FL
Florida House Bill H0655

Florida 2023 Regular Session

Florida House Bill H0655 Compare Versions

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1010 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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1414 A bill to be entitled 1
1515 An act relating to suicide prevention; amending s. 2
16-111.09, F.S.; providing and revising definitions; 3
17-amending s. 394.9086, F.S.; renaming the Commission on 4
18-Mental Health and Substance Abuse; revising the 5
19-purposes of the commission to include an assessment of 6
20-the state's suicide prevention infrastructure; 7
21-revising the membership and duties of the commission; 8
22-requiring the commission to submit annual interim 9
23-reports for a specified timeframe; revising the date 10
24-by which the commission must submit its final report; 11
25-extending the repeal date of the commission; providing 12
26-an effective date. 13
16+394.9086, F.S.; renaming the Commission on Mental 3
17+Health and Substance Abuse; revising the purposes of 4
18+the commission to include an assessment of the state's 5
19+suicide prevention infrastructure; revising the duties 6
20+of the commission to include duties relating to the 7
21+state's suicide prevention infrastructure; requiring 8
22+the commission to submit annual interim repor ts for a 9
23+specified timeframe; revising the date by which the 10
24+commission must submit its final report; extending the 11
25+repeal date of the commission; providing an effective 12
26+date. 13
2727 14
2828 Be It Enacted by the Legislature of the State of Florida: 15
2929 16
30- Section 1. Subsection (1) of section 111.09, Florida 17
31-Statutes, is amended to read: 18
32- 111.09 Peer support for first responders. — 19
33- (1) For purposes of this section, the term: 20
34- (a) "Affiliated first responder organization" includes, 21
35-but is not limited to, any of the following organizations: 22
36- 1. Regularly organized volunteer firefighting companies or 23
37-associations. 24
38- 2. Regularly organized volunteer ambulance services. 25
30+ Section 1. Subsections (1) and (2), paragraph (a) of 17
31+subsection (3), paragraph (a) of subsection (4), and subsections 18
32+(5) and (6) of section 394.9086, Florida Statutes, are amended 19
33+to read: 20
34+ 394.9086 Commission on Mental Health and Substance Use 21
35+Disorder Abuse.— 22
36+ (1) CREATION.—The Commission on Mental Health and 23
37+Substance Use Disorder Abuse, a commission as defined in s. 24
38+20.03(10), is created adjunct to the department. The department 25
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4747 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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51- 3. Combination fire departments, as defined in s. 26
52-633.135(1). 27
53- (b)(a) "First responder" has the s ame meaning as provided 28
54-in s. 112.1815 and includes 911 public safety telecommunicators 29
55-as defined in s. 401.465. 30
56- (c)(b) "First responder peer" means a person who: 31
57- 1. Is not a health care practitioner as defined in s. 32
58-456.001. 33
59- 2. Has experience worki ng as or with a first responder , 34
60-including active, volunteer, and retired first responders, 35
61-regarding any physical or emotional conditions or issues 36
62-associated with the first responder's employment. 37
63- 3. Has been designated by the first responder's employi ng 38
64-agency or affiliated first responder organization to provide 39
65-peer support as provided in this section and has received 40
66-training for this purpose. 41
67- (d)(c) "Peer support" means the provision of physical, 42
68-moral, or emotional support to a first responder b y a first 43
69-responder peer for the purpose of addressing physical or 44
70-emotional conditions or other issues associated with being a 45
71-first responder. 46
72- (e)(d) "Peer support communication" means electronic, 47
73-oral, or written communication, made with a mutual expectation 48
74-of confidentiality while a first responder peer is providing 49
75-peer support in his or her official capacity. 50
51+shall provide administrative and staff support services relating 26
52+to the functions of the commission. 27
53+ (2) PURPOSES.—The purposes of the commission are to 28
54+examine the current methods of providing mental health and 29
55+substance use disorder abuse services in the state and to 30
56+improve the effectiveness of current practices, procedures, 31
57+programs, and initiatives in providing such services; identify 32
58+any barriers or deficiencies in the delivery of such services; 33
59+assess the adequacy of the current infrastructure of Florida's 34
60+National Suicide Prevention Lifeline (NSPL) system and other 35
61+components of the state's crisis response services; and 36
62+recommend changes to existing laws, rules, and policies 37
63+necessary to implement the commission's recommendations. 38
64+ (3) MEMBERSHIP; TERM LIMITS; MEETINGS. — 39
65+ (a) The commission shall be composed of 19 members as 40
66+follows: 41
67+ 1. A member of the Senate, appointed by the President of 42
68+the Senate. 43
69+ 2. A member of the House of Representatives, appointed by 44
70+the Speaker of the House of Representatives. 45
