1 | A bill to be entitled |
2 | An act relating to alcohol abuse by an expectant mother; |
3 | providing a short title; creating the "Fetal Alcohol |
4 | Syndrome Prevention Act"; providing legislative findings; |
5 | directing the Department of Health to develop a public |
6 | education program, including a telephone information |
7 | hotline, to provide information regarding Fetal Alcohol |
8 | Syndrome; directing the Department of Health in |
9 | conjunction with the Department of Children and Families |
10 | to develop and maintain a Fetal Alcohol Syndrome |
11 | Prevention Network consisting of service providers and |
12 | Fetal Alcohol Spectrum Disorders Diagnostic and |
13 | Intervention Centers; requiring establishment of a system |
14 | for assessing charges for certain services; requiring the |
15 | Department of Health, the Department of Children and |
16 | Families, and the Division of Alcoholic Beverages and |
17 | Tobacco of the Department of Business and Professional |
18 | Regulation to provide access to such information on their |
19 | respective Internet websites; creating s. 397.602, F.S.; |
20 | providing for the voluntary admission of an expectant |
21 | mother for alcohol abuse treatment services; providing |
22 | evaluation procedures; removing disability of minority |
23 | solely for voluntary admission; amending s. 397.675, F.S.; |
24 | providing criteria for involuntary admission of an |
25 | expectant mother, including protective custody, emergency |
26 | admission, and other involuntary assessment, involuntary |
27 | treatment, and alternative involuntary assessment for |
28 | minors for purposes of assessment and stabilization and |
29 | for involuntary treatment; amending s. 397.6772, F.S.; |
30 | providing that an expectant mother may not be detained in |
31 | protective custody at any municipal or county jail for |
32 | purposes of Fetal Alcohol Syndrome prevention; amending s. |
33 | 397.6791, F.S.; specifying certain persons who may request |
34 | emergency involuntary admission; amending s. 397.6793, |
35 | F.S.; providing criteria for a physician's certificate for |
36 | emergency admission; amending s. 397.681, F.S.; providing |
37 | for jurisdiction over petitions for involuntary |
38 | assessment, stabilization, and treatment; specifying the |
39 | respondent's right to counsel; amending s. 397.6811, F.S.; |
40 | specifying certain persons who may petition the court for |
41 | involuntary assessment and stabilization; amending s. |
42 | 397.6814, F.S.; providing for content of a petition for |
43 | involuntary assessment and stabilization; amending s. |
44 | 397.6815, F.S.; providing procedures for disposition of a |
45 | petition for involuntary assessment and stabilization; |
46 | amending s. 397.695, F.S.; specifying certain persons who |
47 | may petition the court for involuntary treatment; amending |
48 | s. 397.6951, F.S.; providing for content of a petition for |
49 | involuntary treatment; amending s. 397.6955, F.S.; |
50 | providing procedures for disposition of a petition for |
51 | involuntary treatment; amending s. 397.6957, F.S.; |
52 | providing for a hearing on a petition for involuntary |
53 | treatment; amending s. 397.697, F.S.; providing for effect |
54 | of court order for involuntary substance abuse treatment; |
55 | creating s. 562.063, F.S.; requiring described health |
56 | warning signs to be displayed on the premises of alcohol |
57 | beverage vendors; providing penalties; requiring the |
58 | Division of Alcoholic Beverages and Tobacco of the |
59 | Department of Business and Professional Regulation to |
60 | produce and distribute the signs; providing for a fee and |
61 | collection of the fee for costs of the signs; directing |
62 | the Department of Health to contract with the Florida |
63 | Center for Child and Family Development to establish Fetal |
64 | Alcohol Spectrum Disorders Diagnostic and Intervention |
65 | Centers and to develop and provide professional training; |
66 | providing effective dates. |
67 |
|
68 | WHEREAS, the Centers for Disease Control and Prevention has |
69 | reported a rise of nearly 27 times in the rate of Fetal Alcohol |
70 | Syndrome (F.A.S.), with the current rate being 26.8 infants with |
71 | Fetal Alcohol Syndrome for every 10,000 births and each F.A.S. |
72 | infant representing a cost to society of more than $4 million |
73 | over the course of the infant's lifetime, and |
74 | WHEREAS, Fetal Alcohol Syndrome is the leading cause of |
75 | mental retardation in the United States, and |
76 | WHEREAS, the full spectrum of birth defects caused by |
77 | alcohol, referred to as Fetal Alcohol Spectrum Disorders, |
78 | results in as many as 270 infants with Fetal Alcohol Spectrum |
79 | Disorders for every 10,000 births, and |
80 | WHEREAS, according to the National Institute of Health, |
81 | only 39 percent of women of childbearing age know about Fetal |
82 | Alcohol Syndrome, and |
83 | WHEREAS, according to the 1996 Report to Congress of the |
84 | Institute of Medicine, of all the substances of abuse, including |
85 | heroin, cocaine, and marijuana, alcohol produces by far the most |
86 | serious neurobehavioral effects in the fetus, resulting in |
87 | permanent disorders of memory function, impulse control, and |
88 | judgment, and |
89 | WHEREAS, there are no health warnings in television |
90 | commercials and other alcohol advertising that impact the |
