Florida 2024 2024 Regular Session

Florida House Bill H1065 Introduced / Bill

Filed 12/30/2023

                       
 
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A bill to be entitled 1 
An act relating to substance abuse treatment; amending 2 
s. 212.02, F.S.; eliminating certain tax liabilities 3 
imposed on certified recovery residences; amending s. 4 
397.311, F.S.; providing the levels of care at 5 
certified recovery residences and their respective 6 
levels of care for residents; amending s. 397.321, 7 
F.S.; requiring the Department of Children and 8 
Families to display and make available on its website 9 
certain information pertaining to service providers 10 
and recovery residences by a specified date; requiring 11 
the department to display on its website certain 12 
documents pertaining to service providers; amending s. 13 
397.335, F.S.; revising the membership of the 14 
Statewide Council on Opioid Abatement to include 15 
additional members; amending s. 397.487, F.S.; 16 
extending the deadline for certified recovery 17 
residences to retain a replacement for a certified 18 
recovery residence administrator who has been removed 19 
from his or her position; authorizing, rather than 20 
requiring, the credentialing entity to revoke the 21 
certificate of compliance if a certified recovery 22 
residence fails to meet specified standards; requiring 23 
certified recovery residences to remove certain 24 
individuals from their positions if they are arrested 25     
 
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and awaiting disposition for, are found guilty of, or 26 
enter a plea of guilty or nolo contendere to certain 27 
offenses, regardless if adjudication is withheld; 28 
requiring the certified recovery residence to retain a 29 
certified recovery residence administrator if the 30 
previous certified recovery residence administrator 31 
has been removed due to any reason; prohibiting 32 
certified recovery residences, on or after a specified 33 
date, from denying an individual access to housing 34 
solely for being prescribed federally approved 35 
medications from licensed health care professionals; 36 
prohibiting local laws, ordinances, or regulations 37 
adopted on or after a specified date from regulating 38 
the duration or frequency of a resident's stay in a 39 
certified recovery residence in certain zoning 40 
districts; providing applicability; amending s. 41 
397.4871, F.S.; authorizing, rather than requiring, 42 
credentialing entities to revoke a certificate of 43 
compliance if a recovery residence fails to meet 44 
specified standards; authorizing certain Level IV 45 
certified recovery residences owned or controlled by a 46 
licensed service provider and managed by a certified 47 
recovery residence administrator approved for a 48 
specified number of residents to manage a specified 49 
greater number of residents, provided that certain 50     
 
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criteria are met; prohibiting a certified recovery 51 
residence administrator who has been removed by a 52 
certified recovery residence from taking on certain 53 
other management positions without approval from a 54 
credentialing entity; defines the term "community 55 
housing"; providing an effective date. 56 
 57 
Be It Enacted by the Legislature of the State of Florida: 58 
 59 
 Section 1.  Paragraph (k) is added to subsection (10) of 60 
section 212.02, Florida Statutes, to read: 61 
 212.02  Definitions. —The following terms and phrases when 62 
used in this chapter have the meanings ascribed to them in this 63 
section, except where the context clearly indicates a different 64 
meaning: 65 
 (10)  "Lease," "let, " or "rental" means leasing or renting 66 
of living quarters or sleeping or housekeeping accommodations in 67 
hotels, apartment houses, roominghouses, tourist or trailer 68 
camps and real property, the same being defined as follows: 69 
 (k)  For purposes of this chapt er, recovery residences 70 
certified pursuant to s. 397.487 which rent properties are not 71 
subject to any taxes imposed on transient accommodations, 72 
including taxes imposed under s. 212.03; any locally imposed 73 
discretionary sales surtax or any convention devel opment tax 74 
imposed under s. 212.0305; any tourist development tax imposed 75     
 
