Florida 2024 2024 Regular Session

Florida House Bill H0099 Analysis / Analysis

Filed 02/08/2024

                    This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives. 
STORAGE NAME: h0099e.HHS 
DATE: 2/8/2024 
 
HOUSE OF REPRESENTATIVES STAFF ANALYSIS  
 
BILL #: CS/HB 99    Social Work Licensure Interstate Compact 
SPONSOR(S): Healthcare Regulation Subcommittee, Hunschofsky 
TIED BILLS:  HB 101 IDEN./SIM. BILLS:  
 
REFERENCE 	ACTION ANALYST STAFF DIRECTOR or 
BUDGET/POLICY CHIEF 
1) Healthcare Regulation Subcommittee 15 Y, 1 N, As CS Curry McElroy 
2) Health Care Appropriations Subcommittee 11 Y, 0 N Aderibigbe Clark 
3) Health & Human Services Committee 17 Y, 0 N Curry Calamas 
SUMMARY ANALYSIS 
Licensed social workers provide counsel and advocacy for those affected by mental illness, addiction, abuse, 
and discrimination, among other economic difficulties, and are the largest group of providers of mental and 
behavioral health services. The Florida Board of Clinical Social Work, Marriage & Family Therapy and Mental 
Health Counseling within the Department of Health (DOH) regulates the practices of social work, marriage and 
family therapy, and mental health counseling.   
 
In 2023, the National Center for Interstate Compacts adopted the model legislation for the Social Work 
Licensure Interstate Compact (Social Work Compact or compact) which authorizes both telehealth and in 
person practice across state lines in compact states. Social Workers who are licensed or are eligible for 
licensure in the compact state where they reside are eligible for a multistate license which authorizes them to 
practice through either telehealth or in-person in member states. Additionally, the compact allows an active 
military member or their spouse to designate a home state where the individual has a multistate license and 
retain his or her home state designation as long as the service member is on active duty. 
 
The compact requires all participating states to report certain licensure information to a shared data system, 
including identifying information, licensure data, and adverse actions taken against a social worker’s license in 
a compact state. The compact establishes the Social Work Licensure Interstate Compact Commission 
(Commission), made up of representatives from each party’s state licensing board. The Commission is 
responsible for administering the compact. The compact becomes effective on the date of enactment by the 
seventh state. Currently, the compact has one member state.  
 
CS/HB 99 enacts the Social Work Licensure Interstate Compact and authorizes Florida to enter into the 
compact. This allows a social worker licensed or eligible for licensure in Florida to obtain a multistate license to 
provide services in all member states once the compact is enacted. 
 
The bill will have a significant, negative fiscal impact on DOH and no fiscal impact on local governments. See 
Fiscal Analysis. 
 
The bill is effective upon the enactment of the Social Work Licensure Interstate Compact into law by seven 
states.     STORAGE NAME: h0099e.HHS 	PAGE: 2 
DATE: 2/8/2024 
  
FULL ANALYSIS 
I.  SUBSTANTIVE ANALYSIS 
 
A. EFFECT OF PROPOSED CHANGES: 
 
Background 
 
Health Care Professional Shortage 
 
There is currently a health care provider shortage in the U.S.
1
 This shortage is predicted to continue 
into the foreseeable future and will likely worsen with the aging and growth of the U.S. population
2
 and 
the passage of the Patient Protection and Affordable Care Act.
3
 Aging populations create a 
disproportionately higher health care demand. Additionally, as more individuals qualify for health care 
benefits, there will necessarily be a greater demand for more health care professionals to provide these 
services.  
 
