Florida 2023 2023 Regular Session

Florida House Bill H1411 Analysis / Analysis

Filed 04/21/2023

                    This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives. 
STORAGE NAME: h1411c.HHS 
DATE: 4/21/2023 
 
HOUSE OF REPRESENTATIVES STAFF ANALYSIS  
 
BILL #: CS/HB 1411    Department of Elderly Affairs 
SPONSOR(S): Children, Families & Seniors Subcommittee, Tramont 
TIED BILLS:   IDEN./SIM. BILLS:  
 
REFERENCE 	ACTION ANALYST STAFF DIRECTOR or 
BUDGET/POLICY CHIEF 
1) Children, Families & Seniors Subcommittee 17 Y, 0 N, As CS Osborne Brazzell 
2) Health & Human Services Committee 18 Y, 0 N Osborne Calamas 
SUMMARY ANALYSIS 
The federal Older Americans Act (OAA) requires each state to create a Long-Term Care Ombudsman Program 
(Ombudsman Program) to qualify for OAA funding. In Florida, the Ombudsman Program is a statewide, 
volunteer-based system of district councils that protect, defend, and advocate on behalf of long-term care 
facility residents, administered by the Department of Elderly Affairs (DOEA). Ombudsmen investigate 
complaints regarding the welfare and rights of long-term care facility residents and perform annual 
assessments of long-term care facilities.  
 
Current law specifies that DOEA employees based in Ombudsman Program district offices may be appointed 
to local councils; however, DOEA employees in the Ombudsman Program state office may not. DOEA 
interprets this provision as prohibiting Ombudsman Program state office employees from being certified as 
ombudsmen. CS/HB 1411 allows DOEA employees under the Ombudsman Program to be appointed to a local 
council, regardless of whether that person is employed in the state or a district office. 
 
Florida requires prospective employees of entities providing DOEA-administered services to certain vulnerable 
populations undergo a criminal history background check. Direct service providers, meaning personnel of who 
have face-to-face contact with clients and have access to client living areas, funds, personal property, or 
personal identification information, must undergo level 2 background screenings. Some employees are exempt 
from the background screening requirement, including certain medical professionals licensed by the 
Department of Health (DOH), and attorneys in good standing with the Florida Bar. 
 
CS/HB 1411 expands background screening requirements to include more direct service providers and 
eliminates the exemptions for licensed health care professionals and attorneys in good standing with the 
Florida Bar. The bill also deletes obsolete language relating to DOEA background screening processes in 
place prior to DOEA joining the Care Provider Background Screening Clearinghouse. 
 
When an individual is unable to make legal decisions regarding his or her person or property, a guardian may 
be appointed to act on his or her behalf. The Office of Public and Professional Guardians (OPPG) under DOEA 
is responsible for regulating professional guardians, including establishing practice standards, registration and 
education requirements, and disciplinary processes. 
 
The bill changes the training and educational requirements for professional guardians and requires OPPG 
provide materials and training for non-professional guardians. The bill also establishes specific timeframes for 
processing a complaint about a professional guardian, and requires that the clerk of court report any sanctions 
imposed by a court on a professional guardian to OPPG within 10 business days. 
 
The bill has no fiscal impact on state or local governments. 
 
The bill provides an effective date of July 1, 2023.   STORAGE NAME: h1411c.HHS 	PAGE: 2 
DATE: 4/21/2023 
  
FULL ANALYSIS 
I.  SUBSTANTIVE ANALYSIS 
 
A. EFFECT OF PROPOSED CHANGES: 
Background 
 
Florida Long-Term Care Ombudsman Program 
 
The federal Older Americans Act (OAA) requires each state create a Long-Term Care Ombudsman 
Program (Ombudsman Program) to be eligible for funding associated with programs under the OAA.
1
 
Florida’s Ombudsman Program was established in 1975 as a result of the OAA, which grants 
individuals living in long-term care facilities a special set of resident’s rights.
2
 The Ombudsman Program 
is a statewide, volunteer-based system of district councils that protect, defend, and advocate on behalf 
of long-term care facility residents, including residents of nursing homes, assisted living facilities 
(ALFs), and adult family-care homes.
3
 
