HB 1239

1
A bill to be entitled
2An act relating to alcohol abuse by an expectant mother;
3providing a short title; creating the "Fetal Alcohol
4Syndrome Prevention Act"; providing legislative findings;
5directing the Department of Health to develop a public
6education program, including a telephone information
7hotline, to provide information regarding Fetal Alcohol
8Syndrome; directing the Department of Health in
9conjunction with the Department of Children and Families
10to develop and maintain a Fetal Alcohol Syndrome
11Prevention Network consisting of service providers and
12Fetal Alcohol Spectrum Disorders Diagnostic and
13Intervention Centers; requiring establishment of a system
14for assessing charges for certain services; requiring the
15Department of Health, the Department of Children and
16Families, and the Division of Alcoholic Beverages and
17Tobacco of the Department of Business and Professional
18Regulation to provide access to such information on their
19respective Internet websites; creating s. 397.602, F.S.;
20providing for the voluntary admission of an expectant
21mother for alcohol abuse treatment services; providing
22evaluation procedures; removing disability of minority
23solely for voluntary admission; amending s. 397.675, F.S.;
24providing criteria for involuntary admission of an
25expectant mother, including protective custody, emergency
26admission, and other involuntary assessment, involuntary
27treatment, and alternative involuntary assessment for
28minors for purposes of assessment and stabilization and
29for involuntary treatment; amending s. 397.6772, F.S.;
30providing that an expectant mother may not be detained in
31protective custody at any municipal or county jail for
32purposes of Fetal Alcohol Syndrome prevention; amending s.
33397.6791, F.S.; specifying certain persons who may request
34emergency involuntary admission; amending s. 397.6793,
35F.S.; providing criteria for a physician's certificate for
36emergency admission; amending s. 397.681, F.S.; providing
37for jurisdiction over petitions for involuntary
38assessment, stabilization, and treatment; specifying the
39respondent's right to counsel; amending s. 397.6811, F.S.;
40specifying certain persons who may petition the court for
41involuntary assessment and stabilization; amending s.
42397.6814, F.S.; providing for content of a petition for
43involuntary assessment and stabilization; amending s.
44397.6815, F.S.; providing procedures for disposition of a
45petition for involuntary assessment and stabilization;
46amending s. 397.695, F.S.; specifying certain persons who
47may petition the court for involuntary treatment; amending
48s. 397.6951, F.S.; providing for content of a petition for
49involuntary treatment; amending s. 397.6955, F.S.;
50providing procedures for disposition of a petition for
51involuntary treatment; amending s. 397.6957, F.S.;
52providing for a hearing on a petition for involuntary
53treatment; amending s. 397.697, F.S.; providing for effect
54of court order for involuntary substance abuse treatment;
55creating s. 562.063, F.S.; requiring described health
56warning signs to be displayed on the premises of alcohol
57beverage vendors; providing penalties; requiring the
58Division of Alcoholic Beverages and Tobacco of the
59Department of Business and Professional Regulation to
60produce and distribute the signs; providing for a fee and
61collection of the fee for costs of the signs; directing
62the Department of Health to contract with the Florida
63Center for Child and Family Development to establish Fetal
64Alcohol Spectrum Disorders Diagnostic and Intervention
65Centers and to develop and provide professional training;
66providing effective dates.
67
68     WHEREAS, the Centers for Disease Control and Prevention has
69reported a rise of nearly 27 times in the rate of Fetal Alcohol
70Syndrome (F.A.S.), with the current rate being 26.8 infants with
71Fetal Alcohol Syndrome for every 10,000 births and each F.A.S.
72infant representing a cost to society of more than $4 million
73over the course of the infant's lifetime, and
74     WHEREAS, Fetal Alcohol Syndrome is the leading cause of
75mental retardation in the United States, and
76     WHEREAS, the full spectrum of birth defects caused by
77alcohol, referred to as Fetal Alcohol Spectrum Disorders,
78results in as many as 270 infants with Fetal Alcohol Spectrum
79Disorders for every 10,000 births, and
80     WHEREAS, according to the National Institute of Health,
81only 39 percent of women of childbearing age know about Fetal
82Alcohol Syndrome, and
83     WHEREAS, according to the 1996 Report to Congress of the
84Institute of Medicine, of all the substances of abuse, including
85heroin, cocaine, and marijuana, alcohol produces by far the most
86serious neurobehavioral effects in the fetus, resulting in
87permanent disorders of memory function, impulse control, and
88judgment, and
89     WHEREAS, there are no health warnings in television
90commercials and other alcohol advertising that impact the
91majority of young people and their parents, and
92     WHEREAS, the Legislature, in recognition of these facts,
93finds it necessary to require the immediate treatment of
94pregnant women found to be under the influence of alcohol and to
95further require the posting of health warning signs on the
96premises of package alcoholic beverage outlets in the state,
97NOW, THEREFORE,
98
99Be It Enacted by the Legislature of the State of Florida:
100
101     Section 1.  This act may be referred to as the "Fetal
102Alcohol Syndrome Prevention Act."