Currently, the U.S. is facing a growing shortage of licensed behavioral health care specialists, which 
include psychiatrists, psychologists, and clinical social workers. This shortage has severely limited 
access to treatment.
4
 According to the U.S. Health Resources and Services Administration (HRSA), the 
U.S. will experience a 15% increase in demand for social workers between 2016 and 2030.
5
 The 
demand for social workers specializing in mental health and treating substance use disorders is 
projected to increase by 17% between 2019 to 2029, according to the 2021 U.S. Bureau of Labor 
Statistics report.
6
 Studies predict that by 2030 there will be a significant deficit (greater than 200,000) in 
the number of social workers needed to care for children, the elderly and those with addictions, mental 
health, and other health issues.
7
   
 
Social Work Licensure in Florida 
 
Licensed social workers provide counsel and advocacy for those affected by mental illness, addiction, 
abuse, and discrimination, among other economic difficulties, and are the largest group of providers of 
mental and behavioral health services.
8
 The Florida Board of Clinical Social Work, Marriage & Family 
Therapy and Mental Health Counseling (Board) within the Department of Health (DOH) regulates the 
practices of social work, marriage and family therapy, and mental health counseling.
9
 Chapter 491, 
                                                
1
 For example, as of September 30, 2023, the U.S. Department of Health and Human Services has designated 8,352 Primary Care 
Health Professional Shortage Area (HPSA) (requiring 17,396 additional primary care physicians to eliminate the shortage), 7,395 
Dental HPSAs (requiring 12,757 additional dentists to eliminate the shortage), and 6,622 Mental Health HPSAs (requiring 8,326 
additional mental health providers to eliminate the shortage). U.S. Department of Health and Human Services, Designated Health 
Professional Shortage Areas Statistics (September 30, 2023), https://data.hrsa.gov/Default/GenerateHPSAQuarterlyReport (last visited 
December 1, 2023). 
2
 According to the U.S. Census Bureau, the U.S population is expected to increase by nearly 79 million between 2017 and 2060.The 
nation’s 65-and-older population is projected to nearly double (from 49 million to 95 million) between 2016 and 2060. By 2030, one in 
five Americans is projected to be 65 and over. Jonathan Vespa, Lauren Medina, and David M. Armstrong, U.S. Census Bureau, 
Demographic Turning Points for the United States: Population Projections for 2020 to 2060 (February 2020), 
https://www.census.gov/content/dam/Census/library/publications/2020/demo/p25-1144.pdf (last visited December 1, 2023). 
3
 U.S. Dep’t of Health and Human Services, Department of Health and Human Services Strategic Plan: Goal 1: Strengthen Health 
Care, available at http://www.hhs.gov/secretary/about/goal5.html (last visited on May 9, 2023). 
4
 Bipartisan Policy Center, Filing the Gaps in the Behavioral Health Workforce, (January 2023), at https://bipartisanpolicy.org/      
download/?file=/wp-content/uploads/2023/01/BPC_2022_Behavioral-Health-Integration-Report_RV6Final.pdf, (last visited December 1, 
2023). 
5
 Health Resources Services Administration, Behavioral Health Workforce Projections, 2016-2030: Social Workers, https://bhw.hrsa.           
gov/sites/default/files/bureau-health-workforce/data-research/social-workers-2018.pdf, (last visited December 1, 2023).  
6
 Florida Department of State, Division of Library and Information Services, Social Workers at the Library, at https://dos.fl.gov/library-
archives/library-development/innovation/stars/social-workers/, (last visited December 2, 2023). 
7
 Quality Improvement Center for Workforce Development, Social Worker Shortages and The Rise in Competition for a Competent 
Child Welfare Workforce, at https://www.qic-wd.org/blog/social-worker-shortages-and-rise-competition-competent-child-welfare-
workforce, (last visited December 2, 2023). 
8
 The Shortage of Licensed Social Workers in Central Florida, Helen M. Burrows, Walden University (2019) at   
https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8101&context=dissertations, (last visited December 1, 2023).  
9
 S. 491.004, F.S.  STORAGE NAME: h0099e.HHS 	PAGE: 3 
DATE: 2/8/2024 
  
F.S., sets forth the licensure requirements for each profession, as well as requirements for licensure 
renewal, continuing education, discipline, and professional conduct.  
 