 
The Ombudsman Program is administratively housed in the Department of Elderly Affairs (DOEA) and 
is headed by the State Long-Term Care Ombudsman (State Ombudsman), who is appointed by the 
DOEA Secretary.
4
 The State Ombudsman carries out his or her responsibilities through the training and 
certification of volunteers who operate through district and local councils, and through staff positions in 
the state and district offices established to coordinate and assist the local councils.
5
 
 
The Ombudsman Program administers a statewide toll-free telephone number for receiving complaints 
concerning matters adversely affecting the health, safety, welfare, or rights of residents of long-term 
care facilities.
6
 The Ombudsman Program investigates complaints relating to actions or omissions by 
providers or representatives of providers of long-term care services, other public agencies, guardians, 
or representative payees which may adversely affect the health, safety, welfare, or rights of residents.
7
 
In addition to investigating and resolving complaints, ombudsmen conduct annual administrative 
assessments, which are unannounced visits to assess the quality of care in long-term care facilities.
8
 
 
Most functions of the Ombudsman Program are administered by certified ombudsmen, who are 
primarily volunteers. Certified ombudsmen must receive at least 20 hours of training addressing, at a 
minimum, the following subjects: resident confidentiality, guardianships and powers of attorney, 
medication administration, care and medication of residents with dementia and Alzheimer’s disease, 
accounting for residents’ funds, discharge rights and responsibilities, and cultural sensitivity.
9
 Certified 
ombudsmen must complete 10 hours of continuing education annually.
10
 
 
In recent years, the Ombudsman Program has had challenges maintaining the cadre of volunteers 
necessary to operate the program. During 2020, there was an 18 percent decline in its number of 
volunteers, and in 2021, the number further declined by 10 percent.
11
 In 2020-21, the Ombudsman 
Program was served by 199 volunteers who contributed a total of 25,684 hours.
12
 In 2021-2022, the 
Ombudsman Program conducted 2,815 complaint investigations and worked with 3,978 facilities.
13
   
                                                
1
 42 U.S.C. § 3058, see also s. 400.0061(1), F.S. 
2
 Florida Ombudsman Program, About Us: History of the Ombudsman Program. Available at https://ombudsman.elderaffairs.org/about-
us/ (last visited April 4, 2023). 
3
 S. 400.0060(6), F.S. 
4
 S. 400.0063, F.S. 
5
 Department of Elderly Affairs, Agency Analysis for HB 1411: 2023, p. 2. On file with the Health and Human Services Committee. 
6
 S. 400.0078, F.S. 
7
 S. 400.0073, F.S. 
8
 S. 400.0074, F.S. 
9
 S. 400.0091, F.S. 
10
 Id. 
11
 Department of Elder Affairs, Florida Ombudsman Program Annual Report 2020-21, p.3. Available at 
https://ombudsman.elderaffairs.org/wp-content/uploads/Annual-Report-2020-2021.pdf (last visited March 18, 2023). 
12
 Id at p. 8. 
13
 Department of Elder Affairs, 2022 Live Well & Age Well Department Overview, p. 29. Available at https://elderaffairs.org/wp-
content/uploads/2022-Department-Overview_WEB.pdf (last visited April 5, 2023).  STORAGE NAME: h1411c.HHS 	PAGE: 3 
DATE: 4/21/2023 
  
 
Long-Term Care Ombudsman Districts 
 
The State Ombudsman is responsible for designating long-term care ombudsman districts.
14
 Districts 
may have one or more long-term care ombudsman councils which carry out the duties of the 
Ombudsman Program within local communities.
15
 The State Ombudsman must ensure that there is at 
least one employee of the department who is a certified ombudsman and at least one local council 
operating in each district; the State Ombudsman may create additional local councils within districts as 
necessary to ensure access to Ombudsman Program services.
16
 
 
Long-Term Care Ombudsman Program Districts
17
 
Local councils are composed of certified ombudsmen whose primary residences are within the 
boundaries of the district.
18
 Upon good cause shown, the State Ombudsman may appoint certified 
ombudsmen who live outside of the district to a local council. Current law directs the State Ombudsman 
to strive to ensure that each local council consists of the following persons:
19
 
 
 At least one licensed physician significant geriatric experience; 
 At least one registered nurse with geriatric experience; 
 At least one licensed pharmacist; 
 At least one registered dietician; 
 At least six nursing home residents or representative consumer advocates for nursing home 
residents; 
 At least three residents of assisted living facilities or adult family-care homes or representative 
consumer advocates of such; 
 At least one attorney; and 
 At least one professional social worker. 
 
