Florida 2023 2023 Regular Session

Florida House Bill H1411 Analysis / Analysis

Filed 06/20/2023

                     
This document does not reflect the intent or official position of the bill sponsor or House of Representatives. 
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HOUSE OF REPRESENTATIVES STAFF FINAL BILL ANALYSIS  
 
BILL #: CS/HB 1411    Department of Elderly Affairs 
SPONSOR(S): Children, Families & Seniors Subcommittee, Tramont 
TIED BILLS:   IDEN./SIM. BILLS: SB 1396 
 
 
 
 
FINAL HOUSE FLOOR ACTION: 110 Y’s 
 
0 N’s GOVERNOR’S ACTION: Approved 
 
 
SUMMARY ANALYSIS 
CS/HB 1411 passed the House on April 28, 2023, as SB 1396. 
 
The federal Older Americans Act (OAA) requires each state to have 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 ombudsman 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. The bill allows DOEA employees under the Ombudsman Program to be appointed to a local 
ombudsman council, regardless of whether that person is employed in the state or a district office. 
 
Florida requires prospective employees of entities providing some DOEA-administered services to undergo a 
criminal history background check. Direct service providers, meaning personnel 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 and attorneys. The bill 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. 
 
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 
regulates professional guardians, including practice standards, registration and education requirements, and 
discipline. 
 
The bill changes the training and educational requirements for professional guardians and requires OPPG to 
provide materials and training for non-professional guardians. The bill also establishes timeframes for 
processing a complaint about a professional guardian, and requires the clerk of court to 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 was approved by the Governor on June 19, 2023, ch. 2023-259, L.O.F., and will become 
effective on July 1, 2023.    
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I. SUBSTANTIVE INFORMATION 
 
A. EFFECT OF CHANGES:  
 
Background 
 
Florida Long-Term Care Ombudsman Program 
 
The federal Older Americans Act (OAA) requires each state to 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 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
 
 
 Ombudsman Certification 
 
Most functions of the Ombudsman Program are administered by certified ombudsmen, who are 
primarily volunteers. The State Ombudsman must ensure that individuals receive appropriate training 
prior to being certified as an ombudsman; such training must include at least 20 hours of training 
addressing, at a minimum, the following subjects:
9
 
 
 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. 
 
                                                
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 May 15, 2023). 
3
 S. 400.0060(6), F.S. 
4
 S. 400.0063, F.S. 
5
 Department of Elderly Affairs, Agency Analysis of 2023 HB 1411, p. 2. On file with the Children, Families, and Seniors Subcommittee. 
6
 S. 400.0078, F.S. 
7
 S. 400.0073, F.S. 
8
 S. 400.0074, F.S. 
9
 S. 400.0091, F.S.   
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In addition, 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
 
 
Ombudsman Districts 
 
Most Ombudsman Program functions are conducted at the local level by local long-term care 
ombudsman councils (local councils) within regional districts designated by the State Ombudsman.
14
 
Every district must have at least one local council responsible for carrying 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
 
Ombudsman Local Councils 
 
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 
                                                
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 May 15, 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 May 15, 2023). 
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 
May 15, 2023). 
18
 S. 400.0069(4), F.S.   
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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. 
 
The current process for appointing an individual to a local council begins when a volunteer applies, 
completes all required forms, and is interviewed by the District Ombudsman Manager. 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 Ombudsman sends an 
approval letter to the District Ombudsman Manager, 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 
disqualifying criminal background prior to training and certifying that volunteer as an ombudsman. 
 
In the context of local councils, current law expressly prohibits several types of people from being 
appointed as ombudsmen, including nursing home owners, long-term care providers, and employees of 
the Agency for Health Care Administration, the Department of Children and Families, and the Agency 
for Persons with Disabilities.
21
 
 
In addition, DOEA employees may not be appointed to local councils, except for district office staff who 
are certified ombudsmen. Because DOEA practice is to only train and certify a person after 
appointment to a local council, DOEA interprets the statutory ban on appointing state office staff as a 
ban on certifying them as well. Under this premise, DOEA provides ombudsman training to 
Ombudsman Program state office employees, but does not appoint them to local councils or certify 
them. As a result, Ombudsman Program employees in the state office have been unable to provide 
direct services in local communities. According to DOEA, appointing state office staff members to local 
councils would be beneficial because it would allow program staff to gain hands-on experience with the 
issues facing ombudsman and would allow the program to fill gaps created by the current shortage of 
volunteer ombudsmen.
22
 
 
 
 
 
 
Elder Services Background Screening 
 
Current law requires licensed service providers serving specified vulnerable populations to background 
screen prospective employees.
23
 Procedures and requirements for criminal history background 
screening of prospective employees are established in Ch. 435, F.S. 
 
