitutes a general reference under the
18  doctrine of incorporation by reference.
19         Section 50.  Section 943.059, Florida Statutes, is
20  amended to read:
21         943.059  Court-ordered sealing of criminal history
22  records.--The courts of this state shall continue to have
23  jurisdiction over their own procedures, including the
24  maintenance, sealing, and correction of judicial records
25  containing criminal history information to the extent such
26  procedures are not inconsistent with the conditions,
27  responsibilities, and duties established by this section. Any
28  court of competent jurisdiction may order a criminal justice
29  agency to seal the criminal history record of a minor or an
30  adult who complies with the requirements of this section. The
31  court shall not order a criminal justice agency to seal a
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 1  criminal history record until the person seeking to seal a
 2  criminal history record has applied for and received a
 3  certificate of eligibility for sealing pursuant to subsection
 4  (2). A criminal history record that relates to a violation of
 5  s. 393.135, s. 394.4593, s. 787.025, chapter 794, s. 796.03,
 6  s. 800.04, s. 817.034, s. 825.1025, s. 827.071, chapter 839,
 7  s. 847.0133, s. 847.0135, s. 847.0145, s. 893.135, s.
 8  916.1075, or a violation enumerated in s. 907.041 may not be
 9  sealed, without regard to whether adjudication was withheld,
10  if the defendant was found guilty of or pled guilty or nolo
11  contendere to the offense, or if the defendant, as a minor,
12  was found to have committed or pled guilty or nolo contendere
13  to committing the offense as a delinquent act. The court may
14  only order sealing of a criminal history record pertaining to
15  one arrest or one incident of alleged criminal activity,
16  except as provided in this section. The court may, at its sole
17  discretion, order the sealing of a criminal history record
18  pertaining to more than one arrest if the additional arrests
19  directly relate to the original arrest. If the court intends
20  to order the sealing of records pertaining to such additional
21  arrests, such intent must be specified in the order. A
22  criminal justice agency may not seal any record pertaining to
23  such additional arrests if the order to seal does not
24  articulate the intention of the court to seal records
25  pertaining to more than one arrest. This section does not
26  prevent the court from ordering the sealing of only a portion
27  of a criminal history record pertaining to one arrest or one
28  incident of alleged criminal activity. Notwithstanding any law
29  to the contrary, a criminal justice agency may comply with
30  laws, court orders, and official requests of other
31  jurisdictions relating to sealing, correction, or confidential
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 1  handling of criminal history records or information derived
 2  therefrom. This section does not confer any right to the
 3  sealing of any criminal history record, and any request for
 4  sealing a criminal history record may be denied at the sole
 5  discretion of the court.
 6         (1)  PETITION TO SEAL A CRIMINAL HISTORY RECORD.--Each
 7  petition to a court to seal a criminal history record is
 8  complete only when accompanied by:
 9         (a)  A certificate of eligibility for sealing issued by
10  the department pursuant to subsection (2).
11         (b)  The petitioner's sworn statement attesting that
12  the petitioner:
13         1.  Has never, prior to the date on which the petition
14  is filed, been adjudicated guilty of a criminal offense or
15  comparable ordinance violation or adjudicated delinquent for
16  committing a felony or a misdemeanor specified in s.
17  943.051(3)(b).
18         2.  Has not been adjudicated guilty of or adjudicated
19  delinquent for committing any of the acts stemming from the
20  arrest or alleged criminal activity to which the petition to
21  seal pertains.
22         3.  Has never secured a prior sealing or expunction of
23  a criminal history record under this section, former s.
24  893.14, former s. 901.33, former s. 943.058, or from any
25  jurisdiction outside the state.
26         4.  Is eligible for such a sealing to the best of his
27  or her knowledge or belief and does not have any other
28  petition to seal or any petition to expunge pending before any
29  court.
30  
31  
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 1  Any person who knowingly provides false information on such
 2  sworn statement to the court commits a felony of the third
 3  degree, punishable as provided in s. 775.082, s. 775.083, or
 4  s. 775.084.
 5         (2)  CERTIFICATE OF ELIGIBILITY FOR SEALING.--Prior to
 6  petitioning the court to seal a criminal history record, a
 7  person seeking to seal a criminal history record shall apply
 8  to the department for a certificate of eligibility for
 9  sealing. The department shall, by rule adopted pursuant to
10  chapter 120, establish procedures pertaining to the
11  application for and issuance of certificates of eligibility
12  for sealing. The department shall issue a certificate of
13  eligibility for sealing to a person who is the subject of a
14  criminal history record provided that such person:
15         (a)  Has submitted to the department a certified copy
16  of the disposition of the charge to which the petition to seal
17  pertains.