71+ 3. The Secretary of Children and Families or his or her 46
72+designee. 47
73+ 4. The Secretary of the Agency for Health Care 48
74+Administration or his or her designee. 49
75+ 5. A person living with a mental health disorder, 50
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8484 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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88- Section 2. Subsections (1) and (2 ), paragraph (a) of 51
89-subsection (3), paragraph (a) of subsection (4), and subsections 52
90-(5) and (6) of section 394.9086, Florida Statutes, are amended 53
91-to read: 54
92- 394.9086 Commission on Mental Health and Substance Use 55
93-Disorder Abuse.— 56
94- (1) CREATION.—The Commission on Mental Health and 57
95-Substance Use Disorder Abuse, a commission as defined in s. 58
96-20.03(10), is created adjunct to the department. The department 59
97-shall provide administrative and staff support services relating 60
98-to the functions of the commission. 61
99- (2) PURPOSES.—The purposes of the commission are to 62
100-examine the current methods of providing mental health and 63
101-substance use disorder abuse services in the state and to 64
102-improve the effectiveness of current practices, procedures, 65
103-programs, and initiatives in providing such services; identify 66
104-any barriers or deficiencies in the delivery of such services; 67
105-assess the adequacy of the current infrastructure of Florida's 68
106-National Suicide Prevention Lifeline (NSPL) system and other 69
107-components of the state's crisis re sponse services; and 70
108-recommend changes to existing laws, rules, and policies 71
109-necessary to implement the commission's recommendations. 72
110- (3) MEMBERSHIP; TERM LIMITS; MEETINGS. — 73
111- (a) The commission shall be composed of 20 19 members as 74
112-follows: 75
88+appointed by the President of the Senate. 51
89+ 6. A family member of a consumer of publicly funded mental 52
90+health services, appointed by the President of the Senate. 53
91+ 7. A representative of the Louis de la Parte Florida 54
92+Mental Health Institute within the University of South Florida, 55
93+appointed by the President of the Senate. 56
94+ 8. A representative of a county school district, appointed 57
95+by the President of the Senate. 58
96+ 9. A representative of mental health courts, appointed by 59
97+the Governor. 60
98+ 10. A representative of a treatment facility, as defined 61
99+in s. 394.455, appointed by the Speaker of the House of 62
100+Representatives. 63
101+ 11. A representative of a managing entity, as defined in 64
102+s. 394.9082(2), appointed by the Speaker of the House of 65
103+Representatives. 66
104+ 12. A representative of a community substance use disorder 67
105+abuse provider, appointed by the Speaker of the House of 68
106+Representatives. 69
107+ 13. A psychiatrist licensed under chapter 458 or chapter 70
108+459 practicing within the mental health delivery system, 71
109+appointed by the Speaker of the House of Representatives. 72
110+ 14. A psychologist licensed under chapter 490 practicing 73
111+within the mental health delivery system, appointed by the 74
112+Governor. 75
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121121 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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125- 1. A member of the Senate, appointed by the President of 76
126-the Senate. 77
127- 2. A member of the House of Representatives, appointed by 78
128-the Speaker of the House of Representatives. 79
129- 3. The Secretary of Children and Families or his or her 80
130-designee. 81
131- 4. The Secretary of th e Agency for Health Care 82
132-Administration or his or her designee. 83
133- 5. A person living with a mental health disorder, 84
134-appointed by the President of the Senate. 85
135- 6. A family member of a consumer of publicly funded mental 86
136-health services, appointed by the Pre sident of the Senate. 87
137- 7. A representative of the Louis de la Parte Florida 88
138-Mental Health Institute within the University of South Florida, 89
139-appointed by the President of the Senate. 90
140- 8. A representative of a county school district, appointed 91
141-by the President of the Senate. 92
142- 9. A representative of mental health courts, appointed by 93
143-the Governor. 94
144- 10. A representative of a treatment facility, as defined 95
145-in s. 394.455, appointed by the Speaker of the House of 96
146-Representatives. 97
147- 11. A representative of a ma naging entity, as defined in 98
148-s. 394.9082(2), appointed by the Speaker of the House of 99
149-Representatives. 100
125+ 15. A mental health professional licensed under chapter 76
126+491, appointed by the Governor. 77
127+ 16. An emergency room physician, appointed by the 78
128+Governor. 79
129+ 17. A representative from the field of law enforceme nt, 80
130+appointed by the Governor. 81
131+ 18. A representative from the criminal justice system, 82
132+appointed by the Governor. 83
133+ 19. A representative of a child welfare agency involved in 84
134+the delivery of behavioral health services, appointed by the 85
135+Governor. 86
136+ (4) DUTIES.— 87
137+ (a) The duties of the Commission on Mental Health and 88