103     Section 2.  Fetal Alcohol Syndrome; legislative findings.--
104     (1)  The Legislature finds that Fetal Alcohol Syndrome is a
105serious, permanent, and life-altering condition that
106substantially and adversely impacts persons born with Fetal
107Alcohol Syndrome as well as their parents, siblings, and
108children.
109     (2)  The Legislature also finds that Fetal Alcohol Syndrome
110is an extremely costly condition when the total amount of
111medical, psychiatric, respite, and other care is calculated over
112the course of an affected person's lifetime.
113     (3)  The Legislature finds that instances of Fetal Alcohol
114Syndrome can be prevented or reduced by taking steps necessary
115to the greatest extent possible to protect a developing fetus
116from the detrimental effects of alcohol consumption by an
117expectant mother.
118     Section 3.  Public information on Fetal Alcohol Syndrome;
119Fetal Alcohol Syndrome Prevention Network.--
120     (1)  The Department of Health is directed to develop a
121public education program to provide information to the public
122regarding the detrimental effects of Fetal Alcohol Syndrome. The
123information shall include the following information regarding
124Fetal Alcohol Syndrome:
125     (a)  That Fetal Alcohol Syndrome is the leading cause of
126mental retardation in the United States and Florida.
127     (b)  The neurological damage and symptoms of Fetal Alcohol
128Syndrome.
129     (c)  The permanency of the damage to the brain from Fetal
130Alcohol Syndrome.
131     (d)  The physiological characteristics and defects of Fetal
132Alcohol Syndrome.
133     (e)  The developmental delays of Fetal Alcohol Syndrome.
134     (f)  The psychological impact of Fetal Alcohol Syndrome.
135     (g)  The lifetime issues due to Fetal Alcohol Syndrome such
136as difficulty maintaining successful independence, sustaining
137healthy relationships, maintaining employment, and the need for
138long-term support.
139     (h)  The economic impact to the affected person, his or her
140family, and the people of Florida as a whole due to Fetal
141Alcohol Syndrome.
142     (2)  The Department of Health, in conjunction with the
143Department of Children and Families, shall develop, establish,
144and maintain a Fetal Alcohol Syndrome Prevention Network, which
145shall consist of licensed service providers as defined in s.
146397.311, Florida Statutes, and Fetal Alcohol Spectrum Disorders
147Diagnostic and Intervention Centers that have agreed to
148participate in providing counseling, education, and support to
149pregnant women regarding the effects of prenatal exposure to
150alcohol. The Department of Health shall also establish a
151telephone information hotline for persons to call to obtain
152information regarding Fetal Alcohol Syndrome, local licensed
153service providers participating in the network, or the nearest
154Fetal Alcohol Spectrum Disorders Diagnostic and Intervention
155Center participating in the network.
156     (3)  Licensed service providers and Fetal Alcohol Spectrum
157Disorders Diagnostic and Intervention Centers participating in
158the Fetal Alcohol Syndrome Prevention Network shall establish a
159system for assessing charges for services rendered pursuant to
160statutorily authorized involuntary or court-ordered services in
161accordance with a client's ability to pay used by providers that
162receive state funds.
163     (4)  The Department of Health, the Department of Children
164and Families, and the Division of Alcoholic Beverages and
165Tobacco of the Department of Business and Professional
166Regulation shall provide access to the public information
167developed pursuant to subsection (1) on their respective
168Internet websites.
169     Section 4.  Section 397.602, Florida Statutes, is created
170to read:
171     397.602  Voluntary admission for Fetal Alcohol Syndrome
172prevention.--
173     (1)  An expectant mother who requests an evaluation for the
174necessity of counseling or treatment services to minimize the
175risk of alcohol exposure to her unborn child may obtain such
176evaluation at any licensed service provider or Fetal Alcohol
177Spectrum Disorders Diagnostic and Intervention Center
178participating in the Fetal Alcohol Syndrome Prevention Network.