DOH must issue a license as a clinical social worker to an applicant whom the Board has certified has 
meet all of the following criteria:
10
 
 
 Submitted an application and appropriate fees; 
 Earned a doctoral degree in social work from a graduate school of social work accredited by 
an accrediting agency recognized by the U.S. Department of Education, or a master’s 
degree in social work from a graduate school of social work which was accredited by the: 
o Council on Social Work Education (CSWE); 
o Canadian Association of Schools of Social Work (CASSW); or  
o Has been determined to be an equivalent program to programs approved by the 
CSWE by the Foreign Equivalency Determination Service of the CSWE; 
o Completed all of the following coursework: 
 A supervised field placement during which the applicant provided clinical 
services directly to clients; and 
 Twenty-four (24) semester hours or thirty-two (32) quarter hours in theory of 
human behavior and practice methods as courses in clinically oriented 
services, with a minimum of one course in psychopathology and no more 
than one course in research; 
 Completed at least 2 post graduate years of clinical social work experience under the 
supervision of a licensed clinical social worker or the equivalent supervisor as determined by 
the Board;
11
 
 Passed a theory and practice examination; and 
 Demonstrated in a manner designated by Board rule, knowledge of the laws and rules 
governing the practice of clinical social work, marriage and family therapy, and mental 
health counseling. 
 
Telehealth 
 
A Florida-licensed health care practitioner, a practitioner licensed under a multistate health care 
licensure compact of which Florida is a member,
12
 or a registered out-of-state-health care provider is 
authorized to provide health care services to Florida patients via telehealth.
13
 Current law sets the 
standard of care for telehealth providers at the same level as the standard of care for health care 
practitioners or health care providers providing in-person health care services to patients in this state. 
This ensures that a patient receives the same standard of care irrespective of the modality used by the 
health care professional to deliver the services. 
 
Under current law, in-state and out-of-state licensed or registered health care practitioners may use 
telehealth to provide health care services to patients physically located in Florida.
14
 The law does not 
allow health care practitioners, including Florida licensed clinical social workers, to use telehealth to 
provide services to out-of-state patients. 
 
 
  
 
Sovereign Immunity 
 
Sovereign immunity generally bars lawsuits against the state or its political subdivisions for torts 
committed by an officer, employee, or agent of such governments unless the immunity is expressly 
                                                
10
 S. 491.005(1), F.S. 
11
 S. 491.005(1)(c), F.S. An individual who intends to practice in Florida to satisfy clinical experience requirements must register with 
the DOH pursuant to s. 491.0045, F.S., before commencing practice.  
12
 Florida is a member of the Nurse Licensure Compact. See s. 464.0095, F.S. 
13
 S. 456.47(4), F.S. 
14
 S. 456.47(1) and (4), F.S.   STORAGE NAME: h0099e.HHS 	PAGE: 4 
DATE: 2/8/2024 
  
waived. The Florida Constitution recognizes that the concept of sovereign immunity applies to the state, 
although the state may waive its immunity through an enactment of general law.
 15
  
 
Current law partially waives sovereign immunity, allowing individuals to sue state government and its 
subdivisions.
16
 Individuals may sue the government under circumstances where a private person 
"would be liable to the claimant, in accordance with the general laws of [the] state . . . . " Section 
768.28(5), F.S., imposes a $200,000 limit on the government's liability to a single person, and a 
$300,000 total limit on liability for claims arising out of a single incident. 
 
Impaired Practitioner Program 
 
The impaired practitioner treatment program was created to provide resources to assist health care 
practitioners who are impaired as a result of the misuse or abuse of alcohol or drugs, or both, or a 
mental or physical condition which could affect the practitioners’ ability to practice with skill and safety.
17
 
For a profession that does not have a program established within its individual practice act, the 
Department of Health (DOH) is required to designate an approved program by rule.
18
 By rule, DOH 
designates the approved program by contract with a consultant to initiate intervention, recommend 
evaluation, refer impaired practitioners to treatment providers, and monitor the progress of impaired 
practitioners. The impaired practitioner program may not provide medical services.
19
  
 
Interstate Compacts 
 
An interstate compact is a legal contractual agreement between two or more states to address common 
problems or issues, create an independent, multistate governmental authority, or establish uniform 
guidelines, standards or procedures for the compact’s member states.
20
 Article 1, Section 10, Clause 3 
(Compact Clause) of the U.S. Constitution authorizes states to enter into agreements with each other, 
without the consent of Congress. However, the case law has provided that not all interstate agreements 
are subject to congressional approval, but only those that may encroach on the federal government’s 
power.
21
  