91 | majority of young people and their parents, and |
92 | WHEREAS, the Legislature, in recognition of these facts, |
93 | finds it necessary to require the immediate treatment of |
94 | pregnant women found to be under the influence of alcohol and to |
95 | further require the posting of health warning signs on the |
96 | premises of package alcoholic beverage outlets in the state, |
97 | NOW, THEREFORE, |
98 |
|
99 | Be It Enacted by the Legislature of the State of Florida: |
100 |
|
101 | Section 1. This act may be referred to as the "Fetal |
102 | Alcohol Syndrome Prevention Act." |
103 | Section 2. Fetal Alcohol Syndrome; legislative findings.-- |
104 | (1) The Legislature finds that Fetal Alcohol Syndrome is a |
105 | serious, permanent, and life-altering condition that |
106 | substantially and adversely impacts persons born with Fetal |
107 | Alcohol Syndrome as well as their parents, siblings, and |
108 | children. |
109 | (2) The Legislature also finds that Fetal Alcohol Syndrome |
110 | is an extremely costly condition when the total amount of |
111 | medical, psychiatric, respite, and other care is calculated over |
112 | the course of an affected person's lifetime. |
113 | (3) The Legislature finds that instances of Fetal Alcohol |
114 | Syndrome can be prevented or reduced by taking steps necessary |
115 | to the greatest extent possible to protect a developing fetus |
116 | from the detrimental effects of alcohol consumption by an |
117 | expectant mother. |
118 | Section 3. Public information on Fetal Alcohol Syndrome; |
119 | Fetal Alcohol Syndrome Prevention Network.-- |
120 | (1) The Department of Health is directed to develop a |
121 | public education program to provide information to the public |
122 | regarding the detrimental effects of Fetal Alcohol Syndrome. The |
123 | information shall include the following information regarding |
124 | Fetal Alcohol Syndrome: |
125 | (a) That Fetal Alcohol Syndrome is the leading cause of |
126 | mental retardation in the United States and Florida. |
127 | (b) The neurological damage and symptoms of Fetal Alcohol |
128 | Syndrome. |
129 | (c) The permanency of the damage to the brain from Fetal |
130 | Alcohol Syndrome. |
131 | (d) The physiological characteristics and defects of Fetal |
132 | Alcohol 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 |
136 | as difficulty maintaining successful independence, sustaining |
137 | healthy relationships, maintaining employment, and the need for |
138 | long-term support. |
139 | (h) The economic impact to the affected person, his or her |
140 | family, and the people of Florida as a whole due to Fetal |
141 | Alcohol Syndrome. |
142 | (2) The Department of Health, in conjunction with the |
143 | Department of Children and Families, shall develop, establish, |
144 | and maintain a Fetal Alcohol Syndrome Prevention Network, which |
145 | shall consist of licensed service providers as defined in s. |
146 | 397.311, Florida Statutes, and Fetal Alcohol Spectrum Disorders |
147 | Diagnostic and Intervention Centers that have agreed to |
148 | participate in providing counseling, education, and support to |
149 | pregnant women regarding the effects of prenatal exposure to |
150 | alcohol. The Department of Health shall also establish a |
151 | telephone information hotline for persons to call to obtain |
152 | information regarding Fetal Alcohol Syndrome, local licensed |
153 | service providers participating in the network, or the nearest |
154 | Fetal Alcohol Spectrum Disorders Diagnostic and Intervention |
155 | Center participating in the network. |
156 | (3) Licensed service providers and Fetal Alcohol Spectrum |
157 | Disorders Diagnostic and Intervention Centers participating in |
158 | the Fetal Alcohol Syndrome Prevention Network shall establish a |
159 | system for assessing charges for services rendered pursuant to |
160 | statutorily authorized involuntary or court-ordered services in |
161 | accordance with a client's ability to pay used by providers that |
162 | receive state funds. |
163 | (4) The Department of Health, the Department of Children |
164 | and Families, and the Division of Alcoholic Beverages and |
165 | Tobacco of the Department of Business and Professional |
166 | Regulation shall provide access to the public information |
167 | developed pursuant to subsection (1) on their respective |
168 | Internet websites. |
169 | Section 4. Section 397.602, Florida Statutes, is created |
170 | to read: |
171 | 397.602 Voluntary admission for Fetal Alcohol Syndrome |
172 | prevention.-- |
173 | (1) An expectant mother who requests an evaluation for the |
174 | necessity of counseling or treatment services to minimize the |
175 | risk of alcohol exposure to her unborn child may obtain such |
176 | evaluation at any licensed service provider or Fetal Alcohol |
177 | Spectrum Disorders Diagnostic and Intervention Center |
178 | participating in the Fetal Alcohol Syndrome Prevention Network. |
179 | The service provider's evaluation must recommend the least |
180 | restrictive course of action, plan, or service reasonably |
181 | necessary to remove or minimize the risk of alcohol exposure to |
182 | the unborn child that is appropriate to meet the expectant |
183 | mother's needs. |
184 | (2)(a) The disability of minority for expectant mothers |
185 | who have not attained 18 years of age is removed solely for the |