179The service provider's evaluation must recommend the least
180restrictive course of action, plan, or service reasonably
181necessary to remove or minimize the risk of alcohol exposure to
182the unborn child that is appropriate to meet the expectant
183mother's needs.
184     (2)(a)  The disability of minority for expectant mothers
185who have not attained 18 years of age is removed solely for the
186purpose of obtaining voluntary alcohol or substance abuse
187treatment services from a licensed service provider, and consent
188to such services by a minor has the same force and effect as if
189executed by a client who has reached the age of majority. Such
190consent is not subject to later disaffirmance based on minority.
191     (b)  Except for purposes of law enforcement activities in
192connection with protective custody, the disability of minority
193is not removed if there is an involuntary admission for alcohol
194or substance abuse treatment services, in which case parental
195participation may be required as the court finds appropriate.
196     Section 5.  Section 397.675, Florida Statutes, is amended
197to read:
198     397.675  Criteria for involuntary admissions, including
199protective custody, emergency admission, and other involuntary
200assessment, involuntary treatment, and alternative involuntary
201assessment for minors, for purposes of assessment and
202stabilization, and for involuntary treatment.--
203     (1)  A person meets the criteria for involuntary admission
204if there is good faith reason to believe the person is substance
205abuse impaired and, because of such impairment,:
206     (1)  has lost the power of self-control with respect to
207substance use; and either
208     (2)(a)  Has inflicted, or threatened or attempted to
209inflict, or unless admitted is likely to inflict, physical harm
210on himself or herself or another; or
211     (b)  Is in need of substance abuse services and, by reason
212of substance abuse impairment, his or her judgment has been so
213impaired that the person is incapable of appreciating his or her
214need for such services and of making a rational decision in
215regard thereto; however, mere refusal to receive such services
216does not constitute evidence of lack of judgment with respect to
217his or her need for such services.
218     (2)(a)  A person also may meet the criteria for involuntary
219admission if the court finds that the person is an expectant
220mother who, while knowing she is pregnant, has continued to
221consume alcoholic beverages to such a degree that there is a
222reasonable possibility that the unborn child, when born, may be
223diagnosed with Fetal Alcohol Syndrome unless the expectant
224mother ceases the consumption of alcoholic beverages and that
225there is good cause to believe she will continue to consume
226alcoholic beverages if not involuntarily admitted to a treatment
227facility. Sections 397.501 and 397.581 apply to persons meeting
228the criteria for involuntary admission under this subsection.
229For persons involuntarily admitted under this subsection, only
230licensed service providers, as defined in s. 397.311, that have
231agreed to participate in providing counseling, detoxification,
232residential treatment, or any other licensable service component
233listed in s. 397.311(18) to expectant mothers shall be used for
234purposes of involuntary admission.
235     (b)  In determining whether an expectant mother meets the
236criteria for involuntary admission under paragraph (a), a court
237may consider the following facts in support of its findings:
238     1.  Whether the expectant mother was notified of the
239effects of Fetal Alcohol Syndrome and was counseled against the
240consumption of alcoholic beverages.
241     2.  Whether after being warned against the consumption of
242alcoholic beverages she continued to consume alcoholic
243beverages.
244     3.  Whether the expectant mother has been offered and
245refused alcohol or substance abuse treatment or, if enrolled in
246alcohol or substance abuse treatment, failed to make a good
247faith effort to participate in the treatment program.
248     4.  Whether the expectant mother exhibits a lack of self-
249control in the consumption of alcoholic beverages.
250     5.  The quantity and frequency of alcoholic beverage
251consumption by the expectant mother.
252     6.  Whether the expectant mother has been recommended for
253alcohol or substance abuse treatment prior to or during her
254pregnancy by her physician, spouse, or any relative or friend.
255     7.  Medical expert testimony concerning the estimated
256alcohol-related risk to the health of the unborn child based on
257the expectant mother's continued consumption of alcoholic
258beverages.
259     8.  Any other evidence the court considers relevant to
260determining whether the expectant mother's involuntary admission
261is necessary to prevent the continued consumption of alcoholic
262beverages by the expectant mother and that, absent such
263intervention, there exists a reasonable possibility that the
264unborn child, when born, may be diagnosed with Fetal Alcohol
265Syndrome.