138+Substance Use Disorder Abuse include the following: 89
139+ 1. Conducting a review and evaluation of the management 90
140+and functioning of the existing publicly supported mental health 91
141+and substance use disorder abuse systems and services in the 92
142+department, the Agency for Health Care Administration, and all 93
143+other departments which administer mental health and substance 94
144+use disorder abuse services. Such review shall include, at a 95
145+minimum, a review of curren t goals and objectives, current 96
146+planning, services strategies, coordination management, 97
147+purchasing, contracting, financing, local government funding 98
148+responsibility, and accountability mechanisms. 99
149+ 2. Considering the unique needs of persons who are dually 100
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158158 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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162- 12. A representative of a community substance use disorder 101
163-abuse provider, appointed by the Speaker of the House of 102
164-Representatives. 103
165- 13. A psychiatrist licensed under chapter 458 or chapter 104
166-459 practicing within the mental health delivery system, 105
167-appointed by the Speaker of the House of Representatives. 106
168- 14. A psychologist licensed under chapter 490 practicing 107
169-within the mental health delivery system, appointed by the 108
170-Governor. 109
171- 15. A mental health professional licensed under chapter 110
172-491, appointed by the Governor. 111
173- 16. An emergency room physician, appointed by the 112
174-Governor. 113
175- 17. A representative from the field of law enforcement, 114
176-appointed by the Governor. 115
177- 18. A representative from the criminal justice system, 116
178-appointed by the Governor. 117
179- 19. A representative of a child welfare agency involved in 118
180-the delivery of behavioral health services, appointed by the 119
181-Governor. 120
182- 20. A representative of the F lorida Alliance of 121
183-Information and Referral Services, appointed by the Governor. 122
184- (4) DUTIES.— 123
185- (a) The duties of the Commission on Mental Health and 124
186-Substance Use Disorder Abuse include the following: 125
162+diagnosed. 101
163+ 3. Addressing access to, financing of, and scope of 102
164+responsibility in the delivery of emergency behavioral health 103
165+care services. 104
166+ 4. Addressing the quality and effectiveness of current 105
167+mental health and substance use disorder abuse services delivery 106
168+systems, and professional staffing and clinical structure of 107
169+services, roles, and responsibilities of public and private 108
170+providers, such as community mental health centers; community 109
171+substance use disorder abuse agencies; hospitals, including 110
172+emergency services departments; law enforcement agencies; and 111
173+the judicial system. 112
174+ 5. Addressing priority population groups for publicly 113
175+funded mental health and substance use disorder abuse services, 114
176+identifying the comprehensive mental health and substance use 115
177+disorder abuse services delivery systems, mental health and 116
178+substance use disorder abuse needs assessment and planning 117
179+activities, and local government funding responsibilities for 118
180+mental health and substance use disorder abuse services. 119
181+ 6. Reviewing the implementation of chapter 2020 -107, Laws 120
182+of Florida. 121
183+ 7. Identifying any gaps in the provision of mental health 122
184+and substance use disorder services. 123
185+ 8. Providing recommendations on how behavioral health 124
186+managing entities may fulfill their purpose o f promoting service 125
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195195 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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199- 1. Conducting a review and evaluation of the management 126
200-and functioning of the existing publicly supported mental health 127
201-and substance use disorder abuse systems and services in the 128
202-department, the Agency for Health Care Administration, and all 129
203-other departments which administer mental health and substance 130
204-use disorder abuse services. Such review shall include, at a 131
205-minimum, a review of current goals and objectives, current 132
206-planning, services strategies, coordination management, 133
207-purchasing, contracting, fi nancing, local government funding 134
208-responsibility, and accountability mechanisms. 135
209- 2. Considering the unique needs of persons who are dually 136
210-diagnosed. 137
211- 3. Addressing access to, financing of, and scope of 138
212-responsibility in the delivery of emergency behavi oral health 139
213-care services. 140
214- 4. Addressing the quality and effectiveness of current 141
215-mental health and substance use disorder abuse services delivery 142
216-systems, and professional staffing and clinical structure of 143
217-services, roles, and responsibilities of publi c and private 144
218-providers, such as community mental health centers; community 145
219-substance use disorder abuse agencies; hospitals, including 146