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under s. 125.0104; or any tourist impact tax imposed under s. 76 
125.0108. 77 
 Section 2.  Subsection (5) of section 397.311, Florida 78 
Statutes, is amended to read: 79 
 397.311  Definitions. —As used in this chapter, except part 80 
VIII, the term: 81 
 (5)  "Certified recovery residence" means a recovery 82 
residence that holds a valid certificate of compliance and is 83 
actively managed by a certified recovery residence 84 
administrator. The levels of care w ithin a certified recovery 85 
residence are as follows: 86 
 (a)  Level I recovery residences that house individuals in 87 
recovery who are post -treatment, with a minimum of 9 months of 88 
sobriety. Level I certified homes are democratically run by the 89 
members who reside in the home. 90 
 (b)  Level II recovery residences encompass the traditional 91 
perspectives of sober living homes. There is oversight from a 92 
house manager with lived experience, typically a senior 93 
resident. Residents are expected to follow rules outlined in a 94 
resident handbook, pay dues, if applicable, and work toward 95 
achieving milestones within a chosen recovery path. 96 
 (c)  Level III recovery residences offer higher supervision 97 
by staff with formal training to ensure resident accountability. 98 
These homes offer peer-support services and are staffed 24 hours 99 
a day. Clinical services are not performed at the residence. The 100     
 
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services offered may include, but are not limited to, life skill 101 
mentoring, recovery planning, and meal preparation. This support 102 
structure is most appropriate for residents who require a more 103 
structured environment during early recovery from addiction. 104 
 (d)  A Level IV certified recovery residence are dwellings 105 
offered, referred to, or provided by, a licensed service 106 
provider to its patients wh o are required to reside at the 107 
residence while receiving intensive outpatient and higher levels 108 
of outpatient care. Level IV recovery residences are staffed 24 109 
hours a day and combine outpatient licensable services with 110 
recovery residential living. Reside nts are required to follow a 111 
treatment plan, attend group and individual sessions, in 112 
addition to developing a recovery plan within the social model 113 
of recovery spectrum. No clinical services are provided at the 114 
residence and all licensable services are pr ovided off-site. 115 
 Section 3.  Subsection (20) is added to section 397.321, 116 
Florida Statutes, to read: 117 
 397.321  Duties of the department. —The department shall: 118 
 (20)  Prominently display and make available on its website 119 
no later than January 1, 2025, all documents in the department's 120 
Provider Licensure and Designations System pertaining to the 121 
following: 122 
 (a)  Service provider applications for licensure and 123 
license renewal. 124 
 (b)  Policies and procedures provided by the de partment to 125     
 
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an applicant for service provider licensure or license renewal. 126 
 (c)  The name and location of each recovery residence 127 
engaged in a referral relationship with a licensed service 128 
provider or service provider applicant, as required under ss. 129 
397.4104 and 397.403(1)(j). 130 
 (d)  All complaints pertaining to service providers 131 
received by the department, and all investigative reports and 132 
findings, whether founded or unfounded. Complainant names and 133 
other identifying information shall be redacted. 134 
 (e)  Fines assessed for violations pursuant to ss. 135 
397.411(7), 397.4104(2), and 397.4873(7). 136 
 (f)  All reports or other documentation pertaining to 137 
service provider license suspension or revocation. 138 
 (g)  All inspection reports for service provider licenses 139 
and recovery residences. 140 
 Section 4.  Paragraph (a) of subsection (2) of section 141 
397.335, Florida Statutes, is amended to read: 142 
 397.335  Statewide Council on Opioid Abatement. — 143 
 (2)  MEMBERSHIP.— 144 
 (a)  Notwithstanding s. 20.052, the council shall be 145 
composed of the following members: 146 
 1.  The Attorney General, or his or her designee, who shall 147 
serve as chair. 148 
 2.  The secretary of the department, or his or her 149 
designee, who shall serve as vice chair. 150     
 
