The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) Prepared By: The Professional Staff of the Committee on Appropriations BILL: SB 7030 INTRODUCER: Appropriations Committee on Health and Human Services SUBJECT: Trust Funds/State Opioid Settlement Trust Fund/Department of Children and Families DATE: March 27, 2023 ANALYST STAFF DIRECTOR REFERENCE ACTION Gerbrandt Money AHS Submitted as Comm. Bill/Fav 1. Gerbrandt Sadberry AP Pre-meeting I. Summary: SB 7030 amends s. 20.195, F.S., establishing the Opioid Settlement Trust Fund within the Department of Children and Families. The purpose of the trust fund is to abate the opioid epidemic in accordance with the settlement agreements reached by the state in opioid-related litigation or bankruptcy proceedings. The trust fund will receive funds as provided in the General Appropriations Act. The bill is effective July 1, 2023. II. Present Situation: Trust Funds Establishment of Trust Funds A trust fund may be created by law only by the Legislature and only if passed by a three-fifths vote of the membership of each house in a separate bill for that purpose only. Except for trust funds being re-created by the Legislature, each trust fund must be created by statutory language that specifies at least the following: The name of the trust fund. The agency or branch of state government responsible for administering the trust fund. The requirements or purposes that the trust fund is established to meet. The sources of moneys to be credited to the trust fund or specific sources of receipts to be deposited in the trust fund. 1 1 Section 215.3207, F.S. REVISED: BILL: SB 7030 Page 2 Florida Constitution Requirement for Trust Funds The Florida Constitution requires that state trust funds must terminate not more than four years after the effective date of the act authorizing the initial creation of the trust fund. 2 By law the Legislature may set a shorter time period for which any trust fund is authorized. 3 Review of Trust Funds The Legislature must review all state trust funds at least once every 4 years, 4 prior to the regular session of the Legislature immediately preceding the date on which any executive or judicial branch trust fund is scheduled to be terminated, 5 or such earlier date as the Legislature may specify. 6 The agency responsible for the administration of the trust fund and the Governor, for executive branch trust funds, or the Chief Justice, for judicial branch trust funds, must recommend to the President of the Senate and the Speaker of the House of Representatives whether the trust fund should be allowed to terminate or should be re-created. 7 Each recommendation must be based on a review of the purpose and use of the trust fund and a determination of whether the trust fund will continue to be necessary. 8 A recommendation to re-create the trust fund may include suggested modifications to the purpose, sources of receipts, and allowable expenditures for the trust fund. 9 When the Legislature terminates a trust fund, the agency or branch of state government that administers the trust fund must pay any outstanding debts or obligations of the trust fund as soon as practicable. 10 The Legislature may also provide for the distribution of moneys in that trust fund. If no such distribution is provided, the moneys remaining after all outstanding obligations of the trust fund are met must be deposited in the General Revenue Fund. 11 Opioid Settlements Florida joined a multi-state coalition of 48 states and the District of Columbia to sue pharmaceutical companies, distributors, and dispensing companies that had major roles in producing or promoting opioid products that helped to fuel the nation’s opioid epidemic. 12 In July of 2021, three of the largest pharmaceutical companies settled litigation related to the opioid crisis. Based on the settlement agreement, the three companies collectively will pay up to $21 billion over 17 and a half years, with Florida receiving a total of $1.3 billion. Additionally, 2 Art. III, s. 19(f)(2), Fla. Const. 3 Id. 4 Section 215.3208(1), F.S. 5 Pursuant to Art. III, s. 19(f), Fla. Const. 6 Section 215.3206(1), F.S. 7 Id. 8 Id. 9 Id. 10 Section 215.3208(2)(a), F.S. 11 Section 215.3208(b), F.S. 12 See Florida Attorney General, Attorney General Moody secures relief for opioid crisis, https://myfloridalegal.com/opioidsettlement (last visited Feb. 24, 2023). BILL: SB 7030 Page 3 Johnson & Johnson will pay up to $5 billion over nine years, with Florida receiving almost $300 million from that agreement. Previous settlement funding generated more than $300 million for Florida opioid abatement, which brings the collective opioid efforts for Florida to $1.9 billion. The settlement funding must be used to support opioid treatment, prevention and recovery services. 13 In addition to the Johnson & Johnson settlement the state has entered into settlement agreements with the following entities: Endo Health Solutions, CVS Health Corporation, CVS Pharmacy, Inc., Teva Pharmaceuticals Industries Ltd., Allergan Finance, LLC., Walgreen Boots Alliance, Inc., and Walgreen Co., and Walmart. 14 These agreements total approximately $3.2 billion to be received by the state with some of the funds sent directly to local governments over a period of up to 18 years. In 2022, the Legislature created an Opioid Settlement Clearing Trust Fund in the Department of Financial Services to serve as the depository of opioid settlement funds. 