| 1 | A bill to be entitled |
| 2 | An act relating to the Department of Financial Services; |
| 3 | amending s. 17.04, F.S.; authorizing the Division of |
| 4 | Insurance Fraud and the Office of Fiscal Integrity to |
| 5 | conduct certain enforcement investigations; amending s. |
| 6 | 20.121, F.S.; transferring the Office of Fiscal Integrity |
| 7 | of the Division of Accounting and Auditing of the |
| 8 | Department of Financial Services to the department's |
| 9 | Division of Insurance Fraud; amending ss. 284.01 and |
| 10 | 284.36, F.S.; revising criteria for premiums charged to |
| 11 | agencies and departments for purposes of the State Risk |
| 12 | Management Trust Fund; amending s. 284.42, F.S.; revising |
| 13 | reporting requirements on the state insurance program; |
| 14 | requiring the Division of Risk Management to analyze and |
| 15 | report on certain agency return-to-work programs and |
| 16 | activities; amending s. 284.50, F.S.; requiring certain |
| 17 | agencies to establish and maintain return-to-work programs |
| 18 | for certain employees; providing program goals; providing |
| 19 | construction; requiring the Division of Risk Management to |
| 20 | evaluate agency risk management programs; requiring |
| 21 | reports; requiring agencies to respond to the division's |
| 22 | evaluation and recommendations; requiring the division to |
| 23 | submit the evaluation report to the legislative |
| 24 | appropriations committees; amending s. 440.50, F.S.; |
| 25 | providing for reversion of certain unencumbered and |
| 26 | undisbursed funds to the Workers' Compensation |
| 27 | Administration Trust Fund; providing an effective date. |
| 28 |
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| 29 | Be It Enacted by the Legislature of the State of Florida: |
| 30 |
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| 31 | Section 1. Section 17.04, Florida Statutes, is amended to |
| 32 | read: |
| 33 | 17.04 To audit and adjust accounts of officers and those |
| 34 | indebted to the state.-The Chief Financial Officer, using |
| 35 | generally accepted auditing procedures for testing or sampling, |
| 36 | shall examine, audit, adjust, and settle the accounts of all the |
| 37 | officers of this state, and any other person in anywise |
| 38 | entrusted with, or who may have received any property, funds, or |
| 39 | moneys of this state, or who may be in anywise indebted or |
| 40 | accountable to this state for any property, funds, or moneys, |
| 41 | and require such officer or persons to render full accounts |
| 42 | thereof, and to yield up such property or funds according to |
| 43 | law, or pay such moneys into the treasury of this state, or to |
| 44 | such officer or agent of the state as may be appointed to |
| 45 | receive the same, and on failure so to do, to cause to be |
| 46 | instituted and prosecuted proceedings, criminal or civil, at law |
| 47 | or in equity, against such persons, according to law. The |
| 48 | Division of Accounting and Auditing and the Office of Fiscal |
| 49 | Integrity within the Division of Insurance Fraud may conduct |
| 50 | investigations within or outside of this state as it deems |
| 51 | necessary to aid in the enforcement of this section. If during |
| 52 | an investigation either the division or the office has reason to |
| 53 | believe that any criminal statute of this state has or may have |
| 54 | been violated, such the division or the office shall refer any |
| 55 | records tending to show such violation to state or federal law |
| 56 | enforcement or prosecutorial agencies and shall provide |
| 57 | investigative assistance to those agencies as required. |
| 58 | Section 2. Paragraphs (a) and (e) of subsection (2) of |
| 59 | section 20.121, Florida Statutes, are amended to read: |
| 60 | 20.121 Department of Financial Services.-There is created |
| 61 | a Department of Financial Services. |
| 62 | (2) DIVISIONS.-The Department of Financial Services shall |
| 63 | consist of the following divisions: |
| 64 | (a) The Division of Accounting and Auditing, which shall |
| 65 | include the following bureau and office: |
| 66 | 1. the Bureau of Unclaimed Property. |
| 67 | 2. The Office of Fiscal Integrity which shall function as |
| 68 | a criminal justice agency for purposes of ss. 943.045-943.08 and |
| 69 | shall have a separate budget. The office may conduct |
| 70 | investigations within or outside this state as the bureau deems |
| 71 | necessary to aid in the enforcement of this section. If during |
| 72 | an investigation the office has reason to believe that any |
| 73 | criminal law of this state has or may have been violated, the |
| 74 | office shall refer any records tending to show such violation to |
| 75 | state or federal law enforcement or prosecutorial agencies and |
| 76 | shall provide investigative assistance to those agencies as |
| 77 | required. |
| 78 | (e) The Division of Insurance Fraud, which shall include |
| 79 | the Office of Fiscal Integrity. The office shall function as a |
| 80 | criminal justice agency for purposes of ss. 943.045-943.08 and |
| 81 | shall have a separate budget. The office may conduct |
| 82 | investigations within or outside this state as the division |
| 83 | deems necessary to aid in the enforcement of this section. If |
| 84 | during an investigation the office has reason to believe that |
| 85 | any criminal law of this state has or may have been violated, |
| 86 | the office shall refer any records tending to show such |
| 87 | violation to state or federal law enforcement or prosecutorial |
| 88 | agencies and shall provide investigative assistance to those |
| 89 | agencies as required. |
| 90 | Section 3. Subsection (5) of section 284.01, Florida |
| 91 | Statutes, is amended to read: |
| 92 | 284.01 State Risk Management Trust Fund; coverages to be |
| 93 | provided.- |
| 94 | (5) Premiums charged to agencies for coverage shall be |
| 95 | adopted promulgated on a retrospective rating arrangement based |
| 96 | upon actual losses accruing to the fund and loss prevention |