 
Florida is a party to multiple interstate health care compacts, including the Nurse Licensure Compact,
22
  
the Professional Counselors Licensure Compact,
23
 and the Psychology Interjurisdictional Compact.
24
 
 
Social Work Licensure Interstate Compact 
 
Currently, social workers must seek a separate license in each state in which they chose to practice, 
which can be labor and time intensive. The compact enables licensed social workers to obtain a 
multistate license to practice in all compact member states, once the social worker has demonstrated 
that he or she meets the compact requirements.  
 
The primary purpose of the Social Work Compact is to facilitate interstate practice of regulated social 
workers by improving public access to competent social work services. Under the compact, a multistate 
license to practice as a regulated social worker is issued by the licensing authority in the applicant’s 
home state and authorizes the social worker to practice in all compact member states. Member states 
are required to accept multistate licenses from other compact member states as authorization to 
practice corresponding to each category of licensure in each member state. 
                                                
15
 Fla. Const. art. X, s. 13. 
16
 S. 768.28, F.S.
17
 S. 456.076, F.S. The provisions of s. 456.076, also apply to veterinarians under s. 474.221, F.S. and radiological 
personnel under s. 486.315, F.S. 
17
 S. 456.076, F.S. The provisions of s. 456.076, also apply to veterinarians under s. 474.221, F.S. and radiological personnel under s. 
486.315, F.S. 
18
 S. 456.076(1), F.S. 
19
 Rule 64B31-10.001(1)(a), F.A.C. 
20
 National Center for Interstate Compacts, What Are Interstate Compacts?, https://compacts.csg.org/compacts/ (last visited November 
30, 2024). 
21
 For example, see Virginia v. Tennessee, 148 U.S. 503 (1893), New Hampshire v. Maine, 426 U.S. 363 (1976) 
22
 S. 464.0095, F.S. 
23
 S. 491.017, F.S. 
24
 S. 490.0075, F.S.  STORAGE NAME: h0099e.HHS 	PAGE: 5 
DATE: 2/8/2024 
  
 
The compact allows for three categories of social work multistate licensure, clinical, master’s and 
bachelor’s. Member states must designate which licensure category will be accepted in that state.  
 
To be eligible for a multistate license, all social workers in a member state must: 
 
 Hold, or be eligible for, an active, unencumbered license to practice social work in the 
compact member state in which they are domiciled; 
 Abide by the laws, regulations, and rules of the state of the member state where the client is 
located at the time service is provided; 
 Submit to a review of criminal history (background screening). (Any disqualifying events are 
subject to the discretion of the member state.); and 
 Pay all applicable fees, including any member state fees and other fees required by the 
compact, for multistate license. 
 
To be eligible for a clinical-category multistate license a social worker must: 
 
 Fulfill a competency requirement, which shall be satisfied by either: 
o Passing a clinical-category Qualifying National Exam; or 
o Hold and continuously maintain a clinical-category social work license in their home 
state prior to a Qualifying National Exam being required by the home state as further 
governed by the rules of the Commission; or 
o Proving clinical competency through a substantially equivalent standard which the 
Commission may determine by rule. 
 Attain at least a master’s degree in social work from a program that is accredited, or in 
candidacy by an institution that subsequently becomes accredited. 
 Fulfill the supervised practice requirement, which shall be satisfied by demonstrating 
completion of: 
o A minimum of 3,000 hours of postgraduate supervised clinical practice; or 
o A minimum two (2) years of full-time postgraduate supervised clinical practice; or 
o Be found to have proven clinical competency through a substantially equivalent 
standard which the Commission may determine by rule. 
 
To be eligible for a master’s category multistate license a social worker must: 
 
 Fulfill a competency requirement, which shall be satisfied by either: 
o Passing a master’s-category Qualifying National Exam; or 
o Hold and continuously maintain a master’s-category social work license in their home 
state prior to a Qualifying National Exam being required by the home state as further 
governed by the Rules of the Commission; or 
o Proving master’s-category competency through a substantially equivalent standard 
which the Commission may determine by rule.  
 Attain at least a master’s degree in social work from a program that is accredited, or in 
candidacy by an institution that subsequently becomes accredited. 
 