DOEA’s current process for appointing an individual to a local council is as follows: a volunteer applies, 
completes all required forms, and is interviewed by the District Ombudsman Manager (DOM). The 
volunteer is then screened for potential conflicts of interest, and if no conflicts exist, the volunteer 
undergoes a level 2 background screening. Upon passing the background screening, the State 
                                                
14
 S. 400.0069(1), F.S. 
15
 S. 400.0060(4) and (5), F.S. 
16
 S. 400.0069(1), F.S. 
17
 Florida Ombudsman Program, District Offices. Available at https://ombudsman.elderaffairs.org/about-us/district-offices/ 
(last visited April 5, 2023). 
18
 S. 400.0069(4), F.S. 
19
 Id.  STORAGE NAME: h1411c.HHS 	PAGE: 4 
DATE: 4/21/2023 
  
Ombudsman sends an approval letter to the DOM and the volunteer may begin training for 
certification.
20
 Due to the time and resources required to train ombudsmen, it is DOEA’s standard 
procedure to appoint a volunteer to a local council and ensure that there is no conflict of interest or 
criminal background prior to training and certifying a potential ombudsman. 
 
In the context of local councils, current law expressly prohibits the following persons from being 
appointed as ombudsmen:
21
 
 
 Owners or representatives of a long-term care facility; 
 Provider or representatives of a provider of long-term care service; 
 Employees of the Agency for Health Care Administration, the Department of Children and 
Families, or the Agency for Persons with Disabilities; and 
 Employees of DOEA, except for staff certified as ombudsmen in the district offices. 
 
DOEA has interpreted this provision to permit staff in the Ombudsman Program’s district offices to be 
appointed to local councils, while Ombudsman Program staff in the state office may not, and thus may 
not provide direct services in local communities.
22
 Under this premise, DOEA has provided ombudsman 
training to Ombudsman Program state office employees, but has not officially appointed them to local 
councils or certified them. Ombudsman Program employees in the state office have, therefore, been 
unable to provide services to local communities, or gain hands-on experience with the issues facing 
ombudsman.
23
 
 
Federal regulations permit the State Ombudsman to designate employees or volunteers within the 
Ombudsman Program as “representatives of the office,” to carry out the duties of the office, subject to 
training and certification requirements.
24
 Consistent with this, under current law, a “Representative of 
the State Long-Term Care Ombudsman Program” includes the State Ombudsman, an employee of the 
state or district office certified as an ombudsman, or an individual certified as an ombudsman serving 
on the state or a local council.
25
 
 
Background Screening 
 
Current law requires licensed service providers serving specified vulnerable populations to background 
screen prospective employees.
26
 Procedures and requirements for criminal history background 
screening of prospective employees are established in Ch. 435, F.S. 
 
There are two levels of background screening: level 1 and level 2. Level 1 screening includes, at a 
minimum, employment history checks and statewide criminal correspondence checks through the 
Florida Department of Law Enforcement (FDLE) and a check of the Dru Sjodin National Sex Offender 
Public Website,
27
 and may include criminal records checks through local law enforcement agencies. A 
level 1 screening may be paid for and conducted by employers through FDLE’s website, which 
provides immediate results.
28
 A level 2 background screening includes, but is not limited to, 
fingerprinting for statewide criminal history records checks through FDLE and national criminal history 
checks through the Federal Bureau of Investigation (FBI), and may include local criminal records 
checks through local law enforcement agencies.
29
 
 
                                                