18         (b)  Remits a $75 processing fee to the department for
19  placement in the Department of Law Enforcement Operating Trust
20  Fund, unless such fee is waived by the executive director.
21         (c)  Has never, prior to the date on which the
22  application for a certificate of eligibility is filed, been
23  adjudicated guilty of a criminal offense or comparable
24  ordinance violation or adjudicated delinquent for committing a
25  felony or a misdemeanor specified in s. 943.051(3)(b).
26         (d)  Has not been adjudicated guilty of or adjudicated
27  delinquent for committing any of the acts stemming from the
28  arrest or alleged criminal activity to which the petition to
29  seal pertains.
30  
31  
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 1         (e)  Has never secured a prior sealing or expunction of
 2  a criminal history record under this section, former s.
 3  893.14, former s. 901.33, or former s. 943.058.
 4         (f)  Is no longer under court supervision applicable to
 5  the disposition of the arrest or alleged criminal activity to
 6  which the petition to seal pertains.
 7         (3)  PROCESSING OF A PETITION OR ORDER TO SEAL.--
 8         (a)  In judicial proceedings under this section, a copy
 9  of the completed petition to seal shall be served upon the
10  appropriate state attorney or the statewide prosecutor and
11  upon the arresting agency; however, it is not necessary to
12  make any agency other than the state a party. The appropriate
13  state attorney or the statewide prosecutor and the arresting
14  agency may respond to the court regarding the completed
15  petition to seal.
16         (b)  If relief is granted by the court, the clerk of
17  the court shall certify copies of the order to the appropriate
18  state attorney or the statewide prosecutor and to the
19  arresting agency. The arresting agency is responsible for
20  forwarding the order to any other agency to which the
21  arresting agency disseminated the criminal history record
22  information to which the order pertains. The department shall
23  forward the order to seal to the Federal Bureau of
24  Investigation. The clerk of the court shall certify a copy of
25  the order to any other agency which the records of the court
26  reflect has received the criminal history record from the
27  court.
28         (c)  For an order to seal entered by a court prior to
29  July 1, 1992, the department shall notify the appropriate
30  state attorney or statewide prosecutor of any order to seal
31  which is contrary to law because the person who is the subject
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 1  of the record has previously been convicted of a crime or
 2  comparable ordinance violation or has had a prior criminal
 3  history record sealed or expunged. Upon receipt of such
 4  notice, the appropriate state attorney or statewide prosecutor
 5  shall take action, within 60 days, to correct the record and
 6  petition the court to void the order to seal. The department
 7  shall seal the record until such time as the order is voided
 8  by the court.
 9         (d)  On or after July 1, 1992, the department or any
10  other criminal justice agency is not required to act on an
11  order to seal entered by a court when such order does not
12  comply with the requirements of this section. Upon receipt of
13  such an order, the department must notify the issuing court,
14  the appropriate state attorney or statewide prosecutor, the
15  petitioner or the petitioner's attorney, and the arresting
16  agency of the reason for noncompliance. The appropriate state
17  attorney or statewide prosecutor shall take action within 60
18  days to correct the record and petition the court to void the
19  order. No cause of action, including contempt of court, shall
20  arise against any criminal justice agency for failure to
21  comply with an order to seal when the petitioner for such
22  order failed to obtain the certificate of eligibility as
23  required by this section or when such order does not comply
24  with the requirements of this section.
25         (e)  An order sealing a criminal history record
26  pursuant to this section does not require that such record be
27  surrendered to the court, and such record shall continue to be
28  maintained by the department and other criminal justice
29  agencies.
30         (4)  EFFECT OF CRIMINAL HISTORY RECORD SEALING.--A
31  criminal history record of a minor or an adult which is
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 1  ordered sealed by a court of competent jurisdiction pursuant
 2  to this section is confidential and exempt from the provisions
 3  of s. 119.07(1) and s. 24(a), Art. I of the State Constitution
 4  and is available only to the person who is the subject of the
 5  record, to the subject's attorney, to criminal justice
 6  agencies for their respective criminal justice purposes, or to
 7  those entities set forth in subparagraphs (a)1., 4., 5., and
 8  6. for their respective licensing and employment purposes.
 9         (a)  The subject of a criminal history record sealed
10  under this section or under other provisions of law, including
11  former s. 893.14, former s. 901.33, and former s. 943.058, may
12  lawfully deny or fail to acknowledge the arrests covered by
13  the sealed record, except when the subject of the record:
14         1.  Is a candidate for employment with a criminal
15  justice agency;
16         2.  Is a defendant in a criminal prosecution;
17         3.  Concurrently or subsequently petitions for relief
18  under this section or s. 943.0585;
19         4.  Is a candidate for admission to The Florida Bar;
20         5.  Is seeking to be employed or licensed by or to
21  contract with the Department of Children and Family Services
22  or the Department of Juvenile Justice or to be employed or
23  used by such contractor or licensee in a sensitive position
24  having direct contact with children, the developmentally
25  disabled, the aged, or the elderly as provided in s.