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 3.  One member appointed by the Governor. 151 
 4.  One member appointed by the President of the Senate. 152 
 5.  One member appointed by the Speaker of the House of 153 
Representatives. 154 
 6.  Two members appointed by the Florida League of Cities 155 
who are commissioners or mayors of municipalities. One member 156 
shall be from a municipality with a population of fewer than 157 
50,000 people. 158 
 7.  Two members appointed by or through the Florida 159 
Association of Counties who are county commissioners or mayors. 160 
One member shall be appointed from a county with a population of 161 
fewer than 200,000, and one member shall be appointed from a 162 
county with a population of more than 200,000. 163 
 8.  One member who is either a county commissioner or 164 
county mayor appointed by the Florida Association of Counties or 165 
who is a commissioner or mayor of a municip ality appointed by 166 
the Florida League of Cities. The Florida Association of 167 
Counties shall appoint such member for the initial term, and 168 
future appointments must alternate between a member appointed by 169 
the Florida League of Cities and a member appointed by the 170 
Florida Association of Counties. 171 
 9.  Two members appointed by or through the State Surgeon 172 
General. One shall be a staff member from the department who has 173 
experience coordinating state and local efforts to abate the 174 
opioid epidemic, and one shall be a licensed physician who is 175     
 
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board certified in both addiction medicine and psychiatry. 176 
 10.  One member appointed by the Florida Association of 177 
Recovery Residences. 178 
 11.  One member appointed by the Florida Association of EMS 179 
Medical Directors. 180 
 12.  One member appointed by the Florida Society of 181 
Addiction Medicine who is a medical doctor board certified in 182 
addiction medicine. 183 
 13.  One member appointed by the Florida Behavioral Health 184 
Association. 185 
 14.  One member appointed by Floridians for Recovery. 186 
 15.  One member appointed by the Florida Certification 187 
Board. 188 
 Section 5.  Present paragraphs (c), (d), and (e) of 189 
subsection (8) of section 397.487, Florida Statutes, are 190 
redesignated as subsections (d), (e), and (f), respectively, and 191 
amended, a new paragraph (c) is added to that subsection, 192 
subsections (13) and (14) are added to that section, and 193 
paragraph (b) of subsection (8) of that section is amended, to 194 
read: 195 
 397.487  Voluntary certification of recovery residences. — 196 
 (8)  Onsite followup monitoring of a certified recovery 197 
residence may be conducted by the credentialing entity to 198 
determine continuing compliance with certification requirements. 199 
The credentialing entity shall inspect each certified recovery 200     
 
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residence at least annually to ensure compliance. 201 
 (b)  A certified recovery residence must notify the 202 
credentialing entity within 3 business days after the removal of 203 
the recovery residence's certified recovery residence 204 
administrator due to termination, resignation, o r any other 205 
reason. The certified recovery residence has 90 30 days to 206 
retain a certified recovery residence administrator. The 207 
credentialing entity shall revoke the certificate of compliance 208 
of any certified recovery residence that fails to comply with 209 
this paragraph. 210 
 (c)  If a certified recovery residence's administrator has 211 
been removed due to termination, resignation, or any other 212 
reason and had been previously approved to actively manage more 213 
than 50 residents pursuant to s. 397.4871(8)(b), the certif ied 214 
recovery residence has 90 days to retain another certified 215 
recovery residence administrator pursuant to that section. The 216 
credentialing entity shall revoke the certificate of compliance 217 
of any certified recovery residence that fails to comply with 218 
this paragraph. 219 
 (d)(c) If any owner, director, or chief financial officer 220 
of a certified recovery residence is arrested and awaiting 221 
disposition for or found guilty of, or enters a plea of guilty 222 
or nolo contendere to, regardless of whether adjudication is 223 
withheld, any offense listed in s. 435.04(2) while acting in 224 
that capacity, the certified recovery residence must shall 225     
 
