Florida 2024 2024 Regular Session

Florida House Bill H1617 Introduced / Bill

Filed 01/09/2024

                       
 
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A bill to be entitled 1 
An act relating to behavioral health teaching 2 
hospitals; creating part VI of ch. 395, F.S., entitled 3 
"Behavioral Health Teaching Hospitals"; creating s. 4 
395.901, F.S.; defining the terms "agency" and 5 
"behavioral health teaching hospital"; providing 6 
legislative findings and intent; creating s. 395.902, 7 
F.S.; specifying the manner in which hospitals may 8 
seek designation as a behavioral health teaching 9 
hospital; specifying criteria that a hospital must 10 
meet to receive such designation; amending s. 1004.44, 11 
F.S.; establishing the Florida Center for Behavioral 12 
Health Workforce within the Louis de la Parte Florida 13 
Mental Health Institute for a specified purpose; 14 
specifying the primary goals of the center; requiring 15 
the center to establish and maintain a database o n the 16 
supply and demand of behavioral health professionals 17 
in this state for a specified purpose; authorizing the 18 
center to request, and requiring certain boards to 19 
provide, certain information regarding behavioral 20 
health professionals licensed or practici ng in this 21 
state; requiring the center to submit an annual report 22 
of certain information to the Governor and the 23 
Legislature; establishing the Florida Behavioral 24 
Health Professions Scholarship and Grants Program, 25     
 
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subject to an appropriation, to be administ ered by the 26 
center; providing purposes of the program; specifying 27 
the center's duties in administering the program; 28 
requiring the center, in collaboration with the Board 29 
of Governors and the State Board of Education, to 30 
identify certain indicators for meas uring progress and 31 
performance of the educational programs at designated 32 
behavioral health teaching hospitals in this state; 33 
requiring the center to provide an annual report to 34 
the Governor, the Legislature, the Chancellor of the 35 
State University System, a nd the Commissioner of 36 
Education; providing requirements for the report; 37 
requiring the center, in collaboration with the Board 38 
of Governors, the State Board of Education, and other 39 
stakeholders, to submit statutory and budget 40 
recommendations to the Governo r and the Legislature by 41 
a specified date each year; requiring the Board of 42 
Governors and the State Board of Education, in 43 
consultation with the center, to adopt any necessary 44 
regulations and rules in an expeditious manner; 45 
requiring the Department of Chil dren and Families, in 46 
coordination with the Louis de la Parte Florida Mental 47 
Health Institute, to contract for a two -part study of 48 
the state's behavioral health system; specifying 49 
requirements for the study; providing effective dates. 50     
 
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 51 
Be It Enacted by the Legislature of the State of Florida: 52 
 53 
 Section 1.  Part VI of chapter 395, Florida Statutes, 54 
consisting of ss. 395.901 and 395.902, Florida Statutes, is 55 
created and entitled "Behavioral Health Teaching Hospitals." 56 
 Section 2.  Section 395.901, Flo rida Statutes, is created 57 
to read: 58 
 395.901  Behavioral health teaching hospitals. — 59 
 (1)  DEFINITIONS.—As used in this part, the term: 60 
 (a)  "Agency" means the Agency for Health Care 61 
Administration. 62 
 (b)  "Behavioral health teaching hospital" means a 63 
community-based hospital licensed under this chapter which has 64 
partnered with a university school of medicine and offers 65 
integrated behavioral health education as specified in s. 66 
395.902. 67 
 (2)  LEGISLATIVE FINDINGS AND INTENT. — 68 
 (a)  The Legislature finds that there is a critical 69 
shortage of behavioral health professionals and recognizes the 70 
urgent need to expand the existing behavioral health workforce, 71 
prepare for an aging workforce, incentivize entry into 72 
behavioral health professions, and train a modernized workforce 73 
in innovative integrated care. 74 
 (b)  The Legislature finds there is a specific need to 75     
 