20
 Supra, note 5. 
21
 S. 400.0069(4), F.S. 
22
 Supra, note 5. 
23
 Id. 
24
 See 45 C.F.R. § 1324.19. 
25
 S. 400.0060(9), F.S. 
26
 Ch. 435, F.S. 
27
 The Dru Sjodin National Sex Offender Public Website is a U.S. government website that links public state, territorial, and tribal sex 
offender registries in one national search site. Available at www.nsopw.gov (last visited March 15, 2023). 
28
 Florida Department of Law Enforcement, State of Florida Criminal History Records Check. Available at 
http://www.fdle.state.fl.us/Criminal-History-Records/Florida-Checks.aspx (last visited March 15, 2023). 
29
 S. 435.04, F.S.  STORAGE NAME: h1411c.HHS 	PAGE: 5 
DATE: 4/21/2023 
  
Current law requires level 2 background screenings for direct service providers, meaning any person 
employed by a DOEA-administered program to provide services to the elderly who has direct, face-to-
face contact with clients or has access to client living areas, funds, personal property, or personal 
identification information.
30
 Current law only expressly includes coordinators, managers, and 
supervisors of residential facilities and volunteers in the definition of direct service provider.
31
 Certain 
classes of service providers are exempt from the level 2 background screening requirement, including 
licensed physicians, nurses and other professionals licensed by the Department of Health (DOH) who 
have undergone background screening as a part of their licensure, as well as attorneys in good 
standing with the Florida Bar.
32
 
 
Attorneys in good standing with the Florida Bar are screened by the Florida Board of Bar Examiners 
prior to being admitted to the Florida Bar.
33
 However, attorneys are only required to self-report to the 
Florida Bar if they have been convicted of a crime,
34
 and the Florida Bar does not have a mechanism 
for automatic notification for subsequent arrests. As such, an attorney may be in good standing but 
have an arrest or conviction that has not been reported to the Florida Bar. 
 
Care Provider Background Screening Clearinghouse 
 
In 2012, the Legislature created the Care Provider Background Screening Clearinghouse 
(Clearinghouse) to create a single program for screening individuals and allow for the results of criminal 
history checks of persons acting as covered care providers to be shared among specified agencies.
35
 
Specified agencies include DOEA, DOH, the Agency for Health Care Administration, the Department of 
Children and Families, the Agency for Persons with Disabilities, and the Department of Education, 
among other government entities.
36
 Once a person’s screening record is in the Clearinghouse, that 
person may avoid for any future state screens and related fees.
37
 Full implementation of the 
Clearinghouse by the designated state agencies was required by October 1, 2013.
38
 
 
Guardianship 
 
When an individual is unable to make legal decisions regarding his or her person or property, a 
guardian may be appointed to act on his or her behalf. A guardian is a person who has been appointed 
by the court to act on behalf of a ward (an individual who has been adjudicated incapacitated) 
regarding his or her person or property, or both.
39
 Adjudicating a person totally incapacitated and in 
need of a guardian deprives a person of his or her civil and legal rights.
40
 Current law directs the courts 
to use the least restrictive form of guardianship appropriate to ensure the necessary level of care for a 
person and to protect that person’s rights.
41
 
 
A family member or friend may be appointed by the court as a person’s guardian; other persons, a 
bank, or corporation may also act as a guardian.
42
 A guardian who has at any time rendered services to 
three or more non-relative wards is considered a professional guardian, including public guardians.
43
 
                                                
30
 S. 430.0402(1), F.S. See also, 817.568(1)(f), F.S., “Personal identification information” means any name or number that may be 
used, alone or in conjunction with any other information, to identify a specific person. 
31
 Id. 
32
 S. 430.0402(2), F.S. 
33
 Florida Board of Bar Examiners, Admission Requirements. Available at 
https://www.floridabarexam.org/web/website.nsf/52286AE9AD5D845185257C07005C3FE1/F8FE824E0EECACE885257C0B00672021 
(last visited March 15, 2023). 
34
 The Florida Bar, Chapter 3: Rules of Discipline, Rule 3-7.2 Procedures on Criminal or Professional Misconduct; Discipline on 
Determination or Judgement of Guilt of Criminal Misconduct; Discipline on Removal from Judicial Office. Available at https://www-
media.floridabar.org/uploads/2022/12/Ch-3-DEC-RRTFB-12-2-2022-3.pdf (last visited March 15, 2023). 
35
 Chapter 2012-73, L.O.F. 
36
 S. 435.02(5), F.S. 
37
 Agency for Health Care Administration, Clearinghouse Renewals. Available at 
https://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/Renewals.shtml (last visited March 15, 2023). 
38
 S. 435.12, F.S. 
39
 S. 744.102(9), F.S. 
40
 S. 744.1012, F.S. 
41
 Id. 
42
 S. 744.2007(1), F.S. 
43
 S. 744.102(17), F.S.  STORAGE NAME: h1411c.HHS 	PAGE: 6 
DATE: 4/21/2023 
  