                                                
19
 Id. 
20
 Supra, note 5. 
21
 S. 400.0069(4), F.S. 
22
 Supra, note 5. 
23
 Ch. 435, F.S.   
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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,
24
 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.
25
 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.
26
 
 
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 access to client 
living areas, funds, personal property, or personal identification information and has direct, face-to-face 
contact with clients.
27
 Current law only expressly includes coordinators, managers, and supervisors of 
residential facilities and volunteers in the definition of direct service provider.
28
 
 
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.
29
 
 
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.
30
 However, attorneys are only required to self-report to the 
Florida Bar if they have been convicted of a crime,
31
 and the Florida Bar does not have an automatic 
notification mechanism 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.
32
 
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.
33
 Once a person’s screening record is in the Clearinghouse, that 
person may avoid for any future state screens and related fees.
34
 
 
                                                
24
 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 May 15, 2023). 
25
 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 May 15, 2023). 
26
 S. 435.04, F.S. 
27
 S. 430.0402(1), F.S. See also, s. 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. 
28
 Id. 
29
 S. 430.0402(2), F.S. 
30
 Florida Board of Bar Examiners, Admission Requirements. Available at 
https://www.floridabarexam.org/web/website.nsf/52286AE9AD5D845185257C07005C3FE1/F8FE824E0EECACE885257C0B00672021 
(last visited May 15, 2023). 
31
 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). 
32
 Chapter 2012-73, L.O.F. 
33
 S. 435.02(5), F.S. 
34
 Agency for Health Care Administration, Clearinghouse Renewals. Available at 
https://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/Renewals.shtml (last visited May 15, 2023).   
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Current law includes phase-in language prohibiting DOEA from requiring a level 2 screening for certain 
types of prospective personnel until the Clearinghouse was fully implemented. Full implementation of 
the Clearinghouse by the designated state agencies was required by October 1, 2013.
35
 The 
Clearinghouse is fully implemented, and DOEA now requires level 2 screenings for those personnel, 
thus making the phase-in language obsolete.
36
 
 
Aging and Disability Resource Centers 
 
The federal Administration on Aging provides grants to states for Aging and Disability Resource Center 
(ADRC) programs to assist elders and persons with disabilities to provide information about, and 
streamline access to, public and private long-term services and supports options.
37
 ADRCs in Florida 
operate as a single, coordinated system for information and access to services for all Floridians 
seeking long-term care resources, including adults with severe and persistent mental illnesses.
38
 
ADRCs provide information and assistance about state and federal benefits, as well as available local 
programs and services.
39
 Formerly called Aging Resource Centers, the revised term reflects a federal 
policy to address the resource needs of persons of all ages with disabilities, in addition to elders. 
 
In Florida, ADRC functions are administered through 11 regional Area Agencies on Aging.
40
 
 
Guardianship 
 
When an individual is unable to make legal decisions regarding his or her person or property, a court 
may adjudicate that individual incapacitated and appoint a guardian to oversee that individual’s person 
or property or both. The individual is thereafter referred to as a ward.
41
 Through the guardian’s 
appointment, the court transfers a ward’s civil and/or legal rights to the guardian so that the guardian 
may make decisions on the ward’s behalf.
42
  
 
The Legislature has recognized the inherently restrictive nature of guardianship, and directed that 
alternatives to guardianship and less restrictive means of assistance, such as advance directives,
43
 
guardian advocacy
44
 and limited guardianship,
45
 be explored prior to the appointment of a plenary 
guardian.
46
 
 
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.
47
 A guardian who has at any time rendered services to 
three or more non-relative wards is considered a professional guardian, including public guardians.
48
 
 
Office of Public and Professional Guardians 
                                                
35
 S. 435.12, F.S. 
36
 Supra, note 5, at p. 4. 
37
 Congressional Research Service, Older Americans Act: Overview and Funding, May 17, 2023. (Available at 
https://crsreports.congress.gov/product/pdf/R/R43414 (last visited May 22, 2023).  
38
 Department of Elder Affairs, Aging and Disability Resource Centers (ADRCs). Available at https://elderaffairs.org/resource-
directory/aging-and-disability-resource-centers-adrcs/ (last visited May 22, 2023). 
39
 Supra, note 13, at p. 8. 
40
 Id., note 38. 
41
 S. 744.102(9), F.S. 
42
 Guardianship Improvement Task Force. Final Report: January 2022. Available at 
https://www.guardianshipimprovementtaskforce.com/report/ (last visited May 11, 2023). 
43
 See, s. 765.101, F.S., an advance directive indicates a person’s preferences for future health care should they become incapacitated, 
and may include the designation of a health care surrogate to make future health care decisions. 
44
 See, ss. 744.3085 and 393.12, F.S., a guardian advocate may be appointed to a person with developmental disabilities who has not 
been adjudicated incapacitated. 
45
 See, s. 744.102(9), F.S., a limited guardian is a guardian who has been appointed to exercise only the specific legal rights and 
powers that a court has found a ward lacks the capacity to exercise. 
46
 S. 744.1012(2), F.S. See also, s. 744.102(9), F.S., a plenary guardian is a guardian who has been appointed to exercise all 
delegable legal rights and powers of the ward. 
47
 S. 744.2007(1), F.S. 
48
 S. 744.102(17), F.S.   
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In 1999, the Legislature created the “Public Guardianship Act” and established the Statewide Public 
Guardianship Office (SPGO) within DOEA.
49
 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.
50
 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.
51
 There are 16 
public guardian offices serving Florida’s 67 counties.
52
 