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support a behavioral health education system that not only 76 
trains the next generation of professionals in innovative and 77 
integrated care for those with behavio ral health needs, but also 78 
works to modernize the state's overall behavioral health system 79 
of care. 80 
 (c)  Therefore, the Legislature intends to identify and 81 
designate multiple behavioral health teaching hospitals that 82 
work to provide the necessary research , education, and services 83 
to not only enhance this state's behavioral health workforce, 84 
but to make that workforce and system of care the national 85 
standard. The Legislature intends to partner with the University 86 
of South Florida and Tampa General Hospital to establish a pilot 87 
designated behavioral health teaching hospital to develop and 88 
implement a statewide model, and further intends to create the 89 
Behavioral Health Workforce Center within the university's Louis 90 
de la Parte Florida Mental Health Institute t o address issues of 91 
workforce supply and demand in behavioral health professions, 92 
including issues of recruitment, retention, and workforce 93 
resources. 94 
 (d)  The Legislature intends for designated behavioral 95 
health teaching hospitals to: 96 
 1.  Focus on state-of-the-art behavioral health research. 97 
 2.  Provide leading-edge education and training for this 98 
state's behavioral health workforce in innovative and integrated 99 
care. 100     
 
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 3.  Collaborate with other college and university schools 101 
of nursing, psychology, social work, pharmacy, public health, 102 
and other relevant disciplines to promote and enhance a 103 
modernized behavioral health system of care. 104 
 4.  Develop, implement, and promote public -private 105 
partnerships throughout this state to support and enhance the 106 
intent of this part. 107 
 5.  Provide inpatient and outpatient behavioral health care 108 
and support the state in providing treatment and care for those 109 
whose need and acuity has resulted in the need for long -term 110 
voluntary or involuntary civil commitment. 111 
 Section 3.  Section 395.902, Florida Statutes, is created 112 
to read: 113 
 395.902  Designated behavioral health teaching hospitals. — 114 
 (1)  A hospital that partners with a university school of 115 
medicine may seek designation as a behavioral health teaching 116 
hospital by submitting an application and required documentation 117 
to the agency in a manner determined by the agency. 118 
 (2)  To be designated as a behavioral health teaching 119 
hospital, a hospital must meet all of the following criteria: 120 
 (a)  Offer a psychiatric residency program accredited 121 
through the Residency Review Committee of the Accreditation 122 
Council of Graduate Medical Education. 123 
 (b)  Offer a postdoctoral clinical psychology fellowship 124 
program accredited by the American Psychological Association. 125     
 
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 (c)  Develop and maintain a consultation agreement with the 126 
Louis de la Parte Florida Mental Health Institute as established 127 
in s. 1004.44, including with the Florida Center for Behavioral 128 
Health Workforce. 129 
 (d)  As part of its partnership with a university school of 130 
medicine, develop a plan that meets all of the following 131 
criteria: 132 
 1.  Promotes a coordinated system of care which offers 133 
inpatient and outpatient treatment and services for individuals 134 
with behavioral health needs, including, but not limited to, 135 
prevention, community inpatient care, crisis stabilization, 136 
short-term residential treatment, screening, therapeutic and 137 
supportive services, and long -term care. 138 
 2.  Develops and offers integrated workforce development 139 
programs, including, but not limited to, practicu ms and 140 
internships for clinical and nonclinical behavioral and physical 141 
health professions. 142 
 3.  Coordinates and promotes innovative partnerships that 143 
integrate colleges and schools of nursing, psychology, social 144 
work, pharmacy, public health, and other re levant disciplines 145 
with existing local and regional programs, clinics, and 146 
resources. 147 
 Section 4.  Subsections (6), (7), and (8) are added to 148 
section 1004.44, Florida Statutes, to read: 149 
 1004.44  Louis de la Parte Florida Mental Health 150     
 