186 | purpose of obtaining voluntary alcohol or substance abuse |
187 | treatment services from a licensed service provider, and consent |
188 | to such services by a minor has the same force and effect as if |
189 | executed by a client who has reached the age of majority. Such |
190 | consent is not subject to later disaffirmance based on minority. |
191 | (b) Except for purposes of law enforcement activities in |
192 | connection with protective custody, the disability of minority |
193 | is not removed if there is an involuntary admission for alcohol |
194 | or substance abuse treatment services, in which case parental |
195 | participation may be required as the court finds appropriate. |
196 | Section 5. Section 397.675, Florida Statutes, is amended |
197 | to read: |
198 | 397.675 Criteria for involuntary admissions, including |
199 | protective custody, emergency admission, and other involuntary |
200 | assessment, involuntary treatment, and alternative involuntary |
201 | assessment for minors, for purposes of assessment and |
202 | stabilization, and for involuntary treatment.-- |
203 | (1) A person meets the criteria for involuntary admission |
204 | if there is good faith reason to believe the person is substance |
205 | abuse impaired and, because of such impairment,: |
206 | (1) has lost the power of self-control with respect to |
207 | substance use; and either |
208 | (2)(a) Has inflicted, or threatened or attempted to |
209 | inflict, or unless admitted is likely to inflict, physical harm |
210 | on himself or herself or another; or |
211 | (b) Is in need of substance abuse services and, by reason |
212 | of substance abuse impairment, his or her judgment has been so |
213 | impaired that the person is incapable of appreciating his or her |
214 | need for such services and of making a rational decision in |
215 | regard thereto; however, mere refusal to receive such services |
216 | does not constitute evidence of lack of judgment with respect to |
217 | his or her need for such services. |
218 | (2)(a) A person also may meet the criteria for involuntary |
219 | admission if the court finds that the person is an expectant |
220 | mother who, while knowing she is pregnant, has continued to |
221 | consume alcoholic beverages to such a degree that there is a |
222 | reasonable possibility that the unborn child, when born, may be |
223 | diagnosed with Fetal Alcohol Syndrome unless the expectant |
224 | mother ceases the consumption of alcoholic beverages and that |
225 | there is good cause to believe she will continue to consume |
226 | alcoholic beverages if not involuntarily admitted to a treatment |
227 | facility. Sections 397.501 and 397.581 apply to persons meeting |
228 | the criteria for involuntary admission under this subsection. |
229 | For persons involuntarily admitted under this subsection, only |
230 | licensed service providers, as defined in s. 397.311, that have |
231 | agreed to participate in providing counseling, detoxification, |
232 | residential treatment, or any other licensable service component |
233 | listed in s. 397.311(18) to expectant mothers shall be used for |
234 | purposes of involuntary admission. |
235 | (b) In determining whether an expectant mother meets the |
236 | criteria for involuntary admission under paragraph (a), a court |
237 | may consider the following facts in support of its findings: |
238 | 1. Whether the expectant mother was notified of the |
239 | effects of Fetal Alcohol Syndrome and was counseled against the |
240 | consumption of alcoholic beverages. |
241 | 2. Whether after being warned against the consumption of |
242 | alcoholic beverages she continued to consume alcoholic |
243 | beverages. |
244 | 3. Whether the expectant mother has been offered and |
245 | refused alcohol or substance abuse treatment or, if enrolled in |
246 | alcohol or substance abuse treatment, failed to make a good |
247 | faith effort to participate in the treatment program. |
248 | 4. Whether the expectant mother exhibits a lack of self- |
249 | control in the consumption of alcoholic beverages. |
250 | 5. The quantity and frequency of alcoholic beverage |
251 | consumption by the expectant mother. |
252 | 6. Whether the expectant mother has been recommended for |
253 | alcohol or substance abuse treatment prior to or during her |
254 | pregnancy by her physician, spouse, or any relative or friend. |
255 | 7. Medical expert testimony concerning the estimated |
256 | alcohol-related risk to the health of the unborn child based on |
257 | the expectant mother's continued consumption of alcoholic |
258 | beverages. |
259 | 8. Any other evidence the court considers relevant to |
260 | determining whether the expectant mother's involuntary admission |
261 | is necessary to prevent the continued consumption of alcoholic |
262 | beverages by the expectant mother and that, absent such |
263 | intervention, there exists a reasonable possibility that the |
264 | unborn child, when born, may be diagnosed with Fetal Alcohol |
265 | Syndrome. |
266 | Section 6. Subsection (1) of section 397.6772, Florida |
267 | Statutes, is amended to read: |
268 | 397.6772 Protective custody without consent.-- |
269 | (1) If a person in circumstances which justify protective |
270 | custody as described in s. 397.677 fails or refuses to consent |
271 | to assistance and a law enforcement officer has determined that |
272 | a hospital or a licensed detoxification or addictions receiving |