To be eligible for a bachelor’s category multistate license a social worker must: 
 
 Fulfill a competency requirement, which shall be satisfied by either: 
o Passing a bachelor’s-category Qualifying National Exam; 
o Hold and continuously maintain a bachelor’s-category social work license in their 
home state prior to a Qualifying National Exam being required by the home state as 
further governed by the rules of the Commission; or 
o Proving bachelor’s-category competency through a substantially equivalent standard 
which the Commission may determine by rule. 
 Attain at least a bachelor’s degree in social work from a program that is accredited, or in 
candidacy by an institution that subsequently becomes accredited. 
   STORAGE NAME: h0099e.HHS 	PAGE: 6 
DATE: 2/8/2024 
  
To maintain a multistate license, a social worker must meet the renewal requirements of their home 
state.  
 
State Participation in the Compact 
 
The compact preserves the regulatory authority of member states to protect public health and safety 
through the current system of state licensure. To join the compact, states must enact compact 
legislation and meet all of the following criteria: 
 
 License and regulate the practice of social work at either the clinical, master’s, or bachelor’s 
category; 
 Require applicants for licensure to graduate from a program that is accredited, or in 
candidacy by an institution that subsequently becomes accredited and that corresponds to 
the licensure sought; and 
 Require applicants for clinical licensure to complete a period of supervised practice.  
 
  To maintain membership in the compact, a state must: 
 
 Require applicants for a multistate license to pass a Qualifying National Exam 
corresponding to the category of multistate license sought; and 
 Implement procedures for considering the criminal history records (background screening) of 
applicants for a multistate license.  
 
The compact gives states the discretion to collect fees for social workers to participate in the compact. 
However, the compact does not authorize the Department of Health (DOH) to collect a fee, but rather 
states that fees of this kind are allowable under the compact. In order for DOH to have the required 
authority to collect fees, the Legislature would have to enact legislation in the application practice act 
expressly authorizing DOH to collect such fees. 
 
Social Work Licensure Compact Commission 
 
The compact establishes the Social Work Licensure Interstate Compact Commission (Commission) as 
the governing body and the entity responsible for creating and enforcing the rules and regulations that 
administer and govern the compact. The Commission membership is composed of compact member 
states. The licensing authority of each member state must select one delegate to serve on the 
Commission. The compact requires the Commission to establish and elect an executive committee, 
which shall have the power to act on behalf of the Commission.  
 
All Commission and executive committee meetings must be open to the public unless confidential or 
privileged information must be discussed. The compact does not waive sovereign immunity by the 
member states or by the Commission. 
 
Shared Data System 
 
The compact requires member states to use a shared data system which will enable states to verify 
instantaneously that social workers have met the requirements to practice under the compact and are 
in good standing with other state regulatory boards. Compact member states must submit licensure 
information to the data system for all social workers to whom the compact applies, including, identifying 
information, licensure data, and any adverse actions taken against a social worker’s license. The data 
system will allow for expedited sharing of licensee, investigative and disciplinary information between 
member states.
25
 Investigative information pertaining to a licensee in any member state will only be 
available to other member states. A member state may designate information submitted to the data 
system that may not be shared with the public without the express permission of that member state. 
 
                                                
25
 SWLC, Summary of Key Provisions, at https://swcompact.org/wp-content/uploads/sites/30/2023/02/Social-Work-Licensure-Compact-
Section-by-Section-Summary.pdf, (last visited December 5, 2023).   STORAGE NAME: h0099e.HHS 	PAGE: 7 
DATE: 2/8/2024 
  
Enactment of Compact 
 
The Social Work Compact is currently not active.
26
 The compact becomes effective when enacted into 
law by seven states.
27
 Currently, the compact has one-member state (Missouri). However, legislation is 
currently pending to enact the compact in twenty-four states, including Florida.
28
  
 
 
 
 
 
 
 
 
Effect of the Bill 
 
HB 99 enacts the Social Work Licensure Interstate Compact and authorizes Florida to enter into the 
compact. The compact allows for three categories of social work multistate licensure, clinical, master’s 
and bachelor’s. Member states must designate which licensure category will be accepted in that state. 
Currently, only individuals who have a master’s degree or higher are eligible for licensure as a clinical 
social worker in Florida.  
 