266     Section 6.  Subsection (1) of section 397.6772, Florida
267Statutes, is amended to read:
268     397.6772  Protective custody without consent.--
269     (1)  If a person in circumstances which justify protective
270custody as described in s. 397.677 fails or refuses to consent
271to assistance and a law enforcement officer has determined that
272a hospital or a licensed detoxification or addictions receiving
273facility is the most appropriate place for the person, the
274officer may, after giving due consideration to the expressed
275wishes of the person:
276     (a)  Take the person to a hospital or to a licensed
277detoxification or addictions receiving facility against the
278person's will but without using unreasonable force; or
279     (b)  In the case of an adult, detain the person for his or
280her own protection in any municipal or county jail or other
281appropriate detention facility, except an expectant mother may
282not be detained at any municipal or county jail for purposes of
283Fetal Alcohol Syndrome prevention.
284
285Such detention is not to be considered an arrest for any
286purpose, and no entry or other record may be made to indicate
287that the person has been detained or charged with any crime. The
288officer in charge of the detention facility must notify the
289nearest appropriate licensed service provider within the first 8
290hours after detention that the person has been detained. It is
291the duty of the detention facility to arrange, as necessary, for
292transportation of the person to an appropriate licensed service
293provider with an available bed. Persons taken into protective
294custody must be assessed by the attending physician within the
29572-hour period and without unnecessary delay, to determine the
296need for further services.
297     Section 7.  Section 397.6791, Florida Statutes, is amended
298to read:
299     397.6791  Emergency admission; persons who may
300initiate.--The following persons may request an emergency
301admission:
302     (1)  In the case of an adult, the certifying physician, the
303person's spouse or guardian, any relative of the person, or any
304other responsible adult who has personal knowledge of the
305person's substance abuse impairment.
306     (2)  In the case of an adult expectant mother consuming
307alcoholic beverages so as to place her unborn child at risk of
308Fetal Alcohol Syndrome, the certifying physician joined by the
309expectant mother's spouse, parent or guardian, or sibling,
310provided the certifying physician and other person joining in
311the request sign an affidavit stating that such emergency
312admission is necessary to avert a substantial alcohol-related
313risk to the health of the unborn child and that the expectant
314mother has been offered and refused alcohol or other substance
315abuse treatment services.
316     (3)(2)  In the case of a minor, including any unemancipated
317minor who is an expectant mother, the minor's parent, legal
318guardian, or legal custodian.
319     Section 8.  Section 397.6793, Florida Statutes, is amended
320to read:
321     397.6793  Physician's certificate for emergency
322admission.--
323     (1)  The physician's certificate must include the name of
324the person to be admitted, the relationship between the person
325and the physician, the relationship between the applicant and
326the physician, any relationship between the physician and the
327licensed service provider, and a statement that the person has
328been examined and assessed within 5 days of the application
329date, and must include factual allegations with respect to the
330need for emergency admission, including:
331     (a)  The reason for the physician's belief that the person
332is substance abuse impaired; and
333     (b)  The reason for the physician's belief that because of
334such impairment the person has lost the power of self-control
335with respect to substance abuse; and either
336     (c)1.  The reason the physician believes that the person
337has inflicted or is likely to inflict physical harm on himself
338or herself or others unless admitted; or
339     2.  The reason the physician believes that the person's
340refusal to voluntarily receive care is based on judgment so
341impaired by reason of substance abuse that the person is
342incapable of appreciating his or her need for care and of making
343a rational decision regarding his or her need for care.
344     (2)  When the emergency admission is for an expectant
345mother consuming alcoholic beverages so as to place her unborn
346child at risk of Fetal Alcohol Syndrome, the physician's
347certificate must include the name of the person to be admitted,
348the relationship between the person and the physician, the
349relationship between the applicant and the physician, any
350relationship between the physician and the licensed service
351provider, a statement that the person has been examined and
352assessed within 5 days of the application date, and a statement
353of facts based on the expectant mother's consumption of
354alcoholic beverages that indicates the need for emergency
355admission to avert or reduce a substantial alcohol-related risk
356to the health of the unborn child, that the expectant mother has
357been counseled against the consumption of alcoholic beverages
358during pregnancy, and that she has been offered and refused
359alcohol or other substance abuse treatment services.
