Florida Senate - 2019              PROPOSED COMMITTEE SUBSTITUTE
       Bill No. SB 410
       Proposed Committee Substitute by the Committee on Appropriations
       (Appropriations Subcommittee on Health and Human Services)
    1                        A bill to be entitled                      
    2         An act relating to a long-acting reversible
    3         contraception pilot program; creating s. 381.00515,
    4         F.S.; requiring the Department of Health to establish
    5         a long-acting reversible contraception pilot program
    6         in Duval, Hillsborough, and Palm Beach Counties;
    7         providing the purpose of the pilot program; requiring
    8         the department to contract with family planning
    9         providers to implement the pilot program; requiring
   10         such contracts to include specified provisions;
   11         requiring the department to apply for grants for
   12         additional funding; requiring the department to submit
   13         a report to the Governor and the Legislature by a
   14         specified date; requiring the department to publish
   15         the report on its website; specifying requirements for
   16         the report; establishing that implementation of the
   17         pilot program is subject to an appropriation;
   18         providing an effective date.
   20  Be It Enacted by the Legislature of the State of Florida:
   22         Section 1. Section 381.00515, Florida Statutes, is created
   23  to read:
   24         381.00515Long-acting reversible contraception pilot
   25  program.—
   26         (1)The Department of Health shall establish a long-acting
   27  reversible contraception (LARC) pilot program in Duval,
   28  Hillsborough, and Palm Beach Counties. The purpose of the pilot
   29  program is to improve the provision of LARC services to women
   30  residing in the pilot program counties. The department shall
   31  contract for LARC services with eligible family planning
   32  providers to implement the pilot program in each of the three
   33  counties. Each contract must provide for all of the following:
   34         (a) The provision of LARC services, including the
   35  administration of implants, injections, and intrauterine devices
   36  to participants.
   37         (b) The training of provider staff regarding the provision
   38  of LARC services, counseling strategies, and the management of
   39  side effects.
   40         (c) Technical assistance to providers regarding issues such
   41  as coding, billing, pharmacy rules, and clinic management
   42  necessitated by the increased use of LARC services.
   43         (d) General support to providers to expand their service
   44  capacity.
   45         (e) Marketing and community outreach regarding the
   46  availability of LARC services and other currently available
   47  contraceptive services.
   48         (f) Other services that the department considers necessary
   49  to ensure the health and safety of women who receive LARC
   50  services.
   51         (2)The department shall apply for grants from federal
   52  agencies and other sources to supplement state funds provided
   53  for the pilot program.
   54         (3)By January 1, 2021, the department shall submit a
   55  report to the Governor, the President of the Senate, and the
   56  Speaker of the House of Representatives on the effectiveness of
   57  the pilot program. The department shall publish the report on
   58  its website. The report must include, but need not be limited
   59  to:
   60         (a)An assessment of the operation of the pilot program,
   61  including any progress made in reducing the number of unintended
   62  pregnancies and subsequent births, especially among teenagers.
   63         (b)An assessment of the effectiveness of the pilot program
   64  in increasing the availability of LARC services.
   65         (c)The number and location of family planning providers
   66  that participated in the pilot program.
   67         (d)The number of clients served by participating family
   68  planning providers.
   69         (e)The number of times LARC services were provided by
   70  participating family planning providers.
   71         (f)The average cost per client served.
   72         (g)The demographic characteristics of clients served.
   73         (h)The sources and amounts of funding used for the pilot
   74  program.
   75         (i)A description of federal grants the department applied
   76  for in order to provide LARC services, including the outcomes of
   77  the grant applications.
   78         (j)An analysis of the return on investment associated with
   79  the provision of LARC services with regard to tax dollars saved
   80  on health and social services.
   81         (k)A description and analysis of marketing and outreach
   82  activities conducted to promote the availability of LARC
   83  services.
   84         (l)Recommendations for improving the pilot program.
   85         (4)Implementation of the pilot program is subject to a
   86  legislative appropriation.
   87         Section 2. This act shall take effect July 1, 2019.