Under the compact, individuals licensed or eligible for licensure as a clinical social worker in Florida will 
be able to obtain a multistate license to provide services to out-of-state patients through either 
telehealth or in-person in any of the compact member states. The compact also allows multistate 
                                                
26
 Since the compact is not active yet, multistate licenses for social work are currently not available. SWLC, About, 
https://swcompact.org/, (last visited November 28, 2023). 
27
 Social Work Licensure Compact Makes Progress in 2023 Legislative Sessions. (2023), ASWB Newsletter Volume 33 No. 2, 
https://www.aswb.org/social-work-licensure-compact-makes-progress-in-2023, (last visited November 28, 2023).  
28
 SWLC, Compact Map, at https://swcompact.org/compact-map/, (last visited February 5, 2024).  STORAGE NAME: h0099e.HHS 	PAGE: 8 
DATE: 2/8/2024 
  
licensed clinical social workers in other compact states to provide services to Florida patients through 
telehealth and in-person. 
 
The bill amends current law to allow compact implementation. The bill requires DOH to report any 
significant investigation information relating to a licensed clinical social worker practicing under the 
compact to the coordinated data system. It requires social workers to withdraw from all practice under 
the compact if the social worker is in an impaired practitioner program. It also exempts out-of-state 
licensed clinical social workers who practice under the compact from licensure requirements in this 
state. The bill requires the Board to appoint a delegate to serve on the Commission and authorizes the 
Board to take adverse action against a licensed clinical social worker’s authority to practice under the 
compact and impose disciplinary actions for violation of prohibited acts.  
 
The bill makes conforming changes to statute to reference the compact and the requirements under the 
compact. The bill does not require changes to Florida’s licensure and license renewal requirements. 
 
Additionally, the bill allows an active military member or their spouse to designate a home state where 
the individual has a multistate license and retain his or her home state designation as long as the 
service member is on active duty.  
 
The bill is effective upon the enactment of the Social Work Licensure Interstate Compact into law by 
seven states.   
 
 
B. SECTION DIRECTORY: 
 
Section 1: Creates s. 491.022, F.S., relating to the Social Work Licensure Interstate Compact. 
Section 2: Amends s. 456.073, F.S., relating to disciplinary proceedings. 
Section 3:  Amends s. 456.076, F.S., relating to impaired practitioner programs. 
Section 4: Amends s. 491.004, F.S., relating to the Board of Clinical Social Work, Marriage and 
Family Therapy, and Mental Health Counseling. 
Section 5:  Amends s. 491.005, F.S., relating to licensure by examination. 
Section 6:  Amends s. 491.006, F.S., relating to licensure or certification by endorsement. 
Section 7:  Amends s. 491.009, F.S., relating to discipline. 
Section 8: Amends s. 768.28, F.S., relating to the waiver of sovereign immunity in tort actions. 
Section 9:  Provides the Department of Health shall notify the Division of Law Revision upon the 
enactment of the Social Work Licensure Interstate Compact into law by seven states. 
Section 10:  Provides the bill shall take effect upon the enactment of the Social Work Licensure 
Interstate Compact into law by seven states. 
 
 
 
II.  FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT 
 
A. FISCAL IMPACT ON STATE GOVERNMENT: 
 
1. Revenues:  
The provisions of this bill do not provide authority to DOH to collect fees, but rather states that fees 
of this kind are allowable under the compact. In order for DOH to have the required authority to 
collect fees, the Legislature would have to enact legislation in the applicable practice act expressly 
authorizing DOH to collect such fees. 
 