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Institute.—There is established the Louis de la Parte Florida 151 
Mental Health Institute within the University of South Florida. 152 
 (6)(a)  There is established, within the institute, the 153 
Florida Center for Behavioral Health Workforce to address issues 154 
of workforce supply and de mand in behavioral health professions, 155 
including issues of recruitment, retention, and workforce 156 
resources. 157 
 (b)  The primary goals for the center are to: 158 
 1.  Develop a strategic statewide plan for the behavioral 159 
health workforce in this state by: 160 
 a.  Conducting a statistically valid biennial data -driven 161 
analysis of the supply and demand of the behavioral health 162 
workforce. To achieve such goal, the center must: 163 
 (I)  Establish and maintain a database on the supply and 164 
demand of behavioral health professio nals in this state, to 165 
include current supply and demand; and 166 
 (II)  Analyze the current and future supply and demand in 167 
the state. 168 
 b.  Developing recommendations and strategies to increase 169 
behavioral health faculty and educational supervision, support 170 
behavioral health faculty development, and promote advanced 171 
behavioral health education. 172 
 c.  Developing best practices in the academic preparation 173 
and continuing education needs of qualified behavioral health 174 
educators. 175     
 
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 d.  Collecting data on behavioral he alth faculty, 176 
employment, distribution, and retention. 177 
 e.  Piloting innovative projects to support the 178 
recruitment, development, and retention of qualified behavioral 179 
health faculty and clinical preceptors. 180 
 f.  Encouraging and coordinating the developmen t of 181 
academic-practice partnerships, to support behavioral health 182 
faculty employment and advancement. 183 
 g.  Developing distance learning infrastructure for 184 
behavioral health education and advancing faculty competencies 185 
in the pedagogy of teaching and the ev idence-based use of 186 
technology, simulation, and distance learning techniques. 187 
 2.  Enhance and promote behavioral health professionals in 188 
this state by developing and promoting: 189 
 a.  Behavioral health excellence programs; 190 
 b.  Reward, recognition, and renewal activities; and 191 
 c.  Media and image-building efforts. 192 
 3.  Convene various groups representative of behavioral 193 
health professions, other health care providers, business and 194 
industry, consumers, lawmakers, and educators to: 195 
 a.  Review and comment on data analysis prepared for the 196 
center; 197 
 b.  Recommend systemic changes, including strategies for 198 
implementation of recommended changes; and 199 
 c.  Evaluate and report the results of these efforts to the 200     
 
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Legislature and other entities. 201 
 (c)  The center may request from any board as defined in s. 202 
456.001, and the board must provide to the center upon its 203 
request, any information held by the board regarding a 204 
behavioral health professional licensed in this state or holding 205 
a multistate license pursuant to a p rofessional multistate 206 
licensure compact or information reported to the board by 207 
employers of such behavioral health professionals, other than 208 
personal identifying information. 209 
 (d)  By January 10 of each year, the center shall submit a 210 
report to the Governor, the President of the Senate, and the 211 
Speaker of the House of Representatives providing details of its 212 
activities during the preceding calendar year in pursuit of its 213 
goals and in the execution of its duties under paragraph (b). 214 
 (7)(a)  There is estab lished a Florida Behavioral Health 215 
Professions Scholarship and Grants Program, subject to an 216 
appropriation by the Legislature, to be administered by the 217 
Florida Center for Behavioral Health Workforce. The purpose of 218 
the program is to provide scholarships t o students enrolled in 219 
educational programs, including practicums, internships, and 220 
rotations, at designated behavioral health teaching hospitals in 221 
this state and provide grants to support establishment of such 222 
educational programs. 223 
 (b)  The center must, at a minimum, do all of the following 224 
to administer the Florida Behavioral Health Professions 225     
 
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Scholarship and Grants Program: 226 
 1.  Coordinate, facilitate, and oversee statewide 227 
implementation of the Florida Behavioral Health Professions 228 
Scholarship and Grants Program. 229 
 2.  Consult and collaborate with designated behavioral 230 
health teaching hospitals and affiliated universities to 231 
identify eligible educational programs to offer the scholarship 232 
program. 233 
 3.  Establish requirements, timelines, and processes fo r 234 
eligibility and application for scholarships and grants. 235 
 4.  Administer scholarship funds. The annual amount of the 236 
scholarship to be provided to an eligible student must be the 237 
amount specified in the General Appropriations Act. 238 
 5.  Administer grant f unds. The grants must be used for the 239 
implementation and operation of educational programs, including 240 
practicums, internships, and rotations, at designated behavioral 241 
health teaching hospitals in this state. Funds appropriated to 242 
the center may be used for such grants only as specifically 243 
authorized in the General Appropriations Act. 244 
 6.  Report on the implementation and administration of this 245 
subsection by planning, advising, and evaluating approved degree 246 
and certificate programs and the performance of st udents and 247 
programs pursuant to paragraph (c). 248 
 (c)1.  The center, in collaboration with the Board of 249 
Governors and the State Board of Education, shall identify 250     
 