 
Office of Public and Professional Guardians 
 
In 1999, the Legislature created the “Public Guardianship Act” and established the Statewide Public 
Guardianship Office (SPGO) within DOEA.
44
 In 2016, the Legislature renamed the Statewide Public 
Guardianship Office within the DOEA as the Office of Public and Professional Guardians (OPPG) and 
tasked OPPG with monitoring and regulating professional guardians.
45
 OPPG appoints local public 
guardian offices to provide guardianship services to people who have neither adequate income nor 
assets to afford a private guardian, nor any willing family or friend to serve as such.
46
 There are 16 
public guardian offices serving Florida’s 67 counties.
47
 
 
The executive director of OPPG is responsible for the oversight of all public and professional 
guardians.
48
 The executive director’s oversight responsibilities include, but are not limited to:
49
 
 
 Establishing standards of practice for public and professional guardians;  
 Reviewing and approving the standards and criteria for the education, registration, and 
certification of public and professional guardians;  
 Developing a guardianship training program curriculum that may be offered to all guardians;  
 Developing and implementing a monitoring tool to use for periodic monitoring activities of 
professional guardians; however, this monitoring tool may not include a financial audit as 
required to be performed by the clerk of the circuit court under s. 744.368, F.S.;  
 Developing procedures for the review of an allegation that a professional guardian has violated 
an applicable statute, fiduciary duty, standard of practice, rule, regulation, or other requirement 
governing the conduct of professional guardians; and 
 Establishing disciplinary proceedings, conducting hearings, and taking administrative action 
under ch. 120, F.S. 
 
OPPG oversight does not extend to non-professional guardians – those guardians serving relatives or 
fewer than three wards.
50
 OPPG makes resources for non-professional guardians available on their 
website such as the Florida State Guardianship Association’s (FSGA) website.
51
 FSGA provides 
training courses that qualify toward the eight-hours of training that is required of non-professional 
guardians within four months of appointment.
52
 
 
Guardian Registration 
 
Professional guardians are required to register annually with OPPG.
53
 Since 2016, approximately 550 
professional guardians have registered with OPPG statewide.
54
 As part of the registration, the 
professional guardian must:
55
 
 
 Provide sufficient information to identify the professional guardian; 
 Complete a minimum of 40 hours of instruction and training through a course approved or 
offered by the OPPG; 
 Successfully pass an examination approved by DOEA to demonstrate competency to act as a 
professional guardian; 
                                                
44
 S. 744.701, F.S. (1999). 
45
 Ch. 2016-40, L.O.F. 
46
 Supra, note 13 at p. 43.  
47
 Id, at p. 44. 
48
 S. 744.2001(2)(a), F.S. 
49
 S. 744.2001, F.S. 
50
 Id. 
51
 Department of Elderly Affairs, Agency Analysis for HB 1411: 2023, p. 3. On file with the Health and Human Services Committee. See 
also, Florida State Guardianship Association, Guardianship Training. Available at 
https://www.floridaguardians.com/education/guardianship-training/ (last visited April 20, 2023). 
52
 S. 744.3145, F.S. 
53
 S. 744.2002, F.S. 
54
 Department of Elder Affairs, Office of Public & Professional Guardians (OPPG). Available at https://elderaffairs.org/programs-
services/office-of-public-professional-guardians-oppg/ (last visited April 5, 2023). 
55
 Ss. 744.2002(3), 744.2003, and 744.3135, F.S.  STORAGE NAME: h1411c.HHS 	PAGE: 7 
DATE: 4/21/2023 
  
 Undergo a criminal background check by the Federal Bureau of Investigation and the Florida 
Department of Law Enforcement; 
 Submit to a credit history check; and 
 Maintain a current blanket bond. 
 