2. Expenditures:  STORAGE NAME: h0099e.HHS 	PAGE: 9 
DATE: 2/8/2024 
  
DOH estimates the total cost to comply with the bill is $491,714 ($360,000 recurring, $131,714 non-
recurring).
29
  
 
DOH will experience a recurring increase in workload associated with processing applications and 
issuing initial and renewal licenses, completing background screening requirements, and with 
additional systems supporting functions including the Licensing and Enforcement Information 
System Database (LEIDS), updating the Cognitive Virtual Agent (ELI), Continuing Education 
Tracking System (CE Broker and other supporting systems). This increased workload will require 
an additional 3 full-time equivalent (FTE) positions at total estimated cost of $375,374 
($327,692/Salary $46,602/Expense $1,080/HR).  
 
In addition, updates to fully integrate this bill are estimated to take six months. This reflects a 
minimum of 927 initial non-recurring contracted hours at a rate of $120/hr for a total cost of 
$111,240 ($120/hr x 927) and annual recurring system maintenance costs of $5,100. Total 
estimated increase in workload and cost is $116,340 in Contracted Services. 
 
See Fiscal Comments. 
 
B. FISCAL IMPACT ON LOCAL GOVERNMENTS: 
 
1. Revenues: 
None. 
 
2. Expenditures: 
None. 
 
C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR: 
None. 
 
D. FISCAL COMMENTS: 
The compact becomes effective when enacted into law by seven states. Currently, the compact has 
one-member state (Missouri). Once the compact is fully enacted with a seven-state participation, the 
Department of Health may request resources needed to implement this act through either the 
Legislative Budget Request process or through the Legislative Budget Commission.  
III.  COMMENTS 
 
A. CONSTITUTIONAL ISSUES: 
 
 1. Applicability of Municipality/County Mandates Provision: 
Not applicable. The bill does not appear to affect county or municipal governments. 
 
 2. Other: 
As discussed below in the section entitled, “RULE-MAKING AUTHORITY,” the bill delegates 
authority to the Commission to adopt rules that facilitate and coordinate the implementation and 
administration of the Social Work Licensure Interstate Compact. 
 
If enacted into law, the state will effectively bind itself to rules not yet adopted by the Commission. 
The Florida Supreme Court has held that while it is within the province of the Legislature to adopt 
federal statutes enacted by Congress and rules promulgated by federal administrative bodies that 
are in existence at the time the Legislature acts, it is an unconstitutional delegation of legislative 
power to prospectively adopt federal statutes not yet enacted by Congress and rules not yet 
                                                
29
 DOH, Agency Bill Analysis, HB 99 (2023) pgs. 8-10.  STORAGE NAME: h0099e.HHS 	PAGE: 10 
DATE: 2/8/2024 
  
promulgated by federal administrative bodies.
30,31
 Under this holding, the constitutionality of the bill’s 
adoption of prospective rules might be questioned, and there does not appear to be binding Florida 
case law that squarely address this issue in the context of interstate compacts. 
 
The most recent opportunity Florida courts have had to address this issue appears to be in 
Department of Children and Family Services v. L.G., involving the Interstate Compact for the 
Placement of Children (ICPC).
32
 The First District Court of Appeal considered an argument that the 
regulations adopted by the Association of Administrators of the Interstate Compact were binding and 
that the lower court’s order permitting a mother and child to relocate to another state was in violation 
of the ICPC. The court denied the appeal and held that the Association’s regulations did not apply as 
they conflicted with the ICPC and the regulations did not apply to the facts of the case. 
 
Any regulations promulgated before Florida adopted the ICPC did not, of course, reflect the vote of a 
Florida compact administrator, and no such regulations were ever themselves enacted into law in 
Florida. When the Legislature did adopt the ICPC, it did not (and could not) enact as the law of 
Florida or adopt prospectively regulations then yet to be promulgated by an entity not even covered 
by the Florida Administrative Procedure Act. See Freimuth v. State, 272 So.2d 473, 476 (Fla.1972); 
Fla. Indus. Comm'n v. State ex rel. Orange State Oil Co., 155 Fla. 772, 21 So.2d 599, 603 (1945) 
(“[I]t is within the province of the legislature to approve and adopt the provisions of federal statutes, 
and all of the administrative rules made by a federal administrative body, that are in existence and in 
effect at the time the legislature acts, but it would be an unconstitutional delegation of legislative 
power for the legislature to adopt in advance any federal act or the ruling of any federal 
administrative body that Congress or such administrative body might see fit to adopt in the future.”); 
Brazil v. Div. of Admin., 347 So.2d 755, 757–58 (Fla. 1st DCA 1977), disapproved on other grounds 
by LaPointe Outdoor Adver. v. Fla. Dep't of Transp., 398 So.2d 1370, 1370 (Fla.1981). The ICPC 
compact administrators stand on the same footing as federal government administrators in this 
regard. 
 