15 Funds received from the settlements will be deposited into the clearing trust fund and then transferred from the clearing trust fund to various agencies to implement the appropriations as provided in the General Appropriations Act. 16 Department of Children and Families The Department of Children and Families (DCF) works in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Client services are provided through one of the following program areas: Family Safety and Preservation Services, Mental Health Services, Community Substance Abuse and Mental Health, or Economic Self-Sufficiency Services. People with one or more of the following characteristics are served by the department: children in families known to be at risk of abuse or neglect or who have been abused or neglected by their families; child victims of abuse or neglect; children with or at risk of substance abuse problems; children with mental health problems; children incompetent to proceed to the delinquency system; adults with substance abuse problems; adults with mental illness; adults with disabilities and frail elderly at risk of or victims of abuse, neglect, or exploitation; adults with disabilities who need assistance to remain in the community; adults and their families who need assistance to become economically self-sufficient; victims of domestic violence; and people who are homeless. The Community Mental Health and Substance Abuse Services Program is responsible for the oversight and program management of community mental health and substance abuse services, and provides direction for a continuum of community-based prevention. This includes policy and standard of care development, licensure of substance abuse services, designation of receiving 13 Florida Attorney General, Attorney General Moody announces new settlement for $65 million with opioid manufacturer Endo and finalization of Johnson & Johnson Opioid Settlement, (Jan. 18, 2022) available at http://www.myfloridalegal.com/newsrel.nsf/newsreleases/DBE8B56810857CB3852587CE00776C03 (last visited Feb. 24, 2023). 14 See Florida Attorney General, Attorney General Moody secures relief for opioid crisis. 15 Chapter 2022-161, Laws of Florida. 16 Section 17.42, F.S. BILL: SB 7030 Page 4 facilities, contract development and management, grant administration, data management, training and technical assistance, strategic planning, and developing budgeting issues relative to behavioral health programs. Mental health and substance abuse services provided include, but are not limited to, prevention, assessment, intervention, outpatient, home and community-based supports, recovery supports, case management, intensive community treatment teams, residential, crisis stabilization, detoxification, and aftercare services. Substance abuse services include opioid abatement. The department contracts with seven regional Managing Entities. Each Managing Entity contracts with local providers for direct care services. III. Effect of Proposed Changes: The bill amends s. 20.195, F.S., to create the Opioid Settlement Trust Fund within the Department of Children and Families. The purpose of the trust fund is to abate the opioid epidemic in accordance with the settlement agreements reached by the state in opioid-related litigation or bankruptcy proceedings. The Department of Financial Services shall transfer any amount specified in the General Appropriations Act from the Opioid Settlement Clearing Trust Fund to the Department of Children and Families opioid settlement trust fund. Any unencumbered balance remaining at the end of the fiscal year and any encumbered balance remaining undisbursed on September 30 of the same calendar year reverts to the Opioid Settlement Clearing Trust Fund. As required by the Florida Constitution, the Opioid Settlement Trust Fund terminates on July 1, 2027, unless terminated sooner or recreated by the Legislature. Additionally, the trust fund is required to be reviewed as provided in s. 215.3206, F.S., before its schedule termination. The bill is effective July 1, 2023. IV. Constitutional Issues: A. Municipality/County Mandates Restrictions: None. B. Public Records/Open Meetings Issues: None. C. Trust Funds Restrictions: Article III, s. 19(f)(1) of the Florida Constitution specifies that a trust fund may be created or re-created only by a three-fifths vote of the membership of each house of the Legislature in a separate bill for that purpose only. Article III, s. 19(f)(2) of the Florida Constitution specifies that state trust funds must terminate not more than four years after the effective date of the act authorizing the initial BILL: SB 7030 Page 5 creation of the trust fund. By law the Legislature may set a shorter time period for which any trust fund is authorized. D. State Tax or Fee Increases: None. E. Other Constitutional Issues: None. V. Fiscal Impact Statement: A. Tax/Fee Issues: None. B. Private Sector Impact: None. C. Government Sector Impact: None. VI. Technical Deficiencies: None. VII. Related Issues: None. VIII. Statutes Affected: This bill amends section 20.195 of the Florida Statutes. IX. Additional Information: A. Committee Substitute – Statement of Changes: (Summarizing differences between the Committee Substitute and the prior version of the bill.) None. B. Amendments: None. This Senate Bill Analysis does not reflect the intent or official position of the bill’s introducer or the Florida Senate.