Florida Senate - 2021                        COMMITTEE AMENDMENT
       Bill No. SB 990
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       The Committee on Health Policy (Bradley) recommended the
    1         Senate Amendment 
    3         Delete lines 29 - 173
    4  and insert:
    5  school, workplace, community, and other settings for clients who
    6  have or are at risk of developing an illness, injury, disease,
    7  disorder, condition, impairment, disability, activity
    8  limitation, or participation restriction purposeful activity or
    9  interventions to achieve functional outcomes.
   10         (a) For the purposes of this subsection:
   11         1. “Activities of daily living” means functions and tasks
   12  for self-care which are performed on a daily or routine basis,
   13  including functional mobility, bathing, dressing, eating and
   14  swallowing, personal hygiene and grooming, toileting, and other
   15  similar tasks “Achieving functional outcomes” means to maximize
   16  the independence and the maintenance of health of any individual
   17  who is limited by a physical injury or illness, a cognitive
   18  impairment, a psychosocial dysfunction, a mental illness, a
   19  developmental or a learning disability, or an adverse
   20  environmental condition.
   21         2. “Assessment” means the use of skilled observation or the
   22  administration and interpretation of standardized or
   23  nonstandardized tests and measurements to identify areas for
   24  occupational therapy services.
   25         3. “Behavioral health services” means the promotion of
   26  occupational performance through services to support positive
   27  mental health by providing direct individual and group
   28  interventions to improve the client’s participation in daily
   29  occupations.
   30         4. “Health management” means activities related to
   31  developing, managing, and maintaining health and wellness,
   32  including self-management, with the goal of improving or
   33  maintaining health to support participation in occupations.
   34         5. “Instrumental activities of daily living” means daily or
   35  routine activities a person must perform to live independently
   36  within the home and community.
   37         6. “Mental health services” means the promotion of
   38  occupational performance related to mental health, coping,
   39  resilience, and well-being by providing individual, group, and
   40  population level supports and services to improve the client’s
   41  participation in daily occupations for those who are at risk of,
   42  experiencing, or in recovery from these conditions, along with
   43  their families and communities.
   44         7. “Occupations” means meaningful and purposeful everyday
   45  activities performed and engaged in by individuals, groups,
   46  populations, families, or communities which occur in contexts
   47  and over time, such as activities of daily living, instrumental
   48  activities of daily living, health management, rest and sleep,
   49  education, work, play, leisure, and social participation. The
   50  term includes more specific occupations and execution of
   51  multiple activities that are influenced by performance patterns,
   52  performance skills, and client factors.
   53         8. “Occupational performance” means the ability to
   54  perceive, desire, recall, plan, and carry out roles, routines,
   55  tasks, and subtasks for the purposes of self-maintenance, self
   56  preservation, productivity, leisure, and rest, for oneself or
   57  others, in response to internal or external demands of
   58  occupations and contexts.
   59         (b) The practice of occupational therapy includes services
   60  include, but is are not limited to:
   61         1. Assessment, treatment, and education of, and
   62  consultation with, individuals, groups, and populations whose
   63  abilities to participate safely in occupations, including
   64  activities of daily living, instrumental activities of daily
   65  living, rest and sleep, education, work, play, leisure, and
   66  social participation, are impaired or at risk for impairment due
   67  to issues related to, but not limited to, developmental
   68  deficiencies, the aging process, learning disabilities, physical
   69  environment and sociocultural context, physical injury or
   70  disease, cognitive impairments, and psychological and social
   71  disabilities The assessment, treatment, and education of or
   72  consultation with the individual, family, or other persons.
   73         2. Methods or approaches to determine abilities and
   74  limitations related to performance of occupations, including,
   75  but not limited to, the identification of physical, sensory,
   76  cognitive, emotional, or social deficiencies Interventions
   77  directed toward developing daily living skills, work readiness
   78  or work performance, play skills or leisure capacities, or
   79  enhancing educational performance skills.
   80         3. Specific occupational therapy techniques used for
   81  treatment which involve, but are not limited to, training in
   82  activities of daily living; environmental modification; the
   83  designing, fabrication, and application of orthotics or orthotic
   84  devices; selecting, applying, and training in the use of
   85  assistive technology and adaptive devices; sensory, motor, and
   86  cognitive activities; therapeutic exercises; manual therapy;
   87  physical agent modalities; behavioral health services; and
   88  mental health services Providing for the development of: