| 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. |