Florida Senate - 2007                      COMMITTEE AMENDMENT
    Bill No. SB 394
                        Barcode 451228
                            CHAMBER ACTION
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       03/27/2007 07:00 PM         .                    
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11  The Committee on Children, Families, and Elder Affairs
12  (Haridopolos) recommended the following amendment:
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14         Senate Amendment (with title amendment) 
15         Delete everything after the enacting clause
16  
17  and insert:  
18         Section 1.  Health and Transition Services Program;
19  creation; purposes; participating agencies and services
20  provided; evaluation.--
21         (1)  A Health and Transition Services Program is
22  created for the purpose of assisting adolescents and young
23  adults who have chronic special health care needs in making a
24  smooth transition from the child health care and educational
25  systems to the adult health care system and to employment.
26         (2)  For administrative purposes, the program is
27  located in Children's Medical Services in the Department of
28  Health. The department may enter into contracts, depending
29  upon specific appropriations, with local health and transition
30  services programs that meet the requirements of this section.
31         (3)  The target population for the program consists of
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Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. SB 394 Barcode 451228 1 persons who are 14 through 26 years of age and who have 2 chronic special health care needs. 3 (4) The program structure and design must be adapted 4 to the needs of the local community and health services 5 delivery system; however, the following elements should be in 6 place in order to ensure the success of a local health and 7 transition services program: 8 (a) A consultative partnership between adult and 9 pediatric health care providers in a major medical health care 10 organization or academic medical setting for the purpose of 11 training and transferring adolescents and young adults to 12 adult health care services. 13 (b) A primary care clinic established in a major 14 medical health care organization for the purpose of fostering 15 a partnership between adult and pediatric health care 16 providers. 17 (c) Community-based health care services that are 18 provided under agreements with major health care organizations 19 or academic medical centers for the purpose of providing 20 consultation concerning the management of special health care 21 needs. 22 (d) Community-based support organizations that can 23 provide assistance with services such as supported living and 24 employment, health insurance, and support services to maintain 25 the young adult in the community. 26 (5) The following services may be offered by the local 27 health and transition services program to individuals who are 28 served in the local health and transition services program: 29 (a) An assessment of health needs, educational and 30 vocational status and needs, and health insurance status. 31 (b) In coordination with the educational system, 2 9:55 AM 03/13/07 s0394d-cf26-tk9
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. SB 394 Barcode 451228 1 community-based organizations, and the vocational system, a 2 plan for transition which includes adult health care services, 3 education, habilitative services, independent living, adult 4 employment, and health insurance. 5 (c) A medical home that provides for coordinated and 6 multidisciplinary care and focuses on engaging adult health 7 care providers in the care and treatment of the adolescent or 8 young adults. 9 (d) Disease self-management programs. 10 (6) The local health and transition services program 11 must be directed by a medical director having experience in 12 adolescent health. A project coordinator shall assist the 13 medical director in developing and implementing the program. 14 Other staff may be included in order to provide a full range 15 of health and transition services. 16 (7) There may be up to 11 sites statewide, with the 17 Jacksonville program (JaxHATS) being the first site. Each 18 additional site must be organized in a substantially similar 19 manner as the JaxHATS program and have flexibility with regard 20 to staffing and costs in rural areas of the state. 21 (8) The local health and transition services program 22 must be evaluated by an organization or university that has 23 expertise and experience in evaluating health care programs. 24 The evaluation must be formative and cumulative and must 25 include program process and outcome measures as well as client 26 outcomes. The results of the evaluation may be used to improve 27 and develop other local health and transition services 28 programs. 29 Section 2. This act shall take effect July 1, 2007. 30 31 3 9:55 AM 03/13/07 s0394d-cf26-tk9
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. SB 394 Barcode 451228 1 ================ T I T L E A M E N D M E N T =============== 2 And the title is amended as follows: 3 Delete everything before the enacting clause 4 5 and insert: 6 A bill to be entitled 7 An act relating to transitional services for 8 young adults with disabilities; creating a 9 Health and Transition Services Program; 10 assigning the program for administrative 11 purposes to Children's Medical Services in the 12 Department of Health; providing purposes of the 13 program; delineating the target population; 14 describing participating service providers and 15 the services that they are to provide; creating 16 an operational site in a designated locality in 17 the state; providing for expansion of program 18 sites; providing for an evaluation of the 19 program; providing an effective date. 20 21 22 23 24 25 26 27 28 29 30 31 4 9:55 AM 03/13/07 s0394d-cf26-tk9