360     (3)(2)  The physician's certificate must recommend the
361least restrictive type of service that is appropriate for the
362person. The certificate must be signed by the physician.
363     (4)(3)  A signed copy of the physician's certificate shall
364accompany the person, and shall be made a part of the person's
365clinical record, together with a signed copy of the application.
366The application and physician's certificate authorize the
367involuntary admission of the person pursuant to, and subject to
368the provisions of ss. 397.679-397.6797.
369     (5)(4)  The physician's certificate must indicate whether
370the person requires transportation assistance for delivery for
371emergency admission and specify, pursuant to s. 397.6795, the
372type of transportation assistance necessary.
373     Section 9.  Section 397.681, Florida Statutes, is amended
374to read:
375     397.681  Involuntary petitions; general provisions; court
376jurisdiction and right to counsel.--
377     (1)  JURISDICTION.--The courts have jurisdiction of
378involuntary assessment and stabilization petitions and
379involuntary treatment petitions for substance abuse impaired
380persons, and for expectant mothers consuming alcoholic beverages
381so as to place their unborn child at risk for Fetal Alcohol
382Syndrome. such Petitions must be filed with the clerk of the
383court in the county where the person is located. The chief judge
384may appoint a general or special magistrate to preside over all
385or part of the proceedings. The alleged impaired person is named
386as the respondent.
387     (2)  RIGHT TO COUNSEL.--A respondent has the right to
388counsel at every stage of a proceeding relating to a petition
389for his or her involuntary assessment and a petition for his or
390her involuntary treatment authorized in this chapter for
391substance abuse impairment. A respondent who desires counsel and
392is unable to afford private counsel has the right to court-
393appointed counsel and to the benefits of s. 57.081. If the court
394believes that the respondent needs the assistance of counsel,
395the court shall appoint such counsel for the respondent without
396regard to the respondent's wishes. If the respondent is a minor
397not otherwise represented in the proceeding, the court shall
398immediately appoint a guardian ad litem to act on the minor's
399behalf.
400     Section 10.  Section 397.6811, Florida Statutes, is amended
401to read:
402     397.6811  Involuntary assessment and stabilization.--A
403person determined by the court to appear to meet the criteria
404for involuntary admission under s. 397.675 may be admitted for a
405period of 5 days to a hospital or to a licensed detoxification
406facility or addictions receiving facility, for involuntary
407assessment and stabilization or to a less restrictive component
408of a licensed service provider for assessment only upon entry of
409a court order or upon receipt by the licensed service provider
410of a petition. Involuntary assessment and stabilization may be
411initiated by the submission of a petition to the court.
412     (1)  If the person upon whose behalf the petition is being
413filed is an adult, a petition for involuntary assessment and
414stabilization may be filed by the respondent's spouse or
415guardian, any relative, a private practitioner, the director of
416a licensed service provider or the director's designee, or any
417three adults who have personal knowledge of the respondent's
418substance abuse impairment. If the person upon whose behalf the
419petition is being filed is an adult expectant mother consuming
420alcoholic beverages so as to place her unborn child at risk of
421Fetal Alcohol Syndrome, a petition for involuntary assessment
422and stabilization may be filed by the respondent's spouse,
423parent or guardian, or sibling, and joined by a physician.
424     (2)  If the person upon whose behalf the petition is being
425filed is a minor, including any unemancipated minor who is an
426expectant mother, a petition for involuntary assessment and
427stabilization may be filed by a parent, legal guardian, legal
428custodian, or licensed service provider.
429     Section 11.  Section 397.6814, Florida Statutes, is amended
430to read:
431     397.6814  Involuntary assessment and stabilization;
432contents of petition.--
433     (1)  A petition for involuntary assessment and
434stabilization must contain the name of the respondent; the name
435of the applicant or applicants; the relationship between the
436respondent and the applicant; the name of the respondent's
437attorney, if known, and a statement of the respondent's ability
438to afford an attorney; and must state facts to support the need
439for involuntary assessment and stabilization, including:
440     (a)(1)  The reason for the petitioner's belief that the
441respondent is substance abuse impaired; and
442     (b)(2)  The reason for the petitioner's belief that because
443of such impairment the respondent has lost the power of self-
444control with respect to substance abuse; and either
445     (c)1.(3)(a)  The reason the petitioner believes that the
446respondent has inflicted or is likely to inflict physical harm
447on himself or herself or others unless admitted; or
448     2.(b)  The reason the petitioner believes that the
449respondent's refusal to voluntarily receive care is based on
450judgment so impaired by reason of substance abuse that the
451respondent is incapable of appreciating his or her need for care
452and of making a rational decision regarding that need for care.
