HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 1 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 2 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 3 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 4 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 5 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 6 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 7 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 8 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 9 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 10 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 11 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 12 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S (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 HB 1065 2024 CODING: Words stricken are deletions; words underlined are additions. hb1065-00 Page 13 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S 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