 
The executive director of OPPG is responsible for the oversight of all public and professional 
guardians.
53
 The executive director’s oversight responsibilities include, but are not limited to:
54
 
 
 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.
55
 The extent of their current services for non-professional guardians include 
providing links on OPPG’s website for appropriate resources, such as the Florida State Guardianship 
Association’s (FSGA) website.
56
 FSGA provides training courses that qualify toward the eight-hours of 
training that is required of non-professional guardians within four months of appointment.
57
 
 
Guardian Registration 
 
Professional guardians are required to register annually with OPPG.
58
 Since 2016, approximately 550 
professional guardians have registered with OPPG statewide.
59
 As part of the registration, the 
professional guardian must:
60
 
 
 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; 
                                                
49
 S. 744.701, F.S. (1999). 
50
 Ch. 2016-40, L.O.F. 
51
 Supra, note 13 at p. 43.  
52
 Id, at p. 44. 
53
 S. 744.2001(2)(a), F.S. 
54
 S. 744.2001, F.S. 
55
 Id. 
56
 Supra, note 5. See also, Florida State Guardianship Association, Guardianship Training. Available at 
https://www.floridaguardians.com/education/guardianship-training/ (last visited May 15, 2023). 
57
 S. 744.3145, F.S. 
58
 S. 744.2002, F.S. 
59
 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 May, 2023). 
60
 Ss. 744.2002(3), 744.2003, and 744.3135, F.S.   
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 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.
61
 The continuing education courses must be approved or offered 
by OPPG, however, there are no specific content requirements under current law.
62
 
 
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.
63
 
 
 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.
64
 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;
65
 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;
66
 guardians 
may be disciplined for unethical or illegal actions taken in their role of guardian.
67
 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.
68
 
 
Disciplinary action may be taken by OPPG against a professional guardian for offenses including, but 
not limited to:
69
 
 
 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.
70
 If OPPG finds that a 
professional guardian has committed an offense constituting grounds for discipline, OPPG may impose 
any of the following:
71
 
 
                                                
61
 S. 744.2003(3), F.S. 
62
 Id. 
63
 S. 744.2002, F.S. 
64
 S. 744.446, F.S. 
65
 S. 744.446(5), F.S. 
66
 See rule 58M-2.009, F.A.C. 
67
 S. 744.20041, F.S. 
68
 S. 744.2004(4), F.S. 
69
 S. 744.20041, F.S. 
70
 S. 744.20041(3), F.S. 
71
 S. 744.20041(2), F.S.   
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 Refuse to register an applicant as a professional guardian; 
 Suspend or revoke a professional guardian’s registration; 
 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:
72
 
 
 Review and, if determined legally sufficient,
73
 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).
74
 In accordance with the 
memorandum of understanding, the SIA investigates complaints that have been referred by OPPG.
75
 
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 
 
The bill allows any DOEA employee working in the Ombudsman Program to be appointed to local 
councils. Instead, the bill prohibits DOEA staff who are not employed within the Ombudsman Program 
from being appoint to a local council, and broadly exempts all Ombudsman Program staff from the 
prohibition. 
 
This will enable 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 
                                                
72
 S. 744.2004, F.S. 
73
 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. 
74
 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. 
75
 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).   
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conceivable that state office staff could be appointed to local councils outside of the district in which 
they live and work.
76
 
 
Elder Services Background Screening 
 
The bill expands the types of employees providing services to elderly adults who must undergo a level 
2 background screening to include all 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, regardless of 
whether they have face-to-face contact with a client. Under the bill, such background screening 
requirements also apply to attorneys, regardless of their standing with the Florida Bar, and health care 
professionals licensed by DOH who provide services outside of the scope of their license. 
 
The bill also deletes obsolete language relating to DOEA background screening processes prior to 
DOEA joining the Clearinghouse. 
 
Office of Public and Professional Guardians 
 
The bill 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 receipt. 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 OPPG to provide the 
complainant and the professional guardian a written statement of findings within 10 business days of an 
investigation being completed. 
 
The bill 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, all but one of which have since been implemented by rule. The remaining directive is 
accomplished by the bill’s provisions related to the complaint and investigation process (above). 
 
The bill provides an effective date of July 1, 2023. 
 
                                                
76
 S. 400.0069(4), F.S.   
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II.  FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT 
  
A. FISCAL IMPACT ON STATE GOVERNMENT: 
 
1. Revenues: 
 
None. 
 
2. Expenditures: 
 
None. 
 
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,
77
 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. 
 
 
 
 
                                                
77
 S. 435.08, F.S.