453If the respondent has refused to submit to an assessment, such
454refusal must be alleged in the petition.
455     (2)  When a petition for involuntary assessment and
456stabilization is for an expectant mother consuming alcoholic
457beverages so as to place her unborn child at risk of Fetal
458Alcohol Syndrome, the petition must contain the name of the
459person to be assessed, the relationship between the person and
460the physician, the relationship between the applicant and the
461physician, any relationship between the physician and the
462licensed service provider, and a statement of facts based on the
463expectant mother's consumption of alcoholic beverages that
464indicates the need for involuntary assessment and stabilization
465to avert or reduce a substantial alcohol related risk to the
466health of her unborn child, that the expectant mother has been
467counseled against the consumption of alcoholic beverages during
468pregnancy, and that she has been offered and refused alcohol or
469other substance abuse treatment services.
470     Section 12.  Section 397.6815, Florida Statutes, is amended
471to read:
472     397.6815  Involuntary assessment and stabilization;
473procedure.--Upon receipt and filing of the petition for the
474involuntary assessment and stabilization of a substance abuse
475impaired person or an expectant mother consuming alcoholic
476beverages so as to place her unborn child at risk for Fetal
477Alcohol Syndrome by the clerk of the court, the court shall
478ascertain whether the respondent is represented by an attorney,
479and if not, whether, on the basis of the petition, an attorney
480should be appointed; and shall:
481     (1)  Provide a copy of the petition and notice of hearing
482to the respondent; the respondent's parent, guardian, or legal
483custodian, in the case of a minor; the respondent's attorney, if
484known; the petitioner; the respondent's spouse or guardian, if
485applicable; and such other persons as the court may direct, and
486have such petition and notice personally delivered to the
487respondent if he or she is a minor. The court shall also issue a
488summons to the person whose admission is sought and conduct a
489hearing within 10 days; or
490     (2)  Without the appointment of an attorney and, relying
491solely on the contents of the petition, enter an ex parte order
492authorizing the involuntary assessment and stabilization of the
493respondent. The court may order a law enforcement officer or
494other designated agent of the court to take the respondent into
495custody and deliver him or her to the nearest appropriate
496licensed service provider.
497     Section 13.  Section 397.695, Florida Statutes, is amended
498to read:
499     397.695  Involuntary treatment; persons who may petition.--
500     (1)  If the respondent is an adult, a petition for
501involuntary treatment may be filed by the respondent's spouse or
502guardian, any relative, a service provider, or any three adults
503who have personal knowledge of the respondent's substance abuse
504impairment and his or her prior course of assessment and
505treatment. If the respondent on whose behalf the petition is
506being filed is an adult expectant mother consuming alcoholic
507beverages so as to place her unborn child at risk of Fetal
508Alcohol Syndrome, a petition for involuntary treatment may be
509filed by the respondent's spouse, parent or guardian, or
510sibling, and joined by a physician.
511     (2)  If the respondent is a minor, including any
512unemancipated minor who is an expectant mother, a petition for
513involuntary treatment may be filed by a parent, legal guardian,
514or service provider.
515     Section 14.  Section 397.6951, Florida Statutes, is amended
516to read:
517     397.6951  Contents of petition for involuntary treatment.--
518     (1)  A petition for involuntary treatment must contain the
519name of the respondent to be admitted; the name of the
520petitioner or petitioners; the relationship between the
521respondent and the petitioner; the name of the respondent's
522attorney, if known, and a statement of the petitioner's
523knowledge of the respondent's ability to afford an attorney; the
524findings and recommendations of the assessment performed by the
525qualified professional; and the factual allegations presented by
526the petitioner establishing the need for involuntary treatment,
527including:
528     (a)(1)  The reason for the petitioner's belief that the
529respondent is substance abuse impaired; and
530     (b)(2)  The reason for the petitioner's belief that because
531of such impairment the respondent has lost the power of self-
532control with respect to substance abuse; and either
533     (c)1.(3)(a)  The reason the petitioner believes that the
534respondent has inflicted or is likely to inflict physical harm
535on himself or herself or others unless admitted; or
536     2.(b)  The reason the petitioner believes that the
537respondent's refusal to voluntarily receive care is based on
538judgment so impaired by reason of substance abuse that the
539respondent is incapable of appreciating his or her need for care
540and of making a rational decision regarding that need for care.
