Bill

Bill > H7021


FL H7021

FL H7021
Mental Health and Substance Abuse


summary

Introduced
01/10/2024
In Committee
03/04/2024
Crossed Over
03/08/2024
Passed
03/08/2024
Dead
Signed/Enacted/Adopted
06/14/2024

Introduced Session

2024 Regular Session

Bill Summary

An act relating to mental health and substance abuse; amending s. 394.4572, F.S.; providing an exception to background screening requirements for certain licensed physicians and nurses; amending s. 394.459, F.S.; specifying a timeframe for recording restrictions in a patient's clinical file; requiring that such recorded restriction be immediately served on certain parties; conforming a provision to changes made by the act; amending s. 394.4598, F.S.; authorizing certain psychiatric nurses to consult with guardian advocates for purposes of obtaining consent for treatment; amending s. 394.4599, F.S.; revising written notice requirements relating to filing petitions for involuntary services; amending s. 394.461, F.S.; authorizing the state to establish that a transfer evaluation was performed by providing the court with a copy of the evaluation before the close of the state's case-in-chief; prohibiting the court from considering substantive information in the transfer evaluation; providing an exception; revising reporting requirements; amending s. 394.4615, F.S.; allowing a patient's legal custodian to authorize the release of his or her clinical records; conforming provisions to changes made by the act; amending s. 394.462, F.S.;2024 Legislature authorizing a county to include alternative funding arrangements for transporting individuals to designated receiving facilities in the county's transportation plan; amending s. 394.4625, F.S.; revising requirements relating to voluntary admissions to a facility for examination and treatment; requiring certain treating psychiatric nurses to document specified information in a patient's clinical record within a specified timeframe; requiring clinical psychologists who make determinations of involuntary placement at certain mental health facilities to have specified clinical experience; authorizing certain psychiatric nurses to order emergency treatment for certain patients; conforming provisions to changes made by the act; amending s. 394.463, F.S.; authorizing, rather than requiring, law enforcement officers to take certain persons into custody for involuntary examinations; requiring a law enforcement officer to provide a parent or legal guardian of a minor being transported to certain facilities with specified facility information; providing an exception; requiring written reports by law enforcement officers to contain certain information; requiring the Louis de la Parte Florida Mental Health Institute to collect and analyze certain documents and2024 Legislature use them to prepare annual reports; providing requirements for such reports; requiring the institute to post such reports on its website by a specified date; requiring the department to post a specified providing requirements for an examination to determine if the report on its website; criteria for involuntary services are met; defining the term "repeated admittance"; revising requirements for releasing a patient from a receiving facility; revising requirements for petitions for involuntary services; requiring the department and the Agency for Health Care Administration to analyze certain data, identify patterns and trends, and make recommendations to decrease avoidable admissions; authorizing recommendations to be addressed in a specified manner; requiring the institute to publish a specified report on its website and submit such report to the Governor and Legislature by a certain date; amending s. 394.4655, F.S.; defining the term "involuntary outpatient placement"; authorizing a specified court to order an individual to involuntary outpatient treatment; removing provisions relating to criteria, retention of a patient, and petition for involuntary outpatient services and court proceedings relating to involuntary outpatient services; amending s. 394.467,2024 Legislature F.S.; providing definitions; revising requirements for ordering a person for involuntary services and treatment, petitions for involuntary services, appointment of counsel, and continuances of hearings, respectively; requiring clinical psychologists to have specified clinical experience in order to recommend involuntary services; authorizing certain psychiatric nurses to recommend involuntary services for mental health treatment; revising the conditions under which a court may waive the requirement for a patient to be present at an involuntary inpatient placement hearing; authorizing the court to permit the state attorney and witnesses to attend and testify remotely at the hearing in certain circumstances through specified means; providing requirements for the state attorney and witnesses to attend and testify remotely; requiring facilities to make certain clinical records available to a state attorney within a specified timeframe; specifying that such records remain confidential and may not be used for certain purposes; requiring the court to allow certain testimony from specified persons; revising the length of time a court may require a patient to receive services; requiring facilities to discharge patients when they no longer meet the criteria for involuntary inpatient treatment;2024 Legislature prohibiting courts from ordering individuals with developmental disabilities to be involuntarily placed in a state treatment facility; requiring courts to refer such individuals, and authorizing courts to refer certain other individuals, to specified agencies for evaluation and services under certain circumstances; providing for a court to retain jurisdiction over specified cases; providing requirements for service plan modifications, noncompliance with involuntary outpatient services, and discharge, respectively; revising requirements for the procedure for continued involuntary services and return to facilities, respectively; amending s. 394.468, F.S.; revising requirements for discharge planning and procedures; providing requirements for the discharge transition process; creating s. 394.4915, F.S.; establishing the Office of Children's Behavioral Health Ombudsman within the Department of Children and Families for a specified purpose; providing responsibilities of the office; requiring the department and managing entities to include specified information in a specified manner on their websites; amending ss. 394.495 and 394.496, F.S.; conforming provisions to changes made by the act; amending s. 394.499, F.S.; revising eligibility2024 Legislature requirements for children's crisis stabilization unit/juvenile addictions receiving facility services; amending s. 394.875, F.S.; authorizing certain psychiatric nurses to provide certain services; removing a limitation on the size of a crisis stabilization unit; removing a requirement for the department to implement a certain demonstration project; creating s. 394.90826, F.S.; requiring the Department of Health and the Agency for Health Care Administration to jointly establish behavioral health interagency collaboratives throughout the state for specified purposes; providing