Under current law, professional guardians must complete a minimum of 16 hours of continuing 
education every two calendar years.
56
 The continuing education courses must be approved or offered 
by OPPG, however, there are no specific content requirements under current law.
57
 
 
The executive director of OPPG may deny registration to a professional guardian if it is determined that 
the guardian’s proposed registration, including the guardian’s credit or criminal investigations, indicates 
that registering the professional guardian would violate any provision of ch. 744, F.S.
58
 
 
 Guardian Disciplinary Action 
 
The relationship between the guardian and the ward is a fiduciary one; it may not be used for the 
private gain of the guardian other than the remuneration for fees and expenses provided by law.
59
 As 
such, the guardian must act in the best interest of the ward and carry out his or her responsibilities in an 
informed and considered manner. Should a guardian breach his or her fiduciary duty to the ward, the 
court is obligated to intervene to protect the ward and the ward’s interests;
60
 however, there currently is 
no statutory requirement for the courts to report the removal of a guardian to OPPG. 
 
Guardians are also obligated to adhere to the standards of practice established by OPPG;
61
 guardians 
may be disciplined for unethical or illegal actions taken in their role of guardian.
62
 OPPG is required to 
report any suspension or revocation of a professional guardian’s registration to the court of competent 
jurisdiction for any guardianship case to which the guardian is currently appointed.
63
 
 
Disciplinary action may be taken by OPPG against a professional guardian for offenses including, but 
not limited to:
64
 
 
 Making a misleading, deceptive, or fraudulent representation in or related to the practice of 
guardianship; 
 Violating any rule governing guardians or guardianship adopted by OPPG; 
 Being convicted or found guilty of, or entering a plea of guilty or nolo contendere to a crime 
which relates to the practice of, or ability to practice as, a professional guardian; 
 Failing to comply with the educational course requirements for professional guardians; and 
 Using the position of guardian for financial gain. 
 
When determining what disciplinary action against a professional guardian is appropriate, OPPG must 
first consider what sanctions are necessary to safeguard the wards and protect the public, prior to 
considering any mitigation or rehabilitation for the professional guardian.
65
 If OPPG finds that a 
professional guardian has committed an offense constituting grounds for discipline, OPPG may impose 
any of the following:
66
 
 
 Refuse to register an applicant as a professional guardian; 
 Suspend or revoke a professional guardian’s registration; 
                                                
56
 S. 744.2003(3), F.S. 
57
 Id. 
58
 S. 744.2002, F.S. 
59
 S. 744.446, F.S. 
60
 S. 744.446(5), F.S. 
61
 See rule 58M-2.009, F.A.C. 
62
 S. 744.20041, F.S. 
63
 S. 744.2004(4), F.S. 
64
 S. 744.20041, F.S. 
65
 S. 744.20041(3), F.S. 
66
 S. 744.20041(2), F.S.  STORAGE NAME: h1411c.HHS 	PAGE: 8 
DATE: 4/21/2023 
  
 Issue a reprimand; 
 Require treatment, completion of continuing education courses, or reexamination; 
 Require restitution; or 
 Require remedial education. 
 
Complaints & Investigations 
 
Any person may submit a complaint against a professional guardian to OPPG. OPPG is required to 
investigate allegations of suspected wrongdoing perpetrated by public and professional guardians. 
Once OPPG receives a complaint, it is required to:
67
 
 
 Review and, if determined legally sufficient,
68
 investigate complaints against professional 
guardians;  
 Initiate an investigation no later than 10 business days after OPPG receives a complaint;  
 Complete and provide initial investigative findings and recommendations, if any, to the 
professional guardian and person filing the complaint within 60 days;  
 Obtain supporting information, including interviewing the ward, family member, or interested 
party, or documentation to determine the legal sufficiency of a complaint; 
 Dismiss any complaint that is not legally sufficient; and 
 Coordinate with the clerks of the court to avoid duplication of duties.  
 