541     (2)  When a petition for involuntary treatment is for an
542expectant mother consuming alcoholic beverages so as to place
543her unborn child at risk of Fetal Alcohol Syndrome, the petition
544must contain the name of the person to be assessed, the
545relationship between the person and the physician, the
546relationship between the applicant and the physician, any
547relationship between the physician and the licensed service
548provider, and a statement of facts based on the expectant
549mother's consumption of alcoholic beverages that indicate the
550need for involuntary treatment to avert or reduce a substantial
551alcohol-related risk to the health of her unborn child, that the
552expectant mother has been counseled against the consumption of
553alcoholic beverages during pregnancy, and that she has been
554offered and refused alcohol or other substance abuse treatment
555services.
556     Section 15.  Section 397.6955, Florida Statutes, is amended
557to read:
558     397.6955  Duties of court upon filing of petition for
559involuntary treatment.--Upon the filing of a petition for the
560involuntary treatment of a substance abuse impaired person or an
561expectant mother consuming alcoholic beverages so as to place
562her unborn child at risk for Fetal Alcohol Syndrome with the
563clerk of the court, the court shall immediately determine
564whether the respondent is represented by an attorney or whether
565the appointment of counsel for the respondent is appropriate.
566The court shall schedule a hearing to be held on the petition
567within 10 days. A copy of the petition and notice of the hearing
568must be provided to the respondent; the respondent's parent,
569guardian, or legal custodian, in the case of a minor; the
570respondent's attorney, if known; the petitioner; the
571respondent's spouse or guardian, if applicable; and such other
572persons as the court may direct, and have such petition and
573order personally delivered to the respondent if he or she is a
574minor. The court shall also issue a summons to the person whose
575admission is sought.
576     Section 16.  Section 397.6957, Florida Statutes, is amended
577to read:
578     397.6957  Hearing on petition for involuntary treatment.--
579     (1)  At a hearing on a petition for involuntary treatment,
580the court shall hear and review all relevant evidence, including
581the review of results of the assessment completed by the
582qualified professional in connection with the respondent's
583protective custody, emergency admission, involuntary assessment,
584or alternative involuntary admission. The respondent must be
585present unless the court finds that his or her presence is
586likely to be injurious to himself or herself or others, in which
587event the court must appoint a guardian advocate to act in
588behalf of the respondent throughout the proceedings.
589     (2)  For a petition seeking treatment based on substance
590abuse impairment, the petitioner has the burden of proving by
591clear and convincing evidence:
592     (a)  The respondent is substance abuse impaired, and
593     (b)  Because of such impairment the respondent has lost the
594power of self-control with respect to substance abuse; and
595either
596     1.  The respondent has inflicted or is likely to inflict
597physical harm on himself or herself or others unless admitted;
598or
599     2.  The respondent's refusal to voluntarily receive care is
600based on judgment so impaired by reason of substance abuse that
601the respondent is incapable of appreciating his or her need for
602care and of making a rational decision regarding that need for
603care.
604     (3)  For a petition seeking treatment of an expectant
605mother consuming alcoholic beverages so as to place her unborn
606child at risk for Fetal Alcohol Syndrome, the petitioner has the
607burden of proving by clear and convincing evidence that the
608expectant mother, while knowing she is pregnant, has continued
609to consume alcoholic beverages to such a degree that there is a
610reasonable possibility that the unborn child, when born, may be
611diagnosed with Fetal Alcohol Syndrome unless the expectant
612mother ceases the consumption of alcoholic beverages and that
613there is good cause to believe she will continue to consume
614alcoholic beverages if not involuntarily admitted to a treatment
615facility.
616     (4)(3)  At the conclusion of the hearing the court shall
617either dismiss the petition or order the respondent to undergo
618involuntary substance abuse treatment, with the respondent's
619chosen licensed service provider to deliver the involuntary
620substance abuse treatment where possible and appropriate.