26  110.1127(3), s. 393.063 s. 393.063(15), s. 394.4572(1), s.
27  397.451, s. 402.302(3), s. 402.313(3), s. 409.175(2)(i), s.
28  415.102(4), s. 415.103, s. 916.106(10) and (13), s. 985.407,
29  or chapter 400; or
30         6.  Is seeking to be employed or licensed by the Office
31  of Teacher Education, Certification, Staff Development, and
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 1  Professional Practices of the Department of Education, any
 2  district school board, or any local governmental entity which
 3  licenses child care facilities.
 4         (b)  Subject to the exceptions in paragraph (a), a
 5  person who has been granted a sealing under this section,
 6  former s. 893.14, former s. 901.33, or former s. 943.058 may
 7  not be held under any provision of law of this state to commit
 8  perjury or to be otherwise liable for giving a false statement
 9  by reason of such person's failure to recite or acknowledge a
10  sealed criminal history record.
11         (c)  Information relating to the existence of a sealed
12  criminal record provided in accordance with the provisions of
13  paragraph (a) is confidential and exempt from the provisions
14  of s. 119.07(1) and s. 24(a), Art. I of the State
15  Constitution, except that the department shall disclose the
16  sealed criminal history record to the entities set forth in
17  subparagraphs (a)1., 4., 5., and 6. for their respective
18  licensing and employment purposes. It is unlawful for any
19  employee of an entity set forth in subparagraph (a)1.,
20  subparagraph (a)4., subparagraph (a)5., or subparagraph (a)6.
21  to disclose information relating to the existence of a sealed
22  criminal history record of a person seeking employment or
23  licensure with such entity or contractor, except to the person
24  to whom the criminal history record relates or to persons
25  having direct responsibility for employment or licensure
26  decisions. Any person who violates the provisions of this
27  paragraph commits a misdemeanor of the first degree,
28  punishable as provided in s. 775.082 or s. 775.083.
29         (5)  STATUTORY REFERENCES.--Any reference to any other
30  chapter, section, or subdivision of the Florida Statutes in
31  
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 1  this section constitutes a general reference under the
 2  doctrine of incorporation by reference.
 3         Section 51.  (1)  In the Department of Children and
 4  Family Services' Economic Self-Sufficiency Services program,
 5  the department may provide its eligibility determination
 6  functions either with department staff or through contract
 7  with at least two private vendors, or with a combination of at
 8  least one private vendor and department employees with the
 9  following restrictions:
10         (a)  With the exception of information technology, a
11  contract with a private vendor may not be for a geographic
12  area larger than a combined seven districts or combined three
13  zones without the prior approval of the Legislative Budget
14  Commission; and
15         (b)  Department employees must provide the functions in
16  at least one area of the state if their proposed cost is
17  competitive with private vendors.
18         (2)  This section shall take effect upon this act
19  becoming a law.
20         Section 52.  Except as otherwise expressly provided in
21  this act, this act shall take effect July 1, 2004.
22  
23  
24  
25  
26  
27  
28  
29  
30  
31  
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 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                            CS SB 1280
 3                                 
 4  
    -    Creates the domestic violence program office within the
 5       Department of Children and Family Services.
 6  -    Makes it a crime for an employee of the department, the
         Agency for Persons with Disabilities, or the Agency for
 7       Healthcare Administration to engage in sexual misconduct
         with a client or patient.
 8  
    -    Requires employees to report sexual misconduct. If an
 9       employee fails to make a report, prevents another person
         from doing so, or knowingly submits an inaccurate,
10       incomplete, or untruthful report, the employee will be
         guilty of a first degree misdemeanor. A person who
11       threatens or coerces another person to alter testimony or
         a written report will be guilty of a third degree felony.
12  
    -    A defendant will be prohibited from using consent as a
13       defense for the charge of sexual misconduct.
14  -    Sexual misconduct is added to the list of offenses
         prohibiting employment if identified through a Level 1 or
15       2 background screening. The sealing or the expunction of
         criminal records when sexual misconduct has been
16       committed is prohibited.  Provisions and penalties in
         this bill are in addition to other civil, administrative,
17       or criminal sanctions.
18  -    Authorizes the department to provide eligibility
         determination functions with either department staff or
19       through a contractual agreement with private vendors with
         certain restrictions.
20  
21  
22  
23  
24  
25  
26  
27  
28  
29  
30  
31  
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