In accordance with the discussion provided by the court in this above-cited footnote, it may be 
argued that the bill’s delegation of rule-making authority to the commission is similar to the 
delegation to the ICPC compact administrators, and thus, could constitute an unlawful delegation of 
legislative authority. This case, however, does not appear to be binding as precedent as the court’s 
footnote discussion is dicta.
33
  
 
B. RULE-MAKING AUTHORITY: 
The bill authorizes the Commission to adopt rules to facilitate and coordinate the implementation and 
administration of the compact. The compact specifies that the rules have the force and effect of law and 
are binding in all compact states. If a compact state fails to meet its obligations under the compact or 
the promulgated rules, the state may be subject to remedial training, alternative dispute resolution, 
suspension, termination, or legal action. 
 
The compact details the rule-making process that must be followed including, notice, an opportunity for 
public participation, and hearings. The compact also provides a procedure for emergency rule-making 
in cases of imminent danger to public health, safety, or welfare, to prevent financial loss to the state’s 
or commission, or to comply with federal laws or regulations. All rules and amendments are binding on 
party state as of the effective date specified. 
 
C. DRAFTING ISSUES OR OTHER COMMENTS: 
                                                
30
 Freimuth v. State, 272 So.2d 473, 476 (Fla. 1972) (quoting Fla. Ind. Comm’n v. State ex rel. Orange State Oil Co., 155 Fla. 772 
(1945). 
31
 This prohibition is based on the separation of powers doctrine, set forth in Article II, Section 3 of the Florida Constitution, which has 
been construed in Florida to require the Legislature, when delegating the administration of legislative programs, to establish the 
minimum standards and guidelines ascertainable by reference to the enactment creating the program. See Avatar Development Corp. 
v. State, 723 So.2d 199 (Fla. 1998). 
32
 801 So.2d 1047 (Fla. 1
st
 DCA 2001). 
33
 Dicta are statements of a court that are not essential to the determination of the case before it and are not a part of the law of the 
case. Dicta has no binding legal effect and is without force as judicial precedent. 12A FLA JUR. 2D Courts and Judges s. 191 (2015).  STORAGE NAME: h0099e.HHS 	PAGE: 11 
DATE: 2/8/2024 
  
None. 
 
IV.  AMENDMENTS/COMMITTEE SUBSTITUTE CHANGES 
 
On December 13, 2023, the Healthcare Regulation Subcommittee adopted an amendment and 
reported the bill favorable. The amendment: 
 
 Requires DOH to report any significant investigatory information relating to a licensed social 
worker practicing under the compact to a coordinated data system; 
 Requires the terms of a monitoring contract for an impaired practitioner who is a licensed clinical 
social worker to include withdrawal from all practice under the compact; 
 Exempts a licensed social worker in a remote state who holds a multi-state license under the 
compact from Florida licensure requirements; 
 Authorizes the Board to delegate a member to serve on the Social Work Licensure Interstate 
Compact Commission; 
 Authorizes the Board to take adverse action against a social worker’s license under the compact 
and impose penalties for specified infractions;  
 Recognizes certain individuals, when acting within the official scope of their employment, duties, 
and responsibilities with the Commission, as agents of the state for sovereign immunity 
purposes; and 
 Requires the Commission to pay any claims or judgements up to the statutory waived amounts 
of sovereign immunity and authorizes the Commission to maintain insurance coverage to pay 
any such claims or judgements. 
 Makes the bill effective upon the enactment of the compact into law by seven states.  
 
This analysis is drafted to the committee substitute as passed by the Healthcare Regulation     
Subcommittee.