621     Section 17.  Section 397.697, Florida Statutes, is amended
622to read:
623     397.697  Court determination; effect of court order for
624involuntary substance abuse treatment.--
625     (1)  When the court finds that the conditions for
626involuntary substance abuse treatment have been proved by clear
627and convincing evidence, it may order the respondent to undergo
628involuntary treatment by a licensed service provider for a
629period not to exceed 60 days. If the court finds it necessary,
630it may direct the sheriff to take the respondent into custody
631and deliver him or her to the licensed service provider
632specified in the court order, or to the nearest appropriate
633licensed service provider, for involuntary treatment. When the
634conditions justifying involuntary treatment no longer exist, the
635client must be released as provided in s. 397.6971. When the
636conditions justifying involuntary treatment are expected to
637exist after 60 days of treatment, a renewal of the involuntary
638treatment order may be requested pursuant to s. 397.6975 prior
639to the end of the 60-day period.
640     (2)  In all cases resulting in an order for involuntary
641substance abuse treatment, the court shall retain jurisdiction
642over the case and the parties for the entry of such further
643orders as the circumstances may require. The court's
644requirements for notification of proposed release must be
645included in the original treatment order.
646     (3)  An involuntary treatment order authorizes the licensed
647service provider to require the client to undergo such treatment
648as will benefit him or her, including treatment at any
649licensable service component of a licensed service provider.
650     Section 18.  Effective October 1, 2007, section 562.063,
651Florida Statutes, is created to read:
652     562.063  Health warning signs; posting requirement;
653penalty.--
654     (1)(a)  Each vendor licensed to sell alcoholic beverages
655for consumption on or off the vendor's premises shall cause a
656health warning sign that complies with the provisions of
657paragraph (b) to be posted on the licensed premises where
658alcoholic beverages are sold, at a location in each room where
659the alcoholic beverages are available for sale, and in such a
660fashion as to be clearly visible to the patrons of the licensed
661vendor.
662     (b)  Each sign required to be posted pursuant to paragraph
663(a) must be posted in English, Spanish, and Creole; must be at
664least 12 inches by 18 inches in size; must be laminated for
665durability and neatness; and must read as follows:
666
667
HEALTH WARNING
668ALCOHOL IN BEER, COOLERS, WINE, AND LIQUOR CAN CAUSE:
669  FETAL ALCOHOL SYNDROME BIRTH DEFECTS.
670DO NOT DRINK DURING PREGNANCY.
671  DRUNK DRIVING
672DO NOT DRINK BEFORE DRIVING A CAR, OPERATING A BOAT, OR
673OPERATING MACHINERY.
674  ADDICTION
675DO NOT MIX ALCOHOL WITH OTHER DRUGS, INCLUDING
676PRESCRIPTION OR ILLEGAL DRUGS.
677IT CAN BE FATAL.
678     (c)  The division shall produce health warning signs that
679comply with paragraph (b) and distribute the signs to the
680licensed vendors operating establishments that sell alcoholic
681beverages for consumption on or off the premises. The division
682shall impose a fee and collect from each vendor an amount
683sufficient to cover the costs of printing and delivering the
684signs.
685     (2)  A vendor of alcoholic beverages may not sell any
686alcoholic beverage unless the vendor has properly posted the
687health warning signs as required under subsection (1). Any
688vendor who violates this subsection commits a misdemeanor of the
689second degree, punishable as provided in s. 775.082 and s.
690775.083.
691     Section 19.  The Division of Alcoholic Beverages and
692Tobacco of the Department of Business and Professional
693Regulation shall produce and distribute health warning signs in
694compliance with s. 562.063, Florida Statutes, as created by this
695act.
696     Section 20.  Establishment of Fetal Alcohol Spectrum
697Disorders Diagnostic and Intervention Centers; professional
698training.--The Department of Health shall contract with the
699Florida Center for Child and Family Development to establish
700Fetal Alcohol Spectrum Disorders Diagnostic and Intervention
701Centers and develop and provide professional training for
702Healthy Families, Healthy Start, child protection, child care,
703domestic violence, behavioral health care, education, and
704physical health care professionals as well as any other groups
705working with children or pregnant women. The Fetal Alcohol
706Spectrum Disorders Diagnostic and Intervention Centers shall be
707located in Sarasota, Hillsborough, Duval, and Miami-Dade
708Counties and other counties to be added as need arises and funds
709are sufficient for staffing.
710     Section 21.  Except as otherwise expressly provided in this
711act, this act shall take effect July 1, 2007.


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