273 | facility is the most appropriate place for the person, the |
274 | officer may, after giving due consideration to the expressed |
275 | wishes of the person: |
276 | (a) Take the person to a hospital or to a licensed |
277 | detoxification or addictions receiving facility against the |
278 | person's will but without using unreasonable force; or |
279 | (b) In the case of an adult, detain the person for his or |
280 | her own protection in any municipal or county jail or other |
281 | appropriate detention facility, except an expectant mother may |
282 | not be detained at any municipal or county jail for purposes of |
283 | Fetal Alcohol Syndrome prevention. |
284 |
|
285 | Such detention is not to be considered an arrest for any |
286 | purpose, and no entry or other record may be made to indicate |
287 | that the person has been detained or charged with any crime. The |
288 | officer in charge of the detention facility must notify the |
289 | nearest appropriate licensed service provider within the first 8 |
290 | hours after detention that the person has been detained. It is |
291 | the duty of the detention facility to arrange, as necessary, for |
292 | transportation of the person to an appropriate licensed service |
293 | provider with an available bed. Persons taken into protective |
294 | custody must be assessed by the attending physician within the |
295 | 72-hour period and without unnecessary delay, to determine the |
296 | need for further services. |
297 | Section 7. Section 397.6791, Florida Statutes, is amended |
298 | to read: |
299 | 397.6791 Emergency admission; persons who may |
300 | initiate.--The following persons may request an emergency |
301 | admission: |
302 | (1) In the case of an adult, the certifying physician, the |
303 | person's spouse or guardian, any relative of the person, or any |
304 | other responsible adult who has personal knowledge of the |
305 | person's substance abuse impairment. |
306 | (2) In the case of an adult expectant mother consuming |
307 | alcoholic beverages so as to place her unborn child at risk of |
308 | Fetal Alcohol Syndrome, the certifying physician joined by the |
309 | expectant mother's spouse, parent or guardian, or sibling, |
310 | provided the certifying physician and other person joining in |
311 | the request sign an affidavit stating that such emergency |
312 | admission is necessary to avert a substantial alcohol-related |
313 | risk to the health of the unborn child and that the expectant |
314 | mother has been offered and refused alcohol or other substance |
315 | abuse treatment services. |
316 | (3)(2) In the case of a minor, including any unemancipated |
317 | minor who is an expectant mother, the minor's parent, legal |
318 | guardian, or legal custodian. |
319 | Section 8. Section 397.6793, Florida Statutes, is amended |
320 | to read: |
321 | 397.6793 Physician's certificate for emergency |
322 | admission.-- |
323 | (1) The physician's certificate must include the name of |
324 | the person to be admitted, the relationship between the person |
325 | and the physician, the relationship between the applicant and |
326 | the physician, any relationship between the physician and the |
327 | licensed service provider, and a statement that the person has |
328 | been examined and assessed within 5 days of the application |
329 | date, and must include factual allegations with respect to the |
330 | need for emergency admission, including: |
331 | (a) The reason for the physician's belief that the person |
332 | is substance abuse impaired; and |
333 | (b) The reason for the physician's belief that because of |
334 | such impairment the person has lost the power of self-control |
335 | with respect to substance abuse; and either |
336 | (c)1. The reason the physician believes that the person |
337 | has inflicted or is likely to inflict physical harm on himself |
338 | or herself or others unless admitted; or |
339 | 2. The reason the physician believes that the person's |
340 | refusal to voluntarily receive care is based on judgment so |
341 | impaired by reason of substance abuse that the person is |
342 | incapable of appreciating his or her need for care and of making |
343 | a rational decision regarding his or her need for care. |
344 | (2) When the emergency admission is for an expectant |
345 | mother consuming alcoholic beverages so as to place her unborn |
346 | child at risk of Fetal Alcohol Syndrome, the physician's |
347 | certificate must include the name of the person to be admitted, |
348 | the relationship between the person and the physician, the |
349 | relationship between the applicant and the physician, any |
350 | relationship between the physician and the licensed service |
351 | provider, a statement that the person has been examined and |
352 | assessed within 5 days of the application date, and a statement |
353 | of facts based on the expectant mother's consumption of |
354 | alcoholic beverages that indicates the need for emergency |
355 | admission to avert or reduce a substantial alcohol-related risk |
356 | to the health of the unborn child, that the expectant mother has |
357 | been counseled against the consumption of alcoholic beverages |
358 | during pregnancy, and that she has been offered and refused |
359 | alcohol or other substance abuse treatment services. |
360 | (3)(2) The physician's certificate must recommend the |