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indicators for the satisfactory progress of students enrolled in 251 
educational programs, includin g practicums, internships, and 252 
rotations, at designated behavioral health teaching hospitals in 253 
this state and for the performance of such programs. 254 
 2.  By October 1, 2025, and each year thereafter, the 255 
center shall provide to the Governor, the President of the 256 
Senate, the Speaker of the House of Representatives, the 257 
Chancellor of the State University System, and the Commissioner 258 
of Education a report summarizing, at a minimum, the status of 259 
the statewide coordination and implementation of educational 260 
programs, including practicums, internships, and rotations, at 261 
designated behavioral health teaching hospitals in this state 262 
and the Florida Behavioral Health Professions Scholarships and 263 
Grants Program, including, but not limited to, the: 264 
 a.  Number of applications approved and denied and the 265 
reasons for each denial. 266 
 b.  Number and value of all scholarships awarded to 267 
students. 268 
 c.  Projected number of students who may be eligible to 269 
enroll in educational programs, including practicums, 270 
internships, and rota tions, at designated behavioral health 271 
teaching hospitals in this state within the next academic year. 272 
 3.  The center, in collaboration with the Board of 273 
Governors, the State Board of Education, and other stakeholders, 274 
by December 1 of each year, shall su bmit to the Governor, the 275     
 
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President of the Senate, and the Speaker of the House of 276 
Representatives statutory and budget recommendations for 277 
improving the implementation and delivery of scholarships and 278 
grants. 279 
 (8)  The Board of Governors and the State Boa rd of 280 
Education, in consultation with the center, shall expeditiously 281 
adopt any necessary regulations and rules, as applicable, to 282 
allow the center to perform its responsibilities under 283 
subsections (6) and (7) beginning in the 2025 -2026 fiscal year. 284 
 Section 5.  Effective upon this act becoming a law, the 285 
Department of Children and Families, in coordination with the 286 
Louis de la Parte Florida Mental Health Institute, must contract 287 
for a two-part study of Florida's behavioral health system. 288 
 (1)  The first part of the study must be a study of 289 
Florida's behavioral health system in general, including, but 290 
not limited to, all of the following: 291 
 (a)  An analysis of Florida's behavioral health workforce 292 
and behavioral health education and training. 293 
 (b)  An evaluation of how to best promote, integrate, and 294 
incentivize the establishment of behavioral health teaching 295 
hospitals, as detailed in this act. 296 
 (c)  Policy recommendations for recruiting, training, and 297 
retaining an integrated behavioral health workforce. 298 
 (2)  The second part of the study must be a detailed 299 
analysis of Florida's involuntary commitment system, including, 300     
 
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but not limited to, all of the following: 301 
 (a)  Involuntary commitment bed capacity, in both forensic 302 
and civil involuntary commitment sett ings. 303 
 (b)  Involuntary commitment policies and processes. 304 
 (c)  Policy recommendations for ensuring sufficient 305 
involuntary commitment bed capacity. 306 
 (d)  An evaluation of maintaining civil commitment beds as 307 
a requirement for designation as a behavioral h ealth teaching 308 
hospital, to include potential costs related to capital outlay, 309 
enhanced bed rate, and staffing requirements. 310 
 (e)  Recommendations for promoting coordination between 311 
Florida's involuntary commitment system, behavioral health 312 
teaching hospitals, and other integrated health programs. 313 
 Section 6.  Except as otherwise expressly provided in this 314 
act and except for this section, which shall take effect upon 315 
this act becoming a law, this act shall take effect July 1, 316 
2024. 317