Florida Senate - 2020 CS for SB 1344 By the Committee on Appropriations; and Senator Harrell 576-04559-20 20201344c1 1 A bill to be entitled 2 An act relating to intermediate care facilities; 3 amending s. 400.962, F.S.; requiring certain 4 facilities that have been granted a certificate-of 5 need exemption to demonstrate and maintain compliance 6 with specified criteria; amending s. 408.036, F.S.; 7 providing an exemption from a certificate-of-need 8 requirement for certain intermediate care facilities; 9 limiting the number of such exemptions the Agency for 10 Health Care Administration may grant; providing that a 11 specific legislative appropriation is not required for 12 the exemption; providing timeframes and a monitoring 13 process for the exemptions granted by the agency; 14 providing for future legislative review and repeal of 15 the exemption; providing an effective date. 16 17 Be It Enacted by the Legislature of the State of Florida: 18 19 Section 1. Subsection (6) is added to section 400.962, 20 Florida Statutes, to read: 21 400.962 License required; license application.— 22 (6) An applicant that has been granted a certificate-of 23 need exemption under s. 408.036(3)(o) must also demonstrate and 24 maintain compliance with the following criteria: 25 (a) The total number of beds per home within the facility 26 may not exceed eight, with each resident having his or her own 27 bedroom and bathroom. Each eight-bed home must be colocated on 28 the same property with two other eight-bed homes and must serve 29 individuals with severe maladaptive behaviors and co-occurring 30 psychiatric diagnoses. 31 (b) A minimum of 16 beds within the facility must be 32 designated for individuals with severe maladaptive behaviors who 33 have been assessed using the Agency for Persons with 34 Disabilities’ Global Behavioral Service Need Matrix with a score 35 of at least Level 4 and up to Level 6, or assessed using the 36 criteria deemed appropriate by the Agency for Health Care 37 Administration regarding the need for a specialized placement in 38 an intermediate care facility for the developmentally disabled. 39 (c) The applicant has not had a facility license denied, 40 revoked, or suspended within the 36 months preceding the request 41 for exemption. 42 (d) The applicant must have at least 10 years of experience 43 serving individuals with severe maladaptive behaviors in the 44 state. 45 (e) The applicant must implement a state-approved staff 46 training curriculum and monitoring requirements specific to the 47 individuals whose behaviors require higher intensity, frequency, 48 and duration of services. 49 (f) The applicant must make available medical and nursing 50 services 24 hours per day, 7 days per week. 51 (g) The applicant must demonstrate a history of using 52 interventions that are least restrictive and that follow a 53 behavioral hierarchy. 54 (h) The applicant must maintain a policy prohibiting the 55 use of mechanical restraints. 56 Section 2. Paragraph (o) is added to subsection (3) of 57 section 408.036, Florida Statutes, to read: 58 408.036 Projects subject to review; exemptions.— 59 (3) EXEMPTIONS.—Upon request, the following projects are 60 subject to exemption from subsection (1): 61 (o) For a new intermediate care facility for the 62 developmentally disabled as defined in s. 408.032 which has a 63 total of 24 beds, comprising three eight-bed homes, for use by 64 individuals exhibiting severe maladaptive behaviors and co 65 occurring psychiatric diagnoses requiring increased levels of 66 behavioral, medical, and therapeutic oversight. The applicant 67 must not have had a license denied, revoked, or suspended within 68 the 36 months preceding the request for exemption and must have 69 at least 10 years of experience serving individuals with severe 70 maladaptive behaviors in this state. The agency may grant no 71 more than three exemptions under this paragraph. 72 1. The exemption under this paragraph does not require a 73 specific legislative appropriation. 74 2. An exemption under this paragraph shall terminate 18 75 months after the date of issuance unless the exemption holder 76 has commenced construction. The agency shall monitor the 77 progress of the holder of the certificate of exemption in 78 meeting the timetable for project development specified in the 79 application for exemption. The agency shall extend the time 80 period for a project if the exemption holder demonstrates to the 81 satisfaction of the agency that good-faith commencement of the 82 project is being delayed by litigation or by governmental action 83 or inaction with respect to regulations or permitting precluding 84 commencement of the project. 85 3. This paragraph and subsection (6) of s. 400.962 are 86 repealed July 1, 2022, unless reviewed and saved from repeal by 87 the Legislature. 88 Section 3. This act shall take effect July 1, 2020.