361 | least restrictive type of service that is appropriate for the |
362 | person. The certificate must be signed by the physician. |
363 | (4)(3) A signed copy of the physician's certificate shall |
364 | accompany the person, and shall be made a part of the person's |
365 | clinical record, together with a signed copy of the application. |
366 | The application and physician's certificate authorize the |
367 | involuntary admission of the person pursuant to, and subject to |
368 | the provisions of ss. 397.679-397.6797. |
369 | (5)(4) The physician's certificate must indicate whether |
370 | the person requires transportation assistance for delivery for |
371 | emergency admission and specify, pursuant to s. 397.6795, the |
372 | type of transportation assistance necessary. |
373 | Section 9. Section 397.681, Florida Statutes, is amended |
374 | to read: |
375 | 397.681 Involuntary petitions; general provisions; court |
376 | jurisdiction and right to counsel.-- |
377 | (1) JURISDICTION.--The courts have jurisdiction of |
378 | involuntary assessment and stabilization petitions and |
379 | involuntary treatment petitions for substance abuse impaired |
380 | persons, and for expectant mothers consuming alcoholic beverages |
381 | so as to place their unborn child at risk for Fetal Alcohol |
382 | Syndrome. such Petitions must be filed with the clerk of the |
383 | court in the county where the person is located. The chief judge |
384 | may appoint a general or special magistrate to preside over all |
385 | or part of the proceedings. The alleged impaired person is named |
386 | as the respondent. |
387 | (2) RIGHT TO COUNSEL.--A respondent has the right to |
388 | counsel at every stage of a proceeding relating to a petition |
389 | for his or her involuntary assessment and a petition for his or |
390 | her involuntary treatment authorized in this chapter for |
391 | substance abuse impairment. A respondent who desires counsel and |
392 | is unable to afford private counsel has the right to court- |
393 | appointed counsel and to the benefits of s. 57.081. If the court |
394 | believes that the respondent needs the assistance of counsel, |
395 | the court shall appoint such counsel for the respondent without |
396 | regard to the respondent's wishes. If the respondent is a minor |
397 | not otherwise represented in the proceeding, the court shall |
398 | immediately appoint a guardian ad litem to act on the minor's |
399 | behalf. |
400 | Section 10. Section 397.6811, Florida Statutes, is amended |
401 | to read: |
402 | 397.6811 Involuntary assessment and stabilization.--A |
403 | person determined by the court to appear to meet the criteria |
404 | for involuntary admission under s. 397.675 may be admitted for a |
405 | period of 5 days to a hospital or to a licensed detoxification |
406 | facility or addictions receiving facility, for involuntary |
407 | assessment and stabilization or to a less restrictive component |
408 | of a licensed service provider for assessment only upon entry of |
409 | a court order or upon receipt by the licensed service provider |
410 | of a petition. Involuntary assessment and stabilization may be |
411 | initiated by the submission of a petition to the court. |
412 | (1) If the person upon whose behalf the petition is being |
413 | filed is an adult, a petition for involuntary assessment and |
414 | stabilization may be filed by the respondent's spouse or |
415 | guardian, any relative, a private practitioner, the director of |
416 | a licensed service provider or the director's designee, or any |
417 | three adults who have personal knowledge of the respondent's |
418 | substance abuse impairment. If the person upon whose behalf the |
419 | petition is being filed is an adult expectant mother consuming |
420 | alcoholic beverages so as to place her unborn child at risk of |
421 | Fetal Alcohol Syndrome, a petition for involuntary assessment |
422 | and stabilization may be filed by the respondent's spouse, |
423 | parent or guardian, or sibling, and joined by a physician. |
424 | (2) If the person upon whose behalf the petition is being |
425 | filed is a minor, including any unemancipated minor who is an |
426 | expectant mother, a petition for involuntary assessment and |
427 | stabilization may be filed by a parent, legal guardian, legal |
428 | custodian, or licensed service provider. |
429 | Section 11. Section 397.6814, Florida Statutes, is amended |
430 | to read: |
431 | 397.6814 Involuntary assessment and stabilization; |
432 | contents of petition.-- |
433 | (1) A petition for involuntary assessment and |
434 | stabilization must contain the name of the respondent; the name |
435 | of the applicant or applicants; the relationship between the |
436 | respondent and the applicant; the name of the respondent's |
437 | attorney, if known, and a statement of the respondent's ability |
438 | to afford an attorney; and must state facts to support the need |
439 | for involuntary assessment and stabilization, including: |
440 | (a)(1) The reason for the petitioner's belief that the |
441 | respondent is substance abuse impaired; and |
442 | (b)(2) The reason for the petitioner's belief that because |
443 | of such impairment the respondent has lost the power of self- |
444 | control with respect to substance abuse; and either |
445 | (c)1.(3)(a) The reason the petitioner believes that the |