220-emergency services departments; law enforcement agencies; and 147
221-the judicial system. 148
222- 5. Addressing priority population g roups for publicly 149
223-funded mental health and substance use disorder abuse services, 150
199+continuity and work with community stakeholders throughout this 126
200+state in furtherance of supporting the NSPL system and other 127
201+crisis response services . 128
202+ 9. Conducting an overview of the current infrastructure of 129
203+the NSPL system. 130
204+ 10. Analyzing the current capacity of crisis response 131
205+services available throughout this state, including services 132
206+provided by mobile response teams and centralized receiving 133
207+facilities. The analysis must include information on the 134
208+geographic area and the total population served by each mobile 135
209+response team along with the average response time to each call 136
210+made to a mobile response team; the number of calls that a 137
211+mobile response team was unable to respond to due to staff 138
212+limitations, travel distance, or other f actors; and the veteran 139
213+status and age groups of individuals served by mobile response 140
214+teams. 141
215+ 11. Evaluating and making recommendations to improve 142
216+linkages between the NSPL infrastructure and crisis response 143
217+services within this state. 144
218+ 12. Identifying available mental health block grant funds 145
219+that can be used to support the NSPL and crisis response 146
220+infrastructure within this state, including any available 147
221+funding through opioid settlements or through the American 148
222+Rescue Plan Act of 2021, Pub. L. No. 117 -2; the Coronavirus Aid, 149
223+Relief, and Economic Security (CARES) Act, Pub. L. No. 116 -136; 150
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232232 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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236-identifying the comprehensive mental health and substance use 151
237-disorder abuse services delivery systems, mental health and 152
238-substance use disorder abuse needs assessment and planning 153
239-activities, and local government funding responsibilities for 154
240-mental health and substance use disorder abuse services. 155
241- 6. Reviewing the implementation of chapter 2020 -107, Laws 156
242-of Florida. 157
243- 7. Identifying any gaps in the p rovision of mental health 158
244-and substance use disorder services. 159
245- 8. Providing recommendations on how behavioral health 160
246-managing entities may fulfill their purpose of promoting service 161
247-continuity and work with community stakeholders throughout this 162
248-state in furtherance of supporting the NSPL system and other 163
249-crisis response services . 164
250- 9. Conducting an overview of the current infrastructure of 165
251-the NSPL system. 166
252- 10. Analyzing the current capacity of crisis response 167
253-services available throughout this state, i ncluding services 168
254-provided by mobile response teams and centralized receiving 169
255-facilities. The analysis must include information on the 170
256-geographic area and the total population served by each mobile 171
257-response team along with the average response time to each call 172
258-made to a mobile response team; the number of calls that a 173
259-mobile response team was unable to respond to due to staff 174
260-limitations, travel distance, or other factors; and the veteran 175
236+or other federal legislation. 151
237+ 13. In consultation with the Agency for Health Care 152
238+Administration, identifying sources of funding available through 153
239+the Medicaid program specifically for crisis response services, 154
240+including funding that may be available by seeking approval of a 155
241+Section 1115 waiver submitted to the Centers for Medicare and 156
242+Medicaid Services. 157
243+ 14.9. Making recommendations regarding the mission and 158
244+objectives of state-supported mental health and substance use 159
245+disorder abuse services and the planning, management, staffing, 160
246+financing, contracting, coordination, and accountability 161
247+mechanisms which will best foster the recommended mission and 162
248+objectives. 163
249+ 15.10. Evaluating and making recommendations regarding the 164
250+establishment of a permanent, agency -level entity to manage 165
251+mental health, substance use disorder abuse, and related 166
252+services statewide. At a minimum, the evaluation must consider 167
253+and describe the: 168
254+ a. Specific duties and organizational structure proposed 169
255+for the entity; 170
256+ b. Resource needs of the entity and possible sources of 171
257+funding; 172
258+ c. Estimated impact on access to and quality of services; 173
259+ d. Impact on individuals with behavioral health needs and 174
260+their families, both those currently served through the affected 175
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269269 F L O R I D A H O U S E O F R E P RE S E N T A T I V E S
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273-status and age groups of individuals served by mobile response 176
274-teams. 177
275- 11. Evaluating and making recommendations to improve 178