objectives and membership for each regional collaborative; requiring the department to define the regions to be served; providing requirements for the entities represented in each collaborative; amending s. 394.9085, F.S.; conforming a cross-reference to changes made by the act; amending s. 397.305, F.S.; revising the purpose to include the most appropriate environment for substance abuse services; amending s. 397.311, F.S.; revising definitions; amending s. 397.401, F.S.; prohibiting certain service providers from exceeding their licensed capacity by more than a specified percentage or for more than a specified number of days; amending s. 397.4073, F.S.; providing an2024 Legislature exception to background screening requirements for certain licensed physicians and nurses; amending s. 397.501, F.S.; revising notice requirements for the right to counsel; amending s. 397.581, F.S.; revising actions that constitute unlawful activities relating to assessment and treatment; providing penalties; amending s. 397.675, F.S.; revising the criteria for involuntary admissions for purposes of assessment and stabilization, and for involuntary treatment; amending s. 397.6751, F.S.; revising service provider responsibilities relating to involuntary admissions; amending s. 397.681, F.S.; revising where involuntary treatment petitions for substance abuse impaired persons may be filed specifying requirements for the court to allow a waiver of the respondent's right to counsel relating to petitions for involuntary treatment; revising the circumstances under which courts are required to appoint counsel for respondents without regard to respondents' wishes; renumbering and amending s. 397.693, F.S.; revising the circumstances under which a person may be the subject of court- ordered involuntary treatment; renumbering and amending s. 397.695, F.S.; authorizing the court or clerk of the court to waive or prohibit any service of process fees for petitioners determined to be2024 Legislature indigent; renumbering and amending s. 397.6951, F.S.; revising the information required to be included in a petition for involuntary treatment services; authorizing a petitioner to include a certificate or report of a qualified professional with such petition; requiring such certificate or report to contain certain information; requiring that certain additional information be included if an emergency exists; renumbering and amending s. 397.6955, F.S.; revising when the office of criminal conflict and civil regional counsel represents a person in the filing of a petition for involuntary services and when a hearing must be held on such petition; requiring a law enforcement agency to effect service for initial treatment hearings; providing an exception; amending s. 397.6818, F.S.; authorizing the court to take certain actions and issue certain orders regarding a respondent's involuntary assessment if emergency circumstances exist; providing a specified timeframe for taking such actions; amending s. 397.6957, F.S.; expanding the exemption from the requirement that a respondent be present at a hearing on a petition for involuntary treatment services; authorizing the court to order drug tests and to permit witnesses to attend and testify remotely at the hearing through certain2024 Legislature means; removing a provision requiring the court to appoint a guardian advocate under certain circumstances; prohibiting a respondent from being involuntarily ordered into treatment unless certain requirements are met; providing requirements relating to involuntary assessment and stabilization orders; providing requirements relating to involuntary treatment hearings; requiring that the assessment of a respondent occur before a specified time unless certain requirements are met; authorizing service providers to petition the court in writing for an extension of the observation period; providing service requirements for such petitions; authorizing the service provider to continue to hold the respondent if the court grants the petition; requiring a qualified professional to transmit his or her report to the clerk of the court within a specified timeframe; requiring the clerk of the court to enter the report into the court file; providing requirements for the report; providing that the report's filing satisfies the requirements for release of certain individuals if it contains admission and discharge information; providing for the petition's dismissal under certain circumstances; authorizing the court to order certain persons to take a respondent into custody and2024 Legislature transport him or her to or from certain service providers and the court; revising the petitioner's burden of proof in the hearing; authorizing the court to initiate involuntary proceedings and have the respondent evaluated by the Agency for Persons with Disabilities under certain circumstances; requiring that, if a treatment order is issued, it must include certain findings; amending s. 397.697, F.S.; requiring that an individual meet certain requirements to qualify for involuntary outpatient treatment; revising the jurisdiction of the court with respect to certain orders entered in a case; specifying that certain hearings may be set by either the motion of a party or under the court's own authority; requiring a certain institute to receive and maintain copies of certain documents and use them to prepare annual reports; providing requirements for such reports; requiring the institute to post such reports on its website and provide copies of such reports to the department and the Legislature by a specified date; amending s. 397.6971, F.S.; revising when an individual receiving involuntary treatment services may be determined eligible for discharge; conforming provisions to changes made by the act; amending s. 397.6975, F.S.; authorizing certain entities to file a petition for2024 Legislature renewal of an involuntary treatment services order; revising the timeframe during which the court is required to schedule a hearing; amending s. 397.6977, F.S.; providing requirements for discharge planning and procedures for a respondent's release from involuntary treatment services; repealing ss. 397.6811, 397.6814, 397.6815, 397.6819, 397.6821, 397.6822, and 397.6978, F.S., relating to involuntary assessment and stabilization and the appointment of guardian advocates, respectively; amending s. 916.13, F.S.; requiring the Department of Children and Families to complete and submit a competency evaluation report to the circuit court to determine if a defendant adjudicated incompetent to proceed meets the criteria for involuntary civil commitment if it is determined that the defendant will not or is unlikely to regain competency; defining the term "competency evaluation report to the circuit court"; requiring a qualified professional to sign such report under penalty of perjury; providing requirements for such report; authorizing a defendant who meets the criteria for involuntary examination and court witnesses to appear remotely for a hearing; amending ss. 40.29, 394.455, 409.972, 464.012, 744.2007, and 916.107, F.S.; conforming provisions to changes made by the2024 Legislature act; providing an appropriation; providing an effective date.