446 | respondent has inflicted or is likely to inflict physical harm |
447 | on himself or herself or others unless admitted; or |
448 | 2.(b) The reason the petitioner believes that the |
449 | respondent's refusal to voluntarily receive care is based on |
450 | judgment so impaired by reason of substance abuse that the |
451 | respondent is incapable of appreciating his or her need for care |
452 | and of making a rational decision regarding that need for care. |
453 | If the respondent has refused to submit to an assessment, such |
454 | refusal must be alleged in the petition. |
455 | (2) When a petition for involuntary assessment and |
456 | stabilization is for an expectant mother consuming alcoholic |
457 | beverages so as to place her unborn child at risk of Fetal |
458 | Alcohol Syndrome, the petition must contain the name of the |
459 | person to be assessed, the relationship between the person and |
460 | the physician, the relationship between the applicant and the |
461 | physician, any relationship between the physician and the |
462 | licensed service provider, and a statement of facts based on the |
463 | expectant mother's consumption of alcoholic beverages that |
464 | indicates the need for involuntary assessment and stabilization |
465 | to avert or reduce a substantial alcohol related risk to the |
466 | health of her unborn child, that the expectant mother has been |
467 | counseled against the consumption of alcoholic beverages during |
468 | pregnancy, and that she has been offered and refused alcohol or |
469 | other substance abuse treatment services. |
470 | Section 12. Section 397.6815, Florida Statutes, is amended |
471 | to read: |
472 | 397.6815 Involuntary assessment and stabilization; |
473 | procedure.--Upon receipt and filing of the petition for the |
474 | involuntary assessment and stabilization of a substance abuse |
475 | impaired person or an expectant mother consuming alcoholic |
476 | beverages so as to place her unborn child at risk for Fetal |
477 | Alcohol Syndrome by the clerk of the court, the court shall |
478 | ascertain whether the respondent is represented by an attorney, |
479 | and if not, whether, on the basis of the petition, an attorney |
480 | should be appointed; and shall: |
481 | (1) Provide a copy of the petition and notice of hearing |
482 | to the respondent; the respondent's parent, guardian, or legal |
483 | custodian, in the case of a minor; the respondent's attorney, if |
484 | known; the petitioner; the respondent's spouse or guardian, if |
485 | applicable; and such other persons as the court may direct, and |
486 | have such petition and notice personally delivered to the |
487 | respondent if he or she is a minor. The court shall also issue a |
488 | summons to the person whose admission is sought and conduct a |
489 | hearing within 10 days; or |
490 | (2) Without the appointment of an attorney and, relying |
491 | solely on the contents of the petition, enter an ex parte order |
492 | authorizing the involuntary assessment and stabilization of the |
493 | respondent. The court may order a law enforcement officer or |
494 | other designated agent of the court to take the respondent into |
495 | custody and deliver him or her to the nearest appropriate |
496 | licensed service provider. |
497 | Section 13. Section 397.695, Florida Statutes, is amended |
498 | to read: |
499 | 397.695 Involuntary treatment; persons who may petition.-- |
500 | (1) If the respondent is an adult, a petition for |
501 | involuntary treatment may be filed by the respondent's spouse or |
502 | guardian, any relative, a service provider, or any three adults |
503 | who have personal knowledge of the respondent's substance abuse |
504 | impairment and his or her prior course of assessment and |
505 | treatment. If the respondent on whose behalf the petition is |
506 | being filed is an adult expectant mother consuming alcoholic |
507 | beverages so as to place her unborn child at risk of Fetal |
508 | Alcohol Syndrome, a petition for involuntary treatment may be |
509 | filed by the respondent's spouse, parent or guardian, or |
510 | sibling, and joined by a physician. |
511 | (2) If the respondent is a minor, including any |
512 | unemancipated minor who is an expectant mother, a petition for |
513 | involuntary treatment may be filed by a parent, legal guardian, |
514 | or service provider. |
515 | Section 14. Section 397.6951, Florida Statutes, is amended |
516 | to read: |
517 | 397.6951 Contents of petition for involuntary treatment.-- |
518 | (1) A petition for involuntary treatment must contain the |
519 | name of the respondent to be admitted; the name of the |
520 | petitioner or petitioners; the relationship between the |
521 | respondent and the petitioner; the name of the respondent's |
522 | attorney, if known, and a statement of the petitioner's |
523 | knowledge of the respondent's ability to afford an attorney; the |
524 | findings and recommendations of the assessment performed by the |
525 | qualified professional; and the factual allegations presented by |
526 | the petitioner establishing the need for involuntary treatment, |
527 | including: |
528 | (a)(1) The reason for the petitioner's belief that the |
529 | respondent is substance abuse impaired; and |
530 | (b)(2) The reason for the petitioner's belief that because |
531 | of such impairment the respondent has lost the power of self- |