On October 1, 2016, in order to comply with their statutory obligation to investigate complaints, OPPG 
entered into a memorandum of understanding with six Circuit Court Clerks offices across the state, 
collectively referred to as the Statewide Investigation Alliance (SIA).
69
 In accordance with the 
memorandum of understanding, the SIA investigates complaints that have been referred by OPPG.
70
 
Investigations by OPPG or the SIA which find substantiated allegations of violations by professional 
guardians may be referred to law enforcement, the Office of the Attorney General, the Office of the 
State Attorney, or the Florida Bar, as appropriate. 
 
 
 
Effect of the Bill 
 
Long-Term Care Ombudsman Program 
 
CS/HB 1411 revises current law to specify that any DOEA employee working in the Ombudsman 
Program may be appointed to local councils as a certified ombudsman. This will allow the State 
Ombudsman to appoint Ombudsman Program staff to local councils as necessary so that they may 
perform duties within local communities, regardless of whether they are based in a district office or the 
state office. All Ombudsman Program staff, upon appointment and certification, will thus be able to 
participate directly in all program activities and fill service gaps resulting from the current shortage in 
volunteer ombudsmen. As the State Ombudsman may, with good cause, appoint ombudsman to 
councils located in districts in which the ombudsman does not live, it is conceivable that state office 
staff could be appointed to local councils outside of the district in which they live and work.
71
 
 
Background Screening 
 
                                                
67
 S. 744.2004, F.S. 
68
 S. 744.2004(1), F.S., states that a complaint is legally sufficient if it contains ultimate facts that show a violation of a standard of 
practice by a professional guardian has occurred. 
69
 Florida Clerks, Statewide Investigation Alliance. Available at https://flclerksia.com/ (last visited April 5, 2023). The six Clerks offices 
that make up the SIA are Pinellas, Pasco, Palm Beach, Lee, Okaloosa, and Polk counties. 
70
 See, Memorandum of Understanding by and between the Department of Elder Affairs, Office of Public and Professional Guardians, 
and Clerks (July 14, 2016). Available at https://flclerksia.files.wordpress.com/2018/10/doea-clerk-mou-final-executed-7-1-2018.pdf (last 
visited April 5, 2023). 
71
 S. 400.0069(4), F.S.  STORAGE NAME: h1411c.HHS 	PAGE: 9 
DATE: 4/21/2023 
  
CS/HB 1411 expands the definition of direct service providers to include, but not be limited to, 
employees responsible for the daily and financial operations of the provider and any other person who 
may provide personal care or services directly to clients, or have access to client funds, financial or 
legal matters, personal property or living areas. 
 
The bill amends the statute that exempts certain licensed professionals from the background screening 
requirement. The bill would require that health care professionals licensed under DOH who are 
providing services outside of the scope of their license undergo background screening. The bill also 
deletes provisions that exempt attorneys in good standing with the Florida Bar from background 
screening. This would require all attorneys who are direct service providers to be background 
screened, regardless of their standing with the Florida Bar. 
 
The bill also deletes language relating to DOEA background screening processes prior to DOEA joining 
the Clearinghouse. This language is obsolete as DOEA is participating in the Clearinghouse. 
 
Office of Public and Professional Guardians 
 
CS/HB 1411 requires OPPG to provide information relating to alternatives to and types of guardianship 
to Area Agencies on Aging and Aging Resource Centers for dissemination to the populations they 
serve. The bill requires the executive director of OPPG to produce an online education course for 
guardians who are not professional guardians. 
 
The bill also increases the number of continuing education hours required for professional guardians 
from 16 to 30 hours every two years. The bill specifies that the continuing education must include, at a 
minimum, the following: 
 
 2 hours on fiduciary responsibilities; 
 2 hours on professional ethics; 
 1 hour on advance directives; 
 3 hours on abuse, neglect, and exploitation; and 
 4 hours on guardianship law. 
 
