Florida Senate - 2022 COMMITTEE AMENDMENT
Bill No. SB 478
Ì396566RÎ396566
LEGISLATIVE ACTION
Senate . House
.
.
.
.
.
—————————————————————————————————————————————————————————————————
—————————————————————————————————————————————————————————————————
The Committee on Children, Families, and Elder Affairs (Brodeur)
recommended the following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Subsection (2) and paragraph (a) of subsection
6 (4) of section 394.9086, Florida Statutes, are amended to read:
7 394.9086 Commission on Mental Health and Substance Abuse.—
8 (2) PURPOSES.—The purposes of the commission are to examine
9 the current methods of providing mental health and substance
10 abuse services in the state and to improve the effectiveness of
11 current practices, procedures, programs, and initiatives in
12 providing such services; identify any barriers or deficiencies
13 in the delivery of such services; assess the adequacy of the
14 current infrastructure of Florida’s National Suicide Prevention
15 Lifeline (NSPL) system and other components of the state’s
16 behavioral health crisis system; and recommend changes to
17 existing laws, rules, and policies necessary to implement the
18 commission’s recommendations.
19 (4) DUTIES.—
20 (a) The duties of the Commission on Mental Health and
21 Substance Abuse include the following:
22 1. Conducting a review and evaluation of the management and
23 functioning of the existing publicly supported mental health and
24 substance abuse systems and services in the department, the
25 Agency for Health Care Administration, and all other departments
26 which administer mental health and substance abuse services.
27 Such review shall include, at a minimum, a review of current
28 goals and objectives, current planning, services strategies,
29 coordination management, purchasing, contracting, financing,
30 local government funding responsibility, and accountability
31 mechanisms.
32 2. Considering the unique needs of persons who are dually
33 diagnosed.
34 3. Addressing access to, financing of, and scope of
35 responsibility in the delivery of emergency behavioral health
36 care services.
37 4. Addressing the quality and effectiveness of current
38 mental health and substance abuse services delivery systems, and
39 professional staffing and clinical structure of services, roles,
40 and responsibilities of public and private providers, such as
41 community mental health centers; community substance abuse
42 agencies; hospitals, including emergency services departments;
43 law enforcement agencies; and the judicial system.
44 5. Addressing priority population groups for publicly
45 funded mental health and substance abuse services, identifying
46 the comprehensive mental health and substance abuse services
47 delivery systems, mental health and substance abuse needs
48 assessment and planning activities, and local government funding
49 responsibilities for mental health and substance abuse services.
50 6. Reviewing the implementation of chapter 2020-107, Laws
51 of Florida.
52 7. Identifying any gaps in the provision of mental health
53 and substance use disorder services.
54 8. Providing recommendations on how behavioral health
55 managing entities may fulfill their purpose of promoting service
56 continuity and work with community stakeholders throughout the
57 state in furtherance of supporting the NSPL system and other
58 crisis response services.
59 9. Conducting an overview of the current infrastructure of
60 Florida's NSPL system.
61 10. Analyzing the current capacity of crisis response
62 services available throughout the state, including services
63 provided by mobile response teams and centralized receiving
64 facilities. The analysis must include information on the
65 geographic area and the total population served by each mobile
66 response team along with the average response time to each call
67 made to a mobile response team; the number of calls that a
68 mobile response team was unable to respond to due to staff
69 limitations, travel distance, or other factors; and the veteran
70 status and age groups of individuals served by mobile response
71 teams.
72 11. Evaluating and making recommendations to improve
73 linkages between the NSPL infrastructure and crisis response
74 services throughout the state.
75 12. Identifying available mental health block grant funds
76 that can be used to support the NSPL and crisis response
77 infrastructure within this state, including any available
78 funding through opioid settlements or through the American
79 Rescue Plan Act, Pub. L. No. 117-2, the Coronavirus Aid, Relief,
80 and Economic Security (CARES) Act, Pub. L. No. 116-136, or other
81 federal legislation.
82 13. In consultation with the Agency for Health Care
83 Administration, identifying sources of funding available through
84 the Medicaid program specifically for crisis response services,
85 including funding that may be available through seeking approval
86 of a section 1115 waiver submitted to the Centers for Medicare
87 and Medicaid Services.
88 14.9. Making recommendations regarding the mission and
89 objectives of state-supported mental health and substance abuse
90 services and the planning, management, staffing, financing,
91 contracting, coordination, and accountability mechanisms which
92 will best foster the recommended mission and objectives.
93 15.10. Evaluating and making recommendations regarding the
94 establishment of a permanent, agency-level entity to manage
95 mental health, substance abuse, and related services statewide.
96 At a minimum, the evaluation must consider and describe the:
97 a. Specific duties and organizational structure proposed
98 for the entity;
99 b. Resource needs of the entity and possible sources of
100 funding;
101 c. Estimated impact on access to and quality of services;
102 d. Impact on individuals with behavioral health needs and
103 their families, both those currently served through the affected
104 systems providing behavioral health services and those in need
105 of services; and
106 e. Relation to, integration with, and impact on providers,
107 managing entities, communities, state agencies, and systems
108 which provide mental health and substance abuse services in this
109 state. Such recommendations must ensure that the ability of such
110 other agencies and systems to carry out their missions and
111 responsibilities is not impaired.
112 Section 2. This act shall take effect July 1, 2022.
113 ================= T I T L E A M E N D M E N T ================
114 And the title is amended as follows:
115 Delete everything before the enacting clause
116 and insert:
117 A bill to be entitled
118 An act relating to suicide prevention; amending s.
119 394.9086; modifying the purposes of the Commission on
120 Mental Health and Substance Abuse; directing the
121 Commission to assess the adequacy of the state's
122 suicide prevention infrastructure; modifying the
123 duties of the Commission; directing the Commission to
124 examine certain elements of the state's suicide
125 prevention infrastructure; providing an effective
126 date.