532 | control with respect to substance abuse; and either |
533 | (c)1.(3)(a) The reason the petitioner believes that the |
534 | respondent has inflicted or is likely to inflict physical harm |
535 | on himself or herself or others unless admitted; or |
536 | 2.(b) The reason the petitioner believes that the |
537 | respondent's refusal to voluntarily receive care is based on |
538 | judgment so impaired by reason of substance abuse that the |
539 | respondent is incapable of appreciating his or her need for care |
540 | and of making a rational decision regarding that need for care. |
541 | (2) When a petition for involuntary treatment is for an |
542 | expectant mother consuming alcoholic beverages so as to place |
543 | her unborn child at risk of Fetal Alcohol Syndrome, the petition |
544 | must contain the name of the person to be assessed, the |
545 | relationship between the person and the physician, the |
546 | relationship between the applicant and the physician, any |
547 | relationship between the physician and the licensed service |
548 | provider, and a statement of facts based on the expectant |
549 | mother's consumption of alcoholic beverages that indicate the |
550 | need for involuntary treatment to avert or reduce a substantial |
551 | alcohol-related risk to the health of her unborn child, that the |
552 | expectant mother has been counseled against the consumption of |
553 | alcoholic beverages during pregnancy, and that she has been |
554 | offered and refused alcohol or other substance abuse treatment |
555 | services. |
556 | Section 15. Section 397.6955, Florida Statutes, is amended |
557 | to read: |
558 | 397.6955 Duties of court upon filing of petition for |
559 | involuntary treatment.--Upon the filing of a petition for the |
560 | involuntary treatment of a substance abuse impaired person or an |
561 | expectant mother consuming alcoholic beverages so as to place |
562 | her unborn child at risk for Fetal Alcohol Syndrome with the |
563 | clerk of the court, the court shall immediately determine |
564 | whether the respondent is represented by an attorney or whether |
565 | the appointment of counsel for the respondent is appropriate. |
566 | The court shall schedule a hearing to be held on the petition |
567 | within 10 days. A copy of the petition and notice of the hearing |
568 | must be provided to the respondent; the respondent's parent, |
569 | guardian, or legal custodian, in the case of a minor; the |
570 | respondent's attorney, if known; the petitioner; the |
571 | respondent's spouse or guardian, if applicable; and such other |
572 | persons as the court may direct, and have such petition and |
573 | order personally delivered to the respondent if he or she is a |
574 | minor. The court shall also issue a summons to the person whose |
575 | admission is sought. |
576 | Section 16. Section 397.6957, Florida Statutes, is amended |
577 | to read: |
578 | 397.6957 Hearing on petition for involuntary treatment.-- |
579 | (1) At a hearing on a petition for involuntary treatment, |
580 | the court shall hear and review all relevant evidence, including |
581 | the review of results of the assessment completed by the |
582 | qualified professional in connection with the respondent's |
583 | protective custody, emergency admission, involuntary assessment, |
584 | or alternative involuntary admission. The respondent must be |
585 | present unless the court finds that his or her presence is |
586 | likely to be injurious to himself or herself or others, in which |
587 | event the court must appoint a guardian advocate to act in |
588 | behalf of the respondent throughout the proceedings. |
589 | (2) For a petition seeking treatment based on substance |
590 | abuse impairment, the petitioner has the burden of proving by |
591 | clear and convincing evidence: |
592 | (a) The respondent is substance abuse impaired, and |
593 | (b) Because of such impairment the respondent has lost the |
594 | power of self-control with respect to substance abuse; and |
595 | either |
596 | 1. The respondent has inflicted or is likely to inflict |
597 | physical harm on himself or herself or others unless admitted; |
598 | or |
599 | 2. The respondent's refusal to voluntarily receive care is |
600 | based on judgment so impaired by reason of substance abuse that |
601 | the respondent is incapable of appreciating his or her need for |
602 | care and of making a rational decision regarding that need for |
603 | care. |
604 | (3) For a petition seeking treatment of an expectant |
605 | mother consuming alcoholic beverages so as to place her unborn |
606 | child at risk for Fetal Alcohol Syndrome, the petitioner has the |
607 | burden of proving by clear and convincing evidence that the |
608 | expectant mother, while knowing she is pregnant, has continued |
609 | to consume alcoholic beverages to such a degree that there is a |
610 | reasonable possibility that the unborn child, when born, may be |
611 | diagnosed with Fetal Alcohol Syndrome unless the expectant |
612 | mother ceases the consumption of alcoholic beverages and that |
613 | there is good cause to believe she will continue to consume |
614 | alcoholic beverages if not involuntarily admitted to a treatment |
615 | facility. |
616 | (4)(3) At the conclusion of the hearing the court shall |
617 | either dismiss the petition or order the respondent to undergo |
618 | involuntary substance abuse treatment, with the respondent's |