| 97 | results, taking into account reasonable expectations, |
| 98 | maintenance, and stability of the fund and cost of reinsurance. |
| 99 | Section 4. Section 284.36, Florida Statutes, is amended to |
| 100 | read: |
| 101 | 284.36 Appropriation deposits; premium payment.-Premiums |
| 102 | for coverage by the State Risk Management Trust Fund as |
| 103 | calculated on all coverages shall be billed and charged to each |
| 104 | state agency according to coverages obtained by the fund for |
| 105 | their benefit, and such obligations shall be paid promptly by |
| 106 | each agency from its operating budget upon presentation of a |
| 107 | bill therefor. After the first year of operation, premiums to be |
| 108 | charged to all departments of the state are to be computed on a |
| 109 | retrospective rating arrangement based upon actual losses |
| 110 | accruing to the fund and loss prevention results, taking into |
| 111 | account reasonable expectations, the maintenance and stability |
| 112 | of the fund, and the cost of insurance. |
| 113 | Section 5. Subsection (1) of section 284.42, Florida |
| 114 | Statutes, is amended to read: |
| 115 | 284.42 Reports on state insurance program.- |
| 116 | (1)(a) The Department of Financial Services, with the |
| 117 | Department of Management Services, shall conduct make an |
| 118 | analysis of the state insurance program each year and submit the |
| 119 | results on or before January 1 in a report to the Governor, the |
| 120 | President of the Senate, and the Speaker of the House of |
| 121 | Representatives annually, which shall include: |
| 122 | 1.(a) Complete underwriting information as to the nature |
| 123 | of the risks accepted for self-insurance and those risks that |
| 124 | are transferred to the insurance market. |
| 125 | 2.(b) The funds allocated to the Florida Casualty Risk |
| 126 | Management Trust Fund and premiums paid for insurance through |
| 127 | the market. |
| 128 | 3.(c) The method of handling legal matters and the cost |
| 129 | allocated. |
| 130 | 4.(d) The method and cost of handling inspection and |
| 131 | engineering of risks. |
| 132 | 5.(e) The cost of risk management service purchased. |
| 133 | 6.(f) The cost of managing the State Insurance Program by |
| 134 | the Department of Financial Services and the Department of |
| 135 | Management Services. |
| 136 | (b) Beginning January 1, 2012, the Division of Risk |
| 137 | Management shall include in its annual report an analysis of |
| 138 | agency return-to-work efforts, including, but not limited to, |
| 139 | agency return-to-work program performance metrics and a status |
| 140 | report on participating return-to-work programs. The report |
| 141 | shall specify benchmarks, including, but not limited to, the |
| 142 | average lost-time claims per year, per agency; the total number |
| 143 | of lost claims; and specific agency measurable outcomes |
| 144 | indicating the change in performance from year to year. |
| 145 | Section 6. Subsections (4) and (5) are added to section |
| 146 | 284.50, Florida Statutes, to read: |
| 147 | 284.50 Loss prevention program; safety coordinators; |
| 148 | Interagency Advisory Council on Loss Prevention; employee |
| 149 | recognition program.- |
| 150 | (4) All agencies that are provided workers' compensation |
| 151 | insurance coverage by the State Risk Management Trust Fund that |
| 152 | employ more than 6,000 full-time employees shall establish and |
| 153 | maintain return-to-work programs for employees who are receiving |
| 154 | workers' compensation benefits. Such programs shall have the |
| 155 | primary goal of enabling injured workers to remain at work or |
| 156 | return to work to perform job duties within the physical or |
| 157 | mental functional limitations and restrictions established by |
| 158 | the workers' treating physicians. If no such limitations or |
| 159 | restrictions are established in writing by a worker's treating |
| 160 | physician, the worker shall be deemed to be able to fully |
| 161 | perform the same work duties he or she performed prior to the |
| 162 | injury. |
| 163 | (5) The Division of Risk Management shall evaluate each |
| 164 | agency's risk management programs, including, but not limited |
| 165 | to, return-to-work, safety, and loss prevention programs, at |
| 166 | least once every 5 years. Reports, including, but not limited |
| 167 | to, any recommended corrective action, resulting from such |
| 168 | evaluations shall be provided to the head of the agency being |
| 169 | evaluated, the Chief Financial Officer, and the Director of the |
| 170 | Division of Risk Management. The agency head must provide to the |
| 171 | Division of Risk Management a response to all report |
| 172 | recommendations within 45 days and a plan to implement any |
| 173 | corrective action to be taken as part of the response. If the |
| 174 | agency disagrees with any final report recommendations, |
| 175 | including, but not limited to, any recommended corrective |
| 176 | action, or if the agency fails to implement any recommended |
| 177 | corrective action within a reasonable time, the division shall |
| 178 | submit the evaluation report to the legislative appropriations |
| 179 | committees. |
| 180 | Section 7. Subsection (5) is added to section 440.50, |
| 181 | Florida Statutes, to read: |
| 182 | 440.50 Workers' Compensation Administration Trust Fund.- |
| 183 | (5) Funds appropriated by operating appropriation or |
| 184 | nonoperating transfer from the Workers' Compensation |
| 185 | Administration Trust Fund to the Department of Education, the |
| 186 | Agency for Health Care Administration, the Department of |
| 187 | Business and Professional Regulation, the Department of |
| 188 | Management Services, the First District Court of Appeal, and the |
| 189 | Justice Administrative Commission remaining unencumbered as of |
| 190 | June 30 or undisbursed as of September 30 each year shall revert |
| 191 | to the Workers' Compensation Administration Trust Fund. |
| 192 | Section 8. This act shall take effect July 1, 2010. |