The bill revises the process by which OPPG is required to investigate complaints made against a 
professional guardian and details timelines for providing information to the complainant and the 
professional guardian who is subject to the complaint. Under the bill, OPPG must review complaints, 
and if determined to be legally sufficient, initiate investigations within 10 business days of receiving a 
complaint. The bill also requires OPPG to notify the complainant no later than 10 business days after 
OPPG determines a complaint is not legally sufficient. The bill shortens the timeframe in which OPPG 
must complete and provide initial investigative findings and recommendations, if any, to the 
professional guardian and complainant from 60 to 45 business days. The bill requires that within 10 
business days of an investigation being completed, OPPG must provide the complainant and the 
professional guardian with a written statement of findings. 
 
CS/HB 1411 also requires that the clerk of court notify OPPG of any sanctions imposed on a guardian 
within 10 business days. 
 
The bill removes obsolete language requiring OPPG to complete certain actions by various dates in 
2016.  
 
The bill provides an effective date of July 1, 2023. 
 
B. SECTION DIRECTORY: 
Section 1: Amends s. 400.0069, F.S., relating to long-term care ombudsman districts; local long-
term care ombudsman councils; duties; appointment. 
Section 2: Amends s. 430.0402, F.S., relating to screening of direct service providers. 
Section 3: Amends s. 744.2002, F.S., relating to the Office of Public and Professional Guardians.  STORAGE NAME: h1411c.HHS 	PAGE: 10 
DATE: 4/21/2023 
  
Section 4: Amends s. 744.2003, F.S., relating to regulation of professional guardians; application; 
bond required; educational requirements. 
Section 5: Amends s. 744.2004, F.S., relating to complaints; disciplinary proceedings; penalties; 
enforcement. 
Section 6: Amends s. 744.3145, F.S., relating to guardian education requirements. 
Section 7: Amends s. 744.368, F.S., relating to responsibilities of the clerk of the circuit court. 
Section 8: Provides an effective date of July 1, 2023. 
II.  FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT 
 
A. FISCAL IMPACT ON STATE GOVERNMENT: 
 
1. Revenues: 
None. 
 
2. Expenditures: 
None.
72
 
 
B. FISCAL IMPACT ON LOCAL GOVERNMENTS: 
 
1. Revenues: 
None. 
 
2. Expenditures: 
None. 
 
C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR: 
CS/HB 1411 expands the types of employees who are required to undergo level 2 background 
screenings as a term of employment. As employers are responsible for paying the costs of background 
screening,
73
 there is likely to be an indeterminate, increased cost to private employers who employ 
direct service providers as defined in the bill. 
 
D. FISCAL COMMENTS: 
None. 
 
III.  COMMENTS 
 
A. CONSTITUTIONAL ISSUES: 
 
 1. Applicability of Municipality/County Mandates Provision: 
Not Applicable.  This bill does not appear to affect county or municipal governments.   
 
 2. Other: 
None. 
 
B. RULE-MAKING AUTHORITY: 
The bill neither requires rulemaking nor confers or alters an agency’s rulemaking authority. 
 
                                                
72
 Supra, note 5, p. 4. See also, Department of Elderly Affairs, Agency Analysis on HB 7025 (2020), p. 4. On file with the Health and 
Human Services Committee. 
73
 S. 435.08, F.S.  STORAGE NAME: h1411c.HHS 	PAGE: 11 
DATE: 4/21/2023 
  
C. DRAFTING ISSUES OR OTHER COMMENT S: 
None. 
 
IV.  AMENDMENTS/COMMITTEE SUBSTITUTE CHANGES 
On March 21, 2023, the Children, Families, and Seniors Subcommittee adopted an amendment and 
reported the bill favorably as a committee substitute. The amendment makes changes relating to the Office 
of Public and Professional Guardians (OPPG) under DOEA. The amendment makes changes to the 
training and educational requirements for professional guardians and requires that OPPG provide materials 
and training for non-professional guardians. The amendment also establishes specific timeframes for 
processing a complaint about a professional guardian, and requires that the clerk of court report any 
sanctions imposed by a court on a professional guardian to OPPG within 10 business days. 
 
The bill was reported favorably as amended. The analysis is drafted to committee substitute passed by the 
Children, Families & Seniors Subcommittee.