276-linkages between the NSPL infrastructure and crisis response 179
277-services within this state. 180
278- 12. Identifying available mental health block grant funds 181
279-that can be used to support the NSPL, Florida 211 Network, and 182
280-crisis response infrastructure within this state, including any 183
281-available funding through opioid settlements or through the 184
282-American Rescue Plan Act of 2021, Pub. L. No. 117 -2; the 185
283-Coronavirus Aid, Relief, and Economic Security (CARES) Act, Pu b. 186
284-L. No. 116-136; or other federal legislation. 187
285- 13. In consultation with the Agency for Health Care 188
286-Administration, identifying sources of funding available through 189
287-the Medicaid program specifically for crisis response services, 190
288-including funding that m ay be available by seeking approval of a 191
289-Section 1115 waiver submitted to the Centers for Medicare and 192
290-Medicaid Services. 193
291- 14.9. Making recommendations regarding the mission and 194
292-objectives of state-supported mental health and substance use 195
293-disorder abuse services and the planning, management, staffing, 196
294-financing, contracting, coordination, and accountability 197
295-mechanisms which will best foster the recommended mission and 198
296-objectives. 199
297- 15.10. Evaluating and making recommendations regarding the 200
298-
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306-F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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308-
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310-establishment of a permanent, agency -level entity to manage 201
311-mental health, substance use disorder abuse, and related 202
312-services statewide. At a minimum, the evaluation must consider 203
313-and describe the: 204
314- a. Specific duties and organizational structure proposed 205
315-for the entity; 206
316- b. Resource needs of the entity and possible sources of 207
317-funding; 208
318- c. Estimated impact on access to and quality of services; 209
319- d. Impact on individuals with behavioral health needs and 210
320-their families, both those currently served through the affected 211
321-systems providing behavioral health services and those in need 212
322-of services; and 213
323- e. Relation to, integration with, and impact on providers, 214
324-managing entities, communities, state agencies, and systems 215
325-which provide mental health and substance use disorder abuse 216
326-services in this state. Such recommendations must ensure that 217
327-the ability of such other agencies and systems to carry out 218
328-their missions and responsibilities is not impaired. 219
329- 16. Evaluating and making recommendations regarding 220
330-skills-based training that teaches participants about mental 221
331-health and substance use issues, including, but not limited to, 222
332-Mental Health First Aid models. 223
333- (5) REPORTS.—Beginning By January 1, 2023, and annually 224
334-thereafter through January 1, 2025, the commission shall submit 225
335-
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343-F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
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347-an interim report to the President of the Senate, the Speaker of 226
348-the House of Representatives, and the Governor containing its 227
349-findings and recommendations on how to best provide and 228
350-facilitate mental health and substance use disorder abuse 229
351-services in the state. The commission shall submit its final 230
352-report to the President of the Senate, the Speaker of the House 231
353-of Representatives, and the Governor by September 1, 2026 2023. 232
354- (6) REPEAL.—This section is repealed September 1, 2026 233
355-2023, unless saved from r epeal through reenactment by the 234
356-Legislature. 235
357- Section 3. This act shall take effect July 1, 2023. 236
273+systems providing behavioral health services and those in need 176
274+of services; and 177
275+ e. Relation to, integration with, and impact on providers, 178
276+managing entities, communities, state agencie s, and systems 179
277+which provide mental health and substance use disorder abuse 180
278+services in this state. Such recommendations must ensure that 181
279+the ability of such other agencies and systems to carry out 182
280+their missions and responsibilities is not impaired. 183
281+ (5) REPORTS.—Beginning By January 1, 2023, and annually 184
282+thereafter through January 1, 2025, the commission shall submit 185
283+an interim report to the President of the Senate, the Speaker of 186
284+the House of Representatives, and the Governor containing its 187
285+findings and recommendations on how to best provide and 188
286+facilitate mental health and substance use disorder abuse 189
287+services in the state. The commission shall submit its final 190
288+report to the President of the Senate, the Speaker of the House 191
289+of Representatives, and the G overnor by September 1, 2026 2023. 192
290+ (6) REPEAL.—This section is repealed September 1, 2026 193
291+2023, unless saved from repeal through reenactment by the 194
292+Legislature. 195
293+ Section 2. This act shall take effect July 1, 2023. 196