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immediately remove the person from that position and shall 226 
notify the credentialing entity within 3 business days after 227 
such removal. The credentialing entity shall revoke the 228 
certificate of compliance of a certified recovery residence that 229 
fails to meet these requirements. 230 
 (e)(d) A credentialing entity shall revoke a certified 231 
recovery residence's certificate of compliance if the certified 232 
recovery residence provides false or misleading information to 233 
the credentialing entity at any time. 234 
 (f)(e) Any decision by a department -recognized 235 
credentialing entity to deny, revoke, or suspend a 236 
certification, or otherwise impose sanctions on a certified 237 
recovery residence, is reviewable by the department. Upon 238 
receiving an adverse determination, the certified recovery 239 
residence may request an administrative hearing pursuant to ss. 240 
120.569 and 120.57(1) within 30 days after completing any 241 
appeals process offered by the credentialing entity or the 242 
department, as applicable. 243 
 (13)  Effective January 1, 2025, a recovery residence may 244 
not deny an individual access to housing solely on the basis 245 
that he or she has been prescribed federally approve d medication 246 
that assists with treatment for substance use disorders by a 247 
licensed physician, a physician's assistant, or an advanced 248 
practice registered nurse registered under s. 464.0123. 249 
 (14)  A local law, ordinance, or regulation may not 250     
 
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regulate the duration or frequency of a resident's stay in a 251 
certified recovery residence located within a multifamily zoning 252 
district. This subsection does not apply to any local law, 253 
ordinance, or regulation adopted on or before February 1, 2024. 254 
 Section 6.  Paragraphs (b) and (c) of subsection (6) of 255 
section 397.4871, Florida Statutes, are amended, and paragraph 256 
(c) is added to subsection (8) of that section, to read: 257 
 397.4871  Recovery residence administrator certification. — 258 
 (6)  The credentialing entity shall issue a certificate of 259 
compliance upon approval of a person's application. The 260 
certification shall automatically terminate 1 year after 261 
issuance if not renewed. 262 
 (b)  If a certified recovery residence administrator of a 263 
recovery residence is arrested and awaiting disposition for or 264 
found guilty of, or enters a plea of guilty or nolo contendere 265 
to, regardless of whether adjudication is withheld, any offense 266 
listed in s. 435.04(2) while acting in that capacity, the 267 
certified recovery residence must shall immediately remove the 268 
person from that position and shall notify the credentialing 269 
entity within 3 business days after such removal. The certified 270 
recovery residence shall have 30 days to retain a certified 271 
recovery residence administrator within 90 days after such 272 
removal. The credentialing entity shall revoke the certificate 273 
of compliance of any recovery residence that fails to meet these 274 
requirements. 275     
 
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 (c)  A credentialing entity may shall revoke a certified 276 
recovery residence administrator's certificate of compliance if 277 
the recovery residence administrator provides false or 278 
misleading information to the credentialing entity at any time. 279 
 (8) 280 
 (c)  Notwithstanding paragraph (b), a Level IV certified 281 
recovery residence with a community housing component, whic h 282 
residence is actively managed by a certified recovery residence 283 
administrator approved for 100 residents under this section and 284 
is wholly owned or controlled by a licensed service provider, 285 
may actively manage up to 150 residents so long as the licensed 286 
service provider maintains a service provider personnel -to-287 
patient ratio of 1 to 8 and maintains onsite supervision at the 288 
residences 24 hours a day, 7 days a week, with a personnel -to-289 
resident ratio of 1 to 10. A certified recovery residence 290 
administrator who has been removed by a certified recovery 291 
residence due to termination, resignation, or any other reason 292 
may not continue to actively manage more than 50 residents for 293 
another service provider or certified recovery residence without 294 
being approved by the credentialing entity. For purposes of this 295 
paragraph, the term "community housing" means a certified 296 
recovery residence offered, referred to, or provided by, a 297 
licensed service provider that provides housing to its patients 298 
who are required to reside at the residence while receiving 299 
intensive outpatient and higher levels of outpatient care. A 300     
 
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certified recovery residence as defined in s. 397.311(5) used by 301 
a licensed service provider that meets the definition of 302 
community housing shall be classified as a Level IV level of 303 
support,. 304 
 Section 7.  This act shall take effect July 1, 2024. 305