AI Summary

This bill: - Provides an exception to background screening requirements for certain licensed physicians and nurses who have undergone screening as part of their initial licensure and renewal. - Requires restrictions on a patient's right to communicate or receive visitors to be recorded in the patient's clinical file within 24 hours and immediately served on the patient, their attorney, and guardian. - Authorizes psychiatric nurses to consult with guardian advocates for purposes of obtaining consent for treatment. - Revises written notice requirements relating to filing petitions for involuntary services. - Authorizes the state to establish that a transfer evaluation was performed by providing the court with a copy of the evaluation before the close of the state's case-in-chief, and prohibits the court from considering substantive information in the transfer evaluation unless the evaluator testifies. - Allows a patient's legal custodian to authorize the release of their clinical records. - Authorizes a county to include alternative funding arrangements for transporting individuals to designated receiving facilities in the county's transportation plan. - Revises requirements relating to voluntary admissions to a facility for examination and treatment, including requiring certain psychiatric nurses to document specified information in a patient's clinical record within a specified timeframe. - Makes various changes to the criteria and procedures for involuntary examination, placement, and treatment of individuals with mental illness or substance abuse issues. - Establishes the Office of Children's Behavioral Health Ombudsman within the Department of Children and Families. - Provides an appropriation of $50 million in recurring funds from the General Revenue Fund to the Department of Children and Families to implement the provisions of the act. - Takes effect July 1, 2024.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (21)

Other Sponsors (3)

Children, Families & Seniors Subcommittee (House), Health & Human Services Committee (House), Health Care Appropriations Subcommittee (House)

Last Action

Chapter No. 2024-245; companion bill(s) passed, see CS/SB 7016 (Ch. 2024-15) (on 06/14/2024)

bill text


bill summary

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bill summary

Document Type Source Location
State Bill Page https://www.flsenate.gov/Session/Bill/2024/7021
Analysis - Children, Families & Seniors Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2024/7021/Analyses/h7021z1.CFS.PDF
Analysis - Children, Families & Seniors Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2024/7021/Analyses/h7021z.CFS.PDF
BillText https://www.flsenate.gov/Session/Bill/2024/7021/BillText/er/PDF
BillText https://www.flsenate.gov/Session/Bill/2024/7021/BillText/e2/PDF
BillText https://www.flsenate.gov/Session/Bill/2024/7021/BillText/e1/PDF
https://www.flsenate.gov/Session/Bill/2024/7021/Amendment/473603/PDF
https://www.flsenate.gov/Session/Bill/2024/7021/Amendment/238169/PDF
BillText https://www.flsenate.gov/Session/Bill/2024/7021/BillText/c2/PDF
Analysis - Health & Human Services Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2024/7021/Analyses/h7021c.HHS.PDF
Analysis - Health & Human Services Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2024/7021/Analyses/h7021b.HHS.PDF
BillText https://www.flsenate.gov/Session/Bill/2024/7021/BillText/c1/PDF
Analysis - Health Care Appropriations Subcommittee (Post-Meeting https://www.flsenate.gov/Session/Bill/2024/7021/Analyses/h7021a.HCA.PDF
https://www.flsenate.gov/Session/Bill/2024/7021/Amendment/840403/PDF
https://www.flsenate.gov/Session/Bill/2024/7021/Amendment/566723/PDF
Analysis - Health Care Appropriations Subcommittee (Post-Meeting https://www.flsenate.gov/Session/Bill/2024/7021/Analyses/h7021.HCA.PDF
BillText https://www.flsenate.gov/Session/Bill/2024/7021/BillText/Filed/PDF
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