619 | chosen licensed service provider to deliver the involuntary |
620 | substance abuse treatment where possible and appropriate. |
621 | Section 17. Section 397.697, Florida Statutes, is amended |
622 | to read: |
623 | 397.697 Court determination; effect of court order for |
624 | involuntary substance abuse treatment.-- |
625 | (1) When the court finds that the conditions for |
626 | involuntary substance abuse treatment have been proved by clear |
627 | and convincing evidence, it may order the respondent to undergo |
628 | involuntary treatment by a licensed service provider for a |
629 | period not to exceed 60 days. If the court finds it necessary, |
630 | it may direct the sheriff to take the respondent into custody |
631 | and deliver him or her to the licensed service provider |
632 | specified in the court order, or to the nearest appropriate |
633 | licensed service provider, for involuntary treatment. When the |
634 | conditions justifying involuntary treatment no longer exist, the |
635 | client must be released as provided in s. 397.6971. When the |
636 | conditions justifying involuntary treatment are expected to |
637 | exist after 60 days of treatment, a renewal of the involuntary |
638 | treatment order may be requested pursuant to s. 397.6975 prior |
639 | to the end of the 60-day period. |
640 | (2) In all cases resulting in an order for involuntary |
641 | substance abuse treatment, the court shall retain jurisdiction |
642 | over the case and the parties for the entry of such further |
643 | orders as the circumstances may require. The court's |
644 | requirements for notification of proposed release must be |
645 | included in the original treatment order. |
646 | (3) An involuntary treatment order authorizes the licensed |
647 | service provider to require the client to undergo such treatment |
648 | as will benefit him or her, including treatment at any |
649 | licensable service component of a licensed service provider. |
650 | Section 18. Effective October 1, 2007, section 562.063, |
651 | Florida Statutes, is created to read: |
652 | 562.063 Health warning signs; posting requirement; |
653 | penalty.-- |
654 | (1)(a) Each vendor licensed to sell alcoholic beverages |
655 | for consumption on or off the vendor's premises shall cause a |
656 | health warning sign that complies with the provisions of |
657 | paragraph (b) to be posted on the licensed premises where |
658 | alcoholic beverages are sold, at a location in each room where |
659 | the alcoholic beverages are available for sale, and in such a |
660 | fashion as to be clearly visible to the patrons of the licensed |
661 | vendor. |
662 | (b) Each sign required to be posted pursuant to paragraph |
663 | (a) must be posted in English, Spanish, and Creole; must be at |
664 | least 12 inches by 18 inches in size; must be laminated for |
665 | durability and neatness; and must read as follows: |
666 |
|
667 | HEALTH WARNING |
668 | ALCOHOL IN BEER, COOLERS, WINE, AND LIQUOR CAN CAUSE: |
669 | FETAL ALCOHOL SYNDROME BIRTH DEFECTS. |
670 | DO NOT DRINK DURING PREGNANCY. |
671 | DRUNK DRIVING |
672 | DO NOT DRINK BEFORE DRIVING A CAR, OPERATING A BOAT, OR |
673 | OPERATING MACHINERY. |
674 | ADDICTION |
675 | DO NOT MIX ALCOHOL WITH OTHER DRUGS, INCLUDING |
676 | PRESCRIPTION OR ILLEGAL DRUGS. |
677 | IT CAN BE FATAL. |
678 | (c) The division shall produce health warning signs that |
679 | comply with paragraph (b) and distribute the signs to the |
680 | licensed vendors operating establishments that sell alcoholic |
681 | beverages for consumption on or off the premises. The division |
682 | shall impose a fee and collect from each vendor an amount |
683 | sufficient to cover the costs of printing and delivering the |
684 | signs. |
685 | (2) A vendor of alcoholic beverages may not sell any |
686 | alcoholic beverage unless the vendor has properly posted the |
687 | health warning signs as required under subsection (1). Any |
688 | vendor who violates this subsection commits a misdemeanor of the |
689 | second degree, punishable as provided in s. 775.082 and s. |
690 | 775.083. |
691 | Section 19. The Division of Alcoholic Beverages and |
692 | Tobacco of the Department of Business and Professional |
693 | Regulation shall produce and distribute health warning signs in |
694 | compliance with s. 562.063, Florida Statutes, as created by this |
695 | act. |
696 | Section 20. Establishment of Fetal Alcohol Spectrum |
697 | Disorders Diagnostic and Intervention Centers; professional |
698 | training.--The Department of Health shall contract with the |
699 | Florida Center for Child and Family Development to establish |
700 | Fetal Alcohol Spectrum Disorders Diagnostic and Intervention |
701 | Centers and develop and provide professional training for |
702 | Healthy Families, Healthy Start, child protection, child care, |
703 | domestic violence, behavioral health care, education, and |
704 | physical health care professionals as well as any other groups |
705 | working with children or pregnant women. The Fetal Alcohol |
706 | Spectrum Disorders Diagnostic and Intervention Centers shall be |
707 | located in Sarasota, Hillsborough, Duval, and Miami-Dade |
708 | Counties and other counties to be added as need arises and funds |
709 | are sufficient for staffing. |
710 | Section 21. Except as otherwise expressly provided in this |
711 | act, this